Chii chinonzi Kuvhiyiwa Kwebvisa Dumbu (Cystectomy)? Chinangwa, Maitiro & Kupora

Kuvhiyiwa kwebvisa dumbu, kunonzi cystectomy, inzira iyo vanachiremba vanobvisa chikamu kana zvese zve dumbu rako. Kuvhiyiwa uku kunova kwakakosha kana dumbu rako rava nekukuvara kwakanyanya kubva kune gomarara, zvirwere zvakakomba, kana mamwe mamiriro asingapinduri kune mamwe marapirwo.

Nepo kufunga nezve kuvhiyiwa kwedumbu kunogona kunzwa kusinganzwisisike, kunzwisisa zvinoitika panguva iyi nzira kunogona kubatsira kuderedza kunetseka kwako. Maitiro ekuvhiya emazuva ano akaita kuti cystectomy ive yakachengeteka uye kupora kuve kuri nyore kupfuura nakare kose.

Chii chinonzi kuvhiyiwa kwebvisa dumbu (cystectomy)?

Cystectomy inzira yekuvhiya inobvisa chikamu che dumbu rako (partial cystectomy) kana dumbu rako rose (radical cystectomy). Funga nezvazvo senzira yechikwata chako chekurapa yekubvisa tishu ine chirwere inotyisidzira hutano hwako.

Panguva ye partial cystectomy, vanachiremba vanobvisa chete chikamu chakakanganiswa chemadziro edumbu rako. Tishu yako yedumbu yasara inoenderera mberi nekushanda, kunyangwe ichigona kubata weti shoma kupfuura kare. Iyi nzira inoshanda zvakanyanya kana dambudziko richikanganisa nzvimbo imwe chete yedumbu rako.

A radical cystectomy inosanganisira kubvisa dumbu rako rose pamwe chete nemaguru ekumativi. Mune varume, izvi zvinogona kusanganisira prostate uye seminal vesicles. Mune vakadzi, zvinogona kusanganisira chibereko, mazai, uye chikamu chemuviri wevakadzi. Mushure mekubviswa kwedumbu rose, vanachiremba vanogadzira nzira itsva yekuti muviri wako uchengete uye upfuure weti.

Nei kuvhiyiwa kwebvisa dumbu kuchiitwa?

Vanachiremba vanokurudzira cystectomy kana dumbu rako riine chirwere chakakomba chinotyisidzira hutano hwako uye husingapinduri kune marapirwo asingapindi. Chikonzero chakajairika igomarara redumbu rakakura mumadziro emhasuru edumbu rako kana kudzoka mushure mekurapwa kwekutanga.

Chikwata chako chekurapa chinogonawo kukurudzira kuvhiyiwa uku kune mamwe mamiriro akakomba anokanganisa zvakanyanya hupenyu hwako:

• Kenza yemusoro wemuviri wechifukidziro isina kupararira kune zvimwe zvikamu zvemuviri
• Kenza yechifukidziro yakakwirira-giredhi inoramba ichidzoka kunyangwe mushure mekurapa
• Kukuvadzwa kwakanyanya kwe radiation kuchifukidziro chako kubva kune zvapfuura kurapwa kwekenza
• Zvirwere zvisingaperi zvechifukidziro zvinokonzera kurwadziwa nguva dzose uye hazvipore
• Zvikanganiso zvekuzvarwa zvinokanganisa zvakanyanya kushanda kwechifukidziro
• Chifukidziro che neurogenic chinokonzera kukuvadzwa kwematsvo

Kazhinji, vanachiremba vanogona kukurudzira cystectomy kune mamiriro asingawanzoitiki se severe interstitial cystitis isingapinduri kune chero imwe kurapa. Chiremba wako achangokurudzira kuvhiyiwa kukuru uku kana mabhenefiti achipfuura njodzi dzemamiriro ako chaiwo.

Kana mamwe marapirwo asina kushanda

Usati wafunga nezve cystectomy, timu yako yezvokurapa inowanzoedza mamwe marapirwo kutanga. Izvi zvinogona kusanganisira chemotherapy, radiation therapy, immunotherapy, kana mishonga yekudzora kushanda kwechifukidziro.

Kuvhiyiwa kunova sarudzo inokurudzirwa kana aya marapirwo asingadzore chirwere kana kana mamiriro ako achiisa njodzi dzakananga kumatsvo ako kana hutano hwese. Chiremba wako achatsanangura kuti nei dzimwe sarudzo dzisina kukodzera nyaya yako chaiyo.

