Kutsegula m'mimba

Gastrectomy ndi opaleshoni yochotsa gawo kapena m'mimba monse.

• Ngati gawo limodzi la m'mimba lichotsedwa, limatchedwa pang'ono gastrectomy
• Ngati mmimba wonse wachotsedwa, umatchedwa kuti gastrectomy wathunthu

Kuchita opareshoni kumachitika mukakhala kuti muli ndi anesthesia (mukugona komanso kumva kupweteka). Dokotalayo amadula pamimba ndikuchotsa zonse kapena gawo m'mimba, kutengera chifukwa cha njirayi.

Kutengera gawo lomwe m'mimba mudachotsedwa, matumbo angafunikire kulumikizidwanso m'mimba yotsala (pang'ono gastrectomy) kapena kummero (kwathunthu gastrectomy).

Masiku ano, madokotala ena opaleshoni amachita gastrectomy pogwiritsa ntchito kamera. Kuchita opaleshoniyi, komwe kumatchedwa laparoscopy, kumachitika ndi mabala ochepa opangira opaleshoni. Ubwino wa opaleshoniyi ndikumachira mwachangu, kupweteka pang'ono, ndikucheka pang'ono.

Opaleshoni iyi imagwiritsidwa ntchito kuthana ndi mavuto am'mimba monga:

• Magazi
• Kutupa
• Khansa
• Tizilombo toyambitsa matenda (kukula pamimba m'mimba)

Zowopsa za anesthesia ndi maopareshoni ambiri ndi monga:

• Zomwe zimachitika chifukwa cha mankhwala kapena mavuto ampweya
• Kukhetsa magazi, magazi kuundana, kapena matenda

Zowopsa za opaleshoniyi ndi izi:

• Kutuluka kulumikizana ndi matumbo komwe kumatha kuyambitsa matenda kapena abscess
• Kulumikizana kwa m'matumbo kumachepetsa, kuchititsa kutsekeka

Ngati mumasuta, muyenera kusiya kusuta milungu ingapo musanachite opareshoni ndipo osayambiranso kusuta pambuyo pa opaleshoni. Kusuta kumachedwetsa kuchira ndikuwonjezera mavuto. Uzani wothandizira zaumoyo wanu ngati mukufuna thandizo kuti musiye.

Uzani dokotala kapena namwino wanu:

• Ngati muli ndi pakati kapena mutha kukhala ndi pakati
• Ndi mankhwala ati, mavitamini, zitsamba, ndi zina zowonjezera zomwe mukugwiritsa ntchito, ngakhale zomwe mwagula popanda mankhwala

Sabata isanachitike 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 wa mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Konzani nyumba yanu mukamapita kunyumba mukatha opaleshoni. Khazikitsani nyumba yanu kuti moyo wanu ukhale wosavuta komanso wotetezeka mukamabwerera.

Patsiku la opareshoni yanu:

• Tsatirani malangizo osadya kapena kumwa.
• Tengani mankhwala omwe dokotala wanu wakuuzani kuti mumamwe pang'ono.
• Fikani kuchipatala nthawi yake.

Mutha kukhala mchipatala masiku 6 mpaka 10.

Pambuyo pa opareshoni, pakhoza kukhala ndi chubu m'mphuno mwanu chomwe chingakuthandizeni kusunga m'mimba mwanu. Amachotsedwa matumbo anu atayamba kugwira ntchito bwino.

Anthu ambiri amamva ululu chifukwa cha opaleshoniyi. Mutha kulandira mankhwala amodzi kapena kuphatikiza mankhwala kuti muchepetse ululu wanu. Uzani omwe amakupatsani mwayi ukamakhala kuti mukumva kuwawa komanso ngati mankhwala omwe mumalandira amathandizira kupweteka kwanu.

Momwe mumachitira mutachitidwa opaleshoni zimadalira chifukwa cha opareshoniyo ndi matenda anu.

Funsani dokotala wanu ngati pali zinthu zina zomwe simuyenera kuchita mukapita kunyumba. Zitha kutenga milungu ingapo kuti muyambe kuchira. Mukamamwa mankhwala opweteka a narcotic, simuyenera kuyendetsa.

Opaleshoni - kuchotsa m'mimba; Gastrectomy - okwana; Gastrectomy - tsankho; Khansa yam'mimba - gastrectomy

• Gastrectomy - mndandanda

Antiporda M, Reavis KM.Gastrectomy. Mu: Delaney CP, Mkonzi. Netter's Surgical Anatomy and Approaches. Wachiwiri ed. Philadelphia, PA: Elsevier; 2021: mutu 8.

Teitelbaum EN, Hungness ES, Mahvi DM. Mimba. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: chap 48.