Ngaba nawe unengxaki yokuba nesitshiso sentliziyo rhoqo kunye nokutya okuphuma emqaleni wakho? Nangona sibiza oku ngokuba yi-gastritis, ngamanye amaxesha oku kunokuba yimeko enzima ngakumbi. Ukuba ingxaki iyaphela emva kokuthatha amayeza iintsuku ezimbalwa, kodwa iphinde ivele, ungazibuza ukuba akukho sisombululo sisisigxina na koku. Kubantu abanjalo apho indlela yonyango yanamhlanje ebizwa ngokuba yi-TIF esithetha ngayo namhlanje ibaluleke khona.
Kalula nje, yintoni le TIF?
I-TIF sisifinyezo segama elithi "Transoral Incissionless Fundoplication." Makhe siwahlukanise la magama ukuze siqonde oku.
- I-Transoral: Oku kuthetha "ngomlomo." Oku kuthetha ukuba unyango lwenziwa ngokufaka izixhobo ngomlomo wakho.
- Ukungasebenzisi mingxunya: Oku kuthetha ukuba "akukho mingxunya." Ewe, uvile kakuhle! Olu nyango alubandakanyi mingxunya esiswini sakho. Ngoko ke akukho mfuneko yokukhathazeka ngotyando olukhulu.
- Ukufakelwa kwe-Fundoplication: Yile nto yenziwayo ngokwenene. Ibandakanya ukuthatha inxalenye ephezulu yesisu sakho (ebizwa ngokuba yi-'fundus') uze uyisonge kwinxalenye esezantsi yomqala wakho, uyiqinise kancinci.
Ngamafutshane, i-TIF yinkqubo engangenisi ntsholongwane esebenzisa ikhamera (i-endoscope) efakwe ngomlomo ukuqinisa ivalvu ephakathi kwenxalenye ephezulu yesisu sakho kunye nomqala wakho.
Unyango lwe-TIF luyiphucula njani i-GERD?
Ukuze siqonde oku, masiqale sijonge isizathu sokuba sifumane isitshiso sentliziyo. Apho i-esophagus (umbhobho wokutya) wethu udibana khona nesisu sethu, kukho isandi semisipha esisebenza njengevalvu. Xa siginya, siyavuleka size sivumele ukutya kudlulele esiswini, size sivale kwakhona. Oku kuthintela i-asidi yesisu esinobuthi ukuba ingabuyeli kwi-esophagus.
Kodwa, ukuba une -GERD (Gastroesophageal Reflux Disease) , yiloo nto sithetha ngayo, izihlunu ezisebenza njengevalvu zibuthathaka. Ngoko ke i-asidi yesisu iphuma lula. Yile nto uziva ngathi iyatsha, incasa ekrakra emqaleni wakho.
Abanye abantu banokuba nesifo esibizwa ngokuba yi-hiatal hernia . Oku kwenzeka xa inxalenye ephezulu yesisu ityhala umngxuma omncinci kwi-diaphragm, udonga olukhulu olwahlula isifuba nesisu sethu. Unyango lwe-TIF lunokuqinisa le valve ibuthathaka kwaye lunokulungisa ii-hiatal hernias ezincinci.
Ngubani olu nyango lwe-TIF olufaneleke kakhulu kuye?
I-TIF ayilungelanga wonke umntu. Ilungele ngokukodwa:
- Kwabo bane-GERD ephakathi ukuya kweqatha okanye i-hernia encinci yokuzala.
- Kwabo boyikayo, okanye abangakwaziyo ukwenza utyando olukhulu.
- Kwabo bafuna ukuphepha ukuthatha amayeza e-gastritis ubomi babo bonke.
Olona nyango luqhelekileyo lweGERD luhlobo lwamayeza abizwa ngokuba yi -proton pump inhibitors (PPIs) . Nangona kunjalo, abanye abantu basenokungakwazi ukunyamezela la mayeza ngokuhamba kwexesha. Abanye basenokungafuni ukuwasebenzisa ixesha elide. Kwabo bantu, i-TIF yindlela elungileyo phakathi kotyando kunye namayeza exesha elide.
Yintoni ekufuneka yenziwe ngaphambi konyango lwe-TIF?
Ukuba unomdla kolu nyango, kufuneka uqale uthethe nogqirha wakho ngalo . Ingcali yezifo zamathumbu okanye ugqirha oqhelekileyo angenza oku. Uza kukuhlola aze agqibe ukuba oku kulungile na kuwe. Kuya kufuneka wenze uvavanyo oluthile.
| Uvavanyo olunokwenzeka | Kalula nje, kwenzeka ntoni? |
|---|---|
| I-Esophagram | Ngelixa uginya ulwelo, umsebenzi womqala ujongwa ngevidiyo ye-X-ray (`fluoroscopy`). |
| I-Endoscopy Ephezulu | Ikhamera ifakwa ngomlomo kwaye imeko engaphakathi kwesisu ibonwa ngokuthe ngqo. |
| Uvavanyo lwe-pH ye-Esophageal | Ngexesha le-endoscopy, kufakwa i-sensor encinci kwi-esophagus yakho kwaye ilinganisa ubungakanani be-asidi engena kwi-esophagus yakho imini yonke. |
| I-manometry ye-Esophageal | Uxinzelelo kunye nomsebenzi wezihlunu ezikwi-esophagus zilinganiswa kusetyenziswa ityhubhu encinci (ityhubhu ye-nasogastric) efakwe ngempumlo. |
Kodwa khumbula, ukuba une-hernia enkulu yokuzala, ubunzima bokuginya, i-esophagitis ekhuhlayo kakhulu, okanye imeko apho ulwelo lwe-esophagus yakho lutshintshile ngokusisigxina (i-Barrett's esophagus), unyango lwe-TIF lusenokungakulungeli.
Kwenzeka ntoni ngexesha lonyango?
Olu nyango lwenziwa phantsi kwe-anesthesia eqhelekileyo, oko kuthetha ukuba ulele ngokupheleleyo. Ngoko awuva nto.
Ugqirha ufaka i-endoscope, ikhamera, kunye nesixhobo se-TIF ngomlomo wakho. Ngelixa ejonge imifanekiso ekwisikrini, ugqirha usonga ngononophelo inxalenye ephezulu yesisu ejikeleze umphimbo aze asebenzise iziqwenga ezincinci okanye izitishi ('izibophelelo') ukuze ayibambe endaweni yayo. Oku kufana nokuqinisa indawo ebuthathaka, njengekhola yehempe.
Lonke olu nyango luthatha malunga nemizuzu engama-45 ukuya kwengama-60 . Emva konyango, uya kubekwa esweni kwaye ngokuqhelekileyo uvunyelwe ukuba uye ekhaya ngaloo mini inye, okanye ungacelwa ukuba ulale esibhedlele ubusuku bonke.
Emva konyango... iintlungu kunye nexesha lokuchacha
Xa uvuka, uza kunikwa amayeza entlungu ngesisombululo setyuwa. Uninzi lwabantu lunentlungu encinci ehlala usuku olunye okanye ezimbini. Umphimbo obuhlungu kunye nentlungu encinci esifubeni ziqhelekile.
Ngokuphathelele ixesha lokuchacha, ungaqhubeka nemisebenzi eqhelekileyo kwiintsuku ezimbalwa. Nangona kunjalo, kuya kuthatha malunga neeveki ezimbini ukuya kwezintandathu ukuba ingaphakathi lomqala liphole ngokupheleleyo. Ngeli xesha, kuya kufuneka utshintshe indlela otya ngayo.
- Kwimihla yokuqala: ulwelo olucacileyo (umz. amanzi esuphu, ijusi yeorenji)
- Okulandelayo: Ulwelo oluqinileyo kunye nokutya okucoliweyo
- Emva kweeveki ezimbalwa: Ungaqhela ukutya okuqhelekileyo.
Ngeli xesha, kubaluleke kakhulu ukuphepha izinto ezifana nokuphakamisa izinto ezisindayo kunye nokuzilolonga okunzima kangangenyanga .
Ngaba kukho naziphi na iingozi koku?
Njengakweminye inkqubo yezonyango, ii-TIF zinokuba neengozi ezincinci kakhulu. Nangona kunjalo, amathuba okuba ezi zinto zenzeke aphantsi kakhulu.
| Iingxaki ezinokwenzeka (ezinqabileyo kakhulu) | |
|---|---|
| Ukonakala kwi-esophagus okanye esiswini | Ukopha okanye ukugqobhoka. |
| Iintsholongwane | Iimeko ezinje ngezifo zesifuba (i-mediastinitis). |
| Ukubuya kweempawu | Ukuba iimpawu ziyaphinda zibuye ngokuhamba kwexesha, kunokufuneka utshintshele kwenye indlela yonyango. |
Yintoni umahluko phakathi kwe-TIF kunye notyando lwesintu (iNissen Fundoplication)?
Utyando oluqhelekileyo lweGERD lubizwa ngokuba yiNissen fundoplication . Umahluko omkhulu kukuba ugqirha ufikelela esiswini ngokusikwa esiswini. Ngamanye amaxesha, kwenziwa nge-laparoscopically, ngokusebenzisa imicu emincinci emininzi.
Omnye umahluko kukuba inkqubo yeNissen isonga isisu ngokuqinileyo kwi-esophagus. Oku kuyenza isebenze kakhulu kwi-GERD enzima. Nangona kunjalo, kwabanye abantu, oku kuqina kunokubangela iziphumo ebezingalindelekanga ezifana nobunzima bokuginya kunye nobunzima bokukhupha umoya (ukubhoboza) .
Iziphumo ebezingalindelekanga ezihlala ixesha elide ezinje ngezi azixhaphakanga kakhulu xa kunyangwa i-TIF. Inika isisombululo esiphakathi kwingxaki ephakathi. Ke ngoko, inokubonelela ngesisombululo esifanelekileyo kwingxaki ngaphandle kweengozi kunye nexesha elide lokubuyela esimeni emva kotyando.
Unyango lwe-TIF luselutsha, kodwa iziphumo zokuqala zibonisa izinga lempumelelo elimalunga nama-80% emva kweminyaka emi-5. Impumelelo ithetha ukuba izigulane zifikelele ekuphumleni kwexesha elide kwaye zikwazile ukunciphisa okanye ukuyeka ngokupheleleyo ukusebenzisa amayeza.
Umyalezo Wokuya Ekhaya
- I-TIF lunyango lwanamhlanje, olungangenisi ntsholongwane kwi-GERD engapheliyo kunye ne-hernias encinci ye-hiatal.
- Oku kwenziwa ngoncedo lwekhamera efakwe emlonyeni. Ngoko ke, akukho mngcipheko okanye intlungu enxulumene notyando olukhulu.
- Olu khetho lulungile kubantu abane-GERD ephakathi abangafuniyo ukuthatha amayeza ubomi babo bonke okanye ukwenza utyando olukhulu.
- Ngaphambi kokuba ufumane unyango, qiniseka ukuba uthetha nogqirha wakho ukuze ubone ukuba oku kulungile na kuwe.
- Ixesha lokuchacha lifutshane, kodwa kubalulekile ukulandela imiyalelo kagqirha wakho kwaye uphumle ude uphile ngokupheleleyo.
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