IPloroplasty

Umxholo

• Yintoni i-pyloroplasty?
• Kutheni isenziwa?
• Kwenziwa njani?
• Utyando oluvulekileyo
• Utyando lweLaparoscopic
• Kunjani ukuchacha?
• Ngaba kukho nayiphi na ingozi?
• Ukulahla isisu
• Umgca wezantsi

Yintoni i-pyloroplasty?

IPyloroplasty ngotyando lokwandisa ipylorus. Olu luvulo kufutshane nesiphelo sesisu esivumela ukutya ukuba kungene kwi-duodenum, eyinxalenye yokuqala yamathumbu amancinci.

I-pylorus ijikelezwe yi-pyloric sphincter, ibhendi eshinyeneyo yemisipha egudileyo ebangela ukuba ivule kwaye ivale kumanqanaba athile okwetyisa. I-pylorus ihlala incipha ukuya kwi-intshi enye ubukhulu. Xa ukuvulwa kwepyloric kumxinwa ngokungaqhelekanga okanye kuthintelwe, kunzima ukuba kudlule ukutya. Oku kukhokelela kwiimpawu ezinje ngokugaya kunye nokuqunjelwa.

I-Pyloroplasty ibandakanya ukusika kunye nokususa ezinye ze-pyloric sphincter ukwandisa kwaye uphumle i-pylorus. Oku kwenza ukuba kube lula ukutya ukuba kudlule kwi-duodenum. Kwezinye iimeko, i-pyloric sphincter isuswe ngokupheleleyo.

Kutheni isenziwa?

Ukongeza ekwandiseni ipylorus emxinwa ngakumbi, ipyloroplasty inokunceda ekunyangeni iimeko ezininzi ezichaphazela isisu kunye neethambo zesisu, ezinje:

• i-pyloric stenosis, ukunciphisa okungaqhelekanga kwipylorus
• i-pyloric atresia, ivaliwe okanye ilahlekile xa kuzalwa i-pylorus
• Izilonda (izilonda ezivulekileyo) kunye nesifo sezilonda (PUD)
• Isifo sikaParkinson
• isifo sokugubhuka
• gastroparesis, okanye ukulibaziseka ukukhupha isisu
• umonakalo we-vagus okanye isifo
• isifo seswekile

Ngokuxhomekeke kwimeko, i-pyloroplasty inokwenziwa ngexesha elifanayo njengenye inkqubo, njenge:

• Vagotomy. Le nkqubo ibandakanya ukususwa kwamasebe athile e-vagus nerve, elawula amalungu omzimba.
• I-Gastroduodenostomy. Le nkqubo yenza unxibelelwano olutsha phakathi kwesisu kunye ne-duodenum.

Kwenziwa njani?

IPyloroplasty inokwenziwa njengotyando lwendabuko oluvulekileyo. Nangona kunjalo, oogqirha abaninzi ngoku banikela ngeendlela ezinokuthi zenziwe nge-laparoscopic. Oku kungena kancinci kwaye kuthwala umngcipheko omncinci. Zombini ezi ntlobo zotyando zihlala zenziwa phantsi kweanesthesia ngokubanzi. Oku kuthetha ukuba uya kulala kwaye awuyi kuva ntlungu ngexesha lotyando.

Utyando oluvulekileyo

Ngexesha le-pyloroplasty evulekileyo, oogqirha baya kuthi:

1. Yenza ukusikwa okude okanye ukusika, ihlala iphantsi embindini wodonga lwesisu, kwaye usebenzise izixhobo zotyando ukwandisa ukuvulwa.
2. Yenza ukusika okuncinci okuncinci ngesihlunu se-pylorus sphincter kwezihlunu, wandise ukuvulwa kwepyloric.
3. Gweba imisipha ye-pyloric ndawonye ukusuka ezantsi ukuya phezulu.
4. Yenza iinkqubo ezongezelelweyo zotyando, ezinje ngegastroduodenostomy kunye ne-vagotomy.
5. Kwiimeko ezibandakanya ukungondleki okukhulu, ityhubhu ye-gastro-jejunal, uhlobo lwetyhubhu yokondla, inokufakwa ukuvumela ukutya okungamanzi kudlule kwisisu ngqo esiswini.

Utyando lweLaparoscopic

Kwiinkqubo ze-laparoscopic, abagqirha benza utyando ngokusika okuncinci okuncinci. Basebenzisa izixhobo ezincinci kakhulu kunye ne-laparoscope ukubanceda ukubakhokela. I-laparoscope yityhubhu ende, yeplastiki enekhamera encinci, ekhanyisiweyo yecala kwelinye icala. Idityaniswe kwiscreen sokubonisa esivumela ugqirha ukuba abone ukuba benzani ngaphakathi komzimba wakho.

Ngexesha le-laparoscopic pyloroplasty, oogqirha baya kuthi:

1. Yenza ukusika okuncinci kathathu ukuya kwesihlanu esiswini kwaye ufake i-laparoscope.
2. Impompo yegesi kwisisu esiswini ukwenza kube lula ukubona ilungu elipheleleyo.
3. Landela amanyathelo 2 ukuya ku-5 kwi-pyloroplasty evulekileyo, usebenzisa izixhobo ezincinane zotyando ezenziwe ngokukodwa kuqhaqho lwe-laparoscopic.

Kunjani ukuchacha?

Ukufumana kwakhona kwi-pyloroplasty kuyakhawuleza. Uninzi lwabantu lunokuqala ukuhamba ngobunono okanye ukuhamba kwisithuba seeyure ezili-12 emva kotyando. Uninzi luya emakhaya emva kweentsuku ezintathu zokujongwa kukhathalelo lonyango. Utyando oluntsonkothileyo lwe-pyloroplasty lunokufuna iintsuku ezimbalwa esibhedlele.

Ngelixa uchacha, kusenokufuneka ukuba utye ukutya okuthintelweyo iiveki ezimbalwa okanye iinyanga, kuxhomekeke kubungakanani botyando kunye nazo naziphi na iimeko zonyango onazo. Gcina ukhumbula ukuba kungathatha iinyanga ezintathu okanye nangaphezulu ukuqala ukubona izibonelelo ezipheleleyo zepyloroplasty.

Uninzi lwabantu lunokuphinda luqale umthambo onganyanzelekanga malunga neeveki ezine ukuya kwezintandathu emva kwenkqubo.

Ngaba kukho nayiphi na ingozi?

Lonke utyando luphethe umngcipheko ngokubanzi. Ezinye zeengxaki eziqhelekileyo ezinxulumene nokuhlinzwa esiswini zibandakanya:

• isisu okanye umonakalo wamathumbu
• ukusabela komzimba kumayeza anesthesia
• ukopha ngaphakathi
• amahlwili egazi
• izilonda
• usulelo
• I-hernia

Ukulahla isisu

IPyloroplasty inokubangela imeko ekuthiwa kukukhupha isisu ngokukhawuleza, okanye ukulahla isisu. Oku kubandakanya imixholo yesisu sakho ekhuphela emathunjini akho amancinci ngokukhawuleza.

Xa ukulahla isisu kwenzeka, ukutya akwenziwanga ngokufanelekileyo xa befika emathunjini. Oku kunyanzela amalungu akho ukuba avelise ukhuseleko ngakumbi kunokwesiqhelo. I-pylorus eyandisiweyo inokuvumela ukuba amathumbu okugaya esiswini okanye inyongo ukuba ivuza esiswini. Oku kunokubangela i-gastroenteritis. Ixesha elingaphezulu, linokukhokelela kukungondleki kwiimeko ezinzima.

Iimpawu zokulahla isisu zihlala ziqala kwisithuba semizuzu engama-30 ukuya kwiyure emva kokutya. Iimpawu eziqhelekileyo zibandakanya:

• isisu esiswini
• urhudo
• ukudumba
• isicaphucaphu
• ukugabha, ihlala iluhlaza-tyheli, incasa ekrakra ekrakra
• isiyezi
• ukukhawuleza kwentliziyo
• ukuphelelwa ngamanzi emzimbeni
• ukudinwa

Emva kweeyure ezimbalwa, ngakumbi emva kokutya ukutya okuneswekile, uphawu oluphambili lokulahla isisu luba siswekile esezantsi yegazi. Kwenzeka njengesiphumo somzimba wakho ukukhulula isixa esikhulu se-insulin ukwetyisa inani elonyukayo leswekile emathunjini amancinci.

Iimpawu zokulahla isisu emva kwexesha zibandakanya:

• ukudinwa
• isiyezi
• ukukhawuleza kwentliziyo
• ubuthathaka ngokubanzi
• ukubila
• indlala eqatha, edla ngokuba buhlungu
• isicaphucaphu

Umgca wezantsi

IPyloroplasty luhlobo lotyando olwandisa ukuvulwa emazantsi esisu. Ihlala isetyenziselwa ukunyanga iimeko zesisu ezingaphendulanga kolunye unyango.

Inokwenziwa kusetyenziswa iindlela zotyando ezivulekileyo zemveli okanye iindlela ze-laparoscopic. Ukulandela inkqubo, kuya kufuneka ukwazi ukuya ekhaya ngeentsuku ezimbalwa. Isenokuba ziinyanga ezininzi phambi kokuba uqalise ukuqaphela iziphumo.