Ndeipi nzira yekuvhiyiwa kubvisa chifukidziro?

Kuvhiyiwa kubvisa chifukidziro kunowanzo tora pakati pe4 kusvika ku8 maawa, zvichienderana nekuti unoda kubviswa chikamu kana kuzara. Chikwata chako chekuvhiya chichashandisa kuvhiyiwa kwechinyakare kana nzira shoma dzinopinda se laparoscopic kana robotic surgery.

Panguva yekuita, uchave pasi pe general anesthesia, saka hauzonzwe chero kurwadziwa kana kuyeuka kuvhiyiwa. Chiremba wako achaita incisions kuti awane chifukidziro chako uye nekungwarira kubvisa tishu ine chirwere achidzivirira nhengo dzepedyo uye zvivakwa.

Matanho panguva ye partial cystectomy

Pakubviswa kwechifukidziro chikamu, chiremba wako anotevedzera akateedzana akanyatso chengeta tishu yechifukidziro ine hutano sezvinobvira:

1. Kuita chidimbu chidiki mudumbu rako rezasi
2. Kuziva nekuparadzanisa chikamu chine chirwere chetsvo yako
3. Kubvisa nyama yakakanganiswa pamwe chete nemuganhu wenyama ine hutano
4. Kutarisa ma lymph nodes ari pedyo kuti aone zviratidzo zvechirwere
5. Kuvakazve tsvo yako nekusona nyama yasara pamwe chete
6. Kuisa catheter kuti ibatsire tsvo yako kupora zvakanaka

Nzira iyi inochengetedza kugona kwako kwakajairika kuchengeta nekupfuudza weti, kunyangwe kugona kwetsvo yako kungaderedzwa zvishoma. Vanhu vazhinji vanojaira zvakanaka kune izvi zvachinja nekufamba kwenguva.

Matanho panguva ye radical cystectomy

Kubviswa kwetsvo kwakazara kunoda kuvhiyiwa kwakanyanya uye kuvakazve kuti vagadzire nzira itsva yekuti muviri wako ubate weti:

1. Kuita chidimbu chikuru kubva kubhonzo rako rezamu kuenda kunzvimbo yako yepubic
2. Kunyatsoparadzanisa tsvo yako kubva kune zvimiro zvakapoteredza
3. Kubvisa tsvo yako yese uye ma lymph nodes ari pedyo
4. Kubvisa nhengo dzakawedzerwa kana kenza yapararira pedyo
5. Kugadzira nzira itsva yeweti uchishandisa chidimbu cheura rako
6. Kubatanidza ureters yako kune itsva urinary system

Chiremba wako achagadzira imwe yenzira nhatu dze urinary diversions zvichibva pahutano hwako, zera, uye zvaunofarira. Sarudzo imwe neimwe ine mabhenefiti akasiyana uye zvaunofanira kufunga izvo chikwata chako chekurapa chichakurukura newe pamberi.

Mhando dzekuvakwazve urinary

Mushure mekubviswa kwetsvo kwakazara, vanachiremba vanogadzira nzira itsva yekuti muviri wako uunganidze nekubvisa weti. Sarudzo nhatu huru imwe neimwe inoshanda zvakasiyana uye inoda mazinga akasiyana ekuzvichengeta.

Iyo ileal conduit inoshandisa chidimbu chidiki cheura rako diki kugadzira nzira kubva kumatsvo ako kuenda kuvhura (stoma) mudumbu rako. Weti inoyerera nguva dzose muhomwe yekuunganidza yaunobvisa zuva rese. Iyi inowanzoita sarudzo iri nyore kune varwere vakuru kana avo vane mamwe mamiriro ehutano.

Nzvimbo yekuchengetera ganda inogadzira homwe yemukati kubva munyama yemukati ine buri diki mudumbu rako. Iwe unopinza chubhu diki (catheter) kuburikidza neburiro iri kakawanda pazuva kuti ubudise weti. Sarudzo iyi inobvisa kudiwa kwebhegi rekunze asi inoda kuti uite catheterizations nguva dzose.

Kuvakwazve kwe neobladder kunogadzira itsvo itsva uchishandisa chikamu cheura yako chinobatanidza zvakananga kuurethra yako. Izvi zvinokutendera kuti weti zvakanyanya zvakasikwa kuburikidza neburiro rako rakajairika, kunyangwe iwe ungada kushandisa tsandanyama dzemudumbu kuti ubvise zvachose uye unogona kusangana nekudonha kutanga.

