Uzizwa usuthi uma udla? Noma uhlanza njalo? Esinye sezizathu zalokhu kungaba inkinga nge-valve yemisipha ekugcineni kwesisu sakho, noma kunalokho, indawo lapho ukudla kudlula khona kusuka esiswini kuya emathunjini amancane. Sibiza le valve ngokuthi 'i-pylorus'. Uma leli sango lingavuli kahle, ukudla kuyabhajwa lapho. I-Pyloroplasty iwukuhlinzwa okuza kusiza ngezikhathi ezinjalo. Ake sixoxe ngalokhu namuhla.
Kalula nje, iyini i-Pyloroplasty?
Cabanga ngesisu sakho njengesikhwama. Ukudla esikudlayo kugcinwa kulesi sikhwama, kugaywe, bese kudluliselwa emathunjini amancane. Ekupheleni kwalesi sikhwama sesisu, kukhona indandatho yemisipha esebenza njengesango. Ibizwa ngokuthi i-pylorus . Leli sango liyavuleka uma kudingeka, livumela ukudla okugayiwe ukuthi kudlulele emathunjini amancane, bese livaleka.
Ngakho-ke, uma ngesizathu esithile lo mgodi uvaleka, uncishiswa, noma ungavuli kahle, ukudla akukwazi ukuphuma esiswini. Ngaleso sikhathi, sibiza lo mgodi ngokuthi i- pylorus ngokuthi inqubo yokuhlinzwa esetshenziselwa ukuyishintsha nokuyinweba. Ngezinye izikhathi, uma le ngxenye yonakele ngenxa yokuhlinzwa okunye, lo mnyango uyenziwa futhi ukuze uyilungise.
Kukuziphi izimo lapho ukuhlinzwa kwe-pyloroplasty kuyadingeka khona?
Uma i-pylorus yakho ingasebenzi kahle, okusho ukuthi ukuphuma kwesisu kuyephuza, lokhu kuhlinzwa kungaba usizo. I-Pyloroplasty icatshangelwa kakhulu ezimweni ezilandelayo:
1. Izilonda zesisu (Isifo Sezilonda Zesisu)
Ezinye izilonda zesisu ezinzima zidinga ukuhlinzwa. Isibonelo, uma unezilonda eziqhubeka nokopha noma ezingapholi ngemithi, udokotela wakho angase ancome inqubo ebizwa ngokuthi i-vagotomy ukunciphisa ukukhiqizwa kwe-asidi yesisu. Lokhu kuhilela ukusika eminye yemizwa eya esiswini.
Kodwa kukhona into encane lapha. Nakuba lokhu kuhlinzwa kwe-vagotomy kunciphisa i-asidi yesisu, imizwa ekhombisa ukuthi i-pylorus ivuleke futhi ivaleke nayo ingase ingasebenzi. Ngemuva kwalokho isango alivuli. Yingakho, uma wenza ukuhlinzwa kwe-vagotomy, wenza nokuhlinzwa kwe-pyloroplasty ukuze wandise isango kancane unomphela.
Ngaphezu kwalokho, ngezinye izikhathi isilonda singavuvukala noma kwakheke izicubu ezibomvu, zivale ngokuphelele indlela edlula ku-pylorus. Ezimweni eziphuthumayo ezinjalo, lokhu kuhlinzwa kuyadingeka.
2. I-Gastroparesis
Lokhu kwenzeka lapho imisipha yesisu, okuhlanganisa ne-pylorus, ingasebenzi kahle. Kunjengokungathi imisipha yesisu ikhubazekile kancane. Lokhu kubangela ukubambezeleka okukhulu ekugayweni kokudla kanye nokukhipha ukudla esiswini. Uma lokhu kuba nzima, kungaholela ekucasukeni okuqhubekayo kanye nokuhlanza, okwenza kube nzima ukudla. Uma ezinye izindlela zokwelapha zingaphumeleli, udokotela wakho angase asikisele ukuvula i-pylorus ngokuhlinzwa kwe-pyloroplasty.
3. I-Pyloric Stenosis
Lesi simo sivame ukubonakala ezinganeni ezisanda kuzalwa . Kulesi simo, izindonga ze-pylorus yengane ziba zijiyile, zinciphe futhi zivale indlela yokudla. Ngenxa yalokho, ingane ayikwazi ukuthola ubisi eluphuzile futhi ihlanza ngokuphindaphindiwe. Kubantwana abanjalo, lokhu kuhlinzwa kuyadingeka uma befuna ukufaka ukudla emizimbeni yabo ngendlela efanele.
Lokhu kuhlinzwa kwenziwa kanjani futhi yiziphi izindlela?
Lokhu kuhlinzwa kungenziwa ngezindlela ezimbili. Enye iwukuhlinzwa okuvulekile, okuhilela ukusika isisu. Enye iwukuhlinzwa kwe-laparoscopic , okuhilela ukwenza izimbobo ezimbalwa ezincane esiswini nokusebenzisa ikhamera namathuluzi abucayi. Noma ngabe yikuphi, uzofakwa ngaphansi kwe-anesthesia ejwayelekile, ngakho ngeke uzwe lutho.
Kunezindlela eziningana eziyinhloko zokuhlinzwa kwe-pyloroplasty. Udokotela ukhetha indlela efanele kakhulu ngokusekelwe esimweni sesiguli.
| Indlela Yokuhlinzwa | Incazelo elula |
|---|---|
| I-Heineke-Mikulicz Pyloroplasty | Lena yindlela evame kakhulu. Udokotela ohlinzayo usika i-pylorus ngobude bese eyithunga ndawonye ngobubanzi. Lokhu kwandisa isikhala futhi kuphumuze imisipha. |
| I-Pyloromyotomy (i-Ramstedt Pyloroplasty) | Le ndlela isetshenziswa ikakhulukazi ezinganeni ezisanda kuzalwa. Lapha, kunqunywa kuphela izingqimba zemisipha yangaphandle ye-pylorus, okushiya ulwelwesi oluthambile lwangaphakathi (i-mucosa). Lokhu kubangela ukuthi ulwelwesi lwangaphakathi lukhukhumale ngaphandle, kwandise isikhala ngaphakathi. |
| Ukwanda kwe-Pyloric | Lena akuyona inqubo yokuhlinzwa. Ifana ne -endoscopy , lapho kufakwa khona ipayipi ngomlomo, bese i-pylorus ivuleka ngethuluzi elikhethekile. |
| I-Jaboulay/Finney Pyloroplasty | Lezi akuzona izinqubo ezivamile kakhulu. Zisetshenziswa uma kukhona ukuvuvukala okukhulu noma izibazi ku-pylorus. Lokhu kuhilela ukudlula i-pylorus nokudala ukuxhumana okusha phakathi kwesisu namathumbu amancane (gastroduodenostomy) . |
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uma wenze inqubo ye-laparoscopic, ungase ukwazi ukuya ekhaya ngalolo suku. Uma wenze ukuhlinzwa okuvulekile, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngoba inxeba likhulu. Ngeke unikezwe ukudla okuqinile ezinsukwini ezimbalwa zokuqala. Uzonikezwa ukudla okunomsoco ngepayipi elifakwe ekhaleni lakho noma nge-saline efakwa emthanjeni.
Yiziphi izinkinga ezingaba khona ngenxa yokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile, kodwa amathuba okuba lokhu kwenzeke mancane.
- Ukopha
- Izifo
- Ukujiya kwegazi
- Ukulimala kwezitho ezizungezile
Ngaphezu kwalezi zingozi ezivamile, kunezinkinga eziningana eziphathelene nokuhlinzwa kwe-pyloroplasty.
1. Isifo Sokulahla Inkunkuma
Lona umphumela ovame kakhulu ngemva kwalokhu kuhlinzwa. Kuphambene kakhulu nenkinga ebangele ukuthi wenze ukuhlinzwa. Okusho ukuthi, ukudla okuvela esiswini kuhamba ngokushesha kuye emathunjini amancane. Lokhu kuvame ukuba okwesikhashana.
Izimpawu ze-dumping syndrome zingafika ngezigaba ezimbili. Ngemva nje kokudla, ungase ube nobuhlungu besisu, isicanucanu, kanye nesifo sohudo. Ngemva kwamahora ambalwa, amazinga kashukela egazini lakho ehla ngokuzumayo, okubangela izimpawu ezifana nobuthakathaka, isiyezi, ukujuluka, kanye nokushaya kwenhliziyo okusheshayo.
Nakuba lokhu kungase kucasule kancane ekuqaleni, kungalawulwa ngokushintsha ukudla , futhi uma kudingeka, imithi oyinikezwe udokotela wakho.
2. Ukuvuvukala kwenyongo
Uma ivalvu ye-pyloric ishintshwa, ayivaleki kahle, okuvumela okuqukethwe emathunjini amancane, ikakhulukazi i-bile , ukuthi kugeleze emuva esiswini. I-bile iyacasula ulwelwesi lwesisu. Uma lokhu kuqhubeka, kungabangela i-gastritis .
Inqubo yokutakula kanye nempumelelo
Iningi labantu, ikakhulukazi labo abake bahlinzwa nge-laparoscopic, bayalulama ngokushesha. Bangabuyela emisebenzini yabo evamile kanye nemikhuba yokudla phakathi namasonto ambalwa. Uma unezimpawu ze-dumping syndrome, kufanele uqaphele ngokudla kwakho kuze kube yilapho ziphela (mhlawumbe izinyanga ezimbalwa).
I-Pyloroplasty iyindlela yokwelapha ephumelela kakhulu ye-gastroparesis kanye nokuvaleka kwesisu, enezinga lempumelelo elifinyelela ku-90%.
Ekugcineni, ukuvaleka okuncane kwe-pylorus kungaphazamisa uhlelo lwakho lokugaya ukudla lonke. Kunezindlela zokwelapha ezingezona ezokuhlinzwa zalokhu, kodwa uma lokho kungasebenzi, ukuhlinzwa kungaba yisisombululo esihle kakhulu nesiphephile.
Umlayezo Wokuya Nawe Ekhaya
- I-Pyloroplasty inqubo yokuhlinzwa eyandisa ukuvulwa kwesisu (i-pylorus), okuvumela ukudla ukuthi kudlule kalula emathunjini amancane ngaphandle kokubhajwa.
- Lokhu kuhlinzwa kwenziwa ikakhulukazi ezimweni zezilonda zesisu ezinzima, i-gastroparesis, kanye ne-pyloric stenosis ezinganeni ezisanda kuzalwa.
- Lokhu kungenziwa njengokuhlinzwa okuvulekile noma ukuhlinzwa kwe-laparoscopic (keyhole). Udokotela wakho uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe.
- Umphumela ovame kakhulu ngemva kokuhlinzwa yi-dumping syndrome, okuyilapho ukudla kuphuma esiswini ngokushesha kakhulu. Kodwa-ke, lokhu kuvame ukuba okwesikhashana futhi kungalawulwa ngokushintsha ukudla kwakho.
- Ngaphambi kwanoma yikuphi ukuhlinzwa, kubaluleke kakhulu ukuxoxa ngazo zonke izinzuzo nezingozi nodokotela wakho bese wenza isinqumo.
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