Esophagectomy - kutulutsa

Munachitidwa opareshoni kuti muchotse gawo, kapena lonse, lanu (chotupa cha chakudya). Gawo lotsala la mimba yanu ndi m'mimba mwanu zinayanjananso.

Tsopano mukupita kunyumba, tsatirani malangizo a omwe amakuthandizani a zaumoyo momwe mungadzisamalire nokha kunyumba mukamachira. Gwiritsani ntchito zomwe zili pansipa ngati chikumbutso.

Ngati munachitidwa opaleshoni yogwiritsa ntchito laparoscope, adadulidwa pang'ono pang'ono m'mimba, pachifuwa, kapena m'khosi. Mukachitidwa opaleshoni yotseguka, zidutswa zazikulu zimapangidwa m'mimba, pachifuwa, kapena m'khosi.

Mutha kutumizidwa kunyumba ndi chubu lamadzi m'khosi mwanu. Izi zidzachotsedwa ndi dokotala wanu wochita opaleshoni mukamayendera ofesi.

Mutha kukhala ndi chubu chodyetsera kwa miyezi 1 kapena 2 mutachitidwa opaleshoni. Izi zidzakuthandizani kupeza ma calories okwanira kukuthandizani kunenepa. Mudzakhalanso ndi zakudya zapadera mukafika kunyumba.

Malo anu amatha kumasuka ndipo mutha kukhala ndi matumbo pafupipafupi kuposa opaleshoni.

Funsani dokotala wanu wa opaleshoni kuti ndiwotani kulemera komwe kungakhale kotetezeka kuti mukweze. Mutha kuuzidwa kuti musakweze kapena kunyamula chilichonse cholemera kuposa mapaundi 10 (4.5 kilogalamu).

Mutha kuyenda kawiri kapena katatu patsiku, kukwera kapena kutsika masitepe, kapena kukwera galimoto. Onetsetsani kuti mupumule mutakhala otanganidwa. Ngati zimakupweteketsani mukamachita zinazake, siyani kuchita izi.

Onetsetsani kuti nyumba yanu ndi yotetezeka pamene mukuchira. Mwachitsanzo, chotsani zoponya kuti muthe kugwa kapena kugwa. M'bafa, ikani mipiringidzo yachitetezo kuti ikuthandizeni kulowa ndi kutuluka mu kabati kapena shawa.

Dokotala wanu adzakupatsani mankhwala a mankhwala opweteka. Mudzaudzaze mukamachoka kunyumba kuchipatala kuti mukhale nawo nthawi yomwe mufunika. Tengani mankhwalawa mukayamba kumva ululu. Kuyembekezera motalika kwambiri kumapangitsa kuti ululu wanu uwonjezeke kuposa momwe uyenera kukhalira.

Sinthani mavalidwe (ma bandeji) anu tsiku lililonse mpaka dokotala wanu atakuuzani kuti simufunikiranso kusunga zomwe mwapanga.

Tsatirani malangizo a nthawi yomwe mungayambe kusamba. Dokotala wanu anganene kuti ndibwino kuchotsa mabala ndi kusamba ngati sutures (stitch), staples, kapena glue amagwiritsidwa ntchito kutseka khungu lanu. Osayesa kutsuka zingwe zopyapyala za tepi kapena guluu. Adzabwera paokha pafupifupi sabata limodzi.

MUSAMAKHALA mu bafa, mphika wotentha, kapena dziwe mpaka dokotala wanu atakuuzani kuti zili bwino.

Ngati muli ndi zikuluzikulu zazikulu, mungafunikire kuziyika pamiyendo mukatsokomola kapena poyetsemula. Izi zimathandiza kuchepetsa ululu.

Mwina mukugwiritsa ntchito chubu chodyetsera mukapita kunyumba. Mutha kuyigwiritsa ntchito nthawi yausiku yokha. Tepu yodyetsera siyisokoneza zochitika zanu zamasana. Tsatirani malangizo a dokotalayo pa zakudya ndi kadyedwe.

Tsatirani malangizo pochita masewera olimbitsa thupi mukafika kunyumba.

Ngati mumasuta ndipo mukuvutika kusiya, lankhulani ndi dokotala wanu za mankhwala omwe angakuthandizeni kusiya kusuta.Kulowa nawo pulogalamu yosuta fodya kungathandizenso.

Mutha kukhala ndi khungu pakhungu lanu. Tsatirani malangizo amomwe mungasamalire chubu ndi khungu loyandikana nalo.

Pambuyo pa opaleshoni, mufunika kutsatira mwatsatanetsatane:

• Mudzawona dokotala wanu 2 kapena 3 masabata mutabwerera kunyumba. Dokotala wanu amayang'ana mabala anu ndikuwona momwe mukugwiritsira ntchito zakudya zanu.
• Mudzakhala ndi x-ray kuti muwonetsetse kuti kulumikizana kwatsopano pakati pamimba ndi m'mimba kuli bwino.
• Mukakumana ndi katswiri wazakudya kuti adziwe zomwe mumadya ndi ma chubu anu.
• Mudzawona oncologist wanu, dokotala yemwe amachiza khansa yanu.

Itanani dokotala 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
• Mankhwala anu opweteka samathandiza kuchepetsa ululu wanu
• Ndipovuta kupuma
• Chifuwa chomwe sichichoka
• Simungamwe kapena kudya
• Khungu kapena gawo loyera la maso anu limasanduka chikasu
• Malo otayirira ndi otayirira kapena otsekula m'mimba
• Kusanza mukamaliza kudya.
• Kupweteka kwambiri kapena kutupa m'miyendo mwanu
• Kutentha kummero kwanu mukamagona kapena kugona

Trans-hiatal esophagectomy - kumaliseche; Trans-thoracic esophagectomy - kutulutsa; Kuchepetsa kuchepa kwa magazi - kutulutsa; En bloc esophagectomy - kutulutsa; Kuchotsa kum'mero ​​- kumaliseche

Donahue J, Carr SR. Esophagectomy yochepa kwambiri. Mu: Cameron JL, Cameron AM, olemba, eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 12. Philadelphia, PA: Elsevier; 2017: 1530-1534.

Spicer JD, Dhupar R, Kim JY, Sepesi B, Hofstetter W. Esophagus. Mu: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Maziko Achilengedwe a Njira Zamakono Zopangira Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 41.

• Khansa ya Esophageal
• Esophagectomy - wowononga pang'ono
• Esophagectomy - yotseguka
• Malangizo a momwe mungasiyire kusuta

• Chotsani zakudya zamadzi
• Zakudya ndi kudya pambuyo pa esophagectomy
• Gastrostomy yodyetsa chubu - bolus
• Thumba lodyetsera la Jejunostomy

• Khansa ya Esophageal
• Matenda a M'mimba