Dumbu rako rakavharika here uye chikafu chako hachisi kufamba zvakanaka? Kana kuti chiremba wako akakuudza here nezvekuvhiyiwa kunonzi "gastrojejunostomy"? Zvakajairika kuti unzwe kutya zvishoma paunonzwa zita rakadai, uye unzwe kuremerwa mupfungwa dzako nekuti mazwi acho akaomarara. Asi usazvidya mwoyo. Ngatitaurei nezvazvo zviri nyore, nenzira yaunogona kunzwisisa. Zvakafanana nekuvaka mugwagwa mutsva weparutivi kuti usapinda mumugwagwa wakawanda.
Chii chinonzi Gastrojejunostomy?
Zvichitaurwa zviri nyore, gastrojejunostomy inzira yekuvhiya inoshandura mafambiro echikafu. Inosanganisira kugadzira kubatana kutsva, kana nzira, pakati pedumbu rako nejejunum, chikamu chepakati cheura hwako hudiki.
Fungidzira, chikafu chatinodya chinobva mudumbu chichienda kuchikamu chekutanga cheura hudiki, chatinodaidza kuti duodenum . Asi kana paine chimwe chikonzero paine kuvharika kwe duodenum iyi, chirwere, kana kuvharika kwe pylorus, chikafu hachigone kuenderera mberi. Ndipo apo vanachiremba vanogadzira nzira iyi, kureva, nzira itsva. Muizvi, chikafu hachiendi ku duodenum, asi zvakananga kubva mudumbu kuenda ku jejunum. Iyi nzira itsva inonzi anastomosis mukurapa.
Dzimwe nguva, zita iri rinoshandiswawo pakuita diki apo chubhu yekudyisa inopinzwa muura hudiki kuti itumire chikafu. Asi handiyo kuvhiyiwa kukuru kwatiri kutaura nezvako, chimwe chinhu chakasiyana.
Sei uchifanira kuvhiyiwa kwerudzi urwu?
Pane zvikonzero zvakawanda zvekuvhiyiwa uku. Dzimwe nguva kunoitwa sekurapa chirwere, uye dzimwe nguva kunoitwa kudzivirira dambudziko rinogona kuitika mune ramangwana.
| Mamiriro | Zvichitaurwa zviri nyore... |
|---|---|
| Kuvharirwa Kwemudumbu (GOO) | Kuvharika kwenzira inobuda chikafu mudumbu. Chikafu chinonamira mudumbu pachinzvimbo chekusvika mudumbu. |
| Kuvharirwa kweDuodenal | Kuvharika kwechikamu chekutanga cheura hudiki (duodenum), chiri mushure medumbu. |
| Kenza yeDumbu kana Duodenal | Bundu regomarara rinovhara gumbo kana kuti rinoda kuvhiyiwa kuti bundu ribviswe. |
| Chirwere chePeptic Ulcer | Matambudziko akadai sekubuda ropa uye mavanga anokonzerwa nemaronda emudumbu anogona kukonzera kuvharika kwenzira yekugaya chikafu. |
Nyaya dzekuvhiyiwa senzira yekudzivirira
Dzimwe nguva, kuvhiyiwa uku kunoitwa kudzivirira dambudziko risati rava dambudziko.
- Kana duodenum ikakuvara zvakanyanya (kukuvadzwa): Kana duodenum ikakuvara, senge mutsaona, uye chiremba achiona kuti zvine njodzi kupfuudza chikafu mairi kusvika chapora, nzira itsva ichagadzirwa yekupfuudza chikafu kusvika ronda raparara.
- Kenza yePancreatic Isingabviswe: Kana kenza yepancreas yakura pedyo neduodenum uye isingagoni kubviswa, kuvhiyiwa uku kunogona kuitwa kuti isapfuure isati yakura zvakakwana kuti ivhare pombi yechikafu.
Pamusoro pezvo, nzira iyi inoshandiswawo sechikamu chekuvhiyiwa kwekuderedza uremu . Muenzaniso ndewekuvhiyiwa kweRoux-en-Y gastric bypass. Chinangwa ndechekuderedza huwandu hwechikafu chinogona kutorwa mudumbu uye huwandu hwezvinovaka muviri zvinogona kutorwa kubva mudumbu.
Chii chinoitika kuvhiyiwa kusati kwaitwa?
