Umbhali: Randy Alexander
Umhla Wokudalwa: 27 Utshazimpuzi 2021
Hlaziya Umhla: 18 Eyenkanga 2024
Anonim
Total Gastrectomy
Ividiyo: Total Gastrectomy

Umxholo

Gastrectomy

I-Gastrectomy kukususa inxenye okanye sonke isisu.

Zintathu iintlobo eziphambili ze-gastrectomy:

  • I-gastrectomy ekhethekileyo kukususwa kwenxalenye yesisu. Isiqingatha esisezantsi sihlala sisuswa.
  • I-gastrectomy epheleleyo kukususa isisu sonke.
  • I-sleeve yegastomy kukususa icala lasekhohlo lesisu. Oku kuhlala kwenziwa njengenxalenye yotyando lokwehla kobunzima.

Ukususa isisu akususi ukubanakho ukwetyisa ulwelo kunye nokutya. Nangona kunjalo, kusenokufuneka wenze iinguqu ezininzi kwindlela yokuphila emva kwenkqubo.

Kutheni le nto unokufuna i-gastrectomy

I-Gastrectomy isetyenziselwa ukunyanga iingxaki zesisu ezingancedwa ngezinye iindlela zonyango. Ugqirha wakho unokucebisa nge-gastrectomy ukunyanga:

  • amathumba anobungozi, okanye angenabungozi
  • ukopha
  • ukudumba
  • ukugqobhoza eludongeni lwesisu
  • polyps, okanye ukukhula ngaphakathi esiswini sakho
  • isisu somhlaza
  • izilonda ezinamandla zepeptic okanye duodenal

Ezinye iintlobo ze-gastrectomy zinokusetyenziselwa ukunyanga ukutyeba kakhulu. Ngokwenza isisu sibe sincinci, sigcwalisa ngokukhawuleza. Oku kunokukunceda utye kancinci. Nangona kunjalo, i-gastrectomy kuphela lonyango olufanelekileyo lokutyeba xa ezinye iindlela zisilele. Unyango olungena gwenxa lubandakanya:


  • ukutya
  • umthambo
  • amayeza
  • iingcebiso

Iindidi ze-gastrectomy

Kukho iintlobo ezintathu eziphambili ze-gastrectomy.

I-gastrectomy ekhethekileyo

Ugqirha wakho uya kususa isiqingatha esisezantsi sesisu sakho ngexesha lesisu esingalunganga. Banokuthi basuse ii-lymph node ezikufuphi ukuba uneeseli zomhlaza kuzo.

Kolu tyando, ugqirha wakho wotyando uya kuyivala i-duodenum yakho. I-duodenum yakho yinxalenye yokuqala yamathumbu akho amancinci afumana ukutya okwetyiswe kancinci esiswini sakho. Ke indawo eseleyo yesisu sakho iya kudityaniswa nesisu sakho.

Gcwalisa i-gastrectomy

Ikwabizwa ngokuba yi-gastrectomy iyonke, le nkqubo isusa ngokupheleleyo isisu. Ugqirha wakho uza kudibanisa umqala wakho ngqo emathunjini akho amancinci. Esi sidlo siqhele ukudibanisa umqala wakho nesisu sakho.

Umkhono we-gastrectomy

Ukuya kuthi ga kwiikota ezintathu zesisu sakho kungasuswa ngexesha lokulungiswa kwemikhono. Ugqirha wakho uza kunciphisa icala lesisu sakho ukuze asiguqule sibe yimo yetyhubhu. Oku kudala isisu esincinci, esinde.


Ungayilungiselela njani i-gastrectomy

Ugqirha wakho uya ku-odola uvavanyo lwegazi kunye novavanyo lwe-imaging ngaphambi kotyando. Oku kuyakuqinisekisa ukuba usempilweni ngokwaneleyo kwinkqubo. Uya kuba nomzimba opheleleyo kunye nokuphononongwa kwimbali yakho yonyango.

Ngexesha lokuqeshwa kwakho, xelela ugqirha wakho ukuba uthatha nawaphi na amayeza. Qiniseka ukuba ubandakanya amayeza angaphezulu kwekhawuntareni kunye nezongezelelo. Kuya kufuneka uyeke ukuthatha amayeza athile ngaphambi kotyando.

Kuya kufuneka uxelele ugqirha wakho ukuba ukhulelwe, cinga ukuba unokukhulelwa, okanye unezinye iimeko zonyango, ezinjengesifo seswekile.

Ukuba uyatshaya imidiza, kufuneka uyeke ukutshaya. Ukutshaya kongeza ixesha elongezelelweyo lokuchacha. Inokudala ezinye iingxaki, ngakumbi ezo zibandakanya usulelo kunye neengxaki zemiphunga.

Yenziwa njani i-gastrectomy

Kukho iindlela ezimbini ezahlukeneyo zokwenza i-gastrectomy. Zonke zenziwa phantsi kweanesthesia ngokubanzi. Oku kuthetha ukuba uzobe ulele ubuthongo obunzulu ngexesha lokusebenza kwaye ngekhe ukwazi ukuziva nayiphi na intlungu.


Utyando oluvulekileyo

Utyando oluvulekileyo lubandakanya ukusikwa okukodwa, okukhulu. Ugqirha wakho uza kubuyisa isikhumba, imisipha kunye nezicubu ukufikelela kwisisu.

Utyando lweLaparoscopic

Utyando lwe-Laparoscopic luqhaqho oluncinci olungenelelayo. Kubandakanya ukusikwa okuncinci kunye nezixhobo ezikhethekileyo. Le nkqubo ayibuhlungu kangako kwaye ivumela ixesha lokufumana kwakhona ngokukhawuleza. Kukwaziwa nangokuthi "utyando lwamaqhosha" okanye i-laparoscopically assisted gastrectomy (LAG).

I-LAG ihlala ikhetha ukuvula utyando. Luqhaqho oluphambili kunye nenqanaba eliphantsi leengxaki.

Ugqirha wakho ugqirha unokucebisa ukuba utyando luvulwe ngaphezulu kotyando lwe-laparoscopic ukunyanga iimeko ezithile, njengomhlaza wesisu.

Umngcipheko we-gastrectomy

Umngcipheko we-gastrectomy ubandakanya:

  • i-asidi ye-asidi
  • urhudo
  • isisu sokulahla intsholongwane esisifo esisifo esibi
  • usulelo lwenxeba lokusikwa
  • usulelo esifubeni
  • ukopha ngaphakathi
  • ukuvuza esiswini kwindawo yokusebenza
  • isicaphucaphu
  • ukugabha
  • isisu esiswini singena kwi-esophagus yakho, esibangela ukunqunyulwa, ukunciphisa okanye ukunciphisa (ukuqina)
  • ukuvaleka kwamathumbu amancinci
  • i-vitamin
  • ukuhla ukusinda
  • ukopha
  • ubunzima bokuphefumla
  • ukukrala kwemiphunga
  • umonakalo kwizakhiwo ezikufutshane

Qiniseka ukuba uxelela ugqirha wakho malunga nembali yakho yezonyango kwaye ngawaphi amayeza owathathayo. Landela yonke imikhombandlela oyinikiweyo ukulungiselela inkqubo. Oku kuya kunciphisa umngcipheko wakho.

Emva kwesisu

Emva kwe-gastrectomy, ugqirha wakho uya kuyivala intambo yakho ngemithungo kwaye inxeba liya kubotshwa. Uya kuziswa kwigumbi lasesibhedlele ukuze uphinde uchache. Umongikazi uya kubeka iliso kwiimpawu zakho ezibalulekileyo ngexesha lenkqubo yokubuyisela kwimeko yesiqhelo.

Unokulindela ukuhlala esibhedlele iveki enye okanye ezimbini emva kotyando. Ngeli xesha, uya kuba netyhubhu ebaleka ukusuka empumlweni ukuya esiswini sakho. Oku kuvumela ugqirha wakho ukuba asuse naluphi na ulwelo oluveliswa sisisu sakho. Oku kunceda ukuba ungaziva ungonwabanga.

Uya kutyiswa ngombhobho emthanjeni wakho de ube ukulungele ukutya nokusela ngesiqhelo.

Xelela ugqirha wakho ngokukhawuleza ukuba uvelisa naziphi na iimpawu ezintsha okanye iintlungu ezingalawulwayo ngamayeza.

Utshintsho kwindlela yokuphila

Nje ukuba ugoduke, kusenokufuneka uhlengahlengise indlela otya ngayo. Olunye utshintsho lunokubandakanya:

  • ukutya ukutya okuncinci imini yonke
  • ukuphepha ukutya okuphezulu
  • ukutya ukutya okune calcium, i-iron, neevithamini C no-D
  • ukuthatha izongezo zeevithamini

Ukuchacha kwi-gastrectomy kungathatha ixesha elide. Ekugqibeleni, isisu sakho kunye namathumbu amancinci aya kolula. Emva koko, uya kuba nakho ukusebenzisa ifayibha ngakumbi kwaye utye izidlo ezikhulu. Uya kudinga kuvavanyo lwegazi rhoqo emva kwenkqubo yokuqinisekisa ukuba ufumana iivithamini ezaneleyo kunye neeminerali.

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