Wake wakwenza lokhu? Uzizwa usuthi ngemva kokudla, kodwa akuyona into evamile yokuzizwa usuthi, kufana nokuthi ukudla kubhajwe esiswini sakho. Noma uhlanza ngemva kwesikhathi esithile ngemva kokudla. Uma izinto ezinjengalezi ziqhubeka, kuyinkinga enkulu empilweni. Ngakho-ke, lezi zinto zingenzeka ngenxa yenkinga 'yesango' elithumela ukudla kusuka esiswini sethu kuya emathunjini amancane. Yilokho esizokhuluma ngakho namuhla, ukuhlinzwa kokulungisa lelo 'sango'.
Kuyini i-pyloroplasty kalula?
Kulungile, ake sikuqonde kalula lokhu. Cabanga ukuthi isisu sakho siyisikhwama esiqoqa ukudla. Ngaphansi kwalesi sikhwama, kukhona ingxenye efana nentambo ebopha umlomo. Yilokho esikubiza ngokuthi `(Pylorus)` kwezokwelapha. Ukuze sibe nembile, lesi yivalvu eqinile eyenziwe ngemisipha. Uma sidla ukudla, kudingeka kugaywe kahle esiswini bese kuthunyelwa emathunjini amancane. Ngaleso sikhathi, le valve ebizwa ngokuthi `(Pylorus)` iyavuleka bese ithumela ukudla emathunjini amancane, bese ivala futhi.
Ngakho-ke, i-Pyloroplasty iwukuhlinzwa okwenziwa ku-`(Pylorus)`. Uma ngesizathu esithile le valve ingavuli kahle, uma ivinjiwe, noma uma yonakele ngenxa yokuhlinzwa okunye, lokhu kuhlinzwa kwenzelwa ukuyibumba kabusha, ukuyinweba, nokuvumela ukudla kudlule kalula. Kalula nje, lokhu kuhlinzwa kwandisa isango elivinjiwe esiswini.
Kukuziphi izimo lapho lokhu kuhlinzwa kuyadingeka khona?
Akuwona wonke umuntu odinga lolu hlinzwa. Uma i-pylorus yakho ingasebenzi kahle futhi ukuphuma kwesisu kubambezeleka, lokhu kuhlinzwa kungaba yisisombululo. Ake sibheke izimbangela eziyinhloko zalokhu.
Izilonda zesisu (Isifo sesilonda se-Peptic)
Abanye abantu banezilonda zesisu ezingaba zimbi kakhulu. Uma beqhubeka nokopha noma bengapholi ngemithi, odokotela ngezinye izikhathi bangase batuse ukuhlinzwa. Uhlobo olulodwa olukhethekile lokuhlinzwa i-vagotomy. Lokhu kuhilela ukusika umthambo osiza isisu ukukhiqiza i-asidi. Lokhu kunciphisa ingozi yezilonda, kodwa njengomphumela ongemuhle, umthambo obonisa ukuthi i-valve ye-pylorus ivuleke futhi ivalwe nawo awusebenzi.
Cabanga nje, kukhona isango, futhi kukhona isilawuli esikude sokulivula nokulivala. Ukuhlinzwa kwe-`(Vagotomy)` kufana nokukhipha ibhethri kulelo silawuli esikude. Ngakho isango livaliwe.
Ngaleso sikhathi, kuzodingeka nakanjani ube nokuhlinzwa kwe-pyloroplasty. Lokhu kuzovula unomphela isango elivaliwe. Ngemuva kwalokho, ukudla kungadlulela emathunjini amancane ngaphandle kwesithiyo.
Ngaphezu kwalokho, ngezinye izikhathi isilonda singavuvukala noma izicubu zesilonda zakheke futhi zivale i-pylorus. Esimweni esiphuthumayo esinjalo, lokhu kuhlinzwa kungenziwa futhi.
Ukungasebenzi kahle kwemisipha yesisu (i-Gastroparesis)
Lokhu kwenzeka lapho imisipha yesisu, okuhlanganisa ne-pylorus, ingasebenzi kahle. Kufana nokuba yivila. Khona-ke ukunyakaza kwesisu kwehla, futhi ukugaya nokudlulisa ukudla kuyephuza kakhulu. Lokhu kungaholela ekucasukeni okuqhubekayo nokuhlanza. Ungase ungakwazi ngisho nokudla noma ukuphuza. Uma ezinye izindlela zokwelapha zingaphumeleli, udokotela wakho angase aphakamise ukuhlinzwa kwe-Pyloroplasty ukuze kuvulwe i-pylorus unomphela.
I-Pyloric Stenosis ezinganeni ezincane
Lesi simo sivame ukubonakala ezinganeni ezisanda kuzalwa. Akuvamile kakhulu kubantu abadala. Okwenzekayo lapha ukuthi izindonga zemisipha ze-"Pylorus" yomntwana ziba zijiyile, zinciphe futhi zivimbele ukudlula kokudla. Lezi zingane zihlanza sengathi zidutshulwa ngemva kokuphuza ubisi (ukuhlanza okubonakalayo). Lokhu kuyinto abazali abayesaba kakhulu. Njengoba lezi zingane zingakwazi ukudlulisa ubisi esiswini, lokhu kuhlinzwa kuba yimfuneko. Lokhu kwandisa isikhala esinciphile.
Njengomphumela ongemuhle wezinye izinhlinzeko
Ngezinye izikhathi, ngesikhathi sokuhlinzwa komphimbo noma esiswini, i-vagus nerve elawula i-pylorus ingase yonakale. Ezimweni ezinjalo, i-pyloroplasty ingenziwa njengokuhlinzwa okwengeziwe.
Ukuhlinzwa kwe-pyloroplasty kwenziwa kanjani?
Lokhu kuhlinzwa kungenziwa ngezindlela ezimbili eziyinhloko. Eyokuqala ukuhlinzwa okuvulekile , okuhilela ukwenza ukusika okukhulu esiswini. Enye ukuhlinzwa kwe-laparoscopic , okuhilela ukwenza ukusika okuncane okuningana esiswini nokufaka ikhamera namathuluzi abucayi. Lokhu akuhlaseli kakhulu futhi kunesikhathi esifushane sokululama.
Kungakhathaliseki ukuthi iyiphi indlela esetshenziswayo , ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ngeke uzwe lutho, uzobe ulele.
Kunezindlela ezahlukene zokwenza lokhu kuhlinzwa. Udokotela ukhetha indlela efanele kakhulu kuye ngesimo.
| Igama lendlela yokuhlinzwa (Igama Lendlela) | Kwenzekani nje? |
|---|---|
| I-Heineke-Mikulicz Pyloroplasty | Lena yindlela evame ukusetshenziswa kakhulu. Udokotela ohlinzayo usika i-pylorus ngobude bese eyithunga ngendlela evundlile. Lokhu kwandisa ingxenye efana nethubhu. |
| I-Pyloromyotomy (i-Ramstedt Pyloroplasty) | Le ndlela isetshenziswa ikakhulukazi ezinganeni ezisanda kuzalwa. Lapha, kunqunywa ungqimba lwemisipha yePylorus kuphela, hhayi ulwelwesi oluthambile lwangaphakathi (mucosa). Bese kuthi ulwelwesi lwangaphakathi luqhume, okwenza indlela yokudla ibe nkulu. |
| Ukwanda kwe-Pyloric | Lokhu kwenziwa njenge-endoscopy. Ikhamera ifakwa ngomlomo, bese kudluliswa ithuluzi elikhethekile ukuze kwandiswe i-pylorus ngaphandle kokusika. |
| I-Jaboulay/Finney Pyloroplasty | Lezi azisetshenziswa kaningi. Lezi zindlela zisetshenziswa uma kunezibazi eziningi nokuvuvukala ku-pylorus. Okwenziwa lapha ukugwema i-pylorus nokudala ukuxhumana okusha phakathi kwesisu namathumbu amancane (gastroduodenostomy). |
Yini ongayilindela ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, izimbobo zakho zizothungwa zivalwe. Uma uhlinzwe nge-laparoscopic, ungase ukwazi ukuya ekhaya ngalolo suku. Kodwa-ke, uma uhlinzwe ngokuvulekile, kungase kudingeke uhlale esibhedlela izinsuku ezimbalwa ngoba izimbobo zikhulu.
Ngeke uvunyelwe ukudla ukudla okuqinile ngokushesha ngemva kokuhlinzwa. Uzoqala unikezwe uketshezi (usawoti) ngomthambo. Ngemuva kwalokho, kancane kancane uzojwayela uketshezi, amasobho, bese kuba ukudla okuthambile, bese ekugcineni ukudla okuvamile. Konke lokhu kuzokwenziwa ngokwemiyalelo kadokotela wakho.
Yiziphi izingozi nezinkinga zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile, kodwa amathuba okuba lokhu kwenzeke mancane kakhulu.
- Ukopha
- Izifo
- Ukujiya kwegazi
- Ukulimala kwezitho ezizungezile
- Ukuvuza okuvela emithungweni
Ngaphezu kwalezi zingozi ezivamile, kunezinkinga eziningana eziphathelene nokuhlinzwa kwe-pyloroplasty. Ake sizazi nazo.
