Zonse zokhudzana ndi kupatsira matumbo

Zamkati

• Pamene kuli kofunikira
• Zatheka bwanji
• Zili bwanji kuchira kwa kumuika
• Zomwe zingayambitse

Kuika matumbo ndi mtundu wa opaleshoni momwe dotolo amalowetsa matumbo ang'onoang'ono odwala ndi matumbo athanzi ochokera kwa woperekayo. Nthawi zambiri, kuziika kotere kumafunika pakakhala vuto lalikulu m'matumbo, lomwe limaletsa kuyamwa koyenera kwa michere kapena kuti m'matumbo sakuwonetsanso mayendedwe amtundu uliwonse, ndikuyika moyo wa munthu pachiwopsezo.

Kuika kumeneku kumakhala kofala kwambiri mwa ana, chifukwa chobadwa nako, koma amathanso kuchitidwa akuluakulu chifukwa cha matenda a Crohn kapena khansa, mwachitsanzo, kumangotsutsana ndikadakwanitsa zaka 60, chifukwa chowopsa cha opaleshoni.

Pamene kuli kofunikira

Kuika m'matumbo kumachitika pakakhala vuto lomwe likulepheretsa magwiridwe antchito matumbo ang'onoang'ono, chifukwa chake, michere sikumangoyamwa.

Nthawi zambiri, munthawi imeneyi, ndizotheka kuti munthuyo azidyetsedwa kudzera mu zakudya za makolo, zomwe zimaphatikizapo kupereka zofunikira m'moyo kudzera mumitsempha. Komabe, izi sizingakhale yankho kwa aliyense, monga zovuta monga:

• Chiwindi kulephera chifukwa cha chakudya cha makolo;
• Matenda omwe amapezeka pafupipafupi a catheter omwe amagwiritsidwa ntchito ngati kholo;
• Kuvulala kwamitsempha kumagwiritsidwa ntchito kuyika catheter.

Pazinthu izi, njira yokhayo yopezera zakudya zokwanira ndikukhala ndi matumbo ang'onoang'ono athanzi, kuti muthe kugwira ntchito ya wodwalayo.

Zatheka bwanji

Kuika m'mimba ndi opaleshoni yovuta kwambiri yomwe imatha kutenga maola 8 mpaka 10 ndipo imayenera kuchitika mchipatala chokhala ndi anesthesia wamba. Pochita opaleshoni, adotolo amachotsa m'matumbo omwe akhudzidwa ndikuyika matumbo athanzi m'malo mwake.

Pomaliza, mitsempha yamagazi imalumikizidwa ndi matumbo atsopano, kenako matumbo amalumikizidwa ndi m'mimba. Kuti amalize kuchita opaleshoniyi, gawo la m'matumbo ang'ono lomwe liyenera kulumikizidwa ndi matumbo akulu limalumikizidwa molunjika ndi khungu la m'mimba kuti apange leostomy, kudzera momwe ndowe zimatulukira mchikwama chokhazikika pakhungu, kuti Ndiosavuta madokotala amawunika momwe zimakhalira, kuyang'ana mawonekedwe a chopondapo.

Zili bwanji kuchira kwa kumuika

Kuchira pambuyo pomuika m'mimba nthawi zambiri kumayambitsidwa ku ICU, kuti athe kuwunika momwe matumbo atsopano amachiritsira komanso ngati pali chiopsezo chokana. Munthawi imeneyi, ndizodziwika kuti gulu lazachipatala limayesa mayeso osiyanasiyana, monga kuyesa magazi ndi ma endoscopy, kuti awonetsetse kuti zikuchitika bwino.

Ngati pali kukanidwa kwa chiwalo chatsopanocho, adokotala atha kupereka mankhwala apamwamba kwambiri opatsirana mthupi, omwe ndi mankhwala omwe amachepetsa mphamvu za chitetezo cha mthupi kuti chiwonongeko chiwonongeke. Komabe, ngati mukuchira mwachizolowezi, adokotala apempha kuti mupite kuchipatala choyenera, komwe mankhwala opha ululu komanso mankhwala opatsirana pogonana adzapitilirabe kupatsira mtsempha mpaka kuchira kwatsala pang'ono kumaliza.

Kawirikawiri, pambuyo pa masabata asanu ndi limodzi pambuyo pa opaleshoniyi, ndizotheka kubwerera kunyumba, koma kwa milungu ingapo ndikofunikira kupita kuchipatala pafupipafupi kukayezetsa ndikupitiliza kuyesa momwe matumbo atsopano amagwirira ntchito. Kunyumba, kudzakhala koyenera kuti nthawi zonse muzimwa mankhwala osokoneza bongo kwa moyo wanu wonse.

Zomwe zingayambitse

Zina mwazomwe zimatha kuyambitsa m'mimba kusagwira bwino, chifukwa chake magwiridwe antchito am'matumbo ndi awa:

• Matenda amfupi;
• Khansara ya m'matumbo;
• Matenda a Crohn;
• Matenda a Gardner;
• Matenda akulu obadwa nawo;
• Ischemia m'matumbo.

Komabe, si anthu onse omwe ali ndi zifukwa izi amatha kuchitidwa opareshoni ndipo, chifukwa chake, ndikofunikira kuti apange kuwunika asanakupange opaleshoni komwe adokotala amalamula mayeso angapo monga X-ray, CT scans kapena kuyesa magazi. Zina mwazotsutsana ndi khansa yomwe yafalikira mbali zina za thupi, matenda ena akulu, komanso zaka zopitilira 60, mwachitsanzo.