Yankho la kutentha pamtima pafupipafupi (Acid Reflux)! Tiyeni tiphunzire za njira ya TIF (Transoral Incissionless Fundoplication)

Kodi mulinso ndi vuto la kutentha pamtima pafupipafupi komanso chakudya chomwe chimatuluka pakhosi panu? Ngakhale kuti timatcha izi gastritis, nthawi zina izi zimatha kukhala vuto lalikulu. Ngati vutoli litachepa mutamwa mankhwala kwa masiku angapo, kenako nkubwereranso, mungadabwe ngati palibe yankho lokhazikika pa izi. Ndi kwa anthu otere omwe njira yamakono yochizira yotchedwa TIF yomwe tikukamba lero ndi yofunika.

Mwachidule, kodi TIF iyi ndi chiyani?

TIF ndi chidule cha "Transoral Incissionless Fundoplication." Tiyeni tigawane mawuwa kuti timvetse izi.

• Transoral: Izi zikutanthauza "kudzera mkamwa." Izi zikutanthauza kuti chithandizochi chimachitika poika zida kudzera mkamwa mwanu.
• Kusaduladula: Izi zikutanthauza kuti "palibe kuduladula." Inde, mwamva bwino! Chithandizochi sichikuphatikizapo kuduladuladula m'mimba mwanu. Choncho palibe chifukwa chodera nkhawa ndi opaleshoni yayikulu.
• Kusakaniza kwa m'mimba: Izi ndi zomwe zimachitikadi. Zimaphatikizapo kutenga gawo lapamwamba la mimba yanu (lotchedwa 'fundus') ndikulikulunga mozungulira gawo la pansi la mmero wanu, ndikulilimbitsa pang'ono.

Mwachidule, TIF ndi njira yosavulaza yomwe imagwiritsa ntchito kamera (endoscope) yomwe imayikidwa kudzera pakamwa kuti ilimbitse valavu pakati pa gawo lapamwamba la mimba yanu ndi mmero wanu.

Kodi chithandizo cha TIF chimathandiza bwanji GERD?

Kuti timvetse izi, choyamba tiyeni tiwone chifukwa chake timamva kutentha pamtima. Pamene m'mero ​​(chitoliro cha chakudya) chathu chimalumikizana ndi mimba yathu, pali mphete ya minofu yomwe imagwira ntchito ngati valavu. Tikameza, imatseguka ndikulola chakudya kulowa m'mimba, kenako nkutsekanso. Izi zimaletsa asidi wa m'mimba kuti asabwererenso m'mero.

Koma, ngati muli ndi GERD (Gastroesophageal Reflux Disease) , ndicho chimene tikukamba, minofu yomwe imagwira ntchito ngati valavu ndi yofooka. Choncho asidi m'mimba amatuluka mosavuta. Ichi ndi chomwe mumamva ngati kutentha, kukoma kowawa pakhosi panu.

Anthu ena angakhalenso ndi vuto lotchedwa hiatal hernia . Apa ndi pamene gawo lapamwamba la mimba limadutsa m'bowo laling'ono mu diaphragm, khoma lalikulu lomwe limalekanitsa chifuwa chathu ndi mimba. Chithandizo cha TIF chingamange valavu yofooka iyi komanso chingakonzenso hiatal hernias yaying'ono.

Kodi chithandizo cha TIF ichi ndi choyenera kwa ndani?

TIF si ya aliyense. Ndi yoyenera makamaka pa:

• Kwa iwo omwe ali ndi GERD yapakati mpaka yoopsa kapena hernia yaying'ono yoberekera.
• Kwa iwo amene akuopa, kapena omwe sangathe kuchitidwa opaleshoni yaikulu.
• Kwa iwo amene akufuna kupewa kumwa mankhwala a gastritis kwa moyo wawo wonse.

Chithandizo chofala kwambiri cha GERD ndi mtundu wa mankhwala otchedwa proton pump inhibitors (PPIs) . Komabe, anthu ena sangapirire mankhwala amenewa pakapita nthawi. Ena sangafune kuwamwa kwa nthawi yayitali. Kwa anthu amenewo, TIF ndi njira yabwino pakati pa opaleshoni ndi mankhwala a nthawi yayitali.

