Umlobi: Marcus Baldwin
Usuku Lokudalwa: 15 Ujuni 2021
Ukuvuselela Usuku: 25 U-Okthoba 2024
Anonim
The EXCRUCIATING Anatomy of Bowel Obstructions
Ividiyo: The EXCRUCIATING Anatomy of Bowel Obstructions

Ubukade usesibhedlela uyohlinzwa esiswini ukuze wehlise isisindo. Le ndatshana ikutshela lokho odinga ukukwazi ukuze uzinakekele ezinsukwini nasemavikini emva kokuhlinzwa.

Ube nokuhlinzwa kokudlula esiswini ukukusiza wehlise isisindo. Udokotela wakho ohlinzayo usebenzise ukudla okuyisisekelo ukuhlukanisa isisu sakho sibe ingxenye encane engenhla, ebizwa ngokuthi isikhwama, nengxenye engezansi enkudlwana. Lapho-ke udokotela wakho ohlinzayo uthunga ingxenye ethile yamathumbu akho amancane eya embotsheni encane kulesi sikhwama esincane sesisu. Ukudla okudlayo manje kuzongena esikhwameni sakho esincane sesisu, bese kungena emathunjini akho amancane.

Cishe uchithe usuku olungu-1 kuya kwele-3 esibhedlela. Uma uya ekhaya uzobe udla iziphuzo noma ukudla okuhlanziwe. Kufanele ukwazi ukuhambahamba ngaphandle kwenkinga eningi.

Uzokwehlisa isisindo ngokushesha ezinyangeni ezintathu kuya kwezingu-6 zokuqala. Ngalesi sikhathi, unga:

  • Yiba nobuhlungu bomzimba
  • Zizwe ukhathele futhi ubanda
  • Yiba nesikhumba esomile
  • Yiba nezinguquko zemizwa
  • Ukulahleka kwezinwele noma ukunciphisa izinwele

Lezi zinkinga kufanele zihambe njengoba umzimba wakho ujwayela ukwehlisa isisindo sakho futhi isisindo sakho siya sizinza. Ngenxa yalokhu kulahleka kwesisindo okusheshayo, kuzodingeka uqaphele ukuthi uthola konke ukudla okunomsoco namavithamini owadingayo njengoba ululama.


Ukwehla kwesisindo kuyehla ngemuva kwezinyanga eziyi-12 kuya kwezingu-18.

Uzohlala ekudleni oketshezi noma okuhlanziwe amasonto ama-2 noma ama-3 ngemuva kokuhlinzwa. Uzongeza kancane ukudla okuthambile bese udla ukudla okujwayelekile, njengoba umhlinzeki wakho wezokunakekelwa kwempilo ekutshele ukuthi ukwenze. Khumbula ukudla izingcezu ezincane bese uhlafuna ukuluma ngakunye ngokunensa nangokuphelele.

Ungadli uphuze ngasikhathi sinye. Phuza uketshezi okungenani imizuzu engama-30 ngemuva kokudla ukudla. Phuza kancane. Sipha lapho uphuza. Ungakhiphi. Umhlinzeki wakho angakutshela ukuthi ungasebenzisi utshani, ngoba kungaletha umoya esiswini sakho.

Umhlinzeki wakho uzokufundisa ngokudla okufanele ukudle nokudla okufanele uhlale kude nakho.

Ukusebenza ngokushesha ngemuva kokuhlinzwa kuzokusiza ukuthi ululame ngokushesha okukhulu. Phakathi nesonto lokuqala:

  • Qala ukuhamba ngemuva kokuhlinzwa. Zungeza indlu futhi ugeze, bese usebenzisa izitebhisi ekhaya.
  • Uma kubuhlungu uma wenza okuthile, yeka ukwenza lowo msebenzi.

Uma unokuhlinzwa okwenziwa nge-laparoscopic, kufanele ukwazi ukwenza imisebenzi yakho ejwayelekile emavikini amabili kuya kwamane. Kungathatha kuze kube amasonto ayi-12 uma uhlinzeka ngokuhlinzwa.


Ngaphambi kwalesi sikhathi, Ungenzi:

  • Phakamisa noma yini enesisindo esingaphezu kwamakhilogremu ayi-10 kuye kwangama-15 (5 kuya ku-7 kg) uze ubone umhlinzeki wakho
  • Yenza noma yimuphi umsebenzi obandakanya ukududula noma ukudonsa
  • Ziphushe kanzima kakhulu. Khulisa ukuthi uvivinya umzimba kancane kangakanani
  • Shayela noma usebenzise imishini uma uphuza umuthi wezinhlungu we-narcotic. Le mithi izokwenza ukozele. Ukushayela nokusebenzisa imishini akuphephile uma uyithatha. Buza kumhlinzeki wakho mayelana nokuthi ungaqala nini ukushayela futhi ngemuva kokuhlinzwa kwakho.

YENZA:

  • Thatha ukuhamba okufishane ukhuphuke wehle izitebhisi.
  • Zama ukusukuma uzulazule uma unezinhlungu esiswini sakho. Kungasiza.

Qiniseka ukuthi ikhaya lakho lihlelelwe ukululama, ukuvimbela ukuwa futhi uqiniseke ukuthi uphephile endlini yokugezela.

Uma umhlinzeki wakho ethi KULUNGILE, ungaqala uhlelo lokuzivocavoca amasonto ama-2 kuye kwayi-4 ngemuva kokuhlinzwa.

Awudingi ukujoyina ijimu ukuze uzivocavoca. Uma ungazange usebenze noma usebenzise isikhathi eside, qiniseka ukuthi uqala kancane ukuvimbela ukulimala. Ukuhamba ngezinyawo imizuzu emi-5 kuya kwengu-10 nsuku zonke kuyisiqalo esihle. Khulisa le mali uze uhambe imizuzu engu-15 kabili ngosuku.


Ungashintsha ukugqoka nsuku zonke uma umhlinzeki wakho ekutshela ukuthi wenze njalo. Qiniseka ukuthi ushintsha ukugqoka kwakho uma kungcola noma kumanzi.

Ungase ube nokulimala ezungeze amanxeba akho. Lokhu kujwayelekile. Izohamba yodwa. Isikhumba esiseduze nemisiko yakho singase sibe bomvu kancane. Lokhu kuvamile, futhi.

Musa ukugqoka izingubo eziqinile ezikugubuzelayo lapho usalulama.

Gcina okokugqoka (ibhandishi) esilondeni sakho kuhlanzekile futhi komile. Uma kune-sutures (stitches) noma okuyisisekelo, kuzosuswa cishe ezinsukwini eziyi-7 kuya kwezingu-10 ngemuva kokuhlinzwa. Ezinye iziqu zingancibilika zodwa. Umhlinzeki wakho uzokutshela uma unazo.

Ngaphandle kokuthi utshelwe ngenye indlela, ungagezi kuze kube ngemuva kokuqokwa kokulandelana nomhlinzeki wakho. Lapho usungageza, vumela amanzi agijime lapho usike, kodwa ungakhubi noma uvumele amanzi ashaye phansi kuwo.

Ungafaki kubhavu, echibini lokubhukuda, noma kubhavu oshisayo kuze kube umhlinzeki wakho uthi kulungile.

Cindezela umcamelo phezu kokuqhamuka kwakho lapho udinga ukukhwehlela noma ukuthimula.

Kungase kudingeke ukuthi uphuze imithi ethile lapho ugoduka.

  • Kungase kudingeke ukuthi uzinike isibhamu ngaphansi kwesikhumba somuthi wokunciphisa igazi amasonto ama-2 noma ngaphezulu ukuvimbela i-clot yegazi. Umhlinzeki wakho uzokukhombisa ukuthi kanjani.
  • Ungadinga ukuthatha imithi ukuvimbela ama-gallstones.
  • Uzodinga ukuthatha amavithamini athile umzimba wakho ongase ungamunci kahle ekudleni kwakho. Ezimbili zazo i-vitamin B-12 no-vitamin D.
  • Ungadinga ukuthatha izithasiselo ze-calcium nezensimbi futhi.

I-Aspirin, ibuprofen (Advil, Motrin), kanye nezinye izidakamizwa kungalimaza ulwelwesi lwesisu sakho noma kubangele nezilonda. Khuluma nomhlinzeki wakho ngaphambi kokuthatha le mithi.

Ukukusiza ukuthi ululame ekuhlinzweni futhi uphathe lonke ushintsho endleleni yakho yokuphila, uzobona udokotela wakho ohlinzayo nabanye abahlinzeki abaningi.

Ngesikhathi uphuma esibhedlela, ungahle ube nokuqokwa kokulandelana okuhlelelwe nodokotela wakho ohlinzayo kungakapheli amasonto ambalwa. Uzobona udokotela wakho ohlinzayo kaningana ngonyaka wokuqala ngemuva kokuhlinzwa kwakho.

Ungase futhi ube nama-aphoyintimenti ane:

  • Isazi sokudla noma isazi sokudla, esizokufundisa ukuthi ungadla kanjani ngokufanele ngesisu sakho esincane. Uzofunda nokuthi yikuphi ukudla neziphuzo okufanele ube nakho ngemuva kokuhlinzwa.
  • Isazi sokusebenza kwengqondo, esingakusiza ukulandela imihlahlandlela yakho yokudla neyokuzivocavoca nokubhekana nemizwa noma ukukhathazeka ongase ube nakho ngemuva kokuhlinzwa.
  • Uzodinga ukuhlolwa kwegazi impilo yakho yonke ukuze uqiniseke ukuthi umzimba wakho uthola amavithamini namaminerali abalulekile ngokwanele ekudleni ngemuva kokuhlinzwa kwakho.

Shayela umhlinzeki wakho uma:

  • Unobubomvu obuningi, ubuhlungu, imfudumalo, ukuvuvukala, noma ukopha ezungeze ukusika kwakho.
  • Isilonda sikhulu noma sijulile noma sibukeka simnyama noma somile.
  • Umsele ovela ekusikeni kwakho awunciphi ezinsukwini ezi-3 kuya kwezi-5 noma uyanda.
  • I-drainage iyajiya, ibe nsundu noma iphuzi futhi inephunga elibi (ubomvu).
  • Izinga lokushisa kwakho lingaphezu kuka-100 ° F (37.7 ° C) ngaphezu kwamahora amane.
  • Unezinhlungu umuthi wakho wezinhlungu ongakusizi.
  • Unenkinga yokuphefumula.
  • Unesikhwehlela esingapheli.
  • Awukwazi ukuphuza noma ukudla.
  • Isikhumba sakho noma ingxenye emhlophe yamehlo akho iba phuzi.
  • Izindle zakho zikhululekile, noma unesifo sohudo.
  • Uyahlanza ngemuva kokudla.

Ukuhlinzwa kwe-Bariatric - ukudlula esiswini - ukukhipha; Ukudlula esiswini kwe-Roux-en-Y; Ukudlula esiswini - i-Roux-en-Y - ukukhishwa; Ukukhuluphala ngokweqile kokudlula esiswini; Ukwehla kwesisindo - ukukhipha isisu esiswini

UJensen MD, uRyan DH, u-Apovian CM, et al. Umhlahlandlela we-2013 AHA / ACC / TOS wokuphathwa kokukhuluphala ngokweqile nokukhuluphala kubantu abadala: umbiko we-American College of Cardiology / American Heart Association Task Force on Guidelines Practice and The Obesity Society. UJ Am Coll Cardiol. 2014; 63 (25 Pt B): 2985-3023. I-PMID: 24239920 pubmed.ncbi.nlm.nih.gov/24239920/.

UMechanick JI, Apovian C, uBrethauer S, uGarvey WT, uJoffe AM, uKim J, et al. Imihlahlandlela yokusebenza komtholampilo yokudla okunomsoco okusebenza isikhathi eside, umzimba, kanye nokuhlinzekwa kokuhlinzwa kokuhlinzwa kwe-bariatric isiguli-isibuyekezo se-2019: ixhaswe yi-American Association of Clinical Endocrinologists / American College of Endocrinology, the Obesity Society, American Society for Metabolic Bariatric Surgery, Obesity Medicine Association, kanye neAmerican Society of Anesthesiologists. Ukuhlinzwa Obes Relat Dis. 2020; 16 (2): 175-247. I-PMID: 31917200 pubmed.ncbi.nlm.nih.gov/31917200/.

URichards WO. Ukukhuluphala ngokweqile. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 47.

USullivan S, Edmundowicz SA, uMorton JM. Ukwelashwa kokuhlinzwa kanye ne-endoscopic yokukhuluphala. 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 8.

  • Inkomba yesisindo somzimba
  • Isifo senhliziyo
  • Ukuhlinzwa kokudlula esiswini
  • I-Laparoscopic banding banding
  • Ukukhuluphala ngokweqile
  • I-apnea yokulala evimbela - abantu abadala
  • Thayipha 2 sikashukela
  • Ngemuva kokuhlinzwa kwesisindo - yini ongayibuza udokotela wakho
  • Ngaphambi kokuhlinzwa kwesisindo - yini okufanele ubuze udokotela wakho
  • Ukuvuka embhedeni ngemuva kokuhlinzwa
  • Izinguquko zokugqoka ezimanzi nezomile
  • Ukudla kwakho ngemuva kokuhlinzwa kokudlula esiswini
  • Ukuhlinzwa Kokulahlekelwa Isisindo

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