Ukuhlola kwesisu

Ukuhlolwa kwesisu kungukuhlinzwa ukubheka izitho nezakhiwo ezisendaweni yakho yesisu (esiswini). Lokhu kufaka phakathi kwakho:

• Isithasiselo
• Isinye
• I-gallbladder
• Amathumbu
• Izinso nama-ureters
• Isibindi
• Amapancreas
• Ubende
• Isisu
• Isibeletho, amashubhu okuvimba, nama-ovari (kwabesifazane)

Ukuhlinzwa okuvula isisu kubizwa ngokuthi yi-laparotomy.

I-laparotomy yokuhlola yenziwa ngenkathi ungaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ulele futhi awuzwa buhlungu.

Udokotela ohlinzayo usika isisu bese uhlola izitho zesisu. Usayizi nendawo yokusika okuhlinzekiwe kuncike ekukhathazekeni okuthile kwezempilo.

I-biopsy ingathathwa ngesikhathi senqubo.

I-laparoscopy ichaza inqubo eyenziwa ngekhamera encane efakwe ngaphakathi kwesisu. Uma kunokwenzeka, i-laparoscopy izokwenziwa esikhundleni se-laparotomy.

Umhlinzeki wakho wezokunakekelwa kwempilo angancoma i-laparotomy uma izivivinyo ze-imaging zesisu, ezinjenge-x-ray nama-CT scan, zinganikanga ukuxilongwa okunembile.

I-laparotomy yokuhlola ingasetshenziswa ukusiza ukuxilonga nokwelapha izimo eziningi zempilo, kufaka phakathi:

• Umdlavuza we-ovary, colon, amanyikwe, isibindi
• I-Endometriosis
• Amatshe amatshe amade
• Umgodi emathunjini (ukungcola kwamathumbu)
• Ukuvuvukala kwesithasiselo (i-acute appendicitis)
• Ukuvuvukala kwesikhwama samathumbu (diverticulitis)
• Ukuvuvukala kwamanyikwe (i-pancreatitis ebukhali noma engapheli)
• Ithumba lesibindi
• Amaphakethe okutheleleka (ithumba le-retroperitoneal, ithumba lesisu, ithumba le-pelvic)
• Ukukhulelwa ngaphandle kwesibeletho (i-ectopic pregnancy)
• Izicubu ezibomvu esiswini (ukunamathela)

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile zifaka:

• Ukusabela emithini, izinkinga zokuphefumula
• Ukopha, amahlule egazi, ukutheleleka

Izingozi zalokhu kuhlinzwa zifaka:

• I-hernia engabonakali
• Ukulimala kwezitho esiswini

Uzovakashela umhlinzeki wakho futhi uvivinywe ngaphambi kokuhlinzwa. Umhlinzeki wakho uzokwenza lokhu:

• Yenza ukuhlolwa okuphelele komzimba.
• Qiniseka ukuthi ezinye izimo zezokwelapha ongahle ube nazo, njengesifo sikashukela, umfutho wegazi ophakeme, noma izinkinga zenhliziyo noma zamaphaphu ziyalawulwa.
• Yenza izivivinyo ukuze uqiniseke ukuthi uzokwazi ukubekezelela ukuhlinzwa.
• Uma ubhema, kufanele uyeke ukubhema emasontweni ambalwa ngaphambi kokuhlinzwa kwakho. Cela usizo kumhlinzeki wakho.

Tshela umhlinzeki wakho:

• Imiphi imithi, amavithamini, amakhambi, nezinye izithako ozithathayo, ngisho naleyo oyithenge ngaphandle kadokotela.
• Uma uphuze utshwala obuningi, uphuza iziphuzo ezingaphezu kwezingu-1 noma ezi-2 ngosuku
• Uma kungenzeka ukhulelwe

Phakathi nesonto ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha okwesikhashana izinciphisi zegazi. Ezinye zazo i-aspirin, ibuprofen (Advil, Motrin), uvithamini E, warfarin (Coumadin), clopidogrel (Plavix), noma ticlopidine (Ticlid).
• Buza umhlinzeki wakho ukuthi yiziphi izidakamizwa okufanele usaziphuza ngosuku lokuhlinzwa kwakho.
• Lungiselela ikhaya lakho ukubuya kwakho esibhedlela.

Ngosuku lokuhlinzwa kwakho:

• Landela imiyalo yomhlinzeki wakho mayelana nokuthi ungayeka nini ukudla nokuphuza.
• Thatha imithi umhlinzeki wakho akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Fika esibhedlela ngesikhathi.

Kufanele ukwazi ukuqala ukudla nokuphuza ngokwejwayelekile cishe ezinsukwini ezimbili kuya kwezi-3 ngemuva kokuhlinzwa. Uhlala isikhathi esingakanani esibhedlela kuncike ebucayi benkinga. Ukutakula ngokuphelele kuvame ukuthatha cishe amasonto amane.

Ukuhlinzwa kokuhlola; I-Laparotomy; I-laparotomy yokuhlola

• Uhlelo lokugaya ukudla
• Ukunamathela kwepelvic
• Ukuhlola kwesisu - uchungechunge

USham JG, Reames BN, He J. Ukuphathwa komdlavuza we-periampullary. Ku: UCameron AM, uCameron JL, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: 545-552.

Ama-squire RA, uCarter SN, uPostier RG. Isisu esinamandla. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 45.