Ingabe nawe uphathwa yisisu njalo? Ingabe uzizwa sengathi kukhona okubhajwe emphinjeni noma esifubeni sakho? Ingabe uzizwa sengathi ukudla okudlayo kuyabuya emphinjeni wakho? Abantu abaningi bakubiza ngokuthi "i-gastritis." Lesi simo saziwa ngokwezokwelapha ngokuthi i-Gastroesophageal Reflux Disease, noma (GERD) ngamafuphi. Awukwazi yini ukuqeda le nkinga naphezu kokuthatha imithi nokulawula ukudla kwakho? Khona-ke lokhu kuyinto engabaluleka kakhulu kuwe. Ake sibheke ikhambi eliphumelelayo kulokhu, ukuhlinzwa.
Iyini le nqubo yokuhlinzwa i-Nissen Fundoplication?
Kalula nje, lokhu ukuhlinzwa okwenziwa ukwelapha isifo esibi kakhulu se-gastroesophageal reflux (GERD).
Cabanga ngale ndlela. Uma sidla, ukudla kwehlela emphinjeni bese kungena esiswini. Phakathi kwemphinjeni nesisu kunevalvu ebizwa ngokuthi i-sphincter esebenza njengomnyango. Uma sigwinya, le valve iyavuleka bese ivumela ukudla kudlulele esiswini. Bese ivala kahle. Yenza lokhu ukuvimba ama-asidi aqatha esiswini ukuthi angabuyeli emphinjeni.
Kodwa kumuntu one-GERD, le valve ayisebenzi kahle. Ikhululekile. Ngakho-ke i-asidi esiswini ikhuphuka kalula, okungukuthi, ingene emhubheni. Yingakho uthola izimpawu ezifana nesilungulela kanye nokunambitheka okumuncu emphinjeni wakho.
Nakhu okwenzekayo ku-Nissen Fundoplication. Udokotela ohlinzayo uthatha ingxenye engenhla yesisu (i-fundus) ayisonge engxenyeni engezansi yomphimbo. Kufana nokufaka ibhande elizungeze into ekhululekile. Lokhu kugoqa kuqinisa i-valve ekhululekile futhi. Bese i-asidi yesisu ihlala esiswini futhi ingakhuphuki.
Odokotela bavame ukuncoma lokhu kuhlinzwa lapho ezinye izindlela zokwelapha, njengemithi, zehluleka ukulawula i-GERD.
Ingabe kunezinhlobo ezahlukene zalolu hlinzeko?
Yebo, kunezinhlobo eziningana eziyinhloko zalokhu kuhlinzwa, kuye ngokuthi izicubu zesisu zimbozwe kangakanani emhubheni. Udokotela wakho ohlinzayo uzochaza ukuthi iyiphi indlela engcono kakhulu ngesimo sakho.
| Uhlobo lokuhlinzwa | Kuchazwe kalula |
|---|---|
| Ukugoqa kwe-Nissen kwamadigri angu-360 | Lena indlela ephelele yokugoqa. Ingxenye engenhla yesisu igoqwe ngokuphelele (ama-degree angu-360) izungeze ingxenye engezansi yomhubhe. |
| Ukugoqa kwe-Toupee ngamadigri angu-270 | Lapha, ingxenye engenhla yesisu izungezwe ngemuva komphimbo kuphela (ama-degree angu-270). Ayizungezwe nxazonke. |
| Ubuhlungu bangaphambili obugoqwe ngamadigri angu-180 | Ngale ndlela, ingxenye yesisu izungezwa ngaphambili komphimbo ngesigamu (ama-degrees angu-180) bese ixhunywa ku-diaphragm. |
Yini okudingeka ngiyenze ngaphambi kokuhlinzwa?
Ngemva kokunquma ukuhlinzwa, udokotela wakho uzoyala ukuhlolwa okuningana. Lokhu kwenziwa ukuze kuhlolwe ukuthi umphimbo wakho unciphile yini, ukuthi usebenza kanjani, nokuthi unesifo esibizwa ngokuthi i-hiatal hernia . I-hiatal hernia iyi-hernia lapho ingxenye yesisu isunduzela phezulu nge-diaphragm iye esifubeni. Lokhu kungenza izimpawu ze-GERD zibe zimbi kakhulu. Uma unalesi simo, udokotela ohlinzayo uzosilungisa ngesikhathi esifanayo nokuhlinzwa.
Lezi yizivivinyo ezivame ukwenziwa:
- I-Upper Endoscopy: Ipayipi elinekhamera enamathiselwe lifakwa ngomlomo ukuze kuhlolwe ingaphakathi lomphimbo nesisu.
- Ukuhlolwa kwe-Esophageal Manometry: Ukuhlolwa okulinganisa ukuthi imisipha ese-esophagus ifinyela kahle kangakanani, okungukuthi, ukuthi isebenza kahle kangakanani.
- Ukuhlolwa Kokuqapha i-pH: Ukuhlolwa okulinganisa ukuthi ingakanani i-asidi esemlonyeni wakho esikhathini esingamahora angaba ngu-24.
- Ama-X-ray Esisu (GI): Izithombe ze-X-ray zithathwa emhubheni nasesiswini ngemva kokuphuza uketshezi olukhethekile (i-barium). Kuhlolwa ukuma nomsebenzi womhubhe nesisu.
Futhi, uzoyalwa ukuthi ungadli noma uphuze lutho ngemva kwamabili ngobusuku bangaphambi kokuhlinzwa. Kubaluleke kakhulu ukulandela le miyalelo ngqo.
Kwenziwa kanjani ukuhlinzwa?
Lokhu kuhlinzwa kungenziwa ngezindlela ezimbili eziyinhloko. Uzonikezwa i-anesthesia ejwayelekile, ngakho ngeke uzwe lutho ngesikhathi sokuhlinzwa, uzobe ulele.
| Indlela yokuhlinzwa | Indlela yokukwenza |
|---|---|
| Ukuhlinzwa Okuvulekile | Kwenziwa ukusika okukodwa esiswini. Ngale ndlela, udokotela ohlinzayo ugoqa ingxenye engenhla yesisu uzungeze umphimbo. Ukusika kube sekuvalwa ngezithungo noma ngezinduku. |
| Ukuhlinzwa kwe-Laparoscopic | Lokhu kubizwa nangokuthi "ukuhlinzwa kwe-keyhole." Kwenziwa imicu emincane emine kuya kwemithandathu esiswini. I -laparoscope , ipayipi elincane elinekhamera enamathiselwe, ifakwa ngenye yezicucu. Izithombe ezivela kukhamera zibukwa kusikrini, bese kufakwa amathuluzi amancane okuhlinza ngezinye izicucu ukuze kwenziwe ukuhlinzwa. Imicucu ibe isivalwa ngezithungo. Le ndlela ivame kakhulu ngoba ishiya izibazi ezimbalwa, ayibuhlungu kakhulu, futhi iphola ngokushesha. |
Lokhu kuhlinzwa kuvame ukuthatha cishe ihora elilodwa kuya kwamathathu ukuqedwa.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Izinzuzo
Inzuzo enkulu yalokhu kuhlinzwa ukuthi kunikeza impumuzo ezimpawini ezinzima ze-GERD ezinye izindlela zokwelapha ezingakwazanga ukuzilawula. Kuphinde kunciphise ingozi yokuthola i-Barrett's esophagus, isimo esingakhula ngokuhamba kwesikhathi ngenxa ye-GERD. I-Barrett's esophagus yisimo esingaphambi komdlavuza esingaholela kumdlavuza we-esophagus.
Izingozi (Izinkinga)
Njenganoma yikuphi ukuhlinzwa, kunengozi yokutheleleka. Kodwa ingozi enkulu ukuthi izimpawu zibuye ngemva kwesikhathi esithile. Ngokwezinye izifundo, cishe abantu abayi-10% abenza lokhu kuhlinzwa bangadinga ukuhlinzwa futhi.
Kwenzekani ngemva kokuhlinzwa? Kuthatha isikhathi esingakanani ukululama?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela usuku noma izinsuku eziningana.
- Uma uhlinzwe ngokuvulekile, ungase ufake ipayipi lesikhashana le-nasogastric ngekhala lakho ukuze ukhiphe noma yiluphi uketshezi oluqoqana esiswini sakho.
- Uzonikezwa usawoti (i-IV fluids) ukuze umzimba wakho ungaphelelwa amanzi emzimbeni.
- Ukudla okunomsoco kuzonikezwa nge -saline kuze kube yilapho amathumbu akho eqala ukusebenza ngendlela evamile futhi (okungukuthi, kuze kube yilapho uphuma igesi noma indle).
Isikhathi Sokululama
Kubaluleke kakhulu ukuphumula izinsuku ezimbalwa zokuqala ngemva kokuhlinzwa. Ngemva kwalokho, ungaqhubeka kancane kancane nemisebenzi yakho evamile. Kodwa-ke, uma ungumuntu ovivinya umzimba kakhulu, udokotela wakho uzokweluleka ukuthi wenze ukuzivocavoca okulula amasonto ambalwa.
Ingane ehlinzwe lokhu ingabuyela esikoleni ezinsukwini ezimbalwa, kodwa kufanele igweme ukugijima, ukugxuma, noma imidlalo enzima okungenani amasonto amathathu.
Ukudla
Ungase ube nomphimbo obuhlungu ezinsukwini ezimbalwa zokuqala ngemva kokuhlinzwa. Ngakho-ke, kuzodingeka udle uketshezi nokudla okuthambile ezinsukwini zokuqala ezingu-7-10 .
- Qala ngoketshezi olufana nama-protein shake nama-smoothie.
- Ngemuva kwalokho ungadlulela ekudleni okuthambile njenge-yogurt, amaqanda aqhekeziwe, i-pasta, nelayisi.
- Kubaluleke kakhulu ukugwema ukudla okubabayo, okunamafutha, nokunzima ukukugaya phakathi nalesi sikhathi.
Uma unalezi zimpawu, bona udokotela ngokushesha.
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuya ekhaya ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha.
- Uma isilonda siphuma igazi kakhulu kunalokho obekulindelwe.
- Uma ubona izimpawu zokutheleleka :
- Uma kukhona ukuvuvukala okukhulu eduze kwe-incision.
- Uma unomkhuhlane.
- Uma kukhona ukubomvu okuzungeze indawo yokusikwa.
- Uma isikhumba esizungeze i-incision sizwakala sifudumele uma usithinta.
- Uma uzizwa sengathi izimpawu zakho ze-GERD ezazikhona ngaphambi kokuhlinzwa ziyabuya .
Uma ungumuntu ophuze imithi, walawula ukudla kwakho, futhi wenza konke kodwa usahlushwa yilesi simo sokusha esifubeni kanye nenkinga ye-acid reflux, ukuhlinzwa kwe-Nissen Fundoplication kungaba yisisombululo esihle kuwe. Lokhu kungaletha impumuzo enkulu empilweni yakho. Ukuze ufunde kabanzi ngalokhu, futhi unqume ukuthi lokhu kulungile yini kuwe, qiniseka ukuthi ukhuluma nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Nissen Fundoplication iwukuhlinzwa okwenziwa ngenxa ye-GERD enzima (i-acid reflux) engenakukwazi ukulawulwa ngemithi.
- Lokhu kuhlinzwa kuhilela ukuqinisa ivalvu ekhululekile phakathi kwesisu nomphimbo kusetshenziswa ingxenye yesisu uqobo.
- Lokhu kuhlinzwa kungenziwa ngokuvula noma nge-laparoscopic. Indlela ye-laparoscopic ivame kakhulu.
- Kuzodingeka ujwayele ukudla okumanzi nokuthambile cishe amasonto amabili okuqala ngemva kokuhlinzwa.
- Indlela engcono kakhulu yokwazi ukuthi lokhu kuhlinzwa kulungile yini kuwe ukuxoxa ngakho nodokotela wakho.
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