I-Meckel diverticulectomy

I-Meckel diverticulectomy utyando lokususa isingxobo esingaqhelekanga sombane wamathumbu amancinci (amathumbu). Le ngxowa ibizwa ngokuba yi-Meckel diverticulum.

Uya kufumana i-anesthesia ngokubanzi ngaphambi kotyando. Oku kuyakwenza ukuba ulale kwaye ungakwazi ukuva iintlungu.

Ukuba utyando luvulekile:

• Ugqirha wakho uza kwenza utyando olukhulu esiswini sakho ukuvula loo ndawo.
• Ugqirha wakho uza kujonga emathunjini amancinci kwindawo apho isingxobo okanye i-diverticulum ikhoyo.
• Ugqirha wakho uya kususa i-diverticulum eludongeni lwamathumbu akho.
• Ngamanye amaxesha, ugqirha wotyando kusenokufuneka asuse inxalenye encinci yamathumbu akho kunye ne-diverticulum. Ukuba oku kwenziwe, iziphelo ezivulekileyo zamathumbu akho ziya kuthungwa okanye zidityaniswe zibuyiselwe ndawonye. Le nkqubo ibizwa ngokuba yi-anastomosis.

Ogqirha banokwenza olu tyando besebenzisa i-laparoscope. I-laparoscope sisixhobo esikhangeleka ngathi yiteleskopu encinci enokukhanya nekhamera yevidiyo. Ifakwa esiswini sakho ngokusikwa okuncinci. Ividiyo evela kwikhamera ibonakala kwiliso kwigumbi lokusebenza. Oku kuvumela ugqirha ukuba abone ngaphakathi kwesisu sakho ngexesha lotyando.

Kutyando usebenzisa i-laparoscope:

• Ukusikwa okuncinci kathathu ukuya kwesihlanu kwenziwa esiswini sakho. Ikhamera kunye nezinye izixhobo ezincinci ziya kufakwa kwezi zinto zisikiweyo.
• Ugqirha wakho usenokucheba oluziisentimitha ezi-5 ukuya kwezi-7.6 ubude ukufaka isandla, ukuba kukho imfuneko.
• Isisu sakho siya kugcwaliswa ngegesi ukuvumela ugqirha ukuba abone indawo kwaye enze utyando kunye negumbi elininzi lokusebenza.
• I-diverticulum isebenza njengoko kuchaziwe apha ngasentla.

Unyango luyafuneka ukukhusela:

• Ukopha
• Ukuthintela amathumbu (ukubhloka emathunjini akho)
• Usulelo
• Ukudumba

Olona phawu luxhaphakileyo lweMeckel diverticulum kukusopha okungenazintlungu kwi-rectum. Isitulo sakho sinokuqulatha igazi elitsha okanye sibonakale simnyama kwaye silindile.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Ukunyangeka kwamayeza okanye iingxaki zokuphefumla
• Ukopha, amahlwili egazi, okanye usulelo

Iingozi zolu tyando zezi:

• Ukonakaliswa kwamalungu akufuphi emzimbeni.
• Usulelo lwenxeba okanye inxeba livuleka emva kotyando.
• Izicubu ezinobunzima ngokusikwa kotyando. Oku kubizwa ngokuba yi-incisional hernia.
• Imiphetho yamathumbu akho ethungiweyo okanye adityaniswe kunye (anastomosis) anokuvuleka. Oku kunokubangela iingxaki ezisongela ubomi.
• Indawo apho kuthungelwe amathumbu ngokudibeneyo kunokubangela kwaye kudale ukuvaleka kwamathumbu.
• Ukuvaleka kwamathumbu kunokwenzeka kamva ekumanyanisweni okubangelwe lutyando.

Xelela ugqirha wakho:

• Ukuba ukhulelwe okanye unokukhulelwa
• Ngawaphi amayeza owathathayo, nditsho 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 ukuba zeziphi iziyobisi omele uzithathe ngosuku lotyando.
• Ukuba uyatshaya, zama ukuyeka. Buza ugqirha wakho okanye unesi ukuba akuncede uyeke.

Ngomhla wotyando lwakho:

• Landela imiyalelo kagqirha wakho malunga nexesha lokuyeka ukutya nokusela.
• Thatha amayeza oxelelwe ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Fika esibhedlele ngexesha.

Uninzi lwabantu luhlala esibhedlele kangangeentsuku ezi-1 ukuya kwezi-7 kuxhomekeka ekubeni olo tyando lwalulukhulu kangakanani. Ngeli xesha, ababoneleli ngezempilo baya kukujonga ngononophelo.

Unyango lunokubandakanya:

• Amayeza entlungu
• Tube ngeempumlo kwisisu sakho ukukhupha isisu sakho kwaye unciphise isicaphucaphu kunye nokugabha

Uya kunikwa ulwelo ngomthambo (IV) de umboneleli wakho azive ekulungele ukuqala ukusela okanye ukutya. Oku kunokuba kwangoko emva kosuku emva kotyando.

Uya kudinga ukulandela ugqirha wakho otyandayo kwiveki okanye ezimbini emva kotyando.

Uninzi lwabantu abanolu tyando luneziphumo ezilungileyo. Kodwa iziphumo zalo naluphi na utyando luxhomekeke kwimpilo yakho iyonke. Thetha nogqirha wakho malunga nesiphumo sakho esilindelekileyo.

I-Meckel diverticulectomy; I-Meckel diverticulum - utyando; I-Meckel diverticulum - ukulungiswa; Ukopha kwe-GI - iMeckel diverticulectomy; Ukopha emathunjini - iMeckel diverticulectomy

• Unonophelo lwenxeba lotyando - luvulekile

• I-diverticulectomy kaMeckel-uthotho

UFransman RB, uHarmon JW. Ulawulo lwe-diverticulosis yamathumbu amancinci. Ku: ICameron AM, uCameron JL, ii-eds. Unyango lwangoku lonyango. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2020: 143-145.

IHarris JW, i-Evers BM. Ndibonise uthando. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 49.