Ngaba uziva uhluthi xa usitya? Okanye uhlanza rhoqo? Esinye sezizathu zoku singaba yingxaki yevalvu yemisipha ekupheleni kwesisu sakho, okanye endaweni apho ukutya kudlula khona ukusuka esiswini ukuya emathunjini amancinci. Le valve siyibiza ngokuba yi-'pylorus'. Ukuba le sango ayivuleki kakuhle, ukutya kuyabambeka apho. I-Pyloroplasty lutyando oluza kunceda ngamaxesha anjalo. Makhe sithethe ngale nto namhlanje.
Ngamafutshane, yintoni iPyloroplasty?
Cinga ngesisu sakho njengengxowa. Ukutya esikutyayo kugcinwa kule ngxowa, kugaywe, kuze kudluliselwe emathunjini amancinci. Ekupheleni kwale ngxowa yesisu, kukho indandatho yemisipha esebenza njengesango. Ibizwa ngokuba yi-pylorus . Eli sango livuleka xa kufuneka, livumela ukutya okugayiweyo ukuba kudlulele emathunjini amancinci, emva koko kuvaleke.
Ngoko ke, ukuba ngesizathu esithile lo mngxuma uvalekile, uncipha, okanye awuvuleki kakuhle, ukutya akukwazi ukuphuma esiswini. Ngelo xesha, sibiza lo mngxuma ngokuthi yi- pylorus ngokuthi yindlela yotyando esetyenziselwa ukuyibumba ngokutsha nokuyandisa. Ngamanye amaxesha, ukuba le nxalenye yonakele ngenxa yolunye utyando, olu tyando lwenziwa ukuze lulungiswe.
Kukweziphi iimeko apho utyando lwe-pyloroplasty luyimfuneko?
Ukuba i-pylorus yakho ayisebenzi kakuhle, nto leyo ethetha ukuba ukuphuma kwesisu kuyalibaziseka, olu tyando lunokuba luncedo. I-Pyloroplasty ijongwa kakhulu kwezi meko zilandelayo:
1. Izilonda zesisu (Isifo sePeptic Ulcer)
Ezinye izilonda zesisu ezinzima zifuna utyando. Umzekelo, ukuba unezilonda ezihlala ziphuma igazi okanye ezingapholiyo ngamayeza, ugqirha wakho unokucebisa inkqubo ebizwa ngokuba yi-vagotomy ukunciphisa ukuveliswa kwe-asidi yesisu. Oku kubandakanya ukunqumla eminye yemithambo-luvo eya esiswini.
Kodwa kukho into encinci apha. Nangona olu tyando lwe-vagotomy lunciphisa i-asidi yesisu, imithambo-luvo enika i-pylorus uphawu lokuba ivuleke ize ivaleke nayo isenokungasebenzi. Emva koko isango alivuli. Yiyo loo nto, ukuba wenza utyando lwe-vagotomy, wenza notyando lwe-pyloroplasty ukuze isango livuleke ngokusisigxina kancinci.
Ukongeza, ngamanye amaxesha isilonda sinokudumba okanye izicubu ezibomvu zingenzeke, zivale ngokupheleleyo indlela edlula kwi-pylorus. Kwiimeko ezingxamisekileyo ezinjalo, olu tyando luyimfuneko.
2. I-Gastroparesis
Kulapho izihlunu zesisu, kuquka ne-pylorus, zingasebenzi kakuhle. Kufana nokuba izihlunu zesisu ziye zakhubazeka kancinci. Oku kubangela ukulibaziseka okukhulu ekugayweni kokutya kunye nokukhupha ukutya esiswini. Xa oku kuba nzima, kunokukhokelela kwisicaphucaphu esingapheliyo kunye nokuhlanza, okwenza kube nzima ukutya. Ukuba ezinye iindlela zonyango aziphumeleli, ugqirha wakho unokucebisa ukuba uvule i-pylorus ngotyando lwe-pyloroplasty.
3. I-Pyloric Stenosis
Le meko ixhaphake kakhulu kwiintsana ezisandul’ ukuzalwa . Kule meko, iindonga ze-pylorus yomntwana ziba nkulu, zinciphe kwaye zivalele indlela yokutya. Ngenxa yoko, umntwana akanakufumana ubisi aluseleyo kwaye uhlanza ngokuphindaphindiweyo. Kubantwana abanjalo, olu tyando luyimfuneko ukuba bafuna ukufaka ukutya emizimbeni yabo ngokufanelekileyo.
Lwenziwa njani olu tyando kwaye zeziphi iindlela?
Olu tyando lunokwenziwa ngeendlela ezimbini. Olunye lutyando oluvulekileyo, olubandakanya ukunqumla isisu. Olunye lutyando lwe-laparoscopic , olubandakanya ukwenza imingxunya embalwa emincinci esiswini kunye nokusebenzisa ikhamera kunye nezixhobo ezithambileyo. Nokuba yeyiphi na indlela, uza kufakwa phantsi kwe-anesthesia eqhelekileyo, ukuze ungaziva nto.
Kukho iindlela ezininzi eziphambili zokwenza utyando lwe-pyloroplasty. Ugqirha ukhetha eyona ndlela ifanelekileyo ngokusekelwe kwimeko yesigulana.
| Indlela Yotyando | Inkcazo elula |
|---|---|
| I-Heineke-Mikulicz Pyloroplasty | Le yeyona ndlela ixhaphakileyo. Ugqirha usika i-pylorus ngobude aze ayithunge nge-cross-way. Oku kwandisa indawo evulekileyo kwaye kukhulula izihlunu. |
| I-Pyloromyotomy (iRamstedt Pyloroplasty) | Le ndlela isetyenziswa ngakumbi kwiintsana ezisandul’ ukuzalwa. Apha, kuphela ziingqimba zemisipha yangaphandle ye-pylorus ezisikiweyo, nto leyo eshiya ulwelo oluthambileyo lwangaphakathi (mucosa). Oku kubangela ukuba ulwelo lwangaphakathi luvuvuke ngaphandle, nto leyo eyandisa indawo ngaphakathi. |
| Ukwanda kwePyloric | Le ayiyonkqubo yotyando. Ifana ne -endoscopy , apho kufakwa khona ityhubhu ngomlomo, kwaye i-pylorus ivuleka ngesixhobo esikhethekileyo. |
| I-Jaboulay/Finney Pyloroplasty | Ezi azixhaphakanga kakhulu. Zisetyenziswa xa kukho ukudumba okukhulu okanye amanxeba kwi-pylorus. Oku kuquka ukudlula i-pylorus nokudala unxibelelwano olutsha phakathi kwesisu kunye namathumbu amancinci (gastroduodenostomy) . |
Kwenzeka ntoni emva kotyando?
Emva kotyando, ukuba wenze utyando lwe-laparoscopic, unokukwazi ukuya ekhaya ngaloo mini inye. Ukuba wenze utyando oluvulekileyo, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa kuba inxeba likhulu. Awuyi kunikwa ukutya okuqinileyo kwiintsuku zokuqala ezimbalwa. Uya kunikwa ukutya okunesondlo ngetyhubhu efakwe empumlweni yakho okanye nge-saline efakwe emthanjeni.
Ziziphi iingxaki ezinokubakho xa utyando?
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile ezibandakanyekileyo, kodwa amathuba okuba oku kwenzeke aphantsi.
- Ukopha
- Iintsholongwane
- Ukugabha kwegazi
- Ukonakala kwamalungu omzimba angqongileyo
Ukongeza kwezi ngozi ziqhelekileyo, kukho iingxaki ezininzi ezichaphazela utyando lwe-pyloroplasty.
1. Isifo sokulahlwa kwenkunkuma
Le yeyona miphumo ixhaphakileyo emva kolu tyando. Yinto eyahlukileyo ngokupheleleyo kwingxaki ebangele ukuba wenze utyando. Oko kukuthi, ukutya okuvela esiswini kuhamba ngokukhawuleza kungena emathunjini amancinci. Oku kudla ngokuba yinto yexeshana.
Iimpawu ze-dumping syndrome zingavela ngamanqanaba amabini. Emva nje kokutya, unokufumana iintlungu zesisu, isicaphucaphu, kunye norhudo. Emva kweeyure ezimbalwa, amanqanaba eswekile egazini lakho ehla ngequbuliso, okubangela iimpawu ezinje ngobuthathaka, isiyezi, ukubila, kunye nokubetha kwentliziyo ngokukhawuleza.
Nangona oku kunokuba yinto ekhathazayo ekuqaleni, kunokulawulwa ngokutshintsha indlela yokutya kwaye, ukuba kuyimfuneko, amayeza anikwe ngugqirha wakho.
2. Ukubuyela kwesibindi esibuhlungu
Xa ivalvu ye-pyloric itshintshiwe, ayivaleki kakuhle, nto leyo evumela ukuba umxholo wamathumbu amancinci, ingakumbi i-bile , ubuyele esiswini. I-bile iyacaphukisa ulwelo lwesisu. Ukuba oku kuyaqhubeka, kunokubangela i-gastritis .
Inkqubo yokubuyisela kwimeko yesiqhelo kunye nempumelelo
Uninzi lwabantu, ingakumbi abo baye benza utyando lwe-laparoscopic, bayaphola ngokukhawuleza. Banokubuyela kwimisebenzi yabo yesiqhelo kunye nemikhwa yokutya kwiiveki ezimbalwa. Ukuba uneempawu ze-dumping syndrome, kufuneka uqaphele ukutya kwakho de ziphele (mhlawumbi iinyanga ezimbalwa).
I-Pyloroplasty lunyango olusebenzayo kakhulu lwe-gastroparesis kunye nokuvaleka kwesisu, kunye nezinga lempumelelo elifikelela kwi-90%.
Ekugqibeleni, ukuvaleka okuncinci kwi-pylorus kunokuphazamisa yonke inkqubo yakho yokugaya ukutya. Kukho unyango olungelulo utyando loku, kodwa ukuba olo tyando alusebenzi, utyando lunokuba sisisombululo esihle nesikhuselekileyo.
Umyalezo Wokuya Ekhaya
- I-Pyloroplasty yinkqubo yotyando eyandisa ukuvulwa kwesisu (pylorus), ivumela ukutya ukuba kudlule ngokulula emathunjini amancinci ngaphandle kokubhajwa.
- Olu tyando lwenziwa ikakhulu kwiimeko zezilonda zesisu ezinzima, i-gastroparesis, kunye ne-pyloric stenosis kwiintsana ezisandul’ ukuzalwa.
- Oku kungenziwa njengotyando oluvulekileyo okanye utyando lwe-laparoscopic (keyhole). Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.
- Isiphumo esiqhelekileyo emva kotyando yi-dumping syndrome, apho ukutya kushiya isisu ngokukhawuleza. Nangona kunjalo, oku kudla ngokuba yinto yexeshana kwaye kunokulawulwa ngokutshintsha indlela otya ngayo.
- Ngaphambi kokuba kwenziwe naluphi na utyando, kubaluleke kakhulu ukuxoxa ngazo zonke izinto ezilungileyo nezingalunganga nogqirha wakho uze wenze isigqibo.
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