Zvakajairika kunzwa kutya uye kutya zvishoma kana chiremba wako akakuudza kana mumwe munhu ari pedyo newe kuti unofanira kuvhiyiwa kunonzi "Esophagectomy." Ungave nemibvunzo yakawanda yakaita sekuti, "Chii chinonzi kuvhiyiwa uku? Sei kuri kuitwa? Chii chichaitika mushure meizvozvo?" Asi usazvidya mwoyo. Tichataura nezvese muchiSinhala chiri nyore chaunogona kunzwisisa, chine hushamwari. Paunenge wapedza kuverenga chinyorwa chino, unenge wava kunzwisisa izvi zvakanaka.
Zvichitaurwa zviri nyore, chii chinonzi Esophagectomy?
Kuvhiyiwa kweEsophagectomy inzira yekuvhiya inobvisa chikamu chegurokuro rako rose kana kuti chikamu chegurokuro rako rose. Gurokuro ndiro chubhu inotakura chikafu nechinwiwa kubva pahuro kuenda mudumbu. Zvakafanana nepombi yemvura.
Zvino ungave uchishamisika kuti, "Sei izvi zvichibviswa?" Chikonzero chikuru igomarara repahuro . Vanachiremba vanokurudzirawo kuvhiyiwa uku kana uine zvirwere zvakaita seBarrett's esophagus, izvo zvinowedzera njodzi yako yegomarara, kana kana gumbo rako risiri kushanda zvakanaka uye uchinetseka kumedza.
Panguva yekuvhiyiwa, chiremba anobvisa chikamu chakakuvara chegurokuro rako. Kana iri kenza, mamwe ma lymph nodes ari pedyo anobviswawo oendeswa kunoongororwa. Zvadaro, zvikamu zvasara zvinobatanidzwa zvakare uye pombi yako yechikafu inodzorerwa. Izvi zvinoreva kuti dumbu rinodhonzwa zvishoma uye rakabatana negurokuro rako rasara. Nenzira iyi, pombi yako yechikafu inogadziriswa kuitira kuti ugone kudya zvakajairika zvakare.
Ndedzipi nzira dzakasiyana dzekuita kuvhiyiwa uku?
Kunyange hazvo nzira dzese dzekubvisa esophagectomy dzinosanganisira kubvisa gumbo, nzira inoshandiswa nachiremba wako inogona kusiyana zvichienderana nezvinhu zvakaita senzvimbo yegomarara rako kana kukuvara kwaro uye hutano hwako hwese.
Pane nzira mbiri chete:
- Kuvhiyiwa Kwakavhurika: Pano, ganda rinochekwa kamwe chete kwenguva refu kuti risvike pagurokuro.
- Kuvhiyiwa Kusingakuvadzi Zvikuru: Uku ndiko kwatinodaidza kuti "kuvhiyiwa kwelaparoscopic." Panzvimbo pekucheka kukuru kumwe chete, kucheka kudiki kwakareba masendimita makumi maviri kunoshandiswa kuita kuvhiyiwa uku, uko kamera nemidziyo zvinoshandiswa. Kuvhiyiwa kwekupinda munhengo dzemudumbu kunonzi `Laparoscopic surgery`, uye kuvhiyiwa kwekupinda munhengo dzechipfuva kunonzi `Thoracoscopic surgery`.
Kune mhando dzakasiyana-siyana dzekuvhiya zvichibva panzira idzi. Tafura iri pazasi inotsanangura zvakawanda nezvadzo.
| Maitiro Ekuvhiya | Nzvimbo dzekucheka |
|---|---|
| Kuvhiyiwa kweTranshiatal Esophagectomy | Mumutsipa nemudumbu (mudumbu) |
| Kuvhiyiwa kweIvor Lewis Esophagectomy | Kurudyi rwechipfuva nedumbu |
| Kuvhiyiwa kweMcKeown Esophagectomy | Mumutsipa, pachipfuva nepadumbu |
| Kuvhiyiwa kweTsamba reAbdominal Esophagectomy | Kuchekwa kumwe kwakareba kubva pachipfuva kusvika mudumbu uye kumwe kuchekwa mumutsipa |
Taura nachiremba wako kuti uone kuti ndeipi nzira yakakunakira uye nei. Izvi zvichakupa kunzwisisa kuri nani nguva yekuvhiyiwa uye nguva yekupora.
Tinogadzirira sei kuvhiyiwa kukuru kwakadaro?
Kuvhiyiwa kweEsophagectomy kuvhiyiwa kukuru, uye kunotora nguva kuti upore. Saka, zvakakosha kuti ugadzirire zvakanaka usati wavhiyiwa.
- Miedzo yakasiyana-siyana: Kuti uronge kuvhiyiwa, chiremba wako acharaira miedzo yakaita seCT scan yechipfuva chako nedumbu, Endoscopic ultrasound (EUS), kana PET scan.
- Kuwana kurapwa kwekutanga: Kana uine kenza, ungangoda kurapwa nechemotherapy uye/kana nemwaranzi usati wavhiyiwa. Vamwe vanhu vanowana mhedzisiro iri nani kubva pakuwana kurapwa uku nekukasika.
- Kugadzirira muviri wako kuvhiyiwa: Kana uine zvirwere zvakaita sechirwere cheshuga kana BP, unofanira kuzvidzora usati wavhiyiwa. Kana ukasvuta, unofanira kurega zvachose. Kusvuta kunononotsa kupora.
- Kugadzirira nguva yekupora: Sezvo maitiro ako ekudya achizochinja mushure mekuvhiyiwa, unogona kutsvaga mazano kubva kune nyanzvi yezvekudya . Unogonawo kudzidza kubva kune nyanzvi yezvekutaura-mutauro (SLP) nezvemaekisesaizi ekusimbisa tsandanyama dzako dzekufema kudzivirira matambudziko emapapu mushure mekuvhiyiwa.
