25 lakh+
Iziguli Ezijabule
Abanolwazi futhi
odokotela abanekhono
17
Izikhungo Zokunakekela Ezempilo
Isikhungo Sokudluliswa Okuphezulu kakhulu
Ngokuhlinzwa Okuyinkimbinkimbi
I-Adhesiolysis iyindlela yokwelapha ebalulekile yezibazi zangaphakathi noma ukunamathela ngemva kokuhlinzwa kwesisu. Izinga lempilo yesiguli lithatha ukuthinteka okukhulu kulezi zibazi zangaphakathi, ezivame ukudala izinkinga ezinkulu njengokuvaleka kwamathumbu. Izinkinga ezivela ekunamatheleni zidinga ukungenelela kokuhlinzwa. Ukuhlinzwa kwe-adhesiolysis kusiza izitho ezihlukene nezicubu ezinamathele ndawonye.
Inqubo ingenziwa ngezindlela ezahlukene. I-adhesiolysis ye-laparoscopic inikeza iziguli inketho encane kakhulu kunokuhlinzwa okuvulekile kwendabuko. Iziguli zenza izinqumo ezingcono mayelana nezinketho zazo zokwelashwa ngokwazi okufanele zikulindele ngaphambi, phakathi, nangemuva kwalokhu kuhlinzwa.
CARE Izibhedlela ikhulise izinsizakalo zayo ezikhethekile ngokwethula ubuchwepheshe obusha bokuhlinza okusizwa ngamarobhothi (i-RAS). I-Hugo kanye ne-Da Vinci X Amasistimu wamaRobhothi anikeza odokotela abahlinzayo ukulawula okungcono nokunemba phakathi nezinqubo. Lezi zingalo zamarobhothi zibonisa ukuguquguquka okukhethekile futhi zivumela odokotela abahlinzayo basebenze ngokulawula okuqinile ngaphandle kokulimaza izicubu ezizungezile.
Ukuzinikela okuqinile kwezibhedlela ze-CARE emininingwaneni yokuhlaziya kubenza bahluke. Odokotela abahlinzayo abanolwazi bagcina ukulawula okuphelele kuyo yonke inqubo futhi bayazuza kumakhono athuthukile wesistimu.
Odokotela Abangcono Kakhulu be-Adhesiolysis eNdiya
Izimo eziningana ezithile zenza i-adhesiolysis ibaluleke:
Izibhedlela ze-CARE zinikeza izindlela ezahlukahlukene zokunamathela ezihambisana nezidingo zesiguli ngasinye:
Ubuchwepheshe bukadokotela ohlinzayo, umlando wesiguli, indawo kanye nezinga lokunamathisela okunamathelayo kunquma indlela yokuhlinzwa. Izibhedlela ze-CARE zigxile ezindleleni ezingangeneleli kangako njengoba zehlisa izinga, izinga, kanye nokuqina kokunamathela kwangaphakathi kwesisu.
Odokotela baphakamisa ukuphuza amanzi amaningi kanye nokudla ukudla okulula amahora angu-24 ngaphambi kokungena. Ntambama ngaphambi kokuhlinzwa, ungase uthole ukulungiswa kwamathumbu omlomo ukuze uhlanze uhlelo lwakho. Lokhu kulungiselelwa kudala okwesikhashana isifo sohudo ngaphandle kokuthinta ibhalansi yakho ye-electrolyte. Ukuhlinzwa okuthatha isikhathi esingaphezu kwamahora amabili ngokuvamile kudinga kwemithi elwa namagciwane.
Ukuhlinzwa kuqala nge-anesthesia jikelele. I-laparoscopic adhesiolysis idinga ukusikeka okuncane (0.5 kuya ku-1 cm) esiswini sakho. Udokotela ohlinzayo ubeka i-laparoscope—ishubhu elincanyana elinekhamera nokukhanya—ngokusikeka okukodwa. Babona ukunamathela futhi basuse ngamathuluzi akhethekile.
