Ngaba ugqirha ukuxelele okanye umntu omaziyo ukuba kufuneka utyando lwamathumbu? Ngaba usebenzise igama elithi 'anastomosis' xa wayesitsho? Xa usiva eli gama, mhlawumbi waziva usoyika kancinci, "Yintoni le, ingaba esi sisifo esitsha?" Kodwa ngokwenene asiyonto yokoyika. Yinkqubo yotyando eqhelekileyo eyenziwa ngoogqirha rhoqo. Ngoko ke namhlanje, masithethe ngayo ngokulula, ngendlela eya kusombulula nayiphi na imibuzo kunye noloyiko onokuba nalo.
Yintoni kanye kanye i-anastomosis?
Ngamafutshane, i-anastomosis ludibaniso lweendlela ezimbini. Khawucinge ngemilambo emibini edibana kwaye igeleza njengomlambo omnye. Into enjalo. Okanye umbhobho owahlukileyo uqhagamshelwe endlwini yethu kumbhobho oyintloko ozisa amanzi emakhayeni ethu, akunjalo? Ludibaniso olunjalo.
Le yinto eyenzeka ngokwendalo emizimbeni yethu. Umzekelo, imithambo yegazi emizimbeni yethu idibene kwaye isasazeka njengenethiwekhi. Kwakhona, ukuba sithatha inkqubo yethu yokugaya ukutya, umqala udibene nesisu, isisu sidibane namathumbu amancinci, kwaye umathumbu amancinci adibane namathumbu amakhulu. Ezi zibizwa ngokuba yi-natural anastomosis.
Nangona kunjalo, kwezonyango, sisebenzisa eli gama ukubhekisa kunxibelelwano lotyando lwamalungu amabini omzimba. Oogqirha botyando kufuneka benze olu nxibelelwano ngalo lonke ixesha. Makhe sibone isizathu.
Kutheni olu hlobo lonxibelelwano lwenziwa ngexesha lotyando?
Kusenokuba kukho izizathu ezibini eziphambili zoku.
1. Ukususa nokudibanisa kwakhona icandelo elonakeleyo: Khawuthelekelele ukuba inxenye yamathumbu akho yonakaliswe ngumhlaza, usulelo olunzima, okanye enye imeko yezempilo. Emva koko ugqirha kufuneka asike aze asuse elo candelo lonakeleyo. Emva koko iziphelo ezibini zamathumbu aphilileyo aseleyo kufuneka ziphinde zihlanganiswe. Ngaphandle koko, umbhobho wokutya uya kunqunyulwa. Yiloo nto siyibiza ngokuba yi-anastomosis.
2. Ukudala indlela entsha yokudlula kwindawo evalekileyo (Bypass): Ngamanye amaxesha umthambo wegazi emzimbeni unokuvaleka ngaphakathi. Umzekelo ongcono kukuba xa umthambo wegazi ohambisa igazi entliziyweni uvaleka ngenxa ye-cholesterol deposits. Okwenziwayo apha kukudala indlela entsha yokudlula indawo evalekileyo. Ukuze kwenziwe oku, kuthathwa iqhekeza lomthambo wegazi ophilileyo othathwe kwenye indawo yomzimba uze udityaniswe ngaphezulu nangaphantsi kwendawo evalekileyo ukuze kwenziwe indlela entsha (bypass). Ezi ntambo zimbini zintsha zibizwa ngokuba yi-anastomosis.
Ngamafutshane, oku kufana nokususa indawo ephukileyo yendlela ephukileyo uze uyiphinde uyilungise, okanye ukwakha i-flyover entsha ukuze uphephe iimoto endleleni.
Ziziphi iindlela zotyando ezixhaphakileyo zokufumana i-anastomosis?
Le nkqubo isetyenziswa kwiintlobo ezininzi zotyando. Makhe sijonge eminye yemizekelo eqhelekileyo.
Utyando Lokususwa Kwamathumbu
Olu lolona hlobo luqhelekileyo lwe-anastomosis. Oku kuxa icandelo le-colon okanye lamathumbu amancinci kufuneka lisuswe ngenxa yomhlaza, usulelo olunzima (njenge-diverticulitis), okanye ukwenzakala. Emva koko iindawo eziphilileyo eziseleyo ziyaxhunyaniswa kwakhona. Umzekelo, i-ileocolonic anastomosis kulapho icandelo lokugqibela lamathumbu amancinci (ileum) liqhagamshelwe khona kumathumbu amakhulu aseleyo.