- Kugadzirira kuendeswa kuchipatara:Sezvo uchange uri muchipatara kwevhiki imwe kana maviri, gadzirira mbatya dzaunoda, mishonga, nezvimwe zvinhu zvakaita sebhuku nepiro zvinokunyaradza.
- Kana masvika kumba: Rongai kuti mumwe munhu adzoke kumba kubva kuchipatara. Zvakakoshawo kuva nemumwe munhu anokubatsirai kumba. Rongai imba yenyu kuitira kuti muwane zvinhu zvamunoda zviri nyore.
Chii chinoitika panguva yekuvhiyiwa?
Usati wavhiyiwa, uchapihwa mushonga wekuti usazonzwa kurwadziwa. Izvi zvinoreva kuti uchange warara zvachose. Mushure mekuvhiyiwa, unogona zvakare kuiswa chubhu ye epidural kumusana kuti udzore kurwadziwa.
Chiremba anochera dumbu zvichienderana nemaitiro acho uye anobvisa chikamu chine chirwere chegurokuro. Dzimwe nguva chikamu chidiki chedumbu chinogonawo kubviswa. Zvadaro, dumbu kana ura hudiki hunounzwa munzvimbo yechipfuva uye hunobatana nechikamu chose chegurokuro.
Mushure mekuvhiyiwa, chubhu yekudyisa ichaiswa mudumbu mako kana muura hudiki kuti ipe hutano kusvika wagona kumedza. Chubhu ye nasogastric ichaiswawo nemumhino yako kuti ibatsire kubvisa mweya wakawandisa mudumbu mako uye kukubatsira kupora. Madhireni epachipfuva anogonawo kuiswa kuti abudise mvura kubva muchipfuva chako. Zvese izvi zvinoitirwa kuti zvikubatsire kupora nekukurumidza. Kuvhiyiwa kunowanzo tora pakati pemaawa matatu nematanhatu.
Chii chichaitika mushure mekuvhiyiwa?
Mushure mekuvhiyiwa, muchachengetwa muchikamu chevarwere vane chirwere chakanyanya (ICU) kwezuva rimwe kana maviri. Muchatanga kupiwa mushonga wekuderedza marwadzo. Muchafanira kugara muchipatara kwemavhiki maviri.
Ndiri muchipatara,
- Uchaudzwa kuti upfeke masokisi ekudzvanya uye ufambe kuti ropa risagwambe .
- Unofanira kuita maekisesaizi ekufema kuti mapapu ako agare akachena.
- Uchadzidziswa kuchengetedza chubhu yekudyisa neronda zvakachena.
Ndezvipi migumisiro nenjodzi zvirimo?
Kuvhiyiwa kupi zvako kunogona kukonzera mimwe migumisiro yakaipa, uye zvakakosha kuziva njodzi dzacho.
| Migumisiro yakajairika | Njodzi dzekuziva |
|---|---|
| Kuneta | Matambudziko emapapu, kunyanya pneumonia |
| Kuda kudya | Kubuda kwemvura mumasero emuviri |
| Marwadzo pakumedza | Kusashanda zvakanaka kwemoyo (`Atrial fibrillation`) |
| Kusagadzikana kwakadai segasi uye kuzvimba | Kuoma kutaura kana kumedza (Dysphagia) |
| Kusvotwa nekurutsa | Kubuda ropa kubva paronda, hutachiona, kuumbwa kweropa |
Zviratidzo izvi zvakawanda zvinopera paunenge uchipora, asi kana uine zvinokunetsa, taura nachiremba wako nekukasika.
Ndinofanira kufonera chiremba riini kana kuenda kuchipatara?
Mamwe matambudziko anogona kumuka panguva yekupora. Kana uine chimwe chezviratidzo zvinotevera, zivisa chiremba wako nekukasika.
- Kana kurwadziwa kana fivha zvikawedzera
- Kana nzvimbo yakatenderedza chibooreso yakatsvuka uye ichipisa
- Kana muviri ukaneta
- Kana uchinetseka kufema kana kuti chipfuva chako chiri kurova
- Kana dumbu rakasununguka kana kuti tsvina yakasviba
- Kana uine pahuro panorwadza
- Kana uine kukosora kunoramba kuripo
- Kana machena emaziso kana ganda akashanduka kuita yero (Jaundice)
- Kana uchinetseka kumedza kana kuramba uchidzikisa huremu
Teererai nekukasika! Kana zvinotevera zvikaitika, endai kuDhipatimendi reEmergency (ETU) riri pedyo nekukasika kana kufonera 1990.
* Kana usingakwanise kumedza kana kufema.
* Kana uchirutsa ropa.
* Kana uchinzwa kurwadziwa kwakanyanya, kunyanya kurwadziwa kwechipfuva.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweEsophagectomy inzira inokosha uye inoponesa hupenyu inoitirwa mamwe mamiriro ehutano.
- Migumisiro yakanaka inogona kuwanikwa nekurega kusvuta uye kudzora zvirwere zvakaita sechirwere cheshuga usati wavhiyiwa.
- Nguva yekupora inogona kutora nguva yakareba, saka iva nemoyo murefu uye tevera mirairo yachiremba.
- Mushure mekuvhiyiwa, mararamiro ako, kunyanya maitiro ako ekudya, anozochinja. Jaira kudya zvidiki kakawanda pazuva.
- Zivai zviratidzo zvekunyevera. Kana muine zvinokunetsai, musanonoka kutsvaga rubatsiro rwechiremba.
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