Nkqo gastrectomy: yintoni, izibonelelo kunye nokuchacha

Umxholo

• Lwenziwa njani utyando
• Eyona nto iphambili kuyo
• Imingcipheko enokwenzeka
• Unjani uchacha

I-gastrectomy ethe nkqo, ekwabizwa ngokuba umkhono okanye i-sleeve gastrectomy, luhlobo lotyando lwe-bariatric olwenziwa ngenjongo yokunyanga ukutyeba okungathethekiyo, kubandakanya nokususwa kwenxalenye yasekhohlo yesisu, ebangela ukwehla kwesisu sokugcina ukutya. Ke, olu tyando lunokukhokelela kwilahleko yokufikelela kwi-40% yesisindo sokuqala.

Olu tyando lubonakalisiwe kunyango lokutyeba xa ukusetyenziswa kwezinye, iifom zendalo ezingakhange zivelise naziphi na iziphumo nasemva kweminyaka emi-2 okanye xa umntu sele enayo i-BMI enkulu kune-50 kg / m². Ukongeza, inokwenziwa nakwizigulana ezine-BMI ye-35 kg / m² kodwa enentliziyo, isifo sokuphefumla okanye isifo seswekile, umzekelo.

Jonga xa utyando lwe-bariatric luboniswa njengohlobo lonyango.

Lwenziwa njani utyando

I-gastrectomy ethe nkqo yokunciphisa umzimba lutyando olwenziwa phantsi kwe-anesthesia ngokubanzi kwaye luhlala, kwi-avareji, iiyure ezingama-2. Nangona kunjalo, kuqhelekile ukuba umntu angeniswe esibhedlele okungenani iintsuku ezintathu.

Ngokubanzi, olu tyando lwenziwa nge-videolaparoscopy, apho imingxunya emincinci yenziwa esiswini, apho kufakwa khona iityhubhu kunye nezixhobo zokwenza ukusika okuncinci esiswini, ngaphandle kokwenza isikhumba esikhulu kulusu.

Ngexesha lotyando, ugqirha usika ngokuthe nkqo, usika inxenye yasekhohlo yesisu kunye nokushiya ilungu ngohlobo lombhobho okanye umkhono, ofana nebhanana. Kolu tyando ukuya kuma kuma-85% esisu esisusiweyo, sisenza sincinci kwaye sibangele ukuba umntu atye kancinci.

Eyona nto iphambili kuyo

Ezona zibonelelo ziphambili zokuma ngokuthe nkqo kolunye uhlobo lotyando lwe-bariatric zezi:

• Ukungenisa phakathi kwe-50 ukuya kwi-150 ml yokutya, endaweni ye-1 L, eyindlela eqhelekileyo ngaphambi kotyando;
• Ukwehla kobunzima obukhulu kunoko kufunyenwe ngebhendi yesisu esisungulayo, ngaphandle kokufuna uhlengahlengiso lwebhanti;
• Guqula i-gastrectomy ibe ukudlula esiswini, ukuba kukho imfuneko;
• Amathumbu akatshintshi, ngenxa yokufunxwa kwesiqhelo kwezondlo ezibalulekileyo.

Kuselulwakhiwo lobuchwephesha olulula kunendlela ukudlula isisu, ukuvumela ukwehla kobunzima kwiminyaka eliqela kunye nomngcipheko omncinci weengxaki.

Nangona kunjalo, ngaphandle kwazo zonke izibonelelo, ihlala iyindlela enobundlobongela kwindalo kwaye ngaphandle kokubuyela umva, ngokungafaniyo nezinye iindlela zotyando olulula, ezinjengokubekwa kwebhendi yesisu okanye ibhaluni.

Imingcipheko enokwenzeka

I-gastrectomy ethe nkqo inokubangela isicaphucaphu, ukugabha kunye nokuqaqamba kwentliziyo. Nangona kunjalo, ezona ngxaki zinzima zolu tyando zibandakanya ukubonakala kwesifo fistula, enxibelelene ngokungaqhelekanga phakathi kwesisu kunye nesisu esiswini, kwaye esinokuthi sandise amathuba osulelo. Kwiimeko ezinjalo, olunye unyango lunokufuneka.

Unjani uchacha

Ukubuyela kwimeko yoqhaqho kunokuthatha phakathi kweenyanga ezi-6 ukuya kunyaka-1, ukunciphisa umzimba ngokuthe ngcembe kwaye, kunye nesidingo sokwenza utshintsho kwindlela yokuphila.

Ke ngoko, umntu onesifo sokulungiswa kwesisu kufuneka alandele izikhokelo:

• Ukutya iboniswe yingcali yezondlo. Jonga ukuba ukutya kufanele kujongeka njani emva kotyando lwe-bariatric.
• Thatha i-antiemetic Njengo-Omeprazole, emiselweyo ngugqirha, ngaphambi kokutya ukukhusela isisu;
• Thatha iipilisi zeentlungu ngomlomo, njengeParacetamol okanye iTramadol, njengoko kuyalelwa ngugqirha, ukuba unentlungu;
• Qalisa ukuziqhelanisa nokukhanya komzimba emva kweenyanga ezi-1 okanye ezi-2, ngokokuvavanya kukagqirha;
• Ukunxiba kwindawo yezempilo kwiveki enye emva kotyando.

Zonke ezi zinto zokuthintela kufuneka zenziwe ukuze ukubuyisela kwimeko yesiqhelo kungabi buhlungu kangako kwaye kukhawuleze. Bona izikhokelo ezithile ngakumbi malunga nokuba wenze ntoni emva kokuhlinzwa kotyando lwe-bariatric.