Ukuphinda Uthole Amathumbu Amancane

-Delile

• Kungani ngidinga ukuthengiswa kabusha kwamathumbu okuncane?
• Ziyini izingozi zokuthengiswa kabusha kwamathumbu amancane?
• Ngikulungiselela kanjani ukukhishwa kwamathumbu okuncane?
• Kwenziwa kanjani ukukhishwa kwamathumbu amancane?
• Ukuhlinzwa okuvulekile
• Ukuhlinzwa nge-Laparoscopic
• Ukuqedela ukuhlinzwa
• Ukubuyiselwa emuva kokuhlinzwa
• Uyini umbono wesikhathi eside?

Kuyini ukuthengiswa kwamathumbu amancane?

Amathumbu akho amancane abaluleke kakhulu ekugcineni impilo enhle yokugaya ukudla. Ebizwa nangokuthi amathumbu amancane, amunca izakhamzimba noketshezi oludlayo noma oliphuzayo. Zibuye zilethe nemfucuza emathunjini amakhulu.

Izinkinga zomsebenzi zingabeka impilo yakho engcupheni. Ungadinga ukuhlinzwa ukuze ususe ingxenye eyonakele yamathumbu akho amancane uma unezithintelo zamathumbu noma ezinye izifo zamathumbu. Lokhu kuhlinzwa kubizwa ngokuthi ukuthengiswa kwamathumbu amancane.

Kungani ngidinga ukuthengiswa kabusha kwamathumbu okuncane?

Izimo ezahlukahlukene zingalimaza amathumbu akho amancane. Kwezinye izimo, udokotela wakho angancoma ukususa ingxenye yamathumbu akho amancane. Kwezinye izimo, ingxenye yamathumbu akho amancane ingasuswa ukuze iqinisekise noma inqande isifo uma kudingeka "ukuxilongwa kwezicubu".

Izimo ezingadinga ukuhlinzwa zifaka:

• ukopha, ukutheleleka, noma izilonda ezinzima emathunjini amancane
• ukuvinjelwa emathunjini, kungaba okuzelwe (okukhona lapho kuzalwa) noma okuvela kwizicubu ezibomvu
• izimila ezingenalo umdlavuza
• Ama-polyps angaphambi kwesikhathi
• umdlavuza
• ukulimala emathunjini amancane
• I-diverticulum kaMeckel (isikhwama samathumbu esikhona lapho kuzalwa)

Izifo ezibangela ukuvuvukala emathunjini zingadinga nokuhlinzwa. Izimo ezinjalo zifaka:

• Isifo sikaCrohn
• ileitis yesifunda
• i-enteritis yesifunda

Ziyini izingozi zokuthengiswa kabusha kwamathumbu amancane?

Noma yikuphi ukuhlinzwa kunezingozi ezingaba khona, kufaka phakathi:

• amahlule egazi emilenzeni
• ukuphefumula kanzima
• inyumoniya
• ukusabela ku-anesthesia
• ukopha
• ukutheleleka
• isifo senhliziyo
• unhlangothi
• umonakalo ezakhiweni ezizungezile

Udokotela wakho nethimba labanakekeli bazosebenza kanzima ukuvimbela lezi zinkinga.

Izingozi eziqondene nokuhlinzwa kwamathumbu amancane zifaka:

• isifo sohudo njalo
• ukopha esiswini
• ukuqoqa ubomvu esiswini, okwaziwa nangokuthi i-abscess yangaphakathi kwesisu (okungadinga amanzi)
• amathumbu adudula phakathi kwesisu esiswini sakho (i-incisional hernia)
• izicubu ezibomvu ezakha ukuvinjelwa kwamathumbu okudinga ukuhlinzwa okwengeziwe
• isifo esifushane samathumbu (izinkinga zokumunca amavithamini nezakhi zomzimba)
• ukuvuza endaweni lapho kuxhunywa kabusha amathumbu amancane (anastomosis)
• izinkinga nge-stoma
• ukusikeka kuvuleka (dehiscence)
• ukutheleleka kokusikwa

Ngikulungiselela kanjani ukukhishwa kwamathumbu okuncane?

Ngaphambi kwenqubo, uzoba nokuhlolwa okuphelele ngokomzimba. Udokotela wakho uzoqinisekisa ukuthi uthola ukwelashwa okusebenzayo nganoma yiziphi ezinye izimo zezokwelapha, ezifana nomfutho wegazi ophakeme nesifo sikashukela. Uma ubhema, kufanele uzame ukuyeka amasonto ambalwa ngaphambi kokuhlinzwa.

Tshela udokotela wakho uma uthatha noma imuphi umuthi kanye namavithamini. Qiniseka ukuthi uyasho noma imiphi imithi enciphisa igazi lakho. Lokhu kungadala izinkinga kanye nokopha ngokweqile ngesikhathi sokuhlinzwa. Izibonelo zemithi yokuncipha kwegazi zifaka:

• i-warfarin (i-Coumadin)
• i-clopidogrel (i-Plavix)
• i-aspirin (iBufferin)
• ibuprofen (Motrin IB, Advil)
• i-naproxen (Aleve)
• uvithamini E

Yazisa udokotela wakho uma usanda kungena esibhedlela, uzizwe ugula, noma unomkhuhlane ngaphambi nje kokuhlinzwa. Ungahle udinge ukubambezela inqubo ukuvikela impilo yakho.

Yidla ukudla okuhle kokudla okune-fiber eningi uphuze amanzi amaningi emasontweni angaphambi kokuhlinzwa. Ngaphambi nje kokuhlinzwa, kungadingeka ukuthi unamathele ekudleni oketshezi oketshezi olucacile (umhluzi, ijusi ecacile, amanzi). Ungadinga futhi ukuthatha i-laxative ukusula amathumbu akho.

Ungadli noma uphuze ngaphambi kokuhlinzwa (ukuqala phakathi kwamabili ngobusuku obandulele). Ukudla kungadala izinkinga nge-anesthesia yakho. Lokhu kungandisa ukuhlala kwakho esibhedlela.

Kwenziwa kanjani ukukhishwa kwamathumbu amancane?

I-anesthesia ejwayelekile iyadingeka kulokhu kuhlinzwa. Uzobe ulele futhi ungenazinhlungu ngesikhathi sokuhlinzwa. Ngokuya ngesizathu sokuhlinzwa, inqubo ingathatha phakathi kwehora elilodwa kuya kwayisishiyagalombili.

Kunezinhlobo ezimbili eziyinhloko zokuvuselelwa kwamathumbu amancane: ukuhlinzwa okuvulekile noma ukuhlinzwa kwe-laparoscopic.

Ukuhlinzwa okuvulekile

Ukuhlinzwa okuvulekile kudinga udokotela ohlinzayo enze imbobo esiswini. Indawo nobude bokusikwa kuncike ezintweni ezahlukahlukene ezifana nendawo ethile yenkinga yakho nokwakhiwa komzimba wakho.

Udokotela wakho ohlinzayo uthola ingxenye ethintekile yamathumbu akho amancane, ayibambe futhi ayisuse.

Ukuhlinzwa nge-Laparoscopic

Ukuhlinzwa nge-laparoscopic noma nge-robotic kusetshenziswa ukusikeka okuncane kakhulu kuye kwemithathu. Udokotela wakho ohlinzayo uqala ngokumpompa igesi esiswini sakho ukuze ayivuthele. Lokhu kwenza kube lula ukubona.

Bese basebenzisa amalambu amancane, amakhamera, namathuluzi amancane ukuthola indawo enesifo, bayicofe bese bayayisusa. Kwesinye isikhathi irobhothi lisiza kulolu hlobo lokuhlinzwa.

Ukuqedela ukuhlinzwa

Kunoma yiluphi uhlobo lokuhlinzwa, udokotela ohlinzayo ukhuluma emaphethelweni avulekile emathumbu. Uma kusele amathumbu amancane anempilo anele, amaphethelo womabili angasikwa angathungwa noma ahlanganiswe ndawonye. Lokhu kubizwa nge-anastomosis. Kuyinto ukuhlinzwa okuvame kakhulu.

Kwesinye isikhathi ithumbu alikwazi ukuxhunywa kabusha. Uma kunjalo, udokotela wakho ohlinzayo uvula ngokukhethekile esiswini sakho okuthiwa i-stoma.

Banamathisela ukuphela kwamathumbu okusondele esiswini sakho odongeni lwesisu sakho. Amathumbu akho azokhipha i-stoma esikhwameni esivaliwe noma esikhwameni samanzi. Le nqubo yaziwa njenge-ileostomy.

I-ileostomy ingahle ibe yesikhashana ukuvumela amathumbu aqhubeke phansi ohlelweni ukuthi aphole ngokuphelele, noma angahlala unomphela.

Ukubuyiselwa emuva kokuhlinzwa

Uzodinga ukuhlala esibhedlela izinsuku ezinhlanu kuya kweziyisikhombisa ngemuva kokuhlinzwa. Ngesikhathi sokuhlala kwakho, uzoba ne-catheter esinyeni sakho. I-catheter izothela umchamo esikhwameni.

Uzophinde ube neshubhu le-nasogastric. Le tube isuka ekhaleni lakho iye esiswini sakho. Ingakhipha okuqukethwe esiswini sakho uma kunesidingo. Ingahambisa nokudla ngqo esiswini sakho.

Ungakwazi ukuphuza iziphuzo ezicacile ezinsukwini ezimbili kuya kweziyisikhombisa ngemuva kokuhlinzwa.

Uma udokotela wakho ohlinzayo esuse inani elikhulu lamathumbu noma uma lokhu bekungukuhlinzwa okuphuthumayo, kungadingeka ukuthi uhlale isikhathi esingaphezu kwesonto elilodwa esibhedlela.

Kuzodingeka ukuthi ube nokudla okunomsoco we-IV isikhathi esithile uma udokotela wakho ohlinzayo esusa ingxenye enkulu yamathumbu amancane.

Uyini umbono wesikhathi eside?

Iningi labantu lilulama kahle kulokhu kuhlinzwa. Noma ngabe une-ileostomy futhi kufanele ugqoke isikhwama samanzi, ungaqala kabusha imisebenzi yakho ejwayelekile.

Ungaba nohudo uma ngabe ususwe ingxenye enkulu yamathumbu. Ungaba nezinkinga zokumunca izakhamzimba ezanele ekudleni okudlayo.

Izifo ezivuthayo ezifana nesifo sikaCrohn noma umdlavuza omncane wamathumbu kungenzeka zidinge ukwelashwa okwengeziwe ngaphambi kwalokhu kuhlinzwa.