Esophagectomy - kubuda

Iwe wakavhiyiwa kubvisa chikamu, kana zvese, zveyesophagus yako (chikafu chubhu). Chikamu chakasara cheziso rako nedumbu rako zvakasanganiswazve.

Iye zvino zvauri kuenda kumba, tevedzera zvaakarairwa nemupi wako wezvehutano nezvekuti ungazvichengete sei pamba iwe uchipora. Shandisa ruzivo rwuri pazasi sechiyeuchidzo.

Kana iwe ukavhiyiwa waishandisa laparoscope, akati wandei akacheka (akachekwa) akagadzirwa mudumbu rako repamusoro, chipfuva, kana mutsipa. Kana iwe ukavhiyiwa pachena, akacheka mahombe akaitwa mudumbu rako, chipfuva, kana mutsipa.

Iwe unogona kutumirwa kumba uine pombi yedhiraina muhuro mako. Izvi zvichabviswa nachiremba wako wekuvhiya panguva yekushanyira hofisi.

Iwe unogona kunge uine yekudyisa chubhu kwemwedzi mumwe kana maviri mushure mekuvhiyiwa. Izvi zvinokubatsira iwe kuwana macalorie akakwana kuti akubatsire iwe kuwedzera uremu. Iwe zvakare uchave pane yakakosha kudya paunotanga kusvika kumba.

Zvigaro zvako zvinogona kusununguka uye unogona kunge uine ura kufamba kazhinji pamberi pekuvhiyiwa.

Kumbira chiremba wako kuti uremu hwakachengeteka sei kuti iwe usimudze. Unogona kuudzwa kuti usasimudze kana kutakura chero chinhu chinorema kudarika mapaundi gumi (4.5 kilograms).

Unogona kufamba kaviri kana katatu pazuva, kukwira kana kudzika masitepisi, kana kukwira mumotokari. Ive neshuwa yekuzorora mushure mekushanda. Kana zvichirwadza kana iwe ukaita chimwe chinhu, rega kuita icho chiitiko.

Ita shuwa kuti imba yako yakachengeteka sezvo iwe uri kupora. Semuenzaniso, bvisa makanda ekudzivirira kudzivirira kudonha uye kudonha. Muimba yekugezera, isa mabhawa ekuchengetedza kuti akubatsire kupinda nekubuda mutabhu kana kugeza.

Chiremba wako achakupa tsamba yemishonga yekurwadziwa. Ita kuti izadzwe paunenge uchienda kumba kubva kuchipatara saka unazvo kana uchichida. Tora mushonga paunotanga kurwadziwa. Kumirira kwenguva yakareba kunobvumira marwadzo ako kuti awedzere kupfuura zvaanofanira.

Chinja kupfeka kwako (bhandeji) zuva rega rega kusvikira chiremba wako ati hauchadi kuchengetedza zvaunochenerwa.

Tevera mirawo yekuti unokwanisa kutanga kugeza riini. Chiremba wako anogona kuti zvakanaka kubvisa maronda ekugeza uye kugeza kana sutures (stitches), staples, kana glue zvakashandiswa kuvhara ganda rako. Usamboedza kusuka mabhanhire matete etepi kana glue. Vachauya vega mukati meinenge vhiki.

Usanyike mubhavhu, mutabhu inopisa, kana mudziva kusvikira chiremba wako akuudza kuti zvakanaka.

Kana iwe uine zvakakura zvakakura, iwe ungangoda kumanikidza mutsago pamusoro pavo kana uchikosora kana kusvimha. Izvi zvinobatsira kudzikamisa marwadzo.

Unogona kunge uri kushandisa yekudyisa chubhu iwe waenda kumba. Iwe ungangoishandisa chete panguva yehusiku. Iyo yekudyisa chubhu haizokanganisa neako akajairwa masikati mabasa. Tevera rairo yechiremba wako pane kudya uye kudya.

Tevera mirairo yekuita zvekufema-kudzidzira mushure mekusvika kumba.

Kana iwe uchisvuta uye uri kunetseka kurega, taura nachiremba wako nezvemishonga iwe yaunogona kukubatsira iwe kurega kuputa.Kujoinha chirongwa chekumira-kuputa kunogona kubatsira, zvakare.

Unogona kunge uine kushushikana kweganda kwakakomberedza yako yekudyisa chubhu. Tevedza rairo yekuchengeta iyo chubhu uye neganda rakakomberedza.

Mushure mekuvhiyiwa, iwe unozoda padhuze yekutevera:

• Iwe uchaona chiremba wako wechiremba 2 kana masvondo matatu mushure mekuenda kumba. Chiremba wako anoongorora maronda ako uye aone kuti uri kuita sei nedhayeti yako.
• Iwe unenge uine x-ray kuti uve nechokwadi chekubatana nyowani pakati peziso rako nedumbu kwakanaka.
• Iwe uchasangana neyekudya kuti upfuure pane yako chubhu feedings uye kwako kudya.
• Iwe uchaona oncologist yako, chiremba anobata kenza yako.

Fonera chiremba wako wekuvhiya kana uine chero chinotevera.

• Fivha ye101 ° F (38.3 ° C) kana yakakwira
• Incisions iri kubuda ropa, tsvuku, inodziya kune iyo inobata, kana kuva nehurefu, yero, girini, kana mukaka wemvura
• Mishonga yako yekurwadziwa haibatsire kurerutsa marwadzo ako
• Zvakaoma kufema
• Kukosora uko hakuendi
• Haugone kunwa kana kudya
• Ganda kana chena chikamu chemeso ako chinoshanduka kuita yero
• Zvigaro zvakasununguka zvakasununguka kana manyoka
• Kusvipa wapedza kudya.
• Kurwadziwa kwakanyanya kana kuzvimba mumakumbo ako
• Kupisa kunzwa pahuro pako paunorara kana kurara

Trans-hiatal esophagectomy - kubuda; Trans-thoracic esophagectomy - kubuda; Zvishoma zvinokanganisa esophagectomy - kubuda; En bloc esophagectomy - kubuda; Kubviswa kwesophagus - kubuda

Donahue J, Carr SR. Zvishoma zvinokanganisa esophagectomy. Mune: Cameron JL, Cameron AM, eds. Parizvino Kuvhiya Therapy. 12th ed. Philadelphia, PA: Elsevier; 2017: 1530-1534.

Spicer JD, Dhupar R, Kim JY, Sepesi B, Hofstetter W. Esophagus. Mu: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya: Iyo Biological Hwaro hweMazuva Ano Kuvhiya Maitiro. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 41.

• Kenza yesophageal
• Esophagectomy - zvishoma zvinokanganisa
• Esophagectomy - yakavhurika
• Matipi ekusiya kusvuta

• Bvisa mvura yekudya
• Kudya uye kudya mushure meesophagectomy
• Gastrostomy yekudyisa chubhu - bolus
• Jejunostomy yekudyisa chubhu

• Kenza Esophageal
• Esophagus Dambudziko