Ukuhlinzwa kwesisu kwangaphambilini kusho ukunakekelwa okwengeziwe ngokubekwa kwemishini.
Ngemva kokuhlinzwa, uzozwa ubuhlungu eduze nokusikeka. Lobu buhlungu buya kuba ngcono emasontweni ambalwa ezayo. Abantu abaningi bangabuyela esimisweni sabo esivamile ngemva kwamaviki angu-2-4. Ukuthatha uhambo olufushane kusiza ukugeleza kwegazi futhi kuvimbele izinkinga ezifana nenyumoniya nokuqunjelwa.
Okulandelayo ezinye zezinkinga ezivamile zale nqubo:
Izinzuzo Zokuhlinzwa Kwe-Adhesiolysis
I-adhesiolysis ye-laparoscopic ihlula ukuhlinzwa okuvulekile kwendabuko ngokusikeka kwayo okuncane, izibazi ezincane, nokuphulukiswa ngokushesha. Cishe uzoba nobuhlungu obuncane futhi ubuyele emisebenzini yakho yansuku zonke ngokushesha.
Iningi lezinhlelo zomshwalense zihlanganisa izinqubo ze-adhesiolysis. Khuluma nenkampani yakho yomshwalense ngaphambi kokuhlinzwa mayelana nezidingo zokuthola isitifiketi.
Umbono wesibili ukusiza ukuthi uzizwe uqiniseka mayelana nokukhetha kwakho ukwelashwa. Lesi sinyathelo sibaluleke kakhulu njengoba ukunamathela kuyinkimbinkimbi futhi kungase kubuye ngemva kokwelashwa.
I-Adhesiolysis iyisisombululo esibalulekile sokuhlinzwa esiza iziguli ezingenakubalwa ezinezibazi zangaphakathi. Izibhedlela ze-CARE zihamba phambili kulo mkhakha ngobuchwepheshe bazo obusha obuvumela odokotela abahlinzayo basebenze ngokunemba okumangalisayo.
Udokotela wakho uzokhetha phakathi kwe-laparoscopic, evulekile, noma amasu okusizwa ngamarobhothi ngokusekelwe ecaleni lakho elithile. Izindlela ze-Laparoscopic ngokuvamile ziholela ekunciphiseni izibazi nokuphulukisa ngokushesha. Ukulungiselela kahle kuthinta kakhulu impumelelo yokuhlinzwa, futhi iziqondiso zokululama zisiza ukuvimbela izinkinga kamuva.
Izinzuzo ze-adhesiolysis zibalulekile kubantu abahlushwa ukuvaleka kwamathumbu, izinkinga zokuzala, noma Ubuhlungu obungapheliyo, naphezu kwezingozi ezihilelekile. Iziguli eziningi zingaphinde ziqale imisebenzi yazo evamile phakathi namaviki angu-2-4, nakuba izikhathi zokululama zihluka kumuntu nomuntu.
Ukuqala uhambo nge-adhesiolysis kungase kuzwe kukhungatheka ekuqaleni. Kodwa amaqembu okuhlinza anekhono njengalawo ase-CARE Hospitals angasiza ukuthuthukisa izinga lakho lempilo. Ingxube yobuchwepheshe obuthuthukisiwe, odokotela abahlinzayo abanolwazi, nokunakekelwa okufanele kwesiguli kudala ukulungiselelwa okuphelele kwemiphumela yokuhlinzwa enamathelayo ephumelelayo.
Izibhedlela Ezingcono Kakhulu Zokuhlinza I-Adhesiolysis eNdiya
I-Adhesiolysis iyinqubo yokuhlinzwa esusa ukunamathela—amabhande ezicubu ezibomvu ezakha phakathi kwezitho noma izicubu ezingavamile ukuxhunywa. Umzimba udala lokhu kunamathela njengengxenye yempendulo yawo yokuphulukisa ekuhlinzeni, ekuthelelekeni, noma ekuvuvukeni. Odokotela abahlinzayo benza le nqubo ngokusebenzisa i-laparoscopic (imbobo yokhiye) noma ukuhlinzwa okuvulekile kwendabuko, ngokusekelwe esimweni ngasinye.
