Utyando lwe-anti-reflux-ukukhutshwa

Utyandiwe ukunyanga isifo sakho se-reflux se-gastroesophageal (GERD). I-GERD yimeko ebangela ukuba ukutya okanye ulwelo luze luphume esiswini sakho luye kwisisu sakho (ityhubhu ehambisa ukutya emlonyeni wakho ukuya esiswini sakho).

Ngoku xa ugoduka, qiniseka ukuba ulandela imiyalelo yo gqirha wotyando ngendlela yokuzikhathalela.

Ukuba unayo i-hernia yokuzalwa, yalungiswa. I-hernia yokuzalwa ikhula xa ukuvulwa kwendalo kwidayaphragm yakho kukhulu kakhulu. I-diaphragm yakho ngumaleko wemisipha phakathi kwesifuba sakho kunye nesisu. Isisu sakho sinokuphuma kulo mngxunya mkhulu esifubeni sakho. Le bulging ibizwa ngokuba yi-hernia yokuzalwa. Inokwenza ukuba iimpawu zeGERD zibe mbi.

Ugqirha wakho usongele indawo ephezulu yesisu sakho esiphelweni somqala wakho ukwenza uxinzelelo ekupheleni komqala wakho. Olu xinzelelo lunceda ukukhusela i-asidi esiswini kunye nokutya ekuphumeni kwakhona.

Utyando lwakho lwenziwe ngokwenza isisu esikhulu kwisisu sakho esingaphezulu (utyando oluvulekileyo) okanye ngokusikwa okuncinci usebenzisa i-laparoscope (ityhubhu ebhityileyo enekhamera encinci esiphelweni).

Uninzi lwabantu lubuyela emsebenzini ukuya kwiiveki ezi-2 ukuya kwezi-3 emva kotyando lwe-laparoscopic kunye neeveki ezi-4 ukuya kwezi-6 emva kotyando oluvulekileyo.

Unokuba nemvakalelo yokuxinana xa uginya iiveki ezi-6 ukuya kwezi-8. Oku kusuka kukudumba ngaphakathi komqala wakho. Unokuba unokubamba.

Xa ubuyela ekhaya, uya kuba usela ukutya okucacileyo okungamanzi iiveki ezi-2. Uya kuba kukutya okungamanzi okupheleleyo malunga neeveki ezi-2 emva koko, emva koko ukutya okutyayo.

Ukutya okungamanzi:

• Qalisa ngexabiso elincinci lolwelo, malunga nekomityi enye (237 mL) ngexesha. Ukucoca. Musa ukuginya. Sela ulwelo rhoqo ngemini emva kotyando.
• Gwema utywala obubandayo.
• Musa ukusela iziyobisi.
• Musa ukusela ngeendiza (zinokuzisa umoya esiswini sakho).
• Zityumze iipilisi kwaye uzithathe kunye nolwelo kwinyanga yokuqala emva kotyando.

Xa usitya ukutya okuqinileyo kwakhona, hlafuna kakuhle. Musa ukutya ukutya okubandayo. Sukutya ukutya okuqhekezanayo, njengerayisi okanye isonka. Yitya intwana yokutya amaxesha ngamaxesha ngemini endaweni yokutya kathathu.

Ugqirha wakho uya kukunika amayeza amayeza eentlungu. Yigcwalise xa ugoduka ukuze ube nayo xa uyifuna. Thatha iyeza lakho leentlungu ngaphambi kokuba iintlungu zibe nzima kakhulu.

• Ukuba unentlungu kwigesi, zama ukuhambahamba ukuze uzinciphise.
• Musa ukuqhuba, sebenzisa nawuphi na umatshini, okanye usele utywala xa usela iyeza leentlungu. Eli yeza linokukwenza wozele kakhulu kwaye uqhube okanye usebenzise oomatshini akukhuselekanga.

Hamba izihlandlo ezininzi ngemini. Musa ukuphakamisa nantoni na enobunzima obungaphezu kweekhilogram ezili-10 (malunga ne-gallon yobisi; 4.5 kg). Sukutyhala okanye ukutsala. Yandisa kancinci into oyenzayo endlini. Ugqirha wakho uza kukuxelela ukuba ungawonyusa nini umsebenzi wakho kwaye ubuyele emsebenzini.

Khathalela inxeba lakho (ukusikwa):

• Ukuba ii-sutures (imithungo), istaples, okanye iglu bezisetyenziselwa ukuvala ulusu lwakho, ungasusa amanxeba (amabhandeshi) kwaye uhlambe kusuku olulandelayo emva kotyando.
• Ukuba imitya ye tape yayisetyenziselwa ukuvala ulusu lwakho, gubungela amanxeba ngesisongeli seplastiki ngaphambi kokuhlamba kwiveki yokuqala. Tepa imiphetho yeplastiki ngononophelo ukugcina amanzi ngaphandle. Ungazami ukuhlamba imitya. Baza kuwa bodwa emva kweveki.
• Musa ukungena ebhafini okanye kwibhafu eshushu, okanye uye kuqubha, de ugqirha akuxelele ukuba kulungile.

Fowunela umboneleli wakho wezempilo ukuba unazo ezi zinto zilandelayo:

• Ubushushu be-101 ° F (38.3 ° C) okanye ngaphezulu
• Ukuqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhayo, obomvu, ukufudumala ekuthinteni, okanye ube nomsele okhuni, ophuzi, ohlaza okanye obisi
• Isisu siyadumba okanye sibuhlungu
• Isihlunu okanye ukugabha ngaphezu kweeyure ezingama-24
• Iingxaki zokuginya ezikugcina ungatyi
• Iingxaki zokuginya ezingahambi emva kweeveki ezi-2 okanye ezi-3
• Iyeza leentlungu alizincedi iintlungu
• Ingxaki yokuphefumla
• Ukukhwehlela okungahambiyo
• Ayikwazi ukusela okanye ukutya
• Ulusu okanye inxalenye emhlophe yamehlo akho ajika abe tyheli

Ukusetyenziswa kwengxowa-mali - ukukhutshwa; Inkxaso-mali yeNissen - ukukhutshwa; I-Belsey (uMark IV) inkxaso-mali yokukhutshwa; Inkxaso mali yeqela - ukukhupha; Thal fundoplication - ukukhutshwa; Ukulungiswa kweHernatal hernia - ukukhutshwa; Endoluminal fundoplication - ukukhutshwa; I-GERD-ukukhutshwa kwengxowa-mali; Isifo se-reflux sesifo se-Gastroesophageal-ukukhutshwa kwengxowa-mali

I-Katz PO, iGerson LB, iVela MF. Izikhokelo zokuchongwa kunye nokulawulwa kwesifo se-reflux sesifo se-gastroesophageal. NdinguJ Gastroenterol. Ngo-2013; 108 (3): 308-328. IINKCUKACHA: 23419381.

URichter JE, uVaezi MF. Isifo se-reflux sesifo se-Gastroesophageal. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 46.

IYates RB, iOelschlager BK. Isifo se-Gastroesophageal Reflux kunye ne-hernia ye-hiatal. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla wama-21. ISt Louis, MO: Elsevier; 2022: isahluko 43.

• Utyando lwe-anti-reflux
• Utyando lwe-anti-reflux-abantwana
• Ukuqiniswa kokuqiniswa kwemithambo - ubungozi
• Ukuqunjelwa sisisu
• Isifo se-reflux sesifo se-Gastroesophageal
• Isitshisa
• IHernatal hernia

• Ukutya kweBland
• I-reflux ye-Gastroesophageal-ukukhutshwa
• Isitshisa - yintoni ekufuneka uyibuze kugqirha

• IGERD