Zomwe Muyenera Kudziwa Zokhudza Kuchotsa Mimba

Mimba ndi chimodzi mwa ziwalo zofunika kwambiri m'thupi lathu zomwe zimasunga chakudya chomwe mumadya ndikuyamba kuchigaya. Koma nthawi zina, makamaka ngati pali vuto lalikulu monga khansa ya m'mimba, mimba imeneyi imatha kuvulaza thupi lathu. Pamenepo madokotala amasankha kuchotsa gawo kapena mimba yonse mwa opaleshoni. Iyi ndi yomwe timaitcha `(Gastrectomy)`. Ngakhale iyi ndi opaleshoni yayikulu, kodi mumadziwa kuti mutha kukhala bwino popanda mimba? Tiyeni tikambirane za izi mwatsatanetsatane.

Kodi opaleshoni ya gastrectomy kwenikweni ndi chiyani?

Mwachidule, gastrectomy ndi opaleshoni yomwe imachotsa gawo la m'mimba mwanu kapena m'mimba mwanu wonse. M'mimba mumasunga chakudya chomwe timadya kwa kanthawi, kenako chimatumizidwa kumatumbo ang'onoang'ono komwe chingagayidwe ndi kuyamwa.

Pali mitundu iwiri ikuluikulu ya opaleshoni iyi:

• Kuchotsa mimba yonse: Izi zikuphatikizapo kuchotsa mimba yonse.
• Kuchotsa Mimba Pang'ono: Pachifukwa ichi, gawo lokha la m'mimba limachotsedwa. Ma opaleshoni awa ali ndi mayina osiyanasiyana kutengera kuchuluka kwa mimba yomwe yachotsedwa. Mwachitsanzo, mu ``Subtotal Gastrectomy``, pafupifupi 80% ya m'mimba imachotsedwa. Komanso, opaleshoni ya ``Gastric Sleeve``, yomwe imachitika ngati chithandizo cha kunenepa kwambiri, ndi mtundu wa kuchotsa mimba pang'ono.

N’chifukwa chiyani mumachita opaleshoni yamtunduwu?

Opaleshoni iyi nthawi zambiri imachitika ngati chithandizo cha khansa ya m'mimba. Ingathandize kuchiza khansa kapena kuiletsa kufalikira. Ingagwiritsidwenso ntchito poletsa zizindikiro monga kupweteka ndi kutuluka magazi pamene khansayo singathe kuchiritsidwa.

Kuchotsa mimba kumagwiritsidwa ntchito pa matenda ena angapo kupatula khansa. Nthawi zambiri kumachitika ngati njira yomaliza ngati mankhwala ndi kusintha kwa moyo sikunathandize.

Kodi mungakonzekere bwanji musanachite opaleshoni?

Popeza opaleshoniyi ndi yaikulu, ndikofunikira kwambiri kukonzekera bwino.

• Lankhulani ndi dokotala wanu: Uzani dokotala wanu za mbiri yanu yonse ya matenda, mankhwala onse, mavitamini, ndi mankhwala a Ayurvedic omwe mukumwa. Musaiwale kuwauza za ziwengo zilizonse zomwe mungakhale nazo.
• Khalani ndi thanzi labwino: Ndikofunikira kukhala ndi thanzi labwino momwe mungathere musanachite opaleshoni. Sinthani zakudya zanu komanso nthawi yanu yochita masewera olimbitsa thupi motsatira malangizo a dokotala wanu.
• Pewani kusuta: Ngati ndinu wosuta fodya, muyenera kusiya kusuta kwathunthu milungu ingapo opaleshoni isanachitike. Izi zithandiza kwambiri kuti zotsatira za opaleshoniyo ziwonjezeke.
• Sinthani mankhwala anu: Mungafunike kusiya kumwa mankhwala monga mankhwala ochepetsa magazi, ochepetsa ululu (NSAIDs), aspirin, ndi warfarin kwakanthawi. Dokotala wanu adzakuuzani mankhwala enieni oti musiye ndi omwe mupitirize kumwa.
• Kusala Kudya: Simungathe kudya kapena kumwa chilichonse kwa maola angapo musanachite opaleshoni. Tsatirani malangizo mosamala.
• Munthu woti akuthandizeni kunyumba: Mudzafunika munthu woti akutengereni kunyumba kuchokera kuchipatala. Komanso, zimakhala zosavuta kukhala ndi munthu woti akuthandizeni ndi ntchito zapakhomo pamene mukuchira.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Pa opaleshoniyi, mudzakhala pansi pa mankhwala oletsa ululu, zomwe zikutanthauza kuti simudzamva ululu uliwonse kapena kukomoka.

