Pyloroplasty

Pyloroplasty kuvhiyiwa kuti kuwedzere kuvhura muchikamu chezasi chedumbu (pylorus) kuitira kuti zvemukati zvemudumbu zvigone kudururira mudumbu dumbu (duodenum).

Iyo pylorus inzvimbo yakaoma, ine mhasuru. Kana ikakora, chikafu hachigone kupfuura.

Kuvhiya kunoitwa iwe uchinge uri pasi peanesthesia (wakarara uye unorwadziwa mahara).

Kana iwe ukavhiyiwa pachena, chiremba anovhiya:

• Inoita yakakura yekuvhiya yakatemwa mudumbu rako kuvhura nzvimbo.
• Inocheka kuburikidza nehumwe hwakakora mhasuru saka inova yakafara.
• Inovhara iyo yakatemwa nenzira inochengeta iyo pylorus yakavhurika. Izvi zvinoita kuti dumbu rishaye chinhu.

Vanachiremba vanovhiya vanogona zvakare kuvhiya uku vachishandisa laparoscope. Laparoscope ikamera diki inoiswa mudumbu rako kuburikidza nekacheka kadiki. Vhidhiyo kubva kukamera ichaonekwa pane yekutarisisa mukamuri yekushandisa. Chiremba anovhiya anoona mutariri kuti aite chirwere. Munguva yekuvhiyiwa:

• Zvidimbu zvitatu kusvika zvishanu zvidiki zvinoitwa mudumbu mako. Iyo kamera nemamwe maturusi madiki anozoiswa kuburikidza nekucheka uku.
• Dumbu rako richazadzwa negasi kubvumira chiremba anovhiya kuti aone nzvimbo uye kuita kuvhiyiwa aine imwe nzvimbo yekushanda.
• Iyo pylorus inoitwa basa sezvakatsanangurwa pamusoro.

Pyloroplasty inoshandiswa kurapa kusagadzikana mune vanhu vane maronda epeptic kana mamwe matambudziko emudumbu anokonzeresa kuvharika kwedumbu kuvhurika.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Reaction kumishonga kana matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, kana hutachiona

Ngozi dzekuvhiya uku dzinosanganisira:

• Kukuvadza kune ura
• Hernia
• Kuvuza kwezvinhu zvemudumbu
• Manyoka enguva refu
• Kushaya zvokudya zvinovaka muviri
• Kuchema mumucheto wenhengo dziri padyo (mucosal perforation)

Udza chiremba wako wechiremba:

• Kana iwe uri kana uchigona kuve nepamuviri
• Ndeapi mishonga yauri kutora, anosanganisira mishonga, zvinowedzera, kana mahebhu awakatenga pasina mushonga

Munguva yemazuva usati wavhiyiwa:

• Iwe unogona kukumbirwa kuti urege kutora vatete veropa. Izvi zvinosanganisira NSAIDs (aspirin, ibuprofen), vitamin E, warfarin (Coumadin), dabigatran (Pradaxa), rivaroxaban powder (Xarelto), apixaban (Eliquis), uye clopidogrel (Plavix).
• Kumbira chiremba wako anovhiya mishonga yaunofanira kutora pazuva rekuvhiyiwa.
• Ukasvuta, edza kurega. Kumbira chiremba wako kana mukoti kuti akubatsire kurega.

Pazuva rekuvhiyiwa kwako:

• Tevedza rairo nezvekusadya kana kunwa.
• Tora mishonga yawakaudzwa nachiremba wako kuti utore nekunwa mvura shoma.
• Svika kuchipatara nenguva.

Mushure mekuvhiyiwa, timu yehutano inocherekedza yako kufema, BP, tembiricha, uye kurova kwemoyo. Vanhu vazhinji vanogona kuenda kumba mukati memaawa makumi maviri nemana.

Vanhu vazhinji vanopora nekukurumidza uye zvakakwana. Wepakati pekugara muchipatara mazuva maviri kusvika matatu. Zvichida iwe unogona zvishoma nezvishoma kutanga kudya kwakajairika mumavhiki mashoma.

Peptic ulcer - pyloroplasty; PUD - pyloroplasty; Pyloric mhingaidzo - pyloroplasty

Chan FKL, Lau JYW. Peptic ulcer chirwere. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chits. 53.

Teitelbaum EN, Hungness ES, Mahvi DM. Dumbu. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 48.