Imikhono emi nkqo gastrectomy

Imikhono emi nkqo ye-gastrectomy ngotyando ukunceda ukunciphisa umzimba. Ugqirha ususa isahlulo esikhulu sesisu sakho.

Isisu esitsha esincinci silingana nebhanana. Inciphisa inani lokutya onokukutya ngokwenza uzive ugcwele emva kokutya ukutya okuncinci.

Uya kufumana i-anesthesia ngokubanzi ngaphambi kolu tyando. Eli yeza likugcina ulele kwaye ungenazintlungu.

Olu tyando luhlala lusenziwa kusetyenziswa ikhamera encinci ebekwe esiswini sakho. Olu hlobo lotyando lubizwa ngokuba yi-laparoscopy. Ikhamera ibizwa ngokuba yi-laparoscope. Ivumela ugqirha wakho ukuba abone ngaphakathi kwesisu sakho.

Kolu tyando:

• Ugqirha wakho wenza i-2 ukuya kwi-5 yokusika okuncinci esiswini sakho.
• Ubungakanani kunye nezixhobo ezifunekayo zokwenza utyando zifakelwa ngokusikwa.
• Ikhamera iqhagamshelwe kwisibekeli sevidiyo kwigumbi lokusebenza. Oku kuvumela ugqirha ukuba abone ngaphakathi esiswini sakho ngelixa esenza utyando.
• Irhasi engenabungozi ifakwa esiswini ukuyandisa. Oku kunika igumbi lotyando ukuba lisebenze.
• Ugqirha wakho ususa uninzi lwesisu sakho.
• Iziza eziseleyo zesisu sakho zidityanisiwe zisebenzisa ukutya okokutya. Oku kudala ityhubhu ethe nkqo okanye isisu esimile okwebhanana.
• Utyando alubandakanyi ukusika okanye ukutshintsha izihlunu ze-sphincter ezivumela ukutya kungene okanye kuphume esiswini.
• Umda kunye nezinye izixhobo ziyasuswa. Ukusikwa kuthungiwe kuvaliwe.

Olu tyando luthatha imizuzu engama-60 ukuya kwengama-90.

Utyando lokulahleka kwesisindo lunokunyusa umngcipheko we-gallstones. Ugqirha wakho ugqirha unokucebisa ukuba ube ne-cholecystectomy. Olu luqhaqho ukususa i-gallbladder. Inokwenziwa ngaphambi koqhaqho lokulahleka kobunzima okanye ngexesha elinye.

Utyando lokunciphisa ukutyeba kunokuba yinto onokukhetha kuyo ukuba utyebe kakhulu kwaye khange ukwazi ukunciphisa umzimba ngokutya nangokwenza umthambo.

Imikhono emi nkqo ye-gastrectomy ayilungisi ngokukhawuleza ukukhuluphala. Iya kuyitshintsha kakhulu indlela ophila ngayo. Emva kolu tyando, kuya kufuneka utye ukutya okusempilweni, ulawule ubukhulu bezinto ozityayo, kunye nokuzilolonga. Ukuba awulandeli la manyathelo, unokuba neengxaki kuqhaqho kunye nokwehla kobunzima emzimbeni.

Le nkqubo inokucetyiswa ukuba unayo:

• Isalathiso sobunzima bomzimba (BMI) sama-40 okanye nangaphezulu. Umntu one-BMI engama-40 okanye nangaphezulu ubuncinci ziikhilogram ezili-100 (ubunzima beekhilogram ezingama-45) ngaphezulu kobunzima bakhe obucetyiswayo. I-BMI eqhelekileyo iphakathi kwe-18.5 ukuya kuma-25.
• I-BMI engama-35 okanye nangaphezulu kunye nemeko yezonyango enokubuphucula ubunzima bomzimba. Ezinye zeemeko kukuphazamiseka kokuphefumla xa ulele, udidi lwesibini lweswekile, kunye nesifo sentliziyo.

I-sleeve ye-sleeve ye-sleeve ihlala isenziwa kubantu abasindayo kakhulu ukuba babe nezinye iintlobo zotyando lokulahleka kobunzima. Abanye abantu banokufuna utyando lwesibini lokulahleka kwesisindo.

Le nkqubo ayinakubuyiselwa umva yakuba yenziwe.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Ukunyanga kwamayeza kunyango
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi, usulelo

Umngcipheko wokumiswa kwemikhono emi nkqo zezi:

• I-Gastritis (ukutsha kwesisu), isilungulela, okanye izilonda zesisu
• Ukwenzakala kwisisu sakho, amathumbu, okanye amanye amalungu ngexesha lotyando
• Ukuvuza kumgca apho iinxalenye zesisu zidityaniswe kunye
• Ukutya okungalunganga, nangona kuncinci kunokwenziwa koqhaqho lwesisu
• Ukuqhekeka ngaphakathi kwesisu sakho kunokukhokelela ekuvaleni kwisisu sakho kwixa elizayo
• Ukuphalaza kukutya ngaphezulu kwesingxobo sakho esiswini

