Mlembi: Randy Alexander
Tsiku La Chilengedwe: 27 Epulo 2021
Sinthani Tsiku: 18 Novembala 2024
Anonim
Kutsegula m'mimba - Thanzi
Kutsegula m'mimba - Thanzi

Zamkati

Kutsegula m'mimba

Gastrectomy ndikuchotsa gawo kapena m'mimba monse.

Pali mitundu itatu yayikulu ya gastrectomy:

  • Gastrectomy pang'ono ndikuchotsa gawo la m'mimba. Theka lakumunsi limachotsedwa nthawi zambiri.
  • Matenda athunthu ndikuchotsa m'mimba monse.
  • Dzanja lamimba ndikutulutsa mbali yakumanzere ya m'mimba. Izi nthawi zambiri zimachitidwa ngati gawo la opaleshoni yochepetsa thupi.

Kuchotsa m'mimba sikukulepheretsani kugaya zakumwa ndi zakudya. Komabe, mungafunike kusintha zina ndi zina pambuyo pa njirayi.

Chifukwa chomwe mungafunikire gastrectomy

Gastrectomy imagwiritsidwa ntchito pochiza mavuto am'mimba omwe samathandizidwa ndi mankhwala ena. Dokotala wanu angakulimbikitseni gastrectomy kuchiza:

  • zotupa zosaopsa, kapena zopanda khansa
  • magazi
  • kutupa
  • zotupa m'mimba
  • tizilombo tating'onoting'ono, kapena zophuka m'mimba mwanu
  • khansa ya m'mimba
  • zilonda zam'mimba kapena duodenal zilonda

Mitundu ina ya gastrectomy itha kugwiritsidwanso ntchito kuthana ndi kunenepa kwambiri. Pochepetsa m'mimba, chimadzaza mwachangu kwambiri. Izi zingakuthandizeni kudya pang'ono. Komabe, gastrectomy ndimankhwala oyenera a kunenepa kwambiri ngati zosankha zina zalephera. Mankhwala osakwanira ndi awa:


  • zakudya
  • kuchita masewera olimbitsa thupi
  • mankhwala
  • uphungu

Mitundu ya gastrectomy

Pali mitundu itatu yayikulu ya gastrectomy.

Gastrectomy pang'ono

Dokotala wanu akuchotsani theka la m'mimba mwanu mukamadwala pang'ono. Amathanso kuchotsa ma lymph node omwe ali pafupi ngati muli ndi maselo a khansa.

Pochita opaleshoniyi, dokotalayo amatseka duodenum yanu. Duodenum yanu ndi gawo loyamba la m'matumbo anu ang'onoang'ono omwe amalandira chakudya chochepa kuchokera m'mimba mwanu. Kenako, gawo lotsala la m'mimba mwanu lidzalumikizidwa ndi matumbo anu.

Kukonzekera kwathunthu

Amadziwikanso kuti gastrectomy yathunthu, njirayi imachotseratu m'mimba. Dokotala wanu adzalumikiza mimba yanu mwachindunji ndi m'mimba mwanu. Mimbayo imalumikiza kukhosi kwanu ndi mimba yanu.

Wamanja gastrectomy

Mpaka gawo limodzi mwa magawo atatu a mimba yanu akhoza kuchotsedwa pamanja la gastrectomy. Dokotala wanu amachepetsa mbali ya m'mimba mwanu kuti ikhale chubu. Izi zimapanga mimba yaying'ono, yayitali.


Momwe mungakonzekerere gastrectomy

Dokotala wanu adzaitanitsa kuyezetsa magazi ndi kuyezetsa magazi asanachitike opaleshoni. Izi zikuwonetsetsa kuti muli ndi thanzi lokwanira. Mudzakhalanso ndi thupi lathunthu komanso kuwunika mbiri yanu yazachipatala.

Mukamakusankhirani, uzani dokotala ngati mukumwa mankhwala aliwonse. Onetsetsani kuti mwaphatikizanso mankhwala owonjezera pa pepala ndi zowonjezera. Muyenera kusiya kumwa mankhwala musanachite opaleshoni.

Muyeneranso kuuza dokotala ngati muli ndi pakati, mukuganiza kuti mutha kukhala ndi pakati, kapena mungakhale ndi matenda ena, monga matenda ashuga.

Mukasuta ndudu, muyenera kusiya kusuta. Kusuta kumawonjezera nthawi yochulukirapo kuti achire. Zitha kupanganso zovuta zina, makamaka zomwe zimakhudzana ndi matenda ndi mavuto am'mapapo.

