Isisombululo kwiintlungu zesifuba ezihlala zisenzeka! Masifunde ngotyando lweNissen Fundoplication ngokulula

Ngaba nawe unesitshiso sentliziyo rhoqo? Ngaba uziva ngathi kukho into ebambekileyo emqaleni okanye esifubeni sakho? Ngaba uziva ngathi ukutya okutyayo kuyabuya emqaleni wakho? Abantu abaninzi bakubiza oku ngokuthi "i-gastritis." Esi sifo saziwa ngokwezonyango ngokuba yiGastroesophageal Reflux Disease, okanye (GERD) ngamafutshane. Ngaba awukwazi ukuphelisa le ngxaki nangona usela amayeza kwaye ulawula ukutya kwakho? Ke le yinto enokuba yinto ebaluleke kakhulu kuwe. Makhe sijonge isisombululo esiphumelelayo koku, utyando.

Yintoni le tyando yeNissen Fundoplication?

Ngamafutshane, olu lutyando olwenziwa ukunyanga isifo se-reflux se-gastroesophageal (GERD).

Cinga ngale ndlela. Xa sisitya, ukutya kwehla nge-esophagus kuye esiswini. Phakathi kwe-esophagus nesisu kukho ivalvu ebizwa ngokuba yi-sphincter esebenza njengocango. Xa siginya, le valve iyavuleka ize ivumele ukutya kudlulele esiswini. Emva koko ivala ngokuqinileyo. Yenza oku ukuthintela ii-asidi ezinzima esiswini ukuba zingabuyeli kwi-esophagus.

Kodwa kumntu one-GERD, le valve ayisebenzi kakuhle. Ikhululekile. Ngoko ke i-asidi esesiswini iphuma lula, oko kukuthi, iye kwi-esophagus. Yiyo loo nto ufumana iimpawu ezifana ne-heartburn kunye nencasa emuncu emqaleni wakho.

Nantsi into eyenzekayo kwi-Nissen Fundoplication. Ugqirha uthatha inxalenye ephezulu yesisu (i-fundus) aze ayisonge ngenxalenye esezantsi ye-esophagus. Kufana nokufaka ibhande elijikeleze into ekhululekileyo. Olu qweqwe luqinisa ivalvu ekhululekileyo kwakhona. Emva koko i-asidi yesisu ihlala esiswini kwaye ayiphumi.

Ngaba kukho iintlobo ezahlukeneyo zolu tyando?

Ewe, kukho iintlobo ezininzi eziphambili zolu tyando, kuxhomekeke kubungakanani bezicubu zesisu ezijikeleze umphimbo. Ugqirha wakho uza kukuchazela ukuba yeyiphi indlela efanelekileyo kwimeko yakho.

Yintoni ekufuneka ndiyenze ngaphambi kotyando?

Emva kokugqiba ekubeni wenze utyando, ugqirha wakho uza kuyalela iimvavanyo ezininzi. Ezi zenziwa ukujonga ukuba umphimbo wakho unciphile na, indlela osebenza ngayo, kunye nokuba unesifo esibizwa ngokuba yi-hiatal hernia . I-hiatal hernia yi-hernia apho inxalenye yesisu ityhala phezulu nge-diaphragm iye esifubeni. Oku kunokwenza iimpawu ze-GERD zibe zimbi ngakumbi. Ukuba unale meko, ugqirha uza kuyilungisa ngexesha elinye notyando.

Ezi ziimvavanyo ezihlala zenziwa:

• I-Upper Endoscopy: Ityhubhu enekhamera eqhotyoshelweyo ifakwa ngomlomo ukuze ihlole ingaphakathi le-esophagus kunye nesisu.
• Uvavanyo lwe-Esophageal Manometry: Uvavanyo olulinganisa indlela izihlunu ezikwi-esophagus ezincipha ngayo, oko kukuthi, indlela ezisebenza kakuhle ngayo.
• Uvavanyo lokuJonga i-pH: Uvavanyo olulinganisa ukuba ingakanani i-asidi ekwi-esophagus yakho kangangexesha elingangeeyure ezingama-24.
• Ii-X-reyi zesisu (GI): Imifanekiso ye-X-reyi ithathwa kwi-esophagus nakwisisu emva kokuba usele ulwelo olukhethekileyo (i-barium). Kujongwa imilo kunye nomsebenzi we-esophagus kunye nesisu.

Kwakhona, uya kuyalelwa ukuba ungatyi okanye ungaseli nto emva kwezinzulwini zobusuku ngobusuku bangaphambi kotyando. Kubaluleke kakhulu ukulandela le miyalelo ngokuchanekileyo.

Lwenziwa njani utyando?

Olu tyando lunokwenziwa ngeendlela ezimbini eziphambili. Uza kunikwa i-anesthesia eqhelekileyo, ngoko awuyi kuva nto ngexesha lotyando, uza kube ulele.

Olu tyando ludla ngokuthatha malunga neyure enye ukuya kwezintathu ukugqitywa.

Ziziphi iingenelo kunye neengozi zalo tyando?

Iinzuzo

Eyona nzuzo inkulu yolu tyando kukuba lunceda kwiimpawu ezinzima zeGERD ezingakwazanga ukulawuleka zezinye iindlela zonyango. Lukwanciphisa umngcipheko wokufumana i -Barrett's esophagus, imeko enokuthi ivele ngokuhamba kwexesha ngenxa yeGERD. I-Barrett's esophagus yimeko engaphambi komhlaza enokukhokelela kumhlaza we-esophagus.

Iingozi (Iingxaki)

Njengakwezinye iintlobo zotyando, kukho umngcipheko wokosuleleka. Kodwa umngcipheko ophambili kukuba iimpawu zibuye emva kwexesha elithile. Ngokwezinye izifundo, malunga ne-10% yabantu abenza olu tyando banokufuna olunye utyando.

Kwenzeka ntoni emva kotyando? Kuthatha ixesha elingakanani ukuze umntu aphile?

Emva kotyando, kuya kufuneka uhlale esibhedlele usuku okanye iintsuku ezininzi.

• Ukuba wenze utyando oluvulekileyo, usenokuba ufakelwe ityhubhu ye-nasogastric okwethutyana ngempumlo yakho ukuze kukhutshwe naluphi na ulwelo oluqokelelana esiswini sakho.
• Uza kunikwa i-saline (IV fluids) ukuze umzimba wakho ungaphelelwa ngamanzi emzimbeni.
• Isondlo siya kunikwa nge -saline de amathumbu akho aqale ukusebenza ngokuqhelekileyo kwakhona (oko kukuthi, ude uphume igesi okanye ilindle).

Ixesha lokuBuyisa

Kubaluleke kakhulu ukuphumla kwiintsuku zokuqala emva kotyando. Emva koko, ungaqhubeka kancinci kancinci nemisebenzi yakho yesiqhelo. Nangona kunjalo, ukuba ungumntu othanda ukuzilolonga kakhulu, ugqirha wakho uya kukucebisa ukuba wenze umthambo olula iiveki ezimbalwa.

Umntwana oye wenza olu tyando angabuyela esikolweni kwiintsuku ezimbalwa, kodwa kufuneka akuphephe ukubaleka, ukutsiba, okanye imidlalo enzima ubuncinane iiveki ezintathu.

Ukutya

Usenokuba nomphimbo obuhlungu kwiintsuku zokuqala emva kotyando. Ngoko ke, kuya kufuneka utye izinto ezimanzi kunye nokutya okuthambileyo kwiintsuku zokuqala ezisi-7 ukuya kwezili-10 .

• Qala ngezinto ezinje ngee-protein shakes kunye nee-smoothies.
• Emva koko ungaqhubeka nokutya okungemnandi okufana neyogathi, amaqanda aqhekeziweyo, ipasta, kunye nerayisi.
• Kubaluleke kakhulu ukuba ungatyi ukutya okuneziqholo, okunamafutha, nokungagayeki kakuhle ngeli xesha.

Ukuba unale mpawu, bonana nogqirha ngokukhawuleza.

Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokuba ubuyele ekhaya emva kotyando, fowunela ugqirha wakho ngoko nangoko.

• Ukuba inxeba liphuma igazi ngaphezu kokuba kulindelekile.
• Ukuba ubona iimpawu zosulelo :
• Ukuba kukho ukudumba okugqithisileyo okujikeleze i-incision.
• Ukuba unomkhuhlane.
• Ukuba kukho ukubomvu okujikeleze indawo etyumkileyo.
• Ukuba ulusu olujikeleze i-incision luvakala lufudumele xa luchukunyiswa.
• Ukuba uziva ngathi iimpawu zakho zeGERD ezazikho ngaphambi kotyando ziyabuya .

Ukuba ungumntu osele amayeza, olawule ukutya kwakho, kwaye wenze yonke into kodwa usahlushwa yile ngxaki yokutsha esifubeni kunye nengxaki ye-acid reflux, utyando lweNissen Fundoplication lunokuba sisisombululo esihle kuwe. Oku kunokukunceda kakhulu ebomini bakho. Ukuze ufunde okungakumbi ngale nto, kwaye ugqibe kwelokuba ingaba ikulungele na, qiniseka ukuba uthetha nogqirha wakho.