Nzira yekugadzirira sei kuvhiyiwa kwako kubviswa kwetsvo?

Kugadzirira cystectomy kunosanganisira matanho akati wandei akakosha anobatsira kuona mhedzisiro yakanakisa. Chikwata chako chekurapa chichakutungamira kuburikidza nechikamu chega chega chekugadzirira, kazhinji kutanga mumasvondo maviri asati waita kuvhiyiwa.

Chiremba wako achatanga aite bvunzo dzakazara kuti ave nechokwadi chekuti une hutano hwakakwana hwekuvhiyiwa kukuru. Izvi zvinowanzo sanganisira bvunzo dzeropa, zvidzidzo zvebasa remoyo, bvunzo dzebasa remapapu, uye imaging scans kuti uongorore chero nyaya dzehutano dzakavanzika.

Kugadzirira kwekurapa pamberi pekuvhiyiwa

Matanho akati wandei ekurapa anobatsira kugadzirisa muviri wako kuti uite maitiro ari kuuya uye kuderedza njodzi yematambudziko:

• Kumisa mishonga yakati wandei inowedzera njodzi yekubuda ropa
• Kutarisira chirwere cheshuga kana BP nemishonga yakagadziridzwa
• Kurapa chero zvirwere nemishonga inorwisa mabhakitiriya
• Kugamuchira bvunzo dzeropa kuti uongorore basa reitsvo nechiropa chako
• Kuwana mvumo yemoyo kana uine matambudziko emoyo
• Kusangana nemuongorori weanesthesiologist kuti ukurukure manejimendi erwadziwa

Chikwata chako chekuvhiya chichapa mirairo chaiyo pamusoro pemishonga yekuramba uchienderera mberi uye iyo yekumisa. Usambofa wakamisa mishonga yakarairwa usina kutarisa nachiremba wako kutanga, sezvo vamwe vachifanira kuderedzwa zvishoma nezvishoma.

Kugadzirira mararamiro

Kushandura mararamiro ako usati vavhiwa kunogona kuvandudza zvakanyanya kupora kwako. Muviri wako unopora zviri nani kana uri mumamiriro akanaka zvikuru usati waita oparesheni.

Kana uchiputa, kumira kwemavhiki maviri usati vavhiwa kunoderera zvakanyanya njodzi yako yematambudziko ekufema uye kunobatsira kupona kwemavanga ako nekukurumidza. Chiremba wako anogona kunyora mishonga kana kukurudzira zvirongwa zvekukubatsira kusiya kwenguva pfupi kana zvachose.

Kudya chikafu chine hutano chakapfuma muprotein kunobatsira muviri wako kuvaka zviwanikwa zvaunoda kuti upore. Tarisa pane nyama isina mafuta, hove, mazai, bhinzi, uye michero nemiriwo yakawanda. Gara wakanyatsogadzirwa mvura kunze kwekunge chiremba wako akupa zvirambidzo zvakakosha zvemvura.

Kurovedza muviri zvinyoro-nyoro sekufamba kunogona kuvandudza kutenderera kweropa rako uye kushanda kwemapapu usati vavhiwa. Zvisinei, dzivisa mabasa anokuvadza anogona kukonzera kukuvara. Murapi wako wepanyama angakudzidzisa maekisesaizi ekufema kudzivirira pneumonia mushure mekuvhiwa.

Kugadzirira ura

Sezvo chiremba wako achigona kushandisa chikamu cheura hwako pakuvakazve, uchada kuchenesa hurongwa hwako hweura usati vavhiwa. Iyi nzira, inonzi bowel prep, inowanzo kutanga zuva rimwe kana maviri usati waita oparesheni yako.

Chikwata chako chekurapa chichapa mirairo yakakosha yechikafu chemvura yakajeka uye mishonga yekuzorodza. Kunyange zvazvo bowel prep inogona kusagadzikana, kutevera mirairo iyi chaizvo kunobatsira kudzivirira zvirwere uye kunovimbisa kuti chiremba wako ane nzvimbo yakachena yekushandira.

Kupora kunotora nguva yakareba sei mushure mecystectomy?

