Inkqubo yethu yokwetyisa isebenza imimangaliso ukuze ikwazi ukugaya kakuhle nokufunxa ukutya esikutyayo. Kodwa khawucinge, kwenzeka ntoni ukuba kukho umqobo ndaweni ithile kolu hambo, njengendlela evaliweyo? Ukutya akukwazi ukuqhubeka. Kwiimeko ezinjalo, utyando olukhethekileyo lubizwa ngokuba yiGastrojejunostomy, olusetyenziselwa ukudlula loo mqobo kwaye ludale indlela entsha yokutya. Ugqirha usenokuba ukuxelele ngale nto, okanye usenokuba uvile ngayo waza waba nomdla. Masithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, yintoni utyando lweGastrojejunostomy?
I-gastrojejunostomy yinkqubo yotyando edala unxibelelwano olutsha phakathi kwesisu sakho kunye nenxalenye ephakathi yamathumbu akho amancinci, ebizwa ngokuba yi-jejunum. Ngamanye amazwi, ivumela ukutya ukuba kudlule esiswini kuye ngqo kwinxalenye ephakathi yamathumbu amancinci, ebizwa ngokuba yi-duodenum, endaweni yokuya kwi-duodenum. Olu nxibelelwano lutsha lubizwa ngokuba yi-anastomosis ngokwezonyango.
Khawuthelekelele umba umngxuma omkhulu endleleni uze wenze kube nzima ukuba izithuthi zidlule kuyo. Emva koko sinqumla indlela entsha kwelinye icala lomngxuma size sithumele izithuthi ngaphaya, akunjalo? Yiloo nto eyenziwa lolu tyando.
Kodwa kukho into enye ekufuneka uyikhumbule. Kukho enye into ngamanye amaxesha ebizwa ngokuba yinto efanayo. Loo mbhobho wokondla, umbhobho ofakwa emathunjini amancinci ukuze wondle umntu onengxaki yokutya. Ungena nasesiswini uye kwi-jejunum, ngoko ke ubizwa ngokuba yi-gastrojejunostomy tube. Kodwa loo ayilotyando olukhulu esithetha ngalo. Leyo yinkqubo eyahlukileyo.
Kutheni sidinga olu hlobo lotyando?
Eyona sizathu solu tyando kukuba kukho ukuvaleka kwendlela yokutya esuka esiswini okanye kwinxalenye yokuqala yamathumbu amancinci. Oku kuvaleka kuthintela ukutya ukuba kungaqhubeki phambili. Kukho iimeko ezininzi ezinjalo.
| Imeko | Ingcaciso Elula |
|---|---|
| Ukuvalwa kweSisu (GOO) | I-pylorus, umngxuma osezantsi kwesisu apho ukutya kungena khona emathunjini amancinci, uyavaleka ngesizathu esithile. |
| Ukuvalelwa kweDuodenal | Ukuvaleka akukho esiswini, kodwa kukwinxalenye yokuqala yamathumbu amancinci alandelayo (i-duodenum). |
| Umhlaza wesisu okanye weDuodenal | Ukuvaleka komqala ngenxa yethumba elinomhlaza okanye njengenxalenye yotyando lokususa ithumba. |
| Isifo sesilonda sePeptic | Iingxaki ezinje ngokuphuma kwegazi emanxebeni angapholiyo, okanye ukuvaleka kwamanxeba anokuvala indlela yokugaya ukutya. |
Ukongeza, ngamanye amaxesha olu tyando lwenziwa ukuthintela ingxaki enokubakho kwixesha elizayo .
- Ukulimala kwamathumbu amancinci: Ukuba inxalenye yokuqala yamathumbu amancinci yonakele kakhulu, njengakwingozi, le ndlela yokudlula iyenziwa ukuze kuthintelwe ukutya ukuba kungadluli kuyo de kuphole. Ngaphandle koko, umngxuma ongaqhelekanga (i-fistula) unokwenzeka ekwenzakaleni, wonakalisa amalungu akufutshane afana nepancreas.
- Umhlaza wePancreatic: Ukuba umhlaza wePancreatic ukufutshane namathumbu amancinci kwaye awunakususwa ngotyando, unokukhula kwaye uvale umbhobho wokutya kwixesha elizayo. Ngaphambi kokuba oko kwenzeke, oogqirha banokugqiba ekubeni benze olu tyando njengesilumkiso.
Kwenzeka ntoni ngaphambi kotyando? Ukulungiselela kunjani?
Iqela lezonyango liza kuzama ukukunceda uphile kakuhle ngaphambi kotyando. Khawuthelekelele, umntu ovalekileyo emqaleni akanakutya kwaye uhlala ehlanza. Oku kunokukhokelela ekuphelelweni ngamanzi emzimbeni nasekungondlekini . Ngoko ke ezi zinto kufuneka zilungiswe ngaphambi kotyando.
