Kodi Kubwezeretsa ndi Kusamalira Kumafunikira Bwanji Mukamachotsa Nthata

Zamkati

• Momwe mungakonzekerere opaleshoni
• Pamene opaleshoni ikuwonetsedwa
• Momwe ndulu imachotsedwera
• Zowopsa ndi zovuta zomwe zingachitike chifukwa cha opaleshoni
• Kusamalira omwe adachotsa ndulu

Splenectomy ndi opareshoni yochotsa ndulu zonse, kapena gawo, lomwe limapezeka m'mimba ndipo limayang'anira kupanga, kusunga ndikuchotsa zinthu zina m'magazi, kuphatikiza pakupanga ma antibodies ndikusunga thupi, kupewa matenda.

Chizindikiro chachikulu cha splenectomy ndipamene pamakhala kuwonongeka kapena kuphwanya kwa mkono, komabe, opaleshoniyi itha kulimbikitsidwanso pakakhala zovuta zamagazi, mitundu ina ya khansa kapena chifukwa chakupezeka kwa zotupa zopanda chotupa kapena zotupa. Kuchita opaleshoniyi kumachitidwa ndi laparoscopy, momwe timabowo tating'onoting'ono timapangidwa m'mimba kuti muchotse limba, zomwe zimapangitsa chilonda kukhala chochepa kwambiri komanso kuchira msanga.

Momwe mungakonzekerere opaleshoni

Asanachitike splenectomy, adotolo amalimbikitsa kuti ayesedwe magazi ndi ultrasound kapena tomography kuti awone momwe munthu alili komanso kupezeka kwa zosintha zina, monga ma gallstones, mwachitsanzo. Kuphatikiza apo, kupereka katemera ndi maantibayotiki kungalimbikitsidwe kutatsala milungu ingapo kuti muchepetse matenda.

Pamene opaleshoni ikuwonetsedwa

Chizindikiro chachikulu pakuchotsa ndulu ndi pamene kuphulika kwa chiwalo ichi kumatsimikizika chifukwa chovulala m'mimba. Komabe, zisonyezo zina za splenectomy ndi izi:

• Khansa mu ndulu;
• Kutuluka kwadzidzidzi kwa ndulu, ngati khansa ya m'magazi, makamaka;
• Spherocytosis;
• Matenda ochepetsa magazi;
• Idiopathic thrombocytopenic purpura;
• Splenic abscess;
• Kobadwa nako hemolytic magazi m`thupi;
• Magawo a Hodgkin's lymphoma.

Malinga ndi kusintha kwa ndulu ndi chiwopsezo chomwe kusinthaku kungayimire munthuyo, adotolo atha kuwonetsa kuchotsedwa pang'ono kapena kwathunthu kwa chiwalo.

Momwe ndulu imachotsedwera

Nthawi zambiri, laparoscopy yamavidiyo imawonetsedwa, yokhala ndi mabowo ang'onoang'ono atatu pamimba, kudzera m'machubu ndi zida zofunika kuchotsa nduluyo, osadula kwambiri. Wodwala amafunikira ochititsa dzanzi ndipo opareshoni imatenga pafupifupi maola 3, akugonekedwa mchipatala kwa masiku awiri kapena asanu.

Njira yochita opaleshoni imeneyi siichepetsa ndipo, chifukwa chake, imapweteka kwambiri ndipo chilonda chimakhala chochepa, chimachira ndikubwerera kuzinthu za tsiku ndi tsiku mwachangu. Komabe, nthawi zina, pangafunike kuchitidwa opaleshoni yotseguka, ndikucheka kwambiri.

Zowopsa ndi zovuta zomwe zingachitike chifukwa cha opaleshoni

Pambuyo pa opaleshoni kuti achotse ndulu, sizachilendo kuti wodwalayo amve kuwawa komanso zolephereka kuchita zochitika za tsiku ndi tsiku yekha, kufuna thandizo kuchokera kwa abale awo kuti azisamalira ukhondo, mwachitsanzo. Kuchita opaleshoni ya laparoscopy, ngakhale kuti amaonedwa kuti ndi otetezeka, kumatha kubweretsa zovuta monga hematoma, kutuluka magazi kapena kupuma kwamphamvu. Komabe, opaleshoni yotseguka imatha kubweretsa zoopsa zambiri.

Kusamalira omwe adachotsa ndulu

Pambuyo pochotsa ndulu, kutha kwa thupi kulimbana ndi matenda kumachepa ndipo ziwalo zina, makamaka chiwindi, zimakulitsa kuthekera kwake kopanga ma antibodies olimbana ndi matenda ndikuteteza thupi. Chifukwa chake, khungu limakonda kukhala ndi matenda mwaPneumococcus, meningococcus ndi Haemophilus influenzae, choncho ziyenera:

• Pezani katemera kuchulukitsa kutsutsana Chibayo ndi conjugate katemera wa Haemophilus influenzaelembani B ndi meningococcus lembani C, pakati pa milungu iwiri isanathe komanso milungu iwiri mutachitidwa opaleshoni;
• Pezani katemera wa chibadw zaka zisanu zilizonse (kapena pafupipafupi pakakhala matenda a sickle cell kapena lymphoproliferative matenda);
• Kutenga maantibayotiki mlingo wochepa wa moyo kapena kutenga benzathine penicillin milungu itatu iliyonse.

Kuphatikiza apo, ndikofunikanso kudya chakudya chopatsa thanzi, kupewa zakudya zokhala ndi shuga ndi mafuta ambiri, kuchita masewera olimbitsa thupi pafupipafupi, kupewa kusintha kwadzidzidzi kwa kutentha kuti mupewe chimfine ndi chimfine, komanso osamwa mankhwala popanda malangizo achipatala.