Usati waenda kuvhiyiwa, zvakakosha kuti uzvigadzirire zvakanaka. Kunyanya kana waive nedambudziko remudumbu, ungasakwanisa kudya zvakanaka kwenguva yakati, ungave uchirutsa, usina mvura mumuviri , uye usina kudya zvakakwana . Saka timu yezvekurapa ichaita zvese zvavanogona kuti udzoke pahutano hwakanaka.
| Kurapa | Tsananguro |
|---|---|
| Mvura yemuchina | Kupa saline . Izvi zvinobatsira kudzikamisa ma electrolyte anenge apera mumuviri. |
| Kudya Kwemuviri Muviri | Kupa chikafu chinodiwa kuburikidza nemushonga wesaline unopinzwa zvakananga mutsinga nekuti haugone kudya. |
| Kuisirwa Ropa | Kana paine anemia, ipa ropa. |
| Mishonga inorwisa mabhakitiriya | Kupa mishonga inorwisa mabhakitiriya nguva isati yasvika kudzivirira hutachiona mushure mekuvhiyiwa. |
| Kuderedza Kumanikidzwa Kwemudumbu | Chubhu yemudumbu inopinzwa nemumhino kuti ibvise chero chinhu chakabatwa mudumbu uye ideredze kumanikidzwa kwemuviri. Izvi zvakachengetekawo pakushandisa mushonga weanesthesia. |
Chii chinoitika panguva yekuvhiyiwa?
Kuvhiyiwa uku kunowanzotora maawa maviri kusvika mana. Panguva iyi, chiremba achatevera matanho aya:
1. Uchaiswa pasi peanesthesia . Izvi zvinoreva kuti uchava wakarara zvakanaka kusvika oparesheni yapera.
2. Chubhu inopinzwa nepamhino kuderedza kumanikidzwa mudumbu.
3. Ita oparesheni yedumbu, kungave kuburikidza nekuvhiya kwakavhurika kana laparoscopically , zvinoreva kuti kucheka kudiki kushoma chete kunogadzirwa uye kamera inoiswa mudumbu. Kuvhiya kweLaparoscopic kune nguva pfupi yekupora uye mavanga madiki.
4. Nzvimbo chaiyo yedambudziko iri mudumbu inowanikwa.
5. Nzvimbo yakakodzera inosarudzwa kubva mujejunum, chikamu cheura hudiki, uye yakabatana nemasendimita mashanu pamusoro penzvimbo yedambudziko remudumbu.
6. Anastomosis itsva inoongororwa kuti ionekwe kana iri kushanda nemazvo uye kana paine maburi ari kubuda.
7. Kana zvese zvakanaka, mavanga acho anosukwa uye kuvhiyiwa kwapera.
Chii chinoitika mushure mekuvhiyiwa uye njodzi dziripo ndedzipi?
Uchafanira kugara muchipatara kwemazuva mashoma mushure mekuvhiyiwa. Zvinotora nguva kuti dumbu rako neura zvitange kushanda zvakanaka zvakare. Unganzwa kuda kurutsa kwemazuva mashoma ekutanga, uye ura hwako hunogona kunge huchinonoka. Vamwe vanhu vachada kuva nechubhu yemhino kwemazuva mashoma.
Kutanga, uchapihwa mvura nekudya zvine hutano kuburikidza nemunyu, wozopiwa zvishoma nezvishoma zvekudya zvine mvura, wozopiwa kudya kwakapfava usati wadzoserwa kumba.
Kufanana nekuvhiyiwa kwese, kune dzimwe njodzi, dzakadai sekubuda ropa, kuvharika kweropa, uye kukuvara kwenhengo dzakapoteredza. Asi izvi hazviwanzoitiki.
Kune njodzi dzakawanda uye migumisiro yenguva refu inokonzerwa nekuvhiyiwa uku.
| Dambudziko/Mhedzisiro Yeparutivi | Chii chinoitika neizvi? (Chii chinoitika?) |
|---|---|
| Matambudziko Anobva Pakarepo | |
| Kubuda kwemvura muAnastomotic | Kubuda kwekubatana kuchangobva kugadzirwa. Izvi hazviwanzoitiki, asi zvakakomba. Kana utachiona hukapararira mudumbu hukaenda kuropa, zvinogona kuisa hupenyu panjodzi. |
| Migumisiro Yenguva Refu | |
| Chirwere cheDumping | Zviratidzo zvakaita sekusvotwa, kuzvimba, uye kurwadziwa mudumbu zvinoitika mushure mekudya nekuti chikafu chinobva mudumbu chichipinda muura hudiki. Kazhinji, izvi zvinopera mushure mechinguva. |
| Chironda chemucheto | Sezvo maacid emudumbu achipinda zvakananga mujejunum, jejunum haigone kumira maacid iwayo, zvichikonzera maronda. |
| Kudzoka kweBil Reflux | Kudzoka kwemvura yekugaya, senge bile, kubva mudumbu ichienda mudumbu. Izvi zvinogona kukuvadza madziro edumbu. |
Zvinotora nguva yakareba sei kuti chirwere chirapwe uye ndinofanira kufonera chiremba riini?