Isifo Sokulahla Inkunkuma
Lona umphumela oyinhloko obonakala ngemva kwalokhu kuhlinzwa. Kodwa isikhathi esiningi kuba okwesikhashana. Okwenzekayo lapha ukuthi ukudla esiswini 'kulahlwa' ngokuzumayo nangokushesha emathunjini amancane. Okusho ukuthi, kuyawa. Nakuba isizathu sokuhlinzwa kwakuwukudlulisa ukudla, ngemva kokuhlinzwa ukudla kuqala ukudlula ngokushesha.
Izimpawu zalokhu ziza ngezigaba ezimbili.
- Izimpawu zokuqala (Ukulahla Kwasekuqaleni):Lezi zimpawu zenzeka ngemva kokudla. Zingafaka phakathi ukuqaqamba kwesisu, isicanucanu kanye nokuqunjelwa.
- Izimpawu zokulahla ukudla sekwephuzile: Lokhu kwenzeka emahoreni ambalwa ngemva kokudla. Ukwehla okungazelelwe kwamazinga kashukela egazini kungabangela ubuthakathaka, isiyezi, ukuhlanza igazi, kanye nokushaya kwenhliziyo okusheshayo.
Lezi zimpawu zivame ukuphela ngokuhamba kwesikhathi. Phakathi nalesi sikhathi, kubalulekile ukushintsha ukudla kwakho. Udokotela wakho uzokweluleka ngokuthi kufanele udle kanjani nokuthi yini okufanele uyidle. Uma kudingeka, kunemithi yokulawula lokhu.
Ukubuyela emuva kwe-bile
Siyazi ukuthi ivalvu ethi `(Pylorus)` isivuliwe unomphela. Ngenxa yalokhu, okuqukethwe emathunjini amancane, ikakhulukazi i-bile, kungabuyela esiswini. Le bile ayilungele kakhulu izindonga zesisu. Uma lokhu kuqhubeka, kungenzeka ukuvuvukala kwesisu `(Gastritis)`.
Kuthatha isikhathi esingakanani ukululama futhi ukuhlinzwa kuphumelele kangakanani?
Iningi labantu liyalulama ngokushesha ngemva kwalokhu kuhlinzwa, ikakhulukazi uma kwenziwe nge-laparoscopically. Ungabuyela emisebenzini yakho evamile kanye nokudla okunempilo zingakapheli amasonto ambalwa. Uma uhlangabezana nento efana ne-"dumping syndrome," kudingeka uqaphele kakhulu ngokudla kwakho. Izophela ezinyangeni ezimbalwa.
Lokhu kuhlinzwa kusebenza kahle kakhulu njengesixazululo sezimo ezifana ne-`Gastroparesis` kanye ne-`Pyloric stenosis`. Izinga lempumelelo yalo liphezulu lifinyelela ku-90%.
Uhlelo lwethu lokugaya ukudla lufana nomshini osebenza njalo. Uma kukhona ukuvaleka engxenyeni eyodwa yalo, lonke uhlelo luzophazamiseka. Inkinga nge-`(Pylorus)` injalo. I-Pyloroplasty ukuhlinzwa okuncane okwenziwa endaweni encane, kodwa kungaba nomthelela omkhulu, omuhle empilweni yakho. Yiqiniso, ukuhlinzwa kuyisinqumo esikhulu. Kodwa uma ezinye izindlela zokwelapha zingazange zisize, lokhu kuhlinzwa kungaba yisisombululo esihle kakhulu senkinga yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Pyloroplasty iwukuhlinzwa okwandisa 'isango' (i-pylorus) phansi kwesisu sakho, okuvumela ukudla ukuthi kudlule kalula.
- Yelapha izimo ezifana nezilonda zesisu, i-gastroparesis, kanye ne-Pyloric Stenosis, ikakhulukazi ezinganeni ezisanda kuzalwa.
- Lokhu kuhlinzwa kungenziwa ngokuvulwa noma nge-laparoscopically (ngokusebenzisa i-incision encane). Indlela ye-laparoscopic ilula futhi iphola ngokushesha.
- Imiphumela emibi efana ne-dumping syndrome ingase ivele ngemva kokuhlinzwa, kodwa ivame ukuba yesikhashana. Lokhu kungalawulwa ngokushintsha ukudla kwakho.
- Lokhu kuhlinzwa kubhekwa njengokuhlinzwa okuphephile okuletha imiphumela ephumelelayo kakhulu.
- Uma unezinye zezimpawu ezishiwo kulesi sihloko, sicela ubone udokotela wakho ngokushesha ukuze uthole iseluleko. Gwema ukuzelapha.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho