Meckel diverticulectomy

Meckel diverticulectomy kuvhiyiwa kubvisa hombodo isina kujairika yemukati memukati mudumbu (ura). Homwe iyi inonzi Meckel diverticulum.

Iwe unozogamuchira general anesthesia usati wavhiyiwa. Izvi zvinokuita iwe kurara uye kutadza kunzwa kurwadziwa.

Kana iwe ukavhiyiwa pachena.

• Chiremba wako achaita kucheka kukuru mudumbu rako kuti avhure nzvimbo yacho.
• