Kuongorora kwemukati

Kuongorora mudumbu kuvhiya kuti utarise nhengo uye zvivakwa mudumbu rako nzvimbo (dumbu). Izvi zvinosanganisira yako:

• Mashoko Okuwedzera
• Dundira
• Gallbladder
• Matumbo
• Itsvo uye ureters
• Chiropa
• Pancreas
• Spleen
• Dumbu
• Uterus, fallopian tubes, uye ovaries (mune vakadzi)

Kuvhiya kunovhura mudumbu kunonzi laparotomy.

Kuongorora kweparotomy kunoitwa iwe uri pasi peanesthesia. Izvi zvinoreva kuti iwe wakarara uye haunzwe kurwadziwa.

Chiremba anovhiya mudumbu uye anoongorora nhengo dzemudumbu. Kukura uye nzvimbo yekucheka kwekuvhiya kunoenderana nehutano chaihwo.

Biopsy inogona kutorwa panguva yekuita.

Laparoscopy inotsanangura maitiro anoitwa nekamera kadiki akaiswa mukati medumbu. Kana zvichibvira, laparoscopy ichaitwa pachinzvimbo che laparotomy.

Mutapi wako wezvehutano anogona kukurudzira laparotomy kana imaging yekuyedza yemudumbu, senge x-ray uye CT scans, haina kupa chaiyo kuongororwa.

Kuongorora kweparotomy kunogona kushandiswa kubatsira kuongorora uye kurapa akawanda mamiriro ehutano, kusanganisira:

• Kenza yeovary, colon, pancreas, chiropa
• Endometriosis
• Matombo
• Hole mumatumbo (ura perforation)
• Kuzvimba kweappendix (acute appendicitis)
• Kuzvimba kwehomba yemukati (diverticulitis)
• Kuzvimba kwepancreas (acute kana chisingaperi pancreatitis)
• Chiropa abscess
• Homwe dzehutachiona (retroperitoneal abscess, dumbu rebundu, pelvic abscess)
• Kubata kunze kwechibereko (ectopic nhumbu)
• Mavanga matumbu mudumbu (adhesions)

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji zvinosanganisira:

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

Ngozi dzekuvhiya uku dzinosanganisira:

• Incisional hernia
• Kukuvadza kunhengo mudumbu

Iwe unozoshanyira nemupi wako uye woenda kunovhenekwa kurapwa usati wavhiyiwa Wako mupi acha:

• Ita bvunzo yakakwana yemuviri.
• Ita shuwa kuti mamwe marapirwo aungave uine, akadai seshuga, kuwedzerwa kweropa, kana matambudziko emoyo kana mapapu ari pasi pesimba.
• Ita bvunzo kuti uve nechokwadi chekuti uchakwanisa kutsungirira kuvhiyiwa.
• Kana iwe uchisvuta, iwe unofanirwa kurega kuputa vhiki dzinoverengeka usati wavhiyiwa. Kumbira mupiki wako kuti akubatsire.

Udza mupiki wako:

• Ndeapi mishonga, mavitamini, mahebhu, uye zvimwe zvekuwedzera zvauri kutora, kunyangwe izvo zvawakatenga usina mushonga.
• Kana iwe wanga uchinwa doro rakawanda, zvinopfuura 1 kana 2 zvinwiwa pazuva
• Kana iwe unogona kunge uine pamuviri

Pakati pevhiki usati wavhiyiwa:

• Iwe unogona kukumbirwa kuti umbomira kutora vatete veropa. Mamwe acho maaspirin, ibuprofen (Advil, Motrin), vitamini E, warfarin (Coumadin), clopidogrel (Plavix), kana ticlopidine (Ticlid).
• Kumbira mupi wako kuti ndeapi madhiragi aunofanirwa kutora pazuva rekuvhiyiwa kwako.
• Gadzirira imba yako kudzoka kwako kubva kuchipatara.

Pazuva rekuvhiyiwa kwako:

• Tevera mirairo yemupi wako nezve nguva yekurega kudya nekumwa.
• Tora mishonga iyo mupi wako akakuudza kuti utore nekamwe kadiki kemvura.
• Svika kuchipatara nenguva.

Iwe unofanirwa kutanga kutanga kudya nekumwa zvakajairika nezve maviri kusvika mazuva matatu mushure mekuvhiyiwa. Unogara kwenguva yakareba sei muchipatara zvinoenderana nekuoma kwedambudziko. Kupora kwakazara kunowanzo kutora anenge mavhiki mana.

Kuvhiya kwekuongorora; Laparotomy; Laparotomy yekuongorora

• Kugaya chirongwa
• Pelvic kunamatira
• Kuongorora mudumbu - nhevedzano

Sham JG, Anodzorera mazita BN, Iye J. manejimendi yekenza yeperiampullary. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 545-552.

Squires RA, Carter SN, Postier RG. Dumbu rakaoma. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya: Iyo Biological Hwaro hweMazuva Ano Kuvhiya Maitiro. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsamba 45.