Uhlelo lwethu lokugaya ukudla lusebenza izimangaliso ukuze lugaye kahle futhi lumunce ukudla esikudlayo. Kodwa cabanga, kwenzekani uma kukhona isithiyo endaweni ethile kulolu hambo, njengomgwaqo ovinjiwe? Ukudla akukwazi ukuqhubeka. Ezimweni ezinjalo, ukuhlinzwa okukhethekile kubizwa ngokuthi i-Gastrojejunostomy, esetshenziselwa ukudlula leso sithiyo futhi kudalwe indlela entsha yokudla okudlula kuyo. Udokotela kungenzeka ukuthi ukutshelile ngalokhu, noma kungenzeka ukuthi uke wezwa ngakho futhi waba nelukuluku lokwazi. Ake sixoxe ngalokhu kalula, ngendlela ongayiqonda.
Kalula nje, kuyini ukuhlinzwa kwe-Gastrojejunostomy?
I-gastrojejunostomy inqubo yokuhlinzwa edala ukuxhumana okusha phakathi kwesisu sakho nengxenye ephakathi yamathumbu akho amancane, ebizwa ngokuthi i-jejunum. Ngamanye amazwi, ivumela ukudla ukuthi kudlule kusuka esiswini kuye ngqo engxenyeni ephakathi yamathumbu amancane, ebizwa ngokuthi i-duodenum, esikhundleni sokuya e-duodenum. Lokhu kuxhumana okusha kubizwa ngokuthi i-anastomosis ngokwezokwelapha.
Cabanga ngokumba umgodi omkhulu emgwaqweni bese wenza kube nzima ukuthi izimoto zidlule. Bese sinquma umgwaqo omusha ngakolunye uhlangothi lomgodi bese sithumela izimoto, akunjalo? Yilokho okwenziwa yilolu hlinzo.
Kodwa kukhona into eyodwa okufanele uyikhumbule. Kukhona enye into ngezinye izikhathi ebizwa ngokuthi into efanayo. Leyo yipayipi yokondla, ipayipi elifakwa emathunjini amancane ukuze londle umuntu onenkinga yokudla. Liphinde lidlule esiswini liye ku-jejunum, ngakho-ke libizwa ngokuthi ipayipi le-gastrojejunostomy. Kodwa lokho akulona ukuhlinzwa okukhulu esikhuluma ngakho. Leyo inqubo ehlukile.
Kungani sidinga lolu hlobo lokuhlinzwa?
Isizathu esiyinhloko salokhu kuhlinzwa ukuthi kukhona ukuvinjelwa kokudlula kokudla esiswini noma engxenyeni yokuqala yamathumbu amancane. Lokhu kuvinjelwa kuvimbela ukudla ukuthi kuqhubekele phambili. Kunezimo eziningana ezinjalo.
| Isimo | Incazelo Elula |
|---|---|
| Ukuvimbela Isisu (GOO) | I-pylorus, imbobo engezansi kwesisu lapho ukudla kungena khona emathunjini amancane, iyavaleka ngesizathu esithile. |
| Ukuvinjelwa kweDuodenal | Ukuvaleka akukho esiswini, kodwa engxenyeni yokuqala yamathumbu amancane alandela (i-duodenum). |
| Umdlavuza Wesisu noma We-Duodenal | Ukuvaleka komphimbo ngenxa yesimila esinomdlavuza noma njengengxenye yokuhlinzwa kokususa isimila. |
| Isifo Sezilonda Zesisu | Izinkinga ezinjengokuphuma kwegazi emanxebeni angapholi, noma ukushaqeka kwamanxeba angavimba umgudu wokugaya ukudla. |
Ngaphezu kwalokho, ngezinye izikhathi lokhu kuhlinzwa kwenziwa ukuze kuvinjelwe inkinga engaba khona esikhathini esizayo .
- Ukulimala emathunjini amancane: Uma ingxenye yokuqala yamathumbu amancane yonakele kakhulu, njengasengozini, lokhu kudlula kwenziwa ukuze kuvinjwe ukudla ukuthi kungadluli kukho kuze kube yilapho kuphola. Ngaphandle kwalokho, imbobo engavamile (i-fistula) ingakheka ekulimaleni, yonakalise izitho eziseduze njenge-pancreas.
- Umdlavuza We-Pancreatic: Uma umdlavuza we-pancreatic useduze kwamathumbu amancane futhi ungenakususwa ngokuhlinzwa, ungase ukhule futhi uvale ipayipi lokudla esikhathini esizayo. Ngaphambi kokuba lokho kwenzeke, odokotela bangase banqume ukwenza lokhu kuhlinzwa njengesinyathelo sokuqapha.
Kwenzekani ngaphambi kokuhlinzwa? Kunjani ukulungiselela?
Ithimba lezokwelapha lizozama ukukugcina uphilile ngangokunokwenzeka ngaphambi kokuhlinzwa. Cabanga nje, umuntu onomhubhe ovalekile akakwazi ukudla futhi uhlala ehlanza. Lokhu kungaholela ekuphelelweni amanzi emzimbeni kanye nokungondleki kahle . Ngakho-ke lezi zinto zidinga ukulungiswa ngaphambi kokuhlinzwa.
