Kuyini Ukususwa Kwe-Spleen? Inhloso, Inqubo & Ukululama

Ukususwa kwe-spleen ukususwa ngokuhlinzwa kwe-spleen yakho, ilunga elitholakala esiswini sakho esingaphezulu kwesobunxele elisiza ukulwa nezifo nokuhlunga igazi lakho. Ngenkathi ukulahlekelwa yi-spleen yakho kungase kuzwakale kuthusa, abantu abaningi baphila impilo egcwele, enempilo ngemva kwale nqubo uma kudingeka ngokwelashwa.

I-spleen yakho isebenza njengesihlungi esikhethekile kanye nomsizi wokuzivikela komzimba, kodwa ngezinye izikhathi idinga ukususwa ngenxa yokulimala, isifo, noma ezinye izimo zezokwelapha. Izindaba ezinhle ukuthi ezinye izingxenye zesistimu yakho yokuzivikela komzimba zingathatha imisebenzi yayo eminingi, nakuba uzodinga ukuthatha ezinye izinyathelo ezengeziwe ukuze uhlale unempilo.

Kuyini ukususwa kwe-spleen?

Ukususwa kwe-spleen kuyinqubo yokuhlinzwa lapho odokotela besusa khona i-spleen yakho ngokuphelele. I-spleen yakho iyilunga elinosayizi wesibhakela elihlala ngemuva kwezimbambo zakho ngakwesobunxele somzimba wakho, ngaphansi nje kwe-diaphragm yakho.

Leli lungu ngokuvamile lihlunga amaseli abomvu egazi amadala emgudwini wakho wegazi futhi lisiza uhlelo lwakho lokuzivikela komzimba ukulwa nezinhlobo ezithile zamagciwane. Lapho i-spleen ilimala, igula, noma ikhula ngaphezu kwalokho okuphephile, ukususwa kuba yindlela engcono kakhulu yokwelapha.

Ukuhlinzwa kungenziwa ngokuhlinzwa okuvulekile kwendabuko noma ngamasu e-laparoscopic anciphisa ukuhlasela. Abantu abaningi balulama kahle kulolu hlelo, nakuba uzodinga ukuthatha izinyathelo ezengeziwe zokuzivikela ezifweni ngemva kwalokho.

Kungani kwenziwa ukususwa kwe-spleen?

Odokotela batusa ukususwa kwe-spleen lapho i-spleen yakho idala ukulimala okukhulu kunokuhle empilweni yakho. Lokhu kuvamile ukwenzeka lapho ilunga lilimala kakhulu, ligula, noma liqala ukubhubhisa amaseli egazi anempilo.

Ake sibheke izizathu ezivame kakhulu zokuthi kungani ungase udinge lokhu kuhlinzwa, sikhumbula ukuthi udokotela wakho uzohlala ezama ezinye izindlela zokwelapha kuqala uma kungenzeka.

Ukwenzeka kokulimala: Ukulimala okukhulu kwesisu okuvela ezingozini zezimoto, ukulimala kwezemidlalo, noma ukuwa kungase kuqhumise ubende bakho, kubangele ukopha kwangaphakathi okusongela impilo. Uma umonakalo mkhulu kakhulu ukuthi ungalungiswa, ukususwa ngokushesha kusindisa impilo yakho.

Izifo zegazi: Izimo ezinjenge-idiopathic thrombocytopenic purpura (ITP) zenza ubende bakho bubhubhise ama-platelet anempilo, okuholela ezinkingeni zokopha eziyingozi. I-Hereditary spherocytosis yenza ubende bakho buqhekeze amaseli abomvu egazi ngokushesha kakhulu, okubangela i-anemia enkulu.

Ubende obukhulu (splenomegaly): Uma ubende bakho bukhula bube bukhulu kakhulu ngenxa yezimo ezinjenge-portal hypertension noma iminye imidlalo yomdlavuza, kungase kucindezele ezinye izitho futhi kubangele ubuhlungu noma izinkinga.

