Ingabe nawe unenkinga yesilungulela esivame ukwenzeka kanye nokudla okufika emphinjeni wakho? Nakuba lokhu sikubiza ngokuthi i-gastritis, lokhu kungaba yisimo esibi kakhulu ngezinye izikhathi. Uma inkinga iphela ngemva kokuthatha imithi izinsuku ezimbalwa, bese iphinda ivele, ungase uzibuze ukuthi ayikho yini ikhambi elihlala njalo kulokhu. Kungabantu abanjalo ukuthi indlela yokwelapha yesimanje ebizwa ngokuthi i-TIF esikhuluma ngayo namuhla ibalulekile.
Kalula nje, iyini le TIF?
I-TIF isifinyezo se- "Transoral Incissionless Fundoplication." Ake sihlukanise amagama ukuze sikuqonde lokhu.
- I-Transoral: Lokhu kusho ukuthi "ngomlomo." Lokhu kusho ukuthi ukwelashwa kwenziwa ngokufaka amathuluzi ngomlomo wakho.
- Ukungasikwa: Lokhu kusho ukuthi "akukho ukusikwa." Yebo, ukuzwile lokho kahle! Lokhu kwelashwa akubandakanyi ukusikwa esiswini sakho. Ngakho-ke asikho isidingo sokukhathazeka ngokuhlinzwa okukhulu.
- Ukufakwa kwe-Fundoplication: Yilokhu okwenziwayo empeleni. Kuhilela ukuthatha ingxenye engenhla yesisu sakho (ebizwa ngokuthi 'i-fundus') bese uyisonga engxenyeni engezansi yomhubhe wakho, uyiqinise kancane.
Kalula nje, i-TIF inqubo engahlaseli esebenzisa ikhamera (i-endoscope) efakwe ngomlomo ukuqinisa ivalvu ephakathi kwengxenye engenhla yesisu sakho kanye nomphimbo wakho.
Ukwelashwa kwe-TIF kuyithuthukisa kanjani i-GERD?
Ukuze siqonde lokhu, ake siqale sibheke ukuthi kungani sithola isilungulela. Lapho umphimbo wethu (ipayipi lokudla) uxhumana khona nesisu sethu, kukhona indandatho yemisipha esebenza njenge-valve. Uma sigwinya, iyavuleka bese ivumela ukudla kudlulele esiswini, bese ivala futhi. Lokhu kuvimbela i-asidi yesisu esinomuncu ukuthi ingabuyeli phezulu emphinjeni.
Kodwa, uma une -GERD (Gastroesophageal Reflux Disease) , yilokho esikhuluma ngakho, imisipha esebenza njenge-valve ibuthakathaka. Ngakho-ke i-asidi yesisu ikhuphuka kalula. Yilokhu okuzwa njengokusha, ukunambitheka okubabayo emphinjeni wakho.
Abanye abantu bangase babe nesimo esibizwa ngokuthi i-hiatal hernia . Lokhu kwenzeka lapho ingxenye engenhla yesisu idlula emgodini omncane ku-diaphragm, udonga olukhulu oluhlukanisa isifuba nesisu sethu. Ukwelashwa kwe-TIF kungaqinisa leli vali elibuthakathaka futhi kungalungisa nama-hiatal hernia amancane.
Ubani lokwelashwa kwe-TIF okufanelekela kangcono?
I-TIF ayifanele wonke umuntu. Ifaneleka kakhulu ku:
- Kulabo abane-GERD ephakathi kuya kwenzima noma i-hernia encane yokubeletha.
- Kulabo abesabayo, noma abangakwazi ukwenza ukuhlinzwa okukhulu.
- Kulabo abafuna ukugwema ukuthatha imithi ye-gastritis impilo yabo yonke.
Ukwelashwa okuvame kakhulu kwe-GERD uhlobo lomuthi olubizwa ngokuthi ama-proton pump inhibitors (PPIs) . Kodwa-ke, abanye abantu bangase bangakwazi ukubekezelela le mithi ngokuhamba kwesikhathi. Abanye bangase bangafuni ukuyithatha isikhathi eside. Kulabo bantu, i-TIF iyindlela enhle phakathi kokuhlinzwa kanye nemithi yesikhathi eside.
Yini okufanele yenziwe ngaphambi kokwelashwa kwe-TIF?
Uma unesifiso salokhu kwelashwa, kufanele uqale ukhulume nodokotela wakho ngakho . Udokotela wezifo zamathumbu noma udokotela ohlinzayo ojwayelekile angakwenza lokhu. Uzokuhlola bese enquma ukuthi lokhu kulungile yini kuwe. Kuzodingeka ukuthi kwenziwe izivivinyo ezithile.
| Ukuhlolwa okungenzeka | Kalula nje, kwenzekani? |
|---|---|
| I-Esophagram | Ngesikhathi ugwinya uketshezi, umsebenzi womhubhe uqashelwa nge-X-ray yevidiyo (`fluoroscopy`). |
| I-Endoscopy Ephezulu | Ikhamera ifakwa ngomlomo bese isimo esingaphakathi komphimbo nesisu sibonwa ngqo. |
| Ukuhlolwa kwe-pH ye-Esophageal | Ngesikhathi se-endoscopy, kufakwa inzwa encane emgudwini wakho bese ilinganisa inani le-asidi engena emgudwini wakho usuku lonke. |
| I-manometry ye-Esophageal | Ingcindezi kanye nomsebenzi wemisipha emphinjeni kulinganiswa kusetshenziswa ithubhu elincane (ithubhu le-nasogastric) elifakwa ngekhala. |
Kodwa khumbula, uma une-hernia enkulu yokubeletha, ubunzima bokugwinya, i-esophagitis egugulekayo kakhulu, noma isimo lapho ulwelwesi lwe-esophagus yakho lushintshiwe unomphela (i-Barrett's esophagus), ukwelashwa kwe-TIF kungase kungakulungeli.
Kwenzekani ngesikhathi sokwelashwa?
Lokhu kwelashwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile, okusho ukuthi ulele ngokuphelele. Ngakho awuzwa lutho.
Udokotela ufaka i-endoscope, ikhamera, kanye nedivayisi ye-TIF ngomlomo wakho. Ngesikhathi ebuka izithombe esikrinini, udokotela ugoqa ngokucophelela ingxenye engenhla yesisu ezungeze umphimbo bese esebenzisa iziqeshana ezincane noma izithungo ('izikhonkwane') ukuze ayibambe endaweni yayo. Lokhu kufana nokuqinisa indawo ebuthakathaka, njengekhola yehembe.
Yonke inqubo ithatha cishe imizuzu engama-45 kuya kwengama-60 . Ngemva kokwelashwa, uzoqashwa futhi ngokuvamile uvunyelwe ukuya ekhaya ngalolo suku, noma ungase ucelwe ukuba uhlale esibhedlela ubusuku bonke.
Ngemva kokwelashwa... ubuhlungu nesikhathi sokululama
Uma uvuka, uzonikezwa imithi yobuhlungu ngesisombululo se-saline. Iningi labantu liba nokungakhululeki okuncane okuhlala usuku olulodwa noma ezimbili. Ubuhlungu bomphimbo kanye nobuhlungu besifuba obuncane kuvamile.
Ngokuphathelene nesikhathi sokululama, ungaqhubeka nemisebenzi evamile zingakapheli izinsuku ezimbalwa. Kodwa-ke, kuzothatha cishe amasonto amabili kuya kwayisithupha ukuthi ingaphakathi lomphimbo liphole ngokuphelele. Phakathi nalesi sikhathi, kuzodingeka ushintshe ukudla kwakho.
- Ezinsukwini zokuqala: uketshezi olucacile (isib. amanzi esobho, ujusi wewolintshi)
- Okulandelayo: Uketshezi olujiyile nokudla okugayiwe kahle
- Ngemva kwamasonto ambalwa: Ungajwayela ukudla okuvamile.
Phakathi nalesi sikhathi, kubaluleke kakhulu ukugwema izinto ezifana nokuphakamisa izinto ezisindayo kanye nokuzivocavoca okunzima cishe inyanga yonke .
Ingabe kukhona izingozi kulokhu?
Njenganoma iyiphi inqubo yezokwelapha, ama-TIF angaba nezingozi ezincane kakhulu. Kodwa-ke, amathuba okuba lokhu kwenzeke mancane kakhulu.
| Izinkinga ezingaba khona (ezingavamile kakhulu) | |
|---|---|
| Ukulimala komphimbo noma isisu | Ukopha noma ukubhoboka. |
| Izifo | Izimo ezifana nokutheleleka kwesifuba (i-mediastinitis). |
| Ukubuya kwezimpawu | Uma izimpawu zibuya ngokuhamba kwesikhathi, kungadingeka ushintshele kwenye indlela yokwelapha. |
Uyini umehluko phakathi kwe-TIF nokuhlinzwa kwendabuko (i-Nissen Fundoplication)?
Ukuhlinzwa okuvamile kwe-GERD kubizwa ngokuthi i-Nissen fundoplication . Umehluko omkhulu ukuthi udokotela ufinyelela esiswini ngokusika esiswini. Ngezinye izikhathi, kwenziwa nge-laparoscopically, ngokusebenzisa ukusika okuncane okuningana.
Omunye umehluko ukuthi inqubo ye-Nissen igoqa isisu ngokuqinile eduze komphimbo. Lokhu kuyenza isebenze kahle kakhulu kwi-GERD enzima. Kodwa-ke, kwabanye abantu, lokhu kuqina kungabangela imiphumela emibi njengobunzima bokugwinya kanye nobunzima bokukhipha umoya (ukubhoboza) .
Imiphumela emibi yesikhathi eside efana nale ayivamile kakhulu ekwelashweni kwe-TIF. Inikeza ikhambi eliphakathi nendawo enkingeni ephakathi nendawo. Ngakho-ke, inganikeza ikhambi elihle enkingeni ngaphandle kwezingozi kanye nesikhathi eside sokululama sokuhlinzwa.
Ukwelashwa kwe-TIF kusekusha, kodwa imiphumela yokuqala ikhombisa izinga lempumelelo elingaba ngu-80% ngemva kweminyaka emi-5. Impumelelo isho ukuthi iziguli sezifinyelele ukuphulukiswa kwesikhathi eside futhi zikwazile ukunciphisa noma ukuyeka ngokuphelele ukusebenzisa imithi.
Umlayezo Wokuya Nawe Ekhaya
- I-TIF iyindlela yokwelapha yesimanje, engadingi ukungenelela kwesifo esiqhubekayo se-gastroesophageal reflux (GERD) kanye nama-hernia amancane okubeletha.
- Lokhu kwenziwa ngosizo lwekhamera efakwe ngomlomo. Ngakho-ke, akukho bungozi noma ubuhlungu obuhambisana nokuhlinzwa okukhulu.
- Lena inketho enhle kubantu abane-GERD ephakathi nendawo abangafuni ukuthatha imithi impilo yabo yonke noma ukuhlinzwa okukhulu.
- Ngaphambi kokwelashwa, qiniseka ukuthi ukhuluma nodokotela wakho ukuze ubone ukuthi lokhu kulungile yini kuwe.
- Isikhathi sokululama sifushane, kodwa kubalulekile ukulandela imiyalelo kadokotela wakho bese uphumula uze ululame ngokugcwele.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment