Maitiro ekuvhiyiwa kwegomarara remudumbu anoitwa sei

Zvemukati

• 1. Kuvhiya kenza isina kuvandudzwa
• 2. Kuvhiya kenza kwakagadzirwa

Kuvhiya ndiko kurapwa kukuru kunoratidzirwa gomarara remudumbu, sezvo kunowirirana nenzira inokurumidza uye inobudirira yekubvisa akawanda maseru emota, kugona kurapa kenza mumatambudziko akasimba egiredhi 1 ne2, kana kunonoka kukura kwayo, nyaya dzakaipisisa.

Mhando yekuvhiya inoshandiswa inoenderana nenzvimbo yekenza, mhando yacho, kukura uye kuti yapararira zvakadii mumuviri, uye zvinogona kudikanwa kubvisa chidimbu chidiki chedumbu remukati kana kubvisa chikamu chose.

Mune chero rudzi rwekuvhiya, chiremba anogona kukurudzira kumwe kurapwa, senge chemotherapy kana radiation, kubvisa maseru ekenza asina kubviswa uye kudzivirira bundu kubva kukura. Muzviitiko zvakakomba kwazvo, umo mikana yekurapa iri pasi zvakanyanya, kurapwa uku kunogona kubatsira kudzikisira zviratidzo. Ona zvimwe zvakawanda nezve kurapwa kwechirwere chegomarara.

1. Kuvhiya kenza isina kuvandudzwa

Kana kenza ichiri mumatanho ayo ekutanga, chiremba anowanzo kurudzira kuvhiya kwakareruka, nekuti chidimbu chidiki chemuura chakakanganiswa, inova nyaya yemapolyps madiki. Kuita kuvhiya uku, chiremba anoshandisa chubhu diki, yakafanana neiyo colonoscopy bvunzo, iyo ine kumagumo kwayo chiridzwa chinokwanisa kubvisa zvidimbu zvedumbu remukati.

Nekudaro, chiremba anobvisa maseru ekenza uye mamwe maseru ane hutano akakomberedza nzvimbo yakabatwa kuti ave nechokwadi chekuti gomarara harimukizve. Masero akabviswa panguva yekuvhiyiwa anotumirwa murabhoritari kunoongororwa.

Mushure mekuongororwa kwerabhoritari, chiremba anoongorora muyero weshanduko mumasero akaipa uye anoongorora kukosha kwekuvhiyiwa kutsva kubvisa zvinyama zvakawanda.

Uku kuvhiya kunoitwa muhofisi yechiremba uye, nekudaro, hazvidi kuti ushandise chero mhando yeanesthesia, uye chete kunyorova sedation kunogona kushandiswa. Nekudaro, zvinokwanisika kudzokera kumba nezuva rimwe chete, pasina kugara muchipatara.

2. Kuvhiya kenza kwakagadzirwa

Kana gomarara ratove padanho repamberi, kuvhiyiwa kuri kuwedzera uye, nekudaro, zvinodikanwa kuti zviitwe muchipatara pasi peanesthesia, uye zvinodawo kuti munhu arambe ari muchipatara kwemazuva mashoma asati adzoka imba kuti iongororwe.uye kuve nechokwadi chekuti hapana zvinetswa.

Mune zvimwe zviitiko, usati waita oparesheni, zvinogona kuve zvakafanira kuti munhu wacho aite chemotherapy kana radiotherapy zvikamu kudzikisa saizi yebundu uye, nekudaro, zvinokwanisika kusabvisa zvikamu zvakakura zvemukati.

Zvichienderana nehukuru uye kuomarara kwechirwere chegomarara, mhando mbiri dzekuvhiya dzinogona kuitwa:

• Vhura kuvhiya, umo kucheka kunoitwa mudumbu kubvisa chikamu chakakura chemuura;
• Kuvhiya kwepaparoscopic, umo maburi madiki anoitwa mudumbu mudunhu umo chipenga chekurapa chinoiswa, chinova nebasa rekubvisa chikamu chemuura.

Mushure mekubvisa chakakanganiswa chikamu, chiremba anovhiya anobatanidza mativi maviri emukati, achibvumira iyo nhengo kuti itangezve basa rayo. Nekudaro, mune zviitiko pazvinenge zvakakodzera kubvisa chikamu chakakura kwazvo chemuura kana kuvhiyiwa kwakaomarara, chiremba anogona kubatanidza ura zvakananga paganda, rinozivikanwa seostomy, kubvumira ura kuti hutangezve usati wabatanidza maviri mapato. Nzwisisa kuti chii uye nemabatiro aunofanira kuita ostomy.