Ama-cyst obende noma imithombo: Ama-cyst amakhulu noma imithombo emihle nemibi ebuneni kungase idinge ukususwa, ikakhulukazi uma ibangela izimpawu noma ibeka izingozi zomdlavuza.

Eminye imidlalo yomdlavuza: Imidlalo yomdlavuza wegazi njenge-lymphoma noma i-leukemia ngezinye izikhathi idinga ukususwa kobende njengengxenye yokwelashwa. Lokhu kusiza odokotela ukuthi bahlele umdlavuza noma basuse umthombo wokukhiqizwa kwamaseli angajwayelekile.

Izizathu ezingavamile zihlanganisa ama-abscess obende angaphenduli emithini elwa namagciwane, izimo ezithile ze-autoimmune, noma izinkinga ezivela kwezinye izinqubo zezokwelapha.

Yini inqubo ye-splenectomy?

Inqubo ye-splenectomy ingenziwa kusetshenziswa izindlela ezimbili eziyinhloko, futhi udokotela ohlinzayo wakho uzokhetha indlela engcono kakhulu ngokusekelwe esimweni sakho esithile. Zombili lezi zindlela ziphephile futhi ziyasebenza uma zenziwa odokotela abahlinzayo abanolwazi.

Ukuhlinzwa kwakho ngokuvamile kuzothatha amahora angu-1-3, kuye ngobunzima becala lakho nokuthi iyiphi indlela yokuhlinza udokotela wakho ayisebenzisayo.

I-Laparoscopic splenectomy: Le ndlela encane yokuhlasela isebenzisa ukusikeka okuncane (cishe ingxenye yesentimitha ngalinye) esiswini sakho. Udokotela ohlinzayo ufaka ikhamera encane namathuluzi akhethekile ngalezi zindawo ezincane ukuze asuse ngokucophelela ubende bakho.

Indlela ye-laparoscopic ngokuvamile isho ubuhlungu obuncane, izibazi ezincane, nezikhathi zokululama ngokushesha. Abantu abaningi bangahamba ekhaya phakathi kwezinsuku eziyi-1-2 futhi babuyele emisebenzini ejwayelekile ngokushesha kunokuhlinzwa okuvulekile.

I-Open splenectomy: Le ndlela yendabuko idinga ukusikeka okukhulu ngaphesheya kwesisu sakho esiphezulu kwesobunxele. Udokotela ohlinzayo uvula umgodi wesisu ukuze afinyelele ngokuqondile futhi asuse ubende bakho.

Ukuhlinzwa okuvulekile kungase kudingeke uma ubende bakho bukhulu kakhulu, uma unezicubu ezilimele ekuqhubekeni kokuhlinzwa kwangaphambilini, noma ezimweni eziphuthumayo. Ukululama ngokuvamile kuthatha isikhathi eside, ngokuhlala esibhedlela izinsuku eziyi-3-5.

Ngesikhathi senqubo, udokotela ohlinzayo uzoqaphela ukunqamula ubende bakho emithanjeni yegazi nezitho ezizungezile ngaphambi kokulususa ngokuphelele. Bazophinda bahlole noma yiziphi izibende eziwusizo (izingcezu ezincane ezengeziwe zezicubu zobende) ezingase zidingeke ukususwa.

Ungalungiselela kanjani i-splenectomy yakho?

Ukulungiselela i-splenectomy kuhilela izinyathelo eziningana ezibalulekile ukuqinisekisa umphumela ongcono kakhulu nokunciphisa ingozi yakho yezinkinga. Ithimba lakho lezokwelapha lizokuqondisa ngokucophelela esinyathelweni ngasinye sokulungiselela.

Ukulungiselela okubaluleke kakhulu kuhilela ukuzivikela ezifweni, ngoba ubende bakho ngokuvamile lusiza ukulwa namagciwane athile.

Uhlelo lokugoma: Uzodinga imithi yokugoma ethile okungenani amasonto ama-2-3 ngaphambi kokuhlinzwa uma kungenzeka. Lokhu kufaka phakathi imithi yokugoma ye-pneumococcal, meningococcal, kanye ne-Haemophilus influenzae uhlobo b ukuvikela emagciwaneni ubende bakho obuvamile ukulwa nawo.

