Ingabe isisu sakho sivalekile futhi ukudla kwakho akuhambisani kahle? Noma ingabe udokotela wakho ukutshelile ngokuhlinzwa okubizwa ngokuthi "i-gastrojejunostomy"? Kuvamile ukuzizwa wesaba kancane uma uzwa igama elinjengaleli, futhi uzizwe ucindezelekile engqondweni yakho ngoba amagama ayinkimbinkimbi kancane. Kodwa ungakhathazeki. Ake sixoxe ngalokhu kalula, ngendlela ongayiqonda. Kufana nokwakha umgwaqo omusha odlulayo ukuze ugweme ithrafikhi enkulu emgwaqweni.
Kuyini i-Gastrojejunostomy?
Kalula nje, i-gastrojejunostomy inqubo yokuhlinzwa yokushintsha indlela ukudla okuhamba ngayo. Ihilela ukudala ukuxhumana okusha, noma indlela, phakathi kwesisu sakho ne -jejunum, ingxenye ephakathi yamathumbu akho amancane.
Cabanga nje, ukudla esikudlayo kusuka esiswini kuya engxenyeni yokuqala yamathumbu amancane, esikubiza ngokuthi i-duodenum . Kodwa uma ngesizathu esithile kukhona ukuvaleka kule duodenum, isifo, noma ukuvaleka kwe-pylorus, ukudla akukwazi ukuqhubeka. Yilapho odokotela bedala khona le ndlela yokudlula, okungukuthi, indlela entsha. Kulokhu, ukudla akuyi e-duodenum, kodwa kuya ngqo esiswini kuya e-jejunum. Lokhu kuxhumana okusha kubizwa ngokuthi i-anastomosis kwezokwelapha.
Ngezinye izikhathi, leli gama lisetshenziselwa inqubo encane lapho kufakwa khona ipayipi lokudla emathunjini amancane ukuze kuthunyelwe ukudla. Kodwa lokho akusikho ukuhlinzwa okukhulu esikhuluma ngakho, lokho kungenye into.
Kungani udinga ukwenza lolu hlobo lokuhlinzwa?
Kunezizathu eziningana eziyinhloko zalokhu kuhlinzwa. Ngezinye izikhathi kwenziwa njengokwelashwa kwesimo sezokwelapha, kanti ngezinye izikhathi kwenziwa ukuvimbela inkinga engaba khona esikhathini esizayo.
| Isimo | Kalula nje... |
|---|---|
| Ukuvimbela Isisu (GOO) | Ukuvaleka kwendlela lapho ukudla kuphuma khona esiswini. Ukudla kubhajwa esiswini esikhundleni sokufinyelela emathunjini. |
| Ukuvinjelwa kweDuodenal | Ukuvaleka kwengxenye yokuqala yamathumbu amancane (i-duodenum), etholakala ngemuva kwesisu. |
| Umdlavuza Wesisu noma We-Duodenal | Isimila somdlavuza esivimba umphimbo noma esidinga ukuhlinzwa ukuze kususwe isimila. |
| Isifo Sezilonda Zesisu | Izinkinga ezifana nokopha kanye nezibazi ezibangelwa izilonda zesisu zingabangela ukuvaleka kwendlela yokugaya ukudla. |
Amacala okuhlinzwa njengendlela yokuvimbela
Ngezinye izikhathi, lokhu kuhlinzwa kwenziwa ukuze kuvinjelwe inkinga ngaphambi kokuba ibe yinkinga.
- Uma i-duodenum ilimele kakhulu (ukuhlukumezeka): Uma i-duodenum yonakele, njengasengozini, futhi udokotela enomuzwa wokuthi kuyingozi ukudlulisa ukudla kuyo kuze kube yilapho kuphola, kuzokwakhiwa indlela entsha yokudlulisa ukudla kuze kube yilapho inxeba liphola.
- Umdlavuza We-Pancreatic Ongenakusulwa: Uma umdlavuza we-pancreatic usukhule eduze kwe-duodenum futhi ungakwazi ukususwa, lokhu kuhlinzwa kungenziwa ukuze kugwenywe ngaphambi kokuba ukhule ngokwanele ukuvimba ipayipi lokudla.
Ngaphezu kwalokho, le ndlela isetshenziswa njengengxenye yokuhlinzwa kokunciphisa isisindo . Isibonelo ukuhlinzwa kwe-Roux-en-Y gastric bypass. Umgomo ukunciphisa inani lokudla okungangeniswa esiswini kanye nenani lezakhamzimba ezingamuncwa emathunjini.
Kwenzekani ngaphambi kokuhlinzwa?
