Ukuhlinzwa kwe-anti-reflux - ukukhishwa

Uhlinzwe ukwelapha isifo sakho se-reflux se-gastroesophageal (GERD). I-GERD yisimo esidala ukuthi ukudla noma uketshezi kukhuphuke kusuka esiswini sakho kuya emgodini wakho (ishubhu elithwala ukudla lisuke emlonyeni wakho liye esiswini sakho).

Manje njengoba uya ekhaya, qiniseka ukuthi ulandela imiyalo kadokotela wakho ohlinzayo yokuthi ungazinakekela kanjani.

Uma ubune-hernia yokuzalwa, yalungiswa. I-hernia yokubeletha ikhula lapho ukuvuleka kwemvelo ku-diaphragm yakho kukhulu kakhulu. I-diaphragm yakho ungqimba lwemisipha phakathi kwesifuba sakho nesisu. Isisu sakho singakhukhumala ngale mbobo enkulu esifubeni sakho. Lokhu kuqhuma kubizwa ngokuthi yi-hernia yokuzalwa. Kungenza izimpawu ze-GERD zibe zimbi kakhulu.

Udokotela wakho ohlinzayo uphinde wasonga ingxenye ephezulu yesisu sakho ngasekugcineni kwengqimba yakho ukudala ingcindezi ekugcineni kwesisu sakho. Le ngcindezi isiza ukuvimbela i-asidi esiswini kanye nokudla ekugelezeni emuva.

Ukuhlinzwa kwakho kwenziwa ngokwenza imbobo enkulu esiswini sakho (ukuhlinzwa okuvulekile) noma ngokusikwa okuncane usebenzisa i-laparoscope (ishubhu elincanyana elinekhamera encane ekugcineni).

Iningi labantu libuyela emsebenzini 2 kuya emavikini ama-3 ngemuva kokuhlinzwa kwe-laparoscopic kanye namaviki ama-4 kuye kwayi-6 ngemuva kokuhlinzwa okuvulekile.

Ungaba nomuzwa wokuqina lapho ugwinya amasonto ayisithupha kuya kwayisishiyagalombili. Lokhu kusuka ekuvuvukeni ngaphakathi komphimbo wakho. Ungase futhi ube nokuqumba okuthile.

Lapho ubuyela ekhaya, uzobe uphuza ukudla okucacile oketshezi amasonto ama-2. Uzoba ekudleni okugcwele ketshezi cishe amasonto ama-2 ngemuva kwalokho, bese udla ukudla okuthambile.

Ekudleni oketshezi:

• Qala ngamanani amancane ketshezi, cishe 1 inkomishi (237 mL) ngasikhathi. Sip. Ungakhiphi. Phuza iziphuzo kaningi phakathi nosuku ngemuva kokuhlinzwa.
• Gwema iziphuzo ezibandayo.
• Ungaphuzi iziphuzo ezinekhabhoni.
• Ungaphuzi ngotshani (bungaletha umoya esiswini sakho).
• Gxoba amaphilisi uwaphuze neziphuzo ngenyanga yokuqala ngemuva kokuhlinzwa.

Lapho usudla ukudla okuqinile futhi, hlafuna kahle. Ungadli ukudla okubandayo. Ungakudli ukudla okuhlangana ndawonye, ​​njengelayisi noma isinkwa. Yidla inani elincane lokudla kaningana ngosuku esikhundleni sokudla okukhulu okuthathu.

Udokotela wakho uzokunikeza incwadi kadokotela yezinhlungu. Yigcwalise lapho uya ekhaya ngakho-ke unayo lapho uyidinga. Thatha umuthi wakho wezinhlungu ngaphambi kokuba ubuhlungu bakho bube bukhulu kakhulu.

• Uma unezinhlungu zegesi, zama ukuzula ukuzinciphisa.
• Ungashayeli, usebenzise noma imuphi umshini, noma uphuze utshwala lapho uphuza umuthi wezinhlungu we-narcotic. Lo muthi ungakwenza wozele kakhulu futhi ukushayela noma ukusebenzisa imishini akuphephile.