Ukuhlolwa kwezokwelapha: Udokotela wakho uzoqhuba ukuhlolwa kwegazi, izifundo zokucabanga, kanye nokuhlolwa okuphelele komzimba. Bazobuye babuyekeze yonke imithi yakho futhi bangase balungise noma bayeke eminye ngaphambi kokuhlinzwa.

Imiyalo yangaphambi kokuhlinzwa: Kuzodingeka uyeke ukudla nokuphuza amahora angu-8-12 ngaphambi kokuhlinzwa. Ithimba lakho lezokwelapha lizokunikeza isikhathi esithile esisekelwe esimisweni sakho sokuhlinzwa.

Ukuphathwa kwemithi: Tshela udokotela wakho ngayo yonke imithi, izithasiselo, kanye nemithi yezitshalo oyithathayo. Ezinye izinciphisi zegazi noma eminye imithi ingase idinge ukuyekiswa ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.

Ukuhlela ukululama: Lungiselela othile ukuthi akuqhubele ekhaya futhi akusize ezinsukwini ezimbalwa zokuqala ngemuva kokuhlinzwa. Uzodinga usizo ngemisebenzi yansuku zonke ngenkathi ululama.

Uma uhlinzwa ngokuphuthumayo ngenxa yokuhlukumezeka, ezinye zalezi zinyathelo zokulungiselela zingase zidingeke ukuthi zifushaniswe noma zeqiwe, kodwa ithimba lakho lezokwelapha lizobeka phambili ukuphepha kwakho.

Ungazifunda kanjani imiphumela yakho ye-splenectomy?

Ngemuva kwe-splenectomy, ngeke ube nemiphumela

Ushintsho ekubalweni kwegazi: Kuyinto evamile ukuthi ukubalwa kwamaseli akho amhlophe egazi kwenyuke ngemva kokususwa komdlavuza, ngezinye izikhathi kuhlale kuphakeme unomphela. Ukubalwa kwama-platelet akho kungase futhi kukhuphuke, okuzoqashwa udokotela wakho ukuvimbela izinkinga zokuqina kwegazi.

Ukuqapha ukutheleleka: Njengoba umdlavuza wakho wawusiza ekulweni nezifo, ithimba lakho lezokwelapha lizobheka eduze noma yiziphi izimpawu zokugula. Uzozifunda ukubona izimpawu ezidinga ukunakekelwa kwezokwelapha ngokushesha.

Ukuqapha isikhathi eside: Uzodinga ukuhlolwa njalo ukuqapha impilo yakho yonke futhi uqinisekise ukuthi ezinye izitho zakho zibuyisela kahle ukungabikho komdlavuza wakho.

Udkt. wakho ohlinzayo uzophinde ahlole izindawo zakho zokuhlinza ngesikhathi sokuvakasha okulandelayo ukuqinisekisa ukuthi ziyelapha kahle ngaphandle kwezimpawu zokutheleleka noma ezinye izinkinga.

Ungaphila kanjani ngemva kokususwa komdlavuza?

Ukuphila ngaphandle komdlavuza kudinga ukulungiswa okuthile, kodwa abantu abaningi bazivumela kahle futhi bagcina izinga elihle lempilo. Okubalulekile ukuqonda ukuthi ungazivikela kanjani ezifweni ngenkathi uhlala usebenza futhi uphilile.

Isistimu yakho yokuzivikela emzimbeni izojwayela ngokuhamba kwesikhathi, nesibindi sakho nama-lymph nodes ethatha imisebenzi eminingi yomdlavuza wakho, nakuba uzohlala udinga ukuqapha kakhulu ngezifo ezithile.

Ukuvimbela ukutheleleka: Thatha wonke ama-antibiotics okuvimbela abekiwe njengoba kuqondisiwe. Abanye abantu badinga ama-antibiotics nsuku zonke impilo yabo yonke, kanti abanye bangase bawadinge kuphela ngesikhathi sokugula noma ngaphambi kwezinqubo zamazinyo.

