Konke Odinga Ukukwazi Mayelana Nokuhlinzwa Kwe-Commando

I-COMMANDO (inwetshiwe njenge-Combined Mandibulectomy kanye ne-Neck Dissection Operation) inqubo yokuhlinzwa eyenziwa ukuze kukhishwe isimila esiyinhloko esizungeze ama-lymph nodes omlomo wesibeletho. Ngokuvamile, inqubo ihilela ukwelashwa kwe-mandibular floor. Udokotela e- Izibhedlela ezihamba phambili zomdlavuza eRaipur izohlola futhi isebenze ohlelweni lwe-lymphatic lwentamo, imisipha ye-sternocleidomastoid, kanye ne-internal jugular vein. Yonke inqubo iyinkimbinkimbi futhi kufanele yenziwe kuphela udokotela ohlinzayo onolwazi.

Ukuhlinzwa kwe-Commando nakho kudinga ukwakhiwa kabusha kobuso ngemva kwalokho ukuze kulungiswe kabusha isakhiwo sobuso esawohlokayo phakathi nokuhlinzwa. Ukwakhiwa kabusha kokuhlinzwa kwenziwa ngemva kokukhipha umdlavuza ekhanda nasentanyeni. Kungolunye lokuhlinzwa okuyinselele kakhulu, futhi yiqembu kuphela lodokotela abanolwazi okufanele baphathe ukunakekelwa kwangaphambi kokuhlinzwa nangemuva kokuhlinzwa. Ukutholwa kusenesikhathi komdlavuza womlomo kuzosiza odokotela ukuthatha izinyathelo ezidingekayo kusengaphambili.

Ake sidlule ezidingweni, ukulungiselela, inqubo, nokunakekelwa kwangemva kokuhlinzwa kokuhlinzwa kwe-commando.

Kungani Kudingeka Ukuhlinzwa Kwe-Commando?

• Ama-cancer athinta isifunda se-oropharyngeal asuswa ngosizo lokuhlinzwa kwe-commando. Odokotela abahlinzayo basebenzisa le nqubo ukuze belaphe umdlavuza womlomo, ongase ube phakathi noma eduze nolimi, phansi komlomo, i-larynx, pharynx, maxilla, mandible, noma ulwanga.
• Umdlavuza osakazeka entanyeni nasekhanda endaweni ulandela indlela yawo ukusuka ekhanda kuye entanyeni kuye esifubeni. Ngakho-ke, ukuhlinzwa kuhilela ukukhishwa kwenhlanganisela ukuvimbela umdlavuza ukuba ungasakazeki.
• Futhi, umdlavuza wentamo nekhanda uvame ukuhamba ohlangothini olulodwa lomzimba. Ngakho-ke, ukumisa umzila womdlavuza, ukuhlukaniswa kweziteshi ze-lymphatic kwenziwa.

Ilungiselela Inqubo Ye-Commando

Labo abahlinza intamo nekhanda eliyinhlanganisela kufanele balungiselelwe ngokwemithi inqubo. Udokotela wakho uzokwenza izivivinyo ezithile zokuqala kanye nokuxilongwa ukuze uqinisekise impilo yakho yomzimba ngaphambi kokuhlinzwa.

Okulandelayo ezinye izidingo zokuqala noma ukuxilongwa udokotela wakho angase akubuze ngaphambi kwenqubo yokuhlinzwa ye-commando,

• Udokotela wakho uzobuza mayelana nohlelo lwakho lwemithi kanye nomlando wezokwelapha.
• Umuntu kufanele agweme i-aspirin, ibuprofen, nanoma yiluphi uhlobo lwemithi efanayo isonto ngaphambi kokuhlinzwa. Kuzokwenza igazi libe mncane futhi kungase kuphazamise inqubo yokujiyisa kwegazi. Ngaphezu kwalokho, ungase uzizwe ukopha ngokweqile futhi ubambezeleke ukuphulukiswa ngemva kwenqubo.
• Ungadli noma uphuze noma yini phakathi kwamabili ngobusuku bangaphambi kokuhlinzwa.

Inqubo ye-Commando

• Udokotela uzovula imbobo ngokusebenzisa i-mandible. Indawo ephakathi kodebe olungezansi kanye nethambo lomhlathi izohlukaniswa ukuze kulawuleke izimila zomlomo womlomo. Izicubu eziyingozi noma izimila zisuswa ngokuphelele kulesi sigaba.
• Odokotela kufanele bakhiphe sonke isimila kuyilapho belondoloza ezinye izitho nezinhlelo. Njengoba isifunda se-oropharyngeal siyinkimbinkimbi, awukwazi ukuyekethisa ngasohlangothini lwaso. Ukususwa kwenhlanganisela kwenziwa ngokucophelela ngaphandle kokulimaza ezinye izinhlelo. Lokhu kususwa kunamandla futhi yingakho kuqinisekisa ukukhishwa okufanele kwesimila ngokuphepha kwesibili.
• Kamuva, udokotela ohlinzayo wepulasitiki uzokwenza ukuhlinza kabusha. Kwenziwa kusetshenziswa ukufakwa kwesikhumba kusuka emlenzeni, engalweni, ethangeni, noma esiswini. Ngokuvamile, i-flap isetshenziswa njenge-graft yesikhumba.
• Ekugcineni, umhlathi uhlanganiswa, futhi ukuhlinzwa kuphelile.

Ukunakekelwa Kwangemva Kokuhlinzwa Kokuhlinzwa Kwe-Commando

• Iziguli eziningi zingase zibhekane nobunzima bokugwinya ngemva kokuhlinzwa kwe-commando. Umgodi womlomo ungase uvuvuke ngesikhathi senqubo. Ngakho, odokotela bafaka ishubhu lokuncelisa lesikhashana. Ifakwa emakhaleni noma emlonyeni esiswini.
• Odokotela bazoncoma ukudla okunomsoco ukuze kuqinisekiswe ukuphulukiswa okusebenzayo nokusheshayo.
• Ngezinye izikhathi ungase udinge i-postoperative radiotherapy.
• Inkulumo yakho ingase ithinteke ngemva kokuhlinzwa. Nokho, ekugcineni izothuthuka ngokuhamba kwesikhathi.

Isiphetho

Ukuhlinzwa kwe-Commando kungenye yezindlela zokwelapha umdlavuza eziyinselele futhi eziyinkimbinkimbi. Ngakho-ke, kufanele kwenziwe kuphela nguchwepheshe wezokwelapha onolwazi. Ngenxa yobunkimbinkimbi bayo, ungase uhlangabezane nezinkinga ezithile. Kunconywa ukuthi ungaphuthelwa ukuhlolwa kwakho okuhleliwe. Uma uhlangabezana nezinkinga endaweni ehlinzekiwe, vakashela udokotela wakho ngokushesha.