I-Pyloroplasty

-Delile

• Kuyini i-pyloroplasty?
• Kungani kwenziwa?
• Kwenziwa kanjani?
• Ukuhlinzwa okuvulekile
• Ukuhlinzwa nge-Laparoscopic
• Kunjani ukululama?
• Ingabe zikhona izingozi?
• Ukulahla isisu
• Okubalulekile

Kuyini i-pyloroplasty?

I-Pyloroplasty ukuhlinzwa ukukhulisa i-pylorus. Lesi yimbobo eseduze nokuphela kwesisu esivumela ukudla ukuba kugobhozele ngaphakathi kwe-duodenum, ingxenye yokuqala yamathumbu amancane.

I-pylorus izungezwe i-pyloric sphincter, ibhande elijiyile lemisipha ebushelelezi ebangela ukuthi ivule futhi ivale ngezigaba ezithile zokugaya. I-pylorus ivame ukuncipha ibe ngu-1 intshi ububanzi. Lapho ukuvulwa kwe-pyloric kuncane ngokungajwayelekile noma kuvinjiwe, kunzima ukuthi kudlule ukudla. Lokhu kuholela ezimpawu ezifana nokugaya ukudla nokuqunjelwa.

I-Pyloroplasty ifaka phakathi ukusika nokususa ezinye ze-pyloric sphincter ukunweba nokuphumuza i-pylorus. Lokhu kwenza kube lula ukuthi ukudla kudlulele ku-duodenum. Kwezinye izimo, i-pyloric sphincter isuswe ngokuphelele.

Kungani kwenziwa?

Ngaphezu kokunwebisa i-pylorus emincane ngokukhethekile, i-pyloroplasty nayo ingasiza ekwelapheni izimo eziningana ezithinta isisu nezinzwa zesisu, njenge:

• i-pyloric stenosis, ukuncipha okungavamile kwe-pylorus
• i-pyloric atresia, i-pylorus evaliwe noma elahlekile ngesikhathi sokuzalwa
• izilonda ezinezilonda (izilonda ezivulekile) nesifo sezilonda (PUD)
• Isifo sikaParkinson
• i-multiple sclerosis
• gastroparesis, noma ukubambezeleka kwesisu ukukhipha
• ukulimala komthambo noma isifo
• isifo sikashukela

Ngokuya ngesimo, i-pyloroplasty ingenziwa ngasikhathi sinye njengenye inqubo, efana nale:

• I-Vagotomy. Le nqubo ifaka phakathi ukususa amagatsha athile we-vagus nerve, alawula izitho zesisu.
• I-Gastroduodenostomy. Le nqubo idala ukuxhumana okusha phakathi kwesisu ne-duodenum.

Kwenziwa kanjani?

I-Pyloroplasty ingenziwa njengokuhlinzwa kwendabuko okuvulekile. Kodwa-ke, odokotela abaningi manje banikeza izinketho ze-laparoscopic.Lezi ziyahlasela kancane futhi zinezingozi ezimbalwa. Zombili lezi zinhlobo zokuhlinzwa zivame ukwenziwa ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi uzobe ulele futhi ngeke ubuzwe ubuhlungu ngesikhathi sokuhlinzwa.

Ukuhlinzwa okuvulekile

Ngesikhathi se-pyloroplasty evulekile, odokotela abahlinzayo ngokujwayelekile:

1. Yenza ukusika okude noma ukusika, imvamisa kwehle phakathi nendawo kodonga lwesisu, bese usebenzisa amathuluzi okuhlinza ukunweba ukuvuleka.
2. Yenza ukusikeka okuncane okuncane ngemisipha yemisipha ye-pylorus sphincter, ukunweba ukuvulwa kwe-pyloric.
3. Hlanganisa imisipha ye-pyloric ndawonye kusuka phansi kuya phezulu.
4. Yenza izinqubo ezengeziwe zokuhlinza, njenge-gastroduodenostomy ne-vagotomy.
5. Ezimweni ezibandakanya ukungondleki okukhulu, ithubhu ye-gastro-jejunal, uhlobo lweshubhu lokudla, ingafakwa ukuvumela ukudla oketshezi kudlule esiswini ngqo esiswini.

Ukuhlinzwa nge-Laparoscopic

Ezinqubo ze-laparoscopic, odokotela abahlinzayo benza ukuhlinzwa ngokusikeka okuncane okumbalwa. Basebenzisa amathuluzi amancane kakhulu kanye ne-laparoscope ukusiza ukuwaqondisa. I-laparoscope iyishubhu ende, epulasitiki enekhamera encane, ekhanyisiwe ngakolunye uhlangothi. Ixhunywe kumqapha wokubonisa ovumela udokotela ohlinzayo ukuthi abone ukuthi benzani ngaphakathi komzimba wakho.