Kodi muyenera kuchita chiyani musanalandire chithandizo cha TIF?

Ngati mukufuna chithandizochi, choyamba muyenera kulankhula ndi dokotala wanu za ichi . Dokotala wa matenda a m'mimba kapena dokotala wamkulu wa opaleshoni akhoza kuchita izi. Iye adzakuyang'anirani ndikusankha ngati izi zili zoyenera kwa inu. Muyenera kuyesedwa.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Chithandizochi chimachitika pansi pa anesthesia wamba, zomwe zikutanthauza kuti mwagona tulo tofa nato. Choncho simukumva chilichonse.

Dokotala amaika endoscope, kamera, ndi chipangizo cha TIF kudzera pakamwa panu. Akamayang'ana zithunzi zomwe zili pazenera, dokotalayo amapinda mosamala kwambiri gawo lapamwamba la mimba mozungulira mmero ndikugwiritsa ntchito tinthu tating'onoting'ono kapena zomangira ('zomangira') kuti zigwire bwino ntchito. Izi zili ngati kulimbitsa malo ofooka, monga kolala ya shati.

Njira yonseyi imatenga mphindi 45 mpaka 60. Mukamaliza kulandira chithandizo, mudzayang'aniridwa ndipo nthawi zambiri mudzaloledwa kupita kunyumba tsiku lomwelo, kapena mungapemphedwe kuti mugone kuchipatala usiku wonse.

Pambuyo pa chithandizo ... ululu ndi nthawi yochira

Mukadzuka, mudzapatsidwa mankhwala opweteka kudzera mu saline solution. Anthu ambiri amamva kupweteka pang'ono komwe kumatenga tsiku limodzi kapena awiri. Kupweteka pakhosi ndi kupweteka pang'ono pachifuwa ndi zofala.

Ponena za nthawi yochira, mutha kuyambiranso kuchita zinthu zachizolowezi mkati mwa masiku ochepa. Komabe, zimatenga milungu iwiri kapena isanu ndi umodzi kuti mkati mwa mmero muchiritse bwino. Panthawiyi, muyenera kusintha zakudya zanu.

• Poyamba: zakumwa zoyera (monga madzi a supu, madzi a lalanje)
• Kenako: Zakumwa zokhuthala ndi zakudya zophwanyidwa bwino
• Pambuyo pa milungu ingapo: Mutha kuzolowera chakudya chanthawi zonse.

Panthawiyi, ndikofunikira kwambiri kupewa zinthu monga kunyamula zinthu zolemera komanso kuchita masewera olimbitsa thupi kwa mwezi umodzi .

Kodi pali zoopsa zilizonse pa izi?

Monga momwe zimakhalira ndi njira iliyonse yachipatala, ma TIF amatha kukhala ndi zoopsa zazing'ono kwambiri. Komabe, mwayi woti izi zichitike ndi wochepa kwambiri.

Kodi pali kusiyana kotani pakati pa TIF ndi opaleshoni yachikhalidwe (Nissen Fundoplication)?

Opaleshoni yakale ya GERD imatchedwa Nissen fundoplication . Kusiyana kwakukulu ndikuti dokotalayo amalowa m'mimba kudzera mu kudula m'mimba. Nthawi zina, izi zimachitika kudzera mu laparoscopically, kudzera mu kudula pang'ono pang'ono.

Kusiyana kwina ndikuti njira ya Nissen imakulunga mimba molimba kwambiri mozungulira mmero. Izi zimapangitsa kuti ikhale yothandiza kwambiri pa matenda aakulu a GERD. Komabe, kwa anthu ena, kulimba kumeneku kungayambitse mavuto monga kuvutika kumeza komanso kuvutika kutulutsa mpweya (belching) .

Chithandizo cha TIF chikadali chatsopano, koma zotsatira zoyambirira zikuwonetsa kupambana kwa pafupifupi 80% patatha zaka 5. Kupambana kumatanthauza kuti odwala apeza mpumulo kwa nthawi yayitali ndipo atha kuchepetsa kapena kusiya kugwiritsa ntchito mankhwala.