Kuqhelekile ukuba uve iqhuma emqaleni xa usitya. Kodwa ukuba uhlala unengxaki yokuginya ukutya kwaye uzive ngathi kunamathele esifubeni sakho, oko akuqhelekanga. Oku kusenokuba kungenxa yengxaki yezihlunu ezikumphimbo wakho. Namhlanje siza kuthetha ngonyango olukhethekileyo nolusebenzayo kakhulu kwiimeko ezinjalo.
Yintoni iMBONGO?
Ungamangaliswa kukuva igama elithi POEM. Limele i- Oral Endoscopic Myotomy . Masilichaze ngokulula.
- I-Peroral: ithetha "ngomlomo."
- I-Endoscopic: ibhekisa kwinto eyenziwe kusetyenziswa ityhubhu eguquguqukayo, exhotyiswe ngekhamera ebizwa ngokuba yi-endoscope.
- I-Myotomy: Igama lezonyango elithetha "ukusika izihlunu."
Ngamafutshane, i-POEM yinkqubo ebandakanya ukufaka i-endoscope ngomlomo wakho, ngaphandle kokwenza naziphi na iziqwenga eluswini lwakho, kunye nokusika nokukhulula izihlunu eziqinileyo kumphunga wakho. Kufana notyando, kodwa ekubeni kungekho zigcawu ngaphandle komzimba wakho, ixesha lokuchacha lifutshane kakhulu.
Ngubani ofuna olu nyango?
Olu nyango lusetyenziswa kakhulu kubantu abaneengxaki zokunyakaza komphimbo ezifana ne -achalasia . Kwezi meko, izihlunu ezikwinxalenye esezantsi yomphimbo aziphumli kakuhle. Emva koko, xa uginya ukutya, ukutya kuyanamathela kwi-esophagus endaweni yokuba kuye ezantsi esiswini. Oku kunokubangela ubunzima bokuginya, iintlungu zesifuba, kunye nokutya kubuyele emphinjeni. Unyango lwe-POEM lusebenza ngokukhulula ezo zihlunu ziqinileyo, lwenza indlela yokutya idlule iye esiswini ngaphandle kokuphazamiseka.
Uzilungiselela njani ngaphambi konyango lwePOEM?
Kufuneka ulungiselele ngaphambi kolu nyango. Kodwa ungakhathazeki ngalo nto. Ugqirha wakho uza kukunika imiyalelo ecacileyo kuyo yonke into. Eyona nto ibalulekileyo kukulandela loo miyalelo ngokuchanekileyo.
Nazi izinto oqhele ukuzenza:
- Kuya kufuneka utye ukutya okucacileyo okumanzi kuphela kangangeentsuku ezimbini ngaphambi konyango.
- Kufuneka uyeke ngokupheleleyo ukutya nokusela iiyure ezili-12 ngaphambi konyango.
Khumbula, ukulandela le miyalelo kubaluleke kakhulu kwimpumelelo yonyango.
Kwenzeka ntoni ngexesha lonyango?
Le nkqubo ithatha malunga neyure enye ukuya kwezintathu. Ngeli xesha, uza kunikwa i-anesthesia eqhelekileyo, ngoko ke uza kube ulele ngokupheleleyo. Ngenxa yoko, awuyi kuva ntlungu. Makhe sijonge inyathelo ngenyathelo indlela olu nyango oluqhutywa ngayo.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukufaka i-endoscope | Ugqirha uza kufaka i-endoscope ngomlomo wakho aze ehle nge-esophagus yakho. Ikhamera ekuyo ikuvumela ukuba ubone ngaphakathi kwe-esophagus yakho. |
| 2. Ukufaka isilonda kwi-mucous membrane | Ulwelo lwe-esophagus, i-mucosa, lunqunyulwa lube ziingceba ezincinci. |
| 3. Ukwenza umngxuma | I-endoscope ifakwa ngaloo mngxuma ize ihambe ngendlela efana nomngxuma ecaleni kwe-submucosa, umaleko wezicubu ezingaphezulu komaleko wemisipha. |
| 4. Ukusikwa kwemisipha (iMyotomy) | Xa isiya ezantsi, indawo enengxaki, oko kukuthi, izihlunu eziqinileyo kwinxalenye esezantsi ye-esophagus nakwinxalenye ephezulu yesisu, ziyanqunyulwa zize zikhululeke ngemela encinci eqhotyoshelwe kwi-endoscope. |
| 5. Ukuvala isiko | Ekugqibeleni, inxeba elenziwe kwi-mucosa livalwa ngee-clip ezimbalwa ezincinci. Emva koko i-endoscope iyasuswa. |
Kwenzeka ntoni emva konyango kwaye kuthatha ixesha elingakanani ukuba umntu aphile?
Emva konyango, kuya kufuneka uhlale esibhedlele malunga nosuku olunye. Oku kuya kuba kukujonga naziphi na iingxaki. Ixesha lakho lokuchacha liza kuqala ngosuku olulandelayo.
- Uvavanyo:Kwenziwa i-X-ray ye-barium ukuze kubonwe ukuba izihlunu zikhululekile ngokupheleleyo na kwaye indlela yokutya icacile.
- Ukutya: Kuya kufuneka utye ukutya okumanzi kwiintsuku ezimbini ukuya kwezintathu zokuqala. Emva koko, kufuneka uqhele ukutya ukutya okuthambileyo, okungenafayibha eninzi kangangeveki okanye ezimbini.
- Ukubuyela emsebenzini: Ungabuyela emsebenzini kwiintsuku ezisixhenxe. Nangona kunjalo, ukuba wenza umsebenzi oquka ukuphakamisa izinto ezinzima okanye umsebenzi onzima, kungcono ubuze ugqirha wakho ngosuku olufanelekileyo lokubuyela emsebenzini.
- Ukulandelela: Ugqirha wakho uza kukucela ukuba ubuye emva kweentsuku ezili-10 emva konyango aze abuye emva kweenyanga ezi-3. Ngexesha lovavanyo lweenyanga ezi-3 (esophagram), baza kujonga ukuba umphimbo wakho uphuma kakuhle na emva kokuba uginye.
Ixesha lokubona ugqirha ngoko nangoko
Iingxaki ezivela kunyango lwe-POEM azixhaphakanga kakhulu . Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezingezantsi emva konyango, kufuneka uqhagamshelane nogqirha wakho ngoko nangoko.
| Iimpawu zesilumkiso |
|---|
| - Intlungu ebuhlungu esifubeni |
| - Ukukhohlela igazi |
| - Umkhuhlane (38.3°C Celsius / 101°F Fahrenheit okanye ngaphezulu) |
| - Ukudinwa kakhulu, ukuquleka |
| - Isihlalo esimnyama okanye esibomvu |
| - Intlungu ebuhlungu emqaleni |
Ukuba unayo nayiphi na kwezi mpawu, musa ukulibazisa. Bona ugqirha wakho ngokukhawuleza. Ukuba kuyimfuneko, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Umyalezo Wokuya Ekhaya
- IMBONGO lunyango olusebenzayo nolwanamhlanje lweengxaki zokuginya ezifana ne-achalasia.
- Oku kwenziwa kusetyenziswa i-endoscope efakwe ngomlomo, ngoko ke akukho zisikeko zenziwa ngaphandle komzimba.
- Ngokophando, olu nyango luphelisa ngempumelelo ubunzima bokuginya kubantu abamalunga nama-95 kwabayi-100.
- Nangona ixesha lokuchacha lifutshane, kubalulekile ukulandela imiyalelo kagqirha malunga nokutya kunye nomsebenzi emva konyango.
- Ukuba kukho naziphi na iimpawu ezilumkisayo emva konyango, yazisa ugqirha wakho ngoko nangoko.
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