Hamba izikhathi eziningana ngosuku. Ungaphakamisi noma yini esinda ngaphezu kwamakhilogremu ayi-10 (cishe ilitha lobisi; 4.5 kg). Ungenzi ukusunduza noma ukudonsa. Khulisa kancane ukuthi wenza malini endlini. Udokotela wakho uzokutshela ukuthi ungawukhulisa nini umsebenzi wakho futhi ubuyele emsebenzini.

Nakekela isilonda sakho (imbobo):

• Uma kusetshenziswe ama-suture (stitches), okuyisisekelo, noma i-glue ukuvala isikhumba sakho, ungasusa okugqokisiwe kwamanxeba bese ugeza ngakusasa ngemuva kokuhlinzwa.
• Uma kusetshenziswe imichilo yamateyipu ukuvala isikhumba sakho, vala amanxeba ngokugoqwa kwepulasitiki ngaphambi kokugeza esontweni lokuqala. Tepa emaphethelweni epulasitiki ngokucophelela ukuze amanzi angangeni. Ungazami ukugeza imichilo. Bazowa bodwa ngemuva kwesonto.
• Ungafaki kubhavu noma kubhavu oshisayo, noma uyobhukuda, kuze kube yilapho udokotela wakho ekutshela ukuthi kulungile.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma unokunye kwalokhu okulandelayo:

• Ithempelesha lika-101 ° F (38.3 ° C) noma ngaphezulu
• Ukuqhekeka kuphuma igazi, kubomvu, kufudumele kuze kufike lapho uthinta khona, noma ube nomsele ojiyile, ophuzi, oluhlaza okotshani noma obisi
• Isisu siyavuvukala noma sibuhlungu
• Ukucanuzela kwenhliziyo noma ukuhlanza ngaphezu kwamahora angama-24
• Izinkinga zokugwinya ezikwenza ungadli
• Izinkinga zokugwinya ezingapheli emva kwamasonto amabili noma amathathu
• Umuthi wezinhlungu awusizi ngobuhlungu bakho
• Ukuphefumula kanzima
• Ukukhwehlela okungapheli
• Ayikwazi ukuphuza noma ukudla
• Isikhumba noma ingxenye emhlophe yamehlo akho iba phuzi

Ukusetshenziswa kwemali - ukukhishwa; Ukusetshenziswa kwemali kweNissen - ukukhishwa; Belsey (Mark IV) ukusetshenziswa kwemali - ukukhishwa; I-Toupet fundoplication - ukukhipha; Thal fundoplication - ukukhishwa; Ukulungiswa kwe-hernia hernia - ukukhishwa; I-Endoluminal fundoplication - ukukhishwa; I-GERD - ukukhishwa kwe-fundoplication; Isifo se-reflux se-gastroesophageal - ukukhishwa kwe-fundoplication

Katz PO, Gerson LB, Vela MF. Imihlahlandlela yokuxilongwa nokuphathwa kwesifo se-reflux se-gastroesophageal. NginguJ Gastroenterol. 2013; 108 (3): 308-328. I-PMID: 23419381 pubmed.ncbi.nlm.nih.gov/23419381/.

URichter JE, uVaezi MF. Isifo se-reflux se-gastroesophageal. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 46.

I-Yates RB, i-Oelschlager BK. Isifo se-reflux se-gastroesophageal kanye ne-hernia yokubeletha. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhlaka 21. ISt Louis, MO: Elsevier; 2022: isahluko 43.

• Ukuhlinzwa kwe-anti-reflux
• Ukuhlinzwa kwe-anti-reflux - izingane
• Ukuqiniswa kwe-Esophageal - kuyingozi
• Ukuqothuka kwesisu
• Isifo se-reflux se-gastroesophageal
• Isilungulela
• IHernatal hernia

• Ukudla kweBland
• Ukukhishwa kwe-gastroesophageal - ukukhipha
• Isilungulela - okufanele ukubuze kudokotela wakho

• IGERD