Ngaba unengxaki ye -gastritis engapholiyo ixesha elide, oko kukuthi, izilonda zesisu (i-Peptic Ulcer Disease)? Kwanasemva kokuthatha amayeza, ngamanye amaxesha ezi zilonda ziyaqhubeka zingapheli. Kwiimeko ezinzima kangaka, namhlanje siza kuthetha ngotyando olukhethekileyo olucetyiswa ngoogqirha. Oku kubizwa ngokuba yiVagotomy. Usenokuba awuzange uve ngeli gama. Kodwa le yindlela yonyango ebaluleke kakhulu. Makhe sibone ukuba yintoni ngokulula.
Ngamafutshane, yintoni iVagotomy?
Khawucinge ukuba kukho 'intambo yefowuni' ekhethekileyo ephethe ulwazi phakathi kwengqondo yakho kunye nenkqubo yokugaya ukutya esiswini sakho. Kwizonyango, oku sikubiza ngokuba yiVagus Nerve. Le nerve yiyo enika isisu sakho uphawu "lokukhupha iasidi ngoku." Xa sisitya, yiVagus nerve ethumela umyalezo ovela engqondweni ukuvelisa iasidi efunekayo ukuze kugaywe ukutya.
Ngoku, izisu zabanye abantu zivelisa iasidi eninzi kakhulu. Oku kungonakalisa ulwelo lwesisu kwaye kubangele izilonda ezingapholiyo . I-vagotomy ibandakanya ukusika inxalenye ye-vagus nerve ethumela imiyalezo esuka engqondweni iye esiswini ukuze ivelise iasidi. Kanye njengokuba ukusika ucingo lwefowuni kuyimisa umyalezo, ukusika le nerve kunciphisa isignali eya esiswini ukuze ivelise iasidi. Oku kunceda ukulawula ukuveliswa kwe-asidi yesisu , kunceda ukuphilisa izilonda kunye nokuthintela ukwakheka kwezitsha.
Oku akuyonto eyenziwayo kwimeko eqhelekileyo ye-gastritis. Yindlela yokugqibela yokuthintela izilonda zesisu ezinzima nezintsonkothileyo ezingenakunyangeka ngamayeza.
Ziziphi iintlobo eziphambili zotyando lwe-vagotomy?
Umthambo we-vagus ufana nesiqu somthi esiqalayo size siphume amasebe. Utyando lwe-Vagotomy lunokwahlulwa lube ziintlobo ezimbini eziphambili kuxhomekeke ekubeni lo mthambo usikwe phi. Iziphumo zale mibini zahlukile kancinci.
| Uhlobo lotyando | Ingcaciso elula |
|---|---|
| I-Truncal Vagotomy | Oku kuquka ukunqumla isiqu esiphambili se-vagus nerve. Oku kufana nokunqumla isiqu esiphambili somthi. Oku akuchaphazeli isisu kuphela, kodwa nemiqondiso esiya kwisibindi, inyongo, i-pancreas, kunye namathumbu. Nangona oku kunciphisa kakhulu i-asidi, kunokuchaphazela nezinye iindawo zenkqubo yokugaya ukutya (iziphumo ebezingalindelekanga). |
| I-Vagotomy Ekhethwayo Kakhulu | Kule nto, akukho nto yenziwayo kwisiqu semithambo-luvo esiphambili. Endaweni yoko, kuphela amasebe amancinci kakhulu emithambo-luvo athwala imiqondiso kwiiseli ezivelisa iasidi (iiseli zeparietal) esiswini anqunyulwa aze asuswe ngokukhetha. Oku kufana nokunqumla isebe elinye lomthi ngaphandle kokonakalisa isiqu. Oku kubangela iziphumo ezimbalwa kakhulu. Nangona kunjalo, olu lutyando olunzima ukuba ugqirha alwenze kwaye lufuna ubuchule obungakumbi. |
Ngoko ke olu tyando lwenziwa phantsi kwaziphi iimeko?
Ngokwesiqhelo, izilonda zesisu zinokunyangwa ngamayeza. Nangona kunjalo, kukho iimeko ezinzima kakhulu. Kulapho kufuneka ucinge ngotyando lwe-vagotomy.
- Izilonda Zokopha: Ukuba isilonda esiswini siyaqhubeka nokopha kwaye asinakulawulwa ngeendlela ezifana ne-endoscopy, kunokufuneka utyando ukulungisa isilonda. Kunokwenziwa i-vagotomy ukuthintela ukwenzeka kwesilonda.
- Izilonda Ezinezimbobo: Le yimeko engxamisekileyo. Ukuba isilonda sinzulu ngokwaneleyo ukuba sibangele umngxuma eludongeni, i-asidi yesisu kunye nokutya kunokuvuza kwisisu, okubangela usulelo olukhulu. Kwimeko ezinjalo, kufuneka utyando ukuze kuvalwe umngxuma ngokukhawuleza. Kunokwenziwa i-vagotomy. Kwimeko ezinjalo, uya kungeniswa kwiSebe leNgxamiseko (ETU) ngoko nangoko.
- Ukuvaleka kwesisu: Izicwili ezibangelwa kukwenzakala ixesha elide zinokuthintela indlela yokutya esuka esiswini iye emathunjini amancinci. Oku kunokubangela ukuba ukutya kubambeke esiswini kwaye kubangele ukuhlanza . Kunokwenziwa i-vagotomy ngexesha lotyando ukuze kususwe olu thintelo.
Olunye utyando olwenziwe kunye ne-vagotomy
Utyando lweVagotomy alusoloko lulodwa. Lwenziwa kunye nezinye iindlela zotyando ukulungisa iingxaki ezibangelwa kukwenzakala.
1. Utyando lweVagotomy oluneGastrectomy
Kwezinye iimeko ezinzima, icandelo lesisu linokufuneka lisuswe. Oku kubizwa ngokuba yi-gastrectomy. Ngokuqhelekileyo, icandelo elisezantsi lesisu liyasuswa. Le nxalenye ivelisa ihomoni ebizwa ngokuba yi-gastrin. Le homoni ikwanceda ekuveliseni i-asidi. Ngoko ke xa kususwa icandelo lesisu, kwenziwa i-vagotomy ukuthintela ukwenzakala kwakhona.
2. Utyando lweVagotomy ngePyloroplasty
Ukuba senza utyando lweTruncal Vagotomy esithethe ngalo ngaphambili, ngokuqinisekileyo kufuneka senze olu tyando lwepyloroplasty ngaxeshanye. Ekupheleni kwesisu, kukho inxalenye efana nevalvu yemisipha ebizwa ngokuba yipylorus. Oku kufana nesango elivulekayo nelivalwayo ukuvumela ukutya kudlulele emathunjini amancinci. Xa isiqu esiphambili se-vagus nerve sinqunyulwa kwi-truncal vagotomy, imiqondiso evula nevala eli sango iyalahleka. Emva koko ukutya kunamathela esiswini. Utyando lwePyloroplasty lwenziwa ukuze kulungiswe elo sango ukuze lihlale livulekile. Emva koko ukutya kudlula ngokulula emathunjini amancinci.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Ngaphambi kotyando, uza kunikwa unyango olufunekayo ukuze impilo yakho ihlale ikwimeko entle. Umzekelo, uza kunikwa ityuwa ukuba uphelelwe ngamanzi emzimbeni ngenxa yokuhlanza, okanye igazi ukuba ulahlekelwe ligazi ngenxa yokopha. Uza kunikwa nee-antibiotics ukuthintela usulelo kunye namayeza okuthintela ukuqhekeka kwegazi . Olu tyando lwenziwa phantsi kwe -anesthesia , oko kuthetha ukuba uza kube ulele ngokupheleleyo.
Kukho iindlela ezimbini zokwenza utyando:
- Utyando Oluvulekileyo: Indlela yendabuko, eyenziwa ngokusikwa okukhulu esiswini.
- Utyando lweLaparoscopic: Olu lwaziwa ngokuba 'lutyando lwe-keyhole'. Luyinkqubo equka ukwenza imingxunya embalwa esiswini kunye nokufaka ikhamera kunye nezixhobo ezithambileyo. Oku kubangela ukuba kungapheli ixesha lokuphola kunye namanxeba amancinci.
Ugqirha wotyando uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.
Kwenzeka ntoni emva kotyando? Iingozi ezinokubakho kunye nemiphumo emibi
Ngokuxhomekeke kuhlobo lotyando, kunokufuneka uhlale esibhedlele iintsuku ezimbalwa. Uza kuthunyelwa ekhaya xa sele ukwazi ukuhamba kwaye usebenze ngokuzimela kwakhona. Kungathatha iiveki ezininzi ukuba uphile ngokupheleleyo. Uza kuqala ngokutya okumanzi uze uqhelane nokutya okuqhelekileyo kancinci kancinci.
Njengalo naluphi na utyando, olu luneengozi ezithile.
| Iingozi kunye nemiphumo emibi | Inkcazo |
|---|---|
| Iingozi ngexesha lotyando | Ukonakala kwamalungu angqongileyo, imithambo yegazi, okanye imithambo-luvo, usulelo, ukopha kakhulu, amahlwili egazi, njl. |
| Urhudo | Esi sisiphumo esiqhelekileyo, ingakumbi emva kotyando lwe-truncal vagotomy. Le meko yenzeka xa inyongo ivuza ngequbuliso emathunjini ngenxa yokuncipha kwemiqondiso yemithambo-luvo eya kwi-gallbladder. Oku kudla ngokuba yinto yexeshana. |
| Isifo sokulahlwa kwenkunkuma | Oku kubangelwa lutyando lwe-pyloroplasty. Njengoko ukutya kuhamba ngokukhawuleza ukusuka esiswini ukuya emathunjini, isicaphucaphu, ukungakhululeki esiswini, kunye norhudo kunokwenzeka kwangoko emva kokutya. Ngamanye amaxesha, emva kweeyure ezimbalwa, amanqanaba eswekile egazini anokwehla ngequbuliso kwaye ungaziva utyhafile. Oku kunokulawulwa ngokutshintsha indlela otya ngayo. |
| Amatye enyongo | Emva kotyando lwe-truncal vagotomy, i-bile inokuqokelelana ize yenze amatye ngenxa yokungasebenzi kakuhle kwe-gallbladder. |
Ezi ziphumo ebezingalindelekanga azifumaneki kuye wonke umntu. Kwaye ugqirha wakho uza kukunika amayeza kunye neengcebiso zokulawula uninzi lwazo. Okubaluleke kakhulu, inzuzo ephambili yolu tyando kukukwazi ukuphilisa ngokupheleleyo izilonda zesisu ebezihlala ixesha elide, ezingapholiswanga.
Umyalezo Wokuya Ekhaya
- I-Vagotomy lutyando olukhethekileyo olwenziwa kwizilonda zesisu ezinzima nezintsonkothileyo (i-Peptic Ulcers) ezingenakunyangeka ngamayeza.
- Apha, inxalenye efanelekileyo yeVagus Nerve, ethwala imiqondiso esuka ebuchotsheni iye esiswini ukuze ivelise iasidi, iyasikwa ize isuswe.
- Kukho iintlobo ezimbini eziphambili zolu tyando: iTruncal Vagotomy kunye neHighly Selective Vagotomy.
- Oku kudla ngokwenziwa kunye nolunye utyando, olufana ne-gastrectomy okanye i-pyloroplasty.
- Iziphumo ebezingalindelekanga ezifana norhudo kunye ne-dumping syndrome zinokwenzeka emva kotyando, kodwa uninzi lwazo zinokulawulwa.
- Ukuba olu tyando lukulungele na kufuneka kugqitywe emva kokuhlolwa ngokucokisekileyo imeko yakho yempilo kunye nokubonisana nogqirha wakho oqeqeshiweyo.
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