Kodi mukufunanso kudziwa za kuchotsa matumbo?

Nthawi zina, dokotala angakulimbikitseni kuti mufunike opaleshoni chifukwa cha matenda ena m'matumbo mwanu. Ndizachilendo kumva mantha pang'ono komanso mantha akakuuzani kuti, "Ndikufunika kuchotsa chidutswa cha m'matumbo mwanu." Koma izi nthawi zambiri zimachitika kuti mupulumutse moyo wanu, kapena kuti muchepetse ululu womwe mukukumana nawo ndikukupatsani moyo wabwino. Chifukwa chake lero, tiyeni tikambirane za 'opaleshoni ya m'mimba' iyi kapena, m'mawu azachipatala, Kuchotsa Matumbo , mwachidule komanso mwanjira yomwe mungamvetse.

N’chifukwa chiyani mukufunikiradi opaleshoni yamtunduwu?

Mwachidule, colonoscopy ndi njira yochotsera gawo la m'mimba laling'ono lomwe ladwala kapena lowonongeka. Izi zingathandize kupewa matenda oopsa komanso kuthandiza matumbo anu kugwira ntchito bwino.

Pakhoza kukhala zifukwa zingapo zazikulu zomwe dokotala angapangire opaleshoni iyi.

Kodi njira zochitira opaleshoni ndi ziti?

Pali njira zitatu zazikulu zochitira opaleshoni ya m'mimba. Dokotala adzasankha njira yoyenera kwambiri kwa inu kutengera matenda anu, malo omwe muli ndi matenda, komanso kukula kwa malowo.

• Kutsegula Chilonda: Mu njira iyi, dokotala wa opaleshoni amadula mimba yanu kwa nthawi yayitali. Kenako, pogwiritsa ntchito zipangizo zodziwika bwino, gawo la m'mimba lomwe lakhudzidwalo limachotsedwa.
• Kuchotsa Laparoscopic: Iyi ndi njira yomwe imagwiritsidwa ntchito kwambiri. Kuduladula pang'ono kawiri kapena kanayi m'mimba, ndipo chubu chaching'ono chokhala ndi kamera (laparoscope) chimayikidwa kudzera mu chimodzi mwa kuduladula. Chithunzi chochokera ku kamera chimawonedwa pa TV, ndipo zida zapadera, zazing'ono zochitira opaleshoni zimayikidwa kudzera m'duladula zina kuti achotse gawo la m'mimba.
• Kuchotsa Laparoscopic pogwiritsa ntchito loboti: Izi zikufanana ndi opaleshoni ya laparoscopic, koma apa zida zochitira opaleshoni zimayikidwa pa manja a loboti. Dokotalayo amachita opaleshoniyo poyang'anira manja a loboti pogwiritsa ntchito kompyuta.

Kodi kwenikweni chimachitika n’chiyani pa opaleshoni?

Iyi ndi opaleshoni yaikulu, kotero muyenera kukhala m'chipatala. Pa tsiku la opaleshoni, mudzapatsidwa mankhwala oletsa ululu . Izi zikutanthauza kuti opaleshoniyo idzachitika muli osadziwa, opanda ululu, komanso mukugona tulo tatikulu.

Pa opaleshoni, dokotalayo amalekanitsa mbali ya m'mimba yomwe yadwala ndi minofu yozungulira, n’kuidula, kenako n’kulumikiza mbali ziwiri za m'mimba zomwe zatsala bwino. Izi zimachitika pogwiritsa ntchito zinthu zazing'ono kapena zomangira zosungunuka.

Kodi Colostomy ndi chiyani?

Nthawi zina, ngati pali kukayikitsa kuti malo omwe matumbo awiriwa alumikizana sakuchira bwino, dokotalayo angafunike kuchita opaleshoni ya colostomy . Izi zimaphatikizapo kubweretsa mbali yakumtunda ya matumbo pamwamba pa khungu la mimba ndikulumikiza ku thumba lakunja. Mpata uwu pakhungu umatchedwa stoma .

Musachite mantha mukamva izi. Nthawi zambiri, stoma iyi imakhala yakanthawi kochepa. Pakatha miyezi ingapo (pafupifupi masabata 6-12), pamene mabala omwe ali m'mimba achira, opaleshoni ina yaying'ono imachitika kuti muchotse stoma ndikulumikizanso matumbo awiriwo mkati.

Kodi mumakonzekera bwanji musanachite opaleshoni?

Musanayambe opaleshoni, mudzakumana ndi dokotala wanu. Mbiri yanu yonse yachipatala idzakambidwa, pamodzi ndi mankhwala aliwonse omwe mukumwa. Mudzapemphedwanso kuti mupimidwe pachifuwa ndi X-ray, ECG, ndi mayeso ena a magazi. Izi zidzakuthandizani kudziwa ngati pali mavuto aliwonse omwe angakhudze opaleshoniyo.

Masiku angapo opaleshoni isanachitike, dokotala wanu adzakuuzani kuti musiye kumwa mankhwala enaake (monga mankhwala ochepetsa ululu monga ibuprofen). Adzakufotokozeraninso momwe mungakonzekerere opaleshoniyo.

• Kuyeretsa m'matumbo: Muyenera kusiya kudya zakudya zolimba tsiku limodzi musanachite opaleshoni. Mutha kumwa zakumwa monga supu ndi madzi a apulo okha. Mudzapatsidwanso mankhwala otseketsa kuti muyeretse m'matumbo anu onse.
• Sopo woletsa majeremusi: Mungapemphedwe kuti musambe ndi sopo wamadzimadzi woletsa majeremusi usiku usanachitike opaleshoni komanso m'mawa wa opaleshoni. Izi zingathandize kuchepetsa chiopsezo cha matenda a bala mutachita opaleshoni.

Kodi zoopsa za opaleshoni iyi ndi ziti?

Monga opaleshoni iliyonse, opaleshoni iyi ikhoza kukhala ndi zoopsa ndi zovuta zina.

• Matenda: Pachilonda cha opaleshoni chingathe kutenga matenda. Palinso kuthekera kwa chibayo kapena matenda a mkodzo.
• Kuwonongeka kwa ziwalo zozungulira: Pa opaleshoni, ziwalo zina za m'mimba, chikhodzodzo, kapena mitsempha yamagazi pafupi ndi m'mimba zimatha kuwonongeka.
• Kutuluka kwa Anastomotic: Ichi ndi vuto lalikulu. Ngati kutuluka kwa anastomotic sikuchira bwino, kumatha kutuluka m'mimba. Izi zingayambitse kutuluka magazi komanso matenda oopsa. Ngati mukumva zizindikiro monga kupweteka m'mimba, kutentha thupi, kapena kugunda kwa mtima mofulumira, muyenera kuyimbira dokotala nthawi yomweyo.
• Hernia: Khoma la m'mimba likhoza kufooka chifukwa cha opaleshoni, zomwe zingayambitse hernia mtsogolo.
• Minofu ya zipsera: Pamene matumbo akuchira, minofu ya zipsera imatha kupangika mkati. Pakapita nthawi, minofu ya zipsera iyi ingayambitse matumbo kutsekeka kachiwiri.

Kodi nthawi yochira imakhala bwanji pambuyo pa opaleshoni?

Pambuyo pa opaleshoni, muyenera kukhala m'chipatala kwa masiku awiri mpaka anayi. Mudzapatsidwa mankhwala ochepetsa ululu. Namwino kapena dokotala adzakufotokozerani momwe mungasamalire bala lanu. Ngati muli ndi stoma, adzakuwonetsaninso momwe mungasamalirire bala lanu.

Mukachita opaleshoni, mutha kumwa zakumwa poyamba. Mutha kudya zakudya zolimba tsiku lotsatira. Komabe, dokotala wanu angakulangizeni kuti mutsatire zakudya zopanda ulusi wambiri kwa mwezi umodzi.

Muyenera kuyambiranso kuchita zinthu zambiri za tsiku ndi tsiku, monga kuyenda ndi kupita kuntchito, mkati mwa milungu 1-2. Komabe, muyenera kufunsa dokotala musanachite chilichonse choposa makilogalamu 4-5 kapena kuchita masewera olimbitsa thupi okhwima. Nthawi zambiri zimatenga milungu 6 kuti muchiritse bwino.