Opaleshoni ya m'mimba: Tiyeni tiphunzire za Gastrojejunostomy mwachidule (Gastrojejunostomy)

Thupi lathu logaya chakudya limagwira ntchito zodabwitsa kuti ligaye bwino ndikuyamwa chakudya chomwe timadya. Koma taganizirani, chimachitika ndi chiyani ngati pali chopinga china paulendowu, monga msewu wotsekedwa? Chakudya sichingapite patsogolo. Pazochitika zotere, opaleshoni yapadera imatchedwa Gastrojejunostomy, yomwe imagwiritsidwa ntchito kudutsa chopingacho ndikupanga njira yatsopano yoti chakudya chidutse. Dokotala mwina anakuuzani za izi, kapena mwina munamvapo za izi ndipo mwakhala ndi chidwi. Tiyeni tikambirane za izi mosavuta, mwanjira yomwe mungamvetse.

Mwachidule, kodi opaleshoni ya Gastrojejunostomy ndi chiyani?

Gastrojejunostomy ndi opaleshoni yomwe imapanga mgwirizano watsopano pakati pa mimba yanu ndi gawo lapakati la matumbo anu ang'onoang'ono, lotchedwa jejunum. Mwanjira ina, limalola chakudya kudutsa kuchokera m'mimba kupita mwachindunji pakati pa matumbo ang'onoang'ono, lotchedwa duodenum, m'malo mopita mu duodenum. Kulumikizana kwatsopano kumeneku kumatchedwa anastomosis m'mawu azachipatala.

Tangoganizani kukumba dzenje lalikulu mumsewu ndikupangitsa kuti magalimoto asadutse. Kenako timadula msewu watsopano mbali ina ya dzenje ndikutumiza magalimotowo, sichoncho? Ndicho chimene opaleshoni iyi imachita.

N’chifukwa chiyani tikufunika opaleshoni yamtunduwu?

Chifukwa chachikulu cha opaleshoniyi ndi chakuti pali kutsekeka kwa njira yopitira chakudya kuchokera m'mimba kapena m'chigawo choyamba cha m'mimba mwaing'ono. Kutsekeka kumeneku kumalepheretsa chakudya kupita patsogolo. Pali zinthu zingapo zotere.

Kuphatikiza apo, nthawi zina opaleshoni iyi imachitidwanso kuti apewe vuto lomwe lingachitike mtsogolo .

• Kuvulala kwa matumbo ang'onoang'ono: Ngati gawo loyamba la matumbo ang'onoang'ono lawonongeka kwambiri, monga ngozi, njira iyi yodutsamo imachitika kuti chakudya chisadutse mpaka chitachira. Kupanda kutero, dzenje losazolowereka (fistula) lingapangidwe kudzera mu kuvulalako, kuwononga ziwalo zapafupi monga kapamba.
• Khansa ya Pancreatic: Ngati khansa ya Pancreatic ili pafupi ndi matumbo ang'onoang'ono ndipo singachotsedwe mwa opaleshoni, ikhoza kukula ndikutseka chitoliro cha chakudya mtsogolo. Zisanachitike zimenezo, madokotala angasankhe kuchita opaleshoniyi ngati njira yodzitetezera.

Kodi chimachitika ndi chiyani opaleshoni isanachitike? Kodi kukonzekera kwake kuli bwanji?

Gulu lachipatala lidzayesa kukusamalirani bwino momwe mungathere musanachite opaleshoni. Tangoganizirani, munthu amene ali ndi m'mero ​​wotsekeka sangathe kudya ndipo nthawi zonse amasanza. Izi zingayambitse kutaya madzi m'thupi komanso kusowa zakudya m'thupi . Choncho zinthuzi ziyenera kukonzedwa opaleshoni isanayambe.

Gulu lanu lachipatala likhoza kuchita zinthu monga:

• Saline (madzi a m'mitsempha): Saline imaperekedwa mumtsempha kuti ikonze kusunga madzi ndi kusalinganika kwa ma electrolyte.
• Zakudya za m'magazi: Popeza simungathe kudya ndi pakamwa, zakudya zofunikira zimaperekedwa mwachindunji mumtsempha.
• Kuikidwa magazi: Ngati muli ndi vuto la kuchepa kwa magazi m'thupi, mungafunike kuikidwa magazi.
• Mankhwala Opha Utoto: Mankhwala opha utoto amaperekedwa pasadakhale kuti apewe matenda pambuyo pa opaleshoni.
• Kuchepetsa m'mimba:Chubu chimalowetsedwa m'mimba kudzera m'mphuno, ndipo zina mwa zomwe zili mkati mwake zimachotsedwa kuti kupanikizika kuchepe. Izi zimawonjezera chitetezo popereka mankhwala oletsa ululu.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Ngakhale pali njira zosiyanasiyana zochitira opaleshoniyi, izi ndi njira zomwe zimachitika nthawi zambiri.

1. Mankhwala Oletsa Kupweteka: Choyamba, mumagona tulo tofa nato (mankhwala oletsa kupweteka). Simudzamva chilichonse.

2. Kutulutsa madzi m'mimba: Chubu chimayikidwa kudzera m'mphuno kapena pakamwa kuti chichotse zomwe zili m'mimba ndikuchepetsa kuthamanga kwa magazi.

3. Kulowa m'mimba: Dokotala wochita opaleshoni amalowa m'mimba. Izi zitha kuchitika m'njira ziwiri. Choyamba ndi opaleshoni yotseguka , yomwe imaphatikizapo kudula pang'ono m'mimba. China ndi opaleshoni ya laparoscopic, yomwe imaphatikizapo kudula pang'ono m'mimba ndikuyika kamera ndi zida zopyapyala. Izi zimatchedwanso "keyhole surgery."

4. Kuzindikira komwe kuli vuto: Malo enieni omwe pali chotchinga m'mimba kapena m'matumbo ang'onoang'ono amapezeka.

5. Kukonzekera matumbo ang'onoang'ono: Chizunguliro chimapangidwa kuchokera ku gawo lapakati (jejunum) pafupifupi masentimita 10 kuchokera kumapeto kwa gawo loyamba la matumbo ang'onoang'ono (duodenum).

6. Kupanga kulumikizana kwatsopano: Gawo la matumbo ang'onoang'ono lomwe lapangidwa limalumikizidwa ndi mimba osachepera masentimita 5 kuchokera pamalo otsekeka. Iyi ndi njira yatsopano ya 'bypass' yomwe tatchula kale.

7. Kuyang'anira: Kuyang'aniridwa kwa malo atsopano pogwiritsa ntchito njira zosiyanasiyana kuti zitsimikizire kuti zalumikizidwa bwino komanso kuti palibe kutuluka kwa madzi.

8. Kumaliza opaleshoni: Ngati zonse zili bwino, mabowo odulidwa adzatsekedwa ndipo opaleshoniyo idzamalizidwa.

Kawirikawiri, opaleshoni iyi imatha kutenga maola awiri kapena anayi .

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

Mukamaliza opaleshoni, mudzagonekedwa m'chipatala. Simungathe kudya bwino nthawi yomweyo. Mungathe kumva nseru pang'ono kwa masiku oyamba. Nthawi zina, mukatha opaleshoni, matumbo anu amakhala "aulesi" pang'ono (paralytic ileus). Izi zikutanthauza kuti ntchito yawo imachepa pang'ono.

Poyamba, mungapatsidwe mchere ndi zakudya kudzera m'mitsempha. Kenako, mungayambe ndi zakudya zamadzimadzi , pang'onopang'ono muyambe kudya zakudya zofewa, kenako pang'onopang'ono muyambe kudya zakudya zokhazikika musanapite kunyumba. Zingatenge milungu ingapo kuti anthu ena azolowere kulumikizana kwatsopano m'mimba mwawo. Panthawiyi, mungafunike kupitiriza kudyetsedwa kudzera mu chubu kapena kudzera m'mitsempha.

Kodi zoopsa ndi zovuta zomwe zingachitike chifukwa cha opaleshoniyi ndi ziti?

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zina zomwe zingachitike. Si aliyense amene angakumane ndi izi, koma ndibwino kuzidziwa.

Zotsatirapo zomwe zingachitike pambuyo pa opaleshoni

Ngakhale opaleshoniyo itayenda bwino, zotsatirapo zina zingachitike pakapita nthawi. Zambiri mwa izi zitha kuthetsedwa.

Kodi nthawi yochira imakhala bwanji?

Nthawi zambiri zimatenga pafupifupi milungu isanu ndi umodzi kuti munthu achire bwino, koma izi zimatha kusiyana malinga ndi mtundu wa opaleshoni yomwe mudachita (yotseguka kapena ya laparoscopic) komanso momwe thupi lanu lilili.

Gulu lanu lachipatala lidzakupatsani malangizo a momwe mungasamalire mabala anu, kusamalira ululu, komanso nthawi yomwe mungayambirenso kuchita zinthu zachizolowezi mukabwerera kunyumba. Adzakupatsaninso tsiku loti mudzakumanenso milungu ingapo mutachita opaleshoni yanu.

Mungafunike kutsatira zakudya zapadera kwa miyezi ingapo mutachita opaleshoni, makamaka kupewa zakudya zokhala ndi shuga wambiri komanso kumwa mavitamini owonjezera.

Ngati muli ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo.

Ngati mukumva zizindikiro zotsatirazi mutabwerera kunyumba, dziwitsani dokotala wanu kapena chipatala chomwe mudalandira chithandizo nthawi yomweyo .

• Ngati mukumva kufiira, kupweteka, kutupa, kapena kutentha pafupi ndi chotupacho (izi ndi zizindikiro za matenda).
• Ngati muli ndi malungo opitirira madigiri 38 Celsius (38° Fahrenheit).
• Ngati ululu uli wovuta kuuletsa.
• Ngati mukuvutika kudya kapena kusunga chakudya chokwanira.
• Ngati muli ndi kutsegula m'mimba kosalekeza.
• Ngati khungu lanu kapena maso anu oyera asintha kukhala achikasu .