Momwe gastrectomy imagwirira ntchito

Pali njira ziwiri zochitira gastrectomy. Zonsezi zimachitidwa pansi pa anesthesia wamba. Izi zikutanthauza kuti mudzagona tulo tambiri panthawiyi ndipo simudzamva ululu uliwonse.


Opaleshoni yotseguka

Opaleshoni yotseguka imaphatikizapo kudula kamodzi kokha. Dokotala wanu amakoka khungu, minofu, ndi minofu kuti mufikire m'mimba mwanu.

Opaleshoni ya laparoscopic

Opaleshoni ya laparoscopic ndi opaleshoni yovuta kwambiri. Zimaphatikizapo kudula pang'ono ndi zida zapadera. Njirayi siyopweteka kwambiri ndipo imalola kuti munthu achire msanga. Amadziwikanso kuti "opaleshoni ya keyhole" kapena laparoscopically assisted gastrectomy (LAG).

LAG nthawi zambiri amakonda kutsegula opaleshoni. Ndi opaleshoni yotsogola kwambiri yomwe imakhala ndi zovuta zochepa.

Dokotala wanu angakulimbikitseni kuchitidwa opaleshoni yotsegula pa laparoscopic kuti muthane ndi zovuta zina, monga khansa ya m'mimba.

Kuopsa kwa gastrectomy

Zowopsa za gastrectomy ndi monga:

  • Reflux ya asidi
  • kutsegula m'mimba
  • gastric dumping syndrome, yomwe ndi mtundu wovuta wa maldigestion
  • Matenda a bala
  • matenda pachifuwa
  • kutuluka magazi mkati
  • kutuluka m'mimba pamalo opareshoni
  • nseru
  • kusanza
  • asidi m'mimba akuthamangira m'mimba mwanu, zomwe zimayambitsa zipsera, kuchepa, kapena kufinya (kukhazikika)
  • kutsekeka kwa matumbo ang'onoang'ono
  • mavitamini
  • kuonda
  • magazi
  • kuvuta kupuma
  • chibayo
  • kuwonongeka kwa nyumba zoyandikana

Onetsetsani kuti mwauza dokotala wanu za mbiri yanu ya zamankhwala komanso mankhwala omwe mumamwa. Tsatirani malangizo onse omwe mwapatsidwa kuti mukonzekere. Izi zidzachepetsa zoopsa zanu.

Pambuyo gastrectomy

Pambuyo pa gastrectomy, dokotala wanu adzatseka mawonekedwe anu ndi zokometsera ndipo chilondacho chidzamangidwanso. Mudzabweretsedwa kuchipinda kuchipatala kuti mukachiritse. Namwino amayang'anira zizindikiro zanu zofunika kuchira.

Mutha kuyembekeza kukhala mchipatala sabata limodzi kapena awiri atachitidwa opaleshoni. Munthawi imeneyi, mutha kukhala ndi chubu chothamangira m'mphuno mwanu kupita m'mimba. Izi zimathandiza dokotala wanu kuti achotse madzi aliwonse omwe amabwera m'mimba mwanu. Izi zimakuthandizani kuti musamve nseru.

Mudzadyetsedwa kudzera mu chubu m'mitsempha mwanu mpaka mutakonzeka kudya ndi kumwa mwachizolowezi.

Uzani dokotala wanu nthawi yomweyo ngati mukukula ndi zachilendo kapena zowawa zomwe sizikulamulidwa ndi mankhwala.

Zosintha m'moyo

Mukapita kunyumba, mungafunikire kusintha kadyedwe kanu. Zosintha zina zingaphatikizepo:

  • kudya zakudya zazing'ono tsiku lonse
  • kupewa zakudya zapamwamba kwambiri
  • kudya zakudya zokhala ndi calcium, ayironi, ndi mavitamini C ndi D ambiri
  • kumwa mavitamini owonjezera mavitamini

Kuchira kuchokera ku gastrectomy kumatha kutenga nthawi yayitali. Potsirizira pake, m'mimba mwanu ndi m'matumbo mwanu mungatambasuke. Kenako, mudzatha kudya michere yambiri ndikudya zakudya zokulirapo. Muyenera kuyezetsa magazi pafupipafupi pambuyo pa njirayi kuti muwonetsetse kuti mukupeza mavitamini ndi michere yokwanira.

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