Opaleshoni ya Hiatal Hernia

Zamkati

• Kodi cholinga cha opareshoni ya hernia yobadwa ndi chiyani?
• Kodi mungakonzekere bwanji opaleshoni yapa hernia?
• Kodi opaleshoni ya hernia yodziwika bwino imachitika bwanji?
• Tsegulani kukonza
• Laparoscopic kukonza
• Endoluminal fundoplication
• Kodi njira yochira imakhala yotani?
• Kusunga nthawi
• Kodi malingaliro a opareshoni ya nthendayi ndi otani?

Chidule

Hernia woberekera ndi pamene gawo la m'mimba limakulira kudzera m'mitsempha ndikufika pachifuwa. Itha kuyambitsa kwambiri acid reflux kapena GERD. Nthawi zambiri, izi zimatha kuchiritsidwa ndi mankhwala. Ngati izo sizigwira ntchito, ndiye kuti dokotala wanu atha kupereka opareshoni ngati njira.

Mtengo wa opaleshoni ya hernia woberekera umasiyana kutengera dotolo, komwe mumakhala, komanso inshuwaransi yomwe muli nayo. Mtengo wopanda inshuwaransi wa njirayi pafupifupi ndi $ 5,000 ku United States. Komabe, ndalama zowonjezera zitha kuchitika panthawi yomwe mukuchira ngati mukukumana ndi zovuta.

Kodi cholinga cha opareshoni ya hernia yobadwa ndi chiyani?

Kuchita opareshoni kumatha kukonzetsa chophukacho chobadwira mwa kukokera m'mimba mwanu m'mimba ndikupangitsa kutseguka kwa chifanizo kukhala chochepa. Njirayi imaphatikizaponso opaleshoni yokonzanso ma esophageal sphincter kapena kuchotsa matumba a hernial.

Komabe, sikuti aliyense amene ali ndi vuto lodziwika bwino lomwe amafunika kuchitidwa opaleshoni. Opaleshoni nthawi zambiri imasungidwa kwa anthu omwe ali ndi milandu yayikulu yomwe sanayankhe bwino kuchipatala.

Ngati muli ndi zizindikiro zowopsa chifukwa cha nthenda ya hernia, ndiye kuti opaleshoni ndiyo njira yanu yokhayo. Zizindikirozi zitha kuphatikiza:

• magazi
• zipsera
• zilonda
• kuchepetsa kholingo

Kuchita opaleshoniyi kuli ndi pafupifupi 90 peresenti yopambana. Komabe, pafupifupi 30 peresenti ya anthu adzakhala ndi zizindikiro za reflux zobwerera.

Kodi mungakonzekere bwanji opaleshoni yapa hernia?

Dokotala wanu adzakupatsani zonse zomwe mukufuna kuti mukonzekere opaleshoni yanu. Kukonzekera kumaphatikizapo:

• kuyenda 2 mpaka 3 miles patsiku
• kuchita masewera olimbitsa thupi kangapo patsiku
• osasuta milungu 4 asanachite opareshoni
• osamwa clopidogrel (Plavix) kwa sabata limodzi asanachite opareshoni
• osatenga ma nonsteroidal anti-inflammatories (NSAIDs) sabata imodzi asanakachite opareshoni

Nthawi zambiri, chakudya chomveka bwino chamadzi sichofunikira pa opaleshoniyi. Komabe, simungadye kapena kumwa kwa maola osachepera 12 opaleshoniyo isanachitike.

Kodi opaleshoni ya hernia yodziwika bwino imachitika bwanji?

Kuchita ma Hiatal kumatha kuchitidwa ndikukonzekera momasuka, kukonza laparoscopic, komanso kupangira ndalama kumapeto. Zonse zimachitidwa pansi pa anesthesia ndipo zimatenga maola awiri kapena atatu kuti amalize.

Tsegulani kukonza

Kuchita opaleshoniyi kumakhala kovuta kwambiri kuposa kukonza laparoscopic. Pochita izi, dotolo wanu amakupangirani gawo limodzi lalikulu pamimba. Kenako, amakokera m'mimba m'malo mwawo ndikukulunga pamanja mozungulira gawo lakumunsi kuti apange sphincter yolimba. Dokotala wanu angafunikire kuyika chubu m'mimba mwanu kuti musayime. Ngati ndi choncho, chubu imayenera kuchotsedwa m'masabata awiri kapena anayi.

