Ngaba nawe unesimbo sokuhlala uziva uvutha esifubeni sakho kunye nencasa emuncu emqaleni wakho? Ngaba le meko iba mandundu ukuba ukutya okutyayo kunencasa encinci, okanye ukuba ulala phantsi okwethutyana emva kokutya ebusuku? Olu luphawu oluphambili lwesimo abantu abaninzi abasibiza ngokuba yi "gastritis", kodwa ngokwezonyango silubiza ngokuba yiGastroesophageal Reflux Disease, okanye iGERD ngamafutshane. Ngamanye amaxesha, nokuba uthatha amayeza kunye nokwenza utshintsho kwindlela ophila ngayo akunciphisi esi simo sicaphukisayo. Ngamaxesha anjalo, namhlanje siza kuthetha ngotyando olukhethekileyo olucetyiswa ngoogqirha.
Okokuqala, yintoni iGERD?
Ngamafutshane, i-GERD yimeko eyenzeka kwinkqubo yethu yokugaya ukutya. Kukho ityhubhu ethwala ukutya esikutyayo ukusuka emlonyeni ukuya esiswini (isisu), kwaye siyibiza ngokuba yi-esophagus . Ngokwesiqhelo, kukho ivalvu phakathi kwe-esophagus kunye nesisu ukuthintela ii-asidi ezinamandla esiswini, ezinceda ekugayeni ukutya, ukuba zingabuyeli kwi-esophagus.
Kodwa kwi-GERD, le valve ayisebenzi kakuhle, ngoko ke i-asidi yesisu kunye nokutya okucoliweyo kubuyela kwi-esophagus. Kulungile ukuba oku kwenzeka kube kanye okanye kabini, kodwa xa kusenzeka ngokuqhubekayo okanye ngokungapheliyo, sikubiza ngokuba yi-GERD. Le asidi yiyo ebangela ukuba uzive izinto ezifana nokutsha esifubeni sakho kunye nomphimbo obuhlungu.
Ngoko ke yintoni le tyando yeNissen Fundoplication?
Kulungile, ngoku masithethe ngolu tyando. I-Nissen Fundoplication lutyando endilukhankanyileyo ngaphambili ukulungisa imeko ye-GERD. Oku kukwenza kukuqinisa inxalenye esebenza njengevalvu apho umphimbo nesisu kudibana khona.
Kwenziwa njani? Khawucinge ukuba ugqirha wethu otyandayo uthatha inxalenye ephezulu yesisu (esiyibiza ngokuba yi-fundus) aze ayisonge ngenxalenye esezantsi ye-esophagus aze ayiqinise. Kufana nokuba sithatha ilaphu size silisonge ngetyhubhu size sibophe iqhina. Oku kuqinisa inxalenye efana nevalvu ekhululekileyo, kuthintele ukuba i-asidi yesisu ingabuyi. Le yeyona nto iphambili eyenzekayo ngolu tyando.
Zimbini iindlela zokwenza olu tyando.
Oogqirha benza olu tyando ngeendlela ezimbini eziphambili. Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe ngokwemeko yakho.
| Indlela yotyando | Inkcazo |
|---|---|
| Inkqubo yeLaparoscopic | Le yindlela esetyenziswa kakhulu, yanamhlanje. Apha, utyando olukhulu alwenziwa esiswini. Endaweni yoko, utyando lwenziwa ngokwenza imingxunya emincinci emi-4 okanye emi-5, kufakwa ikhamera (iLaparoscope) ngenye yezingxunya kunye nezixhobo ezincinci kakhulu ngezinye izingxunya. Imifanekiso evela kwikhamera ijongwa kwisikrini, nto leyo evumela ukuba utyando lwenziwe ngononophelo olukhulu. |
| Inkqubo Evulekileyo | Le yindlela yendabuko. Apha, kwenziwa utyando olukhulu kancinci esiswini, nto leyo evumela ugqirha ukuba abone amalungu omzimba ngokuthe ngqo. Le ndlela idla ngokusetyenziswa xa kukho ezinye iingxaki, okanye xa indlela ye-laparoscopic ingenakwenzeka. |
Ngubani ofuna ukwenza olu tyando?
Akuyena wonke umntu one-GERD oya kuyidinga le nkqubo yotyando.
Ekuqaleni, ugqirha wakho uza kuzama ukulawula imeko ngokusebenzisa amayeza kunye nokutshintsha indlela yokuphila (umz., ukunciphisa ukutya okuneziqholo nokunamafutha, kunye nokuthatha ikhefu elide ekutyeni ebusuku ngaphambi kokuba ulale).
Nangona kunjalo, ukuba iimpawu zakho aziphucuki nangona la manyathelo enziwe, okanye ukuba awukhululekanga ukusela amayeza ixesha elide okanye ufumana ezinye iziphumo ebezingalindelekanga ezivela kumayeza, ugqirha wakho unokucebisa iNissen Fundoplication. Olu tyando lunokwenziwa kubantwana nakubantu abadala.
Wenza ntoni ngaphambi kotyando?
Emva kokugqiba ekubeni wenze utyando, ugqirha wakho uza kuyalela iimvavanyo ezininzi ukuze ahlole ngokuchanekileyo imeko yomqala wakho nesisu sakho.
- Ii-X-reyi zeGI (iBarium Swallow): Kuginywa ulwelo olukhethekileyo olubizwa ngokuba yi-barium kwaye kuthathwe imifanekiso ye-X-reyi njengoko luhamba lusiya kwi-esophagus. Oku kunokunceda ekuqinisekiseni ukuba kukho na ukuvaleka kwi-esophagus.
