Kuyini Ukujovwa Kotshwala Okomile: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

Ukujovwa kotshwala okomile kuyinqubo yezokwelapha lapho utshwala obuqinile (ngokuvamile i-95-100% ethanol) kujovwa ngokuqondile ezicutshini noma ezingxenyeni zomzimba ezithile. Lokhu kwelashwa kusebenza ngokubhubhisa amaseli aqondiwe futhi ikakhulukazi lisetshenziselwa ukwelapha izinhlobo ezithile zama-cyst, izimila, kanye nezimo zobuhlungu ezihlobene nemizwa.

Ungase uzibuze ngale nqubo uma udokotela wakho eyincomile ngesimo esithile. Ukujova kusebenzisa utshwala obumsulwa njenge-ejenti ye-sclerosing, okusho ukuthi kubangela ukuthi izicubu zinciphe futhi zibe nezibazi. Le ndlela eqondiwe ivumela odokotela ukuthi belaphe izinkinga ezithile ngaphandle kokuthinta izicubu ezinempilo ezizungezile.

Kusetshenziselwani Ukujovwa Kotshwala Okomile?

Ukujovwa kotshwala okomile kusebenzela izinjongo eziningana ezibalulekile zezokwelapha. Ngokuvamile, odokotela bakusebenzisela ukwelapha ama-cyst esibindi, ama-cyst ezinso, kanye nezinhlobo ezithile zezimila ezincane okunzima ukuzifinyelela ngemva kokuhlinzwa.

Le nqubo futhi isiza ekuphatheni izimo ezibuhlungu ezingapheli ezinzima. Lapho okunye ukwelashwa kungazange kunikeze impumuzo, odokotela bangase bajove utshwala eduze kwemizwa ethile ukuze bavimbele izimpawu zobuhlungu. Le ndlela, ebizwa ngokuthi i-neurolysis, inganikeza impumuzo yobuhlungu ehlala isikhathi eside ezimweni ezinjenge-pancreatitis engapheli noma izinhlobo ezithile zobuhlungu bomdlavuza.

Nawa amakhondishini amakhulu lapho lokhu kwelashwa kufakazela ukuthi kuyasiza:

• Ama-cyst esibindi alula abangela ukungakhululeki noma izinkinga
• Ama-cyst ezinso aphazamisa ukusebenza kwesitho
• Ama-carcinoma amancane e-hepatocellular (umdlavuza wesibindi) ezigulini ezikhethiwe
• Ubuhlungu obungapheli obuvamile ezimweni ze-pancreatic
• Izifo ezithile zobuhlungu ezihlobene nemizwa
• Ama-nodule e-thyroid ezimweni ezithile

Udokotela wakho uzoqaphela ngokucophelela ukuthi ngabe lokhu kwelashwa kulungile yini ngesimo sakho esithile. Isinqumo sincike ezintweni ezinjengosayizi nendawo yenkinga, impilo yakho yonke, nokuthi okunye ukwelashwa kusebenze kahle kangakanani.

Isebenza Kanjani I-Dehydrated Alcohol Injection?

I-Dehydrated alcohol injection isebenza ngokubangela ukoma ngokushesha nokubhubhisa amaseli elithintayo. Utywala obuqinile bukhupha amanzi emangqamuzaneni futhi bulimaze izindonga zawo zangaphandle, okuholela ekufeni kwamaseli ngemizuzu.

Le nqubo iqondiswe kahle futhi inembile. Uma ifakwa ku-cyst, utshwala bubhubhisa amaseli aqeda udonga lwe-cyst, buvimbela ukuthi lingagcwaliswa nguketshezi. Kuma-tumor, utshwala bubhubhisa amaseli omdlavuza endaweni okuyiwa kuyo. Uma isetshenziselwa ukuphatha ubuhlungu, ilimaza imicu yezinzwa ethwala izimpawu zobuhlungu.

Amandla alokhu kwelashwa aphakathi nendawo kuya aqine, kuye ngobuningi obusetshenzisiwe nendawo okuyiwa kuyo. Inolaka olukhulu kuneziningi zemithi kodwa ayihlaseli kangako kunomsebenzi omkhulu wokuhlinzwa. Imiphumela ngokuvamile iqala ngokushesha futhi ingahlala izinyanga noma iminyaka, ikakhulukazi uma isetshenziselwa ukuphatha ubuhlungu.

Kufanele Ngilungiselele Kanjani I-Dehydrated Alcohol Injection?

Ukulungiselela le nqubo kuhlanganisa izinyathelo eziningana ezibalulekile zokuqinisekisa ukuphepha kwakho kanye nomphumela ongcono kakhulu. Udokotela wakho uzohlinzeka ngemiyalelo ethile esekelwe esimweni sakho ngasinye nendawo ezelashwayo.

Ngaphambi kwenqubo, cishe uzodinga ukuyeka ukuthatha imithi ethile ethinta ukujiya kwegazi. Lokhu kuhlanganisa i-aspirin, i-ibuprofen, kanye nezinciphisi zegazi eziqokiwe. Udokotela wakho uzokutshela ngqo ukuthi yimiphi imithi okufanele uyigweme nokuthi isikhathi esingakanani.

Nakhu ongakulindela ngokujwayelekile mayelana nokulungiselela:

• Ukuzila ukudla amahora angu-6-8 ngaphambi kwenqubo uma kuhlelwe ukuthulisa
• Ukuhlela ezokuthutha ekhaya, njengoba ungase uzizwe ukozela ngemva kwalokho
• Ukuyeka imithi yokunciphisa igazi njengoba kuqondiswe
• Ukuba nokuhlolwa kwegazi kwakamuva ukuze uhlole ikhono lakho lokujiya
• Ukuxoxa nganoma yikuphi ukungezwani komzimba noma izimo zezokwelapha neqembu lakho

Ngosuku lwenqubo, gqoka izingubo ezikhululekile, ezilula. Kungenzeka ukuthi uzothola i-anesthesia yendawo futhi mhlawumbe nokuthuliswa okuncane ukuze uhlale ukhululekile ngesikhathi sokujova.

Kuthatha Isikhathi Esingakanani Ukwelashwa Nge-Dehydrated Alcohol Injection?

Ubude bemiphumela yokwelashwa buhlukahluka kakhulu kuye ngokuthi yisiphi isimo eselashwayo. Kuma-cyst, imiphumela ivame ukuba unomphela, njengoba utshwala buvimbela i-cyst ukuthi ingagcwaliswa nguketshezi.

Ukuqeda ubuhlungu emithanjeni yezinzwa kungahlala noma yikuphi kusukela ezinyangeni ezimbalwa kuya eminyakeni eminingi. Abanye abantu bathola ukukhululeka izinyanga eziyi-6-12, kanti abanye bangase babe nokukhululeka kobuhlungu obuhlala isikhathi eside. Ubude obuqondile buxhomeke ezintweni ezinjengemithambo ethile yezinzwa ezelashwayo nokuthi umzimba wakho usabela kanjani ekwelashweni.

Ukwelashwa kwamathumba, umgomo ukubhujiswa unomphela kwamaseli omdlavuza aqondiwe. Nokho, uzodinga ukuqokwa okuvamile kokulandela ukuze uqaphe indawo elashwayo futhi uqinisekise ukuthi ukwelashwa kuphumelele. Udokotela wakho angase ancome izinqubo eziphindwayo uma kudingeka.

Yiziphi Imiphumela Eceleni Ye-Dehydrated Alcohol Injection?

Njenganoma iyiphi inqubo yezokwelapha, i-dehydrated alcohol injection ingabangela imiphumela emibi, nakuba iningi lingelesikhashana futhi lilawuleka. Ukuqonda okukulindele kungakusiza ukuthi uzizwe ulungiseleleke kakhulu futhi wazi ukuthi ungaxhumana nini nethimba lakho lezempilo.

Imiphumela emibi evame kakhulu ihlobene nendawo yokujova futhi ngokuvamile ixazululwa ezinsukwini ezimbalwa. Ubuhlungu endaweni yokujova buvamile futhi kulindelekile, njengoba utshwala bubangela ukucasuka kwezicubu njengoba busebenza.

Imiphumela emibi ongase uyithole ihlanganisa:

• Ubuhlungu noma ukusha endaweni yokujova
• Ukuvuvukala kwesikhashana noma ukulimala
• Isicanucanu esincane, ikakhulukazi uma uthole ukuthuliswa
• Ukwanda kwesikhashana ngosayizi wendawo elashwayo ngenxa yokuvuvukala
• Ukukhathala usuku noma ezimbili ngemva kwenqubo

Imiphumela emibi engavamile kodwa ebucayi ingenzeka, nakuba ingavamile uma inqubo yenziwa ochwepheshe abanolwazi. Lokhu kungabandakanya ukutheleleka endaweni yokujova, ukulimala kwezitho eziseduze, noma ukusabela okukhulu komzimba.

Ngokungavamile kakhulu, abanye abantu bangase bahlangabezane nezinkinga ezinjengalezi:

• Ubuhlungu obukhulu, obuqhubekayo obungathuthuki ngemithi
• Izimpawu zokutheleleka njengomkhuhlane, ukubomvu okwandayo, noma ukukhipha amanzi
• Ukuphuma kwegazi okungavamile noma ukulimala
• Ukuqaqamba noma ubuthakathaka ezindaweni ezingalindelekile

Xhumana nomhlinzeki wakho wezempilo ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezinzima noma ezikhathazayo. Imiphumela eminingi emibi ilawuleka ngokunakekelwa okufanele nokuqapha.

Ubani Ongafanele Athole Ukujovwa Kotshwala Obomile?

Abanye abantu kungenzeka bangabi ngabazali abahle bale nqubo ngenxa yezingozi ezengeziwe noma ukusebenza kahle okuncishisiwe. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha kanye nesimo sakho sempilo yamanje ukuze anqume ukuthi le nqubo iphephile yini kuwe.

Abantu abanezifo ezinzima zokuphuma kwegazi ngokuvamile akufanele bathole lo mjovo, njengoba kunengozi yokuphuma kwegazi endaweni yokujova. Ngokufanayo, labo abanezifo ezithathelwanayo ezisebenzayo eduze nendawo yokwelashwa badinga ukulinda kuze kube yilapho ukutheleleka kuphela.

Izimo ezingakwenza ungafaneleki kulokhu kwelashwa zihlanganisa:

• Izifo ezinzima zokuphuma kwegazi noma ukubala kwamaphlatelethi okuphansi kakhulu
• Ukutheleleka okusebenzayo endaweni yokujova noma eduze kwayo
• Isifo sesibindi esinzima (sezicelo ezithile)
• Ukukhulelwa noma ukuncelisa
• Izinkinga zenhliziyo noma zamaphaphu ezinzima ezenza ukuthuliswa kube yingozi
• Ukungezwani notshwala noma ama-anesthetics endawo

Ukuba nesinye salezi zimo akukukhiphi ngokuzenzakalelayo ekwelashweni. Udokotela wakho uzohlola izingozi nezinzuzo zesimo sakho esithile futhi angase ancome ezinye izindlela zokwelapha uma le nqubo ingafanele.

Amagama Omkhiqizo Wokujova Kotshwala Obomile

Ukujovwa kotshwala okomile ngokuvamile kuyatholakala njengomuthi ojwayelekile kunokuba ngaphansi kwamagama athile omkhiqizo. Izibhedlela nemitholampilo eminingi isebenzisa i-ethanol yezemithi ehlangabezana nezindinganiso eziqinile zokuhlanzeka.

Umkhiqizo ngokuvamile uqanjwa ngokuthi "Ukujovwa Kotshwala Obomile USP" noma "Ukujovwa kwe-Ethanol" futhi uqukethe u-95-100% wotshwala obumsulwa be-ethyl. Abakhiqizi abahlukene bangase bakhiqize lo muthi, kodwa isithako esisebenzayo kanye nokugxila kuhlala kuvumelana kuyo yonke imikhiqizo.

