Ungafunga kuti vamwe vanhu vane maronda emudumbu, kureva maronda emudumbu, uye zvisinei nekuti vanotora mushonga upi kana kuti vanodzora sei kudya kwavo, hauzombopori. Kune vanhu vanosangana nematambudziko akaomarara anokonzera kurwadziwa kunoramba kuripo, kubuda ropa, uye dzimwe nguva kutoboorwa kwemudumbu. Kune vanhu vakadaro, kana mamwe marapirwo ese akundikana, tiri kutaura nhasi nezvekuvhiyiwa kwakakosha kunokurudzirwa navanachiremba. Kunonzi vagotomy.
Zvichitaurwa zviri nyore, chii chinonzi vagotomy?
Funga nezvazvo nenzira iyi: tsinga yeVagus yakaita senhare huru pakati pehuropi hwedu nehurongwa hwekugaya chikafu, kusanganisira ura. Tsinga iyi ndiyo inotumira chiratidzo mudumbu medu kuti "tibudise acid izvozvi." Kunyangwe acid iyi ichidikanwa patinodya, dzimwe nguva kuwedzera kweasidhi iyi ndiko kunonyanya kukonzera maronda emudumbu.
Kuchekwa kwenhengo dzemuviri (Vagotomy) kuchekwa kwemaune kwechikamu chenharembozha, tsinga yemudumbu, iyo inotumira masaini kudumbu kuti igadzire acid, nokudaro ichimisa chiratidzo ichocho. Izvi zvinoderedza zvakanyanya kugadzirwa kweacid mudumbu. Uku kurapa kwakakomba asi kunoshanda zvikuru kune vanhu vane chirwere chemaronda emudumbu chakakomba.
Chii chinoitika kana tsinga yemudumbu ikachekwa? - Kune mhando mbiri huru
Tsinga yemudumbu yakaita semuti. Ine hunde huru, iyo mapazi akasiyana-siyana anobuda. Mhedzisiro yekuvhiyiwa inosiyana zvichienderana nekuti tsinga iyi yakachekwa kupi. Kune mhando mbiri huru.
| Rudzi rwekuvhiyiwa | Chii chinoitika uye mhedzisiro yacho |
|---|---|
| Kuvhiyiwa kweTruncal Vagotomy | Izvi zvinosanganisira kucheka "hunde huru" yetsinga yemudumbu. Izvi zvinoderedza kugadzirwa kweasidhi yemudumbu, asi zvinogonawo kukanganisa mashandiro emamwe nhengo dzinogamuchira zviratidzo kubva kutsinga iyi, zvakaita sechiropa, gallbladder, pancreas, uye ura. Izvi zvinogona kukonzera matambudziko ekugaya chikafu. |
| Kubvisa Vagotomy Kunosarudza Zvakawanda | Iyi inzira chaiyo. Pano, hunde yese yetsinga haichekwi. Matavi madiki chete etsinga anotakura zviratidzo kumasero anogadzira acid (masero eparietal) mudumbu ndiwo anosarudzwa obviswa. Izvi hazvikanganisi dzimwe nhengo dzemuviri. Zvisinei, uku kuvhiyiwa kwakaoma kuti chiremba aite uye kunoda ruzivo rwakawanda rwehunyanzvi. |
Muzviitiko zvipi zvinokurudzirwa kuvhiyiwa uku?
Maronda mazhinji emudumbu anogona kurapwa nemishonga. Zvisinei, muzviitiko zvakaoma uye zvakakomba, zvakaita sezvinotevera, kuvhiyiwa uku kunogona kukurudzirwa kudzivirira maronda kuti asadzokorore:
- Maronda Anobuda Muropa: Kana dzimwe nzira dzisingagoni kudzora kubuda kweropa, kuvhiyiwa kungave kwakakosha kuti ronda ripore.
- Maronda Akaboorwa: Kana ronda racho rikakonzera buri mudumbu, rinofanira kuvharwa nekuvhiyiwa kwekukurumidzira. Zvikasadaro, utachiona hunogona kupinda mudumbu hwokonzera hutachiona hwakakomba. Kana zvakadaro, unofanira kuendeswa kuETU (Emergency Treatment Unit) nekukasika.
- Kuvharirwa Kwemudumbu: Mavanga anobva mukukuvara kwenguva refu anogona kuvharira nzira yechikafu kubva mudumbu kuenda muura hudiki. Muchiitiko ichi, mavanga acho anofanira kubviswa nekuvhiyiwa.
Chinonyanya kukosha ndechekuti vagotomy haiwanzoitwa yoga. Inowanzoitwa pamwe chete nekuvhiyiwa kumwe kugadzirisa rimwe rematambudziko ataurwa pamusoro apa.
Mamwe maoparesheni akaitwa panguva imwe chete ne vagotomy
1. Nekuvhiyiwa kwedumbu: Izvi zvinosanganisira kubvisa chikamu chedumbu. Izvi zvinoitwa kana paine mavanga akakomba kana paine fungidziro yekuti mavanga acho anogona kunge ari ekenza. Kana chikamu chezasi chedumbu chabviswa, kugadzirwa kwegastrin, hormone inobatsira kugadzira acid, kunodzikirawo. Asi sezvo izvozvo chete zvisina kukwana, vagotomy inoitirwawo panguva imwe chete kudzivirira mavanga kuti asadzokorore.
2. NePyloroplasty: Kana uri kuita Truncal Vagotomy, zvinoreva kucheka tsinga huru, zvechokwadi uchafanirwawo kuita iyi pyloroplasty surgery. Nekuti, kana tsinga ye vagus yachekwa, chiratidzo chinoudza pylorus kuti ivhurike uye ivhare chinorasika. Ipapo chikafu chinonamira. Kuvhiyiwa kwePyloroplasty kunoitwa kuti gedhi iroro rirambe rakavhurika, kuitira kuti chikafu chipfuure zviri nyore.
Chii chinoitika usati wavhiyiwa uye panguva yekuvhiyiwa?
Zvichienderana nemamiriro ako ezvinhu, mamwe marapirwo anogona kupiwa usati wavhiyiwa kuti akubatsire kudzoreredza hutano hwako. Semuenzaniso, mvura inobuda mutsinga dzeropa inogona kupihwa kana wapera mvura mumuviri nekuda kwekurutsa, kana kuwedzerwa ropa kunogona kupihwa kana uine ronda rinobuda ropa. Mishonga inorwisa mabhakitiriya inopihwa usati wavhiyiwa. Kuvhiyiwa uku kunoitwa pasi peanesthesia.
Kuvhiyiwa uku kunogona kuitwa sekuvhiyiwa kwakavhurika , kunosanganisira kucheka dumbu, kana kuvhiyiwa kwe laparoscopic , kunosanganisira kuisa kamera nezvishandiso kuburikidza nekucheka kudiki kwakati wandei. Izvi zvichasarudzwa nachiremba wako.
Chii chinoitika mushure mekuvhiyiwa? Mabhenefiti nenjodzi
Chinhu chikuru chakanakira kuvhiyiwa uku ndechekuti kunogona kumisa zvachose kudzoka kwemaronda akaipisisa anga achitambura kwenguva yakareba uye asina kurapwa nemishonga.
Zvisinei, kufanana nekuvhiyiwa kupi zvako, uku kune njodzi uye migumisiro .
| Rudzi rwenjodzi/mhedzisiro yedivi | Tsananguro |
|---|---|
| Njodzi panguva yekuvhiyiwa | Kukuvadzwa kwenhengo dzakapoteredza, mitsipa yeropa, kana tsinga, hutachiona, kubuda ropa, kuumbwa kweropa. |
| Manyoka | Ichi chirwere chinowanzoitika, kunyanya mushure mekuvhiyiwa kwe truncal vagotomy. Chinokonzerwa nekudzikira kwebasa regallbladder. Kazhinji chinotora nguva pfupi. |
| Chirwere cheDumping | Izvi zvinokonzerwa nekuvhiyiwa kwe pyloroplasty. Chikafu chinopinda nekukurumidza muura pasina kugara mudumbu, izvo zvinogona kukonzera kuda kurutsa, kusagadzikana mudumbu, uye manyoka. Izvi zvinogona kudzorwa nekuchinja kudya kwako. |
| Matombo eGallstone | Mushure mekuvhiyiwa kwe truncal vagotomy, kusashanda zvakanaka kwegallbladder kunogona kukonzera kuungana kwenyongo uye kuumbwa kwematombo. |
Uchafanira kugara muchipatara kwemazuva mashoma mushure mekuvhiyiwa. Zvinogona kutora mavhiki mashoma usati wadya zvakanaka. Uchatanga nechikafu chine mvura wozotanga kudya zvikafu zvakasimba zvishoma nezvishoma.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiya kweVagotomy inzira yekupedzisira yekuvhiya maronda emudumbu (peptic ulcers) asina kurapwa nemishonga.
- Chinangwa chikuru ndechekuderedza kugadzirwa kweasidhi nekubvisa zviratidzo zvetsinga zvinoburitsa asidhi mudumbu.
- Kune mhando mbiri huru dzekuvhiyiwa uku (kupfupika uye kusarudza zvakanyanya), uye migumisiro yadzo yakasiyana.
- Izvi zvinowanzoitwa pamwe chete nedzimwe nzira dzekuvhiya (gastrectomy, pyloroplasty) kurapa matambudziko emudumbu.
- Kana iwe kana mumwe munhu waunoziva akakurudzirwa kuvhiyiwa kwerudzi urwu, iva nechokwadi chekutaura nachiremba wako nezvemabhenefiti, njodzi, uye migumisiro uye bvunza mibvunzo yako yese.
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