Ungase ucabange ukuthi abanye abantu banezilonda zesisu, okungukuthi, izilonda zesisu, futhi kungakhathaliseki ukuthi bathatha muphi umuthi noma ukuthi balawula kangakanani ukudla kwabo, ngeke kuphulukiswe. Kukhona abantu ababhekene nezimo ezinzima kangaka ezibangela ubuhlungu obuqhubekayo, ukopha, futhi ngezinye izikhathi ngisho nokubhoboka kwesisu. Kubantu abanjalo, lapho zonke ezinye izindlela zokwelapha zehlulekile, namuhla sikhuluma ngokuhlinzwa okukhethekile odokotela abakuncomayo. Kubizwa ngokuthi i-vagotomy.
Kalula nje, kuyini i-vagotomy?
Cabanga ngale ndlela: i-Vagus nerve ifana nomugqa oyinhloko wocingo phakathi kobuchopho bethu kanye nohlelo lokugaya ukudla, okuhlanganisa namathumbu. Le nerve yiyo ethumela isignali esiswini sethu ukuze "sikhiphe i-asidi manje." Nakuba le-asidi iyadingeka lapho sidla, ngezinye izikhathi ukwanda kwale-asidi kuyimbangela eyinhloko yezilonda zesisu.
Ukuhlinzwa kwe-Vagotomy ukusika ngamabomu ingxenye yocingo, i-vagus nerve, ethumela izimpawu esiswini ukuze yenze i-asidi, ngaleyo ndlela imise leso signali. Lokhu kunciphisa kakhulu ukukhiqizwa kwe-asidi esiswini. Lokhu kuyindlela yokwelapha ebanzi kodwa ephumelela kakhulu kubantu abanezinhlobo ezimbi kakhulu zesifo sesilonda se-peptic.
Kwenzekani uma i-vagus nerve inqanyuliwe? - Kunezinhlobo ezimbili eziyinhloko
I-vagus nerve ifana nomuthi. Inesiqu esiyinhloko, lapho amagatsha ahlukahlukene ahluma khona. Umphumela wokuhlinzwa uyahlukahluka kuye ngokuthi le nerve inqunywe kuphi. Kunezinhlobo ezimbili eziyinhloko.
| Uhlobo lokuhlinzwa | Kwenzekani kanye nomthelela |
|---|---|
| Ukususwa Kwesikhumba Esiqinile | Lokhu kuhilela ukusika "isiqu esiyinhloko" senzwa ye-vagus. Lokhu kunciphisa ukukhiqizwa kwe-asidi yesisu, kodwa kungathinta nokusebenza kwezinye izitho ezithola izimpawu ezivela kulo mthambo, njengesibindi, inyongo, i-pancreas, namathumbu. Lokhu kungabangela izinkinga zokugaya ukudla. |
| Ukususwa Kwesikhumba Okukhethwe Kakhulu | Lena indlela eqondile kakhulu. Lapha, wonke umthambo wezinzwa awunqunywa. Kukhethwa amagatsha amancane kakhulu ezinzwa athwala izimpawu eziya kumaseli akhiqiza i-asidi (amaseli e-parietal) esiswini bese enqunywa. Lokhu akuthinti ezinye izitho zomzimba. Kodwa-ke, lokhu kuwukuhlinzwa okunzima kancane ukuthi udokotela ohlinzayo akwenze futhi kudinga ulwazi olwengeziwe lobuchwepheshe. |
Kukuziphi izimo lapho lokhu kuhlinzwa kunconywa khona?
Izilonda eziningi zesisu zingelashwa ngemithi. Kodwa-ke, ezimweni eziyinkimbinkimbi nezinzima, njengalezi ezilandelayo, lokhu kuhlinzwa kunganconywa ukuvimbela izilonda ukuthi zingaphinde zivele:
- Izilonda Zokopha: Uma ukopha kungenakukwazi ukulawulwa ngezinye izindlela, kungase kudingeke ukuhlinzwa ukuze kuphulukiswe isilonda.
- Izilonda Ezibhobozekile: Uma isilonda sibangela imbobo odongeni lwesisu, kumele sivalwe ngokuhlinzwa okuphuthumayo. Ngaphandle kwalokho, amagciwane angangena esiswini futhi abangele ukutheleleka okukhulu. Esimweni esinjalo, kufanele uyiswe e -ETU (Emergency Treatment Unit) ngokushesha.
- Ukuvinjelwa Kwesisu: Izicubu zezibazi ezivela ekulimaleni kwesikhathi eside zingavimba ukudlula kokudla kusuka esiswini kuya emathunjini amancane. Kulesi simo, izicubu zesibazi kumele zisuswe ngokuhlinzwa.
Okubalulekile, i-vagotomy ngokuvamile ayikwenziwa yodwa. Ivame ukwenziwa kanye nokuhlinzwa okunye ukulungisa enye yezinkinga ezibalwe ngenhla.
Okunye ukuhlinzwa okwenziwa ngesikhathi esifanayo nokuhlinzwa kwe-vagotomy
1. Ngokuhlinzwa kwesisu: Lokhu kuhilela ukususa ingxenye yesisu. Lokhu kwenziwa uma kunezibazi ezinkulu noma uma kukhona ukusola ukuthi izilonda zingase zibe nomdlavuza. Lapho ingxenye engezansi yesisu isuswa, ukukhiqizwa kwe-gastrin, i-hormone esiza ekwenzeni i-asidi, nakho kuyancishiswa. Kodwa njengoba lokho kukodwa kunganele, kwenziwa i-vagotomy ngesikhathi esifanayo ukuvimbela izilonda ukuthi zingaphinde zibuye.
2. Nge-Pyloroplasty: Uma wenza i-Truncal Vagotomy, okusho ukusika isiqu senzwa esiyinhloko, kuzodingeka nakanjani wenze nalolu hlinzeko lwe-pyloroplasty. Ngoba, lapho i-vagus nerve isikiwe, isignali etshela i-pylorus ukuthi ivuleke futhi ivale iyalahleka. Bese ukudla kuyabhajwa. Ukuhlinzwa kwe-Pyloroplasty kwenziwa ukuze kugcinwe lelo sango livulekile, ukuze ukudla kudlule kalula.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Kuye ngesimo sakho, ezinye izindlela zokwelapha zingase zinikezwe ngaphambi kokuhlinzwa ukuze zikusize ubuyisele impilo yakho. Isibonelo, uketshezi lwe-IV lunganikezwa uma uphelelwe amanzi emzimbeni ngenxa yokuhlanza, noma ukumpontshelwa igazi kunganikezwa uma unesilonda esophayo. Ama-antibiotic anikezwa ngaphambi kokuhlinzwa. Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile.
Ukuhlinzwa kungenziwa njengokuhlinzwa okuvulekile , okuhilela ukusika isisu, noma ukuhlinzwa kwe-laparoscopic , okuhilela ukufaka ikhamera namathuluzi ngokusebenzisa izimbobo eziningana ezincane. Lokhu kuzonqunywa udokotela wakho ohlinzayo.
Kwenzekani ngemva kokuhlinzwa? Izinzuzo nezingozi
Inzuzo enkulu yalokhu kuhlinzwa ukuthi kungavimbela cishe ngokuphelele ukuphindaphinda kwamanxeba anzima abelokhu ehlushwa isikhathi eside futhi angelashwanga ngemithi.
Kodwa-ke, njenganoma yikuphi ukuhlinzwa, lokhu kunezingozi ezithile kanye nemiphumela emibi .
| Uhlobo lwengozi/umphumela ongemuhle | Incazelo |
|---|---|
| Izingozi ngesikhathi sokuhlinzwa | Ukulimala kwezitho ezizungezile, imithambo yegazi, noma imizwa, ukutheleleka, ukopha, amahlule egazi. |
| Uhudo | Lesi yisimo esivamile, ikakhulukazi ngemva kokuhlinzwa kwe-truncal vagotomy. Sibangelwa ukungasebenzi kahle kwenyongo. Ngokuvamile kuba okwesikhashana. |
| Isifo Sokulahla Inkunkuma | Lokhu kungenxa yokuhlinzwa kwe-pyloroplasty. Ukudla kungena ngokushesha emathunjini ngaphandle kokuhlala esiswini, okungabangela isicanucanu, ukungakhululeki esiswini, kanye nesifo sohudo. Lokhu kungalawulwa ngokushintsha ukudla kwakho. |
| Amatshe enyongo | Ngemva kokuhlinzwa kwe-truncal vagotomy, ukwehla kokusebenza kwenyongo kungaholela ekuqongeleleni kwenyongo kanye nokwakheka kwamatshe. |
Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngemva kokuhlinzwa. Kungathatha amasonto ambalwa ngaphambi kokuba udle ngendlela evamile. Uzoqala ngokudla okumanzi bese kancane kancane uqhubekela ekudleni okuqinile.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Vagotomy kwenziwa njengendlela yokugcina yokuthola izilonda zesisu ezinzima (izilonda zesisu) ezingelashwa ngemithi.
- Umgomo oyinhloko ukunciphisa ukukhiqizwa kwe-asidi ngokunqamula izimpawu zemizwa ezikhiqiza i-asidi esiswini.
- Kunezinhlobo ezimbili eziyinhloko zalokhu kuhlinzwa (okufinyeziwe kanye nokukhethwa kakhulu), futhi imiphumela emibi nemiphumela yazo ihlukile.
- Lokhu kuvame ukwenziwa kanye nezinye izindlela zokuhlinzwa (i-gastrectomy, i-pyloroplasty) ukwelapha izinkinga zesilonda.
- Uma wena noma othile omaziyo enconywe lolu hlobo lokuhlinzwa, qiniseka ukuthi ukhuluma nodokotela wakho ngezinzuzo, izingozi, kanye nemiphumela emibi bese ubuza yonke imibuzo yakho.
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