Zvaunoda Kuziva Nezve Rectum Removal Process
Kugadzirira kweproctectomy kunosanganisa kutanga kudzidza kuti chii. Kazhinji kacho, chirwere ichi chinosarudzwa kuti chirambe chekoni kana rectal kankere , asi chinogona kushandiswa kubata vanhu vane zvirwere zvakakomba zvezvirwere zvakadai seCrohn's or ulcerative colitis.
Iyo inenge yechitanhatu masendimita emakironi ako inonzi rectum yako. Kusiyana nezvose zvekoloni, rectum ine ganda-sehomwe yehombodo uye mukova wokurera (anus), uko gumbo rinodzingwa kubva mumuviri wako.
Mikana iwe hauna kumbonzwa izwi rokuti " proctectomy " kunze kwekuti iwe kana munhu waunoda aifanira kuita chirwere ichi, uko kubviswa kwese kubviswa.
Mhando dzeProctectomy Surgery
Kune marudzi mazhinji akasiyana-siyana ekuvhiya kwekenza yekoloni apo rectum yako inobviswa. Chiremba wako anoshandisa danho , girasi, nzvimbo, uye ukuru wekenza yako kuti uone nzira dzakanakisisa dzokuvhiya iwe. Kana zvipembenene zvakasarudzwa kune rectum chete, chiremba wako anogona kukurudzira proctectomy kuburikidza ne anus, iyo inonzi chironga chetanotamende.
Kana iwe uchida chikamu chekoni yako kubviswa, fungidzira kuti lymph node inobatanidzwa , kana kuti ine nzvimbo dzomunharaunda dzemetastasis dzinoda kubviswa, unogona kuwana proctectomi sechikamu chekuvhiyiwa kunonzi low abdominoperineal resection. Mukuvhiya uku, chiremba unozarura mimba yako kuitira kuti aone kufungidzira uye kubvisa zvimwe zvikamu zvemuviri uye zvivako zvakapoteredza (zvakadai semakirinikodhi) kuti akupe nekenza yemukati yakajeka uye yakagadziriswa.
Anenge ose pasi pasi abdominoperineal resection inopera nekuvharwa kwemafuta, izvo zvichatoda ostomy yekusingaperi yekubvisa mbatya.
Ndichiri Kuramba Ndichiendesa Bvudzi Dzangu Kazhinji?
Kunze kwekuti proctectomy yako inosanganisira kugadzirisa kwemairi, iwe unofanirwa kutamisa matumbo ako sekugara uchivhiya. Zvichienderana nezvikamu zvipi zvekoloni yako zvakabviswa pamwe chete nechekuita kwako, chiremba anovhiya ane zvishoma zvingasarudzwa kuti abatsire kudzorera tsika dzako dzemazuva ose.
Kutevera proctectomy yako, iye anogona kutora chikamu chinosara chekoloni yako uye achizvikonzera kuvhura nayo kunyu yako. Izvi zvinonzi chironga chinonzi anastomosis chinokubvumira kuti urambe uchifamba mumatumbo ako sezvawakaita nguva dzose. Panguva yekuvhiyiwa, chikamu chekupedzisira chekoloni yako chinoshandurwa kuti chigadzire kugadzira gorova idzva rezvigaro zvitsva izvo zvinoshandisa rectum yako yekare.
Kugadzirira Kugadzirira
Chiremba wako achakupa chirongwa chekugadzirira maronda asati avhiyiwa. Sezvo chiremba chiremba achange achicheka mukati mako, uye zvichida ikoni yako, matumbu anofanira kucheneswa pane zvose stool uye tsvina vasati vambovhiyiwa. Iwe unogonawo kudiwa kutora mishonga inorwisa mabhakitiriya kubatsira kuderedza dambudziko rako rekupedza-opera utachiona. Saizvozvowo, iva nechokwadi chekukurukura chero mishonga yepamutemo uye kupfuura-the-counter iwe uri kutora sezvo vamwe vangada kumira. Kana iwe ukatora mishonga kuti ubatsire kuderera ropa rako, iwe uchada kutaura pamusoro pezvipingamupinyi zvekumisa mishonga iyi nokuda kwekuvhiyiwa na cardiologist yako, kana chiremba anovarayira.
