Unonzwa wakaguta here paunodya? Kana kuti unorutsa kakawanda here? Chimwe chikonzero cheizvi chingave dambudziko revharuvhu yetsandanyama iri kumagumo kwedumbu rako, kana kuti, nzvimbo inopfuura chikafu kubva mudumbu ichienda muura hudiki. Isu tinodana vharuvhu iyi kuti 'pylorus'. Kana gedhi iri rikasavhurika zvakanaka, chikafu chinonamira ipapo. Pyloroplasty kuvhiyiwa kunobatsira panguva dzakadaro. Ngatitaurei nezvazvo nhasi.
Zvichitaurwa zviri nyore, chii chinonzi Pyloroplasty?
Funga nezvedumbu rako sebhegi. Chikafu chatinodya chinochengetwa mubhegi iri, chogayiwa, chobva chaendeswa kuura hudiki. Pakupera kwebhegi iri redumbu, pane mhete ine tsandanyama inoshanda segedhi. Inonzi pylorus . Gedhi iri rinovhurika kana zvichidikanwa, richibvumira chikafu chakagayiwa kuti chipinde muura hudiki, chobva chavhara.
Saka, kana nekuda kwechimwe chikonzero gomba iri rikavharika, rikatetepa, kana kuti rikasavhurika zvakanaka, chikafu hachigone kubuda mudumbu. Panguva iyoyo, tinodana gomba iri kuti pylorus kuti kuvhiyiwa kunoshandiswa kurigadzirisa uye kurikudza. Dzimwe nguva, kana chikamu ichi chikakuvara nekuda kwekuvhiyiwa kumwe, kuvhiyiwa uku kunoitwawo kuti kuchigadziriswe.
Muzviitiko zvipi kuvhiyiwa kwe pyloroplasty kunodiwa?
Kana pylorus yako isiri kushanda zvakanaka, zvichireva kuti kubuda kwedumbu kwanonoka, kuvhiyiwa uku kunogona kubatsira. Pyloroplasty inonyanya kutariswa mumamiriro ezvinhu anotevera:
1. Maronda emudumbu (Peptic Ulcer Disease)
Mamwe maronda emudumbu akakomba anoda kuvhiyiwa. Semuenzaniso, kana uine maronda anoramba achibuda ropa kana asingapore nemishonga, chiremba wako anogona kukurudzira nzira inonzi vagotomy kuderedza kugadzirwa kweasidhi mudumbu. Izvi zvinosanganisira kucheka dzimwe tsinga dzinoenda mudumbu.
Asi pane kanhu kadiki pano. Kunyangwe kuvhiyiwa uku kwevagotomy kunoderedza acid yemudumbu, tsinga dzinoratidza kuti pylorus ivhurike uye ivharwe dzinogonawo kusashanda. Ipapo gedhi harivhurike. Ndosaka, kana ukaita kuvhiyiwa kwevagotomy, unoitawo kuvhiyiwa kwepyloroplasty kuti gedhi riwedzere kukura zvachose.
Pamusoro pezvo, dzimwe nguva chironda chinogona kuzvimba kana kuti mavanga anogona kuumbwa, zvichivhara zvachose nzira inopinda nepa pylorus. Mumamiriro ezvinhu akadaro, kuvhiyiwa uku kunodiwawo.
2. Gastroparesis
Apa ndipo apo tsandanyama dzemudumbu, kusanganisira pylorus, hadzishande zvakanaka. Zvinoita sekunge tsandanyama dzemudumbu dzaoma zvishoma. Izvi zvinokonzera kunonoka kukuru mukugaya chikafu uye kubvisa chikafu mudumbu. Kana izvi zvikanyanya, zvinogona kukonzera kuda kurutsa nguva dzose, zvichiita kuti zvisave nyore kudya. Kana mamwe marapirwo asingabudirire, chiremba wako anogona kukurudzira kuvhura pylorus nekuvhiyiwa kwepyloroplasty.
3. Kuoma kwePyloric Stenosis
Dambudziko iri rinowanzoonekwa muvana vacheche vachangoberekwa . Mumamiriro ezvinhu aya, madziro e pylorus yemwana anokora, anotetepa uye anovhara nzira yekudya. Nekuda kweizvozvo, mwana haakwanise kuwana mukaka waakanwa uye anorutsa kakawanda. Kune vacheche vakadaro, kuvhiyiwa uku kunodiwa kana vachida kuti chikafu chipinde mumuviri wavo nemazvo.
Kuvhiyiwa uku kunoitwa sei uye ndedzipi nzira dzinoshandiswa?
Kuvhiyiwa uku kunogona kuitwa nenzira mbiri. Imwe ndeyekuvhiyiwa kwakavhurika, kunosanganisira kucheka dumbu. Imwe ndeyekuvhiyiwa kwe laparoscopic , kunosanganisira kucheka dumbu zvishoma uye kushandisa kamera nemidziyo yakapfava. Chero nzira, uchaiswa pasi peanesthesia, saka hauzonzwi chero chinhu.
Kune nzira dzakawanda huru dzekuvhiya pyloroplasty. Chiremba anosarudza nzira yakakodzera zvichienderana nemamiriro emurwere.
| Nzira Yokuvhiya | Tsananguro iri nyore |
|---|---|
| Heineke-Mikulicz Pyloroplasty | Iyi ndiyo nzira inonyanya kushandiswa. Chiremba anovhiya anocheka pylorus nekureba obva aisona pamwe chete nepakati. Izvi zvinoita kuti muromo ukure uye tsandanyama dzisununguke. |
| Kuvhiyiwa kwemapfupa emusana (Ramstedt Pyloroplasty) | Nzira iyi inonyanya kushandiswa muvana vacheche vachangoberekwa. Pano, tsandanyama dzekunze dze pylorus chete ndidzo dzinochekwa, zvichisiya jira remukati rakapfava (mucosa). Izvi zvinoita kuti jira remukati ribude kunze, zvichiita kuti nzvimbo iri mukati iwedzere. |
| Kukura kwePyloric | Uku hakusi kuvhiyiwa. Kwakafanana ne endoscopy , uko chubhu inopinzwa nemuromo, uye pylorus inowedzerwa nechishandiso chakakosha. |
| Jaboulay/Finney Pyloroplasty | Aya haasi maitiro akajairika. Anoshandiswa kana paine kuzvimba kwakanyanya kana mavanga ari mu pylorus. Izvi zvinosanganisira kunzvenga pylorus uye kugadzira hukama hutsva pakati pedumbu neura hudiki (gastroduodenostomy) . |
Chii chinoitika mushure mekuvhiyiwa?
Mushure mekuvhiyiwa, kana wakavhiyiwa laparoscopic, unogona kuenda kumba zuva rimwe chete iroro. Kana wakavhiyiwa wakavhurika, uchafanira kugara muchipatara kwemazuva mashoma nekuti ganda racho rakakura. Hauzopiwi chikafu chakasimba kwemazuva mashoma ekutanga. Uchapihwa chikafu kuburikidza nechubhu yakaiswa mumhino dzako kana kuburikidza nesaline inoiswa mutsinga.
Ndezvipi zvinetso zvinogona kuitika kana munhu avhiyiwa?
Sekunge kune chero kuvhiyiwa kupi zvako, kune dzimwe njodzi dzinobatanidzwa, asi mukana wekuti izvi zviitike wakaderera.
- Kubuda ropa
- Utachiona
- Kugwamba kweropa
- Kukuvadzwa kwenhengo dzakapoteredza
Kuwedzera kune njodzi idzi, kune matambudziko akati wandei anokonzerwa nekuvhiyiwa kwe pyloroplasty.
1. Chirwere cheDumping
Uyu ndiwo mhedzisiro inonyanya kuitika mushure mekuvhiyiwa uku. Zvakasiyana zvachose nedambudziko rakakonzera kuti uvhiyiwe. Kureva kuti, chikafu chinobva mudumbu chinofamba nekukurumidza chichipinda muura hudiki. Izvi zvinowanzova zvenguva pfupi.
Zviratidzo zve dumping syndrome zvinogona kuuya muzvikamu zviviri. Nguva pfupi mushure mekudya, unogona kunzwa kurwadziwa mudumbu, kuda kurutsa, uye manyoka. Mushure memaawa mashoma, huwandu hweshuga muropa rako hunodzikira kamwe kamwe, zvichikonzera zviratidzo zvakaita sekushaya simba, dzungu, kudikitira, uye kurova kwemoyo nekukurumidza.
Kunyangwe izvi zvinganetsa pakutanga, zvinogona kudzorwa nekuchinja zvekudya uye, kana zvichidikanwa, mishonga yakanyorerwa nachiremba wako.
2. Kubuda kwenyongo
Kana vharuvhu yepyloric ikachinjwa, haivharike zvakanaka, zvichiita kuti zviri muura hudiki, kunyanya nyongo , zvidzokere mudumbu. Nyongo inokanganisa dumbu. Kana izvi zvikaramba zvichiitika, zvinogona kukonzera gastritis .
Maitiro ekupora uye kubudirira
Vanhu vazhinji, kunyanya avo vakambovhiyiwa laparoscopic, vanopora nekukurumidza. Vanogona kudzokera kumabasa avo enguva dzose uye tsika dzekudya mukati memavhiki mashoma. Kana uine zviratidzo zve dumping syndrome, unofanira kungwarira nezvekudya kwako kusvika zvapera (zvichida kwemwedzi mishoma).
Pyloroplasty mushonga unoshanda zvikuru wekurapa gastroparesis uye kuvharika kwemudumbu, uye mwero wekubudirira unosvika 90%.
Pakupedzisira, kuvharika kudiki kwe pylorus kunogona kukanganisa kugaya kwako kwese. Kune nzira dzekurapa dzisiri dzekuvhiya, asi kana idzo dzisishande, kuvhiya kunogona kuva mhinduro yakanaka uye yakachengeteka.
Mharidzo Yekuenda Nayo Kumba
- Pyloroplasty inzira yekuvhiya inoita kuti dumbu rikure (pylorus), zvichiita kuti chikafu chipinde nyore nyore muura hudiki pasina kunamira.
- Kuvhiyiwa uku kunonyanya kuitwa kana paine maronda emudumbu akanyanya, gastroparesis, uye pyloric stenosis muvana vachangoberekwa.
- Izvi zvinogona kuitwa sekuvhiyiwa kwepanze kana laparoscopic (keyhole). Chiremba wako ndiye achasarudza nzira yakakunakira.
- Mhedzisiro inonyanya kuitika mushure mekuvhiyiwa idumping syndrome, iyo inoitika kana chikafu chikabuda mudumbu nekukurumidza. Zvisinei, izvi zvinowanzova zvenguva pfupi uye zvinogona kudzorwa nekuchinja kudya kwako.
- Usati wavhiyiwa chero kupi zvako, zvakakosha zvikuru kukurukura zvese zvakanakira nezvakaipira nachiremba wako woita sarudzo.
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