Yini Ukuhlinzwa Ukususwa Kwesitho Somchamo (i-Cystectomy)? Inhloso, Inqubo & Ukululama

Ukuhlinzwa ukususwa kwesitho somchamo, okubizwa ngokuthi i-cystectomy, kuyinqubo lapho odokotela behlinza besusa ingxenye noma lonke isitho sakho somchamo. Lokhu kuhlinzwa kuba okudingekayo lapho isitho sakho somchamo sonakaliswe kakhulu umdlavuza, izifo ezinzima, noma ezinye izimo ezingasabeli kwezinye izindlela zokwelapha.

Ngenkathi umcabango wokuhlinzwa isitho somchamo ungase uzizwe umkhulu, ukuqonda ukuthi kwenzekani ngalesi senzo kungasiza ukunciphisa ukukhathazeka kwakho. Izindlela zokuhlinza zesimanje ziye zenza i-cystectomy iphephe futhi ukululama kulawuleke kalula kunangaphambili.

Yini ukuhlinzwa ukususwa kwesitho somchamo (i-cystectomy)?

I-Cystectomy yinqubo yokuhlinza esusa ingxenye yesitho sakho somchamo (i-partial cystectomy) noma lonke isitho sakho somchamo (i-radical cystectomy). Cabanga ngayo njengendlela yeqembu lakho lezokwelapha yokuqeda izicubu ezigulayo ezibeka usongo olukhulu empilweni yakho.

Ngesikhathi se-partial cystectomy, odokotela bahlinza basuse kuphela ingxenye ethintekile yodonga lwesitho sakho somchamo. Izicubu zakho ezisele zesitho somchamo ziqhubeka nokusebenza, nakuba zingase zibambe umchamo omncane kunakuqala. Le ndlela isebenza kahle uma inkinga ithinta indawo eyodwa yesitho sakho somchamo.

I-radical cystectomy ihlanganisa ukususwa kwesitho sakho somchamo sonke kanye nama-lymph nodes aseduze. Emadodeni, lokhu kungase kuhlanganise i-prostate kanye nama-seminal vesicles. Kwabesifazane, kungase kuhlanganise isibeletho, ama-ovari, kanye nengxenye ye-vagina. Ngemva kokususwa okuphelele kwesitho somchamo, odokotela bahlinza bakhe indlela entsha yokuthi umzimba wakho ugcine futhi udlulise umchamo.

Kungani kwenziwa ukuhlinzwa ukususwa kwesitho somchamo?

Odokotela batusa i-cystectomy uma isitho sakho somchamo sinesifo esibi esisongela impilo yakho futhi asisabeli ekwelashweni okungahlaseli kakhulu. Isizathu esivame kakhulu umdlavuza wesitho somchamo okhule wangena odongeni lwemisipha yesitho sakho somchamo noma obuyele ngemva kokwelashwa kokuqala.

Iqembu lakho lezokwelapha lingase futhi lisikisele lokhu kuhlinzwa kwezinye izimo eziningi ezinzima ezithinta kakhulu izinga lempilo yakho:

• Umhlaza wesinye ongahlaseli imisipha ongakaze usabalale kwamanye amalunga omzimba
• Umhlaza wesinye osezingeni eliphezulu ohlala ubuyela ngemuva kokwelashwa
• Umonakalo omkhulu emsinyeni wakho odalwe imisebe evela ekwelashweni komdlavuza kwangaphambilini
• Izifo zesinye ezingapheli ezibangela ubuhlungu obuqhubekayo futhi ezingelapheki
• Ukhubazeka okuzalwa nakho okuthinta kakhulu ukusebenza kwesinye
• Isinye se-neurogenic esibangela ukulimala kwezinso

Ngokuvamile, odokotela bangase batusa i-cystectomy ngezimo ezingavamile njenge-interstitial cystitis enzima engaphenduli kunoma yikuphi okunye ukwelashwa. Udokotela ohlinzayo uzophakamisa lokhu kuhlinzwa okukhulu kuphela lapho izinzuzo zicacile kunobungozi besimo sakho esithile.

