Anti-Reflux kuvhiya

Anti-Reflux kuvhiya kurapwa kweacid reflux, inozivikanwawo seGERD (gastroesophageal Reflux chirwere). GERD mamiriro mune chikafu kana mudumbu asidhi inodzoka kumusoro kubva mudumbu rako kuenda mudumbu. Iyo esophagus ndiyo chubhu kubva pamuromo wako kusvika mudumbu.

Reflux inowanzoitika kana mhasuru dzinosangana nesviro nedumbu dzikasavhara zvakaringana. Hernia yekuberekwa inogona kuita kuti zviratidzo zveGERD zviwedzere. Izvo zvinoitika apo dumbu rinoputika nepakati pekuvhurwa kwako muchipfuva chako.

Zviratidzo zve Reflux kana chirungurira chiri kupisa mudumbu chaungangonzwawo pahuro kana chipfuva, kubhowekana kana gasi matema, kana kunetseka kumedza chikafu kana mvura.

Maitiro akajairika erudzi urwu anonzi fundoplication. Mukuvhiya uku, chiremba wako anovhiya acha:

• Kutanga gadzirisa hernia yekuberekwa, kana mumwe aripo. Izvi zvinosanganisira kusimbisa kuvhura mudhiramu rako nezvidimbu zvekuchengetedza dumbu rako kuti risakwire kumusoro kuburikidza nekuvhurika kwemadziro emhasuru. Vamwe vanovhiya vanoisa chidimbu chembichana munzvimbo yakagadziriswa kuti ive yakachengeteka.
• Putira chikamu chekumusoro chedumbu rako kutenderera kumagumo esophagus yako nemastitches. Iwo masisitimu anogadzira kumanikidza pakupera kwesophagus yako, iyo inobatsira kudzivirira mudumbu asidhi uye chikafu kubva kuyerera kubva mudumbu kuenda kugurokuro.

Kuvhiya kunoitwa iwe uri pasi peanesthesia, saka iwe wakarara uye usina kurwadziwa. Kuvhiya kunowanzo kutora maawa maviri kusvika matatu. Chiremba wako anogona kusarudza kubva pamhando dzakasiyana.

VHURA KUTAURA

• Chiremba wako achaita 1 huru yekuvhiya yakatemwa mudumbu rako.
• Chubhu inogona kuiswa mudumbu rako kuburikidza nedumbu kuchengetedza dumbu madziro munzvimbo. Iyi chubhu inozotorwa kunze kweinenge vhiki.

Kugadziridza kweLAPAROSCOPIC

• Chiremba wako achaita zvidimbu zvitatu kusvika zvishanu mudumbu rako. Chubhu nhete ine kamera diki pamagumo inoiswa kuburikidza nechimwe cheizvi.
• Maturusi ekuvhiya anoiswa kuburikidza nekumwe kucheka. Iyo laparoscope yakabatana nevhidhiyo yekutarisa mukamuri yekuvhiya.
• Chiremba wako anovhiya anogadzirisa achitarisa mukati medumbu rako pane iyo yekutarisa.
• Chiremba anovhiya angangoda kuchinjira kune yakavhurika maitiro kana paine matambudziko.

KUPEDZISIRA KWEMAHARA

• Iyi ndiyo nzira nyowani inogona kuitwa pasina kucheka. Iyo yakakosha kamera pane inochinjika chishandiso (endoscope) inopfuudzwa ichidzika nemumuromo mako uye kupinda mune yako esophagus.
• Uchishandisa ichi chishandiso, chiremba anoisa zvidiki zvidiki munzvimbo panzvimbo panosangana dumbu. Izvi clip zvinobatsira kudzivirira chikafu kana mudumbu asidhi kubva kutsigira kumusoro.

Usati wavhiyiwa uchifungidzirwa, wako mupi wezvehutano anozoita kuti iwe uedze:

• Mishonga yakadai seH2 blockers kana PPIs (proton pump inhibitors)
• Mararamiro anochinja

Kuvhiya kurapa kuputika kwepfungwa kana zviratidzo zve reflux zvinogona kukurudzirwa kana:

• Zviratidzo zvako hazviite zvirinani kana uchishandisa mishonga.
• Haudi kuramba uchitora mishonga iyi.
• Une matambudziko akawandisa mune yako esophagus, senge kuora kana kudzikira, maronda, kana kubuda ropa.
• Iwe une chirwere cheflux icho chiri kukonzera kushuvira pneumonia, kukosora kusingaperi, kana hoarseness.

Anti-reflux kuvhiya inoshandiswawo kugadzirisa dambudziko apo chikamu chedumbu rako chiri kubatirira muchipfuva chako kana chakamonyaniswa. Izvi zvinonzi para-esophageal hernia.

Njodzi dzechero anesthesia uye kuvhiyiwa zvakajairika ndezvi:

• Zviitiko kumishonga
• Matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, kana kutapukirwa

Njodzi dzekuvhiya uku ndedze:

• Kukuvadza kune dumbu, esophagus, chiropa, kana dumbu ura. Izvi hazviwanzo.
• Gasi bloat. Apa ndipo apo dumbu rinozadza nemweya kana chikafu uye haugone kudzikamisa kumanikidza nekubhowa kana kurutsa. Zviratidzo izvi zvishoma nezvishoma zvinova nani kuvanhu vazhinji.
• Marwadzo uye kuoma kana iwe uchimedza. Izvi zvinonzi dysphagia. Muvanhu vazhinji, izvi zvinoenda mukati memwedzi mitatu yekutanga mushure mekuvhiyiwa.
• Kudzoka kweiyo hernia hernia kana Reflux.

Ungangoda bvunzo dzinotevera:

• Kuongororwa kweropa (yakazara ropa kuverenga, electrolyte, kana kuyerwa kwechiropa).
• Esophageal manometry (kuyera kumanikidza mukati medu) kana pH yekutarisa (kuona kuti yakadii dumbu asidi iri kudzoka mukati medu).
• Kumusoro endoscopy. Vanenge vese vanhu vane iyi anti-reflux kuvhiyiwa vakatove nemuyedzo uyu. Kana usati waedzwa, uchafanira kuzviita.
• X-ray yeiyo esophagus.

Nguva dzose udza mupi wako kana:

• Unogona kuve nepamuviri.
• Uri kutora chero mishonga, kana zvinowedzera kana mahebhu awakatenga pasina mushonga.

Usati wavhiyiwa:

• Ungangoda kumira kutora aspirin, ibuprofen (Advil, Motrin), vitamini E, clopidogrel (Plavix), warfarin (Coumadin), uye chero mimwe mishonga kana zvinowedzerwa zvinokanganisa kuvhara ropa mazuva mazhinji usati wavhiyiwa. Bvunza chiremba wako wezvechiremba zvaunofanira kuita.
• Kumbira mupi wako kuti ndeapi madhiragi aunofanirwa kutora pazuva rekuvhiyiwa kwako.

Pazuva rekuvhiyiwa kwako:

• Tevera mirairo yemupi wako nezve nguva yekurega kudya nekumwa.
• Tora mishonga yawakaudzwa nachiremba kuti utore nekunwa mvura shoma.
• Tevera rairo yekugezesa usati wavhiyiwa.

Mupiki wako anokuudza iwe kuti usvike nguvai kuchipatara. Iva nechokwadi chekusvika nenguva.

Vanhu vazhinji vane laparoscopic kuvhiya vanogona kubva muchipatara mukati me1 kusvika mazuva matatu mushure mekuita. Ungangoda kugara muchipatara kwemazuva maviri kusvika kumatanhatu kana iwe ukavhiyiwa pachena. Vanhu vazhinji vanogona kudzokera kuzvinhu zvakajairwa mumavhiki mana kusvika matanhatu.

Kushungurudza uye zvimwe zviratidzo zvinofanirwa kuvandudza mushure mekuvhiyiwa. Vamwe vanhu vachiri kuda kutora zvinodhaka zvekushungurudza mushure mekuvhiyiwa.

Iwe ungangoda kumwe kuvhiyiwa mune ramangwana kana iwe ukaita nyowani reflux zviratidzo kana kumedza matambudziko. Izvi zvinogona kuitika kana dumbu rakaputirwa rakatenderedza esophagus zvakanyanya, kuputira kunosunungura, kana hutsva hwekuzvarwa hunokura.

Fundoplication; Nissen fundoplication; Belsey (Mako IV) mari yekushandisa; Toupet fundoplication; Thal fundoplication; Hiatal hernia kugadzirisa; Endoluminal fundoplication; Gastroesophageal reflux - kuvhiya; GERD - kuvhiya; Reflux - kuvhiya; Hiatal hernia - kuvhiyiwa

• Anti-Reflux kuvhiya - kubuda
• Gastroesophageal Reflux - kubuda
• Kushungurudza - chii chekubvunza chiremba wako
• Kuchengeta ronda rekuvhiya - rakavhurika

• Hiatal hernia kugadzirisa - akateedzana
• Hiatal hernia - x-ray

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

Mazer LM, Azagury DE. Kuvhiya manejimendi ye gastroesophageal Reflux chirwere. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 8-15.

Richter JE, Friedenberg FK. Gastroesophageal Reflux chirwere. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 44.

Yates RB, Oelschlager BK, Pellegrini CA. Gastroesophageal Reflux chirwere uye hiatal hernia. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsuwa 42.