I-Pyloroplasty

I-Pyloroplasty ukuhlinzwa ukuze kunwetshwe imbobo engxenyeni engezansi yesisu (i-pylorus) ukuze okuqukethwe yisisu kuthululele emathunjini amancane (i-duodenum).

I-pylorus yindawo ejiyile, enemisipha. Lapho iqina, ukudla akukwazi ukudlula.

Ukuhlinzwa kwenziwa ngenkathi ungaphansi kwe-anesthesia ejwayelekile (ilele futhi awunazinhlungu).

Uma uhlinzeka ngokuhlinzwa, udokotela ohlinzayo:

• Kwenza ukusika okukhulu kokuhlinzwa esiswini sakho ukuvula indawo.
• Isika ngesinye semisipha ejiyile ngakho iba banzi.
• Kuvalwa ukusika ngendlela egcina i-pylorus ivulekile. Lokhu kuvumela ukuthi isisu singabi nalutho.

Odokotela abahlinzayo nabo bangenza lokhu kuhlinzwa besebenzisa i-laparoscope. I-laparoscope yikhamera encane efakwa esiswini sakho ngokusika okuncane. Ividiyo evela kukhamera izovela kumonitha egumbini lokusebenza. Udokotela ohlinzayo ubheka umqaphi ukuthi enze ukuhlinzwa. Ngesikhathi sokuhlinzwa:

• Kusikwa kathathu kuye kwemihlanu esiswini sakho. Ikhamera namanye amathuluzi amancane azofakwa ngalokhu kusikeka.
• Isisu sakho sizogcwala igesi ukuvumela udokotela ohlinzayo abone indawo futhi enze ukuhlinzwa enendawo eyengeziwe yokusebenza.
• I-pylorus iyasebenza njengoba kuchaziwe ngenhla.

I-Pyloroplasty isetshenziselwa ukwelapha izinkinga kubantu abanezilonda ezinama-peptic noma ezinye izinkinga zesisu ezibangela ukuvuleka kwesisu.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini noma ezinkingeni zokuphefumula
• Ukopha, amahlule egazi, noma ukutheleleka

Izingozi zalokhu kuhlinzwa zifaka:

• Ukulimala kwamathumbu
• Hernia
• Ukuvuza kokuqukethwe yisisu
• Uhudo lwesikhathi eside
• Ukungondleki
• Dabula ulwelwesi lwezitho eziseduze (ukucobeka kwe-mucosal)

Tshela udokotela wakho ohlinzayo:

• Uma ukhulelwe noma ungakhulelwa
• Imiphi imithi oyisebenzisayo, efaka imithi, izithasiselo, noma amakhambi owathengile ngaphandle kwencwadi kadokotela

Phakathi nezinsuku ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha izinciphisi zegazi. Lokhu kufaka ama-NSAID (i-aspirin, ibuprofen), i-vitamin E, i-warfarin (i-Coumadin), i-dabigatran (i-Pradaxa), i-rivaroxaban powder (i-Xarelto), i-apixaban (i-Eliquis), ne-clopidogrel (i-Plavix).
• Buza udokotela wakho ohlinzayo ukuthi yimiphi imishanguzo okufanele usayiphuza ngosuku lokuhlinzwa.
• Uma ubhema, zama ukuyeka. Buza udokotela wakho noma umhlengikazi usizo lokuyeka.

Ngosuku lokuhlinzwa kwakho:

• Landela imiyalo mayelana nokungadli nokuphuza.
• Thatha imithi udokotela wakho ohlinzayo akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Fika esibhedlela ngesikhathi.

Ngemuva kokuhlinzwa, iqembu lokunakekelwa kwezempilo lizobheka ukuphefumula kwakho, umfutho wegazi, izinga lokushisa, nokushaya kwenhliziyo yakho. Abantu abaningi bangaya emakhaya kungakapheli amahora angama-24.

Iningi labantu lilulama ngokushesha futhi ngokuphelele. Isilinganiso sokuhlala esibhedlela izinsuku ezimbili kuya kwezi-3. Kungenzeka ukuthi ungaqala kancane ukudla okujwayelekile emasontweni ambalwa.

I-Peptic ulcer - i-pyloroplasty; I-PUD - i-pyloroplasty; Ukuvinjelwa kwe-pyloric - i-pyloroplasty

UChan FKL, uLau JYW. Isifo sesilonda se-Peptic. 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 53.

ITeitelbaum EN, iHungness ES, iMahvi DM. Isisu. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 48.