Iqela lakho lezonyango lingenza izinto ezinje:
- Ityuwa (ii-IV fluids): Ityuwa ifakwa emthanjeni ukuze kulungiswe ukugcinwa kolwelo kunye nokungalingani kwe-electrolyte.
- Isondlo se-IV: Ekubeni ungenakutya ngomlomo , isondlo esifunekayo sinikwa ngqo emthanjeni.
- Utofelo-gazi: Ukuba une-anemia, kunokufuneka utofelo-gazi.
- Ii-antibiotics: Ii-antibiotics zinikwa kwangaphambili ukuthintela usulelo emva kotyando.
- Ukunciphisa isisu:Ityhubhu ifakwa ngempumlo iye esiswini, kwaye ezinye zezinto ezikuyo ziyasuswa ukuze kuncitshiswe uxinzelelo. Oku kwandisa ukhuseleko xa kunikwa i-anesthesia.
Kwenzeka ntoni ngexesha lotyando?
Nangona kukho iindlela ezahlukeneyo zokwenza olu tyando, la ngamanyathelo adla ngokwenzeka.
1. I-Anesthesia: Okokuqala, ulala ngokupheleleyo (i-anesthesia eqhelekileyo). Awuyi kuva nto.
2. Ukukhupha isisu: Kufakwa ityhubhu ngempumlo okanye ngomlomo ukuze kususwe okungaphakathi esiswini kwaye kuncitshiswe uxinzelelo.
3. Ukungena kwisisu: Ugqirha ungena kwisisu. Oku kungenziwa ngeendlela ezimbini. Enye lutyando oluvulekileyo , olubandakanya ukwenza umsikelo omncinci esiswini. Enye lutyando lwe-laparoscopic, olubandakanya ukwenza umsikelo omncinci esiswini kunye nokufaka ikhamera kunye nezixhobo ezincinci. Oku kukwabizwa ngokuba "lutyando lwe-keyhole."
4. Ukuchonga indawo yengxaki: Kufunyaniswa indawo echanekileyo yokuvaleka kwesisu okanye amathumbu amancinci.
5. Ukulungisa amathumbu amancinci: Iluphu yenziwa ngenxalenye ephakathi (i-jejunum) malunga neesentimitha ezili-10 ukusuka esiphelweni senxalenye yokuqala yamathumbu amancinci (i-duodenum).
6. Ukudala unxibelelwano olutsha: Icandelo lamathumbu amancinci elenziweyo liqhagamshelwe esiswini ubuncinane iisentimitha ezi-5 ngaphezulu kwesithintelo. Le yindlela entsha 'yokudlula' esiyikhankanyileyo ngaphambili.
7. Ukuhlolwa: I-anastomosis entsha edaliweyo ijongwa kusetyenziswa iindlela ezahlukeneyo ukuqinisekisa ukuba iqhagamshelwe ngokufanelekileyo kwaye akukho kuvuza.
8. Ukugqitywa kotyando: Ukuba yonke into ilungile, imingxunya/imingxuma eyenziweyo iya kuvalwa kwaye utyando luya kugqitywa.
Ngokwesiqhelo, olu tyando lungathatha malunga neeyure ezimbini ukuya kwezine .
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kulaliswa esibhedlele. Usenokungakwazi ukutya ngokuqhelekileyo ngoko nangoko. Usenokuziva unesicaphucaphu kancinci kwiintsuku ezimbalwa zokuqala. Ngamanye amaxesha, emva kotyando, amathumbu akho aba "nobuvila" (i-paralytic ileus). Oku kuthetha ukuba ukusebenza kwawo kuyehla kancinci.
Ekuqaleni, unganikwa ityuwa kunye nesondlo ngomthambo. Emva koko, ungaqala ngokutya okucacileyo okumanzi , kancinci kancinci uye ekutyeni okuthambileyo, uze kancinci kancinci uqalise ukutya okuqhelekileyo ngaphambi kokuba ugoduke. Kungathatha iiveki ezimbalwa ukuba abanye abantu baqhele ukunxibelelana okutsha esiswini sabo. Ngeli xesha, unokufuna ukuqhubeka nokondliwa ngetyhubhu okanye ngemithambo yegazi.
Ziziphi iingozi kunye neengxaki ezinokubakho ngenxa yolu tyando?
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile ezibandakanyekileyo. Asinguye wonke umntu oza kuhlangabezana nezi ngxaki, kodwa kulungile ukuzazi.
| Uhlobo lomngcipheko | Inkcazo |
|---|---|
| Iingozi eziqhelekileyo kulo naluphi na utyando |
|
| Iingozi ezithile kolu tyando | Ukuvuza kwe-anastomotic: Le yimeko engaqhelekanga. Uqhagamshelo olutsha oludaliweyo aluvaleki kakuhle, kwaye okungaphakathi esiswini okanye emathunjini kuvuza kungene kwisisu. Oku kunokubangela usulelo olukhulu. Ukuba usulelo lungena egazini, lunokuba yingozi ebomini (sepsis). |
Iziphumo ebezingalindelekanga ezinokwenzeka emva kotyando
Nokuba utyando luphumelele, ezinye iziphumo ebezingalindelekanga zinokwenzeka ngokuhamba kwexesha. Uninzi lwazo zinokulawulwa.
| Imiphumela | Kwenzeka ntoni kuyo? |
|---|---|
| Isifo sokulahlwa kwenkunkuma | Ukutya ngequbuliso nangokukhawuleza "kuthulula" isisu ukuya emathunjini amancinci. Oku kubangela iimpawu ezifana nokucaphuka, ukudumba, iintlungu zesisu, kunye nokubila emva kokutya. Oku kudla ngokuphela emva kwexesha elithile njengoko umzimba uqhelene nako. |
| Isilonda Esisemaphethelweni | Ngokwesiqhelo, ii-asidi zesisu zisesiswini nakwinxalenye yokuqala yamathumbu amancinci. Ezo ndawo zakhiwe ukuze zimelane nazo. Kodwa ngenxa yale ndlela yokuphuma, ii-asidi zesisu ziya ngqo kwinxalenye ephakathi yamathumbu amancinci (i-jejunum). Loo nxalenye ayinakumelana nee-asidi. Ngenxa yoko, izilonda zinokwenzeka apho. |
| Ukubuyela kweBile | Ngokwesiqhelo, izinto ezinceda ekugayweni kokutya, ezifana nenyongo, ziyathintelwa ukuba zingabuyeli esiswini. Kodwa ngenxa yolu nxibelelwano lutsha, kunokwenzeka ukuba ezo zinto zibuyele esiswini. Oku kunokubangela ukudumba kweendonga zesisu. |
Linjani ixesha lokuchacha?
Ngokwesiqhelo kuthatha malunga neeveki ezintandathu ukuze uphile ngokupheleleyo, kodwa oku kunokwahluka ngokuxhomekeke kuhlobo lotyando olwenzileyo (oluvulekileyo okanye olusebenzisa i-laparoscopic) kunye nemeko yakho yomzimba.
Iqela lakho lezonyango liza kukunika imiyalelo yokuba ungawunyamekela njani umsike wakho, ulawule iintlungu, kwaye ungaqhubeka nini nemisebenzi yakho yesiqhelo emva kokuba ubuyele ekhaya. Baza kukunika nomhla wokukubona kwakhona kwiiveki ezimbalwa emva kotyando lwakho.
Kusenokufuneka ulandele ukutya okukhethekileyo kangangeenyanga ezimbalwa emva kotyando, ingakumbi ukuphepha ukutya okuneswekile eninzi kunye nokuthatha izongezo zeevithamini.
Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza.
Ukuba ufumanisa naziphi na iimpawu ezilandelayo emva kokubuyela ekhaya, yazisa ugqirha wakho okanye isibhedlele apho ufumene khona unyango ngoko nangoko .
- Ukuba uziva ubomvu, iintlungu, ukudumba, okanye ubushushu obujikeleze inxeba (ezi ziimpawu zosulelo).
- Ukuba unomkhuhlane ongaphezulu kwe-100° Fahrenheit (38° Celsius).
- Ukuba intlungu kunzima ukuyilawula.
- Ukuba unengxaki yokutya okanye ukugcina ukutya kuphantsi.
- Ukuba unesifo sorhudo esingapheliyo.
- Ukuba ulusu lwakho okanye amhlophe emehlweni akho ajika abe mthubi .
Umyalezo Wokuya Ekhaya
- I-Gastrojejunostomy lutyando oludala indlela entsha 'yokudlula' ukusuka esiswini ukuya kumqala.
- Oku kwenziwa ikakhulu njengonyango lweemeko ezinje ngokuvaleka kwendlela yokugaya ukutya, umhlaza, okanye izilonda zesisu eziqatha.
- Ngaphambi kotyando, uya kunikwa unyango olufunekayo ukuze ube kwimeko entle yomzimba.
- Kuthatha ixesha ukuchacha, ingakumbi ukuqhela utshintsho kwindlela yokutya.
- Ezinye iziphumo ebezingalindelekanga zinokwenzeka emva kotyando, kodwa uninzi lwazo zinokulawulwa.
- Landela imiyalelo kagqirha wakho ngokuchanekileyo. Ukuba ufumana naziphi na iimpawu zomngcipheko, funa ingcebiso kagqirha ngoko nangoko.
- Olu lutshintsho olukhulu ebomini bakho, ngoko ungathandabuzi ukufumana lonke uncedo kunye neengcebiso ozifunayo kwiqela lakho lezonyango ngeli xesha lohambo.
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