Kodi mumamva kukhuta mukamadya? Kapena mumasanza pafupipafupi? Chifukwa chimodzi cha izi chingakhale vuto la valavu ya minofu kumapeto kwa mimba yanu, kapena malo omwe chakudya chimadutsa kuchokera m'mimba kupita ku matumbo ang'onoang'ono. Timatcha valavu iyi kuti 'pylorus'. Ngati chipata ichi sichikutsegulidwa bwino, chakudya chimakakamira pamenepo. Pyloroplasty ndi opaleshoni yomwe imabwera kudzathandiza nthawi ngati zimenezi. Tiyeni tikambirane za izi lero.
Mwachidule, kodi Pyloroplasty ndi chiyani?
Ganizirani mimba yanu ngati thumba. Chakudya chomwe timadya chimasungidwa m'thumba ili, chimagayidwa, kenako chimaperekedwa ku matumbo ang'onoang'ono. Kumapeto kwa thumba ili la m'mimba, pali mphete ya minofu yomwe imagwira ntchito ngati chipata. Imatchedwa pylorus . Chipata ichi chimatseguka pakafunika kutero, zomwe zimathandiza kuti chakudya chogayidwacho chilowe m'matumbo ang'onoang'ono, kenako chimatseka.
Choncho, ngati pazifukwa zina mpata uwu watsekeka, wachepa, kapena sutseguka bwino, chakudya sichingatuluke m'mimba. Panthawiyo, timatcha mpata uwu wotchedwa pylorus njira yochitira opaleshoni yomwe imagwiritsidwa ntchito kukonzanso mawonekedwe ake ndikukulitsa. Nthawi zina, ngati gawo ili lawonongeka chifukwa cha opaleshoni ina, opaleshoni iyi imachitidwanso kuti ikonzedwe.
Kodi opaleshoni ya pyloroplasty imafunika nthawi ziti?
Ngati pylorus yanu sikugwira ntchito bwino, zomwe zikutanthauza kuti kuchotsa m'mimba kwachedwa, opaleshoniyi ingakhale yothandiza. Pyloroplasty imaganiziridwa makamaka pazochitika zotsatirazi:
1. Zilonda zam'mimba (Matenda a Zilonda Zam'mimba)
Zilonda zina zazikulu za m'mimba zimafunika opaleshoni. Mwachitsanzo, ngati muli ndi zilonda zomwe zimatuluka magazi nthawi zonse kapena zomwe sizichira ndi mankhwala, dokotala wanu angakulangizeni njira yotchedwa vagotomy kuti muchepetse kupanga asidi m'mimba. Izi zimaphatikizapo kudula mitsempha ina yomwe imapita m'mimba.
Koma pali chinthu china apa. Ngakhale opaleshoni ya vagotomy iyi imachepetsa asidi m'mimba, mitsempha yomwe imauza pylorus kuti itsegule ndi kutseka imathanso kugwira ntchito. Kenako chipata sichitseguka. Ndicho chifukwa chake, ngati muchita opaleshoni ya vagotomy, mumachitanso opaleshoni ya pyloroplasty kuti chikulitse chipatacho kwamuyaya.
Kuphatikiza apo, nthawi zina zilonda zimatha kutupa kapena minofu ya chilonda ikhoza kupangika, zomwe zimatseka kwathunthu njira yodutsa mu pylorus. Pazidzidzidzi zotere, opaleshoni iyi ndiyofunikanso.
2. Gastroparesis
Apa ndi pamene minofu ya m'mimba, kuphatikizapo pylorus, sigwira ntchito bwino. Zimakhala ngati minofu ya m'mimba yafooka pang'ono. Izi zimapangitsa kuti kugaya chakudya kuchedwe kwambiri komanso kuti chakudya chituluke m'mimba. Izi zikakula kwambiri, zimatha kuyambitsa nseru ndi kusanza kosalekeza, zomwe zimapangitsa kuti zikhale zovuta kudya. Ngati njira zina zothandizira sizikuyenda bwino, dokotala wanu angakulangizeni kuti mutsegule pylorus ndi opaleshoni ya pyloroplasty.
3. Kutupa kwa mafupa a pyloric
Vutoli limapezeka kwambiri mwa makanda obadwa kumene . Pa vutoli, makoma a pylorus ya mwana amakhala okhuthala, opapatiza ndikutseka njira yopitira chakudya. Chifukwa cha izi, mwanayo sangatenge mkaka womwe wamwa ndipo amasanza mobwerezabwereza. Kwa makanda otere, opaleshoni iyi ndi yofunika kwambiri ngati akufuna kuti chakudya chilowe m'thupi lawo moyenera.
Kodi opaleshoniyi imachitika bwanji ndipo njira zake ndi ziti?
Opaleshoni iyi ingathe kuchitika m'njira ziwiri. Yoyamba ndi opaleshoni yotsegula, yomwe imaphatikizapo kudula mimba. Yoyamba ndi opaleshoni ya laparoscopic , yomwe imaphatikizapo kudula pang'ono m'mimba ndikugwiritsa ntchito kamera ndi zida zofewa. Mulimonsemo, mudzayikidwa pansi pa mankhwala oletsa ululu, kotero simudzamva chilichonse.
