Meckel diverticulectomy

Meckel diverticulectomy ndi opareshoni yochotsa kathumba kosazolowereka kamatumbo kakang'ono (matumbo). Chikwama ichi chimatchedwa Meckel diverticulum.

Mukalandira opaleshoni musanachite opaleshoni. Izi zidzakupangitsani kugona ndi kulephera kumva ululu.

Ngati muli ndi opaleshoni yotseguka:

• Dokotala wanu adzadula kwambiri m'mimba mwanu kuti atsegule malowa.
• Dokotala wanu amayang'ana m'matumbo ang'onoang'ono komwe kuli thumba kapena diverticulum.
• Dokotala wanu adzachotsa diverticulum pakhoma la m'mimba mwanu.
• Nthawi zina, dokotalayo angafunike kuchotsa kachigawo kakang'ono ka matumbo anu limodzi ndi diverticulum. Izi zikachitika, matumbo anu otseguka adzasokedwa kapena kulumikizidwa. Njirayi imatchedwa anastomosis.

Madokotala ochita opaleshoni amathanso kuchita opaleshoniyi pogwiritsa ntchito laparoscope. Laparoscope ndi chida chomwe chimawoneka ngati telescope yaying'ono yokhala ndi kuwala komanso kanema wa kanema. Imaikidwa m'mimba mwanu kudzera pocheka pang'ono. Kanema wochokera pakamera amapezeka pamakina opangira opangira. Izi zimathandiza dokotalayo kuti aziwona mkati mwa mimba yanu panthawi ya opaleshoni.

Pochita opaleshoni pogwiritsa ntchito laparoscope:

• Mabala ang'onoang'ono atatu kapena asanu amapangidwa m'mimba mwanu. Kamera ndi zida zina zing'onozing'ono zidzajambulidwa kudzera muzidutsazi.
• Dokotala wanu amathanso kudula pakati (masentimita 5 mpaka 7.6) kuti atambasule dzanja, ngati kuli kofunikira.
• Mimba yanu idzadzazidwa ndi mpweya wololeza dokotalayo kuti awone malowa ndikuchita opaleshoniyi ndi malo ambiri ogwirira ntchito.
• Diverticulum imagwiritsidwa ntchito monga tafotokozera pamwambapa.

Chithandizo chofunikira popewa:

• Magazi
• Kutsekeka kwa matumbo (kutsekeka m'matumbo mwanu)
• Matenda
• Kutupa

Chizindikiro chofala kwambiri cha Meckel diverticulum ndikutuluka magazi kosapweteka kuchokera kumatumbo. Malo anu akhoza kukhala ndi magazi atsopano kapena amawoneka akuda ndikuchedwa.

Zowopsa za anesthesia ndi opaleshoni yonse ndi izi:

• Thupi lawo siligwirizana ndi mankhwala kapena mavuto kupuma
• Kukhetsa magazi, magazi kuundana, kapena matenda

Zowopsa za opaleshoniyi ndi izi:

• Kuwonongeka kwa ziwalo zapafupi m'thupi.
• Matenda a zilonda kapena bala limatseguka pambuyo poti achite opaleshoni.
• Minyewa yotupa kudzera pakucheka kwa opaleshoni. Izi zimatchedwa nthenda yotsekemera.
• Mphepete mwa matumbo anu omwe amasokedwa kapena kulumikizidwa pamodzi (anastomosis) atha kutseguka. Izi zitha kuyambitsa mavuto owopsa.
• Dera lomwe matumbo amamangiriridwa palimodzi limatha kupunduka ndikupanga kutsekeka kwa m'matumbo.
• Kutsekeka kwa m'matumbo kumatha kuchitika pambuyo pake chifukwa chotsatira zomangika za opaleshoniyo.

Uzani dokotala wanu wa opaleshoni:

• Ngati muli ndi pakati kapena mutha kukhala ndi pakati
• Ndi mankhwala ati omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala

M'masiku asanachitike opaleshoni yanu:

• Mutha kufunsidwa kuti musiye kumwa magazi ochepa. Izi zikuphatikiza ma NSAID (aspirin, ibuprofen), vitamini E, warfarin (Coumadin), dabigatran (Pradaxa), rivaroxaban powder (Xarelto), apixaban (Eliquis), ndi clopidogrel (Plavix).
• Funsani dokotala wanu za mankhwala omwe muyenera kumamwa patsiku la opaleshonilo.
• Ngati mumasuta, yesetsani kusiya. Funsani dokotala wanu kapena namwino kuti akuthandizeni kusiya.

Patsiku la opareshoni yanu:

• Tsatirani malangizo a dokotala anu za nthawi yosiya kudya ndi kumwa.
• Tengani mankhwala omwe munauzidwa kuti mumwe ndikumwa madzi pang'ono.
• Fikani kuchipatala nthawi yake.

Anthu ambiri amakhala mchipatala kwa masiku 1 mpaka 7 kutengera momwe opaleshoniyi idakulira. Munthawi imeneyi, othandizira azaumoyo adzakuwunikirani mosamala.

Chithandizo chingaphatikizepo:

• Mankhwala opweteka
• Lumikizani mphuno zanu m'mimba mwanu kuti mutulutse m'mimba mwanu ndikuchepetsa nseru ndi kusanza

Mudzapatsidwanso madzi kudzera mumtsempha (IV) mpaka wokuthandizaniwo akamve kuti ndinu okonzeka kuyamba kumwa kapena kudya. Izi zitha kuchitika tsiku lotsatira opaleshoni.

Muyenera kutsatira dotolo wanuwo patatha sabata limodzi kapena awiri mutachitidwa opaleshoni.

Anthu ambiri omwe achita opaleshoniyi amakhala ndi zotsatira zabwino. Koma zotsatira za opaleshoni iliyonse zimadalira thanzi lanu lonse. Lankhulani ndi dokotala wanu za zomwe mukuyembekezera.

Meckel diverticulectomy; Meckel diverticulum - opaleshoni; Meckel diverticulum - kukonza; Kutuluka kwa GI - Meckel diverticulectomy; Kutuluka m'mimba - Meckel diverticulectomy

• Chisamaliro cha bala la opaleshoni - chotseguka

• Diverticulectomy ya Meckel - mndandanda

Fransman RB, Harmon JW. Kuwongolera kwa diverticulosis yamatumbo ang'onoang'ono. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 143-145.

Harris JW, Evers BM. Matumbo aang'ono. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 49.