Ngaba wena okanye umntu omaziyo ukhe wenziwa utyando lokususa inxalenye yamathumbu akho, okanye utyando lwentliziyo oludlulayo? Xa oko kusenzeka, ngaba wakha wazibuza ukuba ungawadibanisa njani la malungu mabini anqunyulweyo aze asuswe? Yiloo nto siyibiza ngokuba yi-'anastomosis' kwezonyango. Oku kubaluleke kakhulu, kwaye kubalulekile kwiindlela ezininzi zotyando. Ngoko masithethe ngako ngendlela elula namhlanje.
Yintoni i-anastomosis?
Ngamafutshane, i-anastomosis lunxibelelwano phakathi kweendlela ezimbini. Cinga ngayo njengendawo apho imilambo emibini idibana khona, okanye apho imibhobho yamanzi emibini phantsi kwendlela idibana khona. Imizimba yethu inemibhobho emininzi yendalo, okanye ii-anastomoses zendalo. Umzekelo, uthungelwano lwemithambo yegazi yethu (imithambo yegazi) edibana, kunye nendlela yethu yokugaya ukutya - oko kukuthi, indlela umphimbo odibana ngayo nesisu, kunye nesisu namathumbu - zonke ezi zii-anastomoses zendalo.
Kodwa kwezonyango, sisebenzisa eli gama ukubhekisa kunxibelelwano olwenziwa ngokwenziwa ngotyando. Oogqirha badla ngokufuna ukudibanisa imithambo yegazi eyahlukeneyo emzimbeni.
Kutheni i-Anastomosis ibalulekile kutyando?
Cinga ngale ndlela. Ukuba umbhobho emzimbeni wakho (njengombhobho wamathumbu okanye umthambo wegazi) wonakele, oogqirha kufuneka basuse loo ndawo yonakeleyo. Emva koko kufuneka baphinde badibanise iziphelo ezimbini ezisele ziphilile, kungenjalo ukuhamba kwezinto (ukutya okanye igazi) kuloo mbhobho kuya kuyeka. Yiyo loo nto i-anastomosis isetyenziselwa yona.
Ngamanye amaxesha, ukuba kukho into ebambekayo kwityhubhu, oko kukuthi, kuyenzeka ukuvaleka, kufuneka kudalwe indlela entsha ukuze kudlule loo mvalelo. Oku kubizwa ngokuba kukudlula. Kwimeko enjalo, kwakhona, kwakheka unxibelelwano olutsha, olubizwa ngokuba yi-anastomosis, phakathi kwamacandelo amabini etyhubhu kumacala omabini okuvaleka.
Ngamafutshane, kufana nokulungisa indlela eyonakeleyo, ukubuyisela ukusebenza kwamalungu omzimba emva kotyando.
Ziziphi iindlela eziphambili zotyando ezenza olu hlobo loqhagamshelwano?
I-Anastomosis isetyenziswa kwiindlela ezahlukeneyo zotyando. Makhe sijonge eminye yemizekelo eqhelekileyo.
| Uhlobo lotyando | Kwenzeka ntoni nje |
|---|---|
| Ukususwa Kwamathumbu | Xa inxalenye yamathumbu amancinci okanye ikholoni isusiwe ngenxa yomhlaza okanye esinye isifo, iziphelo ezimbini eziseleyo eziphilileyo ziyaxhunyaniswa kwakhona ukuze kubuyiselwe indlela yokugaya ukutya. |
| Utyando lwe-bypass (Utyando lwe-Arterial Bypass) | Xa umthambo wegazi entliziyweni okanye emilenzeni uvalekile, kuveliswa indlela entsha yokuthintela ukuvaleka. Oku kuquka ukusebenzisa isiqwenga somthambo esithathwe kwenye inxalenye yomzimba size siqhagamshele kwindawo evalekileyo, kokubini kwelinye icala nakwelinye icala. |
| Utyando lokunciphisa umzimba (Gastric Bypass) | Kwenziwa unxibelelwano olutsha ukuze kudlule inxalenye yesisu kwaye kuthunyelwe ukutya ngqo kwinxalenye esezantsi yamathumbu. Oku kunciphisa ukufunxwa kokutya kwaye kunceda ekunciphiseni ubunzima. |
| Ukufikelela kwiDialysis kwiZigulana zezintso | Ukuze kwenziwe i-hemodialysis kumntu onengxaki yezintso, kwenziwa i-arteriovenous fistula phakathi komthambo nomthambo engalweni ukuze umatshini we-dialysis ukwazi ukudityaniswa ngokulula. Oku kukwayi-anastomosis. |
| Ukufakelwa Kwamalungu | Xa ilungu elitsha, elinjengezintso okanye isibindi, lifakwa emzimbeni, yonke imithambo yegazi kunye nezinye izinto ezithutha igazi ukuya nokubuya kuloo malungu kufuneka ziphinde zimiswe. Utyando oluninzi lwe-anastomosis lwenziwa apha. |
Ziziphi iindlela eziphambili zokwenza i-anastomosis?
Oogqirha benza olu qhagamshelo ngeendlela ezintathu eziphambili. Kufana neendlela ezahlukeneyo zokudibanisa iityhubhu.
- I-anastomosis yokuphela kwesisu: Oku kuquka ukudibanisa iziphelo ezivulekileyo zeetyhubhu ezimbini kunye, zijongane, ukuze kwenziwe ityhubhu enye eqhubekayo. Le ndlela isetyenziswa rhoqo xa kudityaniswa amathumbu.
- I-anastomosis ecaleni kwelinye:Okwenzayo apha kukubeka iityhubhu ezimbini ecaleni, wenze imingxunya kumacala omabini, uze uzidibanise. Iziphelo zombini zeetyhubhu zivaliwe.
- I-anastomosis yokuphela kwecala: Ngale ndlela, isiphelo esivulekileyo setyhubhu enye siziswa ecaleni letyhubhu enye size sidityaniswe.
Ngaba kukho naziphi na iimeko apho i-anastomosis ingafanelekanga?
Ewe, ngamanye amaxesha akunakwenzeka ukwenza olu nxibelelwano ngexesha lotyando. Ingakumbi kutyando lwamathumbu, ukuba iindawo zezicubu eziza kudityaniswa zidumbile kwaye zibuthathaka ngenxa yosulelo okanye isifo, ukuba i-anastomosis yenziwe ngelo xesha, kunokwenzeka ukuba ingapholi kakuhle kwaye ivuze kamva.
Kwiimeko ezinjalo, oogqirha banika izicwili ixesha lokuphola baze benze i -'ostomy' okwethutyana. Oku kuthetha ukuba elinye icala lamathumbu likhutshwa ngesikhumba sesisu kwaye kufakwe ibhegi ukuze kuqokelelwe isitulo. Kamva, emva kokuba izicwili ziphiliswe kakuhle, kwenziwa olunye utyando lokususa i-ostomy kunye nokudibanisa amathumbu amabini ngaphakathi (i-anastomosis).
Ziziphi iingozi ezinokubakho ngenxa yolu tyando?
Njengakwezinye iintlobo zotyando, kukho iingozi eziqhelekileyo ezifana nokopha, amahlwili egazi, kunye nosulelo. Ukongeza, kukho iingxaki ezimbini ezinkulu ezichaphazela i-anastomosis.
| Ingxaki | Ithetha ukuthini loo nto kwaye yenza ntoni? |
|---|---|
| Ukuncitshiswa koqhagamshelwano (i-Anastomotic Stricture / Stenosis) | Izicwili ezikhula njengoko uxhulumaniso luphola zinokuyicutha indlela yokungena, nto leyo eyenza kube nzima ukuba ukutya okanye igazi lidlule. Nangona kunjalo, oku kunokulungiswa ngaphandle kotyando ngokufaka isixhobo, esinjengebhaluni, kwindlela yokungena uze uyivule. |
| Ukuvuza kwe-Anastomotic | Le yeyona ngxaki inzima kakhulu . Ukuba iziphelo ezimbini zombhobho azidibani kakuhle, umxholo (umz., ilindle eliphuma emathunjini) unokuvuza ungene emzimbeni. Oku kunokubangela usulelo olukhulu. Ukuba oku kuyenzeka, kufuneka kuqatshelwe kwaye kunyangwe ngokukhawuleza. Kusenokufuna notyando olongezelelweyo. |
I-Anastomosis yindlela ebaluleke kakhulu nebalulekileyo kwihlabathi lotyando. Kungenxa yale ndlela ukuba utyando oluninzi luphumelele kwaye izigulane ziyakwazi ukuphila ubomi obusempilweni kwakhona. Oogqirha basebenzisa iindlela ezahlukeneyo kunye nezixhobo ukuze oku kuphumelele kwaye balawule iingxaki ukuba zenzeka. Ke ngoko, uninzi lotyando luphumelela ngaphandle kweengxaki.
Umyalezo Wokuya Ekhaya
- I-Anastomosis kukudibana kwakhona kwamalungu amabini emibhobho yomzimba (njengamathumbu, imithambo yegazi, njl.njl.).
- Oku kubalulekile kwiinkqubo ezininzi zotyando, ezinje ngokususwa kwamathumbu, utyando lwe-bypass, kunye nokufakelwa amalungu omzimba.
- Nangona olu tyando ludla ngokuphumelela, kukho iingozi ezincinci, ezifana nokuvuza okanye ukuqiniswa kwindawo yoqhagamshelwano.
- Ukuba utyando olunje, kubaluleke kakhulu ukwazisa ugqirha wakho ngoko nangoko malunga nomkhuhlane, iintlungu ezinganyamezelekiyo, ukudumba, okanye ezinye iimpawu ezingaqhelekanga ezenzeka emva kotyando. Unyango olukhawulezileyo lunokuthintela iingxaki ezinkulu.
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