Utyando lwe-Bypass
- Utyando lweCoronary Artery Bypass: Njengoko benditshilo ngaphambili, xa umthambo wegazi entliziyweni uvaliwe, kwenziwa indlela entsha yokuthintela ukuvaleka kusetyenziswa umthambo wegazi ophilileyo othathwe emlenzeni okanye ngaphakathi esifubeni.
- Utyando lweSisu olubizwa ngokuba yiGastric Bypass: Lutyando lokunciphisa umzimba apho kususwa inxalenye encinci yesisu ize idityaniswe ngqo nenxalenye esezantsi yamathumbu amancinci. Oku kunciphisa umbhobho wokutya kwaye kuthintele ukufunxwa kokutya.
Ukudala ukufikelela kwi-kidney dialysis
Izigulana ezinengxaki yezintso kufuneka zenze i-hemodialysis ukuze zicoce igazi lazo. Oku kufuna umthambo omkhulu nowomeleleyo ukuze zithathe igazi rhoqo zize zilibuyisele emzimbeni. Ukuze kwenziwe oku, ugqirha wotyando uqhagamshela umthambo kunye nomthambo osengalweni ukuze enze umthambo wegazi oqinileyo (i-Arteriovenous Fistula) . Olu luhlobo lwe-anastomosis.
Ukufakelwa Kwamalungu
Xa kufakelwa ilungu, elifana nesibindi, izintso, okanye intliziyo, ilungu elitsha kufuneka lidityaniswe neenkqubo zomzimba. Oku kuthetha ukuba imithambo yegazi ehambisa kwaye ibuyela kwilungu, kunye neminye imithambo enxulumene nayo (umz., i-bile duct kwi-liver transplant), kufuneka idityaniswe kwiindawo ezifanelekileyo zomzimba. Nganye kwezi nxibelelwano ibizwa ngokuba yi-anastomosis.
Ziziphi ezi ndlela zonxibelelwano?
Kukho iindlela ezintathu eziphambili oogqirha abadibanisa ngazo ezi zithombo zegazi. Ukuba unala mazwi kwingxelo yakho, ngoku uya kukwazi ukuqonda.
| Uhlobo lwe-Anastomosis | Ingcaciso elula |
|---|---|
| Ukusuka ekuqaleni ukuya ekupheleni | Oku kufana nokudibanisa iziqwenga ezibini eziqhekekileyo zepayipi ngokuthe ngqo. Iziphelo ezivulekileyo zepayipi ezimbini zithungwa kunye ukuze kwenziwe ipayipi eqhubekayo. Le yeyona ndlela ixhaphakileyo esetyenziswa xa kudityaniswa amathumbu. |
| Icala necala | Apha, iziphelo zemibhobho emibini zivaliwe, imibhobho emibini ibekwe ngaxeshanye, kwaye iqhagamshelwe kunye ngokuyivula kumacala omabini. Njengokuba kudlula iindlela ezimbini, kubekwa indlela esecaleni phakathi kwazo. |
| Isiphelo necala | Isiphelo esivulekileyo setyhubhu enye siqhagamshelwe ecaleni letyhubhu enye, njengetyhubhu entsha eqhagamshelwe kumbhobho wamanzi oyintloko. Le ndlela isetyenziswa kakhulu kutyando lwe-bypass. |
Zithini iingozi zotyando lwe-anastomosis?
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile ezibandakanyekileyo. Kodwa khumbula, oogqirha botyando baqeqeshwe kakuhle kakhulu ukulawula ezi ngxaki.
Iingozi eziqhelekileyo zalo naluphi na utyando:
- Ukopha
- Amahlwili egazi
- Usulelo
- Ukonakala kwamalungu omzimba akufutshane
Iingxaki ezithile kwi-anastomosis:
Ezi zizinto ekufuneka siziqaphele ngokukodwa. Amathuba okuba ezi zinto zenzeke mancinci, kodwa kubalulekile ukuba siziqaphele.
1. Ubunzima bomzimba:
Ngamafutshane, kukuncitshiswa konxibelelwano. Emva kotyando, izicubu zesilonda ziyakheka kwindawo yonxibelelwano njengoko inxeba liphola. Ngamanye amaxesha esi silonda sinokukhula sibe sikhulu size sinciphise indlela yokungena. Oku kubizwa ngokuba yi-stenosis . Ukuba amathumbu adibene, oku kunokuphazamisana nendlela yokutya edlula ngayo. Ukuba i-urethra idibene emva kotyando lwesinyi, kunokwenza kube nzima ukuphuma komchamo. Kodwa iindaba ezimnandi zezokuba le meko idla ngokunyangeka ngaphandle kokuphinda kwenziwe olunye utyando, ngokufaka isixhobo esifana nebhaluni kwindawo enciphileyo (ukwanda).
