Ingabe nawe uthambekele ekuzizweni njalo umuzwa oshisayo esifubeni sakho kanye nokunambitheka okumuncu emphinjeni wakho? Ingabe lesi simo siba sibi kakhulu uma ukudla okudlayo kunuka kamnandi, noma uma ulala phansi isikhashana ngemva kokudla ebusuku? Lesi yisibonakaliso esiyinhloko sesimo abantu abaningi abasibiza ngokuthi "i-gastritis", kodwa ngokwezokwelapha sibiza ngokuthi i-Gastroesophageal Reflux Disease, noma i-GERD ngamafuphi. Ngezinye izikhathi, ngisho nokuphuza imithi nokwenza izinguquko endleleni yokuphila akunciphisi lesi simo esicasulayo. Ngezikhathi ezinjalo, namuhla sizokhuluma ngokuhlinzwa okukhethekile odokotela abakutusayo.
Okokuqala, iyini i-GERD?
Kalula nje, i-GERD yisimo esenzeka ohlelweni lwethu lokugaya ukudla. Kukhona ithubhu elithwala ukudla esikudlayo kusuka emlonyeni wethu kuya esiswini (esiswini), futhi sikubiza ngokuthi i-esophagus . Ngokuvamile, kune-valve phakathi kwe-esophagus nesisu ukuvimbela ama-asidi aqinile esiswini, asiza ekugayeni ukudla, ukuthi angagelezi emuva e-esophagus.
Kodwa ku-GERD, le valve ayisebenzi kahle, ngakho-ke i-asidi yesisu nokudla okugayiwe kugeleza kubuyele emphinjeni. Kulungile uma lokhu kwenzeka kanye noma kabili, kodwa uma kwenzeka njalo noma ngokungapheli, sikubiza ngokuthi i-GERD. Le asidi yilokho okubangela ukuba uzizwe izinto ezifana nomuzwa oshisayo esifubeni sakho kanye nomphimbo obuhlungu.
Ngakho-ke kuyini lokhu kuhlinzwa kwe-Nissen Fundoplication?
Kulungile, manje ake sixoxe ngalokhu kuhlinzwa. I-Nissen Fundoplication iwukuhlinzwa engikushilo ngaphambilini ukulungisa isimo se-GERD. Lokhu okwenzayo ukuqinisa ingxenye esebenza njenge-valve lapho kuhlangana khona umphimbo nesisu.
Kwenziwa kanjani? Cabanga ngodokotela wethu ohlinzayo ethatha ingxenye engenhla yesisu (esiyibiza ngokuthi i-fundus) ayisonge engxenyeni engezansi ye-esophagus bese eyiqinisa. Kufana nokuthi sithatha indwangu bese siyisonga ngepayipi bese sibopha ifindo. Lokhu kuqinisa ingxenye efana ne-valve ekhululekile, kuvimbele i-asidi yesisu ukuthi ingabuyi phezulu. Lena yinto eyinhloko eyenzekayo kulokhu kuhlinzwa.
Kunezindlela ezimbili zokwenza lokhu kuhlinzwa.
Odokotela benza lokhu kuhlinzwa ngezindlela ezimbili eziyinhloko. Udokotela wakho uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe ngokusekelwe esimweni sakho.
| Indlela yokuhlinzwa | Incazelo |
|---|---|
| Inqubo ye-Laparoscopic | Lena yindlela yesimanje esetshenziswa kakhulu. Lapha, ukusikwa okukhulu akwenziwa esiswini. Kunalokho, ukuhlinzwa kwenziwa ngokwenza ukusikwa okuncane okungu-4 noma okungu-5, kufaka ikhamera (i-Laparoscope) ngokusebenzisa okunye kokusikwa kanye nezinsimbi ezincane kakhulu ngokusebenzisa okunye ukusikwa. Izithombe ezivela kukhamera zibukwa kusikrini, okuvumela ukuhlinzwa ukuthi kwenziwe ngokucophelela kakhulu. |
| Inqubo Evulekile | Lena yindlela yendabuko. Lapha, kwenziwa ukusika okukhulu kancane esiswini, okuvumela udokotela ohlinzayo ukuthi abone izitho ngqo. Le ndlela ivame ukusetshenziswa uma kunezinye izinkinga, noma uma indlela ye-laparoscopic ingenakwenzeka. |
Ubani ofuna ukuhlinzwa lokhu?
Akuwona wonke umuntu one-GERD ozodinga lokhu kuhlinzwa.
Ekuqaleni, udokotela wakho uzozama ukulawula lesi simo ngemithi kanye nokushintsha indlela yokuphila (isib., ukunciphisa ukudla okubabayo nokunamafutha, kanye nokuthatha ikhefu elide ekudleni ebusuku ngaphambi kokulala).
Kodwa-ke, uma izimpawu zakho zingathuthuki naphezu kwalezi zinyathelo, noma uma ungakhululekile ukuthatha imithi isikhathi eside noma ubhekene neminye imiphumela emibi evela emithini, udokotela wakho angase akuncome i-Nissen Fundoplication. Lokhu kuhlinzwa kungenziwa kokubili ezinganeni nakubantu abadala.
Wenzani ngaphambi kokuhlinzwa?
Ngemva kokunquma ukuhlinzwa, udokotela wakho uzoyala ukuhlolwa okuningana ukuze ahlole ngokunembile isimo somhudo wakho nesisu.
- I-GI X-rays (Barium Swallow): Kugwinywa uketshezi olukhethekile olubizwa ngokuthi i-barium bese kuthathwa izithombe ze-X-ray njengoba luhamba phansi emhubheni. Lokhu kungasiza ekunqumeni ukuthi kukhona yini ukuvaleka komhubheni.
