Ndi zachilendo kumva chotupa pakhosi panu mukamadya. Koma ngati nthawi zonse mumavutika kumeza chakudya ndipo mukumva ngati chatsekeredwa pachifuwa panu, ndiye kuti si zachilendo. Izi zitha kukhala chifukwa cha vuto la minofu ya m'mero. Lero tikambirana za chithandizo chapadera komanso chothandiza kwambiri pazochitika zotere.
Kodi POEM ndi chiyani?
Mungadabwe kumva dzina lakuti POEM. Limayimira Oral Endoscopic Myotomy . Tiyeni tifotokoze mwachidule.
- Pakamwa: amatanthauza "kudzera pakamwa."
- Endoscopic: imatanthauza chinthu chochitidwa pogwiritsa ntchito chubu chosinthasintha, chokhala ndi kamera chotchedwa endoscope.
- Myotomy: Mawu azachipatala otanthauza "kudula minofu."
Mwachidule, POEM ndi njira yomwe imaphatikizapo kulowetsa endoscope kudzera pakamwa panu, popanda kudula khungu lanu, ndikudula ndikumasula minofu yolimba ya mmero wanu. Zili ngati opaleshoni, koma popeza palibe mabala kunja kwa thupi lanu, nthawi yochira ndi yochepa kwambiri.
Ndani akufunikira chithandizo ichi?
Mankhwalawa amagwiritsidwa ntchito makamaka kwa anthu omwe ali ndi vuto la kuyenda kwa m'mero monga achalasia . Pazifukwa izi, minofu yomwe ili m'munsi mwa m'mero siimapuma bwino. Kenako, mukameza chakudya, chakudyacho chimakakamira m'mero m'malo mopita m'mimba. Izi zingayambitse kuvutika kumeza, kupweteka pachifuwa, komanso chakudya chimabweranso m'khosi. Chithandizo cha POEM chimagwira ntchito pomasula minofu yolimbayo, kulola chakudya kudutsa m'mimba popanda choletsa chilichonse.
Kodi mumakonzekera bwanji musanagwiritse ntchito POEM?
Muyenera kukonzekera musanalandire chithandizochi. Koma musadandaule nazo. Dokotala wanu adzakupatsani malangizo omveka bwino pa chilichonse. Chofunika kwambiri ndikutsatira malangizo amenewo molondola.
Izi ndi zinthu zomwe nthawi zambiri mumachita:
- Muyenera kudya zakudya zamadzimadzi zoyera bwino kwa masiku awiri musanalandire chithandizo.
- Muyenera kusiya kudya ndi kumwa maola 12 musanalandire chithandizo.
Kumbukirani, kutsatira malangizo awa ndikofunikira kwambiri kuti chithandizo chipambane.
Kodi chimachitika ndi chiyani panthawi ya chithandizo?
Njira imeneyi imatenga ola limodzi kapena atatu. Panthawiyi, mudzapatsidwa mankhwala oletsa ululu, kotero mudzakhala mutulo tofa nato. Chifukwa chake, simudzamva kupweteka kulikonse. Tiyeni tiwone pang'onopang'ono momwe chithandizochi chimachitikira.
| Masitepe | Chikuchitika ndi chiyani? |
|---|---|
| 1. Kuyika endoscope | Dokotala adzakulowetsani endoscope kudzera pakamwa panu ndikutsika m'mero. Kamera yomwe ili pamenepo imakulolani kuwona mkati mwa mmero wanu. |
| 2. Kupaka chodula pa nembanemba ya mucous | Chipinda cha m'mero, mucosa, chimadulidwa m'zidutswa tating'onoting'ono. |
| 3. Kupanga ngalande | Endoscope imayikidwa kudzera mu mng'alu umenewo ndipo imayenda m'njira yofanana ndi ngalande motsatira submucosa, wosanjikiza wa minofu pamwamba pa wosanjikiza wa minofu. |
| 4. Kudula minofu (Myotomy) | Popita pansi, malo ovuta, ndiko kuti, minofu yolimba yomwe ili m'munsi mwa mmero ndi kumtunda kwa mimba, imadulidwa ndikumasulidwa ndi mpeni wawung'ono wolumikizidwa ku endoscope. |
| 5. Kutseka chochekacho | Pomaliza, chotupa chomwe chapangidwa mu mucosa chimatsekedwa ndi tinthu tating'onoting'ono tomwe timadulidwa. Kenako endoscope imachotsedwa. |
Kodi chimachitika ndi chiyani munthu akalandira chithandizo ndipo zimatenga nthawi yayitali bwanji kuti achire?
Mukalandira chithandizo, muyenera kukhala m'chipatala kwa tsiku limodzi. Izi zidzachitika kuti muwone ngati pali zovuta zilizonse . Nthawi yanu yochira idzayamba tsiku lotsatira.
- Mayeso:Kujambula X-ray ya barium kumachitika kuti aone ngati minofu yamasuka mokwanira komanso ngati njira yopitira chakudya ili bwino.
- Chakudya: Muyenera kudya zakudya zamadzimadzi kwa masiku awiri kapena atatu oyambirira. Pambuyo pake, muyenera kuzolowera kudya zakudya zofewa komanso zopanda ulusi wambiri kwa sabata imodzi kapena ziwiri.
- Kubwerera kuntchito: Mutha kubwerera kuntchito patatha masiku asanu ndi awiri. Komabe, ngati mukugwira ntchito yonyamula katundu wolemera kapena yotopetsa, ndi bwino kufunsa dokotala wanu za tsiku labwino kwambiri lobwerera kuntchito.
- Kutsatira: Dokotala wanu adzakupemphani kuti mubwererenso patatha masiku 10 mutalandira chithandizo ndipo adzabweranso patatha miyezi itatu. Pa nthawi ya mayeso a miyezi itatu (esophagram), adzafufuzanso ngati mmero wanu ukutuluka bwino mutameza.
Nthawi yoti mukaonane ndi dokotala nthawi yomweyo
Mavuto ochokera ku chithandizo cha POEM ndi osowa kwambiri . Komabe, ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa mutalandira chithandizo, muyenera kulankhulana ndi dokotala nthawi yomweyo.
| Zizindikiro zochenjeza |
|---|
| - Kupweteka kwambiri pachifuwa |
| - Kutsokomola magazi |
| - Malungo (38.3°C Celsius / 101°F Fahrenheit kapena kupitirira apo) |
| - Kutopa kwambiri, kukomoka |
| - Chimbudzi chakuda kapena chofiira |
| - Kupweteka kwambiri pakhosi |
Ngati muli ndi zizindikiro izi, musazengereze. Pitani kwa dokotala mwamsanga. Ngati kuli kofunikira, pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi.
Uthenga Wopita Nawo Kunyumba
- POEM ndi mankhwala othandiza kwambiri komanso amakono ochizira matenda omeza monga achalasia.
- Izi zimachitika pogwiritsa ntchito endoscope yomwe imayikidwa kudzera pakamwa, kotero palibe kudula ziwalo kunja kwa thupi.
- Malinga ndi kafukufuku, chithandizochi chimathandiza kuthetsa mavuto omeza mkamwa mwa anthu pafupifupi 95 mwa 100.
- Ngakhale kuti nthawi yochira ndi yochepa, ndikofunikira kutsatira malangizo a dokotala okhudza zakudya ndi zochita zomwe muyenera kuchita mutatha kulandira chithandizo.
- Ngati zizindikiro zilizonse zochenjeza zikuwonekera mutalandira chithandizo, dziwitsani dokotala wanu nthawi yomweyo.
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