Kupita kupyola polypectomy
Khansara ya Colon imachiritsidwa m'njira zosiyanasiyana - koma chithandizo chachikulu ndi kupyolera m'mimba. Pa colonoscopy , dokotala akhoza kuchotsa mbali imodzi ya minofu kapena polyps , yotchedwa polypectomy. Komabe, kwa khansa yapamwamba kwambiri, dokotala angafunikire kuchotsa kwathunthu matumbo ndi matenda omwe ali pafupi nawo, omwe amatchedwa kubwezera.
N'chifukwa Chiyani Ndikufunika Opaleshoni?
Kuchita opaleshoni ya opaleshoni kumathandiza dokotalayo kuti achotse nthenda yonse ya matenda anu. Ziphuphu zazikulu kapena zotupa zomwe zafika pamakoma a coloni ziyenera kuchotsedwa opaleshoni. Pali mitundu yosiyanasiyana ya opaleshoni yamagazi. Dokotala wanu angaganizire zinthu zingapo musanasankhe mtundu wa opaleshoni yomwe ili yabwino kwa inu. Adzayang'ana mbiri yakale ya zachipatala komanso zaumoyo wamakono, komanso malo, malo ndi kalasi ya khansa yanu .
Mitundu ya Opaleshoni ya Khansa ya Colon
Pali njira zambiri zochitira opaleshoni zochotsera khansa yanu ya coloni. Njira yochiritsira yowonjezera imaphatikizapo kutalika pakati pa mimba yanu, zomwe zimathandiza dokotalayo kuti aziwona zonse za m'mimba, kuphatikizapo zida zanu zamkati ndi zozungulira.
Njira ya laparoscopic , yomwe imagwiritsidwa ntchito ndi zipangizo zamakono zopangira opaleshoni kudzera mwazing'ono zing'onozing'ono m'mimba mwako, ikugwiritsanso ntchito kuchotsa khansa zina.
Mogwirizana ndi malo ndi kukula kwa khansa yanu, dokotalayo angamalize:
- Chigawo chogwirizanitsa
- Wopambana resection kapena colectomy (kumanja, kumanzere, sigmoid, chiwerengero)
- Cholectomy yochepa kapena hemicolectomy
- Kusaka kwanu
- Proctectomy
- Colostomy ndi ileostomy
Matenda oopsa a khansa
- Kutsika kwapansi kwapansi (LAR)
- Kuthamanga kwa Transanal
- Abdominoperineal resection (APR)
- Anterior resection ndi anastomosis ndi zovuta kusintha
- Proctectomy
Ngakhale maina onse okongola, pali mau ochepa okha omwe muyenera kukumbukira pa opaleshoni yanu:
Colectomy - kuchotsa gawo la coloni (lotchedwanso resection). Colectomy yeniyeni yomwe mudzakhala nayo ikutchulidwa ndi gawo lomwe (kapena magawo) a coloni achotsedwa. Mwachitsanzo, colectomy yophatikizapo imaphatikizapo kuchotsa phala. Hemicolectomy yolondola (theka) imaphatikizapo kuchotsa gawo labwino la koloni. Cholectomy chokwanira chimaphatikizapo kuchotsa zonsezi.
Anastomosis - kusoka mbali zina za colon pamodzi pambuyo pa chidutswa chodwalitsa chitachotsedwa. Ngati dokotalayo atachotsa chitsime choyendayenda, akhoza kusoka mapeto a chikwerero chokwera ndi chotsikira pamodzi.
Stoma - kutsegulira kwa khungu, monga colostomy kapena ileostomy. Ngati mwachotsa chidebe chonsecho kapena ngati dokotalayo sangathe kulumikiza mbali ziwiri zamtundu umodzi (mpaka atachiritsidwa), iye adzatsegula khoma lanu m'mimba kuti mupite kuchithunzi mu thumba. Pali stomas zosinthika komanso zosasinthika, malingana ndi kukula kwa opaleshoni yanu.
Kukonzekera Opaleshoni
Pambuyo pa opaleshoni iliyonse pamtunda, iyenera kukhala yoyera mkati. Izi zikukwaniritsidwa kudzera mu kukonzekera kwathunthu kwa thupi , zofanana ndi zomwe mwakhala nazo kwa colonoscopy yanu. Kukonzekera kumeneku kumachepetsa chiopsezo cha matenda pa opaleshoni ya m'mimba. Mosiyana ndi pre-colonoscopy prep, dokotala wanu angakupatseni mankhwala opha tizilombo musanayambe opaleshoni, komanso kuchepetsa chiopsezo cha matenda opatsirana.
Mafunso a Dokotala
- Kodi ntchitoyi imatchedwa chiyani?
- Kodi ndifunika colostomy kapena ileostomy? Ngati inde, kwa nthawi yaitali bwanji?
- Kodi ndifunikira chemotherapy kapena ma radiation? Asanachitike kapena atatha opaleshoni?
- Kodi njira zanga zopitilira ndi opaleshoni ndi ziti?
- Ndidzakhala ndi nthawi yayitali bwanji kuchipatala?
- Kodi ndingabwerere liti kuntchito? Zochitika Zachizolowezi?
- Kodi ndiyenera kusiya kumwa mankhwala anga? Musanachite opaleshoni, am'dziwitse dokotala za mankhwala onse a mankhwala ndi mankhwala, komanso zakudya zina zomwe mumadya, makamaka ngati muli ndi aspirin kapena ochepa magazi .
Zoopsa za Opaleshoni ya Matumbo
Njira iliyonse ya zamankhwala imakhala ndi ngozi ndi phindu. Onetsetsani kuti mukuyankhula ndi dokotala wanu ndikufunsa mafunso ngati simukumvetsa zotsatirazi. Zina mwa zoopsa zomwe zimachitika ndi opaleshoni ya m'mimba ndi izi:
- Kusuta
- Kutenga
- Kuthamanga kwa anastomosis
- Kupha magazi (kawirikawiri pamilingo)
- Kuchotsa nyamakazi (kutsegula kwa mphuno ya m'mimba)
- Kutaya
- Adhesions
- Kusokonezeka kwa kugonana (komwe kunanenedwa kwa amuna akutsatira APR ndi proctectomy)
Kawirikawiri kafukufuku wokhudzana ndi chiwerewere ndi kugonana pakati pa amuna, omwe amawerengedwa pakati pa 10 ndi 50 peresenti ya odwala pambuyo pa opaleshoni. Komabe, zindikirani kuti ziŵerengerozi siziwerengera za libido, zaka kapena njira zothandizira asanachitike opaleshoni.
Kuphulika kwa malo a anastomosis kumachitika kwa munthu mmodzi kapena atatu pa odwala ali ndi anastomosis kuphatikizapo ubongo waing'ono ndi pakati pa 10 mpaka 20 peresenti ya odwala okhala ndi colon ndi anal anastomosis.
Matenda a post-opaleshoni amapezeka odwala asanu ndi asanu ndi asanu (15) mwa odwala, ngakhale kuti zifukwa zina (zaka, kufooka kwa chitetezo cha m'thupi, kuperewera kwa zakudya m'thupi) zimakhala ndi chiopsezo chachikulu chotenga matenda opatsirana.
Kuchokera ku Opaleshoni ya Matumbo
Mudzafunsidwa kukhala m'chipatala kwa masiku angapo mutatha kugwiritsira ntchito mankhwala. Nthaŵi yanu kuchipatala idzawathandiza kuti opaleshoni yanu ayambe kuchiritsidwa pamene anamwino ndi madokotala ophunzitsidwa akuyang'anirani hydration, zakudya , ndi zina zofunika pambuyo pa opaleshoni.
Dokotala wanu adzalangizidwa m'malo kuti athetse ululu uliwonse wamtunduwu. Mankhwala opweteka angaperekedwe mwachangu, mwachangu kapena pakamwa. Pamene ululu wanu umayamba, onetsetsani kuti mumauza namwino yemwe ali ndi ntchito kuti athe kuchitapo kanthu mwamsanga, osati pambuyo pake.
Malingana ndi opaleshoni yanu, mukhoza kukhala ndi matope m'malo. Zakudyazi zimalola madzi owonjezera, monga magazi, kuchoka pamimba. Mphepeteyi imatha kuchotsedwa musanatuluke kuchipatala. Ngati muli ndi colostomy kapena ileostomy yomwe imaphatikizidwa pa opaleshoni, othandizira akuphunzitsani momwe mungasamalire zipangizo zanu musanapite kwanu.
Dokotala wanu adzakonzekera zosowa zanu kuti muzitsatira opaleshoni. Mungadye chakudya chapadera pamene matumbo anu ndi machiritso. Mpaka matumbo anu "adzuke", adokotala akhoza kukupatsani chakudya chodziwika bwino (osati zolimba, chirichonse chimene mungathe kuchiwona). Mudzapatsidwa malangizo a zakudya musanapite kwanu.
Nthawi yoitanira Dokotala Wanu
Pambuyo pa opaleshoni iliyonse yayikulu, zofunika kwambiri ndikutaya magazi, matenda, ndi mavuto ena. Mvetserani ku thupi lanu; Lembani dokotala wanu opaleshoni zizindikiro zosayembekezereka. Itanani dokotala mwamsanga ngati muli:
- Fever
- Kupweteka kochuluka
- Kupepuka, kukhetsa kapena kuyatsa kumbali zonse
- Malo opanda machiritso a incision
- Nsomba, kusanza
- Magazi mu thumba kapena colostomy thumba
- Chifuwa chimene sichichoka
- Maso a khungu kapena khungu
Moyo Patatha Opaleshoni
Mutha kumasulidwa kuchipatala ndikukhala ndi malangizo ambiri. Musazengereze kufunsa abwenzi ndi abambo kuti akuthandizeni ndi kuthandizira . Perekani thupi lanu nthawi yomwe akufunika kuchiritsa. Malangizidwe a zakudya ndi zochitika zimathandiza kuti nthawi yanu yamphongo izichiritsidwa. Dokotala wanu ndi anamwino alipo kuti ayankhe mafunso anu, choncho musazengereze kufunsa ngati simukudziwa yankho lanu.
> Zotsatira:
American Cancer Society. (2006). Buku Lopatulika la American Cancer Society Loyamba kwa Khansa Yoyamba . Clifton Fields, NE: American Cancer Society.
American Cancer Society. (nd). Opaleshoni ya Khansa Yoyamba.
Dietz, DW (2011). Mavuto mu Opaleshoni Yoyamba. American Society of Colon ndi Rectal Surgeons.
National Cancer Institute. (nd). Chithandizo cha khansa ya Colon: Chithandizo Chachidule.