Dzimwe nguva, zvakajairika kunzwa kutya uye kutya kana chiremba akakuudza kuti chikamu cheura hwako chinofanira kubviswa nekuda kwechirwere. "Ndichakwanisa kurarama zvakanaka here mushure mekunge chidimbu cheura hwangu chabviswa?" "Chikafu hachizogayiwi here?" Pamwe une mibvunzo yakawanda yakaita seiyi mupfungwa dzako. Ndosaka, nhasi, tichataura nezve 'kuvhiyiwa kwe'matumbu madiki' kana '(Kuvhiyiwa kweMatumbu Madiki)' nenzira iri nyore.
Zvichitaurwa zviri nyore, kuvhiyiwa uku kunosanganisira kubvisa chikamu cheura hwako hudiki chakakuvara kana kuti chine chirwere. Ura hwedu hudiki inhengo yakareba kwazvo, yakakombama, uye inoshamisa inowanzova pakati pemamita 20 kusvika 30 pakureba. Ndipo panotora muviri zvakawanda zvinovaka muviri kubva muchikafu chatinodya. Saka kunyangwe chikamu chidiki cheura uhu chikabviswa, muviri wedu unogona kuchijaira uye kuchengetedza ura huchishanda zvakanaka.
Sei zvichikosha kuita oparesheni yakadai?
Pane zvikonzero zvakawanda zvinoita kuti chikamu cheura diki chibviswe. Vanachiremba vanowanzo kurudzira kuvhiyiwa uku kana chirwere chacho chisina kudzorwa nemishonga kana kudya kwakakosha. Zvisinei, kana paine zvirwere zvinouraya zvakaita sekuvharika kwemudumbu, kuvhiyiwa kunogona kudiwa nekukasika . Heano mamwe ezvikonzero zvikuru zvekuvhiyiwa uku.
| Chikonzero | Tsananguro Iri Nyore |
|---|---|
| Zviitiko zvisingawanzoitika | Zvirwere zvakaita sekukura kusiri kwekenza muura hudiki, zvakaita semabundu, mapolyps, kana kenza yeura hudiki. |
| Matambudziko kubva pakuzvarwa | Zvirwere zvakaita seMeckel's diverticulum kana malrotation yeura, izvo zviripo kubva pakuzvarwa. |
| Utachiona hwenguva refu | Zvirwere zvakaita sechirwere cheCrohn zvinokonzera kuti madziro eura akobvu uye atetepe (stricture). |
| Hernia yakapwanyika | Kana chikamu cheura chikabatwa nehernia, ropa rinoyerera munzvimbo iyoyo rinomira uye pane njodzi yekufa kwenyama. |
| Kuvharika kweura | Kuvharika kweura hudiki chirwere chinoita kuti ura huvharike zvachose nekuda kwechimwe chikonzero. Ichi chirwere chinoda kuvhiyiwa nekukurumidza. |
| Tsaona | Kukuvadzwa kweura nekuda kwetsaona kana kukuvara, semuenzaniso, kubooka. |
Ndedzipi nzira dzekuvhiya?
Kuvhiyiwa uku kunogona kuitwa nenzira nhatu huru. Kusarudzwa kweimwe yenzira idzi kunoenderana nemamiriro ako ezvinhu uye kurudziro yachiremba.
1. Kuvhiyiwa kweLaparoscopic: Izvi hazvisanganisiri kugadzira kucheka kukuru mudumbu. Pane kudaro, kucheka kudiki-diki kunogadzirwa uye kamera nezvishandiso zvekuvhiya zvinoiswa kuburikidza nazvo. Chakanakira nzira iyi ndechekuti inopora nekukurumidza uye hainyanyi kurwadza.
2. Kuvhiyiwa kweRobhoti: Izvi zvakafanana nekuvhiyiwa kwelaparoscopic, asi pano chiremba anovhiya anodzora maoko emuchina werobhoti, achiita kuvhiyiwa kwacho nemazvo uye zviri nyore .
3. Kuvhiyiwa pachena: Iyi ndiyo nzira yechinyakare. Pano, kucheka kukuru kunogadzirwa mudumbu uye ura hunowanikwa. Iyi nzira inoshandiswa kana dzimwe nzira mbiri dzisingakodzeri.
Chii chinoitika panguva yekuvhiyiwa?
Zvakakosha kuti uve neruzivo nezvenyaya iyi.
Kutanga, ucharapwa zvachose, saka hauzonzwi chero chinhu panguva yekuvhiyiwa.
Chiremba anovhiya anobva achekwa achishandisa imwe yenzira dzataurwa kare kuti asvike pachikamu cheura chakakuvara. Zvadaro, chikamu chacho chinobatwa kumativi ese nemidziyo yakakosha (clamps) uye chikamu chakakuvara chinochekwa chobviswa.
Danho rinotevera ndiro rakakosha zvikuru.
