Kutulutsa pang'ono matumbo

Kutulutsa pang'ono matumbo ndikuchita opaleshoni kuti muchotse gawo lina la m'mimba mwanu. Zimachitika pamene gawo lina la m'mimba mwanu latsekeka kapena likudwala.

Matumbo ang'onoang'ono amatchedwanso matumbo ang'onoang'ono. Kugaya chakudya kwambiri (kuphwanya ndi kuyamwa michere) yazakudya zomwe mumadya kumachitika m'matumbo ang'onoang'ono.

Mudzalandira mankhwala ochititsa dzanzi pa nthawi yochitidwa opaleshoni. Izi zidzakupangitsani inu kugona ndi kumva ululu.

Kuchita opaleshoniyo kumatha kuchitidwa laparoscopically kapena ndi opaleshoni yotseguka.

Ngati muli ndi opaleshoni ya laparoscopic:

• Dokotalayo amapanga mabala 3 mpaka 5 m'mimba mwanu. Chida chamankhwala chotchedwa laparoscope chimalowetsedwa kudzera mwa mabala amodzi. Kukula kwake ndi chubu chowonda, chowala chomwe chili ndi kamera kumapeto. Amalola dokotalayo kuona mkati mwa mimba yanu. Zida zina zamankhwala zimalowetsedwa kudzera pakucheka kwina.
• Kudula masentimita awiri mpaka awiri (5 mpaka 7.6 masentimita) amathanso kupangidwa ngati dotolo wanu akuyenera kuyika dzanja lake m'mimba mwanu kuti amve matumbo kapena kuchotsa gawo lomwe linali ndi matenda.
• Mimba yanu imadzazidwa ndi mpweya wopanda vuto kuti mukulitse. Izi zimapangitsa kuti dotoloyu azitha kuwona komanso kugwira ntchito.
• Mbali yodwala yamatumbo anu aang'ono imapezeka ndikuchotsedwa.

Ngati muli ndi opaleshoni yotseguka:

• Dokotalayo amadula mainchesi 6 mpaka 8 (15.2 mpaka 20.3 masentimita) pakati pamimba.
• Mbali yodwala yamatumbo anu aang'ono imapezeka ndikuchotsedwa.

Mu mitundu yonse ya opaleshoni, njira zotsatirazi ndi izi:

• Ngati pali matumbo ang'onoang'ono athanzi, malekezero amalumikizidwa. Izi zimatchedwa anastomosis. Odwala ambiri achita izi.
• Ngati palibe matumbo ang'onoang'ono okwanira kuti agwirizanenso, dotolo wanu amatsegula chotchedwa stoma kudzera pakhungu la mimba yanu. Matumbo ang'ono amamangiriridwa kukhoma lakunja la mimba yanu. Chopondapo chimadutsa mu stoma kupita m'thumba lotulutsa madzi kunja kwa thupi lanu. Izi zimatchedwa ileostomy. Ileostomy ikhoza kukhala yayifupi kapena yosatha.

Kutulutsa matumbo ang'onoang'ono nthawi zambiri kumatenga maola 1 kapena 4.

Kugwiritsa ntchito matumbo ang'onoang'ono kumagwiritsidwa ntchito pochiza:

• Kutsekeka m'matumbo komwe kumayambitsidwa ndi minofu yoyera kapena kupunduka (kuyambira kubadwa)
• Kutuluka magazi, matenda, kapena zilonda zam'mimba zomwe zimayambitsidwa ndikutupa kwamatumbo ang'onoang'ono kuchokera kuzinthu monga matenda a Crohn
• Khansa
• Chotupa cha khansa
• Zovulala m'matumbo ang'onoang'ono
• Meckel diverticulum (thumba lomwe lili pakhoma la matumbo omwe amapezeka pobadwa)
• Zotupa zopanda khansa (zabwino)
• Tizilombo ting'onoting'ono khansa

Zowopsa za anesthesia ndi opaleshoni yonse ndi izi:

• Zomwe zimachitika ndi mankhwala
• Mavuto opumira
• Kuundana kwa magazi, kutuluka magazi, matenda

Zowopsa za opaleshoniyi ndi izi:

• Minyewa yolumikizira kudzera mu chekecha, yotchedwa hernia yotupa
• Kuwonongeka kwa ziwalo zapafupi m'thupi
• Kutsekula m'mimba
• Mavuto ndi ileostomy yanu
• Minofu yotupa yomwe imapanga m'mimba mwanu ndipo imayambitsa kutsekeka kwa matumbo anu
• Matenda amfupi (pamene m'matumbo ambiri amafunika kuchotsedwa), zomwe zingayambitse mavuto omwe amatenga michere ndi mavitamini ofunikira
• Kuchepa kwa magazi m'thupi
• Malekezero amatumbo anu omwe adasokedwa palimodzi amatha (anastomotic leak, omwe atha kukhala owopseza moyo)
• Kutsegula bala
• Matenda opweteka

Uzani dokotala wanu kapena namwino mankhwala omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala.

Lankhulani ndi dokotala wanu kapena namwino za momwe opareshoni angakhudzire:

• Kukondana komanso kugonana
• Mimba
• Masewera
• Ntchito

Pakati pa masabata awiri musanachite opareshoni:

• Mutha kufunsidwa kuti musiye kumwa mankhwala ochepetsa magazi. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), ndi ena.
• Funsani dokotalayo mankhwala omwe muyenera kumamwa patsiku la opareshoni yanu.
• Ngati mumasuta, yesetsani kusiya. Kusuta kumawonjezera ngozi yamavuto monga kuchira pang'onopang'ono. Funsani dokotala wanu kapena namwino kuti akuthandizeni kusiya.
• Uzani dokotala wanu nthawi yomweyo ngati mukudwala chimfine, malungo, malungo, kapena matenda ena musanachite opareshoni.
• Mutha kufunsidwa kuti mukonzekeretse matumbo kutsuka matumbo anu onse. Izi zitha kuphatikizira kukhala ndi chakudya chamadzimadzi kwamasiku ochepa ndikugwiritsa ntchito mankhwala ofewetsa tuvi tolimba.

Tsiku lisanachitike opaleshoni:

• Mutha kupemphedwa kuti muzimwa zakumwa zomveka bwino monga msuzi, madzi oyera, ndi madzi.
• Tsatirani malangizo okhudza nthawi yosiya kudya ndi kumwa.

Patsiku la opareshoni:

• Tengani mankhwala omwe dokotala wanu wakuuzani kuti mumamwe pang'ono.
• Fikani kuchipatala nthawi yake.

Mudzakhala mchipatala masiku atatu mpaka 7. Muyenera kukhala nthawi yayitali ngati opareshoni yanu inali yadzidzidzi.

Muyeneranso kukhala nthawi yayitali ngati matumbo anu ang'onoang'ono atachotsedwa kapena mukukhala ndi mavuto.

Pofika tsiku lachiwiri kapena lachitatu, mudzatha kumwa zakumwa zomveka bwino. Madzi owola kenako zakudya zofewa zidzawonjezedwa pamene matumbo anu ayambanso kugwira ntchito.

Ngati matumbo anu ang'onoang'ono adachotsedwa, mungafunike kulandira zakudya zamadzimadzi kudzera mumtsempha (IV) kwakanthawi. IV yapadera idzaikidwa m'khosi mwako kapena pachifuwa chapamwamba kuti mupereke zakudya.

Mukapita kunyumba, tsatirani malangizo amomwe mungadzisamalire mukamachira.

Anthu ambiri omwe ali ndi matumbo ang'onoang'ono amachira bwino. Ngakhale ndi ileostomy, anthu ambiri amatha kuchita zomwe anali kuchita asanachite opareshoni. Izi zimaphatikizapo masewera ambiri, maulendo, kulima, kukwera mapiri, ndi zina zakunja, ndi mitundu yambiri ya ntchito.

Ngati gawo lalikulu la m'matumbo anu ang'ono lidachotsedwa, mutha kukhala ndi mavuto ndi zotchinga komanso kupeza michere yokwanira kuchokera pachakudya chomwe mumadya.

Ngati muli ndi vuto lalitali, monga khansa, matenda a Crohn kapena ulcerative colitis, mungafunike chithandizo chamankhwala nthawi zonse.

Kuchita opaleshoni yaying'ono yamatumbo; Matumbo resection - matumbo aang'ono; Kukhazikitsanso gawo la m'matumbo ang'ono; Enterectomy

• Chitetezo cha bafa cha akulu
• Zakudya za Bland
• Matenda a Crohn - kutulutsa
• Ileostomy ndi mwana wanu
• Ileostomy ndi zakudya zanu
• Ileostomy - kusamalira stoma yanu
• Ileostomy - kusintha thumba lanu
• Ileostomy - kumaliseche
• Ileostomy - zomwe mungafunse dokotala wanu
• Zakudya zochepa
• Kupewa kugwa
• Kutulutsa pang'ono matumbo - kutulutsa
• Chisamaliro cha bala la opaleshoni - chotseguka
• Mitundu ya ileostomy
• Anam`peza matenda am`matumbo - kumaliseche
• Mukakhala ndi nseru ndi kusanza

• Kubwezeretsa matumbo ang'ono - mndandanda

Ma Albers BJ, a Lamon DJ. Kukonza matumbo ang'ono / resection. Mu: Baggish MS, Karram MM, olemba. Atlas of Pelvic Anatomy and Gynecologic Opaleshoni. Wolemba 4. Philadelphia, PA: Elsevier; 2016: chap 95.

DiBrito SR, Duncan M. Kuwongolera kutsekeka kwakanthawi kochepa. Mu: Cameron JL, Cameron AM, olemba, eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 12. Philadelphia, PA: Elsevier; 2017: 109-113.

Harris JW, Evers BM. Matumbo aang'ono. Mu: Townsend CM Jr, 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 49.