Kuyanjanitsa Matumbo Aang'ono

Zamkati

• N 'chifukwa chiyani ndikufunika kugulitsa matumbo pang'ono?
• Kodi zoopsa zake ndikubwezeretsa matumbo pang'ono ndi ziti?
• Kodi ndimakonzekera bwanji kugulitsa matumbo ang'onoang'ono?
• Kodi kachilombo kakang'ono kamagwiritsidwa ntchito motani?
• Opaleshoni yotseguka
• Opaleshoni ya laparoscopic
• Kutsiriza opaleshoni
• Kuchira pambuyo pa opaleshoni
• Kodi chiyembekezo chanthawi yayitali ndichotani?

Kodi matumbo ang'ono angatani?

Matumbo anu ang'onoang'ono ndiofunika kwambiri kuti mukhale ndi thanzi labwino. Amatchedwanso matumbo ang'onoang'ono, amatenga zakudya ndi madzi omwe mumadya kapena kumwa. Amaperekanso zinyalala m'matumbo akulu.

Mavuto ndi ntchito amatha kuyika thanzi lanu pachiwopsezo. Mungafunike kuchitidwa opareshoni kuti muchotse gawo lomwe lawonongeka m'matumbo anu ang'ono ngati muli ndi zotsekeka m'mimba kapena matenda ena am'mimba. Kuchita opaleshoniyi kumatchedwa kuti matumbo ang'onoang'ono.

N 'chifukwa chiyani ndikufunika kugulitsa matumbo pang'ono?

Zinthu zosiyanasiyana zitha kuwononga matumbo anu ang'ono. Nthawi zina, dokotala wanu amalimbikitsa kuti muchotse gawo lina la m'mimba mwanu. Nthawi zina, gawo lina la m'mimba mwanu limatha kuchotsedwa kuti mutsimikizire kapena kuthana ndi matenda pakufunika "kuzindikira minofu".

Zinthu zomwe zingafune kuchitidwa opaleshoni ndi monga:

• kutuluka magazi, matenda, kapena zilonda zazikulu m'matumbo ang'onoang'ono
• kutsekeka m'matumbo, mwina kobadwa nako (komwe kumabadwa) kapena kutuluka pachilonda
• zotupa zopanda khansa
• tizilombo ting'onoting'ono precancerous
• khansa
• kuvulala kwa m'matumbo ang'onoang'ono
• Meckel's diverticulum (thumba la m'matumbo lomwe limakhalapo pobadwa)

Matenda omwe amayambitsa kutupa m'matumbo amathanso kuchitidwa opaleshoni. Zinthu monga:

• Matenda a Crohn
• ileitis wamchigawo
• enteritis yachigawo

Kodi zoopsa zake ndikubwezeretsa matumbo pang'ono ndi ziti?

Kuchita opaleshoni iliyonse kumatha kukhala ndi zoopsa, kuphatikiza:

• magazi aundana m'miyendo
• kuvuta kupuma
• chibayo
• zochita kwa ochititsa dzanzi
• magazi
• matenda
• matenda amtima
• sitiroko
• kuwonongeka kwa nyumba zozungulira

Dokotala wanu ndi gulu losamalira adzagwira ntchito molimbika kuti athetse mavutowa.

Zowopsa zapadera kuchitidwa opaleshoni yaying'ono ndizo:

• kutsegula m'mimba pafupipafupi
• kutuluka magazi m'mimba
• mafinya akusonkhanitsa m'mimba, amadziwikanso kuti chotupa cham'mimba (chomwe chingafune ngalande)
• matumbo akukankha kupyola mu mimba yanu (incisional hernia)
• minofu yofiira yomwe imapanga kutsekeka kwamatumbo komwe kumafuna kuchitidwa opaleshoni yambiri
• Matenda ochepa am'mimba (mavuto omwe amatenga mavitamini ndi michere)
• kutuluka pamalo pomwe matumbo ang'onoang'ono amalumikizidwanso (anastomosis)
• mavuto ndi stoma
• kutsegulira kutseguka (dehiscence)
• Matenda achekedwe

Kodi ndimakonzekera bwanji kugulitsa matumbo ang'onoang'ono?

Ndondomekoyi isanachitike, mudzakhala ndi mayeso athupi lathunthu. Dokotala wanu adzaonetsetsa kuti mukulandira chithandizo china chilichonse chazachipatala, monga kuthamanga kwa magazi komanso matenda ashuga. Ngati mumasuta, muyenera kuyesa kusiya milungu ingapo musanachite opareshoni.

Uzani dokotala wanu ngati mukumwa mankhwala aliwonse ndi mavitamini. Onetsetsani kuti mwatchula mankhwala aliwonse omwe amachepetsa magazi anu. Izi zimatha kubweretsa zovuta komanso kutaya magazi kwambiri panthawi yochita opaleshoni. Zitsanzo za mankhwala ochepetsa magazi ndi awa:

• nkhondo (Coumadin)
• clopidogrel (Plavix)
• aspirin (Bufferin)
• ibuprofen (Motrin IB, Advil)
• naproxen (Aleve)
• vitamini E

Adziwitseni dokotala ngati mwangomaliza kumene kuchipatala, mukudwala, kapena muli ndi malungo musanachite opareshoni. Mungafunike kuchedwetsa njirayi kuti muteteze thanzi lanu.

Idyani zakudya zabwino zamtundu wa fiber komanso kumwa madzi ambiri masabata asanachitike opareshoni. Asanachite opareshoni, mungafunikire kutsatira zakudya zamadzi zamadzi oyera (msuzi, madzi oyera, madzi). Muyeneranso kumwa mankhwala otsegulitsa m'mimba kuti muchotse matumbo anu.

Musadye kapena kumwa musanachite opaleshoni (kuyambira pakati pausiku usiku wapitawo). Chakudya chingayambitse mavuto ndi anesthesia yanu. Izi zitha kukulitsa nthawi yomwe mukukhala mchipatala.

Kodi kachilombo kakang'ono kamagwiritsidwa ntchito motani?

Anesthesia yofunikira ndiyofunikira pa opaleshoniyi. Mudzakhala mukugona komanso osamva ululu panthawi yochita opaleshoniyi. Kutengera chifukwa cha opareshoni, njirayi imatha kutenga pakati pa ola limodzi mpaka asanu ndi atatu.

Pali mitundu iwiri yayikulu yamatumbo ang'onoang'ono: opaleshoni yotseguka kapena opaleshoni ya laparoscopic.

Opaleshoni yotseguka

Opaleshoni yotseguka imafuna dotolo kuti apange cheke mumimba. Malo ndi kutalika kwa katunduyu kumadalira pazinthu zosiyanasiyana monga malo omwe vuto lanu limakhalapo komanso kapangidwe ka thupi lanu.

Dokotala wanu amapeza gawo lomwe lakhudzidwa m'matumbo anu ang'ono, amaliphimba, ndikuchotsa.

Opaleshoni ya laparoscopic

Opaleshoni ya laparoscopic kapena robotic imagwiritsa ntchito zochepera zitatu kapena zisanu zazing'ono kwambiri. Dokotala wanu woyamba amapopa mpweya m'mimba mwanu kuti muukole. Izi zimapangitsa kukhala kosavuta kuwona.

Kenako amagwiritsa ntchito magetsi ang'onoang'ono, makamera, ndi zida zing'onozing'ono kuti apeze malo omwe ali ndi matendawa, kuwachotsa, ndikuwachotsa. Nthawi zina loboti imathandizira pakuchita opareshoni yamtunduwu.

Kutsiriza opaleshoni

Mu mtundu uliwonse wa opareshoni, dokotalayo amalankhula kumapeto kwa matumbo. Ngati pali matumbo ang'onoang'ono okwanira athanzi, malekezero awiriwo akhoza kusokedwa kapena kulumikizidwa. Izi zimatchedwa anastomosis. Ndi opaleshoni yofala kwambiri.

Nthawi zina matumbo sangathe kulumikizanso. Ngati ndi choncho, dokotalayo amatsegula chotupa m'mimba mwanu chotchedwa stoma.

Amamangiriza kumapeto kwa m'matumbo pafupi kwambiri ndi m'mimba mwanu kukhoma la mimba yanu. Matumbo anu amatuluka kudzera mu stoma kupita mu thumba losindikizidwa kapena thumba lonyamula. Izi zimadziwika kuti ileostomy.

Ileostomy itha kukhala kwakanthawi kulola matumbo kupitilira dongosolo kuti lichiritse kwathunthu, kapena atha kukhala okhazikika.

Kuchira pambuyo pa opaleshoni

Muyenera kukhala mchipatala masiku asanu kapena asanu ndi awiri pambuyo pa opareshoni. Mukamakhala komweko, mudzakhala ndi chitoliro mu chikhodzodzo chanu. Catheter amatulutsa mkodzo m'thumba.

Mudzakhalanso ndi chubu cha nasogastric. Chubu ichi chimachokera mphuno zanu kupita m'mimba mwanu. Itha kukhetsa m'mimba mwanu ngati kuli kofunikira. Itha kuperekanso chakudya molunjika m'mimba mwanu.

Mutha kumwa zakumwa zooneka bwino masiku awiri kapena asanu ndi awiri chitachitika opaleshoni.

Ngati dotolo wanu adachotsa matumbo ambiri kapena ngati uku kunali kuchitidwa opaleshoni mwadzidzidzi, mungafunike kukhala nthawi yayitali kuchipatala sabata limodzi.

Muyenera kuti muzidya zakudya za IV kwakanthawi ngati dokotalayo achotsa gawo lalikulu la matumbo ang'onoang'ono.

Kodi chiyembekezo chanthawi yayitali ndichotani?

Anthu ambiri amachira bwino kuchokera ku opaleshoniyi. Ngakhale mutakhala ndi ileostomy ndipo muyenera kuvala thumba lotulutsa ngalande, mutha kuyambiranso ntchito zanu zachizolowezi.

Mutha kukhala ndi kutsekula m'mimba ngati mutachotsa gawo lalikulu la matumbo. Muthanso kukhala ndi mavuto olandila zakudya zokwanira kuchokera pachakudya chomwe mumadya.

Matenda otupa monga matenda a Crohn kapena khansa yaying'ono yamatumbo angafunikire chithandizo chamankhwala chisanachitike.