Lapho ezinye izindlela zokwelapha zingasebenzi

Ngaphambi kokucabangela i-cystectomy, ithimba lakho lezokwelapha ngokuvamile lizozama ezinye izindlela zokwelapha kuqala. Lokhu kungabandakanya i-chemotherapy, i-radiation therapy, i-immunotherapy, noma imithi yokulawula ukusebenza kwesinye.

Ukuhlinzwa kuba yindlela enconywayo lapho lezi zindlela zokwelapha zingalawuli isifo noma lapho isimo sakho sibeka izingozi eziqondile ezinso zakho noma empilweni yakho yonke. Udokotela wakho uzokuchazela ukuthi kungani ezinye izinketho zingafaneleki esimweni sakho esithile.

Yini inqubo yokuhlinzwa ukususwa kwesinye?

Ukuhlinzwa ukususwa kwesinye ngokuvamile kuthatha amahora angu-4 kuya kwangu-8, kuye ngokuthi udinga ukususwa okuyingxenye noma okuphelele. Ithimba lakho lokuhlinza lizosebenzisa ukuhlinzwa okuvulekile kwendabuko noma izindlela ezingahlaseli kancane njenge-laparoscopic noma ukuhlinzwa ngamarobhothi.

Ngesikhathi senqubo, uzobe uphansi kwe-anesthesia ejwayelekile, ngakho ngeke uzwe buhlungu noma ukhumbule ukuhlinzwa. Udokotela ohlinzayo uzokwenza ukusikeka ukuze afinyelele esinyeni sakho futhi asuse ngokucophelela izicubu ezigulayo ngenkathi evikela amalunga nezakhiwo eziseduze.

Izinyathelo ngesikhathi se-cystectomy engxenyeni

Ukuze kususwe isinye ngengxenye, udokotela ohlinzayo ulandela uchungechunge oluqaphile ukuze alondoloze inani elikhulu lezicubu zesinye ezinempilo ngangokunokwenzeka:

1. Ukwenza ukusikeka okuncane esiswini sakho esingezansi
2. Ukuhlonza nokuhlukanisa ingxenye yesinye enesifo
3. Ukususa izicubu ezithintekile kanye nomngcele wezicubu ezinempilo
4. Ukuhlola ama-lymph nodes aseduze ukuze kutholakale izimpawu zesifo
5. Ukwakha kabusha isinye sakho ngokuthunga izicubu ezisele ndawonye
6. Ukubeka i-catheter ukusiza isinye sakho ukuthi silulame kahle

Le ndlela igcina ikhono lakho lemvelo lokugcina nokukhipha umchamo, nakuba umthamo wesinye sakho ungase uncishiswe kancane. Abantu abaningi bajwayela kahle lezi zinguquko ngokuhamba kwesikhathi.

Izinyathelo ngesikhathi se-cystectomy eqinile

Ukususwa okuphelele kwesinye kudinga ukuhlinzwa okukhulu nokwakhiwa kabusha ukuze kwakhiwe indlela entsha yokuthi umzimba wakho uphathe umchamo:

1. Ukwenza ukusikeka okukhulu kusukela ethambo lakho lesifuba kuya endaweni yakho ye-pubic
2. Ukunqamula ngokucophelela isinye sakho ezakhiweni ezizungezile
3. Ukususa lonke isinye sakho nama-lymph nodes aseduze
4. Ukususa izitho ezengeziwe uma umdlavuza usabalale eduze
5. Ukwakha ukuchezuka okusha komchamo usebenzisa ucezu lwesisu sakho
6. Ukuxhuma ama-ureters akho ohlelweni olusha lomchamo

Udkt. ohlinzayo uzokwakha olunye lwezinhlobo ezintathu zokuchezuka komchamo ngokusekelwe empilweni yakho, ubudala, nezintandokazi zakho. Inketho ngayinye inezinzuzo ezihlukene kanye nokucatshangelwa ukuthi ithimba lakho lezokwelapha lizoxoxa nawe ngaphambi kwalokho.

Izinhlobo zokwakhiwa kabusha komchamo

Ngemva kokususwa okuphelele kwesinye, odkt. ohlinzayo bakha izindlela ezintsha zokuthi umzimba wakho uqoqe futhi uqede umchamo. Izinketho ezintathu eziyinhloko zisebenza ngendlela ehlukile futhi zidinga amazinga ahlukene okunakekela wena.

