Ukuhlinzwa kwe-anti-reflux - izingane - ukukhishwa

Ingane yakho yahlinzwa ukuze yelaphe isifo se-reflux se-gastroesophageal (GERD). I-GERD yisimo esidala ukuthi i-asidi, ukudla, noma uketshezi kukhuphuke kusuka esiswini kuye emgodini. Lesi yishubhu elihambisa ukudla lisuke emlonyeni liye esiswini.

Manje ukuthi ingane yakho iya ekhaya, landela imiyalo kadokotela ohlinzayo yokuthi ungayinakekela kanjani ingane yakho ekhaya. Sebenzisa imininingwane engezansi njengesikhumbuzo.

Ngesikhathi sokuhlinzwa, udokotela ohlinzayo wasonga ingxenye engenhla yesisu sengane yakho ngasekugcineni kwengqimba.

Ukuhlinzwa kwenziwa ngenye yalezi zindlela:

• Ngokusikwa (ukusika) esiswini somntanakho (ukuhlinzwa okuvulekile)
• Nge-laparoscope (ishubhu elincanyana elinekhamera encane ekugcineni) ngokuqhekeka okuncane
• Ngokulungiswa kokugcina (njenge-laparoscope, kepha udokotela ohlinzayo ungena ngomlomo)

Ingane yakho kungenzeka ukuthi ibine-pyloroplasty.Le yinqubo ekhulise ukuvuleka phakathi kwesisu namathumbu amancane. Kungenzeka ukuthi udokotela wabeka i-g-tube (gastrostomy tube) esiswini sengane ukuze isondliwe.

Iningi lezingane lingabuyela esikoleni noma enkulisa ngokushesha lapho zizizwa zanele ngokwanele nalapho udokotela ohlinzayo ezwa ukuthi kuphephile.

• Ingane yakho kufanele igweme ukuphakamisa okunzima noma umsebenzi onzima, ofana nesigaba sokuzivocavoca nokudlala okusebenzayo, amasonto ama-3 kuye kwayi-4.
• Ungacela udokotela wengane yakho incwadi ayinikeze umhlengikazi wesikole nothisha ukuze achaze imikhawulo ingane yakho enayo.

Ingane yakho ingaba nomuzwa wokuqina lapho igwinya. Lokhu kusuka ekuvuvukeni okungaphakathi kwesisu sengane yakho. Ingane yakho ingahle ibe nokuqumba okuthile. Lokhu kufanele kuphele emavikini ayisithupha kuye kwayisishiyagalombili.

Ukubuyiselwa emuva ngokushesha kusuka ekuhlinzweni kwe-laparoscopic kunokuhlinzwa okuvulekile.

Uzodinga ukuhlela i-aphoyintimenti yokulandelela nomhlinzeki wokunakekela oyinhloko wengane yakho noma i-gastroenterologist kanye nodokotela ohlinzayo ngemuva kokuhlinzwa.

Uzosiza ingane yakho ibuyele ekudleni okuvamile ngokuhamba kwesikhathi.

• Ingane yakho bekufanele iqale ngokudla oketshezi esibhedlela.
• Ngemuva kokuthi udokotela ezwe ukuthi ingane yakho isilungile, ungangeza ukudla okuthambile.
• Lapho ingane yakho ikuthatha kahle ukudla okuthambile, khuluma nodokotela wengane yakho ngokubuyela ekudleni okuvamile.

Uma ingane yakho ibifakwe i-gastrostomy tube (G-tube) ebekwe ngesikhathi sokuhlinzwa, ingasetshenziselwa ukondla nokukhipha umoya. Ukukhipha kulapho i-G-tube ivulwa ukukhipha umoya esiswini, ngokufana nokubhoboza.

• Umhlengikazi esibhedlela bekufanele akukhombise ukuthi ungakhipha kanjani, unakekele futhi ushintshe i-G-tube nokuthi u-oda kanjani izimpahla ze-G-tube. Landela imiyalo ngokunakekelwa kwe-G-tube.
• Uma udinga usizo nge-G-tube ekhaya, xhumana nomhlengikazi wezokunakekelwa kwempilo wasekhaya osebenzela umphakeli we-G-tube.

Ngobuhlungu, unganikeza ingane yakho imishanguzo yezinhlungu ezingaphezulu kwamakhompiyutha njenge-acetaminophen (Tylenol) ne-ibuprofen (Advil, Motrin). Uma ingane yakho isenabo ubuhlungu, shayela udokotela wengane yakho.

Uma kusetshenziswe umthungo (umthungo), ukudla okuyisisekelo, noma i-glue ukuvala isikhumba sengane yakho:

• Ungasusa okokugqoka (amabhandeshi) bese uvumela ingane yakho ukuthi igeze ngosuku olulandelayo ngemuva kokuhlinzwa ngaphandle kokuthi udokotela wakho akutshele ngokuhlukile.
• Uma ukugeza kungenzeki, unganikeza ingane yakho ukugeza isipanji.

Uma kusetshenziswe imichilo yamateyipu ukuvala isikhumba sengane yakho:

• Vala okusikwayo ngokugoqwa kwepulasitiki ngaphambi kokugeza esontweni lokuqala. Tepa emaphethelweni epulasitiki ngokucophelela ukuze amanzi angangeni.
• Ungazami ukugeza i-tape. Zizowa ngemuva kwesonto.

UNGAYIVUMELI ingane yakho ukuthi icwilize kubhavu noma kubhavu oshisayo noma ibhukude kuze kube yilapho udokotela wengane yakho ekutshela ukuthi kulungile.

Shayela umhlinzeki wezokunakekelwa kwempilo yengane yakho uma ingane yakho ine:

• Umkhuhlane ka-101 ° F (38.3 ° C) noma ngaphezulu
• Ukuqhekeka okuphuma igazi, okubomvu, okufudumele ukuthintwa, noma okunomsele ojiyile, ophuzi, oluhlaza okotshani noma obisi
• Isisu esivuvukile noma esibuhlungu
• Ukucanuzela kwenhliziyo noma ukuhlanza ngaphezu kwamahora angama-24
• Izinkinga zokugwinya ezigcina ingane yakho ingadli
• Izinkinga zokugwinya ezingapheli emva kwamasonto amabili noma amathathu
• Ubuhlungu obusizwa umuthi wezinhlungu
• Ukuphefumula kanzima
• Ukukhwehlela okungapheli
• Noma yiziphi izinkinga ezenza ingane yakho ingakwazi ukudla
• Uma i-G-tube isuswe ngephutha noma iwa ngaphandle

Ukusetshenziswa kwemali - izingane - ukukhipha; Ukusetshenziswa kwemali kweNissen - izingane - ukukhishwa; Belsey (Mark IV) ukusetshenziswa kwemali - izingane - ukukhishwa; I-Toupet fundoplication - izingane - ukukhishwa; Ukusetshenziswa kwemali kweThal - izingane - ukukhishwa; Ukulungiswa kwe-hernia hernia - izingane - ukukhishwa; I-Endoluminal fundoplication - izingane - ukukhishwa

Iqbal CW, iHolcomb GW. I-reflux ye-Gastroesophageal. Ku: Holcomb GW, Murphy JP, Ostlie DJ, abahleli. Ukuhlinzwa Kwezingane ze-Ashcraft. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 28.

USalvatore S, uVandenplas Y. I-reflux yesisu. Ku: Wylie R, Hyams JS, Kay M, eds. Izifo Zamathumbu Emathunjini Nesibindi. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2016: isahluko 21.

• Ukuhlinzwa kwe-anti-reflux - izingane
• Isifo se-reflux se-gastroesophageal

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

• IGERD