Kodi mimba yanu yatsekedwa ndipo chakudya chanu sichikuyenda bwino? Kapena dokotala wanu wakuuzani za opaleshoni yotchedwa "gastrojejunostomy"? Ndizachibadwa kumva mantha pang'ono mukamva dzina lotere, ndikumva kulemera kwambiri m'maganizo mwanu chifukwa mawuwo ndi ovuta pang'ono. Koma musadandaule. Tiyeni tikambirane izi mwachidule, mwanjira yomwe mungamvetse. Zili ngati kumanga msewu watsopano wodutsa msewu kuti mupewe magalimoto ambiri pamsewu.
Kodi Gastrojejunostomy ndi chiyani?
Mwachidule, gastrojejunostomy ndi opaleshoni yosintha momwe chakudya chimayendera. Imafuna kupanga kulumikizana kwatsopano, kapena njira, pakati pa mimba yanu ndi jejunum, gawo lapakati la matumbo anu ang'onoang'ono.
Tangoganizirani, chakudya chomwe timadya chimachoka m'mimba kupita ku gawo loyamba la matumbo ang'onoang'ono, lomwe timalitcha duodenum . Koma ngati pazifukwa zina pali kutsekeka kwa duodenum iyi, matenda, kapena kutsekeka kwa pylorus, chakudyacho sichingapite patsogolo. Pamenepo ndi pomwe madokotala amapanga njira yatsopano. Mu izi, chakudya sichipita ku duodenum, koma mwachindunji kuchokera m'mimba kupita ku jejunum. Kulumikizana kwatsopano kumeneku kumatchedwa anastomosis mu zamankhwala.
Nthawi zina, dzinali limagwiritsidwanso ntchito pa njira yaying'ono pomwe chubu chodyetsera chimayikidwa m'matumbo ang'onoang'ono kuti chitumize chakudya. Koma si opaleshoni yayikulu yomwe tikukamba, ndi chinthu china.
N’chifukwa chiyani muyenera kuchitidwa opaleshoni yamtunduwu?
Pali zifukwa zingapo zazikulu za opaleshoniyi. Nthawi zina imachitika ngati chithandizo cha matenda, ndipo nthawi zina imachitika kuti ipewe vuto lomwe lingabwere mtsogolo.
| Mkhalidwe | Mwachidule... |
|---|---|
| Kutsekeka kwa Matumbo (GOO) | Kutsekeka kwa njira yomwe chakudya chimatulukira m'mimba. Chakudya chimakakamira m'mimba m'malo mofika m'matumbo. |
| Kutsekeka kwa Duodenal | Kutsekeka kwa gawo loyamba la matumbo ang'onoang'ono (duodenum), lomwe limapezeka pambuyo pa mimba. |
| Khansa ya m'mimba kapena duodenal | Chotupa cha khansa chomwe chimatseka mmero kapena chomwe chimafuna opaleshoni kuti chichotse chotupacho. |
| Matenda a Zilonda za M'mimba | Mavuto monga kutuluka magazi ndi zipsera chifukwa cha zilonda zam'mimba zingayambitse kutsekeka kwa njira yogayira chakudya. |
Milandu ya opaleshoni ngati njira yodzitetezera
Nthawi zina, opaleshoni imeneyi imachitika kuti ipewe vuto lisanakhale vuto.
- Ngati duodenum yavulala kwambiri (kuvulala): Ngati duodenum yawonongeka, monga ngozi, ndipo dokotala akuona kuti ndi koopsa kulowetsa chakudya m'thupi mpaka chitachira, njira yatsopano idzapangidwa yopititsira chakudya mpaka bala litachira.
- Khansa ya Pancreatic Yomwe Singathe Kuchotsedwa: Ngati khansa ya Pancreatic yakula pafupi ndi duodenum ndipo singachotsedwe, opaleshoniyi ikhoza kuchitidwa kuti isakule mokwanira kuti itseke chitoliro cha chakudya.
Kuphatikiza apo, njira iyi imagwiritsidwanso ntchito ngati gawo la opaleshoni zina zochepetsera thupi . Chitsanzo ndi opaleshoni ya Roux-en-Y gastric bypass. Cholinga chake ndikuchepetsa kuchuluka kwa chakudya chomwe chingalowe m'mimba ndi kuchuluka kwa michere yomwe ingalowe m'matumbo.
Kodi chimachitika ndi chiyani opaleshoni isanachitike?
Musanapite ku opaleshoni, ndikofunikira kukonzekera bwino. Makamaka ngati munali ndi vuto la m'mimba, mwina simungadye bwino kwa kanthawi, mwina mukusanza, mulibe madzi okwanira m'thupi , komanso simukudwala matenda a kusowa zakudya m'thupi . Choncho gulu lachipatala lidzachita zonse zomwe lingathe kuti libwezeretse thanzi lanu labwino kwambiri.
| Chithandizo | Kufotokozera |
|---|---|
| Madzi a m'mitsempha | Kupereka saline . Izi zimathandiza kubwezeretsa ma electrolyte omwe atha m'thupi. |
| Zakudya Zam'mimba | Kupereka zakudya zofunikira kudzera mu saline solution yomwe imayikidwa mwachindunji mumtsempha chifukwa simungathe kudya. |
| Kuika Magazi | Ngati pali kuchepa kwa magazi m'thupi, perekani magazi. |
| Mankhwala opha tizilombo | Kupereka mankhwala opha tizilombo pasadakhale kuti tipewe matenda pambuyo pa opaleshoni. |
| Kuchepetsa Kupanikizika kwa M'mimba | Chubu cha nasogastric chimayikidwa kudzera mu mphuno kuti chichotse zinthu zilizonse zomwe zatsekeredwa m'mimba ndikuchepetsa kuthamanga kwa magazi. Izi ndizotetezekanso pochiza ululu. |
Kodi chimachitika ndi chiyani panthawi ya opaleshoni?
Opaleshoni imeneyi nthawi zambiri imatenga maola awiri kapena anayi. Pa nthawi imeneyi, dokotalayo adzatsatira njira izi:
1. Mudzapatsidwa mankhwala oletsa ululu . Izi zikutanthauza kuti mudzakhala tulo tabwino mpaka opaleshoniyo itatha.
2. Chitoliro chimayikidwa kudzera m'mphuno kuti chichepetse kupanikizika m'mimba.
3. Chitani opaleshoni ya m'mimba, kaya kudzera mu opaleshoni yotseguka kapena laparoscopically , zomwe zikutanthauza kuti amacheka pang'ono pang'ono ndipo kamera imayikidwa m'mimba. Opaleshoni ya laparoscopic ili ndi nthawi yochepa yochira komanso zipsera zazing'ono.
4. Malo enieni omwe vutoli lili m'mimba amapezeka.
5. Malo oyenera amasankhidwa kuchokera ku jejunum, gawo la matumbo ang'onoang'ono, ndipo amalumikizidwa osachepera masentimita 5 pamwamba pa dera la vuto la m'mimba.
6. Kutuluka kwa madzi kumene kumayesedwa kuti kuone ngati kukugwira ntchito bwino komanso ngati pali kutuluka madzi kulikonse.
7. Ngati zonse zili bwino, mabalawo amadulidwa ndipo opaleshoniyo yatha.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni ndipo zoopsa zake ndi ziti?
Mudzafunika kukhala m'chipatala kwa masiku angapo mutachita opaleshoni. Zidzatenga nthawi kuti m'mimba ndi matumbo anu ayambenso kugwira ntchito bwino. Mungathe kumva nseru kwa masiku oyamba, ndipo matumbo anu akhoza kukhala pang'onopang'ono. Anthu ena adzafunika kukhala ndi chubu cha mphuno kwa masiku angapo.
Choyamba, mudzapatsidwa madzi ndi zakudya kudzera mu saline, kenako mudzapatsidwa pang'onopang'ono zakudya zamadzimadzi, kenako mudzapatsidwa zakudya zofewa musanatumizidwe kunyumba.
Monga maopaleshoni onse, pali zoopsa zina zomwe zingachitike. Zinthu monga kutuluka magazi, kuundana kwa magazi, ndi kuwonongeka kwa ziwalo zozungulira. Koma izi sizichitika kawirikawiri.
Palinso zoopsa zingapo komanso zotsatirapo zake za nthawi yayitali zomwe zimachitika chifukwa cha opaleshoniyi.
| Mavuto/Zotsatira Zake | Kodi chimachitika ndi chiyani ndi izi? (Chimachitika ndi chiyani?) |
|---|---|
| Mavuto Omwe Amabwera Nthawi Imodzi | |
| Kutuluka kwa Anastomotic | Kutuluka kwa cholumikizira chatsopanocho. Izi sizichitika kawirikawiri, koma ndi zoopsa. Ngati matenda afalikira m'mimba ndikufalikira m'magazi, akhoza kukhala pachiwopsezo chachikulu. |
| Zotsatirapo Zanthawi Yaitali | |
| Matenda Otaya Madzi | Zizindikiro monga nseru, kudzimbidwa, ndi kupweteka m'mimba zimachitika mutadya chifukwa chakudya chimachoka m'mimba mwadzidzidzi kupita m'matumbo ang'onoang'ono. Nthawi zambiri, izi zimatha pakapita nthawi. |
| Chilonda cha m'mphepete mwa nyanja | Popeza asidi m'mimba amalowa mwachindunji mu jejunum, jejunum silingathe kupirira ma asidi amenewo, zomwe zimayambitsa zilonda. |
| Kubwerera m'mimba m'mimba | Kubwerera kwa madzi am'mimba, monga ndulu, kuchokera m'matumbo kupita m'mimba. Izi zitha kuwononga makoma a m'mimba. |
Zimatenga nthawi yayitali bwanji kuti ndichire ndipo ndiyenera kuyimbira dokotala liti?