I-ileal conduit isebenzisa ucezu oluncane lwesisu sakho esincane ukudala indlela esuka ezinso zakho iye emgodini (stoma) esiswini sakho. Umchamo ugeleza ngokuqhubekayo esikhwameni sokuqoqa osikhipha usuku lonke. Lokhu kuvame ukuba yinketho elula ezigulini ezindala noma lezo ezineminye imibandela yezempilo.

I-continent cutaneous reservoir idala isikhwama sangaphakathi esivela ezicutshini zamathumbu esinembobo encane esiswini sakho. Ufaka ishubhu elincanyana (i-catheter) ngale mbobo izikhathi eziningana ngosuku ukuze ukhiphe umchamo. Le nketho iqeda isidingo sesikhwama sangaphandle kodwa idinga ukuthi wenze ukufakwa kwe-catheter njalo.

Ukwakhiwa kabusha kwe-neobladder kudala isinye esisha kusetshenziswa ingxenye yamathumbu akho exhuma ngqo emgodini wakho womchamo. Lokhu kukuvumela ukuthi uchame ngendlela engokwemvelo ngomgodi wakho ovamile, yize kungase kudingeke usebenzise imisipha yesisu ukuze ukhiphe ngokuphelele futhi ungase uhlangabezane nokuvuza ekuqaleni.

Ungalungiselela kanjani ukuhlinzwa kwakho kokususwa kwesinye?

Ukulungiselela i-cystectomy kuhilela izinyathelo eziningana ezibalulekile ezisiza ukuqinisekisa umphumela ongcono kakhulu. Ithimba lakho lezokwelapha lizokuqondisa esigabeni ngasinye sokulungiselela, ngokuvamile liqala cishe emasontweni amabili ngaphambi kosuku lokuhlinzwa kwakho.

Udokotela wakho uzoqala aqedele ukuhlolwa okubanzi ukuze aqiniseke ukuthi unempilo eyanele yokuhlinzwa okukhulu. Lokhu kuvame ukuhlanganisa ukuhlolwa kwegazi, izifundo zomsebenzi wenhliziyo, ukuhlolwa komsebenzi wamaphaphu, kanye nokuskena ukuthola noma yiziphi izinkinga zempilo ezifihliwe.

Ukulungiswa kwezokwelapha ngaphambi kokuhlinzwa

Izinyathelo eziningana zezokwelapha zisiza ukuthuthukisa umzimba wakho ngenqubo ezayo futhi zinciphise ingozi yezinkinga:

• Ukumisa imithi ethile eyandisa ingozi yokuphuma kwegazi
• Ukuphatha isifo sikashukela noma umfutho wegazi ophezulu ngemithi elungisiwe
• Ukwelapha noma yiziphi izifo ngama-antibiotics
• Ukuthola ukuhlolwa kwegazi ukuze uhlole ukusebenza kwezinso nesibindi sakho
• Ukuthola imvume yenhliziyo uma unezifo zenhliziyo
• Ukuhlangana nodokotela we-anesthesiologist ukuze nixoxe ngokuphathwa kobuhlungu

Ithimba lakho lokuhlinzwa lizohlinzeka ngemiyalelo ethile mayelana nokuthi imiphi imithi okufanele iqhubeke nokuthi iyiphi okufanele imiswe. Ungalokothi uyeke imithi enqunyiwe ngaphandle kokubheka kuqala nodokotela wakho, njengoba eminye idinga ukuncishiswa kancane kancane.

Ukulungiselela indlela yokuphila

Ukushintsha izindlela zokuphila ngaphambi kokuhlinzwa kungathuthukisa kakhulu ulwazi lwakho lokululama. Umzimba wakho ululama kangcono uma usesimweni esingcono kakhulu ngaphambi kwenqubo.

Uma ubhema, ukuyeka okungenani amasonto amabili ngaphambi kokuhlinzwa kunciphisa kakhulu ingozi yakho yezinkinga zokuphefumula futhi kusiza ukuthi ukusikwa kwakho kululame ngokushesha. Udokotela wakho angakwazi ukukwelapha ngemithi noma ancome izinhlelo zokukusiza ukuthi uyeke okwesikhashana noma unomphela.