Uhlelo lokugoma: Hlala unolwazi lwakamuva ngemigomo yonyaka yomkhuhlane kanye nanoma yiziphi ezinye izivikelo ezinconyiwe. Udokotela wakho angase ancome imigomo eyengeziwe noma ama-booster uma kuqhathaniswa nabantu abanomdlavuza.

Ukuqaphela izimpawu zokuxwayisa: Funda ukuhlonza izimpawu zokuqala zokutheleleka okukhulu, okuhlanganisa umkhuhlane, ama-chills, ukukhathala okukhulu, noma izimpawu ezinjengomkhuhlane eza ngokushesha. Lokhu kudinga ukunakekelwa kwezokwelapha ngokushesha.

Izinyathelo zokuphepha zokuhamba: Uma uhamba, ikakhulukazi ezindaweni ezinobungozi obukhulu bokutheleleka, xoxa ngezinyathelo ezengeziwe nodokotela wakho. Ungase udinge imithi yokugoma eyengeziwe noma imithi yokuvimbela.

Umazisi wokuxwayisa ngezokwelapha: Gqoka ibheyisi lokuxwayisa ngezokwelapha noma uphethe ikhadi elibonisa ukuthi uhlinzwe i-splenectomy. Lokhu kusiza abaphenduli bezimo eziphuthumayo ukuthi banikeze ukunakekelwa okufanele uma ugula.

Abantu abaningi babuyela emisebenzini yabo ejwayelekile phakathi kwamasonto angu-4-6 ngemva kokuhlinzwa, nakuba kufanele ugweme ukuphakamisa izinto ezisindayo nemidlalo yokuxhumana ngesikhathi sokululama kokuqala.

Yiziphi izici eziyingozi zezinkinga ze-splenectomy?

Ngenkathi i-splenectomy ivikelekile ngokuvamile, izici ezithile zingakhuphula ingozi yakho yezinkinga ngesikhathi noma ngemva kokuhlinzwa. Ukuqonda lezi zici eziyingozi kusiza ithimba lakho lezokwelapha ukuthi lihlele indlela ephephe kakhulu yesimo sakho esithile.

Impilo yakho yonke, iminyaka yakho, nesizathu se-splenectomy yakho konke kunendima ebalulekile ekunqumeni izinga lakho lengozi.

Izici ezihlobene neminyaka: Izingane ezincane kakhulu kanye nabantu abadala bangase babhekane nezingozi eziphakeme. Izingane ezingaphansi kweminyaka emi-5 zinezinhlelo zokuzivikela ezisathuthuka, kuyilapho abantu abadala kungenzeka babe nezinye izimo zempilo eziyinkimbinkimbi ekululameni.

Izimo zempilo ezingaphansi: Izimo ezinjengesifo sikashukela, isifo senhliziyo, noma izinhlelo zokuzivikela ezilimele zingakhuphula izingozi zokuhlinzwa futhi zehlise ukuphola. Izifo zegazi eziholele ku-splenectomy yakho zingase futhi zithinte ukululama.

Ukuhlinzwa okuphuthumayo: Uma i-splenectomy idingeka ngokuphuthumayo ngenxa yokulimala, izingozi ziphakeme kunezokuhlinzwa okuhleliwe. Izimo eziphuthumayo azikuvumeli ukuthi uthathe isikhathi esifanele sokulungiselela.

Usayizi nesimo se-spleen: Ama-spleen amakhulu kakhulu noma agulayo kakhulu angenza ukuhlinzwa kube yinselele enkulu futhi andise izingozi zezinkinga. Izicubu eziningi ezilimele ezivela ekuhlinzweni kwangaphambilini nazo zengeza ubunzima.

Indlela yokuhlinza: Ngenkathi kokubili ukuhlinzwa nge-laparoscopic nokuvula kuphephile, ukuhlinzwa okuvulekile ngokuvamile kuthwala izingozi eziphakeme kancane zokutheleleka, ukopha, nezikhathi ezinde zokululama.

