Isisu singesinye sezitho ezibaluleke kakhulu emzimbeni wethu esigcina ukudla okudlayo bese siqala ukukugaya. Kodwa ngezinye izikhathi, ikakhulukazi uma kuvela isimo esibi njengomdlavuza wesisu, lesi sisu ngokwaso singalimaza umzimba wethu. Yilapho odokotela benquma ukususa ingxenye noma sonke isisu ngokuhlinzwa. Lokhu yilokho esikubiza ngokuthi `(i-Gastrectomy)`. Nakuba lokhu kuwukuhlinzwa okukhulu, ubuwazi ukuthi ungaphila kahle ngaphandle kwesisu? Ake sixoxe ngalokhu ngokuningiliziwe.
Kuyini ngempela ukuhlinzwa kwesisu?
Kalula nje, i-gastrectomy inqubo yokuhlinzwa esusa ingxenye noma sonke isisu sakho. Isisu sigcina ukudla esikudlayo isikhashana, bese sikuthumela emathunjini amancane lapho kungagaywa khona futhi kumuncwe khona.
Kunezinhlobo ezimbili eziyinhloko zalokhu kuhlinzwa:
- Ukususwa kwesisu okuphelele: Lokhu kuhilela ukususa isisu sakho sonke.
- Ukususwa Kwesisu Okungaphelele: Kulokhu, kususwa ingxenye yesisu kuphela. Lokhu kuhlinzwa kunamagama ahlukene kuye ngokuthi inani elisusiwe lingakanani. Isibonelo, ku-"Subtotal Gastrectomy"`, cishe u-80% wesisu uyasuswa. Futhi, ukuhlinzwa kwe-"Gastric Sleeve", okwenziwa njengokwelashwa kokukhuluphala, nakho kuwuhlobo lokususwa kwesisu okungaphelele.
Kungani wenza lolu hlobo lokuhlinzwa?
Lokhu kuhlinzwa kuvame ukwenziwa njengokwelashwa komdlavuza wesisu. Kungasiza ekwelapheni umdlavuza noma ukuwuvimba ukuthi ungasabalali. Kungasetshenziswa futhi ukulawula izimpawu ezifana nobuhlungu nokopha lapho umdlavuza ungelapheki.
Ukuhlinzwa kwesisu kusetshenziselwa ezinye izimo eziningana ngaphandle komdlavuza. Ngokuvamile kwenziwa njengesixazululo sokugcina lapho imithi kanye nokushintsha kwendlela yokuphila kungasizanga.
| Isimo sezokwelapha | Incazelo |
|---|---|
| Amathumba Angewona Awemvelo | Ukususa izimila ezibangela izimpawu noma ezingase zibe umdlavuza kamuva. |
| I-Gastritis | Uma unesisu esivuvukele kakhulu noma izilonda ezingenakukwazi ukulashwa ngemithi. |
| Isifo Sezilonda Zesisu | Uma unezilonda ezilimaza izindonga zesisu futhi ezingapholi. |
| Ukukhuluphala ngokweqile | Njengokuhlinzwa kokwehlisa isisindo (i-Bariatric Surgery) ukulawula amazinga angenampilo okukhuluphala. |
| Ukulimala kwesisu | Uma ingozi ibangele umonakalo ongenakulungiseka ezicutshini zesisu. |
| Ingozi yomdlavuza wefa | Lokhu kuhlinzwa kwenziwa futhi ukuvimbela ingozi ephezulu yokuba nomdlavuza wesisu uma kwenzeka ushintsho ku-CDH1 gene oluzuzwe njengefa. |
Ungazilungiselela kanjani ngaphambi kokuhlinzwa?
Njengoba lokhu kuwukuhlinzwa okukhulu, kubaluleke kakhulu ukukulungiselela kahle.
- Khuluma nodokotela wakho: Tshela udokotela wakho ngomlando wakho wezokwelapha ophelele, yonke imithi, amavithamini, kanye nemithi ye-Ayurvedic oyithathayo. Ungakhohlwa ukumtshela nganoma yikuphi ukungezwani komzimba okungenzeka ukuthi unakho.
- Yiba nempilo enhle: Kubalulekile ukuba nempilo enhle ngangokunokwenzeka ngaphambi kokuhlinzwa. Lungisa ukudla kwakho kanye nesimiso sakho sokuzivocavoca ngokwemiyalelo kadokotela wakho.
- Gwema ukubhema: Uma ubhema, kufanele uyeke ukubhema ngokuphelele amasonto ambalwa ngaphambi kokuhlinzwa. Lokhu kuzothuthukisa kakhulu imiphumela yokuhlinzwa.
- Lungisa imithi yakho: Kungase kudingeke uyeke okwesikhashana ukuthatha imithi efana nemithi yokunciphisa igazi, imithi yokunciphisa izinhlungu (ama-NSAID), i-aspirin, kanye ne-warfarin. Udokotela wakho uzokutshela ngqo ukuthi yimiphi imithi okufanele uyeke nokuthi yimiphi okufanele uqhubeke uyithatha.
- Ukuzila Ukudla: Ngeke ukwazi ukudla noma ukuphuza lutho amahora amaningana ngaphambi kokuhlinzwa. Landela imiyalelo ngokucophelela.
- Umuntu ozokusiza ekhaya: Uzodinga umuntu ozokushayela ekhaya usuka esibhedlela. Futhi, kulula kakhulu ukuba nomuntu ozokusiza ngemisebenzi yasekhaya ngenkathi ululama.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngesikhathi sokuhlinzwa, uzoba ngaphansi kwe-anesthesia ephelele, okusho ukuthi ngeke uzizwe ubuhlungu noma ungazi lutho.
1. I-Anesthesia: Umuthi onikezwa emthanjeni wakho uzokulalisa kuze kube yilapho ukuhlinzwa sekuqediwe.
2. Ukuhlanza nge-Catheter: Kufakwa i-catheter ukuze kuqoqwe umchamo. Futhi, kufakwa ipayipi (`i-Nasogastric tube`) ngekhala bese kungena esiswini ukuze kukhishwe okuqukethwe esiswini. Kamuva, imithi kanye nokudla okunempilo kunganikezwa ngaleli payipi.
3. Ukuhlinzwa kwesisu: Udokotela ohlinzayo ususa ingxenye noma sonke isisu kungaba ngokusika okukhulu (Open Surgery) noma ngokusika okuncane okuningana esebenzisa ikhamera (Laparoscopy). Uma kwenzeka umdlavuza, ama-lymph node azungezile nawo ayasuswa ukuze kuhlolwe ukuthi umdlavuza ususakazekile yini.
4. Ukwakhiwa kabusha komgudu wokugaya ukudla: Lesi yisinyathelo esilandelayo esibaluleke kakhulu. Udokotela ohlinzayo uzokwakha kabusha umgudu wakho wokugaya ukudla. Uma ingxenye yesisu isusiwe, umathumbu amancane azoxhunywa nengxenye esele. Uma sonke isisu sisusiwe, umathumbu amancane azoxhunywa ngqo nomphimbo.
5. Ukuthungwa: Ekugcineni, izimbobo zivalwa ngezithungo.
Lokhu kuhlinzwa kungathatha cishe amahora ama-5, kuye ngohlobo lokuhlinzwa olwenzile.
Kwenzekani ngemva kokuhlinzwa futhi kuzothatha isikhathi esingakanani ukululama?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela cishe isonto elilodwa noma amabili. Phakathi nalesi sikhathi, abasebenzi bezokwelapha bazokunakekela kahle.
- Ukudla: Ekuqaleni, uzondliwa ngomthambo noma ngepayipi elifakwe esiswini sakho. Njengoba amanxeba akho ephola, ungaqala ukudla okumanzi ngomlomo. Ngemuva kwalokho, kancane kancane uzojwayela ukudla okuthambile njengephalishi, bese kuba ukudla okulula okuvamile.
- Ukulawula ubuhlungu: Imithi inikezwa ukulawula ubuhlungu.
- Isikhathi sokululama: Lolu uhambo oluzothatha izinyanga . Kungathatha cishe izinyanga ezimbili ukuthi amanxeba aphole. Kungathatha izinyanga ezi-3-6 noma ngaphezulu ukuthi umzimba uphinde uthole amandla futhi ujwayele ukudla okusha . Nika umzimba wakho isikhathi osidingayo ukuze uphole, futhi ubekezele.
Yiziphi izingozi nezinkinga zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezivamile ezifana nokutheleleka, ukusabela kokungezwani komzimba nokubulala izinzwa, kanye nokuqhekeka kwegazi. Ngaphezu kwalokho, kungase kube nezinkinga ezithile eziphathelene nalokhu kuhlinzwa.
| Inkinga | Incazelo elula |
|---|---|
| Ukuvuza kwe-Anastomotic | Ukudla okuvuzayo okuvela ezindaweni ezisanda kuxhumeka (imithungo). |
| Isifo Sokulahla Inkunkuma | Ukudla kuhamba ngokushesha kakhulu emathunjini amancane ngaphambi kokuba kugaywe kahle. Lokhu kungabangela ukuqunjelwa, isicanucanu, ubuhlungu besisu kanye nesifo sohudo. |
| Ukungondleki kahle | Umzimba awukwazi ukumunca kahle izakhamzimba ozidingayo, okungaholela ezimweni ezifana ne-anemia. |
| Ukubuyela emuva kwe-bile | Inyongo ekhiqizwa esibindini igeleza ibuyele esiswini noma emphinjeni. |
| I-Hernia Yangaphakathi | Izingxenye zamathumbu amancane eziphuma kwenye ingxenye yesisu. Lesi kungaba yisimo esidinga ukwelashwa okuphuthumayo. |
Uma uzwa noma yikuphi ukungakhululeki okunje, yazisa udokotela wakho ngokushesha.
Ungakwazi yini ukuphila impilo evamile ngemva kokuhlinzwa kwesisu?
Yebo, ungakwazi ngempela! Ungaphila impilo enempilo nejwayelekile. Kodwa, kuzodingeka ujwayele "indlela entsha evamile" uma kukhulunywa ngemikhuba yakho yokudla.
- Yidla kancane futhi kaningi: Esikhundleni sokudla ukudla okukhulu kathathu ngosuku, yidla ukudla okuncane okuyisithupha.
- Shintsha ukudla kwakho: Ukudla okune-fiber eningi (okusanhlamvu, izinkwa) kanye nemikhiqizo yobisi kungaba nzima ukukugaya ekuqaleni. Zama ukuthola ukuthi yini ekusebenzela kahle kakhulu.
- Amavithamini kanye nezithasiselo: Ngaphandle kwesisu, kunzima ngomzimba ukumunca izakhamzimba ezithile, ikakhulukazi i-vitamin B12. Thatha amavithamini kanye nezithasiselo ezidingekayo njengoba kuqondiswe udokotela wakho.
- Ukuphumula nokuzivocavoca:Phumula ngokwanele. Futhi, vivinya umzimba kancane njengokuhamba ngaphandle kokucindezela umzimba wakho. Lokhu kungasiza ekuvimbeleni izinkinga ezifana nokuqhekeka kwegazi.
Kufanele ngimbone nini udokotela?
Qiniseka ukuthi uyaya emihlanganweni yakho yasemtholampilo ngemva kokuhlinzwa. Ngaphezu kwalokho, uma unezinye zezimpawu ezilandelayo noma ziba zimbi kakhulu, yazisa udokotela wakho ngokushesha.
- Isicanucanu nokuhlanza
- Uhudo
- Ubuhlungu besisu noma ukuqunjelwa
- Ubomvu, ukuvuvukala, ukufudumala, noma ubomvu endaweni yokuhlinzwa
- Imfiva
Umlayezo Wokuya Nawe Ekhaya
- Nakuba ukuhlinzwa kwesisu kuyindlela enkulu yokwelapha, kuyindlela ebaluleke kakhulu yokusindisa izimpilo ezifweni ezifana nomdlavuza.
- Kubaluleke kakhulu ukubekezela njengoba kuthatha izinyanga ukuphulukiswa ngokuphelele.
- Ngemva kokuhlinzwa, kuzodingeka ushintshe unomphela imikhuba yakho yokudla. Jwayela ukudla ukudla okuncane, okuvamile.
- Landela njalo iseluleko sikadokotela wakho mayelana nokudla, amavithamini, kanye nokuzivocavoca.
- Uma usujwayele lezi zinguquko, ungaphila impilo enempilo ngokuphelele.
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