Isisu sesinye sezona zitho zibalulekileyo emzimbeni wethu ezigcina ukutya okutyayo size siqale ukukugaya. Kodwa ngamanye amaxesha, ingakumbi ukuba kukho imeko enzima efana nomhlaza wesisu, esi sisu ngokwaso sinokwenzakalisa umzimba wethu. Kulapho oogqirha bagqiba ekubeni basuse inxalenye yesisu okanye sonke ngotyando. Oku sikubiza ngokuba yi-`(Gastrectomy)`. Nangona olu lutyando olukhulu, ubusazi ukuba ungaphila kakuhle ngaphandle kwesisu? Makhe sithethe ngale nto ngokweenkcukacha.
Yintoni kanye kanye utyando lwe-gastrectomy?
Ngamafutshane, i-gastrectomy yinkqubo yotyando esusa inxalenye okanye sonke isisu sakho. Isisu sigcina ukutya esikutyayo okwethutyana, size sikuthumele emathunjini amancinci apho kunokwetyiswa khona kwaye kufunxwe.
Kukho iintlobo ezimbini eziphambili zolu tyando:
- Ukususwa kwesisu ngokupheleleyo: Oku kuquka ukususwa kwesisu sakho sonke.
- Utyando lwesisu oluyinxenye: Kule meko, kususwa inxalenye yesisu kuphela. Olu tyando lunamagama ahlukeneyo ngokuxhomekeke kubungakanani obususiweyo. Umzekelo, kwi-"Subtotal Gastrectomy"`, malunga ne-80% yesisu iyasuswa. Kwakhona, utyando lwe-"Gastric Sleeve", olwenziwa njengonyango lokutyeba kakhulu, lukwaluhlobo lwe-partial gastrectomy.
Kutheni usenza olu hlobo lotyando?
Olu tyando ludla ngokwenziwa njengonyango lomhlaza wesisu. Lunokunceda ukunyanga umhlaza okanye luwuthintele ukuba ungasasazeki. Lungasetyenziselwa nokulawula iimpawu ezifana neentlungu kunye nokopha xa umhlaza ungenakunyangwa.
Utyando lwesisu lusetyenziswa kwezinye iimeko ezininzi ngaphandle komhlaza. Ngokuqhelekileyo lwenziwa njengesisombululo sokugqibela xa amayeza kunye notshintsho kwindlela yokuphila lungakhange luncede.
| Imeko yezonyango | Inkcazo |
|---|---|
| Iithumba ezingeyongozi | Ukususa iithumba ezibangela iimpawu okanye ezinokuba ngumhlaza kamva. |
| I-Gastritis | Ukuba unesisu esibuhlungu okanye izilonda ezingenakulawuleka ngamayeza. |
| Isifo sesilonda sePeptic | Ukuba unamanxeba awonakalisa udonga lwesisu kwaye angapholi. |
| Ukutyeba kakhulu | Njengotyando lokunciphisa umzimba (Bariatric Surgery) ukulawula amanqanaba angengowasempilweni okutyeba. |
| Ukulimala kwesisu | Ukuba ingozi ibangele umonakalo ongenakulungiswa kwizicubu zesisu. |
| Umngcipheko womhlaza welifa | Olu tyando lwenziwa ukuthintela umngcipheko ophezulu wokuba nomhlaza wesisu ukuba utshintsho kwi-CDH1 gene luzuzwe njengelifa. |
Ungazilungiselela njani ngaphambi kotyando?
Ekubeni olu lutyando olukhulu, kubaluleke kakhulu ukululungiselela kakuhle.
- Thetha nogqirha wakho: Xelela ugqirha wakho ngembali yakho epheleleyo yezonyango, onke amayeza, iivithamini, kunye namayeza e-Ayurvedic owasebenzisayo. Ungalibali ukubaxelela ngazo naziphi na ii-allergies onokuba nazo.
- Yiba sempilweni: Kubalulekile ukuba sempilweni entle kangangoko kunokwenzeka ngaphambi kotyando. Lungisa ukutya kwakho kunye nenkqubo yakho yokuzilolonga ngokwemiyalelo kagqirha wakho.
- Kuphephe ukutshaya: Ukuba ungumntu otshayayo, kufuneka uyeke ngokupheleleyo ukutshaya kwiiveki ezimbalwa ngaphambi kotyando. Oku kuya kuyiphucula kakhulu iziphumo zotyando.
- Lungisa amayeza akho: Kusenokufuneka uyeke okwethutyana ukuthatha amayeza afana ne-blood thinners , i-pain relievers (NSAIDs), i-aspirin, kunye ne-warfarin. Ugqirha wakho uza kukuxelela ngokuthe ngqo ukuba zeziphi amayeza omawuyeke kunye nalawo omawuqhubeke uwathatha.
- Ukuzila ukutya: Awuyi kukwazi ukutya okanye ukusela nantoni na kangangeeyure ezininzi ngaphambi kotyando. Landela imiyalelo ngononophelo.
- Umntu onokunceda ekhaya: Uza kufuna umntu oza kukuyisa ekhaya usuka esibhedlele. Kwakhona, kulula kakhulu ukuba nomntu oza kukunceda ngemisebenzi yasekhaya ngelixa uphila.
Kwenzeka ntoni ngexesha lotyando?
Ngexesha lotyando, uza kuba phantsi kwe-anesthesia epheleleyo, oko kuthetha ukuba awuyi kuva ntlungu okanye ungabikho zingqondweni.
1. I-Anesthesia: Iyeza elinikwa emthanjeni wakho liza kukwenza ulale de utyando lugqitywe.
2. I-Catheterization: Kufakwa i-catheter ukuze kuqokelelwe umchamo. Kwakhona, kufakwa ityhubhu (`ityhubhu ye-Nasogastric`) ngempumlo ize ingene esiswini ukuze kukhutshwe okungaphakathi esiswini. Kamva, amayeza kunye nesondlo zinokunikwa ngale tyhubhu.
3. Utyando lwesisu: Ugqirha ususa inxalenye okanye sonke isisu nokuba ngokusebenzisa utyando olukhulu (Open Surgery) okanye ngokusebenzisa utyando oluncinci oluninzi esebenzisa ikhamera (Laparoscopy). Kwimeko yomhlaza, ii-lymph nodes ezijikeleze wona ziyasuswa ukujonga ukuba umhlaza usasazekile na.
4. Ukwakhiwa ngokutsha kwendlela yokugaya ukutya: Eli linyathelo elilandelayo elibalulekileyo. Ugqirha uza kuphinda akhe indlela yakho yokugaya ukutya. Ukuba inxalenye yesisu isusiwe, amathumbu amancinci aya kudityaniswa nenxalenye eseleyo. Ukuba yonke isisu isusiwe, amathumbu amancinci aya kudityaniswa ngqo nomphunga.
5. Ukuthungwa: Ekugqibeleni, amanxeba avalwa ngezititshi.
Olu tyando lungathatha malunga neeyure ezi-5, kuxhomekeke kuhlobo lotyando olwenzileyo.
Kwenzeka ntoni emva kotyando kwaye kuza kuthatha ixesha elingakanani ukuba umntu aphile?
Emva kotyando, kuya kufuneka uhlale esibhedlele kangangeveki okanye ezimbini. Ngeli xesha, abasebenzi bezonyango baya kukunyamekela kakuhle.
- Ukutya: Ekuqaleni, uza kondliwa ngomthambo okanye ngetyhubhu efakwe esiswini sakho. Njengoko amanxeba akho ephola, ungaqala ukuthatha ukutya okumanzi ngomlomo. Emva koko, uya kuqaliswa kancinci kancinci ukutya okuthambileyo okufana ne-porridge, uze emva koko utye ukutya okulula rhoqo.
- Ukulawula iintlungu: Amayeza anikwa ukulawula iintlungu.
- Ixesha lokuchacha: Olu luhambo oluza kuthatha iinyanga ezimbini . Kungathatha malunga neenyanga ezimbini ukuba amanxeba aphole. Kungathatha iinyanga ezi-3-6 okanye nangaphezulu ukuba umzimba uphinde ufumane amandla kwaye uqhele ukutya okutsha . Nika umzimba wakho ixesha olidingayo ukuze uphole, kwaye ube nomonde.
Zithini iingozi kunye neengxaki zolu tyando?
Njengakwezinye iintlobo zotyando, kukho iingozi eziqhelekileyo ezifana nosulelo, ukusabela kwi-anesthesia, kunye nokuqhekeka kwegazi. Ukongeza, kunokubakho iingxaki ezithile kolu tyando.
| Ingxaki | Ingcaciso elula |
|---|---|
| Ukuvuza kwe-Anastomotic | Ukutya okuvuzayo kwiindawo ezisandula ukudityaniswa (imithungo). |
| Isifo sokulahlwa kwenkunkuma | Ukutya kungena ngokukhawuleza kakhulu emathunjini amancinci ngaphambi kokuba kugaywe kakuhle. Oku kunokubangela ukudumba, isicaphucaphu, iintlungu zesisu, kunye norhudo. |
| Ukungondleki kakuhle | Umzimba awukwazi ukufunxa kakuhle izondlo ozifunayo, nto leyo enokubangela izifo ezifana ne-anemia. |
| Ukubuyela kweBile | Inyongo eveliswa esibindini ibuyela umva iye esiswini okanye emqaleni. |
| I-Hernia yangaphakathi | Iindawo zamathumbu amancinci eziphuma kwenye indawo yesisu. Le isenokuba yimeko efuna unyango olungxamisekileyo. |
Ukuba ufumana naluphi na uvakalelo olufana nolu, yazisa ugqirha wakho ngoko nangoko.
Ngaba ungaphila ubomi obuqhelekileyo emva kokuhlinzwa kwesisu?
Ewe, ngokuqinisekileyo unako! Ungaphila ubomi obusempilweni nobuqhelekileyo. Kodwa, kuya kufuneka uqhele "indlela entsha eqhelekileyo" xa kufikwa kwindlela otya ngayo.
- Yitya kancinci kwaye rhoqo: Endaweni yokutya ukutya okukhulu kathathu ngemini, yitya ukutya okuncinci okumalunga nezi-6.
- Tshintsha indlela otya ngayo: Ukutya okunefayibha eninzi (iinkozo, izonka) kunye neemveliso zobisi kunokuba nzima ukukugaya ekuqaleni. Zama ukufumana ukuba yeyiphi ekulungeleyo.
- Iivithamini kunye nezongezo: Ngaphandle kwesisu, kunzima ukuba umzimba ukwazi ukufunxa izondlo ezithile, ingakumbi i-vitamin B12. Thatha iivithamini kunye nezongezo ezifunekayo njengoko ugqirha wakho eyalele.
- Ukuphumla nokuzilolonga:Phumla ngokwaneleyo. Kwakhona, yenza umthambo olula njengokuhamba ngaphandle kokuzibhokoxa umzimba wakho. Oku kunokunceda ekuthinteleni iingxaki ezifana nokuqhekeka kwegazi.
Ndifanele ndimbone nini ugqirha?
Qiniseka ukuba uyaya kwintlanganiso yakho emva kotyando. Ukongeza, ukuba unezinye zeempawu ezilandelayo okanye ziyanda, yazisa ugqirha wakho ngoko nangoko.
- Isicaphucaphu nokuhlanza
- Urhudo
- Intlungu yesisu okanye ukudumba
- Ububomvu, ukudumba, ubushushu, okanye ubomvu kwindawo yotyando
- Ifiva
Umyalezo Wokuya Ekhaya
- Nangona i-gastrectomy ilutyando olukhulu, lunyango olubaluleke kakhulu lokusindisa ubomi kwizifo ezifana nomhlaza.
- Kubaluleke kakhulu ukuba nomonde kuba kuthatha iinyanga ukuba uphile ngokupheleleyo.
- Emva kotyando, kuya kufuneka utshintshe indlela otya ngayo ngokusisigxina. Ziqhelise ukutya ukutya okuncinci rhoqo.
- Hlala ulandela icebiso likagqirha wakho malunga nokutya, iivithamini, kunye nokuzilolonga.
- Wakuba uqhelene nolu tshintsho, ungaphila ubomi obusempilweni ngokupheleleyo.
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