Kwenziwa kanjani ukuhlinzwa komdlavuza wamathumbu
-Delile
Ukuhlinzwa kungukwelashwa okuyinhloko okukhonjiswa umdlavuza wamathumbu, njengoba kuhambelana nendlela esheshayo nephumelelayo yokususa amangqamuzana amaningi wesimila, ukukwazi ukwelapha umdlavuza ezimeni ezinzima zebanga loku-1 nelesi-2, noma ukubambezela ukukhula kwawo, amacala abucayi kakhulu.
Uhlobo lokuhlinzwa olusetshenzisiwe luxhomeke endaweni onawo umdlavuza, uhlobo lwawo, ubukhulu bawo nokuthi usabalale kangakanani emzimbeni, futhi kungadingeka ukuthi kususwe ucezu oluncane kuphela lwodonga lwamathumbu noma kususwe yonke ingxenye.
Kunoma yiluphi uhlobo lokuhlinzwa, udokotela angancoma ezinye izindlela zokwelapha, njenge-chemotherapy noma i-radiation, ukuqeda amangqamuzana omdlavuza angasuswanga nokuvimbela isimila ukuthi singakhuli. Ezimweni ezinzima kakhulu, lapho amathuba okwelashwa ephansi kakhulu, lezi zindlela zokwelapha zingasebenza ekunciphiseni izimpawu. Bona imininingwane eminingi ngokwelashwa komdlavuza wamathumbu.
1. Ukuhlinzwa komdlavuza ongathuthukisiwe
Lapho umdlavuza usaqala, udokotela uvame ukuncoma ukuthi enze ukuhlinzwa okulula, ngoba ingxenye encane kuphela yamathumbu iye yathinteka, okuyi-polyps encane ebulalayo. Ukwenza lokhu kuhlinza, udokotela usebenzisa ithubhu elincane, elifana nokuhlolwa kwe-colonoscopy, ekugcineni okunethuluzi elikwaziyo ukususa izingcezu zodonga lwamathumbu.
Ngakho-ke, udokotela ususa amangqamuzana omdlavuza namanye amangqamuzana aphilile azungeze isifunda esithintekile ukuqinisekisa ukuthi umdlavuza awubuni futhi. Amaseli akhishwe ngesikhathi sokuhlinzwa athunyelwa elabhorethri ayohlolwa.
Ngemuva kokuhlaziywa kwelabhorethri, udokotela uhlola izinga lokuguquka kwamangqamuzana amabi futhi ahlole isidingo sokuhlinzwa okusha ukuze kususwe izicubu eziningi.
Lokhu kuhlinzwa kwenziwa ehhovisi likadokotela, ngakho-ke, akudingeki ukuthi usebenzise noma yiluphi uhlobo lwe-anesthesia, futhi kungasetshenziswa kuphela i-sedation emnene. Ngakho-ke, kungenzeka ukubuyela ekhaya ngosuku olufanayo, ngaphandle kokuhlala esibhedlela.
2. Kwenziwa ukuhlinzwa komdlavuza
Lapho umdlavuza usuvele usesigabeni esithuthuke kakhulu, ukuhlinzekwa kukhulu kakhulu, ngakho-ke, kuyadingeka ukuthi kwenziwe esibhedlela ngaphansi kwe-anesthesia ejwayelekile, futhi kuyadingeka nokuthi umuntu ahlale esibhedlela izinsuku ezimbalwa ngaphambi kokubuya ikhaya elizobhekwa.nokuqinisekisa ukuthi azikho izinkinga.
Kwezinye izimo, ngaphambi kokwenza ukuhlinzwa, kungadingeka ukuthi lowo muntu abhekane namakhemikhali we-chemotherapy noma ama-radiotherapy ukunciphisa ubukhulu besimila futhi, ngenxa yalokho, kungenzeka ukuthi angakhiphi izingxenye ezinkulu zamathumbu.
Ngokuya ngobukhulu nobukhulu besifo somdlavuza wamathumbu, izinhlobo ezimbili zokuhlinzwa zingenziwa:
- Ukuhlinzwa okuvulekile, lapho kusikwa khona esiswini ukususa ingxenye enkulu yamathumbu;
- Ukuhlinzwa nge-Laparoscopic, lapho kwenziwa khona izimbobo ezincane esifundeni esiswini lapho kufakwa khona into yezokwelapha, enesibopho sokususa ingxenye yamathumbu.
Ngemuva kokukhipha ingxenye ethintekile, udokotela ohlinzayo uxhuma izingxenye zombili zamathumbu, avumele isitho sikwazi ukuvuselela ukusebenza kwaso. Kodwa-ke, ezimeni lapho kudingeka khona ukususa ingxenye enkulu kakhulu yamathumbu noma ukuhlinzwa kuyinkimbinkimbi kakhulu, udokotela angaxhuma amathumbu ngqo esikhunjeni, esaziwa njenge-ostomy, ukuvumela amathumbu ukuthi alulame ngaphambi kokuxhuma lezi ezimbili amaqembu. Qonda ukuthi kuyini nokuthi kufanele uyinakekele kanjani i-ostomy.