Ingaba isisu sakho sivalekile kwaye ukutya kwakho akuhambi kakuhle? Okanye ngaba ugqirha wakho ukuxelele ngotyando olubizwa ngokuba yi-"gastrojejunostomy"? Kuqhelekile ukuba noloyiko xa usiva igama elinje, kwaye uzive uxinezelekile engqondweni kuba amagama anzima kancinci. Kodwa ungakhathazeki. Masithethe ngale nto ngokulula, ngendlela onokuyiqonda. Kufana nokwakha indlela entsha edlulayo ukuze uphephe izithuthi ezininzi endleleni.
Yintoni iGastrojejunostomy?
Ngamafutshane, i-gastrojejunostomy yinkqubo yotyando yokutshintsha indlela ukutya okuhamba ngayo. Ibandakanya ukudala unxibelelwano olutsha, okanye indlela, phakathi kwesisu sakho kunye ne-jejunum, inxalenye ephakathi yamathumbu akho amancinci.
Khawucinge nje, ukutya esikutyayo kuhamba ukusuka esiswini ukuya kwinxalenye yokuqala yamathumbu amancinci, esiyibiza ngokuba yi-duodenum . Kodwa ukuba ngesizathu esithile kukho ukuvaleka kule duodenum, isifo, okanye ukuvaleka kwi-pylorus, ukutya akunakuqhubeka. Kulapho oogqirha benza khona le ndlela intsha. Kule ndlela, ukutya akuyi kwi-duodenum, kodwa kuya ngqo esiswini ukuya kwi-jejunum. Olu nxibelelwano lutsha lubizwa ngokuba yi-anastomosis kunyango.
Ngamanye amaxesha, eli gama likwasetyenziswa kwinkqubo encinci apho kufakwa umbhobho wokondla emathunjini amancinci ukuze kuthunyelwe ukutya. Kodwa olo asilotyando lukhulu esithetha ngalo, yinto eyahlukileyo leyo.
Kutheni kufuneka wenze olu hlobo lotyando?
Kukho izizathu ezininzi eziphambili zolu tyando. Ngamanye amaxesha lwenziwa njengonyango lwengxaki yempilo, kwaye ngamanye amaxesha lwenziwa ukuthintela ingxaki enokwenzeka kwixesha elizayo.
| Imeko | Kalula nje... |
|---|---|
| Ukuvalwa kweSisu (GOO) | Ukuvaleka kwendlela ephuma ngayo ukutya esiswini. Ukutya kuyabhajwa esiswini endaweni yokufikelela emathunjini. |
| Ukuvalelwa kweDuodenal | Ukuvaleka kwenxalenye yokuqala yamathumbu amancinci (i-duodenum), efumaneka emva kwesisu. |
| Umhlaza wesisu okanye weDuodenal | Ithumba elinomhlaza elivala umphimbo okanye elifuna utyando lokususa ithumba. |
| Isifo sesilonda sePeptic | Iingxaki ezinje ngokopha kunye nokuvaleka kwamanxeba ngenxa yezilonda zesisu zinokubangela ukuvaleka kwendlela yokugaya ukutya. |
Amatyala otyando njengendlela yokuthintela
Ngamanye amaxesha, olu tyando lwenziwa ukuze kuthintelwe ingxaki ngaphambi kokuba ibe yingxaki.
- Ukuba i-duodenum yonakele kakhulu (ukwenzakala): Ukuba i-duodenum yonakele, njengakwingozi, kwaye ugqirha evakalelwa kukuba kuyingozi ukudlulisa ukutya kuyo ide iphole, kuya kwenziwa indlela entsha yokudlulisa ukutya ide iphole inxeba.
- Umhlaza wePancreatic Ongenakususwa: Ukuba umhlaza wePancreatic ukhule kufutshane ne-duodenum kwaye awunakususwa, olu tyando lunokwenziwa ukuze lungayikhuphi ngaphambi kokuba ikhule ngokwaneleyo ukuvala umbhobho wokutya.
Ukongeza, le ndlela ikwasetyenziswa njengenxalenye yotyando lokunciphisa ubunzima . Umzekelo lutyando lwe-Roux-en-Y gastric bypass. Injongo kukunciphisa inani lokutya okunokungeniswa esiswini kunye nenani lezondlo ezinokufunxwa emathunjini.
Kwenzeka ntoni ngaphambi kotyando?