1. Mankhwala oletsa ululu: Mankhwala operekedwa m'mitsempha yanu adzakugonetsani tulo mpaka opaleshoniyo itatha.

2. Kutsegula mkodzo: Katheta imayikidwa kuti itenge mkodzo. Komanso, chubu (`chubu cha Nasogastric`) chimayikidwa kudzera m'mphuno ndi m'mimba kuti chichotse zomwe zili m'mimba. Pambuyo pake, mankhwala ndi zakudya zitha kuperekedwa kudzera m'chubuchi.

3. Kudutsa m'mimba: Dokotala amachotsa gawo kapena mimba yonse kudzera mu kudula kwakukulu (Open Surgery) kapena kudzera mu kudula pang'ono pang'ono pogwiritsa ntchito kamera (Laparoscopy). Pankhani ya khansa, ma lymph nodes ozungulira khansa amachotsedwanso kuti awone ngati khansa yafalikira.

4. Kukonzanso njira yogayira chakudya: Iyi ndi sitepe yotsatira yofunika kwambiri. Dokotala wa opaleshoni adzakonzanso njira yanu yogayira chakudya. Ngati gawo lina la m'mimba lachotsedwa, matumbo ang'onoang'ono adzalumikizidwa ndi gawo lotsalalo. Ngati mimba yonse yachotsedwa, matumbo ang'onoang'ono adzalumikizidwa mwachindunji ku m'mero.

5. Kusoka: Pomaliza, mabala amatsekedwa ndi ma stitches.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni ndipo zimatenga nthawi yayitali bwanji kuti munthu achire?

Pambuyo pa opaleshoni, muyenera kukhala m'chipatala kwa sabata imodzi kapena ziwiri. Panthawiyi, ogwira ntchito zachipatala adzakusamalirani bwino.

• Kudya: Poyamba, mudzadyetsedwa kudzera m'mitsempha kapena chubu chomwe chimayikidwa m'mimba mwanu. Pamene mabala anu akuchira, mutha kuyamba kumwa zakudya zamadzimadzi. Kenako, pang'onopang'ono mudzayamba kudya zakudya zofewa monga phala, kenako kudya zakudya zopepuka nthawi zonse.
• Kuletsa ululu: Mankhwala amaperekedwa kuti athetse ululu.
• Nthawi yochira: Ulendo uwu umatenga miyezi ingapo . Zingatenge miyezi iwiri kuti mabala achire. Zingatenge miyezi 3-6 kapena kuposerapo kuti thupi lipezenso mphamvu ndikuzolowera zakudya zatsopano . Perekani thupi lanu nthawi yomwe likufunika kuti lichiritse, ndipo khalani oleza mtima.

Kodi zoopsa ndi zovuta za opaleshoni iyi ndi ziti?

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zomwe zimachitika kawirikawiri monga matenda opatsirana, zotsatira za mankhwala oletsa ululu, komanso magazi kuundana. Kuphatikiza apo, pakhoza kukhala zovuta zina zokhudzana ndi opaleshoniyi.

Ngati mukumva kupweteka kulikonse kotere, dziwitsani dokotala wanu nthawi yomweyo.

Kodi mungathe kukhala moyo wabwinobwino mutachotsa mimba?

Inde, mungathedi! Mungathe kukhala ndi moyo wathanzi komanso wabwinobwino. Koma, muyenera kuzolowera "zabwinobwino" pankhani ya zakudya zanu.

• Idyani pang'ono komanso kawirikawiri: M'malo modya chakudya chachikulu katatu patsiku, idyani chakudya chaching'ono pafupifupi kasanu ndi kamodzi.
• Sinthani zakudya zanu: Zakudya zokhala ndi ulusi wambiri (tirigu, buledi) ndi mkaka zingakhale zovuta kuzigaya poyamba. Yesani kuti mudziwe zomwe zikukuyenderani bwino.
• Mavitamini ndi zowonjezera: Popanda m'mimba, zimakhala zovuta kuti thupi lizitha kuyamwa michere ina, makamaka vitamini B12. Imwani mavitamini ndi zowonjezera zofunika monga momwe dokotala wanu walangizira.
• Kupuma ndi kuchita masewera olimbitsa thupi:Pumulani mokwanira. Komanso, chitani masewera olimbitsa thupi pang'ono monga kuyenda popanda kupsinjika thupi lanu. Izi zingathandize kupewa mavuto monga magazi kuundana.

Ndiyenera kupita kwa dokotala liti?

Onetsetsani kuti mwapita ku chipatala chanu mukamaliza opaleshoni. Kuphatikiza apo, ngati muli ndi zizindikiro zotsatirazi kapena zikuipiraipira, dziwitsani dokotala wanu nthawi yomweyo.

• Kusanza ndi kusanza
• Kutsegula m'mimba
• Kupweteka m'mimba kapena kutupa
• Kufiira, kutupa, kutentha, kapena mafinya pamalo ochitira opaleshoni
• Malungo