Ukudla ukudla okunomsoco ocebile ngamaprotheni kusiza umzimba wakho ukuthi wakhe izinsiza ezidingekayo ukuze ululame. Gxila enyameni engenamafutha, izinhlanzi, amaqanda, ubhontshisi, nezithelo nemifino eningi. Hlala unamanzi kahle ngaphandle uma udokotela wakho ekunikeza imikhawulo ethile yoketshezi.

Ukwenza umsebenzi olula njengokuhamba kungathuthukisa ukujikeleza kwegazi nomsebenzi wamaphaphu ngaphambi kokuhlinzwa. Kodwa-ke, gwema imisebenzi eqinile engase ilimaze. Umelaphi wakho womzimba angakufundisa ukuzivocavoca ukuphefumula ukuvimbela umdlavuza wamaphaphu ngemuva kokuhlinzwa.

Ukulungiswa kwamathumbu

Njengoba udokotela ohlinzayo engase asebenzise ingxenye yamathumbu akho ukuze akhe kabusha, uzodinga ukuhlanza uhlelo lwakho lwesisu ngaphambi kokuhlinzwa. Le nqubo, ebizwa ngokuthi ukulungiswa kwamathumbu, ngokuvamile iqala usuku olulodwa kuya kwamabili ngaphambi kwenqubo yakho.

Ithimba lakho lezokwelapha lizohlinzeka ngemiyalelo ethile yokudla oketshezi olucacile kanye nemithi yokuthambisa. Ngenkathi ukulungiswa kwamathumbu kungaba kungakhululeki, ukulandela le miyalelo ngqo kusiza ukuvimbela izifo futhi kuqinisekisa ukuthi udokotela ohlinzayo unendawo yokusebenza ehlanzeke ngangokunokwenzeka.

Kuthatha isikhathi esingakanani ukululama ngemuva kokususwa kwesitho somchamo?

Ukwelulama ngemuva kokuhlinzwa kokususwa kwesitho somchamo ngokuvamile kuthatha izinyanga eziningana, nabantu abaningi bebuyela emisebenzini ejwayelekile phakathi kwamasonto angu-6 kuya kwangu-12. Isikhathi sakho sokululama sincike ezintweni ezifana nempilo yakho yonke, uhlobo lokuhlinzwa obunalo, nokuthi ulandela kahle kangakanani uhlelo lwakho lokululama.

Izinsuku zokuqala ngemva kokuhlinzwa zenzeka esibhedlela, lapho ithimba lakho lezokwelapha liqapha ukuphola kwakho futhi lilawula ubuhlungu bakho. Abantu abaningi bahlala esibhedlela izinsuku eziyi-5 kuya kweziyi-10, kuye ngobunzima bokuhlinzwa kwabo nokuthi ngokushesha kangakanani amasistimu abo omzimba aqala ukusebenza ngokujwayelekile futhi.

Okulindelekile esibhedlela

Ukwelulama kwakho ngokushesha kugxila ekusizeni umzimba wakho ukuthi ujwayele izinguquko nokuvimbela izinkinga. Ngesikhathi sokuhlala kwakho esibhedlela, izinqubo eziningana ezibalulekile zokuphola zenzeka.

Uzoba namashubhu amaningi kanye nama-catheter asiza ukukhipha uketshezi futhi avumele izindawo zakho zokuhlinzwa ukuthi ziphole kahle. Lokhu kungase kuhlanganise i-catheter yomchamo, amashubhu okukhipha amanzi eduze kokusikwa kwakho, futhi mhlawumbe neshubhu le-nasogastric ukuze uphumule uhlelo lwakho lokugaya ukudla. Nakuba lokhu kungase kuzizwe kungakhululekile, kubalulekile ekupholiseni okufanele.

Ukuphathwa kobuhlungu kuyinto eza kuqala ngesikhathi sokuhlala kwakho esibhedlela. Ithimba lakho lezokwelapha lizosebenzisa inhlanganisela yemithi ukukugcina ukhululekile ngenkathi likuvumela ukuthi uzungeze futhi uhlanganyele ekululameni kwakho. Abantu abaningi bathola ukuthi ubuhlungu babo buyancipha kakhulu nsuku zonke.