Ngesikhathi se-laparoscopic pyloroplasty, odokotela abahlinzayo ngokujwayelekile bayoba:

1. Sika kathathu kuya kwemihlanu esiswini bese ufaka i-laparoscope.
2. Iphampu yepayipi ingena esiswini somzimba ukuze kube lula ukubona isitho esigcwele.
3. Landela izinyathelo 2 kuya ku-5 ze-pyloroplasty evulekile, usebenzisa amathuluzi amancane okuhlinza enzelwe ukuhlinzwa nge-laparoscopic.

Kunjani ukululama?

Ukululama kusuka ku-pyloroplasty kuyashesha impela. Iningi labantu lingaqala ukuhamba kamnandi noma ukuhamba kungakapheli amahora ayi-12 ngemuva kokuhlinzwa. Abaningi baya emakhaya ngemuva kwezinsuku ezintathu zokuqashwa nokunakekelwa kwezokwelapha. Ukuhlinzwa okuyinkimbinkimbi kwe-pyloroplasty kungadinga izinsuku ezimbalwa ezengeziwe esibhedlela.

Ngenkathi usalulama, kungadingeka ukuthi udle ukudla okunomkhawulo amasonto noma izinyanga ezimbalwa, kuya ngokuthi ukuhlinzwa kwakho kwakukukhulu kangakanani nanoma yiziphi izimo zempilo ezingaphansi kwakho. Khumbula ukuthi kungathatha izinyanga ezintathu noma ngaphezulu ukuqala ukubona izinzuzo ezigcwele ze-pyloroplasty.

Iningi labantu lingaqala kabusha ukuvivinya umzimba okungadinisi cishe amasonto amane kuya kwayisithupha kulandela inqubo.

Ingabe zikhona izingozi?

Konke ukuhlinzwa kunezingozi ezijwayelekile. Ezinye zezinkinga ezivamile ezihambisana nokuhlinzwa kwesisu zifaka:

• ukulimala kwesisu noma kwamathumbu
• ukusabela okweqile emithini ye-anesthesia
• ukopha ngaphakathi
• amahlule egazi
• izibazi
• ukutheleleka
• i-hernia

Ukulahla isisu

I-Pyloroplasty nayo ingadala isimo esibizwa ngokuthi ukukhipha isisu ngokushesha, noma ukulahla isisu. Lokhu kufaka okuqukethwe kwesisu sakho okuthululela emathunjini akho amancane ngokushesha okukhulu.

Lapho kwenzeka ukulahlwa kwesisu, ukudla akugayeki kahle lapho kufinyelela emathunjini. Lokhu kuphoqa izitho zakho ukuthi zikhiqize uketshezi lokugaya ukudla kakhulu kunokujwayelekile. I-pylorus ekhulisiwe nayo ingavumela uketshezi lokugaya ukudla emathunjini noma i-bile ukuthi ingene esiswini. Lokhu kungadala i-gastroenteritis. Ngokuhamba kwesikhathi, kungaholela nasekungondlekeni ezimweni ezinzima.

Izimpawu zokulahla isisu zivame ukuqala kungakapheli imizuzu engama-30 kuya ehoreni ngemuva kokudla. Izimpawu ezijwayelekile zifaka:

• amajaqamba esiswini
• isifo sohudo
• ukuqunjelwa
• isicanucanu
• ukuhlanza, okuvame ukuba uketshezi oluhlaza okwesibhakabhaka-ophuzi, okunambitheka okumunyu
• isiyezi
• ukushaya kwenhliziyo okusheshayo
• ukoma komzimba
• ukukhathala

Ngemuva kwamahora ambalwa, ikakhulukazi ngemuva kokudla ukudla okunoshukela, uphawu oluyinhloko lokulahla isisu luba ushukela ophansi wegazi. Kwenzeka njengomphumela womzimba wakho ukukhipha inani elikhulu le-insulin ukugaya inani elinyukile likashukela emathunjini amancane.

Izimpawu zokulahlwa kwesisu sekwephuzile zifaka:

• ukukhathala
• isiyezi
• ukushaya kwenhliziyo okusheshayo
• ubuthakathaka jikelele
• ukujuluka
• indlala enamandla, evame ukuba buhlungu
• isicanucanu

Okubalulekile

I-Pyloroplasty uhlobo lokuhlinzwa olwandisa ukuvuleka ezansi kwesisu. Kuvame ukusetshenziselwa ukwelapha izimo zesisu ezingaphendulanga kwezinye izindlela zokwelapha.

Kungenziwa ngokusebenzisa izindlela zokuhlinza ezivulekile zendabuko noma amasu we-laparoscopic. Ukulandela inqubo, kufanele ukwazi ukuya ekhaya ezinsukwini ezimbalwa. Kungaba izinyanga ezimbalwa ngaphambi kokuqala ukubona imiphumela.