Zuva risati rapera kuvhiyiwa, chiremba wacho achakukumbira kuti urege kudya uye kunwa pane imwe nguva. Kana iwe utsi kana kushandisa cheku fodya unofanira kumira izvi zvakare.
Hospitalization uye Recovery
Nguva yako yekurapa uye nguva yekudzorera inobva pane rudzi rwe chirongwa cheproctectomy iwe unacho. Ivhareji yekugara muchipatara iri pakati pemazuva mana nemanomwe (kusinganzwisisiki) uye kupora kwako kumba kunogona kutora kusvika masvondo matanhatu. Panguva yekubuda kwako kubva kuchipatara, chiremba wako anopa dzidzo pamiganhu yako yepas-operative inogona kusanganisira kukanganisa kwepanyama, sekusimudza kana kurega zvepabonde, kusvika kumigodhi yezvokudya kusvikira wapora zvachose. Iwe unogona kunge uine ostomy yenguva pfupi kwemwedzi mishomanana apo mbeu yako inoporesa - kana iwe ungave uchienda kumusha neostomy inogadzikana kana wako anus akavhiyiwa achivharirwa.
Iwe unogona kunge uchifunga kugadzira zvishoma zvisati zvagadzirirwa kumba kuti zviite zvinhu zviri nyore pakudzoka kwako kubva kuchipatara. Semuenzaniso, simbisai nhengo dzemhuri kana shamwari dzichawanika kuti dzikubatsirei nekutengesa kana mamwe mabasa epamba. Zvimwe zvikonzero zvokufungisisa paunenge uchidzoka kumba zvinosanganisira:
- Ndiani achatarisira vana vako, vanotarisira kana zvipfuwo?
- Kana uine musha wepamusoro, iwe unogona kutamisa mubhedha wako kusvika kumucheto wakaderera kusvikira iwe ukakwanisa kutarisana zvakanaka mumatanho?
- Isai zvose zvamunoshayiwa pedo nemubhedha wenyu kana mubhedha mumba. Chimwe chinhu chakajeka sekukwira masitepiti ekutora tambo yokudhinda chingaratidzika sechisingagoneki kana iwe uchisvika pamba.
- Iva nechokwadi chokuti une mishonga yakawanda inowanikwa kana iwe uchitora zvinyorwa zvese. Tora zvinyorwa zvako usati wapinda muchipatara kunovhiyiwa. Saizvozvowo, kana vanachiremba vako vachikuendesa kumba neine painkillers, tora mishonga inogutswa uye wakagadzirira kuenda kumba kubva kuchipatara.
- Iva nechokwadi chokuti une zvokudya zvakawanda zviri nyore, kunyange kana izvi zvinoreva kubika uye kupisa zvimwe zvokudya zvisati zvaitika.
Proctectomy Risks
Kubviswa kweiyo rectum ndiko kuvhiyiwa kukuru. Njodzi dzinokurudzirwa kana iwe uine hutano hwakagara huripo, hwakadai sweshuga. Usati wasayina chibvumirano chako chekuvhiyiwa, anesthesiologist uye chiremba wako chiremba achaongorora zviitiko izvi kwauri zvinogona kusanganisira dambudziko re:
- Kuputa (munguva kana kuti mushure mekuitwa)
- Kurwara
- Zvinetso zvepabonde (erectile dysfunction, vagin dryness)
- Matambudziko nekudzimwa (kubvisa kana kutamisa matumbo ako )
Iva nechokwadi chekubvunza mibvunzo kana iwe usinganzwisisi chero chikamu chekugadzirira, kuvhiyiwa, kupora kana zvimwe zvinetso zvisati zvaitika zuva rako rokuvhiya.
> Sources:
> America Cancer Society. (nd). Kuvhiya kweColorectal Cancer.
> Khaikin, M. (2009). Laparoscopic Inoenderana neWorct Proctectomy yeRectal Cancer: Chibereko chevarwere uye Incologic Kukwana. Kushandura Laparoscopy, Endoscopy, uye Nzira dzePercutaneous. 19 (2): 118-22.