Ugqirha wakho uyakukucela ukuba wenze iimvavanyo kwaye undwendwele nabanye ababoneleli ngempilo ngaphambi kokuba wenze olu tyando. Ezinye zazo zezi:

• Uvavanyo olupheleleyo lomzimba.
• Uvavanyo lwegazi, i-ultrasound ye-gallbladder yakho, kunye nolunye uvavanyo ukuze uqiniseke ukuba uphilile ngokwaneleyo ukuba unokuhlinzwa.
• Ukutyelelwa ngugqirha wakho uqiniseke ukuba ezinye iingxaki zonyango onokuba nazo, ezinjengesifo seswekile, uxinzelelo lwegazi kunye neengxaki zentliziyo okanye zemiphunga ziphantsi kolawulo.
• Iingcebiso ngezondlo.
• Iiklasi zokukunceda ufunde okwenzekayo ngexesha lotyando, into omele uyilindele emva koko, kwaye yeyiphi ingozi okanye iingxaki ezinokuthi zenzeke emva koko.
• Unokufuna ukutyelela nomcebisi ukuze uqiniseke ukuba ukulungele ngokwasemphefumlweni kolu tyando. Kuya kufuneka ukwazi ukwenza utshintsho olukhulu kubomi bakho emva kotyando.

Ukuba uyatshaya, kuya kufuneka uyeke iiveki ezininzi ngaphambi kotyando kwaye ungaphindi uqale ukutshaya emva kotyando. Ukutshaya kunciphisa ukubuyela umva kwaye kwandisa umngcipheko weengxaki. Buza umboneleli wakho ngoncedo lokuyeka.

Xelela ugqirha wakho:

• 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 amayeza okucoca igazi. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), ivithamin E, warfarin (Coumadin, Jantoven), kunye nezinye.
• Buza ugqirha wakho ukuba zeziphi iziyobisi omele uzithathe ngosuku lotyando lwakho.

Ngomhla wotyando lwakho:

• Landela imiyalelo malunga nokuba uyeke nini ukutya nokusela.
• Thatha amayeza ugqirha wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Fika esibhedlele ngexesha.

Unokubuyela ekhaya kwiintsuku ezi-2 emva kotyando lwakho. Kuya kufuneka ukuba usele ulwelo olucacileyo ngosuku emva kotyando, emva koko uye ekutyeni okusulungekileyo ngelixesha ugodukayo.

Xa ugoduka, uyakunikwa iipilisi zentlungu okanye ulwelo kunye neziyobisi ekuthiwa yiproton pump inhibitor.

Xa usitya emva kolu tyando, isingxobo esincinci siya kugcwalisa ngokukhawuleza. Uya kuziva uzele emva kokutya ukutya okuncinci kakhulu.

Ugqirha, umongikazi, okanye ugqirha wokutya uya kukucebisa ngokutya. Ukutya kufuneka kube kuncinci ukunqanda ukolula isisu esisele.

Ukuphulukana nobunzima bokugqibela akunakuba bukhulu njengokudlula kwesisu. Oku kunokwanela abantu abaninzi. Thetha nogqirha wakho malunga nenkqubo ekufaneleyo.

Ubunzima buhlala buhamba kancinci kunokuba kugqithe isisu. Kuya kufuneka ugcine ukunciphisa umzimba ukuya kuthi ga kwi-2 ukuya kwi-3 iminyaka.

Ukuphulukana nobunzima obaneleyo emva kotyando kunokuphucula iimeko ezininzi zonyango onokuba nazo. Iimeko ezinokuphucula sisifo se-asthma, uhlobo lwe-2 yeswekile, isifo samathambo, uxinzelelo lwegazi oluphezulu, ukuphazamiseka kokuphefumla kokulala, i-cholesterol ephezulu kunye nesifo se-gastroesophageal (GERD).

Ukulinganisa kancinci kufuneka kukwenze kube lula kakhulu kuwe ukuba ujikeleze kwaye wenze imisebenzi yakho yemihla ngemihla.

Olu tyando lodwa ayisosisombululo sokunciphisa umzimba. Inokukuqeqesha ukuba utye kancinci, kodwa kusafuneka wenze uninzi lomsebenzi. Ukwehlisa umzimba kunye nokuphepha iingxaki ezivela kwinkqubo, kuya kufuneka ulandele imithambo kunye nezikhokelo zokutya onikwa ngugqirha wakho kunye nogqirha wakho.

Gastrectomy - umkhono; I-Gastrectomy - ugoso olukhulu; I-Gastrectomy - parietal; Ukunciphisa isisu; Nkqo gastroplasty

• Inkqubo yemikhono esiswini

Umbutho waseMelika woNyango lweMetabolic kunye neBariatric.Iinkqubo zotyando lweBariatric. asmbs.org/patients/bariatric-surgery-procedures#sleeve. Kufumaneka ngo-Apreli 3, 2019.

URichards WO. Ukutyeba okungathethekiyo. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 47.

I-Thompson CC, iMorton JM. Unyango kunye nonyango lwe-endoscopic lokutyeba kakhulu. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahl 8.