Mungaganize kuti anthu ena ali ndi zilonda zam'mimba, kutanthauza zilonda zam'mimba, ndipo mosasamala kanthu kuti amwa mankhwala otani kapena kuti amalamulira bwanji zakudya zawo, sizingachiritsidwe. Pali anthu omwe amakumana ndi mavuto aakulu omwe amayambitsa kupweteka kosalekeza, kutuluka magazi, komanso nthawi zina kuboola m'mimba. Kwa anthu otere, pamene mankhwala ena onse alephera, lero tikulankhula za opaleshoni yapadera yomwe madokotala amalangiza. Imatchedwa vagotomy.
Mwachidule, kodi vagotomy ndi chiyani?
Taganizirani izi motere: mitsempha ya Vagus ili ngati chingwe chachikulu pakati pa ubongo wathu ndi dongosolo logaya chakudya, kuphatikizapo matumbo. Mitsempha iyi ndi yomwe imatumiza chizindikiro m'mimba mwathu kuti "titulutse asidi tsopano." Ngakhale kuti asidi uyu amafunika tikamadya, nthawi zina kuwonjezeka kwa asidi uyu ndiye chifukwa chachikulu cha zilonda zam'mimba.
Kuchotsa ziwalo za m'mimba (Vagotomy) ndi kudula dala gawo la foni, mitsempha ya vagus, yomwe imatumiza zizindikiro m'mimba kuti ipange asidi, motero imaletsa chizindikirocho. Izi zimachepetsa kwambiri kupanga asidi m'mimba. Ichi ndi chithandizo champhamvu koma chothandiza kwambiri kwa anthu omwe ali ndi matenda oopsa kwambiri a zilonda zam'mimba.
Kodi chimachitika n'chiyani mitsempha ya vagus ikadulidwa? - Pali mitundu iwiri ikuluikulu
Mitsempha ya vagus ili ngati mtengo. Ili ndi thunthu lalikulu, lomwe nthambi zosiyanasiyana zimafalikira. Zotsatira za opaleshoni zimasiyana malinga ndi komwe mitsempha iyi yadulidwa. Pali mitundu iwiri ikuluikulu.
| Mtundu wa opaleshoni | Zomwe zimachitika ndi zotsatira zake |
|---|---|
| Kuchotsa Vagotomy ya Truncal | Izi zimaphatikizapo kudula "thunthu lalikulu" la mitsempha ya vagus. Izi zimachepetsa kupanga asidi m'mimba, komanso zingakhudzenso magwiridwe antchito a ziwalo zina zomwe zimalandira mauthenga kuchokera ku mitsempha iyi, monga chiwindi, ndulu, kapamba, ndi matumbo. Izi zingayambitse mavuto m'mimba. |
| Kuchotsa Vagotomy Yosankha Kwambiri | Iyi ndi njira yeniyeni. Apa, thunthu lonse la mitsempha silidulidwa. Nthambi zazing'ono kwambiri za mitsempha zomwe zimanyamula zizindikiro ku maselo opanga asidi (maselo a parietal) m'mimba zimasankhidwa ndikudulidwa. Izi sizikhudza ziwalo zina. Komabe, opaleshoniyi ndi yovuta pang'ono kuti dokotala wa opaleshoni achite ndipo imafuna chidziwitso chambiri chaukadaulo. |
Ndi nthawi ziti pamene opaleshoniyi imalimbikitsidwa?
Zilonda zambiri zam'mimba zimatha kuchiritsidwa ndi mankhwala. Komabe, pazochitika zovuta komanso zoopsa, monga zotsatirazi, opaleshoni iyi ingalimbikitsidwe kuti zilondazo zisabwererenso:
- Zilonda Zotuluka Magazi: Ngati kutuluka magazi sikungathe kulamulidwa ndi njira zina, opaleshoni ingafunike kuti ichiritse chilondacho.
- Zilonda Zobowoka: Ngati chilondacho chayambitsa dzenje pakhoma la m'mimba, chiyenera kutsekedwa ndi opaleshoni yadzidzidzi. Apo ayi, majeremusi amatha kulowa m'mimba ndikuyambitsa matenda oopsa. Zikatero, muyenera kupita ku ETU (Emergency Treatment Unit) nthawi yomweyo.
- Kutsekeka kwa Mimba: Zilonda zomwe zimayambitsidwa ndi kuvulala kwa nthawi yayitali zimatha kuletsa njira yopitira chakudya kuchokera m'mimba kupita kumatumbo ang'onoang'ono. Pankhaniyi, minofu ya chilondacho iyenera kuchotsedwa opaleshoni.
Chofunika kwambiri n'chakuti, vagotomy nthawi zambiri siimachitika yokha, koma nthawi zambiri imachitika limodzi ndi opaleshoni ina kuti ikonze vuto limodzi mwa mavuto omwe atchulidwa pamwambapa.