Kupora kubva mukuvhiwa kubviswa kweguru typically kunotora mwedzi yakati wandei, nevakawanda vanodzoka kumabasa avo enguva dzose mukati memavhiki 6 kusvika 12. Nguva yako yekupora inoenderana nezvinhu zvakaita sehutano hwako hwese, rudzi rwekuvhiwa kwawakaita, uye kuti unotevedza sei chirongwa chako chekupora.

Mazuva mashoma ekutanga mushure mekuvhiyiwa anoitika muchipatara, uko chikwata chako chekurapa chinotarisa kupora kwako uye chinodzora kurwadziwa kwako. Vanhu vazhinji vanogara muchipatara kwemazuva mashanu kusvika gumi, zvichienderana nekukomba kwekuvhiyiwa kwavo uye nekukurumidza kwemuviri wavo kutanga kushanda zvakajairika zvakare.

Zvekutarisira muchipatara

Kupora kwako nekukurumidza kunotarisa pakubatsira muviri wako kujairana nekuchinja uye kudzivirira matambudziko. Munguva yekugara kwako muchipatara, maitiro akati wandei ekupora anoitika.

Uchava nemapombi akawanda uye macatheter anobatsira kuburitsa mvura uye kubvumira nzvimbo dzako dzekuvhiya kupora zvakanaka. Izvi zvinogona kusanganisira catheter yeweti, machubhu ekuburitsa pedyo nekucheka kwako, uye pamwe chubhu yenasogastric kuti uzorore hurongwa hwako hwekugaya. Kunyangwe izvi zvichigona kunzwa zvisina kugadzikana, zvakakosha pakupora kwakakodzera.

Kudzora kurwadziwa ndicho chinhu chakakosha panguva yekugara kwako muchipatara. Chikwata chako chekurapa chichashandisa musanganiswa wemishonga kuti ikuchengetedze uchibvumira kuti ufambe uye utore chikamu mukupora kwako. Vanhu vazhinji vanowana kurwadziwa kwavo kuchiderera zvakanyanya zuva rega rega.

Kubuda pamubhedha nekufamba nzendo pfupi kazhinji kunotanga zuva mushure mekuvhiyiwa. Kufamba uku kunobatsira kudzivirira ropa, pneumonia, uye mamwe matambudziko. Vanamukoti vako nevanoita physiotherapy vachakubatsira zvishoma nezvishoma kuwedzera basa rako.

Kupora kumba

Paunenge uri kumba, kupora kwako kunoenderera mberi nekumhanya kuwedzera basa uye kudzidza kutarisira hurongwa hwako hutsva hweurinary. Mavhiki mashoma ekutanga anoda moyo murefu sezvo muviri wako uchigadzirisa kuchinja kukuru.

Uchada rubatsiro nemabasa ezuva nezuva kwevhiki yekutanga kana maviri uri kumba. Gadzirira nhengo dzemhuri kana shamwari kuti dzibatsire kubika, kuchenesa, uye kutakura kuenda kumisangano yekurapa. Dzivisa kusimudza chero chinhu chinorema kupfuura mapaundi gumi kwemavhiki matanhatu.

Kutevera-kuona nachiremba wako kunoitika kakawanda pakutanga, wobva wapararira sezvaunopora. Kushanya uku kunobvumira timu yako yezvokurapa kuti iongorore kupora kwako, kubvisa tsono kana zvipikiri, uye kugadzirisa chero zvipingamupinyi zvaungave nazvo.

Kudzidza kutarisira shanduko dzemumugomo

Kana wakabviswa dumbu rose, kudzidza kutarisira hurongwa hwako hutsva hwemumugomo kunova chikamu chakakosha chekupora. Vanamukoti vakasarudzika vanonzi ostomy kana urology nurses vachakudzidzisa hunyanzvi hwaunoda.

Kune vanhu vane ileal conduit, kudzidza kuchinja nekudurura bhegi rako rekuunganidza kunova kwenguva dzose mukati memavhiki mashoma. Zvinhu zvinoshandiswa zvakavanzika, uye vanhu vazhinji vanodzokera kuzvinhu zvavo zvose zvakajairika, kusanganisira kushambira nekurovedza muviri.

Avo vane continent reservoirs vanodzidza kuisa macatheter uye kudurura bhegi ravo remukati kakawanda pazuva. Hunyanzvi uhu hunoda kudzidzira asi hunova otomatiki nekufamba kwenguva. Vanhu vazhinji vanokoshesa kusava nebhegi rekuunganidza rekunze.

