Ukuthengiswa kwakhona kwamathumbu amancinci

Ukuthengiswa kwamathumbu amancinci kutyando lokususa inxenye yesisu sakho esincinci. Kuyenziwa xa inxenye yamathumbu akho amancinci evaliwe okanye enesifo.

Amathumbu amancinci abizwa ngokuba lithumbu elincinci. Uninzi lokucola ukutya (ukophula kunye nokufunxa izondlo) zokutya okutyayo kwenzeka emathunjini amancinci.

Uya kufumana i-anesthesia ngokubanzi ngexesha lotyando. Oku kuyakukugcina ulele kwaye ungabi nazintlungu.

Olu tyando lunokwenziwa nge-laparoscopically okanye ngotyando oluvulekileyo.

Ukuba utyando lwe-laparoscopic:

• Ugqirha wenza ukusikwa okuncinci oku-3 ukuya kwezi-5 kwisisu sakho esezantsi. Isixhobo sonyango esibizwa ngokuba yi-laparoscope sifakwa kwesinye sezicucu. Ubungakanani yityhubhu encinci, ekhanyisiweyo kunye nekhamera ekugqibeleni. Ivumela ugqirha abone ngaphakathi kwesisu sakho. Ezinye izixhobo zonyango zifakwa kwezinye izinto ezisikayo.
• Ukusikwa malunga nee-intshi ezi-2 ukuya kwezi-3 (i-5 ukuya kwi-7.6 iisentimitha) kungenziwa kwakhona ukuba ugqirha wakho kufuneka abeke isandla sakhe esiswini sakho ukuze uve ithumbu okanye ususe icandelo eligulayo.
• Isisu sakho sigcwele irhasi engenabungozi ukusandisa. Oku kwenza ukuba kube lula kugqirha ukuba abone kwaye asebenze.
• Inxalenye egulayo yamathumbu akho amancinci ikho kwaye isuswe.

Ukuba utyando luvulekile:

• Ugqirha usika ii-intshi ezi-6 ukuya kwezi-8 (i-15.2 ukuya kwi-20.3 iisentimitha) esiswini sakho esiswini.
• Inxalenye egulayo yamathumbu akho amancinci ikho kwaye isuswe.

Kuzo zombini iintlobo zotyando, amanyathelo alandelayo ngala:

• Ukuba kukho intsalela eyaneleyo esempilweni yamathumbu aseleyo, iziphelo ziyothungwa okanye zidityaniswe ngokudityaniswa. Oku kubizwa ngokuba yi-anastomosis. Uninzi lwezigulana zikwenzile oku.
• Ukuba alikho ngokwaneleyo ithumbu elincinci elisempilweni lokuphinda uqhagamshele, ugqirha wakho wenza uvulo olubizwa ngokuba yi-stoma kulusu lwesisu sakho. Amathumbu amancinci ancanyathiselwe eludongeni lwangaphandle lwesisu sakho. I-Stool iya kuhamba nge-stoma ibe yingxowa yokuhambisa amanzi ngaphandle komzimba wakho. Oku kubizwa ngokuba yi-ileostomy. I-ileostomy inokuba yeyethutyana okanye esisigxina.

Ukuthengiswa kwamathumbu amancinci kuhlala kuthatha iiyure ezi-1 ukuya kwezi-4.

Ukuthengiswa kwamathumbu amancinci kusetyenziswa ukunyanga:

• Ukuvaleka emathunjini okubangelwe sisihlunu esiqhenqethayo okanye ukuzalwa (ukusukela ekuzalweni) ukukhubazeka
• Ukopha, usulelo, okanye izilonda ezibangelwa kukudumba kwamathumbu amancinci kwiimeko ezinje ngesifo sikaCrohn
• Umhlaza
• Isisu seCarcinoid
• Ukulimala kwamathumbu amancinci
• I-Meckel diverticulum (isingxobo eludongeni lwenxalenye esezantsi yamathumbu ekhoyo ekuzalweni)
• Amathumba angenamhlaza
• Iipolyps ezinobunzima

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Amahlwili egazi, ukopha, usulelo

Iingozi zolu tyando zibandakanya:

• Ukuxubusha izicubu kwi-incision, ebizwa ngokuba yi-incisional hernia
• Ukonakaliswa kwamalungu akufuphi emzimbeni
• Urhudo
• Iingxaki ngeleostomy yakho
• Izicubu ezinqabileyo ezakha esiswini sakho kwaye zibangele ukuvaleka kwamathumbu akho
• Isifo esifutshane samathumbu (xa inani elikhulu lamathumbu amancinci kufuneka lisuswe), elinokukhokelela kwiingxaki zokufumana izakha mzimba kunye neevithamini
• I-anemia engapheliyo
• Iziphelo zamathumbu akho athungwe kunye ziyaqhekeka (ukuvuza kwe-anastomotic, enokusongela ubomi)
• Ukuvuleka kwenxeba
• Usulelo lwenxeba

Xelela ugqirha wakho okanye umongikazi ukuba ngawaphi amayeza owasebenzisayo, nditsho neziyobisi, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Thetha nogqirha wakho okanye umongikazi malunga nokuba utyando luya kuchaphazela njani:

• Ukusondelelana kunye nokwabelana ngesondo
• Ukukhulelwa
• Imidlalo
• Umsebenzi

Ngexesha leeveki ezi-2 ngaphambi kotyando lwakho:

• Unokucelwa ukuba uyeke ukuthatha iziyobisi ezincinci zegazi. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn) kunye nezinye.
• Buza ugqirha ukuba ngawaphi amayeza ekufuneka uwathathe ngemini yotyando lwakho.
• Ukuba uyatshaya, zama ukuyeka. Ukutshaya kwandisa umngcipheko weengxaki ezinjengokunyanga kade. Buza ugqirha wakho okanye unesi ukuba akuncede uyeke.
• Tshela ugqirha wakho ngokukhawuleza ukuba unokubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye esinye isifo ngaphambi kokuhlinzwa.
• Unokucelwa ukuba uhambe ngokulungiselela amathumbu ukucoca amathumbu akho kuzo zonke izitulo. Oku kunokubandakanya ukuhlala kukutya okungamanzi iintsuku ezimbalwa kunye nokusebenzisa laxatives.

Usuku ngaphambi kotyando:

• Unokucelwa ukuba usele kuphela ulwelo olucacileyo olufana nomhluzi, ijusi ecacileyo kunye namanzi.
• Landela imiyalelo malunga nokuba uyeke nini ukutya nokusela.

Ngomhla wotyando:

• Thatha la mayeza ugqirha wakho akuxelele ukuba uthathe ngesiphuzo esincinci samanzi.
• Fika esibhedlele ngexesha.

Uya kuba sesibhedlele iintsuku ezi-3 ukuya kwezi-7. Kuya kufuneka uhlale ixesha elide ukuba utyando lwakho ibilulwenziwo olungxamisekileyo.

Kuya kufuneka uhlale ixesha elide ukuba inani elikhulu lamathumbu akho amancinci lisusiwe okanye uneengxaki.

Ngosuku lwesibini okanye lwesithathu, uya kuba nakho ukusela ulwelo olucacileyo. Ulwelo olutyebileyo kunye nokutya okuthambileyo kuya kongezwa njengoko amathumbu akho eqala ukusebenza kwakhona.

Ukuba inani elikhulu lamathumbu akho amancinci lisusiwe, unokufuna ukufumana isondlo solwelo ngethambo (IV) kangangexesha elithile. I-IV ekhethekileyo iya kufakwa entanyeni yakho okanye kwindawo ephezulu yesifuba ukuhambisa isondlo.

Emva kokuba ugodukile, landela imiyalelo yendlela yokuzikhathalela njengoko uphilisa.

Uninzi lwabantu abanesifo esincinci sokuthengiswa kwamathumbu kwakhona. Ngaphandle kwe-ileostomy, uninzi lwabantu luyakwazi ukwenza imisebenzi ebebeyenza ngaphambi kotyando lwabo. Oku kubandakanya uninzi lwezemidlalo, ukuhamba, ukwenza igadi, ukunyuka intaba, kunye neminye imisebenzi yangaphandle, kwaye uninzi lweentlobo zomsebenzi.

Ukuba indawo enkulu yamathumbu akho amancinci isusiwe, unokuba nengxaki kwizitulo ezikhululekileyo kunye nokufumana izondlo ezaneleyo kukutya okutyayo.

Ukuba unesifo sexesha elide (esingapheliyo), njengomhlaza, isifo seCrohn okanye i-ulcerative colitis, unokufuna unyango oluqhubekayo.

Utyando lwamathumbu amancinci; Ukuthengiswa kwakhona kwamathumbu - amathumbu amancinci; Ukufunyanwa kwakhona kwenxalenye yamathumbu amancinci; Ukungena ngaphakathi

• Ukhuseleko kwigumbi lokuhlambela kubantu abadala
• Ukutya kweBland
• Isifo seCrohn - ukukhutshwa
• Ileostomy nomntwana wakho
• Ileostomy kunye nokutya kwakho
• Ileostomy - ukukhathalela i-stoma yakho
• Ileostomy-ukutshintsha ingxowa yakho
• Ileostomy - ukukhutshwa
• Ileostomy - yintoni oza kuyibuza ugqirha wakho
• Ukutya okune-fiber encinci
• Ukuthintela ukuwa
• Ukuthengiswa kwamathumbu amancinci amancinci - ukukhutshwa
• Unonophelo lwenxeba lotyando - luvulekile
• Iindidi zeileostomy
• I-ulcerative colitis - ukukhutshwa
• Xa unesicaphucaphu nokugabha

• Ukuthengiswa kwamathumbu amancinci kancinci - uthotho

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I-DiBrito SR, i-Duncan M.Ulawulo lwezithintelo ezincinci zamathumbu. Ku: UCameron JL, uCameron AM, ii-eds. Unyango lwangoku lonyango. Umhla we-12. IPhiladelphia, PA: Elsevier; Ngo-2017: 109-113.

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