Zamgululi

Zamkati

• Kodi pyloroplasty ndi chiyani?
• Chifukwa chiyani zimachitika?
• Zimatheka bwanji?
• Opaleshoni yotseguka
• Opaleshoni ya laparoscopic
• Kodi kuchira kuli bwanji?
• Kodi pali zoopsa zilizonse?
• Kutaya m'mimba
• Mfundo yofunika

Kodi pyloroplasty ndi chiyani?

Pyloroplasty ndi opaleshoni kuti ikule pylorus. Uku ndikutseguka chakumapeto kwa m'mimba komwe kumalola chakudya kulowa mu duodenum, gawo loyamba la m'mimba.

Pylorus yazunguliridwa ndi pyloric sphincter, gulu lolimba laminyewa yosalala yomwe imapangitsa kuti izitseguka ndikutseka magawo ena am'mimba. Pylorus nthawi zambiri imachepetsa mpaka pafupifupi inchi imodzi m'mimba mwake. Potsegulira pyloric ikakhala yopapatiza kapena yotsekedwa modabwitsa, zimakhala zovuta kuti chakudya chithe kudutsa. Izi zimabweretsa zizindikilo monga kudzimbidwa ndi kudzimbidwa.

Pyloroplasty imaphatikizapo kudula ndi kuchotsa zina za pyloric sphincter kuti mufutukule ndi kumasula pylorus. Izi zimapangitsa kukhala kosavuta kuti chakudya chithe kulowa mu duodenum. Nthawi zina, pyloric sphincter imachotsedwa kwathunthu.

Chifukwa chiyani zimachitika?

Kuphatikiza pakukulitsa pylorus yopapatiza, pyloroplasty itha kuthandizanso kuthana ndi zovuta zingapo zomwe zimakhudza m'mimba komanso m'mitsempha yam'mimba, monga:

• pyloric stenosis, kuchepa kwachilendo kwa pylorus
• pyloric atresia, yotsekedwa kapena yotayika pylorus yobadwa
• Zilonda zam'mimba (zilonda zotseguka) ndi matenda a zilonda zam'mimba (PUD)
• Matenda a Parkinson
• matenda ofoola ziwalo
• gastroparesis, kapena kuchedwa kutaya m'mimba
• vagus mitsempha kuwonongeka kapena matenda
• matenda ashuga

Kutengera mawonekedwe, pyloroplasty imatha kuchitidwa nthawi imodzimodzi ndi njira ina, monga:

• Vagotomy. Njirayi imaphatikizapo kuchotsa nthambi zina za vagus mitsempha, yomwe imayang'anira ziwalo zam'mimba.
• Gastroduodenostomy. Njirayi imapanga kulumikizana kwatsopano pakati pamimba ndi duodenum.

Zimatheka bwanji?

Pyloroplasty itha kuchitidwa ngati opaleshoni yotseguka yachikhalidwe. Komabe, madokotala ambiri tsopano amapereka njira zama laparoscopic. Izi ndizocheperako pang'ono ndipo zimakhala ndi zoopsa zochepa. Mitundu yonse ya opareshoni nthawi zambiri imachitidwa pansi pa anesthesia wamba. Izi zikutanthauza kuti mudzagona ndipo simungamve kupweteka panthawi yochita opaleshoniyi.

Opaleshoni yotseguka

Pa pyloroplasty yotseguka, madokotala ochita opaleshoni nthawi zambiri amakhala:

1. Pangani kudula pang'ono kapena kudula, nthawi zambiri kutsika pakati pa khoma la m'mimba, ndipo gwiritsani ntchito zida zopangira opaleshoni kuti mufutukule kutsegula.
2. Pangani mabala angapo ang'onoang'ono kudzera mu minofu ya pylorus sphincter, kukulitsa kutseguka kwa pyloric.
3. Sanjani minofu ya pyloric mmbuyo kuchokera pansi mpaka pamwamba.
4. Pangani zochiritsira zowonjezera, monga gastroduodenostomy ndi vagotomy.
5. Milandu yokhudzana ndi kuperewera kwa zakudya m'thupi, chubu cha gastro-jejunal, mtundu wa chubu chodyetsera, chitha kulowetsedwa kuti chilole chakudya chamadzimadzi chimadutsa m'mimba mwachindunji m'mimba.

Opaleshoni ya laparoscopic

Pochita ma laparoscopic, madokotala ochita opaleshoni amachita opaleshoniyo podutsako pang'ono. Amagwiritsa ntchito zida zazing'ono kwambiri komanso laparoscope kuwathandiza kuwongolera. Laparoscope ndi chubu lalitali, la pulasitiki lokhala ndi kamera yaying'ono, yoyatsa mbali imodzi. Imalumikizidwa ndi pulogalamu yowonetsera yomwe imalola dokotalayo kuti awone zomwe akuchita mkati mwa thupi lanu.