Odokotela batusa i-adhesiolysis ezimweni ezithile ezithile:
Ukuvaleka kwamathumbu kuseyisizathu esiyinhloko odokotela benze le nqubo. Ukunamathela kungabamba izakhiwo ezinjengemizwa, ureters, noma imithambo yegazi.
Ubuhlungu besisu obungachazeki noma be-pelvic bungase budinge i-adhesiolysis, nakuba odokotela bebona lokhu njengenkomba ebuthakathaka. Ukunamathela kwesinye isikhathi kubangela izinkinga zokungazali, okwenza i-adhesiolysis ibe yisixazululo samacala akhethwe ngokucophelela.
Iziguli ezithola izimpawu ezihlobene ngokuqondile nokunamathela zenza abantu abafanelekile. Lezi zimpawu zihlanganisa ubuhlungu besisu obungapheli, ukucindezeleka kokugaya ukudla, noma izinkinga zokuzala. Naphezu kwalokho, odokotela bakubiza ngokuthi inketho kuphela ngemva kokuzama ezinye izindlela zokwelapha kuqala, njengoba izinzuzo kufanele zidlule izingozi. Ithimba eliyinhloko lizobuyekeza isimo sakho somzimba esiphelele bese li-oda ukuhlolwa kwegazi nezithombe zezithombe ngaphambi kokwenza lesi sinqumo.
Njenganoma yikuphi ukuhlinzwa, i-adhesiolysis iza nezingozi. Ukulimala kwamathumbu okungaqondile kuyinkinga ebaluleke kakhulu. Izingozi ezengeziwe zihlanganisa ukutheleleka, ukopha, ukulimala kwezitho eziseduze, nokwakheka okusha kokunamathela.
Ubude bokuhlinzwa buncike ezintweni ezimbalwa, okuhlanganisa indawo yokunamathela kanye nobukhulu. Izinqubo ezilula ze-laparoscopic zingase ziphele phakathi nehora. Amacala ayinkimbinkimbi anamathelisi amaningi angadinga amahora ambalwa. Izinqubo eziningi ze-laparoscopic adhesiolysis zihlala phakathi kwamahora angu-1-3.
I-Adhesiolysis ibalwa njengenqubo enkulu yokuhlinzwa, ikakhulukazi njengokuhlinzwa okuvulekile. Inguqulo ye-laparoscopic inikeza inketho encane enezinzuzo ezicacile:
Isikhathi sokuphulukisa ngemva kokuhlinzwa kwe-adhesiolysis sithatha izinsuku ezimbalwa kuya emasontweni ambalwa. Ubude besikhathi buncike ezicini ezifana nobukhulu bokunamathela, impilo yomuntu jikelele, futhi uma ukuhlinzwa bekuyi-laparoscopic noma kuvuliwe.
I-Adhesiolysis ngokuvamile yenziwa ngaphansi kokujwayelekile i-anesthesia. Lokhu kugcina isiguli silele ngokugcwele futhi singenabuhlungu ngesikhathi sokuhlinzwa. Ezimweni ezimbi kakhulu, bangasebenzisa i-anesthesia yendawo noma yendawo esikhundleni.
Izitho ezivame kakhulu ezithintekayo yilezi:
Ukunamathela kungase kubuye ngemva kokuhlinzwa. Eqinisweni, ukuhlinzwa kuvame ukuholela ekwakhekeni okusha kokunamathela.
Yebo, kungenzeka ukuthi ukhulelwe ngemva kokunamathela lapho inqubo ihlose ukubhekana nokungazali okuxhunywe ku-pelvic adhesions.