2. Ukuvuza kwe-Anastomotic:
Oku kuvuza kwindawo yokudibanisa. Kufana namanzi avuzayo ukusuka kwindawo yokudibanisa phakathi kwemibhobho yamanzi emibini. Okwenzekayo apha kukuba imibhobho emibini edibeneyo ayivaleki kakuhle, kwaye umxholo (umzekelo, ukutya kunye neebhaktheriya emathunjini) uyavuza. Ukuba umxholo wamathumbu uvuza ungene esiswini, kunokubangela usulelo olukhulu (i-peritonitis).Le yimeko embi kakhulu. Ngenxa yoko, oogqirha kunye nabongikazi bayaziqwalasela kakhulu iimpawu ezinje ngomkhuhlane, iintlungu zesisu eziqatha, kunye nesicaphucaphu emva kotyando. Ukuba olu hlobo lokuvuza luyenzeka, kufuneka olunye utyando ukuze lulungiswe.
Eyona nto ibalulekileyo kukuxela ngokukhawuleza naziphi na iimpawu ezingaqhelekanga ozifumanayo emva kotyando (iintlungu eziqatha, umkhuhlane, ukuhlanza) kugqirha wakho okanye kubasebenzi basesibhedlele. Ukuba zifunyenwe kwangethuba, ezi ngxaki zinokulawulwa ngempumelelo enkulu.
Ngaba kukho amaxesha apho i-anastomosis ingafanele yenziwe?
Ewe. Kwezinye iimeko, ugqirha otyandayo ugqiba ekubeni angazidibanisi ezi tyhubhu zimbini ngaxeshanye. Isizathu esiphambili soku kukuba izicubu zamathumbu azikho sempilweni.
Khawucinge ukuba inxalenye yamathumbu isusiwe ngenxa yosulelo olunzima. Emva koko iindawo eziseleyo zamathumbu zisenokuba zidumbile kwaye zibuthathaka. Ukuba izicwili ezimbini ezibuthathaka zithungwe kunye, kunokwenzeka ukuba zivuze endaweni yokuba ziphole kakuhle.
Kwiimeko ezinjalo, oogqirha benza i-ostomy yexeshana . Oku kuthetha ukuba isiphelo senxalenye ephezulu yamathumbu siziswa kumphezulu wesikhumba sesisu, okwenza kubekho umngxuma wokuphuma kwendle. Ingxowa ye-ostomy incamatheliswe kuyo ukuze kuqokelelwe indle. Isiphelo senxalenye esezantsi yamathumbu sivalwe okwethutyana size sibekwe ngaphakathi kwesisu.
Emva kweenyanga ezimbalwa, xa umzimba upholile kakuhle kwaye usulelo luphelile, kwenziwa utyando lwesibini lokudibanisa iindawo ezimbini zamathumbu (i-anastomosis). Emva koko umngxuma owenziwe esiswini uyavalwa. Emva koko, ungenza iintshukumo eziqhelekileyo zamathumbu kwakhona.
Umyalezo Wokuya Ekhaya
- I-Anastomosis yinkqubo yotyando yokudibanisa amalungu amabini omzimba (njengamathumbu okanye imithambo yegazi). Esi asisifo sitsha esoyikwayo.
- Olu qhagamshelo lubalulekile xa kususwa icandelo elonakeleyo okanye kwakhiwa indlela entsha yokudlula isithintelo.
- Uninzi lotyando lwe-anastomosis luphumelela kakhulu ngaphandle kweengxaki. Oogqirha botyando baqeqeshwe kakuhle kakhulu koku.
- Iingxaki ezinje ngokuvuza okanye ukuqina kwindawo yoqhagamshelo zinokwenzeka, kodwa azixhaphakanga kakhulu. Ukuba zifunyenwe kwangethuba, zinokunyangwa ngempumelelo.
- Xelela ugqirha wakho ngoko nangoko ngayo nantoni na engaqhelekanga oyivayo emva kotyando (intlungu enzima, umkhuhlane). Leyo yeyona nto ibalulekileyo onokuyenza.
- Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukubuza ugqirha wakho. Uza kukuchazela yonke into.
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