Ukuhlolwa kwesisu

Ukuhlolwa kwesisu kukuhlinzwa ukujonga amalungu kunye nolwakhiwo kwindawo yakho yesisu (isisu). Oku kubandakanya eyakho:

• Isihlomelo
• Isinyi
• Inyongo
• Amathumbu
• Izintso kunye ne-ureters
• Isibindi
• Iipancreas
• Udaka
• Isisu
• Isizalo, i-fallopian tubes, kunye nama-ovari (kwabasetyhini)

Utyando oluvula isisu lubizwa ngokuba yi-laparotomy.

I-laparotomy yokuphonononga yenziwa ngelixa uphantsi kweanesthesia ngokubanzi. Oku kuthetha ukuba ulele kwaye awuva zintlungu.

Ugqirha usika isisu kwaye uvavanya amalungu esisu. Ubungakanani kunye nendawo yokunqunyulwa kotyando ixhomekeke kwinkxalabo ethile yezempilo.

I-biopsy inokuthathwa ngexesha lenkqubo.

ILaparoscopy ichaza inkqubo eyenziwayo enekhamera encinci ebekwe ngaphakathi esiswini. Ukuba kunokwenzeka, i-laparoscopy iya kwenziwa endaweni ye-laparotomy.

Umboneleli wakho wokhathalelo lwempilo unokucebisa i-laparotomy ukuba iimvavanyo zokucinga ngesisu, ezinje nge-x-ray kunye ne-CT scans, khange zibonelele ngoxilongo oluchanekileyo.

I-laparotomy yokuphonononga ingasetyenziselwa ukunceda ekuchongeni nasekunyangeni iimeko ezininzi zempilo, kubandakanya:

• Umhlaza we-ovary, colon, pancreas, isibindi
• Endometriosis
• Amatye egall
• Umngxunya emathunjini (ukubola kwamathumbu)
• Ukudumba kwesihlomelo (isihlomelo esibuhlungu)
• Ukudumba kwengxowa yamathumbu (diverticulitis)
• Ukudumba kwepancreas (pancreatitis ebukhali okanye engapheliyo)
• Ithumba lesibindi
• Iipokotho zosulelo (itroperitoneal ithumba, ithumba lesisu, ithumba le-pelvic)
• Ukukhulelwa ngaphandle kwesibeleko (ukukhulelwa kwe-ectopic)
• Izicubu ezinomzimba esiswini (ukubambelela)

Umngcipheko we-anesthesia kunye notyando ngokubanzi kubandakanya:

• Ukuphendula kumayeza, iingxaki zokuphefumla
• Ukopha, amahlwili egazi, usulelo

Iingozi zolu tyando zibandakanya:

• I-hernia engabonakaliyo
• Ukonakaliswa kwamalungu esiswini

Uya kutyelela umboneleli wakho kwaye uye kuvavanyo lonyango ngaphambi kotyando lwakho. Umboneleli wakho uya:

• Yenza uvavanyo olupheleleyo lomzimba.
• Qinisekisa ukuba ezinye iimeko zonyango onokuba nazo, ezinjengesifo seswekile, uxinzelelo lwegazi oluphezulu, okanye iingxaki zentliziyo okanye zemiphunga ziphantsi kolawulo.
• Yenza iimvavanyo ukuqinisekisa ukuba uya kuba nakho ukunyamezela utyando.
• Ukuba uyatshaya, kuya kufuneka uyeke ukutshaya kwiiveki ezimbalwa ngaphambi kotyando. Cela uncedo kumboneleli wakho.

Xelela umboneleli wakho:

• Ngawaphi amayeza, iivithamini, imifuno kunye nezinye izongezo ozithathayo, kwanezo uzithengileyo ngaphandle kommiselo.
• Ukuba ubusele utywala obuninzi, ngaphezu kwesiselo esinye okanye ezi-2 ngosuku
• Ukuba unokukhulelwa

Ngexesha leveki ngaphambi kotyando lwakho:

• Unokucelwa ukuba uyeke okwethutyana ukuthoba igazi. Ezinye zezi aspirin, ibuprofen (Advil, Motrin), vitamin E, warfarin (Coumadin), clopidogrel (Plavix), okanye ticlopidine (Ticlid).
• Buza umboneleli wakho ukuba zeziphi iziyobisi omele uzithathe ngosuku lotyando lwakho.
• Lungiselela ikhaya lakho ukubuya kwakho esibhedlele.

Ngomhla wotyando lwakho:

• Landela imiyalelo yomboneleli wakho malunga nexesha lokuyeka ukutya nokusela.
• Thatha amayeza umboneleli wakho akuxelele ukuba uthathe kunye nokusela okuncinci kwamanzi.
• Fika esibhedlele ngexesha.

Kuya kufuneka ukwazi ukuqala ukutya nokusela ngesiqhelo malunga neentsuku ezi-2 ukuya kwezi-3 emva kotyando. Uhlala ixesha elingakanani esibhedlele kuxhomekeke kubukhulu bengxaki. Ukubuyiswa okupheleleyo kuhlala kuthatha iiveki ezi-4.

Utyando lokuhlola; Laparotomy; I-laparotomy yokuhlola

• Inkqubo yokwetyisa
• Ukubambelela kwepelvic
• Ukuhlolwa kwesisu-uthotho

Sham JG, Reames BN, He J.Ukulawulwa komhlaza we-periampullary. Ku: ICameron AM, uCameron JL, ii-eds. Unyango lwangoku lonyango. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2020: 545-552.

I-squires RA, uCarter SN, iPostier RG. Isisu esibuhlungu. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango: Isiseko sebhayiloji yoQeqesho lwangoku. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 45.