Kukonzekera kwa m'mimba

Kukonzekera kwa m'mimba ndiko opaleshoni kuti athetse vuto la matumbo. Kutsekeka kwa matumbo kumachitika pamene zomwe zili m'matumbo sizingadutse ndikutuluka m'thupi. Kulepheretsa kwathunthu ndizodzidzimutsa za opaleshoni.

Kukonzekera kwa m'mimba kumachitika mukakhala kuti muli ndi anesthesia. Izi zikutanthauza kuti mukugona ndipo simukumva kuwawa.

Dokotalayo amadula m'mimba mwanu kuti awone matumbo anu. Nthawi zina, opaleshoniyi imatha kugwiritsidwa ntchito pogwiritsa ntchito laparoscope, zomwe zikutanthauza kuti kudula pang'ono kumagwiritsidwa ntchito.

Dokotalayo amapeza malo am'matumbo (matumbo) omwe ali otsekedwa ndikutsegulira.

Mbali zilizonse zomwe zawonongeka m'matumbo anu zidzakonzedwa kapena kuchotsedwa. Njirayi imatchedwa matumbo resection. Ngati gawo litachotsedwa, malekezero athanzi adzalumikizidwanso ndi zomangirira kapena zofunikira. Nthawi zina, gawo la m'matumbo likachotsedwa, malekezero sangathe kulumikizananso. Izi zikachitika, dokotalayo amatulutsa mapeto ake kudzera pabowo la m'mimba. Izi zitha kuchitika pogwiritsa ntchito colostomy kapena ileostomy.

Njirayi yachitika kuti muchepetse kutsekeka m'matumbo mwanu. Kutsekeka komwe kumatenga nthawi yayitali kumatha kuchepetsa kapena kuletsa kuthamanga kwa magazi kuderalo. Izi zitha kupangitsa kuti matumbo afe.

Zowopsa za anesthesia ndi maopareshoni ambiri ndi monga:

• Zomwe zimachitika ndi mankhwala, mavuto ampweya
• Kukhetsa magazi, magazi kuundana, matenda

Zowopsa za njirayi:

• Kutsekeka kwa matumbo pambuyo pa opaleshoni
• Kuwonongeka kwa ziwalo zapafupi m'thupi
• Mapangidwe a zilonda zofiira (zomatira)
• Zilonda zambiri m'mimba mwanu ndikupangitsa kutsekeka kwa matumbo anu mtsogolo
• Kutsegula m'mbali mwa matumbo anu omwe asokedwa pamodzi (kutaya kwa anastomotic), komwe kumatha kuyambitsa mavuto owopsa
• Mavuto ndi colostomy kapena ileostomy
• Kuuma ziwalo kwakanthawi (kuzizira) kwa matumbo (ileus wodwala manjenje)

Zimatenga nthawi yayitali bwanji kuti mupeze bwino zimadalira thanzi lanu komanso mtundu wa opareshoni.

Zotsatirazo nthawi zambiri zimakhala zabwino ngati choletsedwacho chithandizidwa magazi asanakhudzidwe.

Anthu omwe adachitidwa maopaleshoni ambiri m'mimba amatha kupanga zilonda zam'mimba. Amakhala ndi zotsekula m'mimba mtsogolo.

Kukonza volvulus; Matumbo a m'mimba - kukonza; Kutsekeka kwa matumbo - kukonza

• Zakudya za Bland
• Kusintha thumba lanu la ostomy
• Ileostomy ndi zakudya zanu
• Ileostomy - kusamalira stoma yanu
• Ileostomy - kusintha thumba lanu
• Ileostomy - kumaliseche
• Ileostomy - zomwe mungafunse dokotala wanu
• Kutsekula m'mimba kapena matumbo - kutulutsa
• Zakudya zochepa
• Chisamaliro cha bala la opaleshoni - chotseguka
• Mitundu ya ileostomy
• Mukakhala ndi nseru ndi kusanza

• Kukangana - x-ray
• Asanachitike komanso pambuyo pake matumbo ang'onoang'ono anastomosis
• Kutsekeka kwamatumbo (ana) - mndandanda
• Kukonzekera kwa m'matumbo - mndandanda

Gearhart SL, MP wa Kelley. Kuwongolera kutsekeka kwakukulu kwa matumbo. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 202-207.

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon ndi rectum. 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 51.

Muyenera WC, Turnage RH. Kutsekula m'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 123.