Udkt wakho ohlinzayo uzoxoxa ngezici zakho eziyingozi futhi bahlela kanjani ukunciphisa izinkinga ezingaba khona ngokuya ngesimo sakho somuntu ngamunye.

Ziyini izinkinga ezingaba khona ze-splenectomy?

Njenganoma yikuphi ukuhlinzwa, i-splenectomy ithwala ezinye izingozi, yize izinkinga ezinzima zingavamile uma zenziwa odokotela abahlinzayo abanolwazi. Ukuqonda izinkinga ezingaba khona kukusiza ukuthi wenze izinqumo ezinolwazi futhi uqaphele izinkinga kusenesikhathi.

Abantu abaningi balulama ku-splenectomy ngaphandle kwezinkinga ezinkulu, kepha ukuqaphela okufanele ukukuqaphela kuqinisekisa ukuthi uthola ukwelashwa okusheshayo uma kuvela izinkinga.

Izinkinga zokuhlinzwa ngokushesha: Ukopha, ukutheleleka ezindaweni zokuhlinza, nokusabela ku-anesthesia kungenzeka nganoma yikuphi ukuhlinzwa. Ithimba lakho lezokwelapha liqapha eduze lezi zinkinga ngesikhathi sokuhlala kwakho esibhedlela.

Ukwelashwa kwesitho: Ezimweni ezingavamile, ukuhlinzwa kungadala ukulimala kwezitho eziseduze njengesisu, ikholoni, noma i-pancreas. Lokhu kungenzeka kakhulu lapho i-spleen inkulu kakhulu noma lapho kukhona izicubu eziningi ezilimele.

Ukwakheka kwegazi: Ingozi yakho yokuthuthukisa amahlule egazi emilenzeni yakho noma emaphashini ingase ikhuphuke ngemva kokuhlinzwa, ikakhulukazi uma unokunyakaza okulinganiselwe ngesikhathi sokululama.

Ukutheleleka okukhulu ngemva kwe-splenectomy (OPSI): Le nkinga engavamile kodwa engathi sína ingenzeka izinyanga noma iminyaka ngemva kokuhlinzwa. Amagciwane athile angadala izifo ezinzima, ezithuthuka ngokushesha ezidinga ukwelashwa ngokushesha.

Ukungajwayelekile kokubala kwegazi: Abanye abantu bathuthukisa ukubala kwamaphlatelethi aphezulu ngokuqhubekayo ngemva kwe-splenectomy, okungandisa izingozi zokujiya. Abanye bangase babe nezinguquko ekubalweni kwamangqamuzana amhlophe egazi.

Izingozi zokutheleleka zesikhathi eside: Ngaphandle kwesibindi sakho, uthambekele ekuvukelweni izifo ezivela emabhaktheriyeni afana ne-pneumococcus ne-meningococcus empilweni yakho yonke.

Izindaba ezinhle ukuthi iningi lezinkinga zingavinjelwa noma ziphathwe uma zitholwe ngokushesha, yingakho ukulandela imiyalelo kadokotela wakho ngemva kokuhlinzwa kubaluleke kangaka.

Kufanele ngibone nini udokotela ngemva kokususwa kwesibindi?

Ukwazi ukuthi nini ukufuna ukunakekelwa kwezempilo ngemva kokususwa kwesibindi kungasindisa impilo, ngoba abantu abangenaso isibindi basengozini enkulu yezinhlobo ezithile zokutheleleka. Ithimba lakho lezokwelapha lizokufundisa ukuthi uqaphele izimpawu zokuxwayisa ezidinga ukunakekelwa ngokushesha.

Ngenkathi izimpawu eziningi ngemva kokuhlinzwa ziyingxenye ejwayelekile yokuphola, ezinye izimpawu zibonisa izinkinga ezingathi sína ezidinga ukwelashwa ngokushesha.

Izimpawu eziphuthumayo ezidinga ukunakekelwa ngokushesha: Umkhuhlane ongaphezu kuka-101°F (38.3°C), amaqhwa amakhulu, ukushaya kwenhliziyo okusheshayo, ubunzima bokuphefumula, noma ukuzizwa ungaphilile ngokushesha okukhulu. Lokhu kungabonisa ukutheleleka okungathi sína.

Izinkinga endaweni yokusika: Ukwanda kobubomvu, ukufudumala, ukuvuvukala, noma ubovu ngaphandle kokusika kwakho kokuhlinzwa kuphakamisa ukutheleleka. Ukusika okuvulwa futhi noma okopha kakhulu nakho kudinga ukunakekelwa kwezempilo.

Izinkinga zesisu: Ubuhlungu obukhulu noma obuqhubekayo besisu, isicanucanu esiqhubekayo nokuhlanza, noma ukungakwazi ukudla noma ukuphuza ngokujwayelekile kungase kubonise izinkinga.

Izimpawu zamaqhubu egazi: Ukuvuvukala komlenze, ubuhlungu, noma ukufudumala, ikakhulukazi uma kuhambisana nokuphefumula okuncane noma ubuhlungu besifuba, kungabonisa amaqhubu egazi ayingozi.

Ukuphuma kwegazi okungavamile: Ukulimala kalula, ukuphuma kwegazi emakhaleni, noma ukopha kwamagumede kungase kubonise izinkinga zokubala kwegazi ezidinga ukuhlolwa.

Noma yiziphi izimpawu zokugula: Ngisho nezimpawu ezibonakala zincane zomkhuhlane noma umkhuhlane zifanelwe ukunakekelwa kwezempilo, ngoba izifo zingaqhubeka ngokushesha ngaphandle kwesibindi.

Unganqikazi ukuxhumana nodokotela wakho ngemibuzo noma izinkathazo. Kuhlale kungcono ukuxhumana neqembu lakho lezokwelapha kunokulinda futhi ubhekane nezinkinga ezingathi sína.

Imibuzo evame ukubuzwa mayelana ne-splenectomy

Umb.1 Ingabe i-splenectomy ilungele izifo zegazi?

Yebo, i-splenectomy ingasebenza kahle kakhulu ezifweni ezithile zegazi, ikakhulukazi lapho i-spleen yakho ibhubhisa amaseli egazi anempilo ngokushesha kunokuba umzimba wakho uwakhe. Izimo ezinjenge-idiopathic thrombocytopenic purpura (ITP) kanye ne-hereditary spherocytosis zivame ukuthuthuka kakhulu ngemva kokususwa kwe-spleen.

Ku-ITP, i-splenectomy ngokuvamile ikhuphula ukubalwa kwama-platelet futhi inciphise izingozi zokuphuma kwegazi cishe kuma-70-80% ezigulini. Ku-hereditary spherocytosis, ukususa i-spleen kuvimbela ukubhujiswa kwamaseli egazi abomvu angajwayelekile, empeleni welapha i-anemia.

Nokho, odokotela bavame ukuzama ezinye izindlela zokwelapha kuqala, njengoba ukuphila ngaphandle kwe-spleen kudinga izinyathelo zokuqapha zokuphila konke ngokumelene nezifo. Isinqumo sincike ekutheni izimpawu zakho zinzima kangakanani nokuthi usabela kahle kangakanani kwezinye izindlela zokwelapha.

Umb.2 Ingabe i-splenectomy ibangela ukukhuluphala?

I-Splenectomy ngokwayo ayibangeli ngokuqondile ukukhuluphala, kodwa abanye abantu bangase babe nokuguquka kwesisindo ngesikhathi sokululama ngezizathu ezihlukahlukene. Ukuhlinzwa akuthinti imetabolism yakho noma amazinga e-hormone alawula isisindo.

Abanye abantu bakhuluphala okwesikhashana ngesikhathi sokululama ngenxa yamazinga omsebenzi anciphile ngenkathi belulama. Abanye bangase banciphise isisindo ekuqaleni ngenxa yokuncipha kwesifiso sokudla noma izinguquko zokudla ngemva kokuhlinzwa.

Uma uqaphela izinguquko ezinkulu zesimo somzimba ngemva kwe-splenectomy, xoxa ngalokhu nodokotela wakho. Bangasiza ukunquma ukuthi kuhlobene nokululama kwakho, imithi, noma ezinye izinto ezingase zidinge ukunakwa.

Umb.3 Ungaphila impilo ejwayelekile ngemva kwe-splenectomy?

Yebo, abantu abaningi baphila impilo ejwayelekile, esebenzayo ngemva kokususwa komdlavuza, nakuba kuzodingeka uthathe izinyathelo zokuphepha ezengeziwe ngokumelene nezifo. Abantu abaningi babuyela emsebenzini, bazivocavoce njalo, bahambe, futhi bahlanganyele kuyo yonke imisebenzi yabo ejwayelekile.

Umehluko omkhulu ukuthi kuzodingeka uqaphele kakhulu ukuvimbela nokubona izifo. Lokhu kusho ukuhlala unolwazi lwakamuva ngemigomo, ukuthatha ama-antibiotics okuvimbela uma kunconywe, ​​nokufuna ukunakekelwa kwezempilo ngokushesha nganoma yiziphi izimpawu zokugula.

Abadlali ngokuvamile bangabuyela emidlalweni, nakuba udokotela wakho engase ancome ukugwema imidlalo yokuxhumana engase ibangele ukulimala esiswini. Abantu abaningi bathola ukuthi lezi zinyathelo zokuphepha ziba yinto yesibili futhi azithinti kakhulu izinga lempilo yabo.

Q.4 Kuthatha isikhathi esingakanani ukululama ngemva kokususwa komdlavuza?

Isikhathi sokululama siyahlukahluka kuye ngokuthi ngabe uhlinzwe nge-laparoscopic noma ngaphandle kokuhlinzwa, kodwa abantu abaningi bazizwa bengcono kakhulu phakathi kwamasonto angu-2-4. Ukuhlinzwa kwe-Laparoscopic ngokuvamile kuvumela ukululama okusheshayo, nabantu abaningi babuyela emisebenzini elula phakathi nesonto.

Ngokuvamile uzohlala esibhedlela izinsuku eziyi-1-5 ngemva kokuhlinzwa, kuye ngesimo sakho esithile. Ukuphola okuphelele kwezicubu zangaphakathi kuthatha cishe amasonto angu-6-8, okufanele ngesikhathi okufanele ugweme ukuphakamisa izinto ezisindayo nemisebenzi eqinile.

Abantu abaningi bangabuyela emsebenzini phakathi kwamasonto angu-1-3 uma benemisebenzi yedeski, nakuba labo abanemisebenzi efunayo ngokomzimba bengase badinge amasonto angu-4-6. Udokotela ohlinzayo uzokunikeza umugqa wesikhathi othile ngokusekelwe ekuqhubekeleni phambili kwakho kokwelashwa kanye nohlobo lomsebenzi.

Q.5 Yimiphi imigomo engiyidingayo ngemva kokususwa komdlavuza?

Ngemva kokususwa komdlavuza, uzodinga imigomo eminingana ethile ukuze uvikele emabhaktheriya lapho umdlavuza wakho ngokuvamile usiza ukulwa. Le migomo ibalulekile ekuvikeleni izifo ezinzima kuyo yonke impilo yakho.

Uzodinga imigomo ye-pneumococcal (kokubili i-PCV13 ne-PPSV23), imigomo ye-meningococcal (ehlanganisa amaqembu A, C, W, Y, kanye no-B), kanye nomgomo we-Haemophilus influenzae uhlobo b. Uzodinga futhi imigomo yomkhuhlane yonyaka impilo yakho yonke.

Isikhathi nayo sibalulekile - ngokufanelekile, kufanele uthole le migomo okungenani amasonto angu-2-3 ngaphambi kokuhlinzwa uma kungenzeka. Uma uhlinzwe ngokuphuthumayo, uzoyithola ngaphambi kokushiya esibhedlela noma ngemva nje kokukhishwa. Udokotela wakho uzohlinzeka ngohlelo oluqondene nawe lokugoma olwenzelwe izidingo zakho.