Ma opaleshoni ena omwe amachitidwa nthawi imodzi ndi vagotomy
1. Ndi opaleshoni ya m'mimba: Izi zimaphatikizapo kuchotsa gawo la m'mimba. Izi zimachitika ngati pali zipsera zoopsa kapena ngati pali kukayikira kuti zilondazo zingakhale za khansa. Gawo la m'mimba likachotsedwa, kupanga gastrin, mahomoni omwe amathandiza kupanga asidi, kumachepanso. Koma popeza zimenezo zokha sizokwanira, opaleshoni ya vagotomy imachitidwanso nthawi yomweyo kuti zilondazo zisabwererenso.
2. Ndi Pyloroplasty: Ngati mukuchitidwa opaleshoni ya Truncal Vagotomy, kutanthauza kudula thunthu la mitsempha, muyeneranso kuchita opaleshoni ya pyloroplasty. Chifukwa, mitsempha ya vagus ikadulidwa, chizindikiro chomwe chimauza pylorus kuti itsegule ndi kutseka chimatayika. Kenako chakudya chimakakamira. Opaleshoni ya pyloroplasty imachitidwa kuti chipatacho chikhale chotseguka, kuti chakudya chidutse mosavuta.
Kodi chimachitika n’chiyani opaleshoni isanachitike komanso ikachitika?
Kutengera ndi vuto lanu, mankhwala ena angakupatseni musanachite opaleshoni kuti akuthandizeni kuchira. Mwachitsanzo, madzi a m'mitsempha angakupatseni ngati mwataya madzi m'thupi chifukwa cha kusanza, kapena ngati muli ndi bala lotuluka magazi. Mankhwala opha tizilombo amaperekedwa musanachite opaleshoni. Opaleshoniyi imachitika pansi pa anesthesia wamba.
Opaleshoniyi ingachitike ngati opaleshoni yotsegula , yomwe imaphatikizapo kudula mimba, kapena opaleshoni ya laparoscopic , yomwe imaphatikizapo kuyika kamera ndi zida kudzera m'mabala angapo ang'onoang'ono. Izi zidzasankhidwa ndi dokotala wanu.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Ubwino ndi zoopsa zake
Ubwino waukulu wa opaleshoniyi ndi wakuti imatha kuletsa kubwereranso kwa mabala akuluakulu omwe akhala akuvutika kwa nthawi yayitali ndipo sanachiritsidwe ndi mankhwala.
Komabe, monga opaleshoni iliyonse, opaleshoni iyi ili ndi zoopsa zina komanso zotsatirapo zake .
| Mtundu wa zoopsa/zotsatira zoyipa | Kufotokozera |
|---|---|
| Zoopsa pa nthawi ya opaleshoni | Kuwonongeka kwa ziwalo zozungulira, mitsempha yamagazi, kapena mitsempha, matenda, kutuluka magazi, magazi kuundana. |
| Kutsegula m'mimba | Imeneyi ndi vuto lofala, makamaka pambuyo pa opaleshoni ya truncal vagotomy. Imayamba chifukwa cha kuchepa kwa ntchito ya ndulu. Nthawi zambiri imakhala ya kanthawi kochepa. |
| Matenda Otaya Madzi | Izi zimachitika chifukwa cha opaleshoni ya pyloroplasty. Chakudya chimalowa m'matumbo mwachangu popanda kukhala m'mimba, zomwe zingayambitse nseru, kusasangalala m'mimba, komanso kutsegula m'mimba. Izi zitha kuthetsedwa mwa kusintha zakudya zanu. |
| Miyala ya m'matumbo | Pambuyo pa opaleshoni ya truncal vagotomy, kuchepa kwa ntchito ya ndulu kungayambitse kusonkhanitsa ndulu ndi kupanga miyala. |
Mudzafunika kukhala m'chipatala kwa masiku angapo mutachita opaleshoni. Zingatenge milungu ingapo kuti mudye bwino. Mudzayamba ndi zakudya zamadzimadzi kenako pang'onopang'ono mudzadya zakudya zolimba.
Uthenga Wopita Nawo Kunyumba
- Vagotomy ndi opaleshoni yomwe imachitika ngati njira yomaliza ya zilonda zazikulu zam'mimba (zilonda zam'mimba) zomwe sizimachiritsidwa ndi mankhwala.
- Cholinga chachikulu ndi kuchepetsa kupanga asidi mwa kudula zizindikiro za mitsempha zomwe zimapanga asidi m'mimba.
- Pali mitundu iwiri ikuluikulu ya opaleshoni iyi (yofupikitsidwa komanso yosankhidwa kwambiri), ndipo zotsatira zake ndi zotsatira zake zimasiyana.
- Izi nthawi zambiri zimachitika limodzi ndi maopaleshoni ena (gastrectomy, pyloroplasty) kuti athetse mavuto a zilonda.
- Ngati inu kapena munthu amene mumamudziwa adalangizidwa opaleshoni yamtunduwu, onetsetsani kuti mwalankhula ndi dokotala wanu za ubwino, zoopsa, ndi zotsatirapo zake ndipo mufunseni mafunso anu onse.
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