I-cystectomy

I-cystectomy

I-cystectomy yindlela yokuhlinzwa esusa isinye somchamo. Kwabesilisa, ukususa sonke isinye (i-radical cystectomy) ngokuvamile kuhlanganisa nokukhipha i-prostate kanye nama-seminal vesicles futhi. Kwabesifazane, i-cystectomy enkulu ihlanganisa ukukhishwa kwesibeletho, ama-ovari, nengxenye yodonga lwesitho sangasese sowesifazane.

Ngemva kokukhishwa kwesinye isinye sakho, udokotela wakho ohlinzayo uzodinga ukusungula i-urinary diversion - indlela entsha yokugcinwa komchamo futhi ukhishwe emzimbeni wakho. Umchamo ungabanjwa futhi ukhishwe ngezindlela ezihlukahlukene ngemva kokuhlinzwa kokukhipha esinyeni. Udokotela wakho angakweluleka ngesu elingcono kakhulu kuwe.

Ukuhlinzwa Kwe-Cystectomy kuvame ukusetshenziselwa ukwelapha umdlavuza wesinye ohlaselayo noma ophindelelayo. Ezinye izifo ze-pelvic, ezifana nekholoni ethuthukisiwe, i-prostate, noma umdlavuza we-endometrial, kanye nezinye izifo ezingenayo umdlavuza (benign), njenge-interstitial cystitis noma anomalies esizalwa naso, ingase futhi yelashwe nge-cystectomy.

Ukuxilongwa ezibhedlela ze-CARE

Udokotela wakho ohlinzayo angase asikisele enye yalezi zindlela ezilandelayo zokuhlinzwa kwakho:

• Inqubo ivuliwe. Ukuze ufinyelele i-pelvis nesinye, ukusika okukodwa esiswini sakho kuyadingeka.

• Ukuhlinzwa okuncane okuhlaselayo - Ukuze ufinyelele emgodini wesisu, udokotela wakho ohlinzayo wenza izimbobo ezincane eziningi esiswini sakho lapho kubekwa khona amathuluzi athile okuhlinza.

• Unikezwa umuthi (i-anesthetic evamile) ezokugcina ulele ngesikhathi senqubo. Uma ulele, udokotela wakho ohlinzayo wenza i-incision enkulu esiswini sakho ukuze uhlinzwe ngokuvulekile noma izimbobo eziningi ezincane zokuhlinzwa okuncane kakhulu. 

• Isinye sakho kanye nama-lymph nodes aseduze abe esekhishwa udokotela wakho ohlinzayo. Ezinye izitho ezizungeze esinyeni, njenge-urethra, i-prostate, nama-seminal vesicles kwabesilisa, kanye ne-urethra, isibeletho, ama-ovaries, kanye nengxenye yesitho sangasese sowesifazane kwabesifazane, kungase kudingeke ukuthi kukhishwe udokotela wakho ohlinzayo.

Ngemva kokukhishwa kwesinye, udokotela wakho ohlinzayo uzolwela ukulungisa uhlelo lokuchama ukuze umchamo uphume emzimbeni wakho. Kukhona ezinye izindlela ezitholakalayo:

• Umzila we-ileal. Phakathi nalokhu kwelashwa, udokotela wakho ohlinzayo uzosebenzisa ingxenye yamathumbu akho amancane ukuze enze ishubhu elixhuma izinso zakho endaweni evulekile odongeni lwakho lwesisu ngokulinamathisela ku-ureters (stoma). Umchamo uphuma egodini ngokugeleza okuzinzile. Isikhwama esigqokwa esiswini sakho sinamathela esikhumbeni sakho futhi sibambe umchamo size siphume.

• Ukwakhiwa kabusha kwe-neobladder. Udokotela wakho ohlinzayo uzosebenzisa ingxenye enkulu yethumbu lakho elincane kunaleyo esetshenziselwa umsele we-ileal ukwakha isikhwama esimise okwendilinga esizoba esinyeni esithatha indawo yakho ngesikhathi kwakhiwa i-neobladder. I-neobladder ifakwe endaweni efanayo ngaphakathi komzimba wakho njengesinye sakho sokuqala, futhi ixhunywe ku-ureter ukuze umchamo ugeleze ezinso zakho. Ingxenye ephambene ye-neobladder ixhunywe ku-urethra yakho, okukuvumela ukuthi uchame ngokujwayelekile.

• I-neobladder ayisona isinye esisha, esivamile. Uma unalokhu kuhlinzwa, kungase kudingeke usebenzise i-catheter ukusiza ukukhipha i-neobladder ngokuphumelelayo. Ngaphezu kwalokho, abanye abantu banenkinga yomchamo ngemva kokuhlinzwa.

• Udokotela wakho ohlinzayo uzosebenzisa ingxenye yamathumbu akho ukuze akhe indawo yokugcina amanzi ngaphakathi kodonga lwesisu sakho phakathi nalokhu kwelashwa. I-reservoir igcwala njengoba udala ukuchama, futhi uyithulula kaningi ngosuku nge-catheter.

Ususa isidingo sokugqoka isikhwama sokuqoqa umchamo ngaphandle komzimba wakho ngalolu hlobo lokuphambukiswa komchamo. Kodwa-ke, uzodinga ukukhipha amanzi angaphakathi izikhathi eziningi ngosuku usebenzisa ishubhu elide, elincanyana (i-catheter). Ukuvuza endaweni ye-catheter kungase kudale izinkinga noma kudinge ukubuyiselwa egunjini lokuhlinza ukuze kuhlinzwe okubukeziwe.

Ukulandela inqubo

Ngemva kokuhlinzwa kwe-cystectomy yesibeletho e-Hyderabad, kungase kudingeke ukuthi uhlale esibhedlela izinsuku ezingafika ezinhlanu noma eziyisithupha. Lesi sikhathi siyadingeka ukuze umzimba wakho ululame ngemva kwenqubo. Ngenxa yokuthi amathumbu ngokuvamile aba ingxenye yokugcina yomzimba ukuvuka ngemva kokuhlinzwa, kungase kudingeke uhlale esibhedlela kuze kube yilapho amathumbu akho esekwazi ukumunca uketshezi nezakhi futhi.

Imiphumela engemihle ye-anesthesia ejwayelekile ihlanganisa umphimbo obuhlungu, ukuqhaqhazela, ukukhathala, umlomo owomile, isicanucanu, nokuhlanza. Lezi zingase zihlale izinsuku ezimbalwa, kodwa kufanele zehle. Umhlinzeki wakho wokunakekelwa kwezempilo angakuyala ukuthi uvuke futhi uhambe njalo kusukela ekuseni emva kokuhlinzwa. Ukuhamba kukhuthaza ukuphulukiswa nokubuyiselwa kokusebenza kwamathumbu, kwandisa ukujikeleza kwegazi, futhi kusiza ekuvimbeleni ukuqina kwamalunga namahlule egazi.

Emavikini ambalwa ngemva kokuhlinzwa, ungase ube nobuhlungu noma ungaphatheki kahle eduze nokusikwa kwakho noma ukusikwa kwakho. Ubuhlungu bakho kufanele buthuthuke kancane kancane njengoba ululama. Ngaphambi kokuphuma esibhedlela, thintana nodokotela wakho mayelana nemithi kanye namanye amasu okwandisa ukunethezeka kwakho.