Dzimwe nguva, mamwe ematambudziko edu emudumbu haangopere nemishonga chete, handiti? Panguva dzakadaro, vanachiremba vanoti chikamu chemudumbu chine chirwere chinofanira kubviswa. Zvakajairika kunzwa kutya uye kutya zvishoma paunonzwa izvi. Zvine musoro kufunga kuti, "Chii chichaitika kwandiri kana chikamu chemudumbu changu chikabviswa?" Saka nhasi, ngatitaurei nezvekuvhiyiwa uku kwemudumbu mudiki, uko kunonzi 'Small Bowel Resection' mukurapa, zvakajeka uye zviri nyore.
Chii chinonzi Kuvhiyiwa Kwematumbu Madiki?
Zvichitaurwa zviri nyore, izvi zvinosanganisira kubviswa kwechikamu cheura hwako diki chakakuvara, chine chirwere, kana chisina kushanda zvakanaka. Mamwe maoparesheni anongobvisa chikamu chidiki chete, asi dzimwe nguva chikamu chikuru chinogona kubviswa.
Zvino ungave uchifunga kuti, "Ndichararama sei kana chidimbu cheura hwangu chikabviswa?" Funga nezvazvo nenzira iyi, ura hwedu hudiki inhengo inowanzo kureba mamita angangoita 20-30 . Hwakaita sechubhu refu inomonereka mukati medumbu. Basa rayo guru nderekupinza zvinovaka muviri zvatinoda kubva muchikafu chatinodya. Saka, kubvisa chikamu chidiki cheura hwakareba kudaro kazhinji hachina simba guru pakushanda kwahwo. Muviri wedu unojaira.
Ndiani anoda kuvhiyiwa uku? Kurwere rudzii?
Kuvhiyiwa uku kunowanzoitwa pavanhu vane matambudziko makuru emudumbu. Vanachiremba vanokurudzira kuvhiyiwa uku chete kana dambudziko racho risingarapike nemishonga chete. Ngationei kuti zvirwere izvozvo zvii.
| Mamiriro | Zvichitaurwa zviri nyore... |
|---|---|
| Kukura kusina kujairika | Zvinhu zvakaita sekenza, bundu risiri rekenza, kana kuti ma polyps anokura muura hudiki. |
| Matambudziko eGI ekuzvarwa nawo | Zvimwe zvirwere zvinoonekwa pakuzvarwa, zvakaita seMeckel 's diverticulum kana malrotation . |
| Matambudziko eGI asingaperi ekuzvimba | Kutetepa (kuoma) kweura nekuda kwezvirwere zvakaita sechirwere cheCrohn . |
| Hernia yemudumbu yakavharirwa | Hernia inokonzera kuti chikamu cheura chibatike, zvichiita kuti chirasikirwe neropa uye chife. |
| Kubvisa enterocolitis | Chirwere chakakomba apo nyama dzemudumbu dzinofa, chinowanzoitika muvana vacheche vasati vasvika nguva. |
| Kuvharika kwematumbu madiki | Kuvharika kweura zvachose kubva mukati. Kunogonawo kukonzerwa nekufamba kwechikamu cheura mukati mechimwe chikamu (intussusception) . |
| Kushungurudzika | Kukuvadzwa kweura nekuda kwetsaona, semuenzaniso, kubooka kweura. |
Chinhu chakakosha ndechekuti kuvhiyiwa uku kuitwe kana chirwere chacho chisingakwanise kudzorwa nedzimwe nzira dzekurapa, dzakadai semishonga kana kudya kwakakosha. Zvisinei, kana paine dambudziko rekukurumidzira, senge kuvharika kwematumbu, izvo zvinogona kuisa hupenyu panjodzi, kuvhiyiwa kunogona kudiwa nekukasika .
Ndezvipi zvirongwa zvekuvhiya?
Vanachiremba vanoshandisa nzira nhatu huru pakuita kuvhiyiwa uku. Nzira yakakodzera ichasarudzwa zvichienderana nemamiriro ako ezvinhu.
| Nzira Yokuvhiya | Chii chiri kuitika pano? (Chii chiri kuitika pano?) |
|---|---|
| Kuvhiyiwa kweLaparoscopic | Sezvatinotaura, "kuvhiyiwa nekamera" kunosanganisira kungochekwa kadiki diki mudumbu. Kamera inopinzwa kuburikidza neimwe yekucheka, yoonekwa pamonitor, uye zvishandiso zvitete zvinopinzwa kuburikidza nemamwe machekwa kuti iite kuvhiyiwa. Mavanga madiki uye kupora kunokurumidza. |
| Kuvhiyiwa kwerobhoti | Izvi zvakafanana nenzira ye laparoscopic, asi chiremba anodzora michina achishandisa tekinoroji yemarobhoti. Izvi zvinoita kuti chiremba akwanise kushanda zvinyoro nyoro uye zviri nyore munzvimbo dzakaoma kusvika. |
| Kuvhiyiwa kwakavhurika | Iyi ndiyo nzira yechinyakare. Kuchekwa kukuru kunoitwa pakati pedumbu kuti kusvike muura. Nzira iyi inoshandiswa kana nzira mbiri dziri pamusoro dzisingakwanisike. |
Unogadzirira sei usati wavhiyiwa?
Kana kusiri kuvhiyiwa kwekukurumidzira, une mazuva mashoma ekugadzirira kuvhiyiwa.
- Kuongororwa: Kuongororwa ropa, kuongororwa weti, uye kuskena zvinoitwa kuti zvionekwe kana uchikwanisa kushivirira kuvhiyiwa.
- Kurega mishonga: Kana uri kutora mishonga inobvisa ropa (senge aspirin) kana mimwe mishonga inoderedza marwadzo, ungangoda kurega kuishandisa kwemazuva mashoma, sezvakarairwa nachiremba wako.
- Kucheneswa kweura: Dumbu rinofanira kucheneswa zvakakwana usati wavhiyiwa. Uchakumbirwa kudya chikafu chine fiber yakawanda uye kunwa mvura yakawanda kwemazuva mashoma usati wavhiyiwa. Uchakumbirwa kuti udye zvine mvura shoma sezvaunoswedera pedyo nekuvhiyiwa. Dzimwe nguva, unogona kupihwa mishonga yekurara kana enema yekubatsira ura hwako kufamba. Zvese izvi zvinoitwa kuti kuvhiyiwa kuve kwakachengeteka.
Chii chinoitika panguva yekuvhiyiwa uye mushure mekuvhiyiwa?
Munguva yekuvhiyiwa, uchapihwa anesthesia, saka hauzonzwi chero chinhu, ucharara hope dzakadzika. Chiremba achacheka zvichienderana nenzira yakasarudzwa uye achasvika pachikamu cheura chakakuvara. Zvadaro, achishandisa zvishandiso zvakakosha, achabata chikamu chacho kumativi ese ochicheka.
Zvadaro chikamu chakakosha chinouya. Zvino wava nemagumo maviri eura hwakanaka, handiti? Zvaunotevera ndizvo zvichasarudza ramangwana rako. Pane sarudzo mbiri huru pano.
1. Kubatanidzazve zvikamu zviviri zveura (Anastomosis)
Iyi ndiyo nzira inonyanya kushandiswa. Sekubatanidzazve pombi yakatyoka, magumo maviri eura hwakanaka anobatanidzwa pamwe chete uchishandisa sutures kana staples . Kana izvi zvabudirira, kugaya kwako kunotanga kushanda zvakanaka zvakare.
2. Ileostomy
Dzimwe nguva, zvikamu zvasara zveura zvine hutano zvinogona kusakwana kuti zvibatane. Kana, nekuda kwehutachiona, zvingave nengozi zvikuru kuzvibatanidza zvese panguva imwe chete. Muzviitiko zvakadaro, chiremba anoburitsa mugumo weura hudiki kuburikidza neburi diki (stoma) rinogadzirwa muganda redumbu. Zvadaro, bhegi rakakosha rinosungirirwa paburi iroro. Tsvina inoungana mubhegi iroro. Izvi dzimwe nguva zvinogona kuva zvenguva pfupi . Gare gare, ura hunogona kubatanidzwazve kubva mukati nekuvhiyiwa kumwe. Dzimwe nguva, hunofanira kuchengetwa nenzira iyi zvachose .
