Gastrectomy

I-Gastrectomy ngotyando lokususa inxenye okanye sonke isisu.

• Ukuba kuphela yinxalenye yesisu isuswe, ibizwa ngokuba yi-gastrectomy
• Ukuba isisu sonke siyasuswa, ibizwa ngokuba yi-gastrectomy iyonke

Olu tyando lwenziwa ngelixa uphantsi kweanesthesia (xa ulele kwaye kungekho zintlungu). Ugqirha usika isisu kwaye ususe konke okanye inxalenye yesisu, kuxhomekeke kwisizathu senkqubo.

Kuxhomekeke ekubeni leliphi icandelo lesisu elisusiweyo, amathumbu anokufuna ukuphinda aqhagamshelwe kwisisu esisele (ngokuyinxenye ye-gastrectomy) okanye kwi-esophagus (iyonke i-gastrectomy).

Namhlanje, abanye ogqirha benza i-gastrectomy besebenzisa ikhamera. Utyando, olubizwa ngokuba yi-laparoscopy, lwenziwa ngokusikwa okuncinci okuncinci. Izibonelelo zolu tyando kukuchacha ngokukhawuleza, iintlungu ezincinci, kunye nokusikwa okuncinci okuncinci.

Olu tyando lusetyenziselwa ukunyanga iingxaki zesisu ezinje:

• Ukopha
• Ukudumba
• Umhlaza
• Iipolyps (ukukhula kumgca wesisu)

Umngcipheko we-anesthesia kunye notyando ngokubanzi kubandakanya:

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

Iingozi zolu tyando zibandakanya:

• Ukuvuza kunxibelelwano ukuya emathunjini kunokubangela usulelo okanye ithumba
• Ukuqhagamshela emathunjini kuncipha, kubangele ukuvaleka

Ukuba uyatshaya, kuya kufuneka uyeke ukutshaya iiveki ezininzi ngaphambi kotyando kwaye ungaphindi uqale ukutshaya emva kotyando. Ukutshaya kunciphisa ukubuyela umva kwaye kwandisa umngcipheko weengxaki. Xelela umboneleli wakho wezempilo ukuba ufuna uncedo lokuyeka.

Xelela ugqirha wakho okanye ugqirha:

• Ukuba ukhulelwe okanye unokukhulelwa
• Ngawaphi amayeza, iivithamini, imifuno kunye nezinye izongezo ozithathayo, kwanezo uzithengileyo ngaphandle kommiselo

Ngexesha leveki ngaphambi kotyando lwakho:

• 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 ngemini yotyando lwakho.
• Lungisa ikhaya lakho xa ugoduka emva kotyando. Misa ikhaya lakho ukuze wenze ubomi bakho bube lula kwaye bukhuseleke xa ubuya.

Ngomhla wotyando lwakho:

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

Ungahlala esibhedlele kangangeentsuku ezi-6 ukuya kwezi-10.

Emva kotyando, kunokubakho ityhubhu empumlweni yakho eya kuthi incede ukugcina isisu sakho singenanto. Iyasuswa kwakamsinya nje ukuba izibilini zakho zisebenze kakuhle.

Uninzi lwabantu luneentlungu ezivela kutyando. Unokufumana iyeza elinye okanye indibaniselwano yamayeza ukulawula iintlungu zakho. Xelela ababoneleli bakho xa usiva iintlungu kwaye ukuba amayeza owafumanayo alawula iintlungu zakho.

Ukwenza kakuhle kangakanani emva kotyando kuxhomekeke kwisizathu sotyando kunye nemeko yakho.

Buza ugqirha wakho wotyando ukuba kukho nayiphi na into ongafanele uyenze emva kokuba uye ekhaya. Kungathatha iiveki ezininzi ukuba uchache ngokupheleleyo. Ngelixa uthatha amayeza entlungu, akufuneki uqhube.

Utyando - isisu esisuswe; I-Gastrectomy - iyonke; I-Gastrectomy - inxenye; Umhlaza wesisu-isisu esiswini

• Gastrectomy - uthotho

I-Antiporda M, kunye neReavis KM. Ku: Delaney CP, ed. I-Netter's Anatomy yoPhando kunye neNdlela. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; 2021: isahluko 8.

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.