Ukufunyanwa kwamathumbu amancinci

Umxholo

• Kutheni ndifuna ukuthengiswa kwamathumbu amancinci?
• Yeyiphi imingcipheko yokuthengiswa kwamathumbu amancinci kancinci?
• Ndizilungiselela njani ukuthengiswa kwamathumbu amancinci kancinci?
• Kwenziwa njani ukuthengiswa kwamathumbu amancinci?
• Utyando oluvulekileyo
• Utyando lweLaparoscopic
• Ukugqiba utyando
• Ukuchacha emva kotyando
• Ithini imbono yexesha elide?

Yintoni intengiso encinci yamathumbu?

Amathumbu akho amancinci abaluleke kakhulu ekugcineni impilo elungileyo yokwetyisa. Ikwabizwa ngokuba lithumbu elincinci, lifunxa izakhamzimba kunye nolwelo olityayo okanye oselwayo. Bakwazisa iimveliso zenkunkuma kumathumbu amakhulu.

Iingxaki zomsebenzi zinokubeka impilo yakho emngciphekweni. Unokufuna utyando ukuze ususe icandelo elonakeleyo lamathumbu akho amancinci ukuba unezibhloko zamathumbu okanye ezinye izifo zesisu. Olu tyando lubizwa ngokuba kukuthengiswa kwamathumbu amancinci.

Kutheni ndifuna ukuthengiswa kwamathumbu amancinci?

Iimeko ezahlukeneyo zinokonakalisa amathumbu akho amancinci. Kwezinye iimeko, ugqirha wakho unokucebisa ukuba ususe inxalenye yesisu sakho esincinci. Ngamanye amaxesha, inxenye yesisu sakho esincinci inokususwa ukuqinisekisa okanye ukukhusela isifo xa kufuneka "ukuxilongwa kwezicubu".

Iimeko ezinokufuna utyando zibandakanya:

• ukopha, usulelo, okanye izilonda ezinzima emathunjini amancinci
• ukuvaleka emathunjini, nokuba kukuzalwa (okhoyo ekuzalweni) okanye kwizicwili ezibomvu
• amathumba angenamhlaza
• iipolyps ezizenzekelayo
• umhlaza
• ukwenzakala kwamathumbu amancinci
• I-diverticulum kaMeckel (ingxowa yamathumbu ekhoyo ekuzalweni)

Izifo ezibangela ukudumba emathunjini zisenokufuna utyando. Ezi meko zibandakanya:

• Isifo sikaCrohn
• ileitis yengingqi
• I-enteritis yengingqi

Yeyiphi imingcipheko yokuthengiswa kwamathumbu amancinci kancinci?

Naluphi na utyando lunokuba semngciphekweni, kubandakanya:

• amahlwili egazi emilenzeni
• ubunzima bokuphefumla
• ukukrala kwemiphunga
• iimpendulo kwi-anesthesia
• ukopha
• usulelo
• ukuhlaselwa yintliziyo
• ukubetha
• umonakalo kwizakhiwo ezingqongileyo

Ugqirha wakho kunye neqela lokhathalelo baya kusebenza nzima ukukhusela ezi ngxaki.

Iingozi ezithile kutyando lwamathumbu amancinci zibandakanya:

• urhudo rhoqo
• ukopha esiswini
• ukuqokelela ubomvu esiswini, ekwabizwa ngokuba sisisu esiswini (esisenokufuna umjelo wamanzi)
• ithumbu lityhala ngokuqunjelwa esiswini sakho (incindiweyo yehernia)
• izicwili ezinqabileyo ezenza ukubhloka kwamathumbu kufuna utyando olungakumbi
• isifo esifutshane samathumbu (iingxaki zokufunxa iivithamini kunye nezondlo)
• ukuvuza kwindawo apho amathumbu amancinci aqhagamshelwa khona (anastomosis)
• iingxaki nge-stoma
• ukuqhekeza kuqhekezwe (dehiscence)
• usulelo lokusikwa

Ndizilungiselela njani ukuthengiswa kwamathumbu amancinci kancinci?

Ngaphambi kwenkqubo, uya kuba novavanyo olupheleleyo lomzimba. Ugqirha wakho uya kuqinisekisa ukuba ufumana unyango olusebenzayo nakweyiphi na imeko yezonyango, enje ngoxinzelelo lwegazi kunye neswekile. Ukuba uyatshaya, kuya kufuneka uzame ukuyeka iiveki ezininzi ngaphambi kotyando.

Tshela ugqirha wakho ukuba uthatha nawaphi na amayeza kunye neevithamini. Qinisekisa ukukhankanya nawaphi na amayeza anciphisa igazi lakho. Oku kunokubangela iingxaki kunye nokopha kakhulu ngexesha lotyando. Imizekelo yamayeza okucoca igazi aquka:

• iwarfarin (Coumadin)
• iclopidogrel (iPlavix)
• Iasprini (iBufferin)
• ibuprofen (Motrin IB, Advil)
• I-naproxen (iAleve)
• ivithamin E

Yazisa ugqirha wakho ukuba usandul ’ukulaliswa esibhedlele, uziva ugula, okanye unefiva ngaphambi nje kotyando. Kuya kufuneka ulibazise kwinkqubo yokukhusela impilo yakho.

Yitya ukutya okune-fiber eninzi kwaye usele amanzi amaninzi kwiiveki ezingaphambi kotyando. Ngaphambi nje kotyando, kuya kufuneka unamathele kukutya okungamanzi okucacileyo (umhluzi, ijusi ecacileyo, amanzi). Kuya kufuneka ukuba uthathe i-laxative ukucoca amathumbu akho.

Musa ukutya okanye usele phambi kotyando (ukuqala ezinzulwini zobusuku ubusuku obungaphambi kwalowo). Ukutya kunokubangela iingxaki kwi-anesthesia yakho. Oku kunokwandisa ukuhlala kwakho esibhedlele.

Kwenziwa njani ukuthengiswa kwamathumbu amancinci?

I-aneshesia ngokubanzi iyimfuneko kolu tyando. Uya kuba ulele kwaye ungenazintlungu ngexesha lokusebenza. Kuxhomekeke kwisizathu sotyando, inkqubo inokuthatha phakathi kweyure kunye nesibhozo seyure.

Zimbini iintlobo eziphambili zokuthengiswa kwamathumbu amancinci: utyando oluvulekileyo okanye utyando lwe-laparoscopic.

Utyando oluvulekileyo

Utyando oluvulekileyo lufuna ugqirha ukuba enze isiciko esiswini. Indawo kunye nobude bokubanjwa buxhomekeke kwizinto ezahlukeneyo ezinje ngendawo ethile yengxaki kunye nokwakhiwa komzimba wakho.

Ugqirha wakho ugqirha ufumana indawo echaphazelekayo yamathumbu akho amancinci, ayibambe kwaye ayisuse.

Utyando lweLaparoscopic

Utyando lwe-Laparoscopic okanye iirobhothi lusebenzisa iindlela ezintathu ukuya kwezintlanu ezincinane. Ugqirha wakho uqala ukumpompa irhasi esiswini sakho ukuze ayifakele. Oku kwenza ukuba kube lula ukubona.

Basebenzisa izibane ezincinane, iikhamera kunye nezixhobo ezincinane ukufumana indawo enesifo, ukuyicofa, nokususa. Ngamanye amaxesha irobhothi inceda kolu hlobo lotyando.

Ukugqiba utyando

Nokuba loluphi na uhlobo lotyando, ugqirha wotyando ubhekisa kwiziphelo ezivulekileyo zamathumbu. Ukuba kukho intsalela eyaneleyo yamathumbu asempilweni aseleyo, iincam ezimbini ezisikiweyo zinokuthungwa okanye zidityaniswe. Oku kubizwa ngokuba yi-anastomosis. Yeyona nto iqhelekileyo yotyando.

Ngamanye amaxesha amathumbu akanakudityaniswa. Ukuba kunjalo, ugqirha wakho wotyando wenza uvulo olukhethekileyo esiswini sakho esibizwa ngokuba yi-stoma.

Bancamathisela ukuphela kwethumbu elikufutshane nesisu sakho eludongeni lwesisu sakho. Amathumbu akho aya kukhupha i-stoma ungene kwisingxobo esitywiniweyo okanye kwingxowa yokuhambisa amanzi. Le nkqubo yaziwa ngokuba yi-ileostomy.

I-ileostomy inokuba yeyethutyana ukuvumela amathumbu ukuba aqhubele phambili ukuphilisa ngokupheleleyo, okanye kungasisigxina.

Ukuchacha emva kotyando

Kuya kufuneka uhlale esibhedlele iintsuku ezintlanu ukuya kwezisixhenxe emva kotyando. Ngexesha lokuhlala kwakho, uya kuba ne-catheter kwisinyi sakho. I-catheter iya kukhupha umchamo engxoweni.

Kwakhona uya kuba nasogastric ityhubhu. Le tube ityhutyha impumlo yakho iye esiswini. Ingakhupha isisu sakho ukuba kukho imfuneko. Inokuhambisa ukutya ngqo esiswini sakho.

Unokwazi ukusela ulwelo olucacileyo kwiintsuku ezimbini ukuya kwezisixhenxe emva kotyando.

Ukuba ugqirha wakho wotyando ususe isixa esikhulu samathumbu okanye ukuba olu ibilulungiso olungxamisekileyo, kuya kufuneka uhlale ixesha elingaphezulu kweveki esibhedlele.

Kuya kufuneka ukuba ube kwisondlo se-IV kangangexesha elithile ukuba ugqirha wakho wotyando ususe icandelo elikhulu lamathumbu amancinci.

Ithini imbono yexesha elide?

Uninzi lwabantu luchacha kakuhle kolu tyando. Nokuba unayo i-ileostomy kwaye kufuneka unxibe ibhegi yokuhambisa amanzi, unokuphinda uqalise imisebenzi yakho yesiqhelo.

Unokuba nohudo ukuba unenxalenye enkulu yamathumbu asuswe. Unokuba neengxaki zokufumana izondlo ezaneleyo kukutya okutyayo.

Izifo ezivuthayo ezinjengesifo sikaCrohn okanye umhlaza wamathumbu amancinci ziya kufuna unyango olungaphaya ngaphambi kolu tyando.