Ngaphambi kokuba uye ohlinzweni, kubalulekile ukuzilungiselela kahle. Ikakhulukazi uma ube nokuvaleka esiswini sakho, ungase ungakwazi ukudla kahle isikhashana, ungase uhlanze, uphelelwe amanzi emzimbeni , futhi ungondlekile kahle . Ngakho ithimba lezokwelapha lizokwenza konke okusemandleni alo ukukubuyisela empilweni engcono kakhulu.
| Ukwelashwa | Incazelo |
|---|---|
| Ama-IV Fluids | Ukunikeza usawoti . Lokhu kusiza ukulinganisela kabusha ama-electrolyte aphelile emzimbeni. |
| Ukudla Okunomsoco Nge-IV | Ukuhlinzeka ngokudla okudingekile ngesisombululo sikasawoti esifakwa ngqo emthanjeni ngoba awukwazi ukudla. |
| Ukumpontshelwa Igazi | Uma kukhona i-anemia, nikeza igazi. |
| Ama-antibiotic | Ukunikeza ama-antibiotic kusengaphambili ukuze kuvinjelwe ukutheleleka ngemva kokuhlinzwa. |
| Ukunciphisa Isisu | Ipayipi le-nasogastric lifakwa ngekhala ukuze kususwe noma yiziphi izinto ezivalelekile esiswini futhi kuncishiswe ingcindezi. Lokhu kuphephile futhi ekubulaweni kwe-anesthesia. |
Kwenzekani ngesikhathi sokuhlinzwa?
Lokhu kuhlinzwa kuvame ukuthatha cishe amahora amabili kuya kwamane. Phakathi nalokhu, udokotela uzolandela lezi zinyathelo:
1. Uzofakwa ngaphansi kwe-anesthesia ejwayelekile . Lokhu kusho ukuthi uzolala kahle kuze kube yilapho ukuhlinzwa kuphelile.
2. Kufakwa ipayipi ngekhala ukuze kuncishiswe ingcindezi esiswini.
3. Yenza ukuhlinzwa kwesisu, kungaba ngokuhlinzwa okuvulekile noma nge-laparoscopically , okusho ukuthi kwenziwa izimbobo ezimbalwa ezincane bese kufakwa ikhamera emgodini wesisu. Ukuhlinzwa kwe-laparoscopic kunesikhathi esifushane sokululama kanye nezibazi ezincane.
4. Indawo eqondile yenkinga endleleni yokugaya ukudla iyatholakala.
5. Indawo efanelekile ikhethwa ku-jejunum, ingxenye yamathumbu amancane, futhi ixhunywe okungenani amasentimitha ama-5 ngaphezu kwendawo yenkinga yesisu.
6. I -anastomosis esanda kudalwa iyahlolwa ukuze kubonakale ukuthi isebenza kahle yini nokuthi kukhona yini ukuvuza.
7. Uma konke kulungile, ukusikwa kuyathungwa bese ukuhlinzwa kuqediwe.
Kwenzekani ngemva kokuhlinzwa futhi yiziphi izingozi?
Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngemva kokuhlinzwa. Kuzothatha isikhathi ukuthi isisu sakho namathumbu akho aqale ukusebenza ngendlela evamile futhi. Ungase uzizwe unesicanucanu ezinsukwini ezimbalwa zokuqala, futhi amathumbu akho angase ahambe kancane. Abanye abantu kuzodingeka babe nepayipi lamakhala izinsuku ezimbalwa.
Okokuqala, uzonikezwa uketshezi kanye nokudla okunomsoco nge-saline, bese kancane kancane ungeniswa ekudleni okumanzi, bese unikezwa ukudla okuthambile ngaphambi kokuba uthunyelwe ekhaya.
Njengazo zonke izinhlobo zokuhlinzwa, kunezingozi ezithile, njengokuphuma kwegazi, ukuqhekeka kwegazi, kanye nomonakalo ezithweni ezizungezile. Kodwa lokhu akuvamile kakhulu.
Kunezingozi eziningana kanye nemiphumela emibi yesikhathi eside ephathelene nalokhu kuhlinzwa.
| Inkinga/Umphumela Ongemuhle | Kwenzekani ngalokhu? (Kwenzekani?) |
|---|---|
| Izinkinga Ezisheshayo | |
| Ukuvuza kwe-Anastomotic | Ukuvuza koxhumano olusanda kudalwa. Lokhu akuvamile, kodwa kubi kakhulu. Uma ukutheleleka kuvela esiswini futhi kusakazekela egazini, kungaba yingozi empilweni. |
| Imiphumela Engemihle Yesikhathi Eside | |
| Isifo Sokulahla Inkunkuma | Izimpawu ezifana nokucanuzela kwenhliziyo, ukuqunjelwa, kanye nobuhlungu besisu zenzeka ngemva kokudla ngoba ukudla kudlula ngokuzumayo kusuka esiswini kuya emathunjini amancane. Ezimweni eziningi, lokhu kuzophela ngemva kwesikhashana. |
| Isilonda Esisemaphethelweni | Njengoba ama-asidi esiswini engena ngqo ku-jejunum, i-jejunum ayikwazi ukumelana nalawo ma-asidi, okubangela izilonda. |
| Ukubuyela emuva kwe-bile | Ukugeleza kwamanzi okugaya ukudla, njenge-bile, kusuka emathunjini kuya esiswini. Lokhu kungalimaza izindonga zesisu. |
Kuzothatha isikhathi esingakanani ukuphulukiswa futhi kufanele ngishayele udokotela nini?