Umhlinzeki wakho wezempilo uzosebenzisa ifomula efanele esekelwe ezidingweni zakho zokwelashwa kanye nendawo ezelashwayo. Ukukhethwa komkhiqizo ngokuvamile kuncike kulokho okutholakala endaweni yakho yokwelapha kunokukhetha komkhiqizo.

Ezinye izindlela zokujovwa kotshwala obomile

Kukhona ezinye izindlela zokwelapha ezingase zitholakale ngokuya ngesimo sakho esithile. Kuma-cyst, ukususwa ngokuhlinzwa noma izinqubo zokukhipha amanzi kungase kube izinketho, nakuba ngokuvamile zihlasela kakhulu kunokujovwa kotshwala.

Ukuphatha ubuhlungu, ezinye izinqubo zokuvimba imizwa zisebenzisa imithi ehlukene zingase zifaneleke. Lokhu kufaka phakathi ukujovwa kwe-steroid, i-radiofrequency ablation, noma ezinye izinhlobo zama-ejenti e-neurolytic. Indlela ngayinye inezinzuzo zayo kanye nezingozi zayo.

Ezinye izindlela zokwelapha udokotela wakho angase azicabangele zihlanganisa:

• Ukususwa ngokuhlinzwa noma ukukhipha amanzi kuma-cyst
• I-Radiofrequency ablation yezimila
• Ukujovwa kwe-Steroid ukuphatha ubuhlungu
• Izindlela ze-microwave noma ze-laser ablation
• Izindlela zokuhlinzwa zendabuko
• Ukuphathwa kwemithi yobuhlungu obungapheli

Enye indlela engcono kakhulu incike esimweni sakho esithile, impilo yonke, kanye nemigomo yokwelashwa. Udokotela wakho uzoxoxa lezi zinketho nawe ukukusiza ukuthi wenze isinqumo esinolwazi mayelana nokunakekelwa kwakho.

Ingabe ukujovwa kotshwala obomile kungcono kunokuhlinzwa?

Ukuthi ukujova ngotshwala obomile kungcono yini kunokuhlinzwa kuncike ngokuphelele esimweni sakho esithile. Ezimweni ezithile, ukujova ngotshwala kunikeza izinzuzo ezinkulu, kuyilapho ukuhlinzwa kungase kube ngcono kwezinye.

Ukujova ngotshwala ngokuvamile akuhlaseli kangako kunokuhlinzwa, okusho izikhathi zokululama ezimfushane kanye nezinkinga ezimbalwa. Ngokuvamile kungenziwa njengenqubo yeziguli eziphuthumayo, okukuvumela ukuthi ubuyele ekhaya ngosuku olufanayo. Le nqubo ngokuvamile ibiza ngaphansi kwezinye izindlela zokuhlinzwa.

Kodwa-ke, ukuhlinzwa kungase kufaneleke kakhulu ezilondeni ezinkulu, amacala ayinkimbinkimbi, noma lapho kudingeka ukuxilongwa kwezicubu eziqinisekile. Ukuhlinzwa futhi kuvumela ukususwa okuphelele kwezindawo ezinzima, okungase kunikeze imiphumela ehlala njalo kwezinye izimo.

Udokotela wakho uzokusiza ukuthi uhlole lezi zici ngokusekelwe esimweni sakho esithile, impilo yonke, kanye nezintandokazi zakho. Isinqumo ngokuvamile sincike ngosayizi nendawo yenkinga, izici zakho zengozi yokuhlinzwa, nokuthi udinga ngokushesha kangakanani ukubuyela emisebenzini ejwayelekile.

Imibuzo Evame Ukubuzwa Mayelana Nokujova Ngotshwala Obomile

Ingabe Ukujova Ngotshwala Obomile Kuphephile Kubantu Abanezifo Zesibindi?

Ukuvikeleka kokujova ngotshwala kubantu abanezifo zesibindi kuncike ekuqineni kwesimo kanye nenjongo yokujova. Kubantu abanezinkinga zesibindi ezithambile, inani elincane lotshwala olusetshenziswayo ngokuvamile alibangeli izinkinga ezinkulu.

