Ngaba wakha wahlangabezana nale meko? Uziva uhluthi emva kokutya, kodwa ayisiyonto eqhelekileyo yokuziva uhluthi, kuba ngathi ukutya kunamathele esiswini sakho. Okanye uyahlanza emva kwexesha elithile emva kokutya. Xa izinto ezinje ziqhubeka, yingxaki ebomini. Ngoko ke, ezi zinto zinokwenzeka ngenxa yengxaki 'yesango' elithumela ukutya esiswini sethu ukuya emathunjini amancinci. Yiloo nto siza kuthetha ngayo namhlanje, utyando lokulungisa elo 'sango'.
Yintoni i-pyloroplasty ngokulula?
Kulungile, masiqonde oku ngokulula. Khawucinge ukuba isisu sakho singxowa eqokelela ukutya. Ezantsi kwale ngxowa, kukho inxalenye ebonakala ngathi yintambo ebopha umlomo. Yiyo loo nto siyibiza ngokuba yi-`(Pylorus)` kwezonyango. Ukuchaneka, le yivalvu eqinileyo eyenziwe ngezihlunu. Xa sisitya ukutya, kufuneka kugaywe kakuhle esiswini size sithunyelwe emathunjini amancinci. Ngelo xesha, le valve ebizwa ngokuba yi-`(Pylorus)` iyavula ize ithumele ukutya emathunjini amancinci, ize ivaleke kwakhona.
Ngoko ke, iPyloroplasty lutyando olwenziwa kwi `(Pylorus)`. Ukuba ngesizathu esithile le valve ayivuleki kakuhle, ukuba ivaliwe, okanye ukuba yonakele ngenxa yolunye utyando, olu tyando lwenzelwe ukuyibumba ngokutsha, ukuyikhulisa, kunye nokuvumela ukutya kudlule ngokulula. Ngamafutshane, olu tyando lwandisa isango elivaliweyo esiswini.
Kuxa kutheni apho olu tyando luyimfuneko?
Asinguye wonke umntu odinga olu tyando. Ukuba i-pylorus yakho ayisebenzi kakuhle kwaye ukuphuma kwesisu kulibaziseke, olu tyando lunokuba sisisombululo. Makhe sijonge ezona zizathu ziphambili zoku.
Izilonda zesisu (Isifo sesilonda sePeptic)
Abanye abantu banezilonda zesisu ezinokuba nzima kakhulu. Ukuba bayaqhubeka nokopha okanye abaphili ngamayeza, oogqirha ngamanye amaxesha banokucebisa utyando. Olunye uhlobo lotyando olukhethekileyo yi-vagotomy. Oku kubandakanya ukusika umthambo onceda isisu ukuba sivelise i-asidi. Oku kunciphisa umngcipheko wezilonda, kodwa njengesiphumo esibi, umthambo obonisa ukuba ivalvu ye-pylorus ivuleke kwaye ivalwe nawo awusebenzi.
Khawucinge nje, kukho isango, kwaye kukho i-remote yokulivula nokuyivala. Utyando lwe-`(Vagotomy)` lufana nokususa ibhetri kuloo remote. Ngoko ke isango livaliwe.
Ngelo xesha, ngokuqinisekileyo kuya kufuneka wenze utyando lwe-pyloroplasty. Oku kuya kuvula isango elivaliweyo ngokusisigxina. Emva koko, ukutya kunokudlulela emathunjini amancinci ngaphandle kokuphazamiseka.
Ukongeza, ngamanye amaxesha isilonda sinokudumba okanye izicubu ezibomvu zingenzeke zivale i-pylorus. Kwimeko engxamisekileyo enjalo, olu tyando lunokwenziwa.
Ukungasebenzi kakuhle kwemisipha yesisu (iGastroparesis)
Kulapho izihlunu zesisu, kuquka ne-pylorus, zingasebenzi kakuhle. Kufana nokuba livila. Emva koko ukuhamba kwesisu kuncipha, kwaye ukugaya ukutya kunye nokuhamba kokutya kulibaziseka kakhulu. Oku kunokukhokelela kwisicaphucaphu esingapheliyo kunye nokuhlanza. Usenokungakwazi nokutya okanye ukusela. Ukuba ezinye iindlela zonyango aziphumeleli, ugqirha wakho unokucebisa utyando lwePyloroplasty ukuze uvule i-pylorus ngokusisigxina.
I-Pyloric Stenosis kwiintsana ezincinci
Le meko idla ngokubonakala kwiintsana ezisandul’ ukuzalwa. Ayiqhelekanga kakhulu kubantu abadala. Okwenzekayo apha kukuba iindonga zemisipha ze-"Pylorus" yomntwana ziba nkulu, zinciphe kwaye zivale indlela yokutya. Aba bantwana bahlanza ngokungathi badutyulwa emva kokusela ubisi (ukugabha okubonakalayo). Le yinto abazali abayoyikayo kakhulu. Ekubeni aba bantwana bengenako ukudlulisa ubisi esiswini, olu tyando luba yimfuneko. Oku kwandisa indawo encinci.
Njengesiphumo esingesihle sezinye iindlela zotyando
Ngamanye amaxesha, ngexesha lotyando kwi-esophagus okanye esiswini, i-vagus nerve elawula i-pylorus inokonakala. Kwimeko ezinjalo, i-pyloroplasty inokwenziwa njengotyando olongezelelweyo.
Utyando lwe-pyloroplasty lwenziwa njani?
Olu tyando lunokwenziwa ngeendlela ezimbini eziphambili. Olunye lutyando oluvulekileyo , olubandakanya ukwenza utyando olukhulu esiswini. Olunye lutyando lwe-laparoscopic , olubandakanya ukwenza utyando oluncinci oluliqela esiswini kunye nokufaka ikhamera kunye nezixhobo ezithambileyo. Olu tyando alungeni kakhulu kwaye lunexesha elifutshane lokuchacha.
Nokuba yeyiphi na indlela esetyenzisiweyo , utyando lwenziwa phantsi kwe-anesthesia eqhelekileyo. Oku kuthetha ukuba awuyi kuva nto, uza kube ulele.
Kukho iindlela ezahlukeneyo zokwenza olu tyando. Ugqirha ukhetha eyona ndlela ifanelekileyo ngokuxhomekeke kwimeko.
| Igama leNdlela | Kwenzeka ntoni nje? |
|---|---|
| I-Heineke-Mikulicz Pyloroplasty | Le yeyona ndlela isetyenziswa kakhulu. Ugqirha usika i-pylorus ngobude aze ayithunge ngendlela enqamlezileyo. Oku kuyandisa indawo efana netyhubhu. |
| I-Pyloromyotomy (iRamstedt Pyloroplasty) | Le ndlela isetyenziswa ngakumbi kwiintsana ezisandul’ ukuzalwa. Apha, kuphela umaleko wemisipha wePylorus osikiweyo, kungekhona ulwelo oluthambileyo lwangaphakathi (mucosa). Emva koko, ulwelo lwangaphakathi luyavuvukala, nto leyo eyenza indlela yokutya ibe nkulu. |
| Ukwanda kwePyloric | Oku kwenziwa njenge-endoscopy. Ikhamera ifakwa ngomlomo, kwaye kudluliselwa isixhobo esikhethekileyo ukuze kwandiswe i-pylorus ngaphandle kokwenza i-incision. |
| I-Jaboulay/Finney Pyloroplasty | Ezi azisetyenziswa rhoqo. Ezi ndlela zisetyenziswa xa kukho amanxeba amaninzi kunye nokudumba kwi-pylorus. Okwenziwayo apha kukudlula i-pylorus kwaye kudalwe unxibelelwano olutsha phakathi kwesisu kunye namathumbu amancinci (gastroduodenostomy). |
Yintoni onokuyilindela emva kotyando?
Emva kotyando, amanxeba akho aza kuthungwa avale. Ukuba wenze utyando lwe-laparoscopic, unokukwazi ukuya ekhaya ngaloo mini inye. Nangona kunjalo, ukuba wenze utyando oluvulekileyo, kusenokufuneka uhlale esibhedlele iintsuku ezimbalwa kuba amanxeba makhulu.
Awuyi kuvunyelwa ukuba utye ukutya okuqinileyo emva kotyando. Uza kuqala unikwe ulwelo (ityuwa) ngomthambo. Emva koko, uza kwaziswa kancinci kancinci kulwelo, iisuphu, uze emva koko ufumane ukutya okuthambileyo, uze ekugqibeleni ufumane ukutya okuqhelekileyo. Konke oku kuza kwenziwa ngokwemiyalelo kagqirha wakho.
Zithini iingozi kunye neengxaki zolu tyando?
Njengalo naluphi na utyando, kukho iingozi ezithile ezibandakanyekileyo, kodwa amathuba okuba oku kwenzeke aphantsi kakhulu.
- Ukopha
- Iintsholongwane
- Ukugabha kwegazi
- Ukonakala kwamalungu omzimba angqongileyo
- Ukuvuza okuvela kwimithungo
Ukongeza kwezi ngozi ziqhelekileyo, kukho iingxaki ezininzi ezichaphazela utyando lwe-pyloroplasty. Masizazi nezo.
Isifo sokulahlwa kwenkunkuma
Le yeyona mpembelelo iphambili ebonwayo emva kolu tyando. Kodwa uninzi lwexesha iba yeyokwexeshana. Okwenzekayo apha kukuba ukutya okusesiswini ngequbuliso nangokukhawuleza 'kulahlwa' emathunjini amancinci. Oko kukuthi, kuyawa. Nangona isizathu sotyando yayikukudlulisa ukutya, emva kotyando ukutya kuqala ukudlula ngokukhawuleza.
Iimpawu zoku ziza ngamacandelo amabini.
- Iimpawu zokuqala (Ukulahla Kwangethuba):Ezi mpawu ziyenzeka emva kokutya. Zingaquka ukuqaqamba kwesisu, isicaphucaphu, kunye nokudumba.
- Iimpawu zokulahla emva kwexesha: Ezi mpawu zenzeka emva kweeyure ezimbalwa emva kokutya. Ukwehla ngequbuliso kwamanqanaba eswekile egazini kunokubangela ubuthathaka, isiyezi, ukurhawuzelela, kunye nokubetha kwentliziyo ngokukhawuleza.
Ezi mpawu zihlala ziphela ngokuhamba kwexesha. Ngeli xesha, kubalulekile ukutshintsha indlela otya ngayo. Ugqirha wakho uza kukunika iingcebiso malunga nendlela yokutya kunye nento omawuyitye. Ukuba kuyimfuneko, kukho amayeza okulawula oku.
Ukubuyela kwesibindi
Siyazi ukuba ivalvu ethi `(Pylorus)` ivuliwe ngoku ngokusisigxina. Ngenxa yesi sizathu, okuqulethwe sisisu esincinci, ingakumbi inyongo, kunokubuyela esiswini. Le nyongo ayilungelanga kakhulu iindonga zesisu. Ukuba oku kuyaqhubeka, ukudumba kwesisu `(Gastritis)` kunokwenzeka.
Kuthatha ixesha elingakanani ukuba umntu aphile kwaye utyando luphumelele kangakanani?
Uninzi lwabantu luyaphola ngokukhawuleza emva kolu tyando, ingakumbi ukuba lwenziwe nge-laparoscopically. Ungabuyela kwimisebenzi yakho yesiqhelo kunye nokutya kwiiveki ezimbalwa. Ukuba ufumana into efana ne-"dumping syndrome," kufuneka ulumke kakhulu ngokutya kwakho. Iya kuphela kwiinyanga ezimbalwa.
Olu tyando lusebenza kakhulu njengesisombululo kwiimeko ezifana ne-`Gastroparesis` kunye ne-`Pyloric stenosis`. Izinga lempumelelo yalo liphezulu ukuya kuthi ga kwi-90%.
Inkqubo yethu yokugaya ukutya ifana nomatshini osebenza ngokuqhubekekayo. Ukuba kukho ukuvaleka kwenye inxalenye yayo, yonke inkqubo iya kuphazamiseka. Ingxaki nge-`(Pylorus)` injalo. I-Pyloroplasty lutyando oluncinci olwenziwa kwindawo encinci, kodwa lunokuba nefuthe elikhulu, elihle kwimpilo yakho. Yinyani, utyando sisigqibo esikhulu. Kodwa ukuba ezinye iindlela zonyango azincedanga, olu tyando lunokuba sisisombululo esingcono kwingxaki yakho.
Umyalezo Wokuya Ekhaya
- I-Pyloroplasty lutyando oluvula 'isango' (pylorus) ezantsi kwesisu sakho, nto leyo evumela ukutya ukuba kudlule ngokulula.
- Inyanga izifo ezifana nezilonda zesisu, i-gastroparesis, kunye ne-Pyloric Stenosis, ingakumbi kwiintsana ezisandul’ ukuzalwa.
- Olu tyando lungenziwa ngokuvulwa okanye nge-laparoscopically (ngokusebenzisa incision encinci). Indlela ye-laparoscopic ilula kwaye iphola ngokukhawuleza.
- Iziphumo ezingalindelekanga ezifana ne-dumping syndrome zinokwenzeka emva kotyando, kodwa zihlala zizezexeshana. Ezi zinokulawulwa ngokutshintsha indlela otya ngayo.
- Olu tyando luthathwa njengotyando olukhuselekileyo oluvelisa iziphumo eziphumelelayo kakhulu.
- Ukuba unayo nayiphi na kwezi mpawu zikhankanyiweyo kweli nqaku, nceda ubone ugqirha wakho ngoko nangoko ukuze ufumane icebiso. Kuphephe ukuzinyanga.
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