Ngokuvamile kuthatha cishe amasonto ayisithupha ukuphulukiswa ngokuphelele. Kodwa-ke, lokhu kungahluka kuye ngohlobo lokuhlinzwa owake wakwenza (oluvulekile noma olusebenzisa i-laparoscopic) kanye nobukhulu bokuhlinzwa. Ithimba lakho lezokwelapha lizokunikeza imiyalelo yokuthi ungalinakekela kanjani inxeba lakho ngemva kokubuyela ekhaya, ukuthi ungaliphatha kanjani ubuhlungu, nokuthi ungaqhubeka nini nemisebenzi evamile.
Kubaluleke kakhulu: Uma uba nanoma yiziphi izimpawu ezilandelayo ngemuva kokubuyela ekhaya, tshela udokotela wakho noma isibhedlela ngokushesha. Ungakuhlehlisi lokhu.
- Uma uzizwa ubomvu, ubuhlungu, ukuvuvukala, noma ukufudumala endaweni yenxeba (lezi yizimpawu zokutheleleka).
- Umkhuhlane (ngaphezu kwama-38 Celsius / 100 Fahrenheit).
- Uma ubuhlungu kunzima ukulawula.
- Uma unenkinga yokudla, ukugcina ukudla kuphansi, noma uma uqhubeka nokuhlanza.
- Uma unesifo sohudo esiqhubekayo.
- Uma isikhumba sakho noma amhlophe amehlo akho ephenduka aphuzi.
Lokhu kuhlinzwa kuzokwenza umehluko omkhulu ohlelweni lwakho lokugaya ukudla. Kungaba yinto eshintsha impilo yakho. Ngakho-ke ungahambi kulolu hambo wedwa. Khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho ngaphambi nangemva kokuhlinzwa. Bahlala bekhona ukukusiza.
Umlayezo Wokuya Nawe Ekhaya
- I-Gastrojejunostomy iwukuhlinzwa okudala indlela entsha phakathi kwesisu namathumbu amancane.
- Lokhu kwenziwa ikakhulukazi njengokwelashwa kwezimo ezinjengokuvinjelwa komgudu wokugaya ukudla, umdlavuza, noma ukulimala okukhulu.
- Kubaluleke kakhulu ukuze ube nempilo enhle ngaphambi kokuhlinzwa, futhi kuthatha isikhathi ukululama ngemva kokuhlinzwa.
- Ngemva kokuhlinzwa, kuzodingeka ushintshe indlela odla ngayo nendlela ophila ngayo, futhi kubalulekile ukulandela imiyalelo kadokotela wakho.
- Uma uhlangabezana nanoma yiziphi izimpawu eziyisixwayiso ezifana nezimpawu zokutheleleka kwenxeba, umkhuhlane, ubuhlungu obungalawuleki, noma ubunzima bokudla, funa iseluleko sezokwelapha ngokushesha.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 🥩 Kuyini ukudla okune-iron eningi? Kungani kubalulekile kulokhu kuhlinzwa?
Ukudla okufana nenyama ebomvu, uphizi, isipinashi, kanye ne-lentile kucebile nge-iron. Njengoba indlela yokudla ishintsha ngesikhathi sokuhlinzwa kwe-gastrojejunostomy, ukumuncwa kwe-iron emzimbeni kungancishiswa. Yingakho i-iron nayo iyinkinga enkulu lapho kuxoxwa ngalokhu kuhlinzwa.
💬 🩺 Kungenzeka yini ukuthi umuntu abe ne-anemia ngemva kwalokhu kuhlinzwa (i-Gastrojejunostomy)?
Yebo, kungenzeka. Lokhu kungenxa yokuthi ukudla kudlula endaweni eyinhloko yokumuncwa kwensimbi phakathi nalokhu kuhlinzwa. Ngakho-ke, ngaphezu kokudla ukudla okune-iron eningi, abanye abantu badinga futhi ukuthatha izithasiselo zensimbi njengoba kunqunywe udokotela wabo.
💬 🍋 Ngingadla kanjani ukuze ngimunce kahle insimbi?
Uma udla ukudla okucebile nge-iron, engeza okuthile okune-vitamin C, njengolamula noma amawolintshi. Lokhu kuzokwenza kube lula ngomzimba wakho ukumunca i-iron, ngisho nangemva kokuhlinzwa. Kodwa khumbula, ungaphuzi itiye noma ikhofi ngemva kokudla, njengoba kuvimbela ukumuncwa kwe-iron.
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