Vanhu vane neobladders vanodzidza nzira itsva dzekuyamwa uye maekisesaizi epelvic floor kuti vavandudze kutonga. Kuremekedza kwakakwana kunogona kutora mwedzi yakati wandei kuti zviitwe, uye vamwe vanhu vanoda kupfeka mapads ekudzivirira pakutanga.

Ndezvipi njodzi nematambudziko e cystectomy?

Kufanana nekushanda kukuru kwese, cystectomy inotakura njodzi dzakajairika dzinokanganisa varwere vazhinji uye matambudziko asingawanzoitiki anoitika kazhinji. Kunzwisisa izvi zvinogoneka kunokubatsira kuita zvisarudzo zvine ruzivo uye kuziva zviratidzo zvinoda kutariswa kwekurapa nekukurumidza.

Timu yako yekuvhiya inotora matanho akawanda kuderedza njodzi idzi, uye vanhu vazhinji vanopora vasina matambudziko akakomba. Zvisinei, kuziva matambudziko anogona kuitika kunokubatsira kutora chikamu chinoshingaira mukupora kwako uye kutsvaga rubatsiro kana zvichidiwa.

Njodzi dzenguva pfupi dzakajairika

Matambudziko akati wandei anogona kuitika mumazuva nemavhiki zvichitevera kuvhiyiwa, kunyange zvazvo mazhinji achigoneka nekutarisirwa kwekurapa kwakakodzera:

• Kubuda ropa kungada kuwedzerwa ropa
• Utachiona panzvimbo yekuvhiyiwa kana mumuviri wako wemvura
• Mavhuvhuta eropa mumakumbo ako anogona kufamba kuenda kumapapu ako
• Pneumonia kubva mukufema kusingadzike mushure meanesthesia
• Kudzoka kunonoka kwebasa rakajairika remudumbu
• Kuvuza kubva pakubatanidzwa kwekuvhiya kunowanzo pora nekufamba kwenguva

Chikwata chako chekurapa chinokutarisa zvakanyanya kuti uone matambudziko aya uye anovabata nekukurumidza kana akaitika. Zvizhinji zvezvipingamupinyi izvi zvinoderera zvakanyanya sezvaunowedzera kufamba uye masisitimu emuviri wako anodzoka kubasa rakajairika.

Matambudziko enguva refu ekutarisa

Mamwe matambudziko anogona kukura mwedzi kana makore mushure mekuvhiyiwa, achida kuenderera mberi nekutarisa uye dzimwe nguva kurapwa kwakawedzerwa. Kuziva zvingaitika izvi kunokubatsira kuchengetedza hutano hwakanaka kwenguva refu.

Matambudziko eitsvo anogona kukura kana sisitimu yako itsva yemvura isingayerere zvakanaka kana kana zvirwere zvichikwira kubva kumvura yako. Kugadzwa nguva dzose kunosanganisira bvunzo dzekutarisa basa reitsvo dzako uye kubata matambudziko kare.

Kushaikwa kweVitamin B12 kunogona kuitika nekuti kuvhiyiwa kunobvisa chikamu cheura hwako hunowanzo tora vhitamini iyi. Chiremba wako achatarisa mazinga ako eB12 uye achanyora zvinowedzerwa kana zvichidikanwa. Izvi zvinogadziriswa nyore nyore nekujowa nguva dzose kana zvinowedzerwa zvemuromo zvakanyanya.

Kuchinja kwekuita zvepabonde kunokanganisa vanhu vazhinji mushure mecystectomy, kunyanya varume vanogona kusangana nekushaya simba. Vakadzi vangave nekuoma kwevagina kana kusagadzikana. Chikwata chako chekurapa chinogona kukurukura kurapwa uye nzira dzekugadzirisa izvi zvinonetsa.

Matambudziko asingawanzoitiki asi akakomba

Kunyange zvichishamisa, mamwe matambudziko akakomba anoda kutariswa kwekurapa nekukurumidza uye anogona kuda kuvhiyiwa kwakawedzerwa kugadzirisa:

• Kubuda ropa kwakanyanya kusingamire nekushandisa mishonga yakajairika
• Kuvharika zvachose kwenzira yako yeweti
• Utachiona hwakanyanya hunopararira mumuviri wako wese
• Kurwisa kwemoyo kana sitiroko panguva kana mushure mekuvhiyiwa
• Kuitika kwezvirwere zvakanyanya zvekugutsirana nemishonga yekuzorodza kana mishonga
• Kukuvara kwenhengo dzepedyo panguva yekuvhiyiwa

Matambudziko aya haawanzoitiki, achiitika muvanhu vashoma vanopfuura 5%, asi kuziva zviratidzo zvavo kunokubatsira kutsvaga rubatsiro nekukasira kana zvikaitika. Ruzivo rwechikwata chako chekuvhiya uye nzira dzemazuva ano dzekutarisa zvaita kuti matambudziko aya akakomba ave mashoma kupfuura kare.

