Unogara uchirwara nechirungurira here? Unonzwa sekunge pane chinhu chakanamira pahuro kana pachipfuva here? Unonzwa sekunge chikafu chaunodya chiri kudzoka pahuro here? Vanhu vazhinji vanodana izvi kuti "gastritis." Chirwere ichi chinozivikanwa seGastroesophageal Reflux Disease, kana kuti (GERD) muchidimbu. Haugone kubvisa dambudziko iri kunyangwe uchitora mishonga uye uchidzora kudya kwako? Saka ichi chinhu chingave chakakosha kwauri. Ngatitarise mhinduro inobudirira pane izvi, kuvhiyiwa.
Chii chinonzi kuvhiyiwa uku kweNissen Fundoplication?
Zvichitaurwa zviri nyore, uku kuvhiyiwa kunoitwa kurapa chirwere chegastroesophageal reflux (GERD).
Funga nezvazvo nenzira iyi. Patinodya, chikafu chinodzika nepagurokuro chichipinda mudumbu. Pakati pegurokuro nedumbu pane vharuvhu inonzi sphincter inoshanda semusuwo. Patinomedza, vharuvhu iyi inovhurika yorega chikafu chichipinda mudumbu. Yobva yavhara zvakasimba. Inoita izvi kudzivirira acid dzakaoma mudumbu kuti dzisadzokere mugurokuro.
Asi kune munhu ane GERD, vharuvhu iyi haishande zvakanaka. Yakasununguka. Saka acid iri mudumbu inobuda nyore nyore, kureva kuti, mugurokuro. Ndosaka uchiwana zviratidzo zvakaita sechirungurira uye kuravira kunovava pahuro pako.
Hezvino zvinoitika muNissen Fundoplication. Chiremba anovhiya anotora chikamu chepamusoro chedumbu (fundus) ochiputira pasi pegurokuro. Zvakafanana nekuisa bhandi rakatenderedza chimwe chinhu chisina kusukwa. Kuputira uku kunosimbisa vharuvhu isina kusukwa zvakare. Ipapo acid yemudumbu inogara mudumbu uye haibudi.
Vanachiremba vanowanzokurudzira kuvhiyiwa uku kana mamwe marapirwo, akadai semishonga, asingakwanise kudzora GERD.
Kune mhando dzakasiyana dzekuvhiyiwa uku here?
Ehe, kune mhando dzakasiyana-siyana dzekuvhiyiwa uku, zvichienderana nehuwandu hwenyama yemudumbu yakaputirwa pagurokuro. Chiremba wako achakutsanangurira nzira yakanakira mamiriro ako ezvinhu.
| Rudzi rwekuvhiyiwa | Zvakatsanangurwa zviri nyore |
|---|---|
| Kuputira kweNissen kwemadhigirii 360 | Iyi ndiyo nzira yakakwana yekuputira. Chikamu chepamusoro chedumbu chakaputirwa chose (360 degrees) chakatenderedza chikamu chezasi chegurokuro. |
| Toupee 270-degree wrap | Pano, chikamu chepamusoro chedumbu chakatenderedzwa kumashure kwegurokuro chete (madhigirii 270). Hachina kutenderedzwa denderedzwa rose. |
| Kurwadziwa kwepamberi kwemadhigirii 180 | Munzira iyi, chikamu chedumbu chinotenderedzwa nechemberi kwegurokuro nehafu (180 degrees) uye chakabatana nediaphragm. |
Chii chandinofanira kuita ndisati ndavhiyiwa?
Mushure mekusarudza kuvhiyiwa, chiremba wako acharaira bvunzo dzinoverengeka. Izvi zvinoitwa kuti vaone kana gumbo rako rakatetepa, mashandiro aro, uye kana uine chirwere chinonzi hiatal hernia . Hiatal hernia ihernia umo chikamu chedumbu chinosundira kumusoro nepadiaphragm kuenda muchipfuva. Izvi zvinogona kuita kuti zviratidzo zveGERD zviwedzere kuipa. Kana uine chirwere ichi, chiremba anochigadzirisa panguva imwe chete nekuvhiyiwa.
Aya ndiwo maedzo anowanzoitwa:
- Endoscopy Yepamusoro: Chubhu ine kamera yakabatanidzwa inopinzwa nemuromo kuti iongorore mukati megurokuro nedumbu.
- Esophageal Manometry test: Muedzo unoyera kuti tsandanyama dziri mugurokuro dzinobatana zvakanaka sei, kureva kuti, dzinoshanda zvakanaka sei.
- Kuongororwa kwepH: Kuongororwa kunoyera kuti acid yakawanda sei iri mugurokuro rako kwenguva inosvika maawa makumi maviri nemana.
- MaX-ray emudumbu (GI): Mifananidzo yeX-ray yegurokuro nedumbu inotorwa mushure mekunwa mvura yakakosha (barium). Chimiro nebasa regurokuro nedumbu zvinoongororwa.
Uyewo, ucharayirwa kuti usadye kana kunwa chero chinhu mushure mehusiku husiku husati hwaitwa oparesheni. Zvakakosha kutevedzera mirairo iyi nemazvo.
Kuvhiyiwa uku kunoitwa sei?
Kuvhiyiwa uku kunogona kuitwa nenzira mbiri huru. Uchapihwa anesthesia, saka hauzonzwi chero chinhu panguva yekuvhiyiwa, unenge wakarara.
| Nzira yekuvhiya | Maitiro ekuzviita |
|---|---|
| Kuvhiyiwa Kwakavhurika | Kuchekwa kamwe chete mudumbu kunogadzirwa. Neizvi, chiremba anoputira chikamu chepamusoro chedumbu achitenderedza gumbo. Kuchekwa kwacho kunozovharwa nemasitichi kana staples. |
| Kuvhiyiwa kweLaparoscopic | Izvi zvinonziwo "kuvhiyiwa kwekiyi." Kuchekwa kadiki kane kusvika katanhatu mudumbu kunoitirwa. Laparoscope , chubhu diki ine kamera yakabatanidzwa, inoiswa kuburikidza neimwe yekucheka. Mifananidzo kubva pakamera inoonekwa pamonitor, uye zvishandiso zvidiki zvekuvhiya zvinoiswa kuburikidza nemamwe machekwa kuti kuvhiyiwe kuitwe. Kuchekwa kwacho kunozovharwa nemasitichi. Nzira iyi inowanzo shandiswa nekuti inosiya mavanga mashoma, hainyanyi kurwadza, uye inopora nekukurumidza. |
Kuvhiyiwa uku kunowanzotora awa imwe kusvika matatu kuti kupedzwe.
Ndezvipi zvakanakira uye njodzi dzekuvhiyiwa uku?
Mabhenefiti
Chinhu chikuru chakanakira kuvhiyiwa uku ndechekuti kunopa zororo kubva kuzviratidzo zvakakomba zveGERD izvo mamwe marapirwo asina kukwanisa kudzora. Zvinoderedzawo njodzi yekuva neBarrett's esophagus, chirwere chinogona kukura nekufamba kwenguva nekuda kweGERD. Barrett's esophagus chirwere chisati chakonzera kenza chinogona kutungamira kukenza yesophagus.
Njodzi (Matambudziko)
Sekunge kune chero kuvhiyiwa kupi zvako, kune njodzi yekutapukirwa. Asi njodzi huru ndeye mukana wekuti zviratidzo zvidzoke mushure mechinguva. Sekureva kwezvimwe zvidzidzo, vanhu vanosvika 10% vanovhiyiwa uku vangangoda kuvhiyiwa zvakare.
Chii chinoitika mushure mekuvhiyiwa? Zvinotora nguva yakareba sei kuti munhu apore?
Mushure mekuvhiyiwa, uchafanira kugara muchipatara kwezuva rimwe chete kana mazuva akati wandei.
- Kana wakavhiyiwa pachena, unogona kuiswa chubhu yemudumbu kwenguva pfupi kuburikidza nemhino yako kuti ubvise mvura inoungana mudumbu mako.
- Uchapihwa mvura yemunyu (IV fluids) kudzivirira muviri wako kuti usapererwe nemvura mumuviri.
- Kudya kunozopihwa kuburikidza nemunyu kusvika ura hwako hwatanga kushanda zvakanaka zvakare (kureva, kusvika wabuda gasi kana tsvina).
Nguva Yokupora
Zvakakosha kuzorora kwemazuva mashoma ekutanga mushure mekuvhiyiwa. Mushure meizvozvo, unogona kutangazve mabasa ako emazuva ese zvishoma nezvishoma. Zvisinei, kana uri munhu anorovedza muviri zvakanyanya, chiremba wako achakukurudzira kuti uite maekisesaizi akareruka kwemavhiki mashoma chete.
Mwana akavhiyiwa uyu anogona kudzokera kuchikoro mumazuva mashoma, asi anofanira kudzivisa kumhanya, kusvetuka, kana mitambo inorema kwemavhiki matatu.
Kudya
Ungangove nekurwadziwa pahuro mumazuva mashoma ekutanga mushure mekuvhiyiwa. Saka, uchafanira kudya zvinwiwa nezvikafu zvakapfava kwemazuva manomwe kusvika gumi ekutanga .
- Tanga nezvinwiwa zvakaita semaprotein shakes nema smoothies.
- Wobva waenderera mberi nekudya zvisina kunaka zvakaita seyogati, mazai akakuyiwa, pasta, uye mupunga.
- Zvakakosha zvikuru kuti usadye chikafu chine mafuta, chine mhiripiri, uye chinonetsa kugaya panguva iyi.
Kana uine zviratidzo izvi, enda kuna chiremba nekukasika.
Kana ukaona chimwe chezviratidzo zvinotevera mushure mekudzokera kumba mushure mekuvhiyiwa, fonera chiremba wako nekukasika.
- Kana ronda racho richibuda ropa kupfuura zvaitarisirwa.
- Kana ukaona zviratidzo zvehutachiona :
- Kana paine kuzvimba kwakanyanya pedyo nekucheka.
- Kana uine fivha.
- Kana paine kutsvuka kwakakomberedza nzvimbo yakachekwa.
- Kana ganda rakatenderedza nzvimbo yakachekwa richinzwa richidziya kana ukangobata.
- Kana uchinzwa sekuti zviratidzo zvako zveGERD zvaivepo usati wavhiyiwa zviri kudzoka .
Kana uri munhu akambotora mishonga, akadzora kudya kwako, uye akaita zvese asi achiri kunetseka nedambudziko iri rekupisa muchipfuva uye acid reflux, kuvhiyiwa kweNissen Fundoplication kungave mhinduro yakanaka kwauri. Izvi zvinogona kuunza zororo guru kuhupenyu hwako. Kuti udzidze zvakawanda nezveizvi, uye kuti usarudze kana izvi zvakakunakira, iva nechokwadi chekutaura nachiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Nissen Fundoplication kuvhiyiwa kunoitwa paGERD (acid reflux) yakanyanya kushaikwa nemishonga.
- Kuvhiyiwa uku kunosanganisira kusimbisa vharuvhu isina kusimba iri pakati pedumbu negurokuro uchishandisa chikamu chedumbu pacharo.
- Kuvhiyiwa uku kunogona kuitwa pasina kuvhurika kana ne laparoscopic. Nzira ye laparoscopic ndiyo yakajairika.
- Uchafanira kujaira kudya zvine mvura uye zvakapfava kwemavhiki maviri ekutanga mushure mekuvhiyiwa.
- Nzira yakanakisisa yekuziva kana kuvhiyiwa uku kwakakunakira ndeyekukurukura nachiremba wako.
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