Njodzi dzinogona kuitika uye migumisiro yekuvhiyiwa
Kufanana nekuvhiyiwa kupi zvako, uku kune njodzi.
- Kubuda kwemvura mudumbu: Iri ndiro dambudziko guru. Rinoitika kana ura hwakabatana, ndiko kuti, paiiswa masitichi kana mastaples. Kana izvi zvikaitika, tsvina inogona kupinda mudumbu yokonzera utachiona hwakakomba. Iyi idambudziko rinotyisidzira hupenyu .
- Kushaya ropa kwenguva refu: Kushaya ropa kunogona kuitika kwenguva yakareba.
- Kukuvadzwa kwenhengo dzakapoteredza: Panguva yekuvhiyiwa, nhengo dzakapoteredza dzakadai sechiropa nepancreas dzinogona kukuvara.
- Manyoka: Zvakajairika kuva nemanyoka kwemavhiki mashoma mushure mekuvhiyiwa. Zvinotora nguva kuti tsinga netsandanyama muura zvijairane nekuchinja uku.
- Hernia: Hernia inogona kukura pane imwe nguva mushure mekuvhiyiwa.
- Kuoma: Nzvimbo iyo ura hwakabatana inogona kutetepa uye kukonzera kudzoka kwekuvhara.
Nguva yekupora inomira sei?
Mushure mekuvhiyiwa, uchafanira kugara muchipatara kwemazuva mashoma. Mumazuva ekutanga, hauzopiwi chikafu nemuromo kuti ura hwako huzorore. Uchapihwa chikafu kuburikidza nechubhu (enteral nutrition). Sezvaunopora, uchapihwa mvura, wozopiwa soups, wozopiwa chikafu chakapfava .
Zvakakosha kuzorora kwemavhiki mashoma mushure mekunge waenda kumba. Zvisinei, hazvikurudzirwi kugara pamubhedha. Zvakakosha kufamba-famba zvishoma kudzivirira kuungana kweropa . Zvinogona kutora mwedzi yakati wandei kuti unyatsopora, asi vanhu vazhinji vanogona kudzokera kumabasa avo enguva dzose mukati memavhiki mashoma.
Muchiitiko ichi, fonera chiremba wako nekukasika!
Zvakakosha zvikuru kutarisa hutano hwako mushure mekunge waenda kumba. Kana uine chimwe chezviratidzo zviri pazasi, fonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo newe.
| Zviratidzo Zvekunyevera Zvekutarisira |
|---|
| - Kuomerwa nekuita tsvina kana kusaita tsvina kwemazuva akati wandei. |
| - Kuramba uchingonzwa kuda kurutsa uye kurutsa kusvika pakusakwanisa kuchengetedza chikafu kana mvura. |
| - Urwa kana kubuda ropa kubva pakuchekwa kwepamuviri. |
| - Marwadzo haana kupera kunyangwe mushure mekunwa mishonga yekurwadziwa kwemusoro yakanyorerwa nachiremba. |
| - Zviratidzo zvehutachiona zvakaita sefivha, dzihwa, kutsvuka kweganda rakatenderedza nzvimbo yakachekwa, uye kunzwa kudziya. |
Mharidzo Yekuenda Nayo Kumba
- Kubviswa kweura hudiki kunoitwa nekuvhiyiwa kwechikamu cheura chine chirwere kana chakakuvara.
- Izvi zvinoitwa mumamiriro ezvinhu akaoma akadai sekenza, chirwere cheCrohn, uye kuvharika kwemudumbu, kana mamwe marapirwo akundikana.
- Kune nzira nhatu: laparoscopic, robotic, uye open surgery. Chiremba wako ndiye achasarudza kuti ndeipi nzira yakakunakira.
- Zvinotora nguva kuti munhu apore mushure mekuvhiyiwa. Zvakakosha zvikuru kutevedzera mirairo yachiremba.
- Nekuti ura hwedu hudiki hwakareba zvikuru, kunyangwe chikamu chahwo chikabviswa, muviri unogona kuchijaira uye kushanda zvakanaka. Saka usatya zvisina kufanira. Kana uine mibvunzo, taura nachiremba wako pachena.
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