Laparoscopic kukonza

Pokonzanso laparoscopic, kuchira kumafulumira ndipo kumachepetsa chiopsezo chotenga kachilombo chifukwa njirayi siyowopsa. Dokotala wanu amapanga zidutswa zitatu mpaka zisanu m'mimba. Adzaika zida zopangira maopareshoni kudzera pazinthu izi. Wotsogozedwa ndi laparoscope, yomwe imatumiza zithunzi za ziwalo zamkati kukawona, dokotala wanu amakokera m'mimba kubwerera m'mimba momwe muli. Kenako adzakulunga kumtunda kwa m'mimba mozungulira gawo lakumunsi kwa kum'mero, komwe kumapangitsa kuti sphincter yolimba isamangidwe.

Endoluminal fundoplication

Endoluminal fundoplication ndi njira yatsopano, ndipo ndiyo njira yocheperako. Palibe zomwe zingachitike. M'malo mwake, dokotalayo amaika endoscope, yomwe ili ndi kamera yowala, kudzera pakamwa panu mpaka kummero. Kenako amaika tating'ono tating'ono pomwe mimba imakumana ndi kholingo. Izi zidutswa zitha kuthandiza kupewa asidi wam'mimba ndi chakudya kuti zisamayimeze.

Kodi njira yochira imakhala yotani?

Mukamachira, mumapatsidwa mankhwala omwe muyenera kumwa ndi chakudya chokha. Anthu ambiri amamva kuwawa kapena kuwotcha pafupi ndi tsamba lanthuli, koma kumva kwakanthawi. Itha kuthandizidwa ndi ma NSAID, kuphatikiza zosankha zotsatsa monga ibuprofen (Motrin).

Mukatha kuchitidwa opareshoni, muyenera kusamba pang'ono ndi sopo tsiku lililonse. Pewani malo osambira, maiwe, kapena malo otentha, ndipo musamangokhalira kusamba. Mudzakhalanso ndi zakudya zoletsedwa zomwe zimathandiza kuti mimba isapitirire. Zimaphatikizapo kudya zakudya zazing'ono 4 mpaka 6 patsiku m'malo mwa zazikulu zitatu. Nthawi zambiri mumayamba kudya zakudya zamadzimadzi, kenako kenako mumapita kuzakudya zofewa monga mbatata yosenda ndi mazira oswedwa.

Muyenera kupewa:

• kumwa kudzera mu udzu
• zakudya zomwe zingayambitse gasi, monga chimanga, nyemba, kabichi, ndi kolifulawa
• zakumwa za kaboni
• mowa
• zipatso
• mankhwala a phwetekere

Dokotala wanu angakupatseni machitidwe opumira ndi kutsokomola kuti muthandize kulimbitsa utoto. Muyenera kuchita izi tsiku lililonse, kapena malinga ndi malangizo a dokotala.

Mukangotha, muyenera kuyenda pafupipafupi kuti magazi asagundane m'miyendo yanu.

Kusunga nthawi

Chifukwa uku ndi opaleshoni yayikulu, kuchira kwathunthu kumatha kutenga masabata 10 mpaka 12. Izi zikunenedwa, mutha kuyambiranso zochitika zachizolowezi posachedwa kuposa masabata 10 mpaka 12.

Mwachitsanzo, mutha kuyambiranso kuyendetsa galimoto mukangomaliza mankhwala opweteka a narcotic. Malingana ngati ntchito yanu sinali yotopetsa, mutha kuyambiranso kugwira ntchito pafupifupi 6 mpaka masabata a 8. Kuti mupeze ntchito zolemetsa zomwe zimafunikira kugwira ntchito mwakhama, zitha kukhala pafupi miyezi itatu musanabwerere.

Kodi malingaliro a opareshoni ya nthendayi ndi otani?

Nthawi yakuchira ikadatha, kutentha kwa mtima kwanu ndi zizindikiritso zanu zimatha. Dokotala wanu angakulimbikitseni kuti mupewe zakudya ndi zakumwa zomwe zingayambitse zizindikiro za GERD, monga zakudya za acidic, zakumwa za kaboni, kapena mowa.