Anti-Reflux kuvhiya - kubuda

Iwe wakave nekuvhiyiwa kurapa yako gastroesophageal Reflux chirwere (GERD). GERD chiitiko chinokonzeresa chikafu kana mvura kuti ibude kubva mudumbu rako ichipinda mukati medu (iyo chubhu inotakura chikafu kubva pamuromo wako kuenda mudumbu rako).

Iye zvino zvauri kuenda kumba, ita chokwadi chekutevera zvawaudzwa nachiremba wako nezvekuti ungazvichengete sei.

Kana iwe uine hernia yekuzvarwa, yakagadziriswa. Hernia inobereka inokura apo kuvhurwa kwechisikigo mudhiramu rako kwakanyanya. Dhizaphira yako ndiyo mhasuru yakaturikidzana pakati pechipfuva nedumbu. Dumbu rako rinogona kuputika nepaburi rakakura iri muchipfuva chako. Uku kuputika kunodaidzwa kunzi hernia. Zvinogona kuita kuti zviratidzo zveGERD zviwedzere.

Muvhiyi wako akaputirawo chikamu chepamusoro chedumbu rako kutenderera kumagumo esophagus yako kuti ugadzire kumanikidza kumagumo esophagus yako. Iko kumanikidza kunobatsira kudzivirira mudumbu acid uye chikafu kubva kuyerera kudzoka kumusoro.

Kuvhiyiwa kwako kwakaitwa nekugadzira hukuru mudumbu rako repamusoro (kuvhiya kwakavhurika) kana nekacheka kadiki uchishandisa laparoscope (chubhu nhete ine kamera diki kumagumo).

Vazhinji vanhu vanodzokera kunoshanda mavhiki maviri kusvika matatu mushure mekuvhiyiwa laparoscopic uye 4 kusvika kumavhiki matanhatu mushure mekuvhiyiwa pachena.

Iwe unogona kunge uchinzwa kuomeswa kana iwe uchimedza kwe6 kusvika 8 masvondo. Izvi zvinobva pakazvimba mukati medu nero. Iwe unogona zvakare kuve nekumwe kuzvimba.

Paunodzoka kumba, unenge uchinwa chinwiwa chakajeka chemvura kwemavhiki maviri. Iwe unenge uri pakudya kwakazara kwemvura kweanenge mavhiki maviri mushure maizvozvo, uyezve chikafu chinyoro-chikafu.

Pamusoro pechikafu chemvura:

• Tanga nemari shoma yemvura, inenge 1 mukombe (237 mL) panguva imwe. Sip. Usamedzere. Inwa zvinwiwa kazhinji mukati mezuva mushure mekuvhiyiwa.
• Dzivisa zvinwiwa zvinotonhora.
• Usanwa zvinwiwa zvine kabhoni.
• Usanwa kuburikidza nemashanga (anogona kuunza mweya mudumbu rako).
• Pwanya mapiritsi uye utore nezvinwiwa kwemwedzi wekutanga mushure mekuvhiyiwa.

Paunenge uchidya chikafu chakasimba zvakare, chew zvakanaka. Usadya chikafu chinotonhora. Usadye chikafu chinonamira pamwechete, senge mupunga kana chingwa. Idya zvishoma zvikafu kakawanda pazuva pane kudya katatu kukuru.

Chiremba wako achakupa tsamba yemushonga wemarwadzo. Ita kuti izadzwe paunoenda kumba saka unayo paunenge uchiida. Tora mushonga wako wekurwadziwa marwadzo ako asati akanyanya.

• Kana iwe uine marwadzo egasi, edza kufamba kuti utapure.
• Usatyaire, shandisa chero michina, kana kunwa doro paunenge uchitora mushonga wekurwadziwa. Mushonga uyu unogona kuita kuti uve nehope uye kutyaira kana kushandisa michina hakuna kuchengetedzeka.

Famba kakawanda pazuva. Usasimudze chero chinhu chinorema kudarika mapaundi gumi (rinenge goroni remukaka; 4.5 kg). Usaite chero kusunda kana kudhonza. Zvishoma nezvishoma wedzera kuwanda kwaunoita uchitenderedza imba. Chiremba wako anokuudza iwe kana iwe uchigona kuwedzera rako basa uye kudzokera kubasa.

Chengetedza ronda rako (incision):

• Kana suture (kusonwa), zvidimbu zvidiki, kana glue zvakashandiswa kuvhara ganda rako, unogona kubvisa maronda ekushongedzwa (mabhandeji) uye wogeza zuva rakatevera rekuvhiyiwa.
• Kana mabhande ematepi akashandiswa kuvhara ganda rako, vhara maronda nekuputira kwepurasitiki usati wageza kwevhiki rekutanga. Tepa micheto yeplastiki zvakanyatso chengetedza mvura kunze. Usaedze kusuka micheka yacho. Vanozodonha vega mushure meinenge vhiki.
• Usanyike mubhavhu kana mutabhu inopisa, kana kuenda kunoshambira, kudzamara chiremba wako akuudza kuti zvakanaka.

Fonera wako mupi wezvehutano kana iwe uine chero chinotevera:

• Kupisa kwe101 ° F (38.3 ° C) kana kupfuura
• Incisions iri kubuda ropa, tsvuku, inodziya kune iyo inobata, kana kuva nehurefu, yero, girini, kana mukaka wemvura
• Belly rinozvimba kana kurwadziwa
• Nausea kana kurutsa kwemaawa anodarika makumi maviri nemana
• Zvinetso kumedza zvinokutadzisa kubva pakudya
• Dambudziko rekumedza risingapere mushure memasvondo maviri kana matatu
• Mushonga wemarwadzo hausi kubatsira kurwadziwa kwako
• Kunetseka kufema
• Kukosora uko hakuendi
• Haikwanise kunwa kana kudya
• Ganda kana chena chikamu chemeso ako chinoshanduka kuita yero

Fundoplication - kuburitsa; Nissen fundoplication - kuburitsa; Belsey (Mako IV) mari yekushandisa - kuburitsa; Toupet fundoplication - kuburitsa; Thal fundoplication - kuburitsa; Hiatal hernia kugadzirisa - kubuda; Endoluminal fundoplication - kuburitsa; GERD - fundoplication kuburitsa; Gastroesophageal Reflux chirwere - fundoplication kubuda

Katz PO, Gerson LB, Vela MF. Mirayiridzo yekuongororwa uye manejimendi ye gastroesophageal Reflux chirwere. Ndiri J Gastroenterol. 2013; 108 (3): 308-328. PMID: 23419381 pubmed.ncbi.nlm.nih.gov/23419381/.

Richter JE, Vaezi MF. Gastroesophageal Reflux chirwere. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 46.

Yates RB, Oelschlager BK. Gastroesophageal Reflux chirwere uye hiatal hernia. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 21st ed. St Louis, MO: Elsevier; 2022: chitsauko 43.

• Anti-Reflux kuvhiya
• Anti-Reflux kuvhiya - vana
• Esophageal kusimba - benign
• Esophagitis
• Gastroesophageal Reflux chirwere
• Kushungurudza
• Hiatal hernia

• Bland kudya
• Gastroesophageal Reflux - kubuda
• Kushungurudza - chii chekubvunza chiremba wako

• GERD