- I-Esophageal Manometry: Ithubhu elincane lifakwa ngekhala lakho liye emhubheni wakho futhi lilinganisa ingcindezi emisipheni yomhubhe wakho uma ugwinya okuthile.
- I-Upper Endoscopy: Ukuhlolwa "kwe-endoscopy" esikwaziyo sonke. Ipayipi elinekhamera enamathiselwe lifakwa ngomlomo bese lihlola umphimbo, isisu, kanye nengxenye yokuqala yamathumbu amancane.
- I-pH Probe: Ukuhlolwa okukala ukuthi ingakanani i-asidi esemlonyeni nokuthi ihlala isikhathi esingakanani lapho.
Lezi zivivinyo ngezinye izikhathi zingabona isimo esibizwa ngokuthi i-hiatal hernia . Lokhu kwenzeka lapho ingxenye engenhla yesisu iphuma iye esifubeni. Lokhu kungandisa nezimpawu ze-GERD. Lesi simo singalungiswa nangokuhlinzwa.
Kwenzekani ngemva kokuhlinzwa?
Uma uvuka ngemva kokuhlinzwa, usuke usegumbini.
- Umphimbo wakho ungase ube buhlungu kancane ezinsukwini ezimbalwa zokuqala.
- Uma uhlinzwe ngokuvulekile, kuzofakwa ipayipi (i-Nasogastric - NG tube) ngekhala lakho ukuze kukhishwe noma yiluphi uketshezi oluqoqana esiswini sakho. Luzosuswa ngemva kwesikhashana.
- Uze ukwazi ukudla nokuphuza futhi, uzonikezwa uketshezi ngomugqa we-IV.
- Uma uphelelwa yigesi noma uphuma isisu, kusho ukuthi uhlelo lwakho lokugaya ukudla luqala ukusebenza ngendlela evamile futhi. Ngemva kwalokho, ungaqala kancane kancane ukudla.
Ngokuvamile, uma uhlinzwa nge-laparoscopic, ungaya ekhaya ngosuku olulodwa noma ezimbili. Uma uhlinzwa ngokuvulekile, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma iyiphi enye indlela, lena inezinzuzo kanye nezingozi ezincane.
Inzuzo eyinhloko ukukhululeka okukhulu ezimpawini ze-GERD. Isilungulela esingapheli kanye nokuqunjelwa akusekho. Kuphinde kusize ekunciphiseni ingozi yokuba nomdlavuza womphimbo (i-Barrett's esophagus) ngenxa ye-GERD ngokuhamba kwesikhathi. Ikakhulukazi uma ukuhlinzwa kwenziwa nge-laparoscopic, ubuhlungu buyancipha, kululama ngokushesha, futhi kuhlala isikhathi esifushane esibhedlela.
Uma kukhulunywa ngezingozi , into eyinhloko ukuthi ngezinye izikhathi impumuzo kulokhu kuhlinzwa ayihlali njalo. Inani elincane kakhulu labantu lingadinga ukuhlinzwa futhi eminyakeni embalwa. Futhi, njenganoma yikuphi ukuhlinzwa, kunengozi encane yokutheleleka ekulimaleni.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Ngemva kokubuyela ekhaya, udokotela wakho cishe uzoncoma ukudla okumanzi noma okuthambile isonto lokuqala noma amabili. Isibonelo, isobho, iyogathi, iphalishi, namazambane acutshunguliwe. Ngemva kwalokho, ungashintshela kancane kancane ekudleni okuvamile.
Ungaqhubeka nemisebenzi evamile zingakapheli izinsuku ezimbalwa ngemva kokuhlinzwa. Kodwa-ke, kungcono ukugwema ukuphakamisa izinto ezisindayo noma ukuzivocavoca okunzima okungenani amasonto amathathu. Udokotela wakho uzokunikeza imiyalelo eqondile ngalokhu.
Ufuna ukuphinde ubonane nodokotela nini?
Uma izimpawu zakho zibuya ngemva kokuhlinzwa, qiniseka ukuthi ubona udokotela wakho. Kuvamile futhi ukuba nokuvuvukala okuzungeze inxeba lokuhlinzwa. Kodwa-ke, uma uhlangabezana nanoma yiziphi zalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha.
- Uma inxeba liphuma igazi
- Uma ukuvuvukala kukhula kakhulu
- Uma uthola umkhuhlane
- Uma isikhumba esizungeze inxeba sibomvu futhi sizwakala sishisa
- Uma kwenzeka ukuhlanza
Umlayezo Wokuya Nawe Ekhaya
- I-Nissen Fundoplication iyindlela yokuhlinzwa ephumelelayo ye-GERD enzima (isicanucanu/ukubuyela emuva kwesisu) engenakukwazi ukulawulwa ngemithi.
- Lokhu kuhlinzwa kuvimbela i-asidi yesisu ukuthi ingabuyeli emphinjeni.
- Lokhu kuhlinzwa kuvame ukwenziwa ngosizo lwekhamera (laparoscopic), ngakho ubuhlungu buyancipha futhi ukululama kuyashesha.
- Ngemva kokuhlinzwa, kubaluleke kakhulu ukulandela ukudla kukadokotela kanye nemiyalelo yakhe ngqo ukuze alulame ngokushesha.
- Uma izimpawu noma izimpawu zokutheleleka kwenxeba ziphinde zibuya, bona udokotela wakho ngokushesha.
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