Ukuphuma embhedeni nokuhamba amabanga amafushane ngokuvamile kuqala ngosuku olulandelayo ngemva kokuhlinzwa. Lokhu kunyakaza kusiza ukuvimbela amahlule egazi, umkhuhlane wamaphaphu, nezinye izinkinga. Abahlengikazi bakho kanye nabaqeqeshi bomzimba bazokusiza ukuthi ukwandise kancane kancane izinga lomsebenzi wakho.

Ukwelulama ekhaya

Uma usendlini, ukululama kwakho kuqhubeka ngokwandisa kancane umsebenzi nokufunda ukuphatha uhlelo lwakho olusha lomchamo. Amaviki ambalwa okuqala adinga ukubekezela njengoba umzimba wakho ujwayela izinguquko ezinkulu.

Uzodinga usizo ngemisebenzi yansuku zonke ngesonto lokuqala noma amabili ekhaya. Lungiselela amalungu omndeni noma abangane ukuthi basize ngokupheka, ukuhlanza, nokuthuthwa ekuqokweni kwezokwelapha. Gwema ukuphakamisa noma yini esindayo kunamakhilogremu ayi-10 okungenani amasonto ayi-6.

Ukuqokwa okulandelayo nodokotela ohlinzayo kwenzeka njalo ekuqaleni, bese kusabalala njengoba ululama. Lokhu kuvakasha kuvumela ithimba lakho lezokwelapha ukuthi liqaphe ukululama kwakho, lisuse imithungo noma iziqeshana, futhi libhekane nanoma yiziphi izinkathazo ongase ube nazo.

Ukufunda ukuphatha izinguquko zomchamo

Uma wawususwe ngokuphelele isinye, ukufunda ukuphatha uhlelo lwakho olusha lomchamo kuba yingxenye ebalulekile yokululama. Abahlengikazi abangochwepheshe ababizwa ngokuthi abahlengikazi be-ostomy noma be-urology bazokufundisa amakhono owadingayo.

Kubantu abane-ileal conduit, ukufunda ukushintsha nokukhipha isikhwama sakho sokuqoqa kuba yinto ejwayelekile phakathi namasonto ambalwa. Izinto zokuhlinzeka azibonakali, futhi abantu abaningi babuyela kuyo yonke imisebenzi yabo ejwayelekile, okuhlanganisa ukubhukuda nokuzivocavoca.

Labo abanezindawo zokugcina ezinamathiselwe bafunda ukufaka ama-catheter nokukhipha isikhwama sabo sangaphakathi izikhathi eziningana ngosuku. Leli khono lithatha ukuzijwayeza kodwa liba ngokuzenzakalelayo ngokuhamba kwesikhathi. Abantu abaningi bayakwazisa ukungabi nesikhwama sokuqoqa sangaphandle.

Abantu abane-neobladders bafunda amasu amasha okuchama kanye nokuzivocavoca phansi kwe-pelvic ukuze bathuthukise ukulawula. Ukuzithiba okuphelele kungase kuthathe izinyanga eziningana ukufeza, futhi abanye abantu badinga ukugqoka amaphedi okuvikela ekuqaleni.

Ziyini izingozi nezinkinga ze-cystectomy?

Njengayo yonke imisebenzi emikhulu, i-cystectomy inezingozi ezivamile ezithinta iziguli eziningi kanye nezinkinga ezingavamile ezenzeka kaningi. Ukuqonda lezi zinto ezikhona kukusiza ukuthi wenze izinqumo ezinolwazi futhi uqaphele izimpawu ezidinga ukunakekelwa kwezokwelapha ngokushesha.

Ithimba lakho lokuhlinza lithatha izinyathelo eziningi zokunciphisa lezi zingozi, futhi abantu abaningi bayalulama ngaphandle kwezinkinga ezinzima. Nokho, ukuqaphela izinkinga ezingaba khona kukusiza ukuthi uhlanganyele ngentshiseko ekululameni kwakho futhi ufune usizo uma kudingeka.

