I-gastrectomy eqondile: kuyini, izinzuzo nokululama

-Delile

• Kwenziwa kanjani ukuhlinzwa
• Izinzuzo eziyinhloko
• Izingozi ezingaba khona
• Lulama kanjani

I-gastrectomy eqondile, ebizwa nangokuthi umkhono noma i-sleeve gastrectomy, wuhlobo lokuhlinzwa kwe-bariatric okwenziwa ngenhloso yokwelapha ukukhuluphala okugulisayo, okubandakanya ukususwa kwengxenye yesobunxele yesisu, edala ukwehla kwamandla esisu okugcina ukudla. Ngakho-ke, lokhu kuhlinzwa kungaholela ekulahlekelweni okungafika kuma-40% wesisindo sokuqala.

Lokhu kuhlinzekwa kukhonjisiwe ekwelapheni ukukhuluphala lapho ukusetshenziswa kwamanye amafomu wemvelo engakhiphi imiphumela noma ngabe sekuphele iminyaka emi-2 noma lapho umuntu esenayo i-BMI enkulu kune-50 kg / m². Ngaphezu kwalokho, kungenziwa nasezigulini ezine-BMI engama-35 kg / m² kepha ezinenhliziyo, isifo sokuphefumula noma isifo sikashukela esibolile, isibonelo.

Bona lapho ukuhlinzwa kwe-bariatric kuboniswa njengendlela yokwelashwa.

Kwenziwa kanjani ukuhlinzwa

I-gastrectomy eqondile yokwehlisa isisindo ukuhlinzwa okwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi kuhlala, ngokwesilinganiso, amahora amabili. Kodwa-ke, kujwayelekile ukuthi umuntu angeniswe esibhedlela okungenani izinsuku ezintathu.

Ngokuvamile, lokhu kuhlinzwa kwenziwa nge-videolaparoscopy, lapho kwenziwa khona izimbobo ezincane esiswini, lapho kufakwa khona amashubhu nezinsimbi ukwenza ukusikeka okuncane esiswini, ngaphandle kokusika isikhumba esikhulu.

Ngesikhathi sokuhlinzwa, udokotela usika aqonde mpo, asike ingxenye yesobunxele yesisu bese eshiya isitho ngesimo seshubhu noma umkhono, ofana nobhanana. Kulokhu kuhlinzwa kukhishwa isisu esifinyelela ku-85%, sisenze sibe sincane nokwenza umuntu adle kancane.

Izinzuzo eziyinhloko

Izinzuzo eziyinhloko ze-gastrectomy mpo ngaphezu kwezinye izinhlobo zokuhlinzwa nge-bariatric yilezi:

• Faka phakathi kuka-50 kuya ku-150 ml wokudla, esikhundleni sika-1 L, okuyiphethini ejwayelekile ngaphambi kokuhlinzwa;
• Ukwehla kwesisindo okukhulu kunalokho okutholwe ngebhande lesisu esisetshenziswayo, ngaphandle kokudinga ukulungiswa kwebhande;
• Shintsha i-gastrectomy ibe yi- ukudlula isisu, uma kunesidingo;
• Amathumbu awashintshi, lapho kumuncwa okujwayelekile kwezakhi zomzimba ezibalulekile.

Kusengukuhlinzwa okulula ngokwezobuchwepheshe kune ukudlula isisu, esivumela ukwehla kwesisindo eminyakeni eminingana futhi ngengozi encane yezinkinga.

Kodwa-ke, naphezu kwazo zonke izinzuzo, ihlala iyindlela enobudlova kakhulu yomzimba futhi ngaphandle kokuhlehliswa, ngokungafani nezinye izinhlobo zokuhlinzwa okulula, njengokufakwa kwebhande lesisu noma ibhaluni.

Izingozi ezingaba khona

I-gastrectomy evundlile ingadala isicanucanu, ukuhlanza nesilungulela. Kodwa-ke, izinkinga ezibucayi kakhulu zalokhu kuhlinzwa zifaka phakathi ukuvela kwe-fistula, okuwukuxhumeka okungajwayelekile phakathi kwesisu kanye nesisu esiswini, futhi okungakhulisa amathuba okutheleleka. Ezimweni ezinjalo, kungadingeka ukuhlinzwa okwengeziwe.

Lulama kanjani

Ukubuyiselwa esimweni sokuhlinzwa kungathatha phakathi kwezinyanga eziyisithupha kuya onyakeni owodwa, ngokuncipha kwesisindo kancane kancane futhi, ngesidingo sokwenza ushintsho endleleni yokuphila.

Ngakho-ke, umuntu oye waba ne-gastrectomy kufanele alandele imihlahlandlela:

• Ukudla kukhonjiswe yisazi sokudla. Bona ukuthi ukudla kufanele kubukeke kanjani ngemuva kokuhlinzwa nge-bariatric.
• Thatha i-antiemetic njenge-Omeprazole, ebekwe ngudokotela, ngaphambi kokudla ukuvikela isisu;
• Thatha amaphilisi ezinhlungu ngomlomo, njengeParacetamol noma iTramadol, njengokuyalelwa ngudokotela, uma unezinhlungu;
• Qala umkhuba wokukhanya komzimba ngemuva kwezinyanga ezi-1 noma ezi-2, ngokuya ngodokotela;
• Ukugqoka endaweni yezempilo isonto elilodwa ngemuva kokuhlinzwa.

Zonke lezi zixwayiso kumele zenziwe ukuze ukwelashwa kungabi buhlungu futhi kusheshe. Bona imihlahlandlela ethize yokuthi wenzeni esikhathini esingemva kokuhlinzwa sokuhlinzwa kwe-bariatric.