Kudingeka Kanjani Ukutakula Nokunakekelwa Ngemuva Kokususwa Kobende

-Delile

• Ukulungiselela kanjani ukuhlinzwa
• Lapho kuboniswa ukuhlinzwa
• Ususa kanjani ubende
• Izingozi nezinkinga ezikhona zokuhlinzwa
• Nakekela labo abasuse ubende

I-Splenectomy ukuhlinzwa ukususa konke noma ingxenye yobende, okuyisitho esisemgodini wesisu futhi obhekene nokukhiqiza, ukugcina nokususa ezinye izinto egazini, ngaphezu kokukhiqiza amasosha omzimba kanye nokugcina ibhalansi yomzimba, ukugwema izifo.

Inkomba enkulu ye-splenectomy kulapho kukhona ukulimala noma ukuqhekeka kwengalo, kodwa-ke, lokhu kuhlinzwa kungabuye kunconywe ezimweni zokuphazamiseka kwegazi, izinhlobo ezithile zomdlavuza noma ngenxa yokuba khona kwama-cysts noma izicubu ezingezona ezimbi. Ukuhlinzwa kuvame ukwenziwa nge-laparoscopy, lapho kwenziwa khona izimbobo ezincane esiswini ukukhipha isitho, okwenza isibazi sibe sincane kakhulu futhi ukululama kusheshe.

Ukulungiselela kanjani ukuhlinzwa

Ngaphambi kwe-splenectomy, udokotela uncoma ukwenza ukuhlolwa kwegazi kanye ne-ultrasound noma i-tomography ukuze ahlole isimo somuntu jikelele nokuba khona kwezinye izinguquko, njengamatshe enyongo, ngokwesibonelo. Ngaphezu kwalokho, ukuphathwa kwemigomo kanye nama-antibiotic kunganconywa emasontweni ngaphambi kwenqubo, ukunciphisa ubungozi bokutheleleka.

Lapho kuboniswa ukuhlinzwa

Inkomba enkulu yokususwa kobende kulapho kuqinisekiswa khona ukuphuka kwalesi sitho ngenxa yokuhlukumezeka esiswini. Kodwa-ke, ezinye izinkomba ze-splenectomy yilezi:

• Umdlavuza ebuchosheni;
• Ukuqhekeka okuzenzakalelayo kobende, uma kwenzeka i-leukemia, ikakhulukazi;
• I-Spherocytosis;
• I-sickle cell anemia;
• I-purpura ye-Idiopathic thrombocytopenic;
• Ithumba le-Splenic;
• I-anemia ye-hemolytic yokuzalwa;
• Isiteji se-Hodgkin's lymphoma.

Ngokwesilinganiso sokushintshwa kobende kanye nobungozi bokuthi lolu shintsho lungamela umuntu, udokotela angakhombisa ukususwa okuyingxenye noma okuphelele komzimba.

Ususa kanjani ubende

Ezimweni eziningi, kukhonjiswa i-laparoscopy yevidiyo, enezimbobo ezi-3 ezincane esiswini, lapho amashubhu nezinsimbi ezidingekayo ekususweni kwepende, ngaphandle kokusika okukhulu. Isiguli sidinga i-anesthesia ejwayelekile kanti ukuhlinzwa kuthatha isilinganiso samahora ama-3, silaliswe esibhedlela izinsuku ezi-2 kuye kwezi-5.

Le ndlela yokuhlinza ayifuni kakhulu, ngakho-ke, ibangela ubuhlungu obuncane futhi isibazi sincane, senza ukululama futhi sibuyele emisebenzini yansuku zonke ngokushesha. Kodwa-ke, kwezinye izimo, kungadingeka ukuthi ube nokuhlinzwa okuvulekile, ngokusikwa okukhulu.

Izingozi nezinkinga ezikhona zokuhlinzwa

Ngemuva kokuhlinzwa ukuze kususwe ubende, kujwayelekile ukuthi isiguli sizwe ubuhlungu nokukhawulwa okuthile ukwenza imisebenzi yansuku zonke yodwa, sidinga usizo lwelungu lomndeni lokwenza ukunakekelwa kwenhlanzeko, ngokwesibonelo. Ukuhlinzwa nge-laparoscopy, yize kubhekwa njengokuvikelekile, kungaholela ezinkingeni ezifana ne-hematoma, ukopha noma ukukhishwa kwe-pleural. Noma kunjalo, ukuhlinzwa okuvulekile kungaletha izingozi eziningi.

Nakekela labo abasuse ubende

Ngemuva kokususwa kobende, amandla omzimba okulwa nezifo ayancipha futhi ezinye izitho, ikakhulukazi isibindi, zandisa amandla azo okukhiqiza amasosha omzimba alwa nezifo nokuvikela umzimba. Ngakho-ke, isikhumba sithambekele kakhulu ekuthuthukiseni izifo ngoI-Pneumococcus, i-meningococcus ne-Haemophilus influenzae, ngakho-ke kufanele:

• Thola imithi yokugoma izinhloso eziningi ngokumelene I-Pneumococcus nokuhlanganisa umuthi wokugomela i- I-Haemophilus influenzaethayipha B no meningococcus thayipha C, phakathi kwamasonto amabili ngaphambi kwamasonto amabili ngemuva kokuhlinzwa;
• Thola umuthi wokugoma phumokuhle njalo eminyakeni emihlanu (noma ngezikhathi ezimfushane esimweni se-sickle cell anemia noma izifo ze-lymphoproliferative);
• Ukuthatha ama-antibiotic umthamo ophansi wokuphila noma uthathe i-benzathine penicillin njalo emavikini amathathu.

Ngaphezu kwalokho, kubalulekile futhi ukudla ukudla okunempilo, ukugwema ukudla okunoshukela omningi namafutha, ukuzivocavoca umzimba njalo, ukugwema ukushintsha okungazelelwe kwezinga lokushisa ukugwema imikhuhlane nomkhuhlane, nokungasebenzisi imishanguzo ngaphandle kwezeluleko zezokwelapha.