Kodwa-ke, abantu abanezifo zesibindi ezinzima, ikakhulukazi labo abane-cirrhosis noma ukuhluleka kwesibindi okusebenzayo, bangase babhekane nezingozi ezengeziwe. Isibindi sicubungula utshwala, futhi ukusebenza kwesibindi okungahambisani kahle kungase kuthinte indlela umzimba wakho obhekana ngayo ngisho namanani amancane. Udokotela wakho uzohlola ngokucophelela ukusebenza kwesibindi sakho ngaphambi kokuncoma lokhu kwelashwa.

Ngingenzani uma ngithola ngengozi utshwala obuningi obomile?

Ukweqisa ngengozi komjovo wotshwala obomileyo akuvamile kakhulu ngoba inqubo ilawulwa ngokucophelela ochwepheshe bezokwelapha. Inani elisetshenziswayo lilinganiselwa ngokuqondile futhi lincane kakhulu kunalelo elingabangela ubuthi botshwala.

Uma ukhathazekile ngobuningi obutholile, xhumana nomhlinzeki wakho wezempilo ngokushesha. Bangakuqapha nganoma yiziphi izimpawu ezingavamile futhi banikeze ukunakekelwa okufanele uma kudingeka. Izimpawu okufanele uziqaphele zihlanganisa ubuhlungu obukhulu, ukuvuvukala okungavamile, noma izimpawu ezibonakala zingahambisani nalokho obukulindele.

Kufanele Ngenzeni Uma Ngiphuthelwa Umjovo Ohleliwe?

Uma uphuthelwa ukuqokwa komjovo wotshwala obomileyo, xhumana nomhlinzeki wakho wezempilo ngokushesha ngangokunokwenzeka ukuze uhlehlise kabusha. Isikhathi sokulandela imijovo singabaluleka ekutholeni imiphumela engcono kakhulu.

Ungazami ukulungisa ama-aphoyintimenti aphuthelwe ngokuhlela imijovo eduze kakhulu. Udokotela wakho uzoqoka isikhala esifanele phakathi kokwelashwa ngokusekelwe esimweni sakho nokuthi usabele kanjani emijovweni yangaphambilini.

Ngingayeka Nini Ukwelashwa Ngomjovo Wotshwala Obomileyo?

Isinqumo sokuyeka ukwelashwa sincike esimweni sakho esithile nokuthi usabela kahle kangakanani emijovweni. Ukuze welashwe ama-cyst, ungase udinge umjovo owodwa kuphela uma uphumelela. Ukuze ulawule ubuhlungu, ungaqhubeka nokwelashwa uma nje kunikeza impumuzo.

Udokotela wakho uzoqapha inqubekela phambili yakho ngokuqokwa okulandelayo kanye nezifundo zokucabanga uma kufanelekile. Bazokusiza ukuthi unqume ukuthi uzifezile yini imiphumela oyifunayo noma uma okunye ukwelashwa kungase kube ngcono.

Ngingashayela Ngemva Kokuthola Umjovo Wotshwala Obomileyo?

Ngokuvamile akufanele ushayele ngokushesha ngemuva kokuthola umjovo wotshwala obomile, ikakhulukazi uma uthole imithi yokudambisa ngesikhathi senqubo. Inani elincane lotshwala obusetshenziswa emthonjweni ngokwawo ngeke lithinte ikhono lakho lokushayela, kodwa imithi yokudambisa ingalimaza imizwa yakho nokwahlulela kwakho.

Hlela ukuthi othile akuqhubele ekhaya ngemuva kwenqubo. Abantu abaningi bangakwazi ukuqhubeka nokushayela ngosuku olulandelayo uma bazizwa kahle futhi bengathathi imithi eqinile yokudambisa ubuhlungu. Ithimba lakho lezempilo lizohlinzeka ngesiqondiso esiqondile esisekelwe esimweni sakho somuntu ngamunye.