Dumbu ndeimwe yenhengo dzinokosha mumuviri wedu dzinochengeta chikafu chatinodya uye dzinotanga kuchigaya. Asi dzimwe nguva, kunyanya kana chirwere chakakomba senge kenza yemudumbu chikaitika, dumbu iri pacharo rinogona kukuvadza muviri wedu. Ndipo apo vanachiremba vanosarudza kubvisa chikamu chedumbu kana chese. Uku ndiko kwatinodaidza kuti `(Gastrectomy)`. Kunyangwe uku kuri kuvhiyiwa kukuru, waizviziva here kuti unogona kurarama zvakanaka usina dumbu? Ngatitaurei nezveizvi zvakadzama.
Chii chaizvo chinonzi kuvhiyiwa kwegastrectomy?
Zvichitaurwa zviri nyore, gastrectomy inzira yekuvhiya inobvisa chikamu chedumbu rako rose. Dumbu rinochengeta chikafu chatinodya kwenguva yakati, rozochitumira muura hudiki kwachinogona kugayiwa nekunyudzwa.
Kune mhando mbiri huru dzekuvhiyiwa uku:
- Kubviswa kwedumbu rose: Izvi zvinosanganisira kubviswa kwedumbu rako rose.
- Kuvhiyiwa kweGastrectomy: Muizvi, chikamu chedumbu chete ndicho chinobviswa. Kuvhiyiwa uku kune mazita akasiyana zvichienderana nehuwandu hwakabviswa. Semuenzaniso, mu "Subtotal Gastrectomy" inobviswa, inenge 80% yedumbu inobviswa. Zvakare, kuvhiyiwa kwe "Gastric Sleeve", uko kunoitwa sekurapa kufuta, imhando yekubvisa gastrectomy isina chikamu.
Sei uchivhiya rudzi urwu?
Kuvhiyiwa uku kunowanzoitwa sekurapa kenza yemudumbu. Kunogona kubatsira kurapa kenza kana kuimisa kupararira kwayo. Kunogona zvakare kushandiswa kudzora zviratidzo zvakaita sekurwadziwa uye kubuda ropa kana kenza isingarapike.
Kuvhiyiwa kwedumbu kunoshandiswa kune zvimwe zvirwere zvakasiyana-siyana kunze kwekenza. Kuvhiyiwa uku kunowanzoitwa kana mishonga nekuchinja mararamiro zvisina kubatsira.
| Dambudziko rehutano | Tsananguro |
|---|---|
| Matumbu Asina Kunaka | Kubvisa bundu riri kukonzera zviratidzo kana kuti rinogona kuzova kenza gare gare. |
| Gastritis | Kana uine kuzvimba kwakanyanya mudumbu kana maronda asingagone kudzorwa nemishonga. |
| Chirwere chePeptic Ulcer | Kana uine maronda anokuvadza madziro edumbu uye asingapore. |
| Kufuta | Sekuvhiya kuderedza uremu (Bariatric Surgery) kudzora huwandu husina kunaka hwekufutisa. |
| Kukuvara kwedumbu | Kana tsaona yakakonzera kukuvara kusingagadzirisiki kwenyama yemudumbu. |
| Njodzi yekenza yenhaka | Kuvhiyiwa uku kunoitwawo kudzivirira njodzi huru yekubatwa nekenza yemudumbu kana shanduko mujini reCDH1 ikagara nhaka. |
Ungagadzirira sei usati wavhiyiwa?
Sezvo uku kuri kuvhiyiwa kukuru, zvakakosha zvikuru kugadzirira zvakanaka.
- Taura nachiremba wako: Udza chiremba wako nezvenhoroondo yako yese yezvekurapa, mishonga yese, mavhitamini, uye mishonga yeAyurvedic yauri kutora. Usakanganwa kuvaudza nezvechero allergies yaungave uine.
- Iva neutano hwakanaka: Zvakakosha kuva neutano hwakanaka sezvinobvira usati wavhiyiwa. Gadzirisa kudya kwako uye maitiro ako ekurovedza muviri zvichienderana nemirairo yachiremba wako.
