Ukususwa kwendlala ye-Adrenal

Ukususwa kwendlala ye-Adrenal kungukusebenza lapho kususwa khona eyodwa noma zombili izindlala ze-adrenal. Izindlala ze-adrenal ziyingxenye yohlelo lwe-endocrine futhi zitholakala ngenhla nje kwezinso.

Uzothola i-anesthesia ejwayelekile ekuvumela ukuthi ulale futhi ungezwa ubuhlungu ngesikhathi sokuhlinzwa.

Ukususwa kwe-adrenal gland kungenziwa ngezindlela ezimbili. Uhlobo lokuhlinzwa onalo luxhomeke enkingeni elashwa.

• Ngokuhlinzwa okuvulekile, udokotela ohlinzayo usika (ukusika) okukodwa okukhulu ukuze asuse indlala.
• Ngenqubo ye-laparoscopic, kwenziwa ukusikeka okuncane okuningana.

Udokotela ohlinzayo uzoxoxa ngokuthi iyiphi indlela engcono ekulungele.

Ngemuva kokususwa kwendlala ye-adrenal, ithunyelwa kudokotela wezifo ukuze ahlolwe ngaphansi kwesibonakhulu.

Indlala ye-adrenal iyasuswa lapho kunomdlavuza owaziwayo noma ukukhula (isisindo) okungaba ngumdlavuza.

Kwesinye isikhathi, isisindo esiswini se-adrenal sisuswa ngoba sikhipha i-hormone engadala imiphumela emibi eyingozi.

• Esinye sezimila ezivame kakhulu i-pheochromocytoma, engadala umfutho wegazi ophakeme kakhulu
• Ezinye izinkinga zibandakanya i-Cushing syndrome, i-Conn syndrome, kanye ne-adrenal mass yesizathu esingaziwa

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile zifaka:

• Ukusabela emithini
• Izinkinga zokuphefumula
• Ukopha, amahlule egazi, noma ukutheleleka

Izingozi zalokhu kuhlinzwa zifaka:

• Ukulimala kwezitho zomzimba eziseduze
• Isilonda esivula izicubu ezivulekile noma eziqhumayo ngokusebenzisa i-incision (incisional hernia)
• Inkinga enkulu ye-adrenal lapho kungekho khona i-cortisol eyanele, i-hormone ekhiqizwa yizinhlayiya ze-adrenal

Tshela udokotela wakho ohlinzayo noma umhlengikazi:

• Uma ukhulelwe noma ungakhulelwa
• Imiphi imithi oyiphuzayo, ngisho nezidakamizwa, izithasiselo, noma amakhambi owathengile ngaphandle kwencwadi kadokotela

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Ungacelwa ukuthi uyeke ukuthatha okwesikhashana izinciphisi zegazi. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin, Jantoven), nezinye.
• Buza udokotela wakho ohlinzayo ukuthi yimiphi imishanguzo okufanele usayiphuza ngosuku lokuhlinzwa.

Uma ubhema, zama ukuyeka. Ukubhema kubambezela ukululama futhi kwenyusa ubungozi bezinkinga. Buza umhlinzeki wakho wokunakekelwa kwezempilo usizo lokuyeka.

Ngosuku lokuhlinzwa:

• Landela imiyalo yokuthi ungakuyeka nini ukudla nokuphuza.
• Thatha izidakamizwa udokotela wakho akutshele ukuthi uziphuze ngophuzo oluncane lwamanzi.
• Fika esibhedlela ngesikhathi.

Ngenkathi usesibhedlela, unga:

• Celwa ukuba uhlale eceleni kombhede uhambe ngosuku olufanayo lokuhlinzwa kwakho
• Yiba neshubhu, noma ipayipi, elivela esinyeni sakho
• Yiba nomsele ophuma ngokusika kwakho kokuhlinzwa
• Ukungakwazi ukudla usuku lokuqala kuya kwezingu-3, ​​bese uzoqala ngoketshezi
• Khuthazwa ukwenza izivivinyo zokuphefumula
• Gqoka izitokisi ezikhethekile ukuvimbela amahlule egazi
• Thola isibhamu ngaphansi kwesikhumba sakho ukuvimbela amahlule egazi
• Thola umuthi wezinhlungu
• Bheka ukuthi umfutho wakho wegazi uhlolwe yini futhi uqhubeke nokuthola umuthi womfutho wegazi

Uzokhishwa ezinsukwini ezi-1 noma ezi-2 ngemuva kokuhlinzwa.

Ekhaya:

• Landela imiyalo yokuthi ungazinakekela kanjani njengoba usalulama.
• Ungasusa ukugqoka nokugeza ngosuku olulandelayo ngemuva kokuhlinzwa, ngaphandle kokuthi udokotela wakho ohlinzayo akutshele ngenye indlela.
• Ungahle ube nezinhlungu ezithile futhi ungadinga ukuthatha umuthi wezinhlungu.
• Ungaqala ukwenza imisebenzi elula.

Ukululama ekuhlinzweni okuvulekile kungaba buhlungu ngenxa yokuthi ukusika kokuhlinzwa kutholakala kuphi. Ukubuyiselwa emuva kwenqubo ye-laparoscopic kuvame ukushesha.

Abantu abenziwa ukuhlinzekwa nge-laparoscopic ikakhulukazi bayalulama ngokushesha kunokuhlinzwa okuvulekile. Ukwenza kahle kangakanani ngemuva kokuhlinzwa kuya ngesizathu sokuhlinzwa:

• Uma ngabe uhlinzekelwe i-Conn syndrome, kungadingeka ukuthi uhlale emithini yomfutho wegazi.
• Uma ngabe uhlinzekelwe i-Cushing syndrome, usengozini yezinkinga ezizodinga ukwelashwa. Umhlinzeki wakho angakutshela kabanzi ngalokhu.
• Uma ngabe uhlinzelwe i-pheochromocytoma, umphumela uvame ukuba muhle.

I-Adrenalectomy; Ukususwa kwezindlala ze-adrenal

Lim SK, Rha KH. Ukuhlinzwa kwezindlala ze-adrenal. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 66.

USmith PW, uHanks JB. Ukuhlinzwa kwe-adrenal. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 111.

Yeh MW, uLivhits MJ, uDuh QY. Izindlala ze-adrenal. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 39.