IPloroplasty

I-Pyloroplasty ngotyando lokwandisa ukuvulwa kwenxalenye esezantsi yesisu (i-pylorus) ukuze isisu sikwazi ukukhupha amathumbu amancinci (duodenum).

I-pylorus yindawo engqindilili, enezihlunu. Xa iqina, ukutya akunakudlula.

Olu tyando lwenziwa ngelixa uphantsi kweanesthesia (xa ulele kwaye kungekho zintlungu).

Ukuba utyando luvulekile, ugqirha wotyando:

• Yenza ukusikwa okukhulu kotyando esiswini sakho ukuvula indawo.
• Inqumleza kwezinye izihlunu ezixineneyo ukuze ibanzi.
• Ivala ukusikwa ngendlela egcina ipylorus ivulekile. Oku kuvumela isisu ukuba singabinanto.

Ogqirha banokwenza olu tyando besebenzisa i-laparoscope. I-laparoscope yikhamera encinci efakwa esiswini sakho ngokusika okuncinci. Ividiyo evela kwikhamera iya kubonakala kwisigcini kwigumbi lokusebenza. Ugqirha ujonga esweni ukuba enze utyando. Ngexesha lotyando:

• Ukusikwa okuncinci kathathu ukuya kwesihlanu kwenziwa esiswini sakho. Ikhamera kunye nezinye izixhobo ezincinci ziya kufakwa kwezi zinto zisikiweyo.
• Isisu sakho siya kugcwaliswa ngegesi ukuvumela ugqirha ukuba abone indawo kwaye enze utyando kunye negumbi elininzi lokusebenza.
• I-pylorus isebenza njengoko kuchaziwe apha ngasentla.

I-Pyloroplasty isetyenziselwa ukunyanga iingxaki kubantu abanezilonda ze-peptic okanye ezinye iingxaki zesisu ezibangela ukuvalwa kwesisu.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza okanye kwiingxaki zokuphefumla
• Ukopha, amahlwili egazi, okanye usulelo

Iingozi zolu tyando zibandakanya:

• Umonakalo emathunjini
• UHernia
• Ukuvuza kwesiqulatho sesisu
• Urhudo lwexesha elide
• Ukungondleki
• Ukulila kulungelelwaniso lwamalungu akufuphi (i-mucosal perforation)

Xelela ugqirha wakho:

• Ukuba ukhulelwe okanye unokukhulelwa
• Ngawaphi amayeza owathathayo, kubandakanya amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo

Ngexesha leentsuku ngaphambi kokuhlinzwa kwakho:

• Unokucelwa ukuba uyeke ukuthatha abacoci gazi. Oku kubandakanya ii-NSAID (i-aspirin, ibuprofen), i-vitamin E, i-warfarin (i-Coumadin), i-dabigatran (Pradaxa), i-rivaroxaban powder (i-Xarelto), i-apixaban (i-Eliquis) kunye ne-clopidogrel (i-Plavix).
• Buza ugqirha wakho otyandayo ukuba zeziphi iziyobisi ekusafuneka uzithathe ngosuku lotyando.
• Ukuba uyatshaya, zama ukuyeka. Buza ugqirha wakho okanye unesi ukuba akuncede uyeke.

Ngomhla wotyando lwakho:

• Landela imiyalelo malunga nokungatyi nokusela.
• Thatha amayeza ugqirha wakho oxelele ukuba uthathe ngamanzi amancinci.
• Fika esibhedlele ngexesha.

Emva kotyando, iqela lokhathalelo lwempilo liza kujonga ukuphefumla kwakho, uxinzelelo lwegazi, ubushushu, kunye nokubetha kwentliziyo. Uninzi lwabantu lunokugoduka kungaphelanga iiyure ezingama-24.

Uninzi lwabantu lubuyela ngokukhawuleza kwaye ngokupheleleyo. Ukuhlala esibhedlele okuphakathi ziintsuku ezimbini ukuya kwezi-3. Kusenokwenzeka ukuba ungaqala kancinci kancinci ekutyeni rhoqo kwiiveki ezimbalwa.

Isilonda Peptic - pyloroplasty; IPUD - ipyloroplasty; Ukuthintela i-pyloric - ipyloroplasty

UChan FKL, uLau JYW. Isifo sesilonda Peptic. 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 53.

ITeitelbaum EN, iHungness ES, iMahvi DM. Isisu. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 48.