- Dzivisa kusvuta: Kana uri munhu anosvuta, unofanira kurega kusvuta zvachose mavhiki mashoma usati wavhiyiwa. Izvi zvichavandudza zvikuru mhedzisiro yekuvhiyiwa.
- Gadzirisa mishonga yako: Ungangoda kurega kutora mishonga yakaita semishonga inobvisa ropa, mishonga inoderedza marwadzo (NSAIDs), aspirin, uye warfarin kwenguva pfupi. Chiremba wako achakuudza mishonga chaiyo yekurega uye yekuramba uchitora.
- Kutsanya: Hauzokwanisi kudya kana kunwa chero chinhu kwemaawa akati wandei usati wavhiyiwa. Tevedzera mirairo nokungwarira.
- Munhu wekubatsira kumba: Uchada mumwe munhu anokufambisa nemota kuenda kumba kubva kuchipatara. Zvakare, zviri nyore kuva nemumwe munhu anobatsira nemabasa epamba paunenge uchipora.
Chii chinoitika panguva yekuvhiyiwa?
Panguva yekuvhiyiwa, unenge uri pasi peanesthesia yakazara, zvinoreva kuti hauzonzwi kurwadziwa kana kuti hauzofi wakaziva.
1. Anesthesia: Mushonga unopiwa mutsinga yako uchakuraradza kusvika kuvhiyiwa kwapera.
2. Catheterization: Catheter inoiswa kuti iunganidze weti. Uyewo, chubhu (`Nasogastric tube`) inoiswa nepamhino nepadumbu kuti ibvise zviri mudumbu. Gare gare, mishonga nekudya zvinovaka muviri zvinogona kupihwa nepachubhu iyi.
3. Gastric bypass: Chiremba anobvisa chikamu chedumbu kana dumbu rese kuburikidza nekucheka kukuru (Open Surgery) kana kuburikidza nekucheka kudiki kwakawanda achishandisa kamera (Laparoscopy). Kana paine kenza, ma lymph nodes akaipoteredza anobviswawo kuti vaone kana kenza yapararira.
4. Kuvakazve nzira yekugaya: Iri ndiro danho rinotevera rinokosha. Chiremba anovhiya achavakazve nzira yako yekugaya. Kana chikamu chedumbu chikabviswa, ura hudiki huchabatanidzwa nechikamu chasara. Kana dumbu rose rikabviswa, ura hudiki huchabatanidzwa zvakananga negurokuro.
5. Kusunga: Pakupedzisira, maburi anovharwa nemasitichi.
Kuvhiyiwa uku kunogona kutora maawa angangoita mashanu, zvichienderana nerudzi rwekuvhiyiwa kwawakaitwa.
Chii chinoitika mushure mekuvhiyiwa uye zvinotora nguva yakareba sei kuti munhu apore?
Mushure mekuvhiyiwa, uchafanira kugara muchipatara kweinenge vhiki imwe kana maviri. Munguva iyi, vashandi vekurapa vachakutarisira zvakanaka.
- Kudya: Pakutanga, uchapihwa chikafu kuburikidza netsinga kana chubhu yakaiswa mudumbu mako. Sezvo maronda ako achipora, unogona kutanga kutora chikafu chemvura nemuromo. Zvadaro, zvishoma nezvishoma uchatanga kudya chikafu chakapfava senge porridge, wozodya chikafu chakareruka nguva dzose.
- Kudzora marwadzo: Mishonga inopiwa kudzora marwadzo.
- Nguva yekupora: Rwendo urwu ruchatora mwedzi yakati wandei. Runogona kutora mwedzi miviri kuti maronda apore. Runogona kutora mwedzi mitatu kusvika mitanhatu kana kupfuura kuti muviri uwane simba uye ugadzirire kudya kutsva . Ipa muviri wako nguva yaunoda kuti upore, uye iva nemoyo murefu.
Ndezvipi njodzi nematambudziko ekurapwa uku?
Sekunge kune chero kuvhiyiwa kupi zvako, kune njodzi dzakajairika dzakadai sekutapukirwa nehutachiona, kusawirirana neanesthesia, uye kuvharika kweropa. Pamusoro pezvo, panogona kunge paine mamwe matambudziko akasiyana-siyana ekuvhiyiwa uku.
| Dambudziko | Tsananguro iri nyore |
|---|---|
| Kubuda kwemvura muAnastomotic | Chikafu chiri kudonha kubva munzvimbo dzichangobva kubatanidzwa (misono). |
| Chirwere cheDumping | Chikafu chinopinda nekukurumidza muura hudiki chisati chagayiwa zvakanaka. Izvi zvinogona kukonzera kuzvimba, kuda kurutsa, kurwadziwa mudumbu, uye manyoka. |
| Kushaya chikafu chinovaka muviri | Muviri haugone kupinza zvinovaka muviri zvaunoda nemazvo, izvo zvinogona kukonzera zvirwere zvakaita sekushaya ropa. |
| Kudzoka kweBil Reflux | Dumbu rinogadzirwa muchiropa rinoyerera richidzokera kumashure mudumbu kana pagurokuro. |
| Hernia yemukati | Zvikamu zveura hudiki zvinobuda kubva kune chimwe chikamu chedumbu. Ichi chinogona kunge chiri chirwere chinoda kurapwa nekukurumidza. |
Kana ukanzwa kusagadzikana kwakadai, zivisa chiremba wako nekukasika.
Unogona kurarama hupenyu hwakajairika mushure mekuvhiyiwa gastrectomy here?
Ehe, unogona zvechokwadi! Unogona kurarama hupenyu hwakanaka uye hwakajairika. Asi, uchafanira kujaira "tsika itsva" kana zvasvika pakudya kwako.
- Idya zvishoma uye kazhinji: Panzvimbo pekudya katatu pazuva, idya kanenge katanhatu.
- Chinja kudya kwako: Zvikafu zvine faibha yakawanda (zviyo, chingwa) uye zvigadzirwa zvemukaka zvinogona kuoma kugaya pakutanga. Edza kuona kuti chii chinokunakira.
- Mavhitamini nezvimwe zvinovaka muviri: Pasina dumbu, zvinonetsa kuti muviri utore zvimwe zvinovaka muviri, kunyanya vhitamini B12. Inwa mavitamini nezvimwe zvinovaka muviri sezvakarairwa nachiremba wako.
- Zorora uye kurovedza muviri:Zorora zvakakwana. Uyewo, ita maekisesaizi akareruka sekufamba usingamanikidze muviri wako. Izvi zvinogona kubatsira kudzivirira matambudziko akadai sekugwamba kweropa.
Ndinofanira kuona chiremba rini?
Iva nechokwadi chekuenda kukiriniki yako mushure mekuvhiyiwa. Pamusoro pezvo, kana uine chimwe chezviratidzo zvinotevera kana kuti zvikawedzera, zivisa chiremba wako nekukasika.
- Kusvotwa nekurutsa
- Manyoka
- Kurwadziwa kwemudumbu kana kuzvimba
- Kutsvuka, kuzvimba, kudziya, kana kuti urwa panzvimbo yekuvhiyiwa
- Kupindwa nechando
Mharidzo Yekuenda Nayo Kumba
- Kunyangwe kuvhiyiwa kwegastrectomy kuri kuvhiyiwa kukuru, kurapwa kwakakosha zvikuru kuponesa hupenyu kubva kuzvirwere zvakaita sekenza.
- Zvakakosha zvikuru kuva nemoyo murefu sezvo zvinotora mwedzi yakawanda kuti upore zvizere.
- Mushure mekuvhiyiwa, uchafanira kuchinja maitiro ako ekudya zvachose. Jaira kudya zvishoma nezvishoma, kakawanda.
- Gara uchitevera zano rachiremba wako maererano nekudya, mavitamini, uye kurovedza muviri.
- Kana wangojaira shanduko idzi, unogona kurarama hupenyu hune hutano hwakakwana.
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