Ukuhlinzwa kwe-Reflux: kwenziwa kanjani, ukululama nokuthi uzodlani

-Delile

• Kwenziwa kanjani ukuhlinzwa
• Izinkinga ezingenzeka
• Lulama kanjani
• Ongakudla ngemuva kokuhlinzwa
• Izimpawu zokuxwayisa ukuya kudokotela

Ukuhlinzwa kwe-reflux ye-gastroesophageal kukhonjiswa lapho ukwelashwa ngemithi nokunakekelwa kokudla kungalethi imiphumela, kanye nezinkinga ezinjengezilonda noma ukukhula kwesisu UBarrett, Ngokwesibonelo. Ngaphezu kwalokho, inkomba yokwenza ukuhlinzwa nayo incike esikhathini lapho umuntu ene-reflux, amandla nokuvama kwezimpawu nokuzimisela komuntu ukwenza ukuhlinzwa ukuxazulula lesi simo.

Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile nangokusikeka okuncane esiswini, futhi ukululama okuphelele kuthatha cishe izinyanga ezimbili, kudingekile emasontweni okuqala ukondla kuphela iziphuzo, okungaholela ekwehliseni isisindo esincane.

Bheka izinketho zokwelashwa ze-reflux ngaphambi kokuhlinzwa.

Kwenziwa kanjani ukuhlinzwa

Ukuhlinzwa kwe-Reflux kuvame ukusebenzela ukulungisa i-hernia yokubeletha, okuyiyona imbangela enkulu ye-reflux esophageal futhi, ngakho-ke, udokotela udinga ukusika okuncane esifundeni esiphakathi kwesisu nesisu ukwenza ukulungiswa kwe-hernia.

Imvamisa, inqubo esetshenzisiwe yi-laparoscopy ene-anesthesia ejwayelekile, lapho kufakwa khona amashubhu amancane ngokusikeka okuncane esikhunjeni. Udokotela uyakwazi ukubona ingaphakathi lomzimba futhi ahlinze ngekhamera ebekwe ekugcineni kwelinye lamashubhu.

Izinkinga ezingenzeka

Ukuhlinzwa kwe-Reflux kuphephe kakhulu, ikakhulukazi uma kwenziwa nge-laparoscopy, noma kunjalo, kuhlale kunengozi yezinkinga ezinjengokopha, i-thrombosis ezinyaweni ezingezansi, ukutheleleka endaweni esikiwe noma ukuhlukumezeka ezithweni ezisondele esiswini. Ngaphezu kwalokho, njengoba kudingeka i-anesthesia, kungavela izinkinga ezihlobene ne-anesthesia.

Ngokuya ngobunzima, lezi zinkinga zingaholela ekutheni umuntu aphinde ahlinzwe ngokuhlinzwa okuvamile, okwenziwa ngokusikwa okukhulu esiswini, esikhundleni senqubo ye-laparoscopic.

Lulama kanjani

Ukululama ekuhlinzweni kwe-reflux kuyashesha, kubuhlungu obuncane kanye nengozi encane yokutheleleka, futhi ngokujwayelekile isiguli sikhishwa usuku olungu-1 ngemuva kokuhlinzwa futhi singabuyela emsebenzini ngemuva kweviki elilodwa noma amabili. Kodwa-ke, ukuthola ngokushesha, kunconywa:

• Gwema ukushayela okungenani izinsuku eziyi-10;
• Gwema ukuthintana kakhulu emavikini amabili okuqala;
• Musa ukuphakamisa izinsimbi bese uqala kabusha ukuzivocavoca umzimba ngemuva kwenyanga e-1 noma ngemuva kokukhululwa kukadokotela;
• Thatha uhambo olufushane ekhaya usuku lonke, ukugwema ukuhlala noma ukulala phansi isikhathi eside.

Ngaphezu kwalokho, kunconywa ukuthi ubuyele esibhedlela noma uye esikhungweni sezempilo ukuze welaphe amanxeba okuhlinzwa. Ezinsukwini ezi-2 zokuqala kubalulekile ukugeza kuphela ngesipanji ukugwema ukumanzisa okokugqoka, ngoba kwandisa ubungozi bokutheleleka.

Ngesikhathi sokululama, udokotela futhi angancoma ukusetshenziswa kwama-antibiotic, ama-anti-inflammatories noma okudambisa izinhlungu, ukunciphisa ukungaphatheki kahle.

Ongakudla ngemuva kokuhlinzwa

Ngenxa yobuhlungu nobunzima bokugwinya, kungakuhle ukuthi ulandele lolu hlobo lwesikimu:

• Yidla iziphuzo kuphela ngeviki lokuqala, engadlulela esontweni lesibili, ngokubekezelelana kwesiguli;
• Shintshela ekudleni okuyipasti kusuka kuviki lesi-2 noma lesi-3, ngokungeniswa kokudla okuphekwe kahle, ama-purees, inyama yenkomo egayiwe, inhlanzi nenkukhu eshisiwe;
• Kancane kancane qala ukudla okujwayelekile, ngokusho kokubekezelela nokukhululwa kukadokotela;
• Gwema iziphuzo ezi-fizzy ezinyangeni ezimbalwa zokuqala, njengeziphuzo ezibandayo namanzi anekhabhoni;
• Gwema ukudla okukhiqiza igesi emathunjini, njengobhontshisi, iklabishi, iqanda, uphizi, ummbila, i-broccoli, u-anyanisi, ukhukhamba, i-turnips, amakhabe, amakhabe kanye nama-avocado;
• Yidla uphuze kancane, ukugwema ukuqunjelwa nobuhlungu besisu.

Umuzwa wezinhlungu nesisu esigcwele kungaholela ekunciphiseni isisindo ngenxa yokwehla kwenani lokudla okudliwayo. Ngaphezu kwalokho, kujwayelekile nokuzwa ama-hiccups kanye negesi eyeqile, futhi kungadingeka ukuthatha imithi efana neLuftal, ukunciphisa lezi zimpawu.

Bona imininingwane eminingi ngokudla kwe-reflux.

Izimpawu zokuxwayisa ukuya kudokotela

Ngaphezu kokwenza impindelo, kufanele kuboniswane nodokotela uma kunemfiva engaphezulu kuka-38ºC, ubuhlungu obukhulu, ububomvu, igazi noma ubomvu emanxebeni, isicanucanu nokuhlanza njalo, ukukhathala njalo nokuphelelwa umoya kanye / noma ubuhlungu besisu nokuqhuma okuqhubekayo. .

Lezi zimpawu zingakhombisa izinkinga ezivela ekuhlinzweni, futhi kunconywa ukuya egumbini labezimo eziphuthumayo ukwelapha nokuvimbela ezinye izinkinga.