Pali njira zingapo zazikulu zochitira opaleshoni ya pyloroplasty. Dokotala amasankha njira yoyenera kwambiri kutengera momwe wodwalayo alili.
| Njira Yopangira Opaleshoni | Kufotokozera mwachidule |
|---|---|
| Heineke-Mikulicz Pyloroplasty | Iyi ndi njira yodziwika kwambiri. Dokotala wochita opaleshoni amadula pylorus motalikira kenako n’kuisoka pamodzi mopingasa. Izi zimakulitsa mpata ndikumasula minofu. |
| Kuchotsa mafupa m'thupi (Ramstedt Pyloroplasty) | Njira imeneyi imagwiritsidwa ntchito makamaka mwa makanda obadwa kumene. Pano, minofu yakunja yokha ya pylorus ndiyo imadulidwa, zomwe zimasiya mkati mwake wofewa (mucosa). Izi zimapangitsa kuti mkati mwake mutuluke kunja, zomwe zimapangitsa kuti malo amkati awonjezereke. |
| Kutambasuka kwa Pyloric | Iyi si njira yochitira opaleshoni. Ndi yofanana ndi endoscopy , komwe chubu chimalowetsedwa kudzera pakamwa, ndipo pylorus imatambasulidwa ndi chipangizo chapadera. |
| Jaboulay/Finney Pyloroplasty | Izi si njira zodziwika kwambiri. Zimagwiritsidwa ntchito ngati pali kutupa kwakukulu kapena zipsera mu pylorus. Izi zimaphatikizapo kuletsa pylorus ndikupanga mgwirizano watsopano pakati pa mimba ndi matumbo ang'onoang'ono (gastroduodenostomy) . |
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Pambuyo pa opaleshoni, ngati mwachitidwa opaleshoni ya laparoscopic, mutha kupita kunyumba tsiku lomwelo. Ngati mwachitidwa opaleshoni yotseguka, muyenera kukhala m'chipatala kwa masiku angapo chifukwa chochekacho ndi chachikulu. Simudzapatsidwa chakudya cholimba kwa masiku oyamba. Mudzapatsidwa zakudya kudzera mu chubu chomwe chimayikidwa m'mphuno mwanu kapena kudzera mu saline yomwe imayikidwa mumtsempha.
Kodi ndi mavuto otani omwe angabwere chifukwa cha opaleshoni?
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zina zomwe zingachitike, koma mwayi woti izi zichitike ndi wochepa.
- Kutuluka magazi
- Matenda
- Kuundana kwa magazi
- Kuwonongeka kwa ziwalo zozungulira
Kuwonjezera pa zoopsa zonsezi, palinso mavuto ena okhudzana ndi opaleshoni ya pyloroplasty.
1. Matenda Otaya Zinthu
Imeneyi ndi zotsatira zoyipa zomwe zimachitika kwambiri mukatha opaleshoniyi. Ndi zosiyana kwambiri ndi vuto lomwe linakupangitsani opaleshoniyi. Izi zikutanthauza kuti, chakudya chochokera m'mimba chimalowa m'matumbo ang'onoang'ono mwachangu . Izi nthawi zambiri zimakhala zakanthawi kochepa.
Zizindikiro za dumping syndrome zitha kubwera m'magawo awiri. Mukangodya pang'ono, mungakhale ndi kupweteka m'mimba, nseru, komanso kutsegula m'mimba. Patatha maola angapo, shuga m'magazi mwanu amatsika mwadzidzidzi, zomwe zimayambitsa zizindikiro monga kufooka, chizungulire, thukuta, komanso kugunda kwa mtima mofulumira.
Ngakhale kuti poyamba izi zingakhale zokhumudwitsa pang'ono, zitha kuthetsedwa ndi kusintha zakudya komanso, ngati kuli kofunikira, mankhwala operekedwa ndi dokotala wanu.
2. Kubwerera m'mimba m'mimba
Valvu ya pyloric ikasinthidwa, siitseka bwino, zomwe zimapangitsa kuti zomwe zili m'matumbo ang'onoang'ono, makamaka bile , zibwerere m'mimba. Bile ndi chinthu chomwe chimakwiyitsa matumbo. Ngati izi zipitirira, zingayambitse gastritis .
Njira yobwezeretsa ndi kupambana
Anthu ambiri, makamaka omwe adachitidwa opaleshoni ya laparoscopic, amachira msanga. Amatha kubwerera ku zochita zawo zachizolowezi komanso zakudya mkati mwa milungu ingapo. Ngati muli ndi zizindikiro za dumping syndrome, muyenera kusamala ndi zakudya zanu mpaka zitatha (mwina miyezi ingapo).
Pyloroplasty ndi njira yothandiza kwambiri yochizira gastroparesis ndi kutsekeka kwa m'mimba, ndipo chiwopsezo chake ndi 90%.
Pamapeto pake, kutsekeka pang'ono kwa pylorus kungasokoneze dongosolo lanu lonse la m'mimba. Pali njira zina zosagwiritsa ntchito opaleshoni, koma ngati sizigwira ntchito, opaleshoni ikhoza kukhala yankho labwino komanso lotetezeka.
Uthenga Wopita Nawo Kunyumba
- Pyloroplasty ndi opaleshoni yomwe imakulitsa kutsegula kwa m'mimba (pylorus), zomwe zimathandiza kuti chakudya chilowe mosavuta m'matumbo ang'onoang'ono popanda kutsekeka.
- Opaleshoni iyi imachitika makamaka ngati pali zilonda zazikulu za m'mimba, gastroparesis, ndi pyloric stenosis mwa makanda obadwa kumene.
- Izi zitha kuchitika ngati opaleshoni yotseguka kapena opaleshoni ya laparoscopic (keyhole). Dokotala wanu adzasankha njira yoyenera kwa inu.
- Zotsatira zoyipa kwambiri pambuyo pa opaleshoni ndi dumping syndrome, yomwe imachitika pamene chakudya chimatuluka m'mimba mwachangu kwambiri. Komabe, izi nthawi zambiri zimakhala zakanthawi kochepa ndipo zimatha kuthetsedwa mwa kusintha zakudya zanu.
- Musanayambe opaleshoni iliyonse, ndikofunikira kwambiri kukambirana zabwino ndi zoyipa zonse ndi dokotala wanu ndikupanga chisankho.
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