Ndingafonere chiremba rini mushure mekubviswa kweganda remudumbu?

Kuziva nguva yekubata chikwata chako chekurapa mushure mekuvhiyiwa kubvisa mudumbu kunobatsira kuona kupora kwakakodzera uye kunodzivirira nyaya diki kuti dzive matambudziko akakomba. Madhokotera ako anoda kunzwa kubva kwauri kana uine chero zvaunonetseka nazvo, zvisinei kuti zvingaite sediki sei.

Unofanira kufonera chiremba wako wekuvhiya nekukasira kana ukaona fivha inodarika 101°F (38.3°C), kurwadziwa kwakanyanya mudumbu kusingavandudzwi nemishonga yakarairwa, kana kubuda ropa kwakanyanya kubva pakachekwa kana nzira yako yeweti. Zviratidzo izvi zvinogona kuratidza utachiona kana mamwe matambudziko anoda kurapwa nekukasira.

Zviratidzo zvinoda kutariswa kwechiremba nekukasira

Zvimwe zviratidzo zvinoda kutariswa kwechiremba nekukasira nekuti zvinogona kuratidza matambudziko akakomba anogona kukanganisa hutano hwako:

• Kurwadziwa muchipfuwa kana kuoma kufema zvinogona kuratidza ropa rinovhara
• Hapana weti inobuda kwemaawa anopfuura 6
• Kurwadziwa kwakanyanya uye kurutsa kunokutadzisa kuchengeta mvura pasi
• Zviratidzo zvekushaya mvura yakanyanya semuenzaniso dzungu kana kuvhiringidzika
• Kurwadziwa kwakanyanya mudumbu rako kana kumusana
• Kutsvuka, kudziya, kana pus ichibuda kubva pakachekwa kwako

Usazeza kufona 911 kana kuenda kukamuri re emergency kana ukaona zviratidzo izvi. Kurapwa kwekutanga kwematambudziko kazhinji kunodzivirira matambudziko akakomba uye kunokubatsira kuti udzokere panzira yekupora kwako.

Nguva yekuronga ma follow-up enguva dzose

Kugadzwa nguva dzose kwe follow-up kwakakosha pakuongorora hutano hwako hwenguva refu uye kubata matambudziko angangovepo vasati vava akakomba. Chikwata chako chekurapa chicharonga kushanya uku panguva dzakatarwa zvichienderana nezvido zvako.

Zvirongwa zvakajairika zve follow-up zvinosanganisira kushanya pamavhiki maviri, mavhiki matanhatu, mwedzi mitatu, mwedzi mitanhatu, uye ipapo gore negore. Kugadzwa uku kunosanganisira bvunzo dzemuviri, bvunzo dzeropa dzekutarisa basa reitsvo dzako, uye zvidzidzo zve imaging zvekutarisa kudzoka kwekenza kana zvichibvira.

Unofanirwawo kubata chiremba wako kana ukaona shanduko zvishoma nezvishoma mukubuda kweweti yako, kurwadziwa kunoramba kuripo kunoita sekunge kuri kuwedzera pane kuvandudza, kana chero zviratidzo zvitsva zvinokunetsa. Chikwata chako chekurapa chiripo kuti chikutsigire mukati merwendo rwako rwese rwekupona.

Mibvunzo inowanzo bvunzwa nezvekuvhiyiwa kubviswa kweguru

M.1 Ko cystectomy ndiyo chete sarudzo yekurapa kenza yeguru?

Cystectomy haisi nguva dzose yekutanga kana chete kurapwa kenza yeguru. Chikwata chako chekurapa chinofunga zvinhu zvakawanda zvinosanganisira nhanho yekenza, nzvimbo, uye hutano hwako hwese pakuraira sarudzo dzekurapa.

