Ingabe nawe unenkinga ye -gastritis engaphili isikhathi eside, okungukuthi, izilonda zesisu (i-Peptic Ulcer Disease)? Ngisho nangemva kokuthatha umuthi, ngezinye izikhathi lezi zilonda ziyaqhubeka zingapholi. Ezimweni ezinzima kangaka, namuhla sizokhuluma ngokuhlinzwa okukhethekile odokotela abakuncomayo. Lokhu kubizwa ngokuthi i-Vagotomy. Kungenzeka ukuthi awukaze uzwe ngaleli gama. Kodwa lena yindlela yokwelapha ebaluleke kakhulu. Ake sibone ukuthi iyini kalula.
Kalula nje, kuyini i-Vagotomy?
Ake sithi kukhona 'intambo yocingo' ekhethekile ephethe ulwazi phakathi kobuchopho bakho kanye nohlelo lokugaya ukudla esiswini sakho. Kwezokwelapha, lokhu sikubiza ngokuthi i-Vagus Nerve. Lo mthambo yiwona onikeza isisu sakho uphawu lokuthi "sikhiphe i-asidi manje." Uma sidla, yilo mthambo we-Vagus othumela umyalezo ovela ebuchosheni ukuze ukhiqize i-asidi edingekayo ukuze kugaywe lokho kudla.
Manje, izisu zabanye abantu zikhiqiza i-asidi eningi kakhulu. Lokhu kungalimaza ulwelwesi lwesisu futhi kubangele izilonda ezingapholi . I-vagotomy ihilela ukusika ingxenye ye-vagus nerve ethumela imiyalezo esuka ebuchosheni iye esiswini ukuze ikhiqize i-asidi. Njengoba nje ukusika ucingo lwefoni kumisa umyalezo, ukusika le nerve kunciphisa isignali eya esiswini ukuze ikhiqize i-asidi. Lokhu kusiza ukulawula ukukhiqizwa kwe-asidi esiswini , kusize ekwelapheni izilonda futhi kuvimbele ukwakheka okusha.
Lokhu akuyona into eyenziwayo ngesimo esivamile se-gastritis. Kuyindlela yokugcina yokuthola izilonda zesisu ezinzima neziyinkimbinkimbi ezingelapheki ngemithi.
Yiziphi izinhlobo eziyinhloko zokuhlinzwa kwe-vagotomy?
I-vagus nerve ifana nesiqu somuthi esiqala futhi siphume amahlumela. Ukuhlinzwa kwe-vagotomy kungahlukaniswa ngezinhlobo ezimbili eziyinhloko kuye ngokuthi le nzwa inqunywa kuphi. Imiphumela yalezi zibili ihlukile kancane.
| Uhlobo lokuhlinzwa | Incazelo elula |
|---|---|
| Ukususwa Kwesikhumba Esiqinile | Lokhu kuhilela ukunquma isiqu esiyinhloko senzwa ye-vagus. Lokhu kufana nokunquma isiqu esiyinhloko somuthi. Lokhu akuthinti nje isisu kuphela, kodwa futhi nezimpawu eziya esibindini, enyongweni, kuma-pancreas, nasemathunjini. Nakuba lokhu kunciphisa kakhulu i-asidi, kungathinta nezinye izingxenye zesistimu yokugaya ukudla (imiphumela emibi). |
| Ukususwa Kwesikhumba Okukhethwe Kakhulu | Kulokhu, akwenziwa lutho esiqwini esikhulu semizwa. Kunalokho, amagatsha amancane kakhulu emizwa athwala izimpawu eziya kumaseli akhiqiza i-asidi (amaseli e-parietal) esiswini asikwa futhi asuswe ngokukhetha. Lokhu kufana nokusika igatsha elilodwa nje lesihlahla ngaphandle kokulimaza isiqu. Lokhu kubangela imiphumela emibi embalwa kakhulu. Kodwa-ke, lokhu kuwukuhlinzwa okunzima kancane ukuthi udokotela ohlinzayo akwenze futhi kudinga ikhono elengeziwe. |
Khona-ke lokhu kuhlinzwa kwenziwa kuziphi izimo?
Ngokuvamile, izilonda zesisu zingelashwa ngemithi. Kodwa-ke, kunezimo ezithile ezinzima. Yilapho-ke lapho kufanele ucabangele khona ukuhlinzwa kwe-vagotomy.
- Izilonda Zokopha: Uma isilonda esiswini siqhubeka nokopha futhi singenakukwazi ukulawulwa ngezindlela ezifana ne-endoscopy, kungase kudingeke ukuhlinzwa ukuze kulungiswe isilonda. Kungase kwenziwe i-vagotomy ukuze kuvinjelwe ukwakheka kwesilonda okuqhubekayo.
- Izilonda Ezibhobozekile: Lesi yisimo esiphuthumayo. Uma isilonda sijule ngokwanele ukubangela imbobo odongeni, i-asidi yesisu nokudla kungavuza esiswini, okubangela ukutheleleka okukhulu. Ezimweni ezinjalo, kudingeka ukuhlinzwa ukuze kuvalwe imbobo ngokushesha okukhulu. Kungase kwenziwe nokuhlinzwa kwe-vagotomy. Ezimweni ezinjalo, uzolaliswa eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha.
- Ukuvaleka Kwesisu: Izicubu ezibomvu ngenxa yokulimala kwesikhathi eside zingavimba ukudlula kokudla kusuka esiswini kuya emathunjini amancane. Lokhu kungabangela ukuthi ukudla kubhajwe esiswini futhi kubangele ukuhlanza . Kungase kwenziwe i-vagotomy ngesikhathi sokuhlinzwa ukuze kususwe lokhu kuvaleka.
Okunye ukuhlinzwa kwenziwe kanye nokuhlinzwa kwe-vagotomy
Ukuhlinzwa kwe-Vagotomy ngokuvamile akuyona indlela yokuhlinzwa yodwa. Kwenziwa kanye nokuhlinzwa okunye ukulungisa izinkinga ezibangelwa ukulimala.
1. Ukuhlinzwa Kwesitho Sokuzala Nge-Gastrectomy
Kwezinye izimo ezinzima kakhulu, ingxenye yesisu kungadingeka isuswe. Lokhu kubizwa ngokuthi i-gastrectomy. Ngokuvamile, ingxenye engezansi yesisu iyasuswa. Le ngxenye ikhiqiza i-hormone ebizwa ngokuthi i-gastrin. Le hormone iyasiza futhi ekukhiqizeni i-asidi. Ngakho-ke lapho kususwa ingxenye yesisu, kwenziwa i-vagotomy ukuvimbela ukulimala kabusha.
2. Ukususwa kwe-Vagotomy nge-Pyloroplasty
Uma senza ukuhlinzwa kwe-Truncal Vagotomy esikhulume ngakho ekuqaleni, sidinga ngempela ukwenza lo msebenzi wokuhlinzwa kwe-pyloroplasty ngesikhathi esifanayo. Ekupheleni kwesisu, kukhona ingxenye efana ne-valve yemisipha ebizwa ngokuthi i-pylorus. Lokhu kufana nesango elivulekayo nelivalayo ukuze kuvunyelwe ukudla kudlulele emathunjini amancane. Lapho isiqu esiyinhloko se-vagus nerve sinqunywa ku-truncal vagotomy, izimpawu ezivula futhi zivale leli sango ziyalahleka. Bese ukudla kubhajwa esiswini. Ukuhlinzwa kwe-pyloroplasty kwenziwa ukuze kulungiswe lelo sango ukuze lihlale livulekile. Bese ukudla kudlula kalula emathunjini amancane.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Ngaphambi kokuhlinzwa, uzonikezwa ukwelashwa okudingekayo ukuze ugcine impilo yakho isesimweni esihle. Isibonelo, uzonikezwa usawoti uma uphelelwe amanzi emzimbeni ngenxa yokuhlanza, noma igazi uma ulahlekelwe igazi ngenxa yokopha. Uzonikezwa futhi ama-antibiotic ukuvimbela ukutheleleka kanye nemithi yokuvimbela amahlule egazi . Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia , okusho ukuthi uzobe ulele ngokuphelele.
Kunezindlela ezimbili zokwenza ukuhlinzwa:
- Ukuhlinzwa Okuvulekile: Indlela yendabuko, eyenziwa ngokusikwa okukhulu esiswini.
- Ukuhlinzwa kwe-Laparoscopic: Lokhu kwaziwa nangokuthi 'ukuhlinzwa kwe-keyhole'. Kuyinqubo ehilela ukwenza izimbobo ezimbalwa ezincane esiswini nokufaka ikhamera namathuluzi abucayi. Lokhu kuphumela esikhathini esincane sokuphola kanye nezibazi ezincane.
Udokotela ohlinzayo uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe.
Kwenzekani ngemva kokuhlinzwa? Izingozi ezingaba khona kanye nemiphumela emibi
Kuye ngohlobo lokuhlinzwa, kungadingeka uhlale esibhedlela izinsuku ezimbalwa. Uzothunyelwa ekhaya uma usukwazi ukuhamba futhi usebenze ngokuzimela futhi. Kungathatha amasonto ambalwa ukululama ngokuphelele. Uzoqala ngokudla okumanzi bese kancane kancane ujwayela ukudla okuvamile.
Njenganoma yikuphi ukuhlinzwa, lokhu kunezingozi ezithile.
| Izingozi nemiphumela emibi | Incazelo |
|---|---|
| Izingozi ngesikhathi sokuhlinzwa | Ukulimala kwezitho ezizungezile, imithambo yegazi, noma imizwa, ukutheleleka, ukopha ngokweqile, amahlule egazi, njll. |
| Uhudo | Lona umphumela ovamile ongemuhle, ikakhulukazi ngemva kokuhlinzwa kwe-truncal vagotomy. Lesi simo senzeka lapho inyongo ivuza ngokuzumayo emathunjini ngenxa yokwehla kwezimpawu zemizwa eziya enyongweni. Lokhu kuvame ukuba okwesikhashana. |
| Isifo Sokulahla Inkunkuma | Lokhu kubangelwa ukuhlinzwa kwe-pyloroplasty. Njengoba ukudla kuhamba ngokushesha kusuka esiswini kuya emathunjini, isicanucanu, ukungakhululeki esiswini, kanye nesifo sohudo kungase kwenzeke ngokushesha ngemva kokudla. Ngezinye izikhathi, ngemva kwamahora ambalwa, amazinga kashukela egazini angase ehle ngokuzumayo futhi ungase uzizwe uphelelwe amandla. Lokhu kungalawulwa ngokushintsha ukudla kwakho. |
| Amatshe enyongo | Ngemva kokuhlinzwa kwe-truncal vagotomy, i-bile inganqwabelana futhi yakhe amatshe ngenxa yokungasebenzi kahle kwe-gallbladder. |
Le miphumela emibi ayiveli kuwo wonke umuntu. Futhi udokotela wakho uzokunikeza imithi nezeluleko zokuphatha iningi layo. Okubaluleke kakhulu, inzuzo eyinhloko yalokhu kuhlinzwa yikhono lokuphulukisa ngokuphelele izilonda zesisu esezinesikhathi eside zingakapholi.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Vagotomy kuyindlela ekhethekile yokuhlinzwa eyenziwa izilonda zesisu ezinzima neziyinkimbinkimbi (i-Peptic Ulcers) ezingelapheki ngemithi.
- Lapha, ingxenye efanele ye-Vagus Nerve, ethwala izimpawu ezivela ebuchosheni iye esiswini ukuze ikhiqize i-asidi, iyasikwa futhi isuswe.
- Kunezinhlobo ezimbili eziyinhloko zalolu hlinzeko: i-Truncal Vagotomy kanye ne-Highly Selective Vagotomy.
- Lokhu kuvame ukwenziwa kanye nolunye ukuhlinzwa, njengokuhlinzwa kwesisu noma i-pyloroplasty.
- Imiphumela emibi efana nesifo sohudo kanye ne-dumping syndrome ingase ivele ngemva kokuhlinzwa, kodwa eminingi yayo ingalawulwa.
- Ukuthi lokhu kuhlinzwa kulungile yini kuwe kufanele kunqunywe ngemuva kokuhlolwa okuphelele kwesimo sakho sezokwelapha kanye nokubonisana nodokotela wakho ohlinzayo onguchwepheshe.
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