Ukulungiswa kwamathumbu emathunjini

Ukulungiswa kwamathumbu emathunjini kukuhlinzwa ukuze kupheliswe isisu. Isithintelo samathumbu senzeka xa imixholo yamathumbu ingadluli kwaye iphume emzimbeni. Isithintelo esipheleleyo yingxakeko yotyando.

Ukulungiswa kwamathumbu emathunjini kwenziwa ngelixa uphantsi kwe-anesthesia jikelele. Oku kuthetha ukuba ulele kwaye awuva zintlungu.

Ugqirha usika esiswini sakho ukuze ubone amathumbu akho. Ngamanye amaxesha, utyando lunokwenziwa kusetyenziswa i-laparoscope, okuthetha ukuba kusetyenziswa ukusika okuncinci.

Ugqirha ubeka indawo yamathumbu akho (amathumbu) evaliweyo kwaye ayivulele.

Nawaphi na amalungu omonakalo wamathumbu akho aya kulungiswa okanye asuswe. Le nkqubo ibizwa ngokuba kukuthengiswa kwamathumbu kwakhona. Ukuba icandelo liyasuswa, iziphelo ezisempilweni ziya kuphinda zidityaniswe ngentambo okanye ngesitokhwe. Ngamanye amaxesha, xa inxenye yamathumbu isuswe, iziphelo azinakuxhumeka kwakhona. Ukuba oku kuyenzeka, ugqirha uya kuzisa isiphelo esinye ngokuvula kudonga lwesisu. Oku kunokwenziwa kusetyenziswa icolostomy okanye ileostomy.

Le nkqubo yenziwa ukunciphisa ukubhloka emathunjini akho. Ukuvaleka okuhlala ixesha elide kunokunciphisa okanye kuthintele ukuphuma kwegazi kuloo ndawo. Oku kunokubangela ukuba isisu sife.

Umngcipheko we-anesthesia kunye notyando ngokubanzi kubandakanya:

• Ukuphendula kumayeza, iingxaki zokuphefumla
• Ukopha, amahlwili egazi, usulelo

Iingozi zale nkqubo:

• Ukuthintelwa kwamathumbu emva kotyando
• Ukonakaliswa kwamalungu akufuphi emzimbeni
• Ukubunjwa kwezicubu ezinqabileyo (ukubambelela)
• Izicwili ezibomvu ezingakumbi ezakha esiswini sakho kwaye zibangele ukuvaleka kwamathumbu akho kwixa elizayo
• Ukuvulwa kwemiphetho yamathumbu akho athungwe kunye (i-anastomotic leak) enokubangela iingxaki ezisongela ubomi
• Iingxaki ngecolostomy okanye ileostomy
• Ukukhubazeka okwethutyana (ukubanda) kwesisu (ileus ekhubazekileyo)

Kuthatha ixesha elingakanani ukufumana kwakhona kuxhomekeke kwimpilo yakho yonke kunye nohlobo lomsebenzi.

Isiphumo sihlala silungile ukuba isithintelo sinyangwa ngaphambi kokuba kuchaphazele ukuhamba kwegazi.

Abantu abaye benza utyando oluninzi esiswini banokwenza izicwili ezibomvu. Banokubakho ukuvalwa kwamathumbu kwixesha elizayo.

Ukulungiswa kwe-volvulus; I-volvulus yamathumbu - ukulungiswa; Ukuthintelwa kwamathumbu - ukulungiswa

• Ukutya kweBland
• Ukutshintsha ingxowa yakho ye-ostomy
• Ileostomy kunye nokutya kwakho
• Ileostomy - ukukhathalela i-stoma yakho
• Ileostomy-ukutshintsha ingxowa yakho
• Ileostomy - ukukhutshwa
• Ileostomy - yintoni oza kuyibuza ugqirha wakho
• Ukuthintela amathumbu okanye amathumbu - ukukhupha
• Ukutya okune-fiber encinci
• Unonophelo lwenxeba lotyando - luvulekile
• Iindidi zeileostomy
• Xa unesicaphucaphu nokugabha

• Ukungena ngaphakathi kwi-X-ray
• Ngaphambi nasemva kwamathumbu amancinci emathunjini
• Uthintelo lwamathumbu (ezingabantwana) - uthotho
• Ukulungiswa kwamathumbu emathunjini - uthotho

UGearhart SL, MP waseKelley. Ulawulo lwezithintelo ezinkulu zamathumbu. Ku: ICameron AM, uCameron JL, ii-eds. Unyango lwangoku lonyango. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2020: 202-207.

UMahmoud NN, uBleier JIS, uAarons CB, uPaulson EC, uShanmugan S, uFry RD. Ikholoni kunye ne-rectum. Ku: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Incwadi yeSabiston yoNyango: Isiseko sebhayiloji yoQeqesho lwangoku. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 51.

Kuya kufuneka i-WC, ukujika kweRH. Ukuphazamiseka kwamathumbu emathunjini. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 123.