Kuenda mberi kwepolpectomy
Kanzera yeColon inobatwa nenzira dzakasiyana-siyana - asi kunyanya kurapwa kuripo kuburikidza nekuvhiyiwa kwepamuviri. Penguva yako colonoscopy , chiremba anogona kubvisa chikamu chemashuga kana mapuropiti , anozivikanwa sa polypectomy. Zvisinei, kune mamwe mapepa epamusoro, chiremba angave achida kubvisa zvachose maronda nemasukisi akaipoteredza, ayo anonzi bhawel resection.
Nei Ndichida Kuvhiya?
Kuvhiyiwa kwepamuviri kunobvumira chirwere ichi kuti chibvise zvachose chikamu chinorwara chekoloni yako. Zvironda zvakakura kana zvipuka zvakapinda pamasvingo emakoloni zvinoda kubudiswa chirwere. Kune marudzi mazhinji akasiyana ekuvhiya. Chiremba wako achatora zvinhu zvakasiyana-siyana mukufungisisa asati asarudza rudzi rwekuvhiya iyo yakakunakira iwe. Iye achatarisa pane zvakaitika kare munyaya yezvokurapa uye hutano huripo, pamwe chete nenzvimbo (s), nzvimbo uye gero rekenza yako .
Aina dzeCaron Cancer Surgeries
Kune nzira dzakawanda dzakasiyana dzokuvhiya dzokubvisa kenza yako yekoloni. Nzira yekuvhiya inowanzovhiringidza inosanganisira kureba kwenguva refu mukati memimba yako, iyo inobvumira chiremba chiremba kuti aone zvose zviri mukati mamuviri, kusanganisira mbeu yako neyekukomberedza.
Nzira yeparparoscopic , iyo inogadzirwa nemichina inoshandiswa yekuvhiya kuburikidza nezvimwe zviduku zviduku mumudumbu mako, iri kushandiswawo kubvisa zvimwe zvirwere zvekenza.
Zvichienderana nenzvimbo uye kukwana kwekenza yako, chiremba anokwanisa kupedza:
- Segmental resection
- Radical resection kana colectomy (kurudyi, kuruboshwe, sigmoid, zvachose)
- Chikamu chisina kukwana kana humicolectomy
- Kuchengetedzwa kwemuganhu
- Proctectomy
- Colostomy uye ileostomy
Rectal Cancer Surgeries
- Low anterior resection (LAR)
- Transanal excision
- Abdominoperineal resection (APR)
- Anterior resection ne anastomosis uye zvakanyanya kuparadzanisa
- Proctectomy
Pasinei nemazita ose anoyevedza, pane chaizvoizvo mazwi mashomanana anokosha aunofanira kuyeuka pamusoro pekuvhiya kwepamuviri:
Colectomy - kubviswa kwechikamu chekoloni (inonziwo resection). Icho colectomy chaiyo iwe uchange uchitumidzwa inotumidzwa kuti chikamu chei (kana zvikamu) zvekoloni inobviswa. Semuenzaniso, colectomy inotenderera inosanganisira kubvisa kero inotenderera. Iko hemicolectomy (hafu) yakakodzera inosanganisira kubvisa chikamu chakanaka chekoloni. Chimwe chinhu chakakura che colectomy chinosanganisira kubvisa yose ikoni.
Anastomosis - kusunungura zvikamu zvekoloni zvakare mushure mekunge chigunha chinorwara chabviswa. Kana chirwere ichi chichibvisa chikoro chepakati, anogona kusunungura magumo ekukwira uye kuburuka kwekoroni pamwe chete.
Stoma - chivako chekugadzira chakaitwa mucheka, zvakadai se colostomy kana ileostomy. Kana iwe wakabvisa chikoro chose kana kuti chiremba wacho asingakwanisi kuisa zvikamu zviviri zvekoni pamwe chete (kusvikira vapora), iye achaita kuti muzaruriro mudumbu mako ugoenda mudhesi muchikwama. Iko kune stomas inoshandiswa uye isingadzoki, zvichienderana nekuwanda kwekuvhiya kwako.
Kugadzirira Kuvhiya
Usati wambovhiyiwa chero ipi neipi, inofanira kuva yakanyatsochena mukati. Izvi zvinozadzikiswa kuburikidza nekugadzirira kwakakwana kwemuviri , zvakafanana neyawave wakave nawo kune yako colonoscopy. Iyi kugadzirisa inoderedza ngozi yehutachiwana panguva yekuvhiya kwako. Kusiyana nehuponi yako yekolonoscopy, zvisinei, chiremba wako angakuisa pazvidziviriro zvinodzivirira vasati vavhiyiwa, uyewo kuderedza dambudziko rako remashure ekuvhiya.
Mibvunzo yechiremba
- Basa rinonzi chii?
- Ndichada colostomy kana ileostomy here? Kana hongu, kwenguva yakareba sei?
- Ndichatsvaka chemotherapy here kana kuti mashizha? Kubvira kana shure kwekuvhiyiwa?
- Ndezvipi zvimwe zvandinoda kuvhiyiwa?
- Inguva yakareba ini ndichange ndiri muchipatara?
- Ndingazodzokera rini kubasa? Mabasa anowanzoitwa?
- Ndingada here kumisa kutora mishonga yangu yemishonga? Usati wambovhiyiwa, zivisa chiremba wako pamusoro pemishonga yose uye mishonga inopfuura-iyo-mishonga, uyewo chero mararamiro ane utano iwe uri kutora, kunyanya kana iwe uri pa aspirin kana ropa rakanyanyisa .
Ngozi dzeUkuvhiya Bhudzi
Nzira dzose dzezvehutano dzinotakura dambudziko uye dzinobatsira. Iva nechokwadi chekutaura nachiremba wako uye kubvunza mibvunzo kana iwe usinganzwisisi njodzi idzi. Zvimwe zvezvipingamupinyi zvinosangana nekuvhiyiwa kwemuviri zvinosanganisira:
- Bleeding
- Kurwara
- Kusvetuka anastomosis
- Ropa rega (kazhinji mumakumbo)
- Incision dehiscence (kuvhura kwemuviri incision)
- Kupisa
- Adhesions
- Kushushikana kwepabonde (kunoratidzwa nevarume vanotevera APR uye proctectomy)
Nyaya inowanzozivikanwa yechirongwa chekuita nhamba yekusangana kwepabonde mune zvevarume, inoratidzwa pakati pe10 kusvika ku50 muzana yevarwere mushure mekuvhiyiwa. Zvisinei, cherechedza kuti nhamba idzi hazviverengeri kubhiidhi yavo, makore kana nzira dzokurapa vasati vavhiyiwa.
Kudonha kubva kune anastomosis site kunowanikwa mune imwe chete kusvika ku3 muzana yevarwere vane anastomosis kusanganisira duku mudumbu uye pakati pe10 kusvika ku20 muzana yevarwere vane koni uye anal anastomosis.
Zvirwere zvepasipo-chirwere zvinonzi zvikamu zvishanu kusvika ku15 kubva muzana zvevarwere, kunyange zvazvo zvikonzero zvakasiyana-siyana (zera, kuderera kwezvirwere zvekuzvidzivirira, kusagadzikana kwezvokudya zvinovaka muviri) zvinoita basa guru mumatambudziko ako ekupedza utachiona hwehutachiona.
Kubva kuBuwel Surgery
Iwe unenge uchidaidzwa kugara muchipatara kwemazuva mashomanana mushure mekutengesa kwebasa rako. Nguva yako muchipatara ichabvumira kushandiswa kwako kunotanga kuporeswa apo vanachiremba vakarovedzwa uye vanachiremba vanocherechedza hydration yako, chikafu , nezvimwe zvinoda mushure mekuvhiyiwa.
Chiremba wako achava nemirairo panzvimbo yekurapa chero marwadzo anotevera-opera. Mishonga inorwadza inogona kupiwa muchero, mukati-kati kana pamuromo. Kana marwadzo ako anotanga kutanga, iva nechokwadi chokuti unoudza iyo mukoti ari mubasa kuitira kuti iye anogona kuchibata pakarepo, kwete mushure mekunge ichiwedzera.
Zvichienderana nekuvhiyiwa kwako, iwe unogona kunge uine mvura munzvimbo. Izvi zvinopa mvura yakakwana, yakadai seropa, kusiya mimba yako. Mvura inogona kubviswa usati wasununguka kubva kuchipatara. Kana iwe uine colostomy kana ileostomy inowanikwa panguva yekuvhiyiwa, vanamukoti vachakudzidzisa iwe kuchengeta zvaunoshandisa usati wapinda kumba.
Chiremba wako achagadzirira zvirongwa zvako zvekudya kune iwe unotevera kuvhiyiwa. Iwe unogona kudya kudya kwakakosha apo maronda ako ari kurapa. Kusvikira matumbu ako "achimuka", chiremba anogona kukuchengetedza pane zvakajeka zvinodyiwa (kwete-zvakasviba, chero chii chaunogona kuona kuburikidza). Iwe uchapiwa mirayiridzo yekudya usati wapinda kumba.
Nguva Yekudaidza Chiremba Wako
Kutevera chero kupi kwekuvhiyiwa kukuru, zvinonyanyokosha ndezve kurasikirwa neropa, utachiona, nezvimwe zvinetso. Teererai mumuviri wenyu; inoratidzira chero zviratidzo zvisingaoneki kune chiremba wako. Dana chiremba wako pakarepo kana uine:
- Fever
- Kuwedzera marwadzo
- Rurefu, kunyura kana kuti unyoro kune zvakasarudzwa
- Nzvimbo dzisina kuporesa nzvimbo dzekudzivirira
- Nausea, kurutsa
- Ropa muhombodo kana chikwama cha colostomy
- Chifukidziro chisingaendi
- Maziso matsvuku kana ganda
Upenyu Pashure Kokuvhiya
Iwe unogona kusunungurwa kubva kuchipatara nemuwandu hwakawanda wemirayiridzo. Usanonoka kubvunza shamwari neshamwari kuti vabatsirwe uye vatsigire . Ipa muviri wako nguva iyo inoda kuporesa. Zvokudya uye basa rinokurudzira zvichabvumira nguva yako yekoloni kuporesa. Chiremba wako nevanamuko varipo kuti vapindure mibvunzo yako, saka usazeza kubvunza kana iwe usingazivi mhinduro.
> Sources:
American Cancer Society. (2006). American Cancer Society's Complete Guide kuColorectal Cancer . Clifton Fields, NE: American Cancer Society.
American Cancer Society. (nd). Kuvhiya kweColorectal Cancer.
Dietz, DW (2011). Matambudziko muColorectal Surgery. American Society of Colon uye Rectal Surgeons.
National Cancer Institute. (nd). Colon Cancer Treatment: Kurapa Kwazvo.