Ngesikhathi sokwelashwa komdlavuza othile, ukukhishwa kwe-membrane emigqa yesisu kungenye yemibono. I-Omentectomy kumdlavuza ingavimbela ukuphazamiseka kodwa futhi yandise isikhathi sokuphila. Ikhonjiswa kuziphi izimo? Yiziphi izinzuzo? Ake sibheke le nqubo.

Ukuhlinzwa kungaba yingxenye yokwelapha umdlavuza. Uhlobo nezinga lokuhlinzwa kuxoxwa ngalo nethimba lezinhlaka eziningi: odokotela abahlinzayo, izazi ze-oncologists kanye nama-radiologists. Ndawonye, ​​basebenzisana eduze ukuze bathole isikhathi esingcono kakhulu sokuhlinzwa, kuye ngesifo nezinye izindlela zokwelapha. 

I-Omentectomy inqubo lapho kukhishwa lonke noma ingxenye yodonga lwesisu. Izicubu ezidinga ukususwa zibizwa ngokuthi i-omentum. Lesi sitho esinamafutha sakhiwe yi-peritoneum etholakala ngaphansi kwesisu esimboze ingxenye yekholoni. Le nqubo isetshenziselwa ukuhlola ukuba khona kwamangqamuzana omdlavuza. Le ndawo ibizwa nangokuthi "i-omentum enkulu", yingakho igama elithi omentectomy elinikezwe kulokhu kungenelela.

I-omentum enkulu izicubu ezinamafutha ezimboza izitho ezisesiswini, i-peritoneum. 

Sihlukanisa:

• I-omentum encane, kusukela esiswini kuya esibindini;
• I-omentum enkulu, etholakala phakathi kwesisu nekholoni ephambene.

I-Omentectomy kuthiwa iyingxenye lapho kususwa ingxenye eyodwa kuphela ye-omentum, inani lapho udokotela ohlinzayo eyisusa ngokuphelele. Ukukhishwa akunayo imiphumela ethile.

Lokhu kungenziwa ngesikhathi sokuhlinzwa komdlavuza.

Lokhu kuhlinzwa kuboniswa ezigulini ezinomdlavuza wezifo zabesifazane we-ovary noma wesibeletho kanye nomdlavuza wokugaya ukudla okubandakanya isisu. 

Izungezwe i-peritoneum, i-omentum ivikela izitho zesisu. Yakhiwe ngezicubu ezinamafutha, imithambo yegazi, namangqamuzana omzimba omzimba. 

Ukususwa kwe-omentum kungadingeka:

• Uma kwenzeka ukuhlaselwa amangqamuzana asenomdlavuza kakade kuma-ovari, isibeletho noma emathunjini;
• Njengesivikelo: kubantu abanomdlavuza esithweni esiseduze ne-omentum, i-omentectomy iyenziwa ukuvimbela ukuthi ingasakazeki lapho;
• Ezimweni ezingavamile, uma kwenzeka ukuvuvukala kwe-peritoneum (peritonitis);
• Ohlotsheni lwesifo sikashukela sohlobo 2: ngokunciphisa inani lezicubu ezinamafutha eduze kwesisu, kungenzeka ukubuyisela ukuzwela okungcono kwe-insulin.

I-Omentectomy ingenziwa ngezindlela ezimbili:

• noma i-laparoscopy: izibazi ezincane ezi-4 esiswini zivumela ikhamera nezinsimbi ukuba zidlule. Kudinga ukulaliswa esibhedlela izinsuku ezingama-2-3 kuphela;
•  noma i-laparotomy: isibazi esikhulu esima mpo esimaphakathi phakathi kwethorax ne-pubis sivumela isisu ukuba sivuleke. Ukulaliswa esibhedlela cishe izinsuku ezingu-7-10, kuye ngokuthi izenzo ezenziwa phakathi nenqubo.

Imithambo yegazi ezungeza ku-omentum iboshiwe (ukuze kumiswe noma kuvinjwe ukopha). Khona-ke, i-omentum ihlukaniswa ngokucophelela ne-peritoneum ngaphambi kokususwa.

I-Omentectomy imvamisa yenziwa ngaphansi kwe-anesthesia ejwayelekile ngesikhathi esifanayo nokunye ukuhlinzwa. Endabeni yomdlavuza wezifo zabesifazane, ukukhishwa kwama-ovari, amashubhu esibeletho, noma isibeletho kufanele kulindeleke. Kulokhu, kuba-ke ukulaliswa esibhedlela okubalulekile okudinga ukuhlala inombolo ethile yezinsuku ekhaya.

Esifweni somdlavuza, ukubikezelwa ngemuva kokususwa kwe-omentum kuncike esigabeni sesifo. Ngokujwayelekile, umdlavuza usuvele usezingeni eliphezulu. Ukungenelela kokuhlinzwa kuvumela:

• Ukunciphisa izinkinga ezifana nokuqoqwa koketshezi esiswini (ama-ascites);
• Ukwelula ukusinda izinyanga ezimbalwa. 

Esikhathini eside, imiphumela yokususa i-omentum ayikaqiniseki, njengoba ukubandakanyeka kwalesi zicubu kuhlala kungaqondakali kahle.

Ngemva kokungenelela, umuntu uyabhekwa futhi anakekelwe egunjini labagula kakhulu. Ngokuvamile, abantu bangadluliselwa ngosuku olulandelayo kuyunithi yosuku. 

Ukwelashwa nokunakekelwa kokulandelela kuncike ohlotsheni kanye nesigaba sesimo somdlavuza. Uma inqubo yenziwa kumuntu onomdlavuza, ingalandelwa izikhathi ze-chemotherapy ukuze kwandiswe amathuba okululama. 

Izingozi ezihlobene nalokhu kungenelela zihlobene:

• Nge-anesthesia: ingozi yokungezwani komzimba nomkhiqizo osetshenzisiwe;
• Unokutheleleka kwesilonda; 
• Ezimweni ezingavamile kakhulu, kubangela ileus ekhubazekile, okungukuthi, ukuboshwa kokuhamba kwamathumbu;
• Ngokukhethekile, ukuhlinzwa kungalimaza isakhiwo esizungezile: ukubhobozwa kwe-duodenum, isibonelo, ingxenye yokuqala yamathumbu amancane.