Zvinowanzo tora mavhiki matanhatu kuti upore zvizere. Zvisinei, izvi zvinogona kusiyana zvichienderana nerudzi rwekuvhiyiwa kwawakaitwa (kwakavhurika kana kuti kwakaitwa laparoscopic) uye huwandu hwekuvhiyiwa kwacho. Chikwata chako chekurapa chichakupa mirairo yekuti ungatarisira sei ronda rako mushure mekunge wadzokera kumba, kuti ungagadzirisa sei marwadzo, uye kuti ungatangazve riini mabasa ako enguva dzose.
Zvakakosha: Kana ukaona chimwe chezviratidzo zvinotevera mushure mekunge waenda kumba, taurira chiremba wako kana chipatara nekukasika. Usanonoke kuita izvi.
- Kana uchinzwa kutsvuka, kurwadziwa, kuzvimba, kana kudziya panzvimbo yeronda (izvi zviratidzo zvehutachiona).
- Fivha (inopfuura 38 Celsius / 100 Fahrenheit).
- Kana marwadzo acho akaoma kudzora.
- Kana uchinetseka kudya, kusadya chikafu zvakanyanya, kana kuti ukaramba uchirutsa.
- Kana uine manyoka anoramba achiitika.
- Kana ganda rako kana kuti machena emaziso ako akashanduka kuita yero.
Kuvhiyiwa uku kuchaita mutsauko mukuru mudumbu mako. Kunogona kuchinja hupenyu hwako. Saka usapfuure rwendo urwu wega. Taura nachiremba wako nezvemibvunzo kana zvinokunetsa zvaungave nazvo usati wavhiyiwa uye mushure mekuvhiyiwa. Vanogara varipo kuti vakubatsire.
Mharidzo Yekuenda Nayo Kumba
- Gastrojejunostomy kuvhiyiwa kunogadzira nzira itsva pakati pedumbu neura hudiki.
- Izvi zvinonyanya kuitwa sekurapa zvirwere zvakaita sekuvharika kwenzira yekugaya chikafu, kenza, kana kukuvara kwakanyanya.
- Zvakakosha kuti uve neutano hwakanaka usati wavhiyiwa, uye zvinotora nguva kuti upore mushure mekuvhiyiwa.
- Mushure mekuvhiyiwa, uchafanira kuchinja kudya kwako uye mararamiro ako, uye zvakakosha kutevedzera mirairo yachiremba wako.
- Kana ukaona zviratidzo zvekunyevera zvakaita sezviratidzo zvehutachiona hwemaronda, fivha, kurwadziwa kusingadzoreki, kana kuoma kudya, tsvaga rubatsiro rwechiremba nekukasika.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 🥩 Chii chinonzi chikafu chine iron yakawanda? Sei zvichikosha pakuvhiyiwa uku?
Zvikafu zvakaita senyama tsvuku, pizi, sipinachi, nenyemba zvine iron yakawanda. Sezvo nzira yekudya ichichinjwa panguva yekurapwa kwegastrojejunostomy, kunwa iron mumuviri kunogona kuderedzwa. Ndosaka iron iriwo nyaya huru pakukurukura nezvekuvhiyiwa uku.
💬 🩺 Zvinokwanisika here kuti munhu ave neanemia mushure mekuvhiyiwa uku (Gastrojejunostomy)?
Ehe, zvinogoneka. Izvi zvinodaro nekuti chikafu chinopfuura nepanzvimbo huru inonyudzwa iron panguva yekuvhiyiwa uku. Saka, pamusoro pekudya chikafu chine iron yakawanda, vamwe vanhu vanofanirwawo kutora mishonga yekuwedzera iron sezvavakarairwa nachiremba wavo.
💬 🍋 Ndingadya sei kuti ndinwe simbi zvakanaka?
Kana uchidya chikafu chine iron yakawanda, wedzera chimwe chinhu chine vhitamini C, senge maremoni kana maranjisi. Izvi zvichaita kuti zvive nyore kuti muviri wako utore iron, kunyangwe mushure mekuvhiyiwa. Asi yeuka, usanwe tii kana kofi mushure mekudya, sezvo zvichitadzisa kunwa iron.
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