Ukususwa kwe-adrenal gland

Ukususwa kwe-adrenal gland kukusetyenziswa apho kususwa khona idlala elinye okanye zombini. Amadlala adrenal ayinxalenye yenkqubo ye-endocrine kwaye abekwe nje ngentla kwezintso.

Uya kufumana i-anesthesia evumela ukuba ulale kwaye ungabi nazintlungu ngexesha lotyando.

Ukususwa kwe-adrenal gland kunokwenziwa ngeendlela ezimbini. Uhlobo lotyando onalo luxhomekeke kwingxaki yokuphathwa.

• Ngoqhaqho oluvulekileyo, ugqirha wotyando wenza inwebu enkulu yotyando (incision) ukususa incindi.
• Ngobuchule be-laparoscopic, kwenziwa amanqakwana amancinci aliqela.

Ugqirha uya kuxoxa ukuba yeyiphi indlela ebhetele kuwe.

Emva kokuba i-adrenal gland isuswe, ithunyelwa kugqirha wezifo ukuba abhalwe phantsi kwemicroscope.

I-adrenal gland isuswe xa kukho umhlaza owaziwayo okanye ukukhula (ubunzima) onokuba ngumhlaza.

Ngamanye amaxesha, ubunzima kwi-adrenal gland iyasuswa kuba ikhupha ihomoni enokubangela iziphumo ebezingalindelekanga eziyingozi.

• Esinye sezona tumors zixhaphakileyo yipheochromocytoma, enokubangela uxinzelelo lwegazi oluphezulu kakhulu
• Ezinye iingxaki zibandakanya i-Cushing syndrome, i-Conn syndrome, kunye nobunzima be-adrenal yesizathu esingaziwayo

Umngcipheko we-anesthesia kunye notyando ngokubanzi kubandakanya:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi, okanye usulelo

Iingozi zolu tyando zibandakanya:

• Ukonakaliswa kwamalungu akufuphi emzimbeni
• Inxeba eliphuka okanye livule izicubu kwi-incision (incisional hernia)
• Ingxaki ye-adrenal Acute apho kungekho ngokwaneleyo i-cortisol, ihomoni eveliswa ngamadlala e-adrenal

Xelela ugqirha wakho okanye ugqirha:

• Ukuba ukhulelwe okanye unokukhulelwa
• Ngawaphi amayeza owasebenzisayo, nditsho neziyobisi, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo

Ngexesha leentsuku ngaphambi kotyando:

• Unokucelwa ukuba uyeke okwethutyana ukuthoba igazi. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin, Jantoven), nezinye.
• Buza ugqirha wakho otyandayo ukuba zeziphi iziyobisi ekusafuneka uzithathe ngosuku lotyando.

Ukuba uyatshaya, zama ukuyeka. Ukutshaya kunciphisa ukubuyela umva kwaye kwandisa umngcipheko weengxaki. Buza umboneleli wakho wezempilo ngoncedo lokuyeka.

Ngomhla wotyando:

• Landela imiyalelo malunga nokuba uyeke nini ukutya nokusela.
• Thatha amayeza ugqirha wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Fika esibhedlele ngexesha.

Ngexa usesibhedlele, unga:

• Celwa ukuba uhlale ecaleni kwebhedi kwaye uhambe kwangolo suku lotyando lwakho
• Yiba nombhobho, okanye ipayinti, evela kwisinyi sakho
• Yiba nedreyini ephuma ngokusikwa kwakho
• Ukungabinakho ukutya iintsuku zokuqala ezi-1 ukuya kwezi-3, emva koko uya kuqala ngolwelo
• Khuthazwa ukuba wenze imithambo yokuphefumla
• Nxiba izitokhwe ezikhethekileyo ukunqanda amahlwili egazi
• Fumana izithonga phantsi kolusu lwakho ukunqanda amahlwili egazi
• Fumana iyeza lentlungu
• Ngaba ujongiwe uxinzelelo lwegazi kwaye uqhubeke nokufumana amayeza oxinzelelo lwegazi

Uya kukhutshwa kwisithuba seentsuku ezi-1 okanye ezi-2 emva kotyando.

Ekhaya:

• Landela imiyalelo yendlela onokuzikhathalela ngayo njengoko uchacha.
• Ungasusa ukunxiba kunye nokuhlamba kusuku olulandelayo emva kotyando, ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela.
• Unokuba nentlungu kwaye unokufuna ukuthatha iyeza leentlungu.
• Ungaqala ukwenza imisebenzi elula.

Ukuchacha kutyando oluvulekileyo kunokuba buhlungu ngenxa yendawo yokusikwa kotyando. Ukubuyiselwa emva kwenkqubo ye-laparoscopic kuhlala kukhawuleza.

Abantu abafumana utyando lwe-laparoscopic ubukhulu becala banokuchacha ngokukhawuleza kunokuhlinzwa. Ukwenza kakuhle kangakanani emva kotyando kuxhomekeke kwisizathu sotyando:

• Ukuba uye wahlinzwa ngenxa yeConn syndrome, kuya kufuneka uhlale kumayeza oxinzelelo lwegazi.
• Ukuba utyandiwe ngenxa ye-Cushing syndrome, usengozini yeengxaki eziya kufuna ukunyangwa. Umboneleli wakho unokukuxelela ngakumbi malunga noku.
• Ukuba uye wahlinzwa i-pheochromocytoma, iziphumo zihlala zilungile.

Adrenalectomy; Ukususwa kwamadlala eadrenal

Lim SK, Rha KH. Utyando lwamadlala eadrenal. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 66.

USmith PW, uHanks JB. Utyando lwe-Adrenal. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 111.

Yeh MW, iLivhits MJ, iDuh QY. Amadlala adrenal. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 39.