Nthawi zambiri zimatenga pafupifupi milungu isanu ndi umodzi kuti muchire bwino. Komabe, izi zimatha kusiyana malinga ndi mtundu wa opaleshoni yomwe mudachita (yotseguka kapena ya laparoscopic) komanso kukula kwa opaleshoniyo. Gulu lanu lachipatala lidzakupatsani malangizo amomwe mungasamalire bala lanu mutabwerera kunyumba, momwe mungathanirane ndi ululu, komanso nthawi yomwe mungayambirenso kuchita zinthu zachizolowezi.
Chofunika kwambiri: Ngati mutakhala ndi zizindikiro zotsatirazi mutabwerera kunyumba, uzani dokotala wanu kapena chipatala nthawi yomweyo. Musazengereze kuchita izi.
- Ngati mukumva kufiira, kupweteka, kutupa, kapena kutentha pamalo omwe bala lili (izi ndi zizindikiro za matenda).
- Malungo (oposa 38 Celsius / 100 Fahrenheit).
- Ngati ululu uli wovuta kuuletsa.
- Ngati mukuvutika kudya, kusunga chakudya m'thupi, kapena ngati mukupitiriza kusanza.
- Ngati muli ndi kutsegula m'mimba kosalekeza.
- Ngati khungu lanu kapena maso anu oyera asintha kukhala achikasu.
Opaleshoni iyi isintha kwambiri m'mimba mwanu. Ikhoza kusintha moyo wanu. Choncho musapite ulendowu nokha. Lankhulani ndi dokotala wanu za mafunso kapena nkhawa zomwe mungakhale nazo musanachite opaleshoni komanso mutachita opaleshoniyo. Iwo nthawi zonse amakhalapo kuti akuthandizeni.
Uthenga Wopita Nawo Kunyumba
- Gastrojejunostomy ndi opaleshoni yomwe imapanga njira yatsopano pakati pa mimba ndi matumbo ang'onoang'ono.
- Izi zimachitika makamaka ngati chithandizo cha matenda monga kutsekeka kwa kugaya chakudya, khansa, kapena kuvulala kwambiri.
- Ndikofunikira kwambiri kuti mukhale ndi thanzi labwino musanachite opaleshoni, ndipo zimatenga nthawi kuti muchiritse mukatha opaleshoni.
- Pambuyo pa opaleshoni, muyenera kusintha zakudya zanu ndi moyo wanu, ndipo ndikofunikira kutsatira malangizo a dokotala wanu.
- Ngati mukuona zizindikiro zilizonse zochenjeza monga zizindikiro za matenda a bala, malungo, kupweteka kosalamulirika, kapena kuvutika kudya, funsani upangiri wa dokotala nthawi yomweyo.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 🥩 Kodi zakudya zokhala ndi iron ndi chiyani? N’chifukwa chiyani zili zofunika pa opaleshoniyi?
Zakudya monga nyama yofiira, nandolo, sipinachi, ndi nyemba zili ndi chitsulo chochuluka. Popeza njira yodyera chakudya imasinthidwa panthawi ya gastrojejunostomy, kuyamwa kwa chitsulo m'thupi kumatha kuchepetsedwa. Ichi ndichifukwa chake chitsulo ndi nkhani yaikulu pokambirana za opaleshoniyi.
💬 🩺 Kodi n'zotheka kukhala ndi vuto la kuchepa kwa magazi m'thupi pambuyo pa opaleshoni iyi (Gastrojejunostomy)?
Inde, n'zotheka. Izi zili choncho chifukwa chakudya chimadutsa pamalo akuluakulu omwe chitsulo chimayamwa panthawi ya opaleshoniyi. Chifukwa chake, kuwonjezera pa kudya zakudya zokhala ndi chitsulo chochuluka, anthu ena amafunikanso kumwa zowonjezera chitsulo monga momwe dokotala wawo adanenera.
💬 🍋 Ndingadye bwanji kuti ndizitha kuyamwa bwino chitsulo?
Mukadya zakudya zokhala ndi iron yambiri, onjezerani china chake chokhala ndi vitamini C, monga mandimu kapena malalanje. Izi zipangitsa kuti thupi lanu lizitha kuyamwa iron mosavuta, ngakhale mutachita opaleshoni. Koma kumbukirani, musamwe tiyi kapena khofi mutadya, chifukwa zimaletsa kuyamwa iron.
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