Ukubuyiselwa kunye noKhathalelo luyimfuneko njani emva kokuSuswa kwePeni

Umxholo

• Indlela yokulungiselela utyando
• Xa utyando luboniswa
• Ususwa njani udakada
• Iingozi kunye neengxaki ezinokubakho zotyando
• Khathalela abo basuse udakada

I-Splenectomy lutyando lokususa yonke into okanye inwebu yethambo, nelilungu lesisu kwaye linoxanduva lokuvelisa, ukugcina kunye nokususa ezinye izinto egazini, ukongeza ekuveliseni izilwa-buhlungu kunye nokugcina ulungelelwano lomzimba, ukuthintela usulelo.

Owona mqondiso uphambili we-splenectomy kuxa kukho umonakalo okanye ukuqhekeka kwengalo, nangona kunjalo, olu tyando lunokucetyiswa nakwimeko yokuphazamiseka kwegazi, ezinye iintlobo zomhlaza okanye ngenxa yokubakho kwee-cysts okanye amathumba angalunganga. Olu tyando ludla ngokwenziwa yi-laparoscopy, apho imingxunya emincinci yenziwa esiswini ukususa ilungu, elenza isikhumba sibe sincinci kakhulu kwaye ukubuyela msinya ngokukhawuleza.

Indlela yokulungiselela utyando

Phambi kwe-splenectomy, ugqirha ucebisa ukwenza uvavanyo lwegazi kunye ne-ultrasound okanye itomography ukuze kuvavanywe imeko yomntu ngokubanzi kunye nobukho bolunye utshintsho, njengamatye enyongo, umzekelo. Ukongeza, ukulawulwa kwezitofu zokugonya kunye namayeza okubulala iintsholongwane kunokucetyiswa kwiiveki ngaphambi kwenkqubo, ukunciphisa umngcipheko wosulelo.

Xa utyando luboniswa

Owona mqondiso uphambili wokususa udakada kuxa ukugqabhuka kweli lungu kuqinisekisiwe ngenxa yokwenzakala esiswini. Nangona kunjalo, ezinye izikhombisi ze-splenectomy zezi:

• Umhlaza kudakada;
• Ukuqhekeka okuzenzekelayo kwepeni, kwimeko ye-leukemia, ikakhulu;
• I-Spherocytosis;
• I-anemia yesifo sokugula;
• Idiopathic thrombocytopenic purpura;
• Ithumba Splenic;
• I-anemia ye-hemolytic engokwemvelo;
• Inqanaba leHodgkin's lymphoma.

Ngokwenqanaba lokutshintsha kwepeni kunye nomngcipheko wokuba olu tshintsho lunokumela umntu, ugqirha angabonisa ukususwa okukodwa okanye okupheleleyo kwelungu.

Ususwa njani udakada

Kwiimeko ezininzi, i-laparoscopy yevidiyo ibonakalisiwe, enemingxunya emi-3 encinci esiswini, apho iityhubhu kunye nezixhobo eziyimfuneko ekususweni kwepleen pass, ngaphandle kokwenza ukusikwa okukhulu. Isigulana sidinga ianesthesia ngokubanzi kwaye utyando luthatha umndilili weeyure ezi-3, esibhedlele malunga neentsuku ezi-2 ukuya kwezi-5.

Obu buchule botyando abungeni kangako kwaye, ke ngoko, bubangela iintlungu ezincinci kwaye inxeba lincinci, lenza ukuba kubuye kwaye kubuyele kwimisebenzi yemihla ngemihla ngokukhawuleza. Nangona kunjalo, kwezinye iimeko, kunokuba yimfuneko ukwenza utyando oluvulekileyo, ngokusikwa okukhulu.

Iingozi kunye neengxaki ezinokubakho zotyando

Emva kotyando lokususa udakada, kuqhelekile ukuba isigulana sive iintlungu kwaye sithintelwe ukwenza imisebenzi yemihla ngemihla sisodwa, sidinga uncedo kwilungu losapho ukwenza ucoceko, umzekelo. Utyando lwe-laparoscopy, ngaphandle kokujongwa njengokukhuselekileyo, lunokukhokelela kwiingxaki ezinje nge-hematoma, ukopha okanye ukungxenga. Nangona kunjalo, utyando oluvulekileyo lunokuzisa umngcipheko ngakumbi.

Khathalela abo basuse udakada

Emva kokususwa kwepeni, amandla omzimba okulwa nosulelo ayancipha kwaye amanye amalungu, ngakumbi isibindi, anyusa amandla awo okuvelisa izilwa-buhlungu ukulwa usulelo kunye nokukhusela umzimba. Ke, ulusu lutyekele ngakumbi ekuphuhliseni usulelo ngoIPneumococcus, meningococcus kunye neHaemophilus influenzae, kwaye kufanelekile:

• Fumana izitofu zokugonya injongo ezininzi ngokuchasene Iinyumoniya kunye nokugonya isitofu Haemophilus influenzaeuhlobo B kunye imenococcus uhlobo C, phakathi kweeveki ezimbini ngaphambi kunye neeveki ezimbini emva kotyando;
• Fumana iyeza lokugonya fumanisocci qho emva kweminyaka emi-5 (okanye ngamakhefu amafutshane kwimeko ye-sickle cell anemia okanye izifo ze-lymphoproliferative);
• Ukuthatha amayeza okubulala iintsholongwane idosi ephantsi yobomi okanye uthathe i-benzathine penicillin qho kwiiveki ezi-3.

Ukongeza, kubalulekile ukutya ukutya okusempilweni, ukunqanda ukutya okuneswekile eninzi namafutha, ukuzilolonga rhoqo, ukuthintela utshintsho olukhawulezileyo kumaqondo obushushu ukuthintela umkhuhlane kunye nomkhuhlane, kwaye ungathathi amayeza ngaphandle kwengcebiso yezonyango.