Chii chinonzi cystectomy uye zvinoitwa riini

Zvemukati

• Kana zvaratidzwa
• Zvinoitwa sei

Cystectomy rudzi rwekuvhiya kunoitwa kana paine chirwere chegomarara redundira uye, zvichienderana nekuomarara uye huwandu hwegomarara, zvingave zvakakodzera kubvisa chikamu kana dundira rose, kuwedzera kune zvimwe zvivakwa zviri padyo, zvakaita seprostate uye seminal glands, mune varume, uye chibereko, ovary uye chikamu chemukadzi, mune vakadzi.

Kuvhiya uku kunoitwa pasi peanesthesia uye kunogona kuitwa kuburikidza nekucheka kwedumbu kana akati wandei akacheka kuburikidza nawo mudziyo une microcamera pakupera kwawo unopfuura.

Kana zvaratidzwa

Cystectomy ndiyo yakanyanya kuratidzwa mhando yekurapa kana kenza yedundira inowanikwa muchikamu chechipiri, inova iyo bundu rinosvika padunduru tsandanyama, kana 3, inova iyo inopfuura iyo dundira tsandanyama musara uye inosvika kumatukisi akakukomberedza.

Nekudaro, zvinoenderana nehukuru uye kuomarara kwegomarara redundira, chiremba anogona kusarudza mhando mbiri dzecystectomy:

• Chikamu kana chidimbu cystectomy, iyo inowanzo kuratidzwa mukenza yedundira inowanikwa mudanho rechipiri, umo bundu rinosvika padunduru tsandanyama dumbu uye rakagara zvakanaka. Nekudaro, chiremba anogona kusarudza kubvisa chete bundu kana chikamu chedundira chine bundu, pasina chikonzero chekubvisa zvachose dundira;
• Radical cystectomy, iyo inoratidzirwa mune yechitanho chechitatu chegomarara redundira, ndiko kuti, apo bundu racho rinobatawo matukisi ari padhuze nedundira. Nekudaro, chiremba anoratidza, mukuwedzera pakubviswa kwedundira, kubviswa kweprostate uye seminal glands, mune varume, uye chibereko uye madziro emukadzi, mune vakadzi. Uye zvakare, zvinoenderana nehukuru hwegomarara, zvinogona zvakare kudikanwa kubvisa mazai evakadzi, fallopian tubes uye chibereko, semuenzaniso.

Kunyangwe vakadzi vazhinji vari kuita rudzi urwu rwekuvhiyiwa vatove mukuguma kuenda kumwedzi, vazhinji vanogona kunge vachirarama hupenyu hwepabonde, uye chinhu ichi chinozotarisirwa panguva yekuvhiyiwa. Uye zvakare, varume vezera rekubereka vanofanirwa zvakare kufunga mugumisiro wekuvhiyiwa, nekuti mune zvakanyanya cystectomy iyo prostate uye seminal gland dzinogona kubviswa, zvichikanganisa kugadzirwa nekuchengetwa kwemurume.

Zvinoitwa sei

Cystectomy inoitwa pasi peyese anesthesia kuburikidza nekucheka mudumbu kana kuburikidza nekucheka kwakati wandei, uchishandisa chishandiso chine microcamera kumucheto kwayo kutarisa pelvis mukati, iyi nzira inonzi laparoscopic cystectomy. Kunzwisisa kuti laparoscopic kuvhiyiwa kunoitwa sei.

Chiremba anowanzo kurudzira kuti kushandiswa kwemishonga inogona kukanganisa kugwamba kweropa kumiswe uye kuti murwere atsanye kweanoda maawa masere asati avhiyiwa. Mushure mekuvhiyiwa, zvinokurudzirwa kuti munhu agare kwemazuva makumi matatu achizorora, achidzivirira kuedza.

Panyaya yecystectomy yakasarudzika, kuvhiyiwa hakuna basa kuti uvakezve dundira, zvisinei kuti dundira rinogona kunge risingakwanise kuve neweti yakawanda, izvo zvinogona kuita kuti munhu anzwe sekuenda kuchimbuzi kakawanda pazuva. Nekudaro, mune kesi yeiyo radical cystectomy, kuvhiyiwa kunokosha kuvaka nzira nyowani yekuchengetedza nekubvisa weti, pamwe nekumisazve mukadzi wemukadzi, mune vakadzi.

Mushure mekuvhiyiwa, zvakajairika kuti chemotherapy kana radiation radiation iratidzwe kudzivirira kuwanda kwemaseru matsva. Uye zvakare, zvakajairika kucherechedza ropa mumurini, zvinowanzoitika zveurinary turakiti hutachiona uye kusagadzikana kweiyo weti, semuenzaniso. Dzidza nezve dzimwe nzira dzekurapa kenza yedundira.