Esophagectomy - ukubhobhoza

Wenziwa utyando ukuze ususe inxenye, okanye yonke, i-esophagus (ityhubhu yokutya). Inxalenye eseleyo yomqala nesisu sakho zaphinde zadibana.

Ngoku uya ekhaya, landela imiyalelo yomboneleli wakho wezempilo ngendlela yokuzikhathalela ekhaya ngelixa usaphola. Sebenzisa olu lwazi lungezantsi njengesikhumbuzo.

Ukuba uqhaqho olusebenzise i-laparoscope, kusikiwe (ukusikwa) okuninzi kwenziwa kwisisu sakho, esifubeni, okanye entanyeni. Ukuba utyando oluvulekileyo, ukusikeka okukhulu kwenziwa esiswini sakho, esifubeni, okanye entanyeni.

Unokuthunyelwa ekhaya kunye nombhobho wokuhambisa amanzi entanyeni yakho. Oku kuyakususwa ngugqirha wotyando ngexesha lotyelelo eofisini.

Unokuba netyhubhu yokondla iinyanga ezi-1 ukuya kwezi-2 emva kotyando. Oku kuya kukunceda ufumane iikhalori ezaneleyo ukukunceda ukutyeba. Uya kuba kukutya okukhethekileyo xa uqala ukufika ekhaya.

Izitulo zakho zinokukhululeka kwaye unokuba nokuhamba kwamathumbu rhoqo kunangaphambi kotyando.

Buza ugqirha wakho ogqirha ukuba bungakanani ubunzima obukhuselekileyo ukuba ubuphakamise. Unokuxelelwa ukuba ungaphakamisi okanye uphathe nantoni na enzima ngaphezu kweekhilogram ezili-10 (4.5 kilograms).

Unokuhamba kabini okanye kathathu ngemini, ukunyuka okanye ukwehla kwizinyuko, okanye ukukhwela emotweni. Qiniseka ukuba uyaphumla emva kokusebenza. Ukuba kubuhlungu xa usenza into, yeka ukwenza loo msebenzi.

Qinisekisa ukuba ikhaya lakho likhuselekile njengoko uchacha. Umzekelo, susa iitagi zokuphosa ukuthintela ukukhubeka nokuwa. Kwigumbi lokuhlambela, faka imigoqo yokhuseleko ukukunceda ungene ngaphakathi nangaphandle kwebhafu okanye ishawa.

Ugqirha wakho uya kukunika amayeza amayeza eentlungu. Yigcwalise xa ugoduka esibhedlele ukuze ube nayo xa uyidinga. Thatha amayeza xa uqala ukuba nentlungu. Ukulinda ixesha elide kuya kuvumela ukuba iintlungu zakho zibe mandundu kunokuba kufanelekile.

Guqula ukunxiba kwakho (ii-bandage) yonke imihla de ugqirha wakho athi akusafuneki ukuba ubambe ukubopha.

Landela imiyalelo xa uqala ukuhlamba. Ugqirha wakho usenokuthi kulungile ukususa izinxibo zenxeba kwaye uthathe ishawa xa kusetyenziswe i-sutures (stitch), staples, okanye glue ukuvalela ulusu lwakho. SUKUZAMA ukuhlamba imitya emincinci yeteyipu okanye iglu. Baza kuza ngokwabo malunga neveki.

SUKUFUNA ungene ebhafini, kwibhafu eshushu, okanye echibini lokuqubha de ugqirha wakho akuxelele ukuba kulungile.

Ukuba unemilinganiselo emikhulu, unokufuna ukucinezela umqamelo phezu kwabo xa ukhohlela okanye uthimla. Oku kunceda ukunciphisa intlungu.

Usenokuba usebenzisa ityhubhu yokondla emva kokuba uye ekhaya. Uya kuyisebenzisa ngexesha lasebusuku kuphela. Umbhobho wokondla awuyi kuphazamisa imisebenzi yakho yesiqhelo yemini. Landela imiyalelo yogqirha wakho malunga nokutya kunye nokutya.

Landela imiyalelo yokwenza imithambo yokuphefumla nzulu emva kokuba ufike ekhaya.

Ukuba uyatshaya kwaye unengxaki yokuyeka, thetha nogqirha wakho malunga namayeza anokukunceda uyeke ukutshaya.Ukujoyina inkqubo yokuyeka ukutshaya kunokunceda.

Unokuba nesikhumba esibuhlungu xa ujikeleza ityhubhu yakho yokondla. Landela imiyalelo yendlela yokunyamekela ityhubhu kunye nolusu olungqongileyo.

Emva kotyando, uzakufuna ukulandelelwa okufutshane:

• Uya kubona ugqirha wakho we-2 okanye iiveki ezi-3 emva kokufika ekhaya. Ugqirha wakho uza kujonga amanxeba akho kwaye abone ukuba uqhuba njani ngokutya kwakho.
• Uya kuba ne-x-ray ukuqinisekisa ukuba unxibelelwano olutsha phakathi komqala kunye nesisu kulungile.
• Uya kudibana nengcali yokutya okuya ngaphaya kweetyhubhu zakho zokutya kunye nokutya kwakho.
• Uya kubona i-oncologist yakho, ugqirha onyanga umhlaza wakho.

Biza ugqirha wakho ukuba unayo nayiphi na kwezi zinto zilandelayo:

• Umkhuhlane we-101 ° F (38.3 ° C) okanye ngaphezulu
• Ukuqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhayo, obomvu, ukufudumala ekuthinteni, okanye ube nomsele okhuni, ophuzi, ohlaza okanye obisi
• Amayeza akho entlungu awancedi ukunciphisa intlungu yakho
• Kunzima ukuphefumla
• Ukukhwehlela okungahambiyo
• Awunako ukusela okanye ukutya
• Ulusu okanye inxalenye emhlophe yamehlo akho ajika abe tyheli
• Izitulo ezikhululekileyo zikhululekile okanye zirhudo
• Ukuhlanza emva kokutya.
• Intlungu ebukhali okanye ukudumba emilenzeni
• Ukutshisa imvakalelo emqaleni wakho xa ulele okanye ulale

Trans-hiatal esophagectomy - ukukhutshwa; Trans-thoracic esophagectomy - ukukhutshwa; Ubuncinane be-esophagectomy - ukukhutshwa; Kwi-bloc esophagectomy-ukukhutshwa; Ukususwa kwe-esophagus-discharge

UDonahue J, uCarr SR. Ubuncinane be-esophagectomy. Ku: UCameron JL, uCameron AM, ii-eds. Unyango lwangoku lonyango. Umhla we-12. IPhiladelphia, PA: Elsevier; Ngo-2017: 1530-1534.

USpicer JD, uDhupar R, uKim JY, uSepesi B, uHofstetter W. Esophagus. Ku: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Incwadi yeSabiston yoNyango: Isiseko sebhayiloji yoQeqesho lwangoku. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 41.

• Umhlaza wesisu
• I-Esophagectomy -ukungenelela kancinci
• Esophagectomy - vula
• Iingcebiso malunga nendlela yokuyeka ukutshaya

• Sula ukutya okungamanzi
• Ukutya kunye nokutya emva kwesophagectomy
• Ityhubhu yokondla isisu - i-bolus
• Ityhubhu yokondla iJejunostomy

• Umhlaza we-Esophageal
• Ukuphazamiseka kwi-Esophagus