Utyando lwe-Reflux: kwenziwa njani, ukubuyisela kwimeko yesiqhelo kunye nokutya

Umxholo

• Lwenziwa njani utyando
• Iingxaki ezinokwenzeka
• Unjani uchacha
• Yintoni oza kuyitya emva kotyando
• Iimpawu ezilumkisayo zokuya kugqirha

Utyando lwe-reflux ye-gastroesophageal ibonakalisiwe xa unyango ngamayeza kunye nokunakekelwa kokutya kungazisi ziphumo, kunye neengxaki ezinjengezilonda okanye ukukhula komqala UBarrett, umzekelo. Ukongeza, isibonakaliso sokwenza utyando sikwaxhomekeke kwithuba apho umntu ene-reflux, amandla kunye nokuhamba rhoqo kweempawu kunye nokuzimisela komntu ukwenza utyando ukusombulula imeko.

Olu tyando lwenziwa phantsi kwe-anesthesia ngokubanzi kunye nokusika okuncinci esiswini, kwaye ukubuyiswa okupheleleyo kuthatha malunga neenyanga ezi-2, kuyimfuneko kwiiveki zokuqala ukondla kuphela ulwelo, olunokukhokelela ekunciphiseni ubunzima bokukhanya.

Jonga ukhetho kunyango lwe-Reflux ngaphambi kotyando.

Lwenziwa njani utyando

Utyando lwe-Reflux luhlala lusebenza ukulungisa i-hernia ye-hiatal, esona sizathu siphambili se-Reflux esophageal kwaye, ke ngoko, ugqirha kufuneka enze ukusika okuncinci kwingingqi phakathi kwesisu kunye nomqala ukwenza ukulungiswa kwe-hernia.

Ngokwesiqhelo, ubuchwephesha obusetyenzisiweyo yi-laparoscopy ene-anesthesia ngokubanzi, apho kufakwa khona iityhubhu ezibhityileyo ngokusika okuncinci kulusu. Ugqirha uyakwazi ukujonga ngaphakathi emzimbeni kwaye enze utyando ngekhamera ebekwe esiphelweni sesinye seetyhubhu.

Iingxaki ezinokwenzeka

Utyando lwe-Reflux lukhuselekile kakhulu, ngakumbi xa lwenziwa nge-laparoscopy, nangona kunjalo, kuhlala kukho umngcipheko weengxaki ezinje ngegazi, i-thrombosis kumalungu asezantsi, usulelo kwindawo esikiweyo okanye umothuko kumalungu akufuphi nesisu. Ukongeza, njengoko i-anesthesia iyadingeka, iingxaki ezinxulumene ne-anesthesia nazo zingavela.

Kuxhomekeke kubukrakra, ezi ngxaki zinokukhokelela kwimfuno yokuba umntu aphinde atyandwe kwakhona ngotyando oluqhelekileyo, olwenziwe ngokusikwa okukhulu esiswini, endaweni yenkqubo ye-laparoscopic.

Unjani uchacha

Ukubuyiselwa kwimeko yoqhaqho lwe-Reflux kuyakhawuleza, ngaphandle kwentlungu encinci kunye nomngcipheko omncinci wosulelo, kwaye ngokubanzi isigulana sikhutshiwe kusuku olu-1 emva kotyando kwaye sinokubuyela emsebenzini emva kweveki enye okanye ezi-2. Nangona kunjalo, ukufumana ngokukhawuleza, kuyacetyiswa:

• Kuphephe ukuqhuba ubuncinci iintsuku ezili-10;
• Kuphephe ukunxibelelana ngokusondeleyo kwiiveki ezimbini zokuqala;
• Musa ukuphakamisa iintsimbi kwaye uqalise ngokuzilolonga kuphela emva kwenyanga e-1 okanye emva kokukhutshwa ngugqirha;
• Thatha uhambo olufutshane ekhaya imini yonke, ukuphepha ukuhlala okanye ukulala ixesha elide.

Ukongeza, kuyacetyiswa ukuba ubuyele esibhedlele okanye uye kwiziko lempilo ukunyanga amanxeba otyando. Kwiintsuku ezi-2 zokuqala kubalulekile ukuba uhlambe kuphela ngesiponji ukunqanda ukumanzisa iilokhwe, kuba oko kwandisa umngcipheko wosulelo.

Ngexesha lokuchacha, ugqirha unokucebisa ukuba kusetyenziswe ii-antibiotics, ii-anti-inflammatories okanye iintlungu zokunciphisa iintlungu, ukunciphisa ukungonwabi.

Yintoni oza kuyitya emva kotyando

Ngenxa yeentlungu kunye nobunzima ekuginyeni, kuyacetyiswa ukuba ulandele olu hlobo lweskimu:

• Yitya ulwelo ngeveki yokuqala, enokuthi inyuse ukuya kuthi ga kwiveki yesibini, ngokunyamezelana nomguli;
• Tshintshela ekutyeni okwenziwe ngepasti ukusuka kwiveki yesi-2 okanye yesi-3, ngokungenisa ukutya okuphekwe kakuhle, i-purees, inyama yenkomo yomhlaba, intlanzi kunye nenkukhu eyosiweyo;
• Ngokuthe ngcembe qalisa ukutya okuqhelekileyo, ngokunyamezelana nokukhutshwa kukagqirha;
• Ziphephe iziselo ezihlwahlwazayo ebudeni beenyanga ezimbalwa zokuqala, ezifana neziselo ezibandayo kunye namanzi e-carbon;
• Kuphephe ukutya okuvelisa igesi emathunjini, afana neembotyi, ikhaphetshu, iqanda, ii-ertyisi, umbona, i-broccoli, amatswele, iikomkomere, iitheniphu, iivatala, iivatala kunye neeavokhado;
• Yitya usele kancinci, Ukuphepha ukudumba kunye nentlungu esiswini.

Imvakalelo yeentlungu kunye nesisu esigcweleyo kunokukhokelela ekulahlekelweni kwesisindo ngenxa yokunciphisa inani lokutya okutyiweyo. Ukongeza, kuqhelekile ukuba namava e-hiccups kunye negesi egqithisileyo, kwaye kunokuba yimfuneko ukuthatha amayeza afana neLuftal, ukunciphisa ezi mpawu.

Bona ezinye iinkcukacha malunga nokondla kwakhona.

Iimpawu ezilumkisayo zokuya kugqirha

Ukongeza kutyelelo lokubuyela, kufuneka kuboniswane nogqirha ukuba kukho umkhuhlane ongaphezu kwama-38ºC, iintlungu eziqatha, ukuba bomvu, igazi okanye ubofu emanxebeni, isicaphucaphu nokugabha rhoqo, ukudinwa rhoqo kunye nokuphefumla kancinci kunye / okanye iintlungu zesisu kunye nokuqunjelwa okungapheliyo. .

Ezi mpawu zinokubonisa iingxaki koqhaqho, kwaye kuyacetyiswa ukuba uye kwigumbi likaxakeka ukunyanga nokukhusela ezinye iingxaki.