Zimene Mukuyenera Kudziwa Zokhudza Mchitidwe Wosintha Njira
Kukonzekera kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda kumaphatikizapo kuphunzira koyamba. Kawirikawiri, opaleshoniyi imasankhidwa kuti ikhale ndi khansa yamtundu kapena khansa , koma ingagwiritsidwe ntchito kuti ikhale ndi anthu omwe ali ndi matenda opweteka kwambiri monga Matenda a Crohn kapena ulcerative colitis.
Masentimita asanu ndi limodzi otsiriza a coloni yanu akutchedwa wanu rectum. Mosiyana ndi ena onse a colon, rectum ili ndi chikwama-ngati thumba lachitetezo ndi kutsegula kwa an anal, kumene sitolo imathamangitsidwa m'thupi lanu.
Mwayi simunamvepo mawu akuti " proctectomy " pokhapokha ngati inu kapena wokondedwa wanu mukuyenera kuchitidwa opaleshoniyi, pamene chigawo chonsecho chikuchotsedwa.
Mitundu ya ma prostitectomy
Pali mitundu yosiyanasiyana ya opaleshoni ya khansara ya colon kumene rectum yanu imachotsedwa. Dokotala wanu amagwiritsa ntchito siteji , kalasi, malo, ndi kukula kwa khansa yanu kuti mudziwe njira yabwino kwambiri yopangira opaleshoni. Ngati zotupazo zili kutali ndi rectum zokha, dokotala wanu amatha kulimbikitsa proctectomy kudzera mu anus, yomwe imatchedwa proctectomy transanal.
Ngati mukufuna kuti gawo lanu lichotsedwe, khalani ndi chidziwitso chokhala ndi mitsempha ya m'mimba , kapena kukhala ndi malo ammidzi omwe amafunikira kuchotseratu, mukhoza kupeza proctectomy monga gawo la opaleshoni yotchedwa low abdominoperineal resection. Pa opaleshoni iyi, dokotala amatsegula mimba kuti athe kuona ndi kuchotsa ziwalo zingapo za matumbo ndi zokhudzana ndi minofu (monga maselo a mitsempha) kuti akupatseni mitsempha ya khansa yoyenera komanso zotsatira zake zabwino.
Pafupifupi onse otsika abdominoperineal resection amatha ndi kutsekedwa kwa anal, zomwe zidzafuna ostomy yosatha kuti achoke.
Kodi Ndingathenso Kutulutsa Matumbo Anga Kawirikawiri?
Pokhapokha ngati pulotectomy yanu ikuphatikizapo kutseka kwa ana, muyenera kusuntha matumbo anu nthawi zonse pakutsata opaleshoni. Malingana ndi gawo lanji la colon yanu limene linachotsedwa pambali pa rectum, dokotalayo ali ndi njira zingapo zosiyana zothandizira kubwezeretsa zizoloŵezi zanu zachizolowezi.
Potsatira kachilombo ka proctectomy, iye akhoza kutenga gawo lotsala la koloni ndi kulisakaniza kulumikiza ilo ku anus. Kuchita opaleshoniyi kumatchedwa antiastomosis yomwe imakulolani kuti mupitirize kusuntha matumbo monga momwe munachitira. Pa opaleshoni, gawo lomalizira la coloni yanu limasinthidwa kuti likonze malo atsopano omwe amatsanzira kachilomboka komweko.
Kukonzekera Opaleshoni
Dokotala wanu amapereka dongosolo lokonzekera matumbo musanayambe opaleshoni yanu. Popeza kuti dokotalayo akudula mu rectum yanu, ndipo mwinamwake colon yanu, matumbo ayenera kuyeretsedwa kwa zonse zotupa ndi zinyalala musanachite opaleshoni. Mwinanso mungafunike kutenga mankhwala ochepetsa tizilombo toyambitsa matenda kuti muthe kuchepetsa chiopsezo cha matendawa. Mofananamo, onetsetsani kuti mukukambirana mankhwala alionse omwe mumalandira ndi ena omwe mukufunikira kuwathandiza. Ngati mumamwa mankhwala kuti muthetse magazi anu, muyenera kukambirana zoopsa za kusiya mankhwalawa kwa opaleshoni yanu, kapena dokotala yemwe amawalamula.
Tsiku lisanayambe opaleshoni, dokotalayo akukufunsani kuti musiye kudya ndi kumwa nthawi inayake. Ngati mumasuta fodya kapena mukugwiritsa ntchito fodya muyenera kuyimitsa izi.
Kuchipatala ndi Kubwezeretsa
Nthawi yanu ya kuchipatala ndi nthawi yopuma imadalira mtundu wina wa opaleshoni ya proctectomy yomwe muli nayo. Nthawi zambiri chipatala chimakhala pakati pa masiku anayi ndi asanu ndi awiri (kusagwirizana ndi mavuto) komanso kubwezeretsa kwanu kumatenga masabata asanu ndi limodzi. Pa nthawi yomwe mumatuluka kuchipatala, dokotala wanu adzapereka maphunziro pazitsulo zanu zomwe zingaphatikizepo zomwe zingaphatikizepo zolepheretsa thupi, monga kukweza kapena kupeŵa kugonana, kuzinyoza zakudya mpaka mutachiritsidwa. Mwinanso mungakhale ndi ostomy kwa kanthawi kochepa pamene khola lanu limachiza - kapena mungathe kupita kunyumba ndi ostomy yosatha ngati anus wanu atatsegulidwa opaleshoni.
Mukhonza kulingalira kupanga zochepa zomwe munakonzekera kunyumba kuti zikhale zosavuta kuti mubwerere kuchipatala. Mwachitsanzo, khalani ndi mamembala amtundu kapena abwenzi omwe angakhalepo kuti athandizireni ndi zakudya kapena ntchito zina zapakhomo. Zinthu zina zofunika kuziganizira pamene mukuchira kunyumba ndizo:
- Ndani angasamalire ana anu, odalira kapena ziweto?
- Ngati muli ndi nyumba zambiri, kodi mungasunthire bedi lanu kumsika wapansi mpaka mutakambirana bwinobwino masitepe?
- Ikani zofunikira zanu zonse pafupi ndi bedi lanu kapena pabedi m'nyumba. Chinachake chophweka ngati kuthamanga masitepe kukatenga chingwe chowongolera kungawoneke ngati chosatheka kuchitapo kanthu mukadzafika kwanu.
- Onetsetsani kuti muli ndi mankhwala ochulukirapo ngati mutenga zolembedwera. Pezani refills yanu musanapite kuchipatala kukachita opaleshoni. Mofananamo, ngati madokotala anu opaleshoni akukutumizirani kunyumba ndi odwala matenda ozunguza bongo, pangani mankhwalawa kuti akwaniritsidwe ndikukonzekera ulendo wanu kunyumba kuchokera kuchipatala.
- Onetsetsani kuti muli ndi zakudya zosavuta zambiri, ngakhale zitanthauza kuti kuphika ndi kuzizira chakudya cham'tsogolo.
Matenda a Proctectomy
Kuchotsedwa kwa rectum ndi opaleshoni yaikulu. Zowopsa zimakulirakulira ngati muli ndi matenda omwe alipo kale, monga matenda a shuga. Musanayambe kulemba chilolezo chanu pa opaleshoniyi, dokotala wa opaleshoni ya opaleshoni ndi dokotala wanu adzayang'anitsitsa zoopsa zanu ndi inu zomwe zingaphatikizepo chiopsezo cha:
- Kutseketsa (nthawi kapena pambuyo pa ndondomeko)
- Kutenga
- Matenda opatsirana pogonana (kutsegula kwa erectile, kuuma kwa akazi)
- Mavuto ndi kuchotsedwa (kukodza kapena kusuntha matumbo anu )
Onetsetsani kuti mufunse mafunso ngati simukumvetsa mbali iliyonse yokonzekera, opaleshoni, kuchiza kapena mavuto omwe mungakumane nawo musanagwiritse ntchito tsiku lomaliza.
> Zotsatira:
> American Cancer Society. (nd). Opaleshoni ya Khansa Yoyamba.
> Khaikin, M. (2009). Laparoscopic ikutsutsana ndi njira yotseguka ya khansa yowopsa: Zotsatira za odwala ndi kufooka kwa oncologic. Opaleshoni ya Laparoscopy, Endoscopy, ndi Njira Zogwiritsa Ntchito Percutaneous. 19 (2): 118-22.