Nthawi zina, pakakhala vuto ndi gawo la m'mimba mwathu, madokotala amalimbikitsa kuti gawo lomwe lili ndi matendawa lichotsedwe opaleshoni. Ndizachibadwa kumva mantha pang'ono komanso mantha mukamva za opaleshoni yotereyi. Koma mukamvetsetsa izi molondola , mantha amenewo amatha kwambiri. Kotero lero, tiyeni tikambirane za opaleshoni izi zomwe zimachotsa gawo la m'mimba.
Kodi Ileocolectomy ndi Right Colectomy ndi chiyani?
Mwachidule, izi ndi njira ziwiri zochotsera matenda m'mimba mwa opaleshoni.
- Kuchotsa kwa Ileocolectomy: Mu opaleshoni iyi, gawo lomaliza la matumbo anu ang'onoang'ono, ileum, ndi gawo loyamba la matumbo anu akuluakulu, colon yokwera, zimadulidwa ndikuchotsedwa.
- Kuchotsa Mimba Kumanja: Apa, mbali yakumanja yokha ya matumbo akulu (kukwera m'matumbo) ndiyo imachotsedwa, popanda kuchoka m'chimake cha matumbo ang'onoang'ono.
Tsopano mwina mukudabwa chifukwa chake opaleshoni yamtunduwu imachitidwa. Nthawi zambiri pamakhala zifukwa zingapo zazikulu zochitira opaleshoniyi.
- Matenda a khansa omwe amapezeka m'matumbo.
- Zomera zopanda khansa .
- Kutupa ndi kutupa m'matumbo komwe kumachitika chifukwa cha matenda monga matenda a Crohn .
Chofunika kwambiri ndichakuti madokotala asankhe kuchita opaleshoniyi pokhapokha atayang'anitsitsa momwe mulili ndikutsimikizira kuti iyi ndi njira yabwino kwambiri yothandizira.
Kodi Laparoscopy ndi chiyani?
Kale, opaleshoni yamtunduwu inkafunika kudula kwambiri m'mimba. Koma tsopano, chifukwa cha kupita patsogolo kwa ukadaulo, opaleshoniyi nthawi zambiri imachitika pogwiritsa ntchito njira yotchedwa laparoscopy . Imeneyi imatchedwanso "keyhole surgery."
Tangoganizirani, m'malo mopanga ming'alu yayikulu m'mimba, mabala ochepa kwambiri (monga bowo la kiyi) amapangidwa m'mimba, momwe kamera ndi zida zofewa zimalowetsedwa. Izi zikutanthauza kuti mumamva kupweteka pang'ono, mumachira mwachangu, ndipo mulibe zipsera zambiri.
Kodi opaleshoniyi imachitika bwanji? Masitepe 4 akuluakulu!
Opaleshoni iyi ili ndi magawo anayi akuluakulu. Ndiwafotokozera m'njira yomwe mungamvetse.
| Masitepe | Zimene zimachitika n’zosavuta. |
|---|---|
| Gawo 1: Kuyika laparoscope | Mukamaliza kupatsidwa mankhwala oletsa ululu, dokotalayo amadula pang'ono kwambiri (pafupifupi 1/2 inchi) pafupi ndi m'mimba mwanu (mchombo). Kudzera mu izi, chipangizo chokhala ndi kamera chotchedwa laparoscope chimayikidwa m'mimba mwanu. Zithunzi za kamera iyi zimawonetsedwa pa sikirini yayikulu (monitor) m'chipinda chochitira opaleshoni. Kenako, kudula pang'ono 5 kapena 6 kumapangidwa ndipo zida zina zonse zochitira opaleshoni zimayikidwa. |
| Gawo 2: Kumasula matumbo | Tsopano gawo la m'mimba lomwe lili ndi matenda liyenera kulekanitsidwa ndi gawo lathanzi. Matumbo amalumikizidwa ku khoma la m'mimba ndi nembanemba yotchedwa mesentery . Mitsempha yayikulu yamagazi yomwe imapatsa matumbo magazi imadutsa mu nembanemba iyi. Dokotala amadula mosamala mitsempha iyi yamagazi ndikuyitseka. Kenako gawo la m'mimba lomwe lili ndi matenda limamasulidwa ku nembanemba iyi. |
| Gawo 3: Kuchotsa gawo lodwala | Popeza mabalawo ndi ang'onoang'ono kwambiri panthawi ya laparoscopy, njira yapadera imagwiritsidwa ntchito kuchotsa chidutswa cha m'mimba chodulidwacho. Dokotalayo amakulitsa pang'ono chimodzi mwa mabala omwe adadulidwa kale ndikuyika thumba lapadera m'mimba kudzera mmenemo. Gawo la m'mimba lomwe lachotsedwa limayikidwa mkati mwa thumbali ndipo thumbalo limachotsedwa mosamala. |
| Gawo 4: Kulumikizanso matumbo | Gawo lodwala likachotsedwa, malekezero awiri a matumbo otsala omwe ali ndi thanzi amalumikizidwa pamodzi. Izi zimachitika pogwiritsa ntchito stapler kapena sutures zosungunuka. Njira imeneyi yolumikiziranso magawo awiri a matumbo imatchedwa anastomosis . Pomaliza, m'mimba mumatsukidwa bwino, malo atsopano olumikizidwa amawunikidwa kuti awone ngati pali kutuluka madzi, ndipo mabala onse amatsekedwa. |
Tiyeni tiphunzire za nthawi yochira kunyumba
Mukabwerera kunyumba mutachita opaleshoni, ndikofunikira kwambiri kuyambiranso pang'onopang'ono zochita zanu za tsiku ndi tsiku.
Kuyenda ndiye masewera olimbitsa thupi abwino kwambiri!
Inde, kuyenda kungathandize kwambiri pakuchira kwanu. Kuyenda kumalimbitsa minofu , kumathandizira kuyenda kwa magazi, komanso kumaletsa magazi kuundana., ndipo zimathandizanso kuti mapapu anu akhale athanzi . Ngati munali katswiri wochita masewera olimbitsa thupi musanachite opaleshoni, mutha kuyamba kuchita masewera olimbitsa thupi nthawi zonse mukamakhala omasuka ndipo dokotala wanu akulola.
Koma kumbukirani! Sikoyenera kuchita masewera olimbitsa thupi okhwima, kunyamula zolemera, ndi masewera olimbitsa thupi omwe amaika mphamvu pamimba, monga kukhala pansi, kwa milungu isanu ndi umodzi mutachita opaleshoni.
Kodi zakudya zili bwanji?
Mukatulutsidwa kunyumba kuchokera kuchipatala, mudzapatsidwa malangizo okhudza zakudya zoyenera kutsatira kwa kanthawi kochepa. Nthawi zambiri mudzalangizidwa kuti mutsatire zakudya zofewa . Izi zikutanthauza kuti mutha kudya zinthu zambiri kupatula zipatso ndi ndiwo zamasamba zosaphika. Tsatirani zakudya izi mpaka mutapita ku chipatala kukayezetsa pambuyo pa opaleshoni.
Chofunika: Ngati mukumva kudzimbidwa chifukwa cha zakudya zimenezi, chonde funsani dokotala wanu kuti akupatseni upangiri. Musamadzipatse mankhwala.
Ngakhale opaleshoni ndi nkhani yaikulu, ndi chidziwitso choyenera komanso kutsatira upangiri wa dokotala, mutha kuchira mwachangu ndikubwerera ku moyo wanu wamba.
Uthenga Wopita Nawo Kunyumba
- Ileocolectomy ndi Right Colectomy ndi njira ziwiri zochitira opaleshoni zomwe zimachotsa gawo la m'matumbo lomwe ladwala. Zimachitidwa pa matenda monga khansa, zotupa zomwe sizili khansa, ndi matenda a Crohn.
- Kawirikawiri, opaleshoniyi imachitika pogwiritsa ntchito njira ya "keyhole" yotchedwa laparoscopy. Izi zimapangitsa kuti ululu uchepe komanso kuti munthu achire msanga.
- Mukafika kunyumba mutachita opaleshoni, pang'onopang'ono yambani kuchita masewera olimbitsa thupi opepuka, monga kuyenda. Koma pewani kunyamula zinthu zolemera ndi kuchita masewera olimbitsa thupi olemera kwa milungu 6.
- Tsatirani malangizo a dokotala wanu moyenera. Ngati muli ndi vuto monga kudzimbidwa, lankhulani ndi dokotala wanu za vutoli.
- Ngati muli ndi kukayikira kapena mafunso, musazengereze kufunsa dokotala wanu.
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