Yini i-cystectomy futhi yenziwa nini

-Delile

• Uma kukhonjisiwe
• Kwenziwa kanjani

I-cystectomy uhlobo lwezinqubo zokuhlinza ezenziwa uma kwenzeka umdlavuza wesinye ungenele futhi, kuye ngobukhulu nobukhulu bomdlavuza, kungadingeka ukususa ingxenye noma isinye sonke, ngaphezu kwezinye izakhiwo eziseduze, njenge-prostate kanye izindlala zesisu, esimweni sabesilisa, nesibeletho, isizalo kanye nengxenye yesitho sangasese sowesifazane, esimweni sabesifazane.

Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi kungenziwa ngokusikwa kwesisu noma ukusikeka okuncane okuncane lapho kudlula khona idivaysi enekhamera encane ekugcineni.

Uma kukhonjisiwe

I-cystectomy iyindlela yokwelashwa ekhonjiswe kakhulu uma kwenzeka umdlavuza wesinye utholakala esigabeni sesi-2, okuyilapho isimila sifinyelela ungqimba lwesicubu sesinye, noma u-3, okuyilapho sidlula khona ungqimba lwesicubu sesinye futhi sifinyelele ezicutshini ezikuzungezile.

Ngakho-ke, ngokusho nobukhulu besifo somdlavuza wesinye, udokotela angakhetha izinhlobo ezimbili ze-cystectomy:

• I-cystectomy eyingxenye noma eyingxenye, okuvame ukukhonjiswa kumdlavuza wesinye otholakala esigabeni sesi-2, lapho isimila sifinyelela ungqimba lwemisipha yesinye futhi sitholakala kahle. Ngakho-ke, udokotela angakhetha ukususa kuphela isimila noma ingxenye yesinye equkethe isimila, ngaphandle kwesidingo sokususa ngokuphelele isinye;
• I-cystectomy enamandla, okukhonjiswa esimweni somdlavuza wesigaba sesithathu, okungukuthi, lapho isimila sithinta nezicubu eziseduze nesinye. Ngakho-ke, udokotela ukhombisa, ngaphezu kokukhishwa kwesinye, ukususwa kwendlala yesinye kanye nezindlala zesisu, endabeni yamadoda, kanye nesibeletho nodonga lwesitho sangasese sowesifazane, esimweni sabesifazane. Ngaphezu kwalokho, ngokuya ngobukhulu besifo somdlavuza, kungahle futhi kudingeke ukuthi kususwe ama-ovaries abesifazane, amashubhu e-fallopian kanye nesibeletho, ngokwesibonelo.

Yize iningi labesifazane abenza lolu hlobo lokuhlinzwa selivele lisekunqamukeni kokuya esikhathini, abaningi basengaba nempilo esebenzayo yocansi, futhi lokhu kubhekwa ngesikhathi sokuhlinzwa. Ngaphezu kwalokho, amadoda aneminyaka yobudala yokuzala kufanele futhi akhumbule imiphumela yokuhlinzwa, ngoba ku-cystectomy eqinile kungasuswa indlala yesinye kanye nezindlala zesisu, kuphazamise ukukhiqizwa nokugcinwa kwesidoda.

Kwenziwa kanjani

I-cystectomy yenziwa ngaphansi kwe-anesthesia ejwayelekile ngokusikeka esiswini noma ngokusikeka okuncane, kusetshenziswa idivaysi equkethe i-microcamera ekugcineni kwayo ukubona i-pelvis ngaphakathi, le ndlela ibizwa nge-laparoscopic cystectomy. Qonda ukuthi ukuhlinzwa kwe-laparoscopic kwenziwa kanjani.

Udokotela uvame ukuncoma ukuthi kumiswe ukusetshenziswa kwemithi engaphazamisa ukuvaleka kwegazi nokuthi isiguli sizile ukudla okungenani amahora ayi-8 ngaphambi kokuhlinzwa. Ngemuva kokuhlinzwa, kunconywa ukuthi lowo muntu ahlale izinsuku ezingaba ngu-30 ephumule, kugwenywe imizamo.

Endabeni ye-cystectomy engaphelele, ukuhlinzwa akudingeki ukwakha kabusha isinye, kepha isinye kungenzeka singakwazi ukuqukatha umchamo omningi, ongenza umuntu azizwe ethanda ukuyogeza izikhathi eziningi ngosuku. Kodwa-ke, esimweni se-radical cystectomy, ukuhlinzwa kuyadingeka ukwakha indlela entsha yokugcina nokuqeda umchamo, kanye nokwakhiwa kabusha komsele wesitho sangasese sowesifazane, esimweni sabesifazane.

Ngemuva kokuhlinzwa, kuyinto ejwayelekile ukuthi i-chemotherapy noma i-radiation therapy ikhonjiswe ukuvimbela ukwanda kwamangqamuzana amasha we-tumor. Ngaphezu kwalokho, kuyinto ejwayelekile ukubona igazi emchameni, izifo eziphindaphindayo zomgudu womchamo nokungasebenzi komchamo, isibonelo. Funda ngezinye izinketho zokwelashwa komdlavuza wesinye.