Kana iwe kana mumwe munhu waunoziva ari kuvhiyiwa kubvisa chikamu cheura hwavo, zvakajairika kunzwa kutya uye kuda kuziva. Kunyanya kana mazwi acho akaoma. Kuvhiyiwa kwakadaro kunonzi laparoscopic proctosigmoidectomy. Kunyange zvazvo zita racho ringanzwika serinotyisa, ngatitaurei nezvezvinoreva zviri nyore. Fungidzira shamwari ine ruzivo ichikutsanangurira.
Sei kuvhiyiwa uku kuri kuitwa? Ndezvipi zvikonzero zveizvi?
Zvichitaurwa zviri nyore, kuvhiyiwa uku kunosanganisira kucheka nekubvisa chikamu chine chirwere chemudumbu wako nerectum. Zvikuru sei, chikamu chemudumbu wako chakaita seS, sigmoid colon , uye chikamu chepamusoro cherectum yako chiri pasi payo.
Vanachiremba vanokurudzira kuvhiyiwa uku kunyanya sekurapa mamwe matambudziko ehutano. Ngationei kuti ndeapi.
| Dambudziko rehutano | Tsananguro iri nyore |
|---|---|
| Kenza dzemudumbu nedzemudumbu | Kana masero egomarara akapararira muzvikamu izvi zvemudumbu, kuvhiyiwa uku kunoitwa kubvisa zvachose chikamu chine chirwere. |
| Zvipembenene zvisina kenza | Dzimwe nguva, zvinhu zvakaita semapolyps, izvo zvisiri zvegomarara asi zvinogona kukonzera matambudziko, zvinogona kuitika munzvimbo idzi. Nzira iyi inoshandiswawo kuzvibvisa. |
| Kutapukira kwe diverticulitis kwakaoma | Apa ndipo panoumbwa tunhu tudiki muura, tunotapukira, tunokora, uye dzimwe nguva tunoputika. Mumamiriro ezvinhu akaoma kudaro, chikamu chakakuvara chinofanira kubviswa. |
Izwi rekuti 'laparoscopic' rinorevei?
Hechino chinhu chinoshamisa pakuvhiyiwa uku. 'Laparoscopic' zvinoreva ' keyhole surgery ', sezvatinoziva tese. Pane kugadzira kucheka kwenguva refu mudumbu rako sepakutanga, chiremba anochekerera zvidimbu zvidiki zvishoma (zvinenge mamirimita mashanu kusvika gumi) mudumbu mako uye anoita kuvhiyiwa uku kuburikidza nemaburi iwayo.
Izvi zvinosanganisira kushandisa chinhu chidiki chakaita sechubhu chinonzi laparoscope chine kamera diki yakabatanidzwa pachiri. Kana izvi zvikaiswa mudumbu, chiremba anogona kuona nhengo dziri mukati medumbu zvakajeka achishandisa monitor uye oita kuvhiya nemazvo. Zvakanakira nzira iyi ndeyekuti hairwadzi zvakanyanya, inopora nekukurumidza, uye haisiye vanga guru.
Fungidzira, pane kuvhura gonhi guru wopinda mumba, zvinoitika zvakafanana nekutarira nepaburi rekiyi woshandisa maturusi madiki kuita basa mumba.
Ndeapi matanho makuru mashanu ekuvhiyiwa?
Kuvhiyiwa uku kunowanzova nematanho makuru mashanu. Ngatinzwisisei rimwe nerimwe nemashoko akareruka.
1. Kuisa laparoscope nezvishandiso
Kutanga, uchapihwa anesthesia yakajairika, saka hauzonzwi chero chinhu panguva yekuvhiyiwa, unenge wakarara zvachose. Zvadaro, chiremba wezvekuvhiya achaita kucheka kudiki kwesendimita pedyo neguvhu rako (guvhu) uye achaisa kamera ye laparoscopic kuburikidza nayo mudumbu mako. Iye zvino anogona kuona mukati medumbu mako. Zvadaro, achaita kucheka kudiki kashanu kana katanhatu kuti aise zvimwe zvishandiso zvinonaka zvinodiwa pakuvhiyiwa.
2. Kusunungura chikamu cheura chine chirwere
Iye zvino tinofanira kucheka sigmoid colon ine chirwere pamwe nechikamu cherectum. Asi tisati tadaro, tinofanira kubvisa chikamu ichocho kubva kune dzimwe nyama.
Ura hwedu hwakabatana nemadziro edumbu nekarunda kanonzi mesentery . Mukati mekarunda aka mune mitsipa mikuru yeropa (tsinga) dzinopa ropa kuchikamu ichocho cheura. Chiremba anovhiya anocheka mitsipa iyi yeropa nokungwarira, oivhara (kumisa kubuda ropa). Zvadaro, chikamu cheura chine chirwere chinosunungurwa kubva mukarunda aka. Pakupedzisira, chikamu cheura chinobatwa chinobviswa pamwe chete nechikamu cheura chine chirwere.
Dzimwe nguva, kana puru yese ichifanira kubviswa, inonzi Total Proctosigmoidectomy.
3. Kugadzirira kubatana kwedumbu
Kana chikamu chine chirwere chabviswa, zvikamu zviviri zvasara zveura zvine hutano zvinofanira kubatanidzwazve. Izvi zvinoreva kuti mugumo wakanaka weura uri pamusoro unofanira kubatanidzwa nemugumo wakanaka werectum iri pasi.
Kuti aite izvi, chiremba anovhiya anoburitsa chikamu cheura chine hutano kubva mudumbu, kuitira kuti chikwanise kudhonzwa zviri nyore. Anoburitsawo chikamu chasara chedumbu. Zviviri izvi zvinogona kubatanidzwa pamwe chete. Kana paine kenza, chikamu chasara chedumbu chinogezwa uye chinocheneswa nemushonga wakakosha wekuderedza kupararira kwemasero ekenza .
4. Kubviswa kwechikamu cheura chine chirwere mumuviri
Nekuti maburi e'keyhole' madiki, chikamu chakachekwa cheura hukuru hachigone kubviswa nepavari. Nzira yakakosha inoshandiswa pakuita izvi. Chiremba anovhiya anoita kuti chimwe chezvichekwa zvepakutanga chikure zvishoma uye anoisa bhegi rakakosha mudumbu kuburikidza naro. Zvadaro, chikamu chakachekwa cheura chinoiswa mukati mebhegi uye bhegi rinoburitswa nekungwarira.
5. Kubatanidzazve magumo maviri eura (Anastomosis)
Iri ndiro danho rekupedzisira uye rinokosha zvikuru rekuvhiyiwa. Maitiro ekubatanidza magumo maviri eura ane hutano pamwe chete anonzi anastomosis mumashoko ekurapa.
Kuti izvi zviitike, chiremba anoisa mudziyo wakakosha wekubatanidza nepaburi remudumbu. Muchina wacho unobata denderedzwa rezvishandiso, uchibatanidza mativi maviri eura pamwe chete. Chiremba anozoongorora kana paine maburi aripo panzvimbo yekubatanidza uye ogeza zvakanaka mudumbu.
Dzimwe nguva, 'drain', chubhu diki, inogona kuiswa kwemazuva mashoma mushure mekuvhiyiwa kuti ibatsire kubvisa chero mvura inoungana mukati. Pakupedzisira, maburi ese anovharwa nemasitichi kana tepi yakakosha.
Nguva yekupora mushure mekuvhiyiwa inomira sei?
Nguva yekupora mushure mekuvhiyiwa yakakosha sekubudirira kwekuvhiyiwa.
- Dzivisa kusimudza zvinorema: Unofanira kurega zvachose kusimudza zvinorema uye kuita maekisesaizi anoremadza dumbu rako (senge kugara pasi) kwemavhiki matanhatu mushure mekuvhiyiwa.
- Kufamba zvakanaka: Wedzera zvishoma nezvishoma nhanho yako yekurovedza muviri mushure mekusvika kumba. Kufamba ndicho chiito chakanakisisa chaunogona kuita panguva ino. Kufamba kunokupa simba, kunovandudza kutenderera kweropa uye kunodzivirira kuumbwa kweropa, uye kunobatsira kuchengetedza mapapu ako ari mutano.
- Zvekudya Nezvinwiwa: Unogona kudya zvekudya zvakawanda kana wadzokera kumba. Zvisinei, unofanira kurega kudya michero nemiriwo isina kubikwa kwenguva yakati. Zvakanaka kutevedzera kudya "kwakapfava" kusvika waona chiremba wako mushure mekuvhiyiwa (kuongororwa mushure mekuvhiyiwa). Kana ukaona kuvimbiwa nekuda kwekudya uku, fonera chiremba wako nekukasika kuti akupe mazano.
- Mamwe maekisesaizi: Kana wairovedza muviri usati wavhiyiwa, unogona kutangazve kurovedza muviri kana wanzwa wakasununguka uye chiremba wako oti, "Zvakanaka, tanga izvozvi."
Chinhu chinonyanya kukosha kuteerera muviri wako. Kana uchinzwa kuneta, zorora. Kana uine mibvunzo, usaichengete wega uye taura nachiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweLaparoscopic proctosigmoidectomy inzira yekuvhiyiwa inobvisa chikamu cheura chakarwara. Panzvimbo pekucheka kamwe chete kukuru, maburi madiki mashoma chete ndiwo anoshandiswa.
- Kuvhiyiwa uku kunonyanya kuitwa sekurapa zvirwere zvakaita sekenza yemuura, bundu risiri rekenza, uye diverticulitis yakaoma.
- Nzira ye'kiyi buri' inoita kuti marwadzo asanyanya kuderera, kugara muchipatara kwenguva pfupi, kupora nekukurumidza, uye mavanga asanyanya kuderera.
- Zvakakosha kudzivirira kusimudza zvinorema kwemavhiki matanhatu mushure mekuvhiyiwa uye kuita maekisesaizi akareruka akadai sekufamba netsoka.
- Kana uine mubvunzo nezvekudya kana chimwe chinhu, usafungidzire.Gara uchitsvaka mazano kubva kuna chiremba wako kana chiremba.
Laparoscopy, kuvhiyiwa kwekiyi, kuvhiyiwa kweura , kenza yemudumbu, sigmoid colon, proctosigmoidectomy sinhala, laparoscopy sinhala
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