Kuvamile ukuzwa iqhubu emphinjeni wakho uma udla. Kodwa uma uhlala unenkinga yokugwinya ukudla futhi uzizwa sengathi kunamathele esifubeni sakho, khona-ke lokhu akuvamile. Lokhu kungaba ngenxa yenkinga yemisipha emphinjeni wakho. Namuhla sizokhuluma ngokwelashwa okukhethekile nokuphumelela kakhulu ezimweni ezinjalo.
Iyini i-POEM?
Ungase umangale ukuzwa igama elithi POEM. Limele i- Oral Endoscopic Myotomy . Ake sikuchaze kalula.
- I-Peroral: kusho "ngomlomo."
- I-Endoscopic: ibhekisela entweni eyenziwe kusetshenziswa ishubhu eliguquguqukayo, elifakwe ikhamera elibizwa ngokuthi i-endoscope.
- I-Myotomy: Igama lezokwelapha elisho "ukusika imisipha."
Kalula nje, i-POEM inqubo ehilela ukufaka i-endoscope ngomlomo wakho, ngaphandle kokwenza noma yikuphi ukusikeka esikhumbeni sakho, nokusika nokukhulula imisipha eqinile emhubheni wakho. Kufana nokuhlinzwa, kodwa njengoba kungekho ukusikeka ngaphandle komzimba wakho, isikhathi sokululama sifushane kakhulu.
Ubani odinga lokhu kwelashwa?
Lokhu kwelashwa kusetshenziselwa kakhulu abantu abanezinkinga zokunyakaza komphimbo njenge- achalasia . Kulezi zimo, imisipha engxenyeni engezansi yomphimbo ayiphumuli kahle. Ngemuva kwalokho, uma ugwinya ukudla, ukudla kuyabhajwa emmphinjeni esikhundleni sokuya phansi esiswini. Lokhu kungabangela ubunzima bokugwinya, ubuhlungu besifuba, nokudla kubuyele emphinjeni. Ukwelashwa nge-POEM kusebenza ngokukhulula leyo misipha eqinile, okwenza indlela yokudla idlule iye esiswini ngaphandle kwesithiyo.
Ulungiselela kanjani ngaphambi kokwelashwa nge-POEM?
Udinga ukulungiselela okuthile ngaphambi kwalokhu kwelashwa. Kodwa ungakhathazeki ngakho. Udokotela wakho uzokunikeza imiyalelo ecacile kukho konke. Into ebaluleke kakhulu ukulandela leyo miyalelo ngqo.
Lezi yizinto ovame ukuzenza:
- Kuzodingeka udle ukudla okuhlanzekile okuwuketshezi izinsuku ezimbili ngaphambi kokwelashwa.
- Kumelwe uyeke ngokuphelele ukudla nokuphuza amahora ayi-12 ngaphambi kokwelashwa.
Khumbula, ukulandela le miyalelo kubaluleke kakhulu ukuze ukwelashwa kuphumelele.
Kwenzekani ngesikhathi sokwelashwa?
Le nqubo ithatha cishe ihora elilodwa kuya kwamathathu. Phakathi nalesi sikhathi, uzonikezwa i-anesthesia ejwayelekile, ngakho-ke uzobe ulele ngokuphelele. Ngakho-ke, ngeke uzwe ubuhlungu. Ake sibheke kancane kancane ukuthi ukwelashwa kwenziwa kanjani.