Izingozi ezivamile zesikhashana

Izinkinga eziningana zingenzeka ezinsukwini nasemavikini ngemva kokuhlinzwa, nakuba eziningi ziphathwa ngokunakekelwa kwezokwelapha okufanele:

• Ukuphuma kwegazi okungase kudingeke ukumpontshelwa igazi
• Ukunyuka kwamagciwane endaweni okuhlinzwe kuyo noma ohlelweni lwakho lomchamo
• Amaqhubu egazi emilenzeni yakho angase adlulele emaphashini akho
• Umkhuhlane wamaphaphu ngenxa yokuphefumula kancane ngemva kokufakwa umuthi wokubulala izinzwa
• Ukubuyela emsebenzini ovamile wamathumbu okuhlehla
• Ukuvuza okuvela ekuxhumekeni kokuhlinzwa okuvame ukuphola ngokuhamba kwesikhathi

Ithimba lakho lezokwelapha likuqapha ngokucophelela ngenxa yalezi zinkinga futhi liziphatha ngokushesha uma zenzeka. Iningi lalezi zingozi zincipha kakhulu njengoba uqala ukuhamba futhi izinhlelo zomzimba wakho zibuyela ekusebenzeni okujwayelekile.

Izinkinga zesikhathi eside okufanele ziqashelwe

Ezinye izinkinga zingase zivele ezinyangeni noma eminyakeni ngemva kokuhlinzwa, zidinga ukuqapha okuqhubekayo kanye nokwelashwa okwengeziwe ngezikhathi ezithile. Ukuqaphela lezi zinto ezingenzeka kukusiza ukuthi ugcine impilo enhle yesikhathi eside.

Izinkinga zezinso zingase zivele uma uhlelo lwakho olusha lomchamo lungakhiphi kahle noma uma ukutheleleka kudlulela phezulu kusuka ekuhlukanisweni komchamo wakho. Ukuqokwa okuvamile kokulandela kufaka phakathi izivivinyo zokuqapha ukusebenza kwezinso zakho nokubamba izinkinga ekuqaleni.

Ukuntuleka kwe-Vitamin B12 kungenzeka ngoba ukuhlinzwa kususwa ingxenye yamathumbu akho avame ukumunca le vithamini. Udokotela wakho uzoqapha amazinga akho e-B12 futhi anikeze izithasiselo uma kudingeka. Lokhu kulawulwa kalula ngemijovo ejwayelekile noma izithasiselo zomlomo eziphezulu.

Ushintsho lomsebenzi wobulili lithinta abantu abaningi ngemva kwe-cystectomy, ikakhulukazi amadoda angase abe nokungasebenzi kahle kwe-erectile. Abesifazane bangase babe nokoma kwesitho sangasese sowesifazane noma ukungakhululeki. Ithimba lakho lezokwelapha lingaxoxa ngezindlela zokwelapha namasu okulungisa lezi zinkinga.

Izinkinga ezingavamile kodwa ezingathi sína

Ngenkathi kungavamile, ezinye izinkinga ezingathi sína zidinga ukunakekelwa kwezokwelapha ngokushesha futhi zingase zidinge ukuhlinzwa okwengeziwe ukuze kulungiswe:

• Ukuphuma kwegazi okukhulu okungami ngemithi elula
• Ukuvaleka okuphelele kwendlela yakho yokuchama
• Ukunyuka kokutheleleka okusabalala emzimbeni wakho wonke
• Ukuhlaselwa yinhliziyo noma unhlangothi ngesikhathi noma ngemva kokuhlinzwa
• Ukungezwani komzimba okukhulu nemithi yokubulala izinzwa noma imithi
• Ukwenzakala kwezitho eziseduze ngesikhathi sokuhlinzwa

Lezi zinkinga azivamile, zenzeka ngaphansi kwama-5% ezigulini, kodwa ukwazi izimpawu zazo kukusiza ukuthi ufune usizo ngokushesha uma zenzeka. Okuhlangenwe nakho kweqembu lakho labahlinzi kanye nezindlela zokugada zesimanje zenze lezi zinkinga ezinzima zaba ngavamile kakhulu kunakuqala.

Kufanele ngibone nini udokotela ngemva kokususwa kwesitho somchamo?

Ukwazi ukuthi ungaxhumana nini neqembu lakho lezokwelapha ngemva kokuhlinzwa kokususwa kwesitho somchamo kusiza ekuqinisekiseni ukuphola okufanele futhi kuvimbela izinkinga ezincane ukuthi zingabi izinkinga ezinzima. Odokotela bakho bafuna ukuzwa kuwe uma unokukhathazeka, kungakhathaliseki ukuthi kungase kubonakale kuncane kangakanani.

Kufanele ushayele udokotela ohlinzayo ngokushesha uma uthola umkhuhlane ongaphezu kuka-101°F (38.3°C), ubuhlungu obukhulu besisu obungathuthuki ngemithi enikeziwe, noma ukuphuma kwegazi eliningi emgodini wakho noma endleleni yakho yokuchama. Lezi zimpawu zingase zibonise ukutheleleka noma ezinye izinkinga ezidinga ukwelashwa ngokushesha.

Izimpawu ezidinga ukunakekelwa kwezokwelapha ngokushesha

Ezinye izimpawu zidinga ukunakekelwa kwezokwelapha eziphuthumayo ngoba zingase zibonise izinkinga ezinzima ezingase zibeke impilo yakho engozini:

• Ubuhlungu besifuba noma ubunzima bokuphefumula obungase bubonise amahlule egazi
• Akukho ukuphuma komchamo ngaphezu kwamahora angu-6
• Isicanucanu esikhulu nokuhlanza okukuvimbela ukuthi ungagcini uketshezi phansi
• Izimpawu zokuphelelwa amanzi emzimbeni okukhulu njengokuquleka noma ukudideka
• Ubuhlungu obukhulu obungazelelwe esiswini sakho noma emhlane wakho
• Ukubomvu, ukufudumala, noma ukuphuma kwamathumba emgodini wakho

Unganqikazi ukushayela u-911 noma uye egumbini eliphuthumayo uma uhlangabezana nalezi zimpawu. Ukwelashwa kwangaphambi kwesikhathi kwezinkinga kuvame ukuvimbela izinkinga ezingathi sína futhi kukusize ukuthi ubuyele emkhondweni wokululama kwakho.

Isikhathi sokuhlela ukuqhubeka okuvamile

Ukuqokwa okuvamile kokulandela kubalulekile ekuqapheni impilo yakho yesikhathi eside nokubamba izinkinga ezingaba khona ngaphambi kokuba zibe zimbi. Ithimba lakho lezokwelapha lizohlela lezi zivakashi ngezikhathi ezithile ngokusekelwe ezidingweni zakho.

Amashejuli ajwayelekile okulandelwa afaka ukuvakashelwa ngemva kwamasonto ama-2, amasonto ayi-6, izinyanga ezi-3, izinyanga ezi-6, bese kuthi ngonyaka. Lokhu kuqokwa kufaka phakathi ukuhlolwa komzimba, ukuhlolwa kwegazi ukuhlola ukusebenza kwezinso zakho, kanye nezifundo zokuthwebula izithombe ukuqapha ukuphindeka komdlavuza uma kusebenza.

Kufanele futhi uthinte udokotela wakho uma uqaphela izinguquko ezinensayo ekukhishweni kwakho komchamo, ubuhlungu obuqhubekayo obubonakala buya ngokuya buba bubi kunokuba ngcono, noma yiziphi izimpawu ezintsha ezikukhathazayo. Ithimba lakho lezokwelapha lilapho ukukusekela ohambweni lwakho lonke lokululama.

Imibuzo evame ukubuzwa mayelana nokuhlinzwa kokususwa kwesinye

Q.1 Ingabe i-cystectomy yiyona kuphela inketho yokwelapha umdlavuza wesinye?

I-Cystectomy ayihlali iyona yokwelapha yokuqala noma yodwa yomdlavuza wesinye. Ithimba lakho lezokwelapha licabangela izici eziningi ezihlanganisa isigaba somdlavuza, indawo, nempilo yakho yonke lapho lincoma izinketho zokwelapha.

Umdlavuza wesinye wesigaba sokuqala ongakhulanga odongeni lwemisipha, odokotela bavame ukuzama ukwelashwa okufana ne-chemotherapy, i-immunotherapy, noma i-radiation therapy kuqala. Lezi zindlela ezingahlaseli kakhulu zingasebenza kahle kakhulu ezinhlotsheni ezithile zomdlavuza wesinye. Ukuhlinzwa kuba yinketho enconyiwe lapho umdlavuza ukhule waba nzulu odongeni lwesinye noma lapho okunye ukwelashwa kungazange kulawule isifo ngempumelelo.

Q.2 Ngingaphila impilo ejwayelekile ngemva kokuhlinzwa kokususwa kwesinye?

Yebo, abantu abaningi babuyela ekuphileni okugcwele, okusebenzayo ngemva kokuhlinzwa kokususwa kwesitho somchamo, nakuba kukhona izinguquko okufanele zenziwe. Okubalulekile ukufunda ukuphatha uhlelo lwakho olusha lomchamo nokwenza izinguquko ezithile zokuphila.

Abantu abaningi babuyela emsebenzini, bahambe, bazivocavoce, futhi bajabulele izinto abazithandayo njengoba nje babenza ngaphambi kokuhlinzwa. Ezemidlalo, ukubhukuda, neminye imisebenzi yomzimba ngokuvamile kungenzeka uma uselapheke ngokuphelele. Ukusondelana ngokocansi kungase kudingeke izinguquko ezithile, kodwa abantu abaningi abashadile bathola izindlela zokugcina ubuhlobo obanelisayo ngosizo lweqembu labo lezokwelapha.

Q.3 Zihlala isikhathi esingakanani izindlela zokuthutha umchamo?

Izindlela zokuthutha umchamo ezenziwe ngesikhathi se-cystectomy zenzelwe ukuhlala impilo yakho yonke ngokunakekela okufanele nokuqapha. Izindlela zokuhlinza zesimanje zakha ukuxhumana okuqinile okungadingi ukushintshwa.

Nokho, njenganoma yiluphi uhlelo lomzimba, izindlela zokuthutha umchamo zingase zidinge ukulungiswa ngezikhathi ezithile noma izinguquko ngokuhamba kwesikhathi. Abanye abantu bangase bathuthukise ama-strictures (ukuncipha) okudinga izinqubo ezincane zokulungisa. Ukuqokwa okuvamile kokulandela ngemuva kusiza ukubamba nokubhekana nalezi zinkinga ekuqaleni, kuqinisekisa ukuthi uhlelo lwakho lomchamo luqhubeka nokusebenza kahle iminyaka eminingi.

Q.4 Ngizodinga ukudla okukhethekile ngemva kwe-cystectomy?

Abantu abaningi bangabuyela ekudleni okuvamile, okunempilo ngemva kokululama ku-cystectomy, nakuba kungase kudingeke ukuthi wenze izinguquko ezithile ngokusekelwe ohlotsheni lwakho lokuthutha umchamo. Ithimba lakho lezokwelapha lizohlinzeka ngesiqondiso esithile sokudla ngokusekelwe esimweni sakho.

Uma ingxenye yamathumbu akho isetshenziselwe ukwakhiwa kabusha, ungase udinge ukugwema ukudla okuthile okungase kubangele ukuvinjelwa noma igesi engaphezu kwemvelo. Abantu abane-ileal conduits bangase badinge ukukhawulela ukudla okunama-oxalates amaningi ukuvimbela amatshe ezinso. Udokotela wakho wokudla uzokusiza ukuthi uthuthukise uhlelo lokudla olusekela impilo yakho ngenkathi likuvumela ukuthi ujabulele ukudla okuhlukahlukene.

Q.5 Ziyini izinsiza zokusekela ezitholakala ezigulini ze-cystectomy?

Kukhona izinsiza eziningi zokukusiza ukuthi ubhekane nempilo ngemva kokuhlinzwa kokususwa kwesitho somchamo. Kungenzeka ukuthi isibhedlela sakho sinabanakekeli abangongoti abafundisa ukunakekelwa kokuhlukaniswa komchamo futhi bakuxhumanise namaqembu okusekela.

Izinhlangano zikazwelonke ezinjenge-United Ostomy Associations of America zinikeza izinto zokufundisa, amaforamu aku-inthanethi, namaqembu okusekela endawo lapho ungaxhumana khona nabanye abanolwazi olufanayo. Abantu abaningi bathola induduzo enkulu neseluleko esisebenzayo ekhulumeni nabanye abaye bazivumelanisa ngempumelelo nempilo ngemva kwe-cystectomy. Umsebenzi wakho wezenhlalakahle angakusiza ukuthi uxhumane nalezi zinsiza eziyigugu kanye nanoma yiziphi izinhlelo zosizo lwezezimali ongase uzidinge.