Nthawi zina, matenda ena a m'mimba mwathu samangotha ndi mankhwala, sichoncho? Nthawi ngati zimenezi, madokotala amanena kuti gawo la m'mimba lomwe lili ndi matenda liyenera kuchotsedwa. Ndizachilendo kumva mantha pang'ono komanso mantha mukamva izi. Ndikoyenera kuganiza kuti, "Ndingatani ngati chidutswa cha m'mimba mwanga chachotsedwa?" Lero, tiyeni tikambirane za opaleshoni ya m'mimba yaying'ono iyi, yomwe imatchedwa 'Small Bowel Resection' mwachipatala, momveka bwino komanso mosavuta.
Kodi Kuchotsa Matumbo Ang'onoang'ono N'chiyani?
Mwachidule, izi zimaphatikizapo kuchotsa mwa opaleshoni gawo lowonongeka, lodwala, kapena losagwira ntchito bwino la matumbo anu ang'onoang'ono. Maopaleshoni ena amachotsa gawo laling'ono kwambiri, koma nthawi zina gawo lalikulu lingachotsedwe.
Tsopano mwina mukuganiza kuti, "Ndidzakhala bwanji ndi moyo ngati chidutswa cha m'mimba mwanga chachotsedwa?" Taganizirani izi motere, matumbo athu ang'onoang'ono ndi chiwalo chomwe nthawi zambiri chimakhala chautali mamita 20-30 . Ali ngati chubu chachitali chomwe chimapinda m'mimba. Ntchito yake yayikulu ndikutenga michere yomwe thupi lathu limafunikira kuchokera ku chakudya chomwe timadya. Chifukwa chake, kuchotsa gawo laling'ono la m'mimba wautali nthawi zambiri sikukhudza kwambiri magwiridwe antchito ake. Thupi lathu limazolowera.
Ndani akufunika opaleshoni iyi? Ndi matenda amtundu wanji?
Opaleshoni iyi nthawi zambiri imachitidwa kwa anthu omwe ali ndi matenda aakulu a m'mimba. Madokotala amalimbikitsa opaleshoni iyi pokhapokha ngati vutoli silingathe kuchiritsidwa ndi mankhwala okha. Tiyeni tiwone zomwe zili m'mavutowa.
| Mkhalidwe | Mwachidule... |
|---|---|
| Kukula kosazolowereka | Zinthu monga khansa, zotupa zomwe si khansa, kapena ma polyps omwe amakula m'matumbo ang'onoang'ono. |
| Matenda a Congenital GI | Matenda ena omwe amapezeka pobadwa, monga Meckel's diverticulum kapena malrotation . |
| Matenda a kutupa kwa GI osatha | Kuchepa kwa matumbo chifukwa cha matenda monga matenda a Crohn . |
| Hernia ya m'mimba yomwe yatsekeredwa m'ndende | Hernia imapangitsa kuti gawo lina la matumbo litsekere, zomwe zimapangitsa kuti magazi azituluka ndi kufa. |
| Enterocolitis yotupa | Matenda oopsa omwe minofu ya m'mimba imafa, omwe amapezeka kwambiri mwa ana obadwa msanga. |
| Kutsekeka kwa matumbo ang'onoang'ono | Kutsekeka kwathunthu kwa matumbo kuchokera mkati. Kungayambitsidwenso ndi gawo la matumbo lomwe likulowa mkati mwa gawo lina (intussusception) . |
| Kuvulala | Kuwonongeka kwa matumbo chifukwa cha ngozi, mwachitsanzo, kuboola kwa matumbo. |
Chofunika kwambiri ndichakuti opaleshoniyi ichitike pamene matendawa sangathe kuthetsedwa ndi mankhwala ena, monga mankhwala kapena zakudya zapadera. Komabe, pakakhala zadzidzidzi, monga kutsekeka kwa matumbo, komwe kungakhale koopsa, opaleshoni ingafunike nthawi yomweyo .
Kodi njira zochitira opaleshoni ndi ziti?
Madokotala amagwiritsa ntchito njira zitatu zazikulu pochita opaleshoniyi. Njira yoyenera kwambiri idzasankhidwa kutengera momwe mulili.
| Njira Yopangira Opaleshoni | Kodi chikuchitika ndi chiyani apa? (Chikuchitika ndi chiyani apa?) |
|---|---|
| Opaleshoni ya Laparoscopic | Pamene tikulankhula, "opaleshoni yothandizidwa ndi kamera" imaphatikizapo kupanga mabala ochepa chabe m'mimba. Kamera imayikidwa kudzera mu imodzi mwa mabalawo, n’kuiyang’ana pa chowunikira, ndipo zida zopyapyala zimayikidwa kudzera m’mabala ena kuti opaleshoniyo ichite. Zilonda zimakhala zochepa ndipo kuchira kumachitika mwachangu. |
| Opaleshoni ya roboti | Izi zikufanana ndi njira ya laparoscopic, koma dokotala amalamulira zida pogwiritsa ntchito ukadaulo wa robotic. Izi zimathandiza dokotalayo kugwira ntchito mosamala komanso mosavuta m'malo ovuta kufikako. |
| Opaleshoni yotseguka | Iyi ndi njira yachikhalidwe. Kuduladula kwakukulu kamodzi kumapangidwa pakati pa mimba kuti kufikire m'matumbo. Njirayi imagwiritsidwa ntchito ngati njira ziwiri zomwe zili pamwambapa sizingatheke. |
Kodi mumakonzekera bwanji musanachite opaleshoni?
Ngati si opaleshoni yadzidzidzi, mudzakhala ndi masiku angapo okonzekera opaleshoniyo.
- Mayeso: Kuyezetsa magazi, kuyezetsa mkodzo, ndi kusanthula kumachitika kuti muwone ngati mungathe kupirira opaleshoni.
- Kusiya mankhwala: Ngati mukumwa mankhwala ochepetsa magazi (monga aspirin) kapena mankhwala ena ochepetsa ululu, mungafunike kusiya kumwa kwa masiku angapo, monga momwe dokotala wanu wanenera.
- Kuyeretsa matumbo: M'matumbo muyenera kutsukidwa bwino musanachite opaleshoni. Mudzapemphedwa kudya zakudya zokhala ndi ulusi wambiri komanso kumwa madzi ambiri kwa masiku angapo musanachite opaleshoni. Mudzapemphedwa kuti muchepetse kudya zakudya zamadzimadzi mukayandikira opaleshoni. Nthawi zina, mungapatsidwe mankhwala otsekula m'mimba kapena enema kuti matumbo anu aziyenda bwino. Zonsezi zimachitika kuti opaleshoniyo ikhale yotetezeka.
Kodi chimachitika n’chiyani panthawi ya opaleshoni komanso pambuyo pake?
Pa opaleshoni, mudzapatsidwa mankhwala oletsa ululu, kotero simudzamva chilichonse, mudzakhala mukugona tulo tofa nato. Dokotala adzaduladula malinga ndi njira yomwe mwasankha ndikufikira gawo lowonongeka la matumbo. Kenako, pogwiritsa ntchito zida zapadera, adzagwira gawolo mbali zonse ziwiri ndikulidula.
Kenako pakubwera gawo lofunika. Tsopano muli ndi malekezero awiri athanzi a matumbo, sichoncho? Zimene mungachite kenako zidzatsimikizira tsogolo lanu. Pali njira ziwiri zazikulu apa.
1. Kulumikizanso magawo awiri a matumbo (Anastomosis)
Iyi ndi njira yodziwika kwambiri. Monga kulumikizanso chitoliro chosweka, malekezero awiri a matumbo abwino amalumikizidwa pamodzi pogwiritsa ntchito suture kapena staples . Izi zikachitika bwino, dongosolo lanu logaya chakudya lidzayambiranso kugwira ntchito bwino.
2. Ileostomy
Nthawi zina, ziwalo zina zathanzi za m'matumbo sizingakhale zazitali mokwanira kuti zilumikizane. Kapena, chifukwa cha matenda, zingakhale zoopsa kwambiri kuzilumikiza zonse nthawi imodzi. Zikatero, dokotala amachotsa matumbo ang'onoang'ono kudzera m'kabowo kakang'ono (stoma) kopangidwa pakhungu la m'mimba. Kenako, thumba lapadera limalumikizidwa ku bowo limenelo. Chimbudzi chimasonkhana m'thumba limenelo. Izi nthawi zina zimakhala zakanthawi . Pambuyo pake, matumbo amatha kulumikizidwanso kuchokera mkati ndi opaleshoni ina. Nthawi zina, ayenera kusungidwa motere kwamuyaya .
Zoopsa zomwe zingachitike ndi zotsatirapo zake za opaleshoni
Monga opaleshoni iliyonse, opaleshoni iyi ili ndi zoopsa zina.
- Kutuluka kwa madzi m'thupi: Ichi ndi vuto lalikulu kwambiri. Limachitika matumbo akalumikizidwa, ndiko kuti, komwe kunayikidwa zosokera kapena zinthu zina zofunika. Ngati izi zitachitika, ndowe zimatha kulowa m'mimba ndikuyambitsa matenda oopsa. Izi ndi zoopsa zomwe zingawononge moyo .
- Kuchepa kwa magazi m'thupi nthawi zonse: Kuchepa kwa magazi m'thupi kumatha kuchitika kwa nthawi yayitali.
- Kuwonongeka kwa ziwalo zozungulira: Pa opaleshoni, ziwalo zozungulira monga chiwindi ndi kapamba zimatha kuwonongeka.
- Kutsegula m'mimba: Ndizachibadwa kukhala ndi kutsegula m'mimba kwa milungu ingapo mutachita opaleshoni. Zimatenga nthawi kuti mitsempha ndi minofu m'matumbo zizolowere kusinthaku.
- Hernia: Hernia ikhoza kuyamba nthawi ina pambuyo pochita opaleshoni.
- Kutsekeka: Malo omwe matumbo amalumikizana amatha kucheperachepera ndikupangitsa kuti kutsekekako kubwerezedwenso.
Kodi nthawi yochira imakhala bwanji?
Mukachita opaleshoni, muyenera kukhala m'chipatala kwa masiku angapo. M'masiku oyambirira, simudzapatsidwa chakudya cha pakamwa kuti matumbo anu apumule. Mudzapatsidwa zakudya kudzera mu chubu (zakudya zamkati). Mukachira, mudzapatsidwa zakumwa, kenako supu, kenako zakudya zofewa .
Ndikofunikira kupuma kwa milungu ingapo mutabwerera kunyumba. Komabe, sikoyenera kukhala pabedi. Ndikofunikira kuyenda pang'ono kuti magazi asaundane . Zingatenge miyezi ingapo kuti munthu achire bwino, koma anthu ambiri amatha kubwerera ku zochita zawo zachizolowezi mkati mwa milungu ingapo.
Pankhaniyi, imbani dokotala wanu nthawi yomweyo!
Ndikofunikira kwambiri kuyang'anira thanzi lanu mukapita kunyumba. Ngati muli ndi zizindikiro zilizonse zomwe zili pansipa, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala chapafupi nanu.
| Zizindikiro Zochenjeza Zoyenera Kuzisamala |
|---|
| - Kuvuta kuchita chimbudzi kapena kusachita chimbudzi kwa masiku angapo. |
| - Kusanza kosalekeza mpaka kufika polephera kusunga chakudya kapena madzi okwanira. |
| - Mafinya kapena kutuluka magazi kuchokera ku opaleshoni yodulidwa. |
| - Ululu sunathe ngakhale atamwa mankhwala ochepetsa ululu omwe dokotala adamulembera. |
| - Zizindikiro za matenda monga kutentha thupi, kuzizira, kufiira kwa khungu lozungulira malo odulidwawo, komanso kumva kutentha. |
Uthenga Wopita Nawo Kunyumba
- Kuchotsa matumbo ang'onoang'ono ndi opaleshoni yochotsa gawo la matumbo lomwe ladwala kapena lowonongeka.
- Izi zimachitika pa matenda aakulu monga khansa, matenda a Crohn, ndi kutsekeka kwa matumbo, pamene mankhwala ena alephera.
- Pali njira zitatu: opaleshoni ya laparoscopic, robotic, ndi opaleshoni yotseguka. Dokotala wanu adzasankha njira yoyenera kwa inu.
- Zimatenga nthawi kuti munthu achire pambuyo pa opaleshoni. Ndikofunikira kwambiri kutsatira malangizo a dokotala.
- Chifukwa matumbo athu ang'onoang'ono ndi aatali kwambiri, ngakhale gawo lake litachotsedwa, thupi limatha kusintha kuti ligwirizane ndi matendawa ndikugwira ntchito bwino. Choncho musachite mantha mosayenera. Ngati muli ndi mafunso, lankhulani momasuka ndi dokotala wanu.
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