I-Gastrectomy

I-Gastrectomy ukuhlinzwa ukususa ingxenye noma sonke isisu.

• Uma kususwa ingxenye yesisu kuphela, ibizwa ngokuthi yi-gastrectomy engaphelele
• Uma isisu sonke sikhishwa, sibizwa ngokuthi yi-total gastrectomy

Ukuhlinzwa kwenziwa ngenkathi ungaphansi kwe-anesthesia ejwayelekile (ilele futhi awunazinhlungu). Udokotela ohlinzayo usika esiswini futhi asuse sonke noma ingxenye yesisu, kuya ngesizathu senqubo.

Ngokuya ngokuthi iyiphi ingxenye yesisu esusiwe, ithumbu lingadinga ukuxhunywa kabusha esiswini esisele (i-gastrectomy eyingxenye) noma i-esophagus (i-gastrectomy ephelele).

Namuhla, abanye odokotela abahlinzayo benza i-gastrectomy besebenzisa ikhamera. Ukuhlinzwa, okubizwa nge-laparoscopy, kwenziwa ngokusikeka okuncane okuncane kokuhlinzwa. Izinzuzo zalokhu kuhlinzwa ukubuyisa ngokushesha, ubuhlungu obuncane, nokusikeka okumbalwa okuncane.

Lokhu kuhlinzwa kusetshenziselwa ukwelapha izinkinga zesisu ezinjenge:

• Ukopha
• Ukuvuvukala
• Umdlavuza
• Ama-polyps (ukukhula kolwelwesi lwesisu)

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile zifaka:

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

Izingozi zalokhu kuhlinzwa zifaka:

• Ukuvuza kusuka ekuxhumekeni kuya emathunjini okungadala ukutheleleka noma ithumba
• Ukuxhuma emathunjini kuyancipha, kubangele ukuvimba

Uma ubhema, kufanele uyeke ukubhema emasontweni ambalwa ngaphambi kokuhlinzwa futhi ungaphinde uqale ukubhema ngemuva kokuhlinzwa. Ukubhema kubambezela ukululama futhi kwenyusa ubungozi bezinkinga. Tshela umhlinzeki wakho wezempilo uma udinga usizo lokuyeka.

Tshela udokotela wakho ohlinzayo noma umhlengikazi:

• Uma ukhulelwe noma kungenzeka ukhulelwe
• Imiphi imithi, amavithamini, amakhambi, nezinye izithako ozithathayo, ngisho naleyo oyithenge ngaphandle kadokotela

Phakathi nesonto 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 yiziphi izidakamizwa okufanele usaziphuza ngosuku lokuhlinzwa kwakho.
• Lungiselela ikhaya lakho lapho uya ekhaya ngemuva kokuhlinzwa. Setha ikhaya lakho ukwenza impilo yakho ibe lula futhi iphephe lapho ubuya.

Ngosuku lokuhlinzwa kwakho:

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

Ungahlala esibhedlela izinsuku eziyisithupha kuya kweziyishumi.

Ngemuva kokuhlinzwa, kungahle kube neshubhu emakhaleni akho ezosiza ukugcina isisu sakho singenalutho. Iyasuswa ngokushesha lapho amathumbu akho esebenza kahle.

Iningi labantu linezinhlungu ngokuhlinzwa. Ungathola umuthi owodwa noma inhlanganisela yemithi yokulawula ubuhlungu bakho. Tshela abahlinzeki bakho uma unezinhlungu nokuthi ngabe imithi oyitholayo ilawula ubuhlungu bakho.

Ukwenza kahle kangakanani ngemuva kokuhlinzwa kuya ngesizathu sokuhlinzwa nesimo sakho.

Buza udokotela wakho ohlinzayo ukuthi ngabe kukhona yini okungafanele ukwenze ngemuva kokuya ekhaya. Kungathatha amasonto ambalwa ukuthi ululame ngokuphelele. Ngenkathi uthatha imithi yezinhlungu ze-narcotic, akufanele ushayele.

Ukuhlinzwa - ukususwa kwesisu; Isisu - inani; I-Gastrectomy - ingxenye; Umdlavuza wesisu - i-gastrectomy

• I-Gastrectomy - uchungechunge

I-Antiporda M, Reavis KM. Ukuqina kwesibindi. Ku: Delaney CP, ed. I-Netter’s anatomy Yokuhlinza Nezindlela Zokuhlinzwa. Okwesibili. IPhiladelphia, PA: Elsevier; 2021: isahluko 8.

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.