Kenza yeguru yematanho ekutanga isina kukura mumadziro emhasuru, vanachiremba vanowanzoedza kurapwa senge chemotherapy, immunotherapy, kana radiation therapy kutanga. Iyi nzira shoma dzinogona kushanda zvakanyanya kune mamwe marudzi ekenza yeguru. Kuvhiyiwa kunova sarudzo inokurudzirwa kana kenza yakura yakadzika mumadziro eguru kana kana mamwe marapirwo asina kudzora chirwere zvakanaka.

M.2 Ndingararama hupenyu hwakajairika mushure mekuvhiyiwa kubviswa kweguru?

Hongu, vanhu vazhinji vanodzokera kuhupenyu hunogutsa, hunoshingaira mushure mekuvhiyiwa kubvisa dumbu, kunyangwe paine zvimwe zvinhu zvekugadzirisa. Chinhu chikuru ndechidzidza kutarisira hurongwa hwako hutsva hwekuita weti uye kuita zvimwe zvishoma zvehupenyu.

Vanhu vazhinji vanodzokera kubasa, kufamba, kurovedza muviri, uye kunakidzwa nezvinhu zvavanofarira sezvavakaita vasati vavhiyiwa. Mitambo, kushambira, uye zvimwe zviitiko zvemuviri zvinowanzoitika kana wapedza kupora zvachose. Kusangana pabonde kunogona kuda zvimwe zvigadziriso, asi vakaroorana vazhinji vanowana nzira dzekuchengetedza hukama hunogutsa nerutsigiro kubva kuchikwata chavo chekurapa.

Q.3 Zvinhu zvekushandisa weti zvinogara kwenguva yakareba sei?

Zvishandiso zvekuita weti zvakagadzirwa panguva ye cystectomy zvakagadzirirwa kugara kweupenyu hwako hwese nekutarisirwa kwakakodzera nekutarisa. Maitiro ekuvhiya emazuva ano anogadzira hukama hwakasimba hunowanzoita kuti husade kutsiviwa.

Zvisinei, semamwe masisitimu emuviri, zvishandiso zvekuita weti zvinogona kuda kugadziriswa kana kugadziriswa nguva nenguva. Vamwe vanhu vanogona kukudziridza strictures (kumanikidzwa) izvo zvinoda maitiro madiki kuti agadziriswe. Kugara uchienda kunotarisa kunobatsira kubata nekugadzirisa nyaya idzi nekukurumidza, kuona kuti hurongwa hwako hwekuita weti hunoenderera mberi nekushanda zvakanaka kwemakore mazhinji.

Q.4 Ndichada kudya zvakakosha mushure me cystectomy here?

Vanhu vazhinji vanogona kudzokera kune zvakajairika, chikafu chine hutano mushure mekupora kubva ku cystectomy, kunyangwe iwe uchida kuita zvimwe zvigadziriso zvichienderana nerudzi rwako rwekuita weti. Chikwata chako chekurapa chichapa gwara rechikafu zvichienderana nemamiriro ako ega.

Kana chikamu cheura hwako chakashandiswa pakuvakazve, unogona kuda kudzivisa zvimwe zvekudya zvinogona kukonzera kuvharika kana gasi rakawandisa. Vanhu vane ileal conduits vanogona kuda kuderedza chikafu chakakwirira muoxalates kudzivirira matombo eitsvo. Nyanzvi yako yezvekudya ichakubatsira kugadzira chirongwa chekudya chinotsigira hutano hwako uchikubvumira kunakidzwa nezvakasiyana zvekudya.

Q.5 Ndezvipi zviwanikwa zverutsigiro zviripo kune varwere ve cystectomy?

Kune zviwanikwa zvakawanda zvekukubatsira kuti uende mberi muhupenyu mushure mekuvhiyiwa kubvisa dumbu remvura. Chipatara chako chingave chiine vanamukoti vakakosha vanodzidzisa nezvekuchengetwa kwemvura yeurini uye vanokubatanidza nemapoka ekutsigira.

Masangano enyika seUnited Ostomy Associations of America anopa zvinhu zvekudzidzisa, mafuramu epamhepo, nemapoka ekutsigira emunharaunda kwaunogona kubatana nevamwe vane zvakafanana. Vanhu vazhinji vanowana nyaradzo huru uye zano rinoshanda kubva pakutaura nevamwe vakabudirira kujairana nehupenyu mushure mecystectomy. Munhu wako anobatsira munharaunda anogona kukubatsira kubatana nezviwanikwa izvi zvinokosha uye chero zvirongwa zvekubatsira zvemari zvaungade.