- Kuumbwa kwemasero:Kazhinji, magumo ezvikamu zviviri zveura zvine hutano zvinosara mushure mekunge chikamu chabviswa anobatanidzwa pamwe chete uye anosonerwa pamwe chete. Izvi zvinoitwa uchishandisa masitichi chaiwo kana staples. Maitiro aya anonzi anastomosis.
- Ileostomy: Zvisinei, dzimwe nguva hazvigoneke kubatanidza zvikamu zviviri zvasara zveura. Semuenzaniso, kana daro riri pakati pezvikamu zviviri iri rakakura, kana kana hutachiona huchidzivirira kubatanazve nekukurumidza, chiremba achaita chimwe chinhu. Muchiitiko ichi, gomba (stoma) rinogadzirwa kuitira kuti mugumo weura hudiki utaridzike paganda redumbu. Tsvina inobuda nepaburi iri youngana mubhegi rakakosha (ostomy bag) rakabatana neganda. Izvi zvinonzi ileostomy. Izvi zvinogona kuva zvenguva pfupi kana zvechigarire.
Chii chinoitika mushure mekuvhiyiwa? Zvinotora nguva yakareba sei kuti munhu apore?
Uchafanira kugara muchipatara kwemazuva mashoma mushure mekuvhiyiwa.
- Kudya: Mumazuva ekutanga, sezvo ura huchida kuzorora, chikafu hachipihwe nemuromo. Asi, kudya kunopihwa kuburikidza nechubhu (kudya nechubhu). Mwana paanotanga kupora zvishoma nezvishoma, mvura nechikafu chakapfava zvinogona kutanga nemuromo, sezvakarairwa nachiremba.
- Kufamba-famba: Paunenge uri muchipatara, pamwe chete nekunge waenda kumba, zvakakosha kuti umuke pamubhedha wofamba-famba zvishoma kudzivirira kuumbwa kweropa .
- Nguva yekupora: Zvinogona kutora mwedzi yakati wandei kuti munhu apore zvizere, asi vanhu vazhinji vanokwanisa kudzokera kumabasa avo ezuva nezuva mukati memavhiki mashoma.
Ndezvipi njodzi nemigumisiro yekuvhiyiwa uku?
Kufanana nekuvhiyiwa kupi zvako, kune dzimwe njodzi dzinobatanidzwa, uye zvakakosha kuziva nezvazvo.
| Njodzi / Mhedzisiro Yeparutivi | Tsananguro |
|---|---|
| Kubuda kwemvura mumasero emuviri | Kubuda kwemvura kubva mumachira/machira emudumbu. Ichi chirwere chine njodzi zvikuru uye chinogona kuisa hupenyu panjodzi. |
| Manyoka | Manyoka anogona kuitika kwemavhiki mashoma mushure mekuvhiyiwa sezvo muviri uchijaira mamiriro matsva. |
| Inguinal hernia | Zvikamu zveura zviri kusundirwa kunze kuburikidza nekucheka kwakaitwa panguva yekuvhiyiwa. |
| Dzimwe njodzi | Utachiona, kuvharika kweropa, kupererwa neropa kwenguva refu, uye kukuvara kwenhengo dziri pedyo dzakadai sechiropa kana pancreas. |
Kana uine zviratidzo izvi, enda kuna chiremba nekukasika!
Paunodzokera kumba mushure mekuvhiyiwa, unofanirwa kutarisira muviri wako zvakanaka. Kana ukaona chimwe chezviratidzo zvinotevera, fonera chiremba wako kana kuti enda kuchipatara nekukasika .
- Kuomerwa nekuita tsvina kana kusaita tsvina kwemazuva akati wandei.
- Kusvotwa uye kurutsa kusvika pakusakwanisa kunwa chikafu kana mvura nemuromo.
- Urwa kana kubuda ropa kubva pakuchekwa kwepamuviri.
- Kurwadziwa kwakanyanya kusingaderedzi kunyangwe mushure mekutora mushonga.
- Zviratidzo zvehutachiona, zvakaita sefivha, kutsvuka uye kudziya kwakatenderedza nzvimbo yakachekwa.
Yeuka, kana uri kunetseka nezviratidzo izvi, usapedza nguva uye enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
Mharidzo Yekuenda Nayo Kumba
- `Kubviswa kweMatumbu Madiki` kuvhiyiwa kwechikamu cheura diki chine chirwere kana chakakuvara. Usatya izvi.
- Nekuti ura hwedu hudiki hwakareba kudaro, muviri unogona kushanda zvakanaka kunyangwe chikamu chidiki chahwo chikabviswa.
- Zvinotora nguva kuti munhu apore zvizere mushure mekuvhiyiwa. Munguva iyoyo, nyatsotevedzera mirairo yachiremba.
- Ziva zviratidzo zvinogona kukonzera njodzi (fivha, kurwadziwa kwakanyanya, kurutsa, urwa hunobuda kubva pakachekwa) mushure mekuvhiyiwa. Kana ukaona chimwe cheizvi, tsvaga rubatsiro rwechiremba nekukasika.
- Kana muine mimwe mibvunzo nezvenyaya iyi, musazeza kuikurukura nachiremba wenyu.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment