I-Gastrectomy

-Delile

• I-Gastrectomy
• Kungani ungadinga i-gastrectomy
• Izinhlobo ze-gastrectomy
• I-gastrectomy engaphelele
• Qedela i-gastrectomy
• I-sleeve se-sleeve
• Ungayilungiselela kanjani i-gastrectomy
• Isebenza kanjani i-gastrectomy
• Ukuhlinzwa okuvulekile
• Ukuhlinzwa nge-Laparoscopic
• Izingozi ze-gastrectomy
• Ngemuva kwe-gastrectomy
• Izinguquko zendlela yokuphila

I-Gastrectomy

I-Gastrectomy ukususwa kwengxenye noma sonke isisu.

Kunezinhlobo ezintathu eziyinhloko ze-gastrectomy:

• I-gastrectomy engaphelele ukususwa kwengxenye yesisu. Ingxenye engezansi ivame ukususwa.
• I-gastrectomy ephelele ukukhishwa kwesisu sonke.
• I-sleeve gastrectomy ukususwa kohlangothi lwesobunxele sesisu. Lokhu kuvame ukwenziwa njengengxenye yokuhlinzwa yokwehlisa isisindo.

Ukususa isisu sakho akususi ikhono lakho lokugaya iziphuzo nokudla. Kodwa-ke, kungadingeka ukuthi wenze izinguquko ezimbalwa zokuphila ngemuva kwenqubo.

Kungani ungadinga i-gastrectomy

I-Gastrectomy isetshenziselwa ukwelapha izinkinga zesisu ezingasizakali ngezinye izindlela zokwelapha. Udokotela wakho angancoma i-gastrectomy ukwelapha:

• izicubu ezinobungozi, noma ezinganomdlavuza
• ukopha
• ukuvuvukala
• perforations odongeni esiswini
• polyps, noma ukukhula ngaphakathi esiswini sakho
• umdlavuza wesisu
• izilonda ezinamandla ze-peptic noma duodenal

Ezinye izinhlobo ze-gastrectomy nazo zingasetshenziswa ukwelapha ukukhuluphala. Ngokwenza isisu sibe sincane, sigcwalisa ngokushesha okukhulu. Lokhu kungakusiza ukuthi udle kancane. Kodwa-ke, i-gastrectomy kuphela ukwelashwa kokukhuluphala okufanele lapho ezinye izinketho zehlulekile. Ukwelashwa okungajwayelekile kufaka:

• ukudla
• ukuzivocavoca umzimba
• imithi
• ukwelulekwa

Izinhlobo ze-gastrectomy

Kunezinhlobo ezintathu ezinkulu ze-gastrectomy.

I-gastrectomy engaphelele

Udokotela wakho ohlinzayo uzosusa ingxenye engezansi yesisu sakho ngesikhathi se-gastrectomy engaphelele. Bangaphinda basuse ama-lymph node aseduze uma unamaseli omdlavuza kuwo.

Kulokhu kuhlinzwa, udokotela wakho ohlinzayo uzokuvala i-duodenum yakho. I-duodenum yakho yingxenye yokuqala yamathumbu akho amancane ethola ukudla okugaywe kancane esiswini sakho. Ngemuva kwalokho, ingxenye esele yesisu sakho izoxhunywa emathunjini akho.

Qedela i-gastrectomy

Ebizwa nangokuthi i-gastrectomy ephelele, le nqubo isisusa ngokuphelele isisu. Udokotela wakho ohlinzayo uzokuxhumanisa ngqo nesisu sakho emathunjini akho amancane. I-esophagus imvamisa ixhuma umphimbo wakho esiswini sakho.

I-sleeve se-sleeve

Kungasuswa amakota amathathu esisu sakho ngesikhathi sokulungiswa komkhono. Udokotela wakho ohlinzayo uzonciphisa uhlangothi lwesisu sakho ukuze asiguqule sibe yishubhu. Lokhu kudala isisu esincane, eside.

Ungayilungiselela kanjani i-gastrectomy

Udokotela wakho uzo-oda ukuhlolwa kwegazi nokuhlolwa kwe-imaging ngaphambi kokuhlinzwa. Lokhu kuzoqinisekisa ukuthi uphilile ngokwanele ngenqubo. Uzoba nokuhlolwa okuphelele ngokomzimba nokubuyekezwa komlando wakho wezokwelapha.

Ngesikhathi sokuqokwa kwakho, tshela udokotela wakho uma ngabe uthatha noma imiphi imithi. Qiniseka ukuthi ufaka phakathi amakhambi nemithi yokwengeza. Kungadingeka uyeke ukuthatha imishanguzo ethile ngaphambi kokuhlinzwa.

Kufanele futhi utshele udokotela wakho uma ukhulelwe, ucabange ukuthi ungakhulelwa, noma unezinye izimo zezokwelapha, njengesifo sikashukela.

Uma ubhema osikilidi, kufanele uyeke ukubhema. Ukubhema kunezela isikhathi esengeziwe sokululama. Kungadala nezinkinga eziningi, ikakhulukazi lezo ezibandakanya izinkinga zokutheleleka nezamaphaphu.

Isebenza kanjani i-gastrectomy

Kunezindlela ezimbili ezihlukile zokwenza i-gastrectomy. Zonke zenziwa ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi uzobe ulele ubuthongo obukhulu ngesikhathi sokuhlinzwa futhi ngeke ukwazi ukuzwa noma yibuphi ubuhlungu.

Ukuhlinzwa okuvulekile

Ukuhlinzwa okuvulekile kuhilela ukusikeka okukodwa, okukhulu. Udokotela wakho ohlinzayo uzobuyisa isikhumba, imisipha nezicubu ukuze afinyelele esiswini sakho.

Ukuhlinzwa nge-Laparoscopic

Ukuhlinzwa nge-laparoscopic ukuhlinzwa okuncane okungahlaseli. Kubandakanya ukusikeka okuncane namathuluzi akhethekile. Le nqubo ayibuhlungu kangako futhi ivumela isikhathi esisheshayo sokululama. Kuyaziwa nangokuthi "ukuhlinzwa kwamakhiye" noma i-laparoscopically assisted gastrectomy (LAG).

I-LAG ivame ukuncanyelwa ukuvula ukuhlinzwa. Kungukuhlinzwa okuthuthuke kakhulu okunezinga eliphansi lezinkinga.

Udokotela wakho ohlinzayo angancoma ukuhlinzwa okuvulekile ngokuhlinzwa kwe-laparoscopic ukwelapha izimo ezithile, njengomdlavuza wesisu.

Izingozi ze-gastrectomy

Izingozi ze-gastrectomy zifaka:

• i-asidi ye-asidi
• isifo sohudo
• i-gastric dumping syndrome, okuyihlobo elibi kakhulu le-maldigestion
• ukutheleleka kwenxeba lokusikwa
• ukutheleleka esifubeni
• ukopha ngaphakathi
• kuvuza esiswini endaweni yokusebenza
• isicanucanu
• ukuhlanza
• isisu esiswini singena esikhunjeni sakho, esibangela ukusikeka, ukunciphisa, noma ukuncipha (ukuqina)
• ukuvinjelwa kwamathumbu amancane
• ukuntuleka kwamavithamini
• ukuncipha komzimba
• ukopha
• ukuphefumula kanzima
• inyumoniya
• umonakalo ezakhiweni eziseduze

Qiniseka ukuthi utshela udokotela wakho ngomlando wakho wezokwelapha nokuthi imiphi imithi oyiphuzayo. Landela zonke izinkomba ozinikezwa ukulungiselela inqubo. Lokhu kuzonciphisa izingozi zakho.

Ngemuva kwe-gastrectomy

Ngemuva kwe-gastrectomy, udokotela wakho uzovala ukusika kwakho ngemithungo futhi isilonda sizobhandishwa. Uzolethwa egumbini lesibhedlela ukuze ululame. Umhlengikazi uzoqapha izimpawu zakho ezibalulekile ngesikhathi senqubo yokutakula.

Ungalindela ukuhlala esibhedlela isonto elilodwa noma amabili ngemuva kokuhlinzwa. Ngalesi sikhathi, uzoba neshubhu eligijima lisuka ekhaleni lakho liye esiswini sakho. Lokhu kuvumela udokotela wakho ukuthi asuse noma yikuphi uketshezi olukhiqizwa isisu sakho. Lokhu kukusiza ukuthi ungazizwa ucanuzelelwa inhliziyo.

Uzondliwa ngepayipi elisemthanjeni wakho uze ulungele ukudla nokuphuza ngokwejwayelekile.

Tshela udokotela wakho ngokushesha uma uba nezimpawu ezintsha noma ubuhlungu obungalawulwa ngemithi.

Izinguquko zendlela yokuphila

Uma usugodukile, kungadingeka ukuthi ulungise indlela odla ngayo. Olunye ushintsho lungafaka:

• ukudla ukudla okuncane usuku lonke
• ukugwema ukudla okuphezulu kwe-fiber
• ukudla ukudla okunothe nge-calcium, i-iron, namavithamini C no-D
• ukuthatha izithako zamavithamini

Ukululama kusuka ku-gastrectomy kungathatha isikhathi eside. Ekugcineni, isisu sakho namathumbu akho amancane kuzolula. Ngemuva kwalokho, uzokwazi ukusebenzisa i-fiber eningi futhi udle ukudla okukhulu. Uzodinga ukuhlolwa igazi njalo ngemuva kwenqubo ukuze uqiniseke ukuthi uthola amavithamini namaminerali anele.