| Izinyathelo | Kwenzekani? |
|---|---|
| 1. Ukufaka i-endoscope | Udokotela uzofaka i-endoscope ngomlomo wakho bese yehla ngomhubhe wakho. Ikhamera ekuyo ikuvumela ukuthi ubone ingaphakathi lomhubhe wakho. |
| 2. Ukufaka ukusika kulwelwesi lwamafinyila | Ulwelwesi lwe-esophagus, i-mucosa, lunqunywa lube yizicucu ezincane. |
| 3. Ukwenza umhubhe | I-endoscope ifakwa ngaleyo ndlela bese ihamba ngendlela efana nomhubhe eduze kwe-submucosa, ungqimba lwezicubu olungaphezu kongqimba lwemisipha. |
| 4. Ukusikwa kwemisipha (i-Myotomy) | Uma kwehliswa, indawo enenkinga, okungukuthi, imisipha eqinile engxenyeni engezansi yomphimbo kanye nengxenye engenhla yesisu, iyasikwa futhi ikhululwe ngommese omncane onamathiselwe ku-endoscope. |
| 5. Ukuvala i-incision | Ekugcineni, ukusikwa okwenziwe ku-mucosa kuvalwa ngezingcezu ezimbalwa ezincane. Bese kususwa i-endoscope. |
Kwenzekani ngemva kokwelashwa futhi kuthatha isikhathi esingakanani ukululama?
Ngemva kokwelashwa, kuzodingeka uhlale esibhedlela cishe usuku lonke. Lokhu kuzoba ukuhlola noma yiziphi izinkinga. Isikhathi sakho sokululama sizoqala ngosuku olulandelayo.
- Ukuhlolwa:Kwenziwa i-X-ray ye-barium ukuze kubonakale ukuthi imisipha ikhululekile kahle nokuthi indlela yokudla icacile.
- Ukudla: Kuzodingeka udle ukudla okumanzi ezinsukwini ezimbili kuya kwezintathu zokuqala. Ngemva kwalokho, kufanele ujwayele ukudla ukudla okuthambile, okungena-fiber eningi isonto elilodwa noma amabili.
- Ukubuyela emsebenzini: Ungabuyela emsebenzini ezinsukwini eziyisikhombisa. Kodwa-ke, uma wenza umsebenzi ohilela ukuphakamisa izinto ezisindayo noma umsebenzi onzima, kungcono ukubuza udokotela wakho ngosuku olungcono kakhulu lokubuyela emsebenzini.
- Ukulandelela: Udokotela wakho uzokucela ukuthi ubuye ezinsukwini eziyi-10 ngemuva kokwelashwa bese ephinda futhi ezinyangeni ezi-3 kamuva. Ngesikhathi sokuhlolwa kwezinyanga ezi-3 (esophagram), bazohlola futhi ukuthi umphimbo wakho uphuma kahle yini ngemva kokugwinya.
Isikhathi sokubona udokotela ngokushesha
Izinkinga ezivela ekwelashweni kwe-POEM azivamile . Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezingezansi ngemuva kokwelashwa, kufanele uxhumane nodokotela wakho ngokushesha.
| Izimpawu zesexwayiso |
|---|
| - Ubuhlungu obukhulu besifuba |
| - Ukukhwehlela igazi |
| - Umkhuhlane (38.3°C Celsius / 101°F Fahrenheit noma ngaphezulu) |
| - Ukukhathala okukhulu, ukuquleka |
| - Indle emnyama noma ebomvu |
| - Ubuhlungu obukhulu emphinjeni |
Uma unezinye zalezi zimpawu, ungalibali. Bona udokotela wakho ngokushesha okukhulu. Uma kudingeka, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- I-POEM iyindlela yokwelapha ephumelela kakhulu neyesimanje yezinkinga zokugwinya ezifana ne-achalasia.
- Lokhu kwenziwa kusetshenziswa i-endoscope efakwe ngomlomo, ngakho-ke akukho ukusikwa okwenziwe ngaphandle komzimba.
- Ngokusho kocwaningo, lokhu kwelashwa kuqeda ngempumelelo ubunzima bokugwinya kubantu abangaba ngu-95 kwabayi-100.
- Nakuba isikhathi sokululama sifushane, kubalulekile ukulandela imiyalelo kadokotela mayelana nokudla kanye nomsebenzi ngemva nje kokwelashwa.
- Uma kuvela izimpawu eziyisixwayiso ngemva kokwelashwa, yazisa udokotela wakho ngokushesha.
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