Opaleshoni ya anti-reflux - kutulutsa

Munachitidwa opareshoni kuti muchiritse matenda anu a gastroesophageal reflux (GERD). GERD ndimavuto omwe amachititsa chakudya kapena madzi kutuluka m'mimba mwanu kupita m'mimba mwanu (chubu chomwe chimanyamula chakudya kuchokera mkamwa mwanu kupita m'mimba mwanu).

Tsopano popita kwanu, onetsetsani kuti mukutsatira malangizo a dokotala wanu momwe mungadzisamalire.

Ngati mutakhala ndi vuto lodziwika bwino, limakonzedwa. Chingwe chobadwira chimayamba pomwe kutseguka kwachilengedwe mu diaphragm yanu ndi kwakukulu kwambiri. Diaphragm yanu ndiyo gawo losanjikiza pakati pa chifuwa ndi mimba. Mimba yanu itha kuphulika kudzera mu bowo lalikululi pachifuwa panu. Kutupa uku kumatchedwa kuti hernia. Zingapangitse kuti matenda a GERD awonjezeke.

Dokotala wanu adakulunganso gawo lakumtunda chakumapeto kwa chifuwa chanu kuti apange kukakamiza kumapeto kwa mimba yanu. Kupanikizaku kumathandiza kupewa asidi wam'mimba komanso chakudya kuti chisabwerenso.

Opaleshoni yanu idachitidwa ndikudula m'mimba mwanu (opaleshoni yotseguka) kapena pang'ono pang'ono pogwiritsa ntchito laparoscope (chubu chochepa kwambiri chokhala ndi kamera yaying'ono kumapeto).

Anthu ambiri amabwerera kuntchito masabata awiri kapena atatu atachitidwa opaleshoni ya laparoscopic ndi masabata 4 mpaka 6 atachitidwa opaleshoni yotseguka.

Mutha kukhala ndi nkhawa mukameza kwamasabata 6 mpaka 8. Izi zimachokera pakatupa mkati mwanu. Muthanso kukhala ndi zotupa.

Mukabwerera kunyumba, mudzamwa zakumwa zoonekeratu zamadzi kwa milungu iwiri. Mudzakhala ndi chakudya chokwanira chamadzi pafupifupi milungu iwiri zitachitika izi, kenako chakudya chofewa.

Pa zakudya zamadzi:

• Yambani ndi madzi pang'ono, pafupifupi 1 chikho (237 mL) nthawi imodzi. Sip. Osamamwa. Imwani zakumwa nthawi zambiri masana mutachitidwa opaleshoni.
• Pewani zakumwa zoziziritsa kukhosi.
• Musamwe zakumwa za kaboni.
• Osamwa kudzera m'mitengo (imatha kubweretsa mpweya m'mimba mwanu).
• Swani mapiritsi ndi kuwamwa ndi zakumwa mwezi woyamba mutachitidwa opaleshoni.

Mukamadya zakudya zolimba, fufutani bwino. Osadya zakudya zozizira. Osadya zakudya zomwe zimakhazikika, monga mpunga kapena mkate. Idyani chakudya chochepa kangapo patsiku m'malo mwazakudya zazikulu zitatu.

Dokotala wanu adzakupatsani mankhwala a mankhwala opweteka. Mudzaudzaze mukamapita kunyumba kuti mukakhale nawo nthawi yomwe mufunika. Imwani mankhwala anu opweteka musanapweteke kwambiri.

• Ngati muli ndi ululu wamafuta, yesetsani kuyenda kuti muchepetse.
• Osayendetsa galimoto, kugwiritsa ntchito makina aliwonse, kapena kumwa mowa mukamamwa mankhwala opweteka. Mankhwalawa amatha kukupangitsani kusinza ndipo kuyendetsa galimoto kapena kugwiritsa ntchito makina sikuli bwino.

Yendani kangapo patsiku. Osakweza chilichonse cholemera kuposa mapaundi 10 (pafupifupi galoni la mkaka; 4.5 kg). Osachita kukankha kapena kukoka kulikonse. Onjezani pang'onopang'ono zomwe mumachita pakhomo. Dokotala wanu angakuuzeni nthawi yomwe mungakulitse zochita zanu ndikubwerera kuntchito.

Samalani bala lanu (incision):

• Ngati mutagwiritsa ntchito sutures (stitch), staples, kapena glue kuti mutseke khungu lanu, mutha kuchotsa mabatani (ndikumanga mabandeji) ndikusamba tsiku lotsatira opaleshoni.
• Ngati zingwe zama tepi zimagwiritsidwa ntchito kutseka khungu lanu, tsekani mabalawo ndi kukulunga pulasitiki musanasambe sabata yoyamba. Lembani m'mbali mwa pulasitiki mosamala kuti madzi asatuluke. Osayesa kutsuka zidutswazo. Adzagwa okha patatha pafupifupi sabata.
• Osalowerera mu bafa kapena kabati yotentha, kapena kusambira, mpaka dokotala atakuwuzani kuti zili bwino.

Imbani wothandizira zaumoyo wanu ngati muli ndi izi:

• Kutentha kwa 101 ° F (38.3 ° C) kapena kupitilira apo
• Zowonongeka zimatuluka magazi, zofiira, zotentha mpaka kukhudza, kapena zimakhala ndi ngalande yakuda, yachikasu, yobiriwira, kapena yamkaka
• Belly amatupa kapena kupweteka
• Kusuta kapena kusanza kwa maola opitilira 24
• Mavuto akumeza omwe amakulepheretsani kudya
• Mavuto kumeza omwe samatha pakatha milungu iwiri kapena itatu
• Mankhwala opweteka sikuthandiza ululu wanu
• Kuvuta kupuma
• Chifuwa chomwe sichichoka
• Simungamwe kapena kudya
• Khungu kapena gawo loyera la maso anu limasanduka chikasu

Kubweza ndalama - kutulutsa; Kusamalidwa kwa Nissen - kutulutsa; Belsey (Mark IV) kugwiritsa ntchito ndalama - kutulutsa; Toupet fundoplication - kutulutsa; Thal fundoplication - kutulutsa; Hiatal chophukacho kukonza - kumaliseche; Endoluminal fundoplication - kumaliseche; GERD - kutulutsa ndalama; Gastroesophageal Reflux matenda - kutulutsa ndalama

Katz PO, Gerson LB, Vela MF. Ndondomeko zakuwunika ndikuwunika kwa matenda am'mimba a reflux am'mimba. Ndine J Gastroenterol. 2013; 108 (3): 308-328. (Adasankhidwa) PMID: 23419381 pubed.ncbi.nlm.nih.gov/23419381/.

Richter JE, Vaezi MF. Matenda a reflux am'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 46.

Yates RB, Oelschlager BK. Matenda a reflux a gastroesophageal ndi hernia wobereka. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 21. St Louis, MO: Elsevier; 2022: chaputala 43.

• Opaleshoni ya anti-reflux
• Opaleshoni ya anti-reflux - ana
• Esophageal stricture - chosaopsa
• Kutsegula m'mimba
• Matenda a reflux am'mimba
• Kutentha pa chifuwa
• Chala cha Hiatal

• Zakudya za Bland
• Reflux ya gastroesophageal - kutulutsa
• Kutentha pa chifuwa - zomwe mungafunse dokotala wanu

• GERD kutanthauza dzina