Pa laparoscopic pyloroplasty, madokotala ochita opaleshoni nthawi zambiri amakhala:

1. Dulani mabala atatu mpaka asanu m'mimba ndikuyika laparoscope.
2. Mpweya wamafuta m'mimbamo kuti mukhale kosavuta kuwona chiwalo chonse.
3. Tsatirani njira 2 mpaka 5 pyloroplasty yotseguka, pogwiritsa ntchito zida zing'onozing'ono zopangira opaleshoni ya laparoscopic.

Kodi kuchira kuli bwanji?

Kuchira kuchokera ku pyloroplasty ndikofulumira. Anthu ambiri amatha kuyamba kuyenda kapena kuyenda patadutsa maola 12 kuchitidwa opaleshoni. Ambiri amapita kwawo atatha masiku atatu akuwunika ndi kusamalidwa. Maopaleshoni ovuta kwambiri a pyloroplasty angafunike masiku owonjezera kuchipatala.

Mukachira, mungafunike kudya zakudya zoletsedwa kwa milungu ingapo kapena miyezi ingapo, kutengera momwe opaleshoniyi idakulirirani komanso zovuta zilizonse zamankhwala zomwe muli nazo. Kumbukirani kuti zimatha kutenga miyezi itatu kapena kupitilira apo kuti muwone zabwino zonse za pyloroplasty.

Anthu ambiri amatha kuyambiranso kuchita masewera olimbitsa thupi pafupifupi milungu inayi kapena isanu ndi umodzi kutsatira izi.

Kodi pali zoopsa zilizonse?

Opaleshoni yonse imakhala ndi zoopsa zambiri. Zina mwazovuta zomwe zimachitika chifukwa cha opaleshoni yam'mimba ndi monga:

• kuwonongeka kwa m'mimba kapena m'mimba
• thupi lawo siligwirizana ndi mankhwala ochititsa dzanzi
• kutuluka magazi mkati
• kuundana kwamagazi
• zipsera
• matenda
• chophukacho

Kutaya m'mimba

Pyloroplasty ingayambitsenso vuto lomwe limatchedwa kutulutsa m'mimba mwachangu, kapena kutaya m'mimba. Izi zimaphatikizapo zomwe zili m'mimba mwanu zimatsanulira m'mimba mwanu mwachangu kwambiri.

Kutaya m'mimba kumachitika, zakudya sizidyeredwa bwino zikafika m'matumbo. Izi zimakakamiza ziwalo zanu kuti zizipanga zimbudzi zochulukirapo kuposa masiku onse. Pylorus wokulitsidwa amathanso kulola madzi am'mimba m'mimba kapena bile kutayikira m'mimba. Izi zitha kuyambitsa gastroenteritis. Popita nthawi, zitha kuchititsanso kuti munthu aziperewera zakudya m'thupi nthawi yayitali.

Zizindikiro zotaya m'mimba nthawi zambiri zimayamba mkati mwa mphindi 30 mpaka ola mutatha kudya. Zizindikiro zodziwika ndizo:

• kukokana m'mimba
• kutsegula m'mimba
• kuphulika
• nseru
• kusanza, nthawi zambiri madzimadzi achikasu, owawa owawa
• chizungulire
• kugunda kwamtima mwachangu
• kusowa kwa madzi m'thupi
• kutopa

Pakadutsa maola ochepa, makamaka mutadya zakudya zotsekemera, chisonyezo chachikulu chotaya m'mimba chimakhala shuga wochepa wamagazi. Zimachitika chifukwa thupi lanu limatulutsa insulini yambiri kuti igayike kuchuluka kwa shuga m'matumbo ang'onoang'ono.

Zizindikiro zotaya m'mimba mochedwa ndi izi:

• kutopa
• chizungulire
• kugunda kwamtima mwachangu
• kufooka wamba
• thukuta
• njala yayikulu, nthawi zambiri yopweteka
• nseru

Mfundo yofunika

Pyloroplasty ndi mtundu wa opareshoni yomwe imakulitsa kutsegula pansi pamimba. Nthawi zambiri amagwiritsidwa ntchito pochiza matenda am'mimba omwe sanayankhe mankhwala ena.

Zitha kuchitika pogwiritsa ntchito njira zochitira opaleshoni yotseguka kapena njira za laparoscopic. Kutsatira ndondomekoyi, muyenera kupita kwanu m'masiku ochepa. Zitha kukhala miyezi ingapo musanayambe kuwona zotsatira.