Ithimba lakho lezokwelapha lingenza izinto ezifana nalezi:
- Usawoti (uketshezi lwe-IV): Usawoti ufakwa emthanjeni ukuze kulungiswe ukugcinwa koketshezi kanye nokungalingani kwama-electrolyte.
- Ukudla okunomsoco nge-IV: Njengoba ungeke udle ngomlomo , ukudla okunomsoco okudingekayo kunikezwa ngqo emthanjeni.
- Ukumpontshelwa igazi: Uma une-anemia, kungadingeka ukuthi umpontshelwe igazi.
- Ama-antibiotic: Ama-antibiotic anikezwa kusengaphambili ukuvimbela ukutheleleka ngemva kokuhlinzwa.
- Ukunciphisa ukucindezeleka kwesisu:Ipayipi lifakwa ngekhala liye esiswini, bese kususwa okunye okuqukethwe ukuze kuncishiswe ingcindezi. Lokhu kwandisa ukuphepha lapho kwenziwa i-anesthesia.
Kwenzekani ngesikhathi sokuhlinzwa?
Nakuba kunezindlela ezahlukene zokwenza lokhu kuhlinzwa, lezi yizinyathelo ezivame ukwenzeka.
1. I-Anesthesia: Okokuqala, ulala ngokuphelele (i-anesthesia ejwayelekile). Ngeke uzwe lutho.
2. Ukukhipha isisu: Kufakwa ipayipi ngekhala noma ngomlomo ukuze kususwe okusesiswini futhi kuncishiswe ingcindezi.
3. Ukungena emgodini wesisu: Udokotela ohlinzayo ungena emgodini wesisu. Lokhu kungenziwa ngezindlela ezimbili. Eyokuqala ukuhlinzwa okuvulekile , okuhilela ukwenza ukusika okuncane esiswini. Enye ukuhlinzwa kwe-laparoscopic, okuhilela ukwenza ukusika okuncane esiswini nokufaka ikhamera nezinsimbi ezincane. Lokhu kubizwa nangokuthi "ukuhlinzwa kwe-keyhole."
4. Ukuthola indawo yenkinga: Kutholakala indawo eqondile yokuvaleka kwesisu noma emathunjini amancane.
5. Ukulungisa amathumbu amancane: Kwenziwa iluphu engxenyeni ephakathi (i-jejunum) cishe ngamasentimitha ayi-10 ukusuka ekugcineni kwengxenye yokuqala yamathumbu amancane (i-duodenum).
6. Ukudala uxhumano olusha: Ingxenye yamathumbu amancane edalwe ixhunywe esiswini okungenani amasentimitha ama-5 ngaphezu kokuvinjelwa. Lena yindlela entsha 'yokudlula' esikhulume ngayo ekuqaleni.
7. Ukuhlolwa: I-anastomosis esanda kwenziwa ihlolwa kusetshenziswa izindlela ezahlukahlukene ukuqinisekisa ukuthi ixhunywe kahle nokuthi akukho ukuvuza.
8. Ukuqedwa kokuhlinzwa: Uma konke kulungile, ukubhoboza/imigodi eyenziwe kuzovalwa bese ukuhlinzwa kuzoqedwa.
Ngokuvamile, lokhu kuhlinzwa kungathatha cishe amahora amabili kuya kwamane .
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzolaliswa esibhedlela. Ungase ungakwazi ukudla ngendlela evamile ngokushesha. Ungase uzizwe unesicanucanu kancane ezinsukwini ezimbalwa zokuqala. Ngezinye izikhathi, ngemva kokuhlinzwa, amathumbu akho aba "nobuvila" kancane (i-paralytic ileus). Lokhu kusho ukuthi ukusebenza kwawo kuyehla kancane.
Ekuqaleni, ungase unikezwe usawoti kanye nokudla okunomsoco ngomthambo. Ngemuva kwalokho, ungase uqale ngokudla okuhlanzekile okuwuketshezi , kancane kancane uye ekudleni okuthambile, bese kancane kancane wethula ukudla okuvamile ngaphambi kokuba uye ekhaya. Kungathatha amasonto ambalwa ukuthi abanye abantu bajwayele ukuxhumana okusha esiswini sabo. Phakathi nalesi sikhathi, kungase kudingeke uqhubeke nokunikezwa ukudla ngepayipi noma ngemithambo yegazi.
Yiziphi izingozi nezinkinga ezingaba khona ngenxa yalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile. Akuwona wonke umuntu ozobhekana nalezi zingozi, kodwa kuhle ukuzazi.
| Uhlobo lwengozi | Incazelo |
|---|---|
| Izingozi ezivamile kunoma yikuphi ukuhlinzwa |
|
| Izingozi eziqondene nalokhu kuhlinzwa | Ukuvuza kwe-anastomotic: Lesi yisimo esingavamile. Ukuxhumana okusha akuvaleki kahle, futhi okuqukethwe esiswini noma emathunjini kuyavuza kungene emgodini wesisu. Lokhu kungabangela ukutheleleka okukhulu. Uma ukutheleleka kungena egazini, kungaba yingozi empilweni (i-sepsis). |
Imiphumela emibi engase ivele ngemva kokuhlinzwa
Ngisho noma ukuhlinzwa kuphumelele, eminye imiphumela emibi ingase ivele ngokuhamba kwesikhathi. Iningi lale miphumela ingalawulwa.
| Umphumela Ongemuhle | Kwenzekani kuyo? |
|---|---|
| Isifo Sokulahla Inkunkuma | Ukudla "kuthulula" ngokuzumayo nangokushesha kusuka esiswini kuya emathunjini amancane. Lokhu kubangela izimpawu ezifana nokucanuzela kwenhliziyo, ukuqunjelwa, izinhlungu zesisu, nokujuluka ngemva kokudla. Lokhu kuvame ukuncipha ngemva kwesikhashana njengoba umzimba ujwayela. |
| Isilonda Esisemaphethelweni | Ngokuvamile, ama-asidi esiswini atholakala esiswini kanye nengxenye yokuqala yamathumbu amancane. Lezo zingxenye zakhiwe ukuze zimelane nawo. Kodwa ngenxa yalokhu kudlula, ama-asidi esiswini aya ngqo engxenyeni ephakathi yamathumbu amancane (i-jejunum). Leyo ngxenye ayikwazi ukumelana nama-asidi. Ngakho-ke, izilonda zingakheka lapho. |
| Ukubuyela emuva kwe-bile | Ngokuvamile, izinto ezisiza ekugayweni kokudla, njenge-bile, ziyavinjelwa ukuthi zibuyele esiswini. Kodwa ngenxa yalokhu kuxhumana okusha, kungenzeka ukuthi lezo zinto zibuyele esiswini. Lokhu kungabangela ukuvuvukala kwezindonga zesisu. |
Sinjani isikhathi sokululama?
Ngokuvamile kuthatha cishe amasonto ayisithupha ukululama ngokuphelele, kodwa lokhu kungahluka kuye ngohlobo lokuhlinzwa owakwenza (okuvuliwe noma okwenziwa nge-laparoscopic) kanye nesimo sakho somzimba.
Ithimba lakho lezokwelapha lizokunikeza imiyalelo yokuthi unganakekela kanjani ukusikwa kwakho, uphathe ubuhlungu, nokuthi ungaqhubeka nini nemisebenzi evamile ngemva kokubuyela ekhaya. Bazokunikeza nosuku lokukubona futhi ngemva kwamasonto ambalwa ngemva kokuhlinzwa kwakho.
Kungase kudingeke ulandele ukudla okukhethekile izinyanga ezimbalwa ngemva kokuhlinzwa, ikakhulukazi ukugwema ukudla okunoshukela omningi kanye nokuthatha izithasiselo zamavithamini.
Uma unalezi zimpawu, shayela udokotela wakho ngokushesha.
Uma uba nanoma yiziphi izimpawu ezilandelayo ngemva kokubuyela ekhaya, yazisa udokotela wakho noma isibhedlela lapho uthole khona ukwelashwa .
- Uma uzizwa ubomvu, ubuhlungu, ukuvuvukala, noma ukufudumala eduze kwesilonda (lezi yizimpawu zokutheleleka).
- Uma unomkhuhlane ongaphezu kwama-degree Celsius angu-100 (38° Fahrenheit).
- Uma ubuhlungu kunzima ukulawula.
- Uma unenkinga yokudla noma ukugcina ukudla kuphansi.
- Uma unesifo sohudo esiqhubekayo.
- Uma isikhumba sakho noma amhlophe amehlo akho ephenduka aphuzi .
Umlayezo Wokuya Nawe Ekhaya
- I-Gastrojejunostomy iwukuhlinzwa okudala indlela entsha 'yokudlula' kusukela esiswini kuya emhubheni.
- Lokhu kwenziwa ikakhulukazi njengokwelashwa kwezimo ezinjengokuvinjelwa kwendlela yokugaya ukudla, umdlavuza, noma izilonda zesisu ezinzima.
- Ngaphambi kokuhlinzwa, uzonikezwa ukwelashwa okudingekayo ukuze ube sesimweni esihle kakhulu somzimba.
- Kuthatha isikhathi ukululama, ikakhulukazi ukujwayela izinguquko ekudleni.
- Eminye imiphumela emibi ingase ivele ngemva kokuhlinzwa, kodwa eminingi yayo ingalawulwa.
- Landela imiyalelo kadokotela wakho ngqo. Uma uhlangabezana nanoma yiziphi izimpawu eziyingozi, funa iseluleko sezokwelapha ngokushesha.
- Lolu ushintsho olukhulu empilweni yakho, ngakho ungangabazi ukuthola lonke usizo nezeluleko ozidingayo eqenjini lakho lezokwelapha phakathi nalolu hambo.
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