Ukuthengiswa kabusha kwamathumbu amancane

Ukuthengiswa kwamathumbu amancane ukuhlinzwa ukususa ingxenye yamathumbu akho amancane. Kwenziwa lapho ingxenye yamathumbu akho amancane ivinjiwe noma igula.

Amathumbu amancane abizwa nangokuthi amathumbu amancane. Iningi lokugayeka kokudla (ukwephula nokumunca izakhamzimba) lokudla okudlayo kwenzeka emathunjini amancane.

Uzothola i-anesthesia ejwayelekile ngesikhathi sokuhlinzwa kwakho. Lokhu kuzokugcina ulele futhi ungabi nezinhlungu.

Ukuhlinzwa kungenziwa nge-laparoscopically noma ngokuhlinzwa okuvulekile.

Uma ngabe uhlinzwa nge-laparoscopic:

• Udokotela ohlinzayo usika (ukusika) okuncane okuyi-3 kuye kwayi-5 esiswini sakho esingezansi. Umuthi wezokwelapha obizwa ngokuthi yi-laparoscope ufakwa ngenye yokusikeka. Ububanzi buyishubhu encane, ekhanyisiwe enekhamera ekugcineni. Ivumela udokotela ohlinzayo abone ngaphakathi kwesisu sakho. Ezinye izinsimbi zezokwelapha zifakwa ngokusebenzisa okunye ukusikeka.
• Kungasikwa futhi okungaba ngamasentimitha ama-2 kuye kwayi-3 (ama-5 kuye ku-7.6 amasentimitha) uma udokotela wakho ohlinzayo edinga ukufaka isandla sakhe esiswini sakho ukuzwa ithumbu noma ukususa ingxenye enesifo.
• Isisu sakho sigcwele igesi engenabungozi ukusikhulisa. Lokhu kwenza kube lula ukuthi udokotela ohlinzayo abone futhi asebenze.
• Ingxenye egulayo yamathumbu akho amancane itholakala futhi isusiwe.

Uma uhlinzwa uvulekile:

• Udokotela ohlinzayo usika amasentimitha ayi-6 kuye kwayi-8 (15.2 kuye kuma-20.3 centimeters) esiswini sakho esiswini.
• Ingxenye egulayo yamathumbu akho amancane itholakala futhi isusiwe.

Kuzo zombili izinhlobo zokuhlinzwa, izinyathelo ezilandelayo yilezi:

• Uma kusele amathumbu amancane anempilo anele, amaphethelo athungwa noma ahlanganiswe ndawonye. Lokhu kubizwa nge-anastomosis. Iziguli eziningi zikwenzile lokhu.
• Uma lingekho ithumbu elincane elanele lokuphinda lixhume, udokotela wakho ohlinzayo wenza imbobo ebizwa ngokuthi i-stoma ngesikhumba sesisu sakho. Amathumbu amancane anamathiselwe odongeni olungaphandle lwesisu sakho. I-Stool izodabula i-stoma iye esikhwameni sokukhipha amanzi ngaphandle komzimba wakho. Lokhu kubizwa nge-ileostomy. I-ileostomy ingaba yesikhashana noma ehlala unomphela.

Ukuthengiswa kabusha kwamathumbu amancane ngokuvamile kuthatha amahora angu-1 kuya kwangu-4.

Ukuthengiswa kwamathumbu amancane kusetshenziselwa ukwelapha:

• Ukuvaleka emathunjini okubangelwa izicubu ezibomvu noma ukukhubazeka kokuzalwa (kusukela ekuzalweni)
• Ukopha, ukutheleleka, noma izilonda ezibangelwa ukuvuvukala kwamathumbu amancane avela ezimeni ezifana nesifo seCrohn
• Umdlavuza
• Isimila se-carcinoid
• Ukulimala kwamathumbu amancane
• I-Meckel diverticulum (isikhwama esisodongeni lwengxenye engezansi yamathumbu ekhona lapho kuzalwa)
• Izicubu ezingenasifo somdlavuza
• Ama-polyps anomdlavuza

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula
• Amahlule egazi, ukopha, ukutheleleka

Izingozi zalokhu kuhlinzwa zifaka:

• Izicubu ezibandayo ngokusikeka, okubizwa ngokuthi i-hernia ecijile
• Ukulimala kwezitho zomzimba eziseduze
• Uhudo
• Izinkinga nge-ileostomy yakho
• Izicubu ezibomvu ezakha esiswini sakho futhi zibangele ukuvimba kwamathumbu akho
• Isifo samathumbu esifushane (lapho inani elikhulu lamathumbu amancane lidinga ukususwa), okungaholela ezinkingeni zokuthola izakhamzimba namavithamini abalulekile
• I-anemia engapheli
• Imikhawulo yamathumbu akho ehlanganiswe ndawonye iyahlukana (ukuvuza kwe-anastomotic, okungasongela impilo)
• Kuvuleka isilonda
• Ukutheleleka kwesilonda

Tshela udokotela wakho ohlinzayo noma umhlengikazi ukuthi imiphi imithi oyiphuzayo, ngisho nezidakamizwa, izithasiselo, noma amakhambi owathengile ngaphandle kwencwadi kadokotela.

Khuluma nodokotela wakho ohlinzayo noma umhlengikazi ngokuthi ukuhlinzwa kuzokuthinta kanjani:

• Ukusondelana nobulili
• Ukukhulelwa
• Ezemidlalo
• Sebenza

Phakathi namasonto ama-2 ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukusebenzisa imishanguzo emincane yegazi. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), nezinye.
• Buza udokotela ohlinzayo ukuthi yiziphi izidakamizwa okufanele usaziphuza ngosuku lokuhlinzwa kwakho.
• Uma ubhema, zama ukuyeka. Ukubhema kwandisa ubungozi bezinkinga ezinjengokuphulukiswa kancane. Buza udokotela wakho noma umhlengikazi usizo lokuyeka.
• Tshela udokotela ohlinzayo ngokushesha uma unomkhuhlane, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma esinye isifo ngaphambi kokuhlinzwa kwakho.
• Ungacelwa ukuthi uhambe ngokulungiswa kwamathumbu ukuhlanza amathumbu akho kuzo zonke izihlalo. Lokhu kungabandakanya ukuhlala ekudleni oketshezi izinsuku ezimbalwa nokusebenzisa ama-laxatives.

Ngosuku olungaphambi kokuhlinzwa:

• Ungacelwa ukuthi uphuze kuphela iziphuzo ezicacile ezifana nomhluzi, ujusi ocacile namanzi.
• Landela imiyalo yokuthi ungakuyeka nini ukudla nokuphuza.

Ngosuku lokuhlinzwa:

• Thatha izidakamizwa udokotela wakho ohlinzayo akutshele ukuthi uziphuze kancane.
• Fika esibhedlela ngesikhathi.

Uzohlala esibhedlela izinsuku ezintathu kuya kwezi-7. Kungadingeka ukuthi uhlale isikhathi eside uma ukuhlinzwa kwakho kungukuhlinzwa okuphuthumayo.

Futhi ungadinga ukuhlala isikhathi eside uma inani elikhulu lamathumbu akho amancane lisusiwe noma uba nezinkinga.

Ngosuku lwesibili noma lwesithathu, cishe uzokwazi ukuphuza iziphuzo ezicacile. Uketshezi olujiyile bese ukudla okuthambile kuzongezwa njengoba isisu sakho siqala ukusebenza futhi.

Uma inani elikhulu lamathumbu akho amancane lisusiwe, kungadingeka ukuthi uthole umsoco oketshezi ngomthambo (IV) isikhathi esithile. I-IV ekhethekile izobekwa entanyeni yakho noma endaweni engenhla yesifuba ukuletha umsoco.

Ngemuva kokuya ekhaya, landela imiyalo yokuthi ungazinakekela kanjani njengoba usalulama.

Iningi labantu abane-resection encane yamathumbu ilulama ngokuphelele. Ngisho ne-ileostomy, abantu abaningi bayakwazi ukwenza imisebenzi ababekwenza ngaphambi kokuhlinzwa kwabo. Lokhu kufaka phakathi ezemidlalo, ezokuvakasha, izingadi, izintaba, neminye imisebenzi yangaphandle, nezinhlobo eziningi zomsebenzi.

Uma ingxenye enkulu yamathumbu akho amancane isusiwe, ungaba nezinkinga ngezihlalo ezivulekile nokuthola izakhamzimba ezanele ekudleni okudlayo.

Uma unesimo sesikhathi eside (esingapheli), njengomdlavuza, isifo seCrohn noma i-ulcerative colitis, ungadinga ukwelashwa okuqhubekayo.

Ukuhlinzwa amathumbu amancane; Ukuvuselelwa kwamathumbu - amathumbu amancane; Ukutholwa kabusha kwengxenye yamathumbu amancane; I-Enterectomy

• Ukuphepha kwamakamelo abantu abadala
• Ukudla kweBland
• Isifo seCrohn - ukukhipha
• Ileostomy nengane yakho
• Ileostomy nokudla kwakho
• Ileostomy - ukunakekela i-stoma yakho
• Ileostomy - ukushintsha isikhwama sakho
• Ileostomy - ukukhishwa
• Ileostomy - yini ongayibuza udokotela wakho
• Ukudla okuphansi kwe-fiber
• Ukuvimbela ukuwa
• Ukukhishwa kwamathumbu amancane - ukukhishwa
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile
• Izinhlobo ze-ileostomy
• I-ulcerative colitis - ukuphuma
• Lapho unesicanucanu nokuhlanza

• Ukuthengiswa kwamathumbu amancane - uchungechunge

Ama-Albers BJ, uLamon DJ. Ukulungiswa / ukukhishwa kabusha kwamathumbu amancane. Ku: Baggish MS, Karram MM, ama-eds. I-Atlas of Pelvic Anatomy and Gynecologic Surgery. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2016: isahluko 95.

UDiBrito SR, uDuncan M. Ukuphathwa kokuvinjelwa kwamathumbu amancane. Ku: UCameron JL, uCameron AM, ama-eds. Ukwelashwa Kwamanje. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2017: 109-113.

UHarris JW, i-Evers BM. Amathumbu amancane. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 49.