Usenokucinga ukuba abanye abantu banezilonda zesisu, oko kukuthi, izilonda zesisu, kwaye nokuba bathatha luphi na unyango okanye balawula kangakanani ukutya kwabo, alusoze luphole. Kukho abantu abajongene neemeko ezinzima kangaka ezibangela iintlungu eziqhubekayo, ukopha, kwaye ngamanye amaxesha nokugqobhoka kwesisu. Kubantu abanjalo, xa zonke ezinye iindlela zonyango zingaphumelelanga, sithetha namhlanje ngotyando olukhethekileyo olucetyiswa ngoogqirha. Lubizwa ngokuba yi-vagotomy.
Ngamafutshane, yintoni i-vagotomy?
Cinga ngale ndlela: i-Vagus nerve ifana nomgca ophambili wefowuni phakathi kwengqondo yethu kunye nenkqubo yokugaya ukutya, kuquka namathumbu. Le nerve yiyo ethumela umyalezo esiswini sethu ukuze "sikhuphe i-asidi ngoku." Nangona le asidi iyimfuneko xa sisitya, ngamanye amaxesha ukwanda kwale asidi yeyona nto ibangela izilonda zesisu.
Utyando lweVagotomy kukunqunyulwa ngabom kwenxalenye yomnxeba wefowuni, i-vagus nerve, ethumela imiqondiso esiswini ukuze yenze i-asidi, ngaloo ndlela iyeke loo mqondiso. Oku kunciphisa kakhulu ukuveliswa kwe-asidi yesisu. Olu lunyango oluqatha kodwa olusebenzayo kakhulu kubantu abaneentlobo ezinzima zesifo sesilonda se-peptic.
Kwenzeka ntoni xa umthambo we-vagus unqunyulwe? - Kukho iintlobo ezimbini eziphambili
Umthambo we-vagus ufana nomthi. Unesiqu esiphambili, apho amasebe ahlukeneyo aphuma khona. Isiphumo sotyando siyahluka ngokuxhomekeke kwindawo apho lo mthambo unqunyulwe khona. Kukho iintlobo ezimbini eziphambili.
| Uhlobo lotyando | Kwenzeka ntoni kunye nempembelelo |
|---|---|
| I-Truncal Vagotomy | Oku kuquka ukunqunyulwa "komzimba oyintloko" we-vagus nerve. Oku kunciphisa ukuveliswa kwe-asidi yesisu, kodwa kunokuchaphazela nokusebenza kwamanye amalungu afumana imiqondiso evela kulo mthambo, njengesibindi, i-gallbladder, i-pancreas, kunye namathumbu. Oku kunokubangela iingxaki zokugaya ukutya. |
| I-Vagotomy Ekhethwayo Kakhulu | Le yindlela ethile. Apha, wonke umboko wemithambo-luvo awunqunyulwa. Kukhethwa kuphela amasebe emithambo-luvo amancinci kakhulu athwala imiqondiso kwiiseli ezivelisa i-asidi (iiseli ze-parietal) esiswini aze anqunyulwe. Oku akuchaphazeli amanye amalungu omzimba. Nangona kunjalo, olu lutyando olunzima ukuba ugqirha alwenze kwaye lufuna ulwazi oluthe kratya lobuchwephesha. |
Kuxa kutheni apho olu tyando lucetyiswa khona?
Uninzi lwezilonda zesisu zinokunyangwa ngamayeza. Nangona kunjalo, kwiimeko ezinzima nezinzima, ezifana nezi zilandelayo, olu tyando lunokucetyiswa ukuthintela ukuba izilonda zingaphindi zibuye:
- Izilonda Zokopha: Ukuba ezinye iindlela azikwazi ukulawula ukopha, kunokufuneka utyando ukuze kunyangwe isilonda.
- Izilonda Ezinezimbobo: Ukuba isilonda sibangela umngxuma eludongeni lwesisu, kufuneka sivalwe ngotyando olungxamisekileyo. Kungenjalo, iintsholongwane zingangena esiswini zibangele usulelo olukhulu. Kwimeko enjalo, kufuneka usiwe kwi -ETU (iYunithi yoNyango oluNgxamisekileyo) ngoko nangoko.
- Ukuvaleka kwesisu: Izicwili ezibangelwa kukwenzakala ixesha elide zinokuthintela indlela yokutya esuka esiswini iye emathunjini amancinci. Kwimeko enjalo, izicwili ezisicwili kufuneka zisuswe ngotyando.
Okubalulekileyo kukuba, i-vagotomy ayisoloko yenziwa yodwa. Idla ngokwenziwa kunye nolunye utyando ukulungisa enye yeengxaki ezikhankanyiweyo apha ngasentla.
Ezinye iinkqubo zotyando ezenziwa ngaxeshanye ne-vagotomy
1. Ngokususa isisu: Oku kuquka ukususa inxalenye yesisu. Oku kwenziwa ukuba kukho amanxeba anzima okanye ukuba kukho ukurhaneleka kokuba izilonda zinokuba ngumhlaza. Xa kususwa inxalenye esezantsi yesisu, ukuveliswa kwe-gastrin, i-hormone enceda ekwenzeni i-asidi, nako kuyancitshiswa. Kodwa ekubeni oko kukodwa kunganele, kwenziwa i-vagotomy ngaxeshanye ukuthintela ukuba izilonda zingaphindi zibuye.
2. NgePyloroplasty: Ukuba wenza iTruncal Vagotomy, oko kuthetha ukusika umboko wemithambo-luvo oyintloko, ngokuqinisekileyo kuya kufuneka wenze olu tyando lwepyloroplasty. Kuba, xa umthambo wevagus usikiwe, uphawu oluxelela ipylorus ukuba ivuleke kwaye ivale luyalahleka. Emva koko ukutya kuyabambeka. Utyando lwePyloroplasty lwenziwa ukuze kugcinwe loo sango livulekile, ukuze ukutya kudlule lula.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Ngokuxhomekeke kwimeko yakho, unyango oluthile lunokunikwa ngaphambi kotyando ukuze kukuncede ubuyisele impilo yakho. Umzekelo, ulwelo lwe-IV lunokunikwa ukuba uphelelwe ngamanzi emzimbeni ngenxa yokuhlanza, okanye utofelo-gazi lunokunikwa ukuba unesilonda esophayo. Ii-antibiotics zinikwa ngaphambi kotyando. Olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo.
Olu tyando lungenziwa njengotyando oluvulekileyo , olubandakanya ukusika isisu, okanye utyando lwe-laparoscopic , olubandakanya ukufaka ikhamera kunye nezixhobo ngokusebenzisa imingxunya emincinci emininzi. Oku kuya kugqitywa ngugqirha wakho.
Kwenzeka ntoni emva kotyando? Iingenelo kunye neengozi
Eyona nzuzo iphambili yolu tyando kukuba lunokukuthintela ngokupheleleyo ukuphinda kuvele amanxeba anzima ebekade ehlushwa ixesha elide kwaye engapholiswanga ngamayeza.
Nangona kunjalo, njengalo naluphi na utyando, olu lunemingcipheko kunye nemiphumo emibi .
| Uhlobo lomngcipheko/isiphumo esibi | Inkcazo |
|---|---|
| Iingozi ngexesha lotyando | Ukonakala kwamalungu angqongileyo, imithambo yegazi, okanye imithambo-luvo, usulelo, ukopha, amahlwili egazi. |
| Urhudo | Le yimeko eqhelekileyo, ingakumbi emva kotyando lwe-truncal vagotomy. Ibangelwa kukungasebenzi kakuhle kwe-gallbladder. Idla ngokuba yeyokwexeshana. |
| Isifo sokulahlwa kwenkunkuma | Oku kungenxa yotyando lwe-pyloroplasty. Ukutya kungena ngokukhawuleza emathunjini kungahlali esiswini, nto leyo enokubangela isicaphucaphu, ukungonwabi esiswini, kunye norhudo. Oku kunokulawulwa ngokutshintsha indlela otya ngayo. |
| Amatye enyongo | Emva kotyando lwe-truncal vagotomy, ukungasebenzi kakuhle kwe-gallbladder kunokukhokelela ekuqokeleleni kwe-bile kunye nokwakheka kwamatye. |
Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa emva kotyando. Kungathatha iiveki ezimbalwa ngaphambi kokuba utye ngendlela eqhelekileyo. Uza kuqala ngokutya okumanzi uze kancinci kancinci uye ekutyeni okuqinileyo.
Umyalezo Wokuya Ekhaya
- Utyando lweVagotomy lutyando oluqhutywa njengesisombululo sokugqibela kwizilonda zesisu ezinzima (izilonda zesisu) ezinganyangwa ngamayeza.
- Injongo ephambili kukunciphisa ukuveliswa kwe-asidi ngokunqamla imiqondiso yemithambo-luvo evelisa i-asidi esiswini.
- Kukho iintlobo ezimbini eziphambili zolu tyando (olufutshane nolukhetha kakhulu), kwaye iziphumo zazo ezingalindelekanga kunye neziphumo zahlukile.
- Oku kudla ngokwenziwa kunye nezinye iindlela zotyando (i-gastrectomy, i-pyloroplasty) ukunyanga iingxaki zesilonda.
- Ukuba wena okanye umntu omaziyo ucetyisiwe olu hlobo lotyando, qiniseka ukuba uthetha nogqirha wakho malunga neenzuzo, iingozi, kunye nemiphumo emibi kwaye ubuze yonke imibuzo yakho.
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