- I-Esophageal Manometry: Ityhubhu encinci ifakwa ngempumlo yakho kwi-esophagus yakho kwaye ilinganisa uxinzelelo kwimisipha ye-esophagus yakho xa uginya into ethile.
- I-Upper Endoscopy: Uvavanyo "lwe-endoscopy" esilwaziyo sonke. Ityhubhu enekhamera eqhotyoshelweyo ifakwa ngomlomo ize ihlolwe umphimbo, isisu, kunye nenxalenye yokuqala yamathumbu amancinci.
- I-pH Probe: Uvavanyo olulinganisa ukuba ingakanani i-asidi ekwi-esophagus kunye nokuba ihlala ixesha elingakanani apho.
Ezi mvavanyo ngamanye amaxesha zinokubona imeko ebizwa ngokuba yi-hiatal hernia . Oku kulapho inxalenye ephezulu yesisu iphuma khona iye esifubeni. Oku kunokunyusa iimpawu ze-GERD. Le meko inokulungiswa nangotyando.
Kwenzeka ntoni emva kotyando?
Xa uvuka emva kotyando, ulele ewadini.
- Umphimbo wakho usenokuba buhlungu kancinci kwiintsuku ezimbalwa zokuqala.
- Ukuba wenze utyando oluvulekileyo, ityhubhu (ityhubhu yeNasogastric - NG) iya kufakwa ngempumlo yakho ukuze kukhutshwe naluphi na ulwelo oluqokelelana esiswini sakho. Luza kususwa emva kwexesha elithile.
- Ude ukwazi ukutya nokusela kwakhona, uza kunikwa ulwelo ngomgca we-IV.
- Xa uphuma igesi okanye uphuma isisu, oko kuthetha ukuba inkqubo yakho yokwetyisa iqala ukusebenza ngokuqhelekileyo kwakhona. Emva koko, ungaqala ukutya kancinci kancinci.
Ngokwesiqhelo, ukuba wenze utyando lwe-laparoscopic, ungaya ekhaya emva kosuku olunye okanye ezimbini. Ukuba wenze utyando oluvulekileyo, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengalo naluphi na olunye ukhetho, olu luneengenelo kunye neengozi ezincinci.
Eyona nzuzo iphambili kukukhululeka okukhulu kwiimpawu ze-GERD. Isitshiso esingapheliyo kunye nokurhawuzelelwa kwesisu akusekho. Kukwanceda ekunciphiseni umngcipheko wokuba nomhlaza womqala (i-Barrett's esophagus) ngenxa ye-GERD kwixesha elide. Ingakumbi ukuba utyando lwenziwa nge-laparoscopically, iintlungu azinciphi, ukuchacha ngokukhawuleza, kunye nokuhlala ixesha elifutshane esibhedlele.
Xa kufikwa kwiingozi , eyona nto iphambili kukuba ngamanye amaxesha ukukhululeka kolu tyando akuhlali ixesha elide. Inani elincinci kakhulu labantu linokufuna utyando kwakhona kwiminyaka embalwa. Kwakhona, njengakwezinye iintlobo zotyando, kukho umngcipheko omncinci wokosuleleka kwinxeba.
Kuthatha ixesha elingakanani ukuphiliswa?
Emva kokuba ubuyele ekhaya, ugqirha wakho usenokucebisa ukutya okumanzi okanye okuthambileyo iveki yokuqala okanye ezimbini. Umzekelo, isuphu, iyogathi, iporridge, kunye neetapile ezicoliweyo. Emva koko, ungatshintshela kancinci kancinci ekutyeni okuqhelekileyo.
Ungaphinda uqalise imisebenzi eqhelekileyo kwiintsuku ezimbalwa emva kotyando. Nangona kunjalo, kungcono ukuphepha ukuphakamisa izinto ezisindayo okanye ukwenza umthambo onzima ubuncinane iiveki ezintathu. Ugqirha wakho uza kukunika imiyalelo ethile malunga noku.
Ufuna ukuphinda umbone ugqirha kwakhona nini?
Ukuba iimpawu zakho ziyabuya emva kotyando, qiniseka ukuba ubona ugqirha wakho. Kuqhelekile ukuba kubekho ukudumba okujikeleze inxeba lotyando. Nangona kunjalo, ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko.
- Ukuba inxeba liphuma igazi
- Ukuba ukudumba kuyanda kakhulu
- Ukuba ufumana umkhuhlane
- Ukuba ulusu olujikeleze inxeba lubomvu kwaye luvakala lushushu
- Ukuba ukuhlanza kwenzeka
Umyalezo Wokuya Ekhaya
- I-Nissen Fundoplication lutyando oluphumeleleyo kwi-GERD enzima (isitshiso sentliziyo/i-reflux) engenakulawulwa ngamayeza.
- Olu tyando luthintela i-asidi yesisu ukuba ingabuyeli kwi-esophagus.
- Olu tyando ludla ngokwenziwa ngoncedo lwekhamera (laparoscopic), ngoko ke iintlungu azibi ninzi kwaye ukuchacha kuyakhawuleza.
- Emva kotyando, kubaluleke kakhulu ukulandela ukutya kunye nemiyalelo kagqirha ngqo ukuze uphile ngokukhawuleza.
- Ukuba iimpawu zosulelo lwenxeba ziyaphinda zivele, bona ugqirha wakho ngaphandle kokulibazisa.
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