Ngaphambi kokuba uye kutyando, kubalulekile ukuzilungiselela kakuhle. Ingakumbi ukuba ubunesisu esivalekileyo, usenokungakwazi ukutya kakuhle okwethutyana, usenokuba uhlanza, uphelelwe ngamanzi emzimbeni , kwaye ungondlekanga . Ngoko ke iqela lezonyango liya kwenza konke okusemandleni alo ukukubuyisela kwimpilo engcono kakhulu.
| Unyango | Inkcazo |
|---|---|
| Ulwelo lwe-IV | Ukunika ityuwa . Oku kunceda ukulinganisela kwakhona ii-electrolytes eziphelileyo emzimbeni. |
| Isondlo se-IV | Ukubonelela ngesondlo esifunekayo ngesisombululo setyuwa esifakwe ngqo emthanjeni kuba ungakwazi ukutya. |
| Utofelo-gazi | Ukuba kukho i-anemia, nika igazi. |
| Ii-antibiotics | Ukunika amayeza okubulala iintsholongwane kwangaphambili ukuze kuthintelwe usulelo emva kotyando. |
| Ukunciphisa Isisu | Ityhubhu ye-nasogastric ifakwa ngempumlo ukuze kususwe naziphi na izinto ezivalelekileyo esiswini kwaye kuncitshiswe uxinzelelo. Oku kukhuselekile nakwi-anesthesia. |
Kwenzeka ntoni ngexesha lotyando?
Olu tyando ludla ngokuthatha malunga neeyure ezimbini ukuya kwezine. Ngexesha loku, ugqirha uza kulandela la manyathelo:
1. Uza kufakwa phantsi kwe-anesthesia eqhelekileyo . Oku kuthetha ukuba uza kulala ubuthongo obunzulu de utyando luphele.
2. Kufakwa ityhubhu ngempumlo ukunciphisa uxinzelelo esiswini.
3. Yenza utyando lwesisu, nokuba ngotyando oluvulekileyo okanye nge-laparoscopically , oko kuthetha ukuba kwenziwa imingxunya embalwa kwaye kufakwa ikhamera kwindawo yesisu. Utyando lwe-laparoscopic lunexesha elifutshane lokuphola kunye namanxeba amancinci.
4. Indawo echanekileyo yengxaki kwindlela yokugaya ukutya ifunyenwe.
5. Indawo efanelekileyo ikhethwa kwi-jejunum, inxalenye yamathumbu amancinci, kwaye idibene ubuncinane iisentimitha ezi-5 ngaphezulu kwendawo yengxaki yesisu.
6. I -anastomosis entsha edaliweyo iyajongwa ukuze kubonwe ukuba isebenza kakuhle na kwaye kukho na ukuvuza.
7. Ukuba yonke into ilungile, amanxeba ayathungwa kwaye utyando lugqityiwe.
Kwenzeka ntoni emva kotyando kwaye zithini iingozi?
Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa emva kotyando. Kuya kuthatha ixesha ukuba isisu sakho namathumbu akho aqale ukusebenza ngendlela eqhelekileyo kwakhona. Usenokuziva unesicaphucaphu kwiintsuku ezimbalwa zokuqala, kwaye amathumbu akho asenokucotha kancinci. Abanye abantu kuya kufuneka babe nombhobho wempumlo iintsuku ezimbalwa.
Okokuqala, uza kunikwa ulwelo kunye nesondlo nge-saline, uze emva koko ungeniswe kancinci kancinci ekutyeni okumanzi, uze emva koko unikwe ukutya okuthambileyo ngaphambi kokuba uthunyelwe ekhaya.
Njengazo zonke iintlobo zotyando, kukho iingozi ezithile, ezinje ngokopha, ukuqhekeka kwegazi, kunye nomonakalo kwizitho ezingqongileyo. Kodwa ezi azixhaphakanga kakhulu.
Kukho iingozi ezininzi kunye nemiphumo emibi yexesha elide echaphazela olu tyando.
| Ingxaki/Isiphumo Esingesihle | Kwenzeka ntoni ngale nto? (Kwenzeka ntoni?) |
|---|---|
| Iingxaki Ezikhawulezileyo | |
| Ukuvuza kwe-Anastomotic | Ukuvuza konxibelelwano olutsha oludaliweyo. Oku kunqabile, kodwa kunzulu. Ukuba usulelo lukhula esiswini luze lusasazeke luye egazini, lunokuba yingozi ebomini. |
| Iziphumo Ezingalindelekanga Zexesha Elide | |
| Isifo sokulahlwa kwenkunkuma | Iimpawu ezifana nokucaphuka, ukudumba, kunye nentlungu yesisu zenzeka emva kokutya kuba ukutya kudlula ngequbuliso esiswini kungena emathunjini amancinci. Kwiimeko ezininzi, oku kuya kuphela emva kwexesha elithile. |
| Isilonda Esisemaphethelweni | Ekubeni iiasidi zesisu zingena ngqo kwi-jejunum, i-jejunum ayinakumelana nezo asidi, nto leyo ebangela izilonda. |
| Ukubuyela kweBile | Ukuphuma kweejusi zokugaya ukutya, ezifana nenyongo, zisuka emathunjini ziye esiswini. Oku kungonakalisa udonga lwesisu. |
Kuza kuthatha ixesha elingakanani ukuphiliswa kwaye ndifanele ndimtsalele nini ugqirha ?
Kudla ngokuthatha malunga neeveki ezintandathu ukuphola ngokupheleleyo. Nangona kunjalo, oku kunokwahluka ngokuxhomekeke kuhlobo lotyando olwenzileyo (oluvulekileyo okanye olusebenzisa i-laparoscopic) kunye nobungakanani botyando. Iqela lakho lezonyango liza kukunika imiyalelo yokuba unganyamekela njani inxeba lakho emva kokuba ubuyele ekhaya, indlela yokulawula iintlungu, kunye nokuba ungaqhubeka nini nemisebenzi yakho yesiqhelo.
Kubaluleke kakhulu: Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokuba ubuyele ekhaya, xelela ugqirha wakho okanye isibhedlele ngoko nangoko. Musa ukulibazisa oku.
- Ukuba uziva ubomvu, iintlungu, ukudumba, okanye ukufudumala kwindawo yenxeba (ezi ziimpawu zosulelo).
- Umkhuhlane (ngaphezulu kwama-38 Celsius / 100 Fahrenheit).
- Ukuba intlungu kunzima ukuyilawula.
- Ukuba unengxaki yokutya, ukugcina ukutya kuphantsi, okanye ukuba uyaqhubeka nokuhlanza.
- Ukuba unesifo sorhudo esingapheliyo.
- Ukuba ulusu lwakho okanye amhlophe emehlweni akho ajika abe tyheli.
Olu tyando luza kwenza umahluko omkhulu kwinkqubo yakho yokugaya ukutya. Lunokuba ngamava atshintsha ubomi bakho. Ngoko ke musa ukuhamba wedwa kolu hambo. Thetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo ngaphambi nasemva kotyando. Bahlala bekulungele ukukunceda.
Umyalezo Wokuya Ekhaya
- I-Gastrojejunostomy lutyando oludala indlela entsha phakathi kwesisu kunye namathumbu amancinci.
- Oku kwenziwa ikakhulu njengonyango lweemeko ezinje ngokuvaleka kwendlela yokugaya ukutya, umhlaza, okanye ukwenzakala okukhulu.
- Kubaluleke kakhulu ukuba ube sempilweni entle ngaphambi kotyando, kwaye kuthatha ixesha ukuba uphile emva kotyando.
- Emva kotyando, kuya kufuneka utshintshe indlela otya ngayo nendlela ophila ngayo, kwaye kubalulekile ukulandela imiyalelo kagqirha wakho.
- Ukuba ufumana naziphi na iimpawu ezilumkisayo ezifana neempawu zosulelo lwenxeba, umkhuhlane, iintlungu ezingalawulekiyo, okanye ubunzima bokutya, funa ingcebiso kagqirha ngokukhawuleza.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 🥩 Zithini ukutya okune-iron eninzi? Kutheni kubalulekile kolu tyando?
Ukutya okufana nenyama ebomvu, iimbotyi, ispinatshi, kunye neelentile kutyebile kwi-iron. Ekubeni indlela yokutya itshintsha ngexesha le-gastrojejunostomy, ukufunxwa kwe-iron emzimbeni kunokuncipha. Yiyo loo nto i-iron ikwayinto exhalabisayo xa kuxoxwa ngolu tyando.
💬 🩺 Ingaba kunokwenzeka ukuba umntu abe ne-anemia emva kolu tyando (Gastrojejunostomy)?
Ewe, kunokwenzeka. Oku kungenxa yokuba ukutya kudlula kwindawo ephambili yokufunxwa kwesinyithi ngexesha lotyando. Ke ngoko, ukongeza ekutyeni ukutya okutyebileyo kwisinyithi, abanye abantu kufuneka bathathe izongezo zesinyithi njengoko kumiselwe ngugqirha wabo.
💬 🍋 Ndingatya njani ukuze ndifunxe i-iron kakuhle?
Xa usitya ukutya okutyebileyo kwi-iron, yongeza into ene-vitamin C, efana neelamuni okanye iiorenji. Oku kuya kwenza kube lula emzimbeni wakho ukufunxa i-iron, nokuba sele utyando. Kodwa khumbula, musa ukusela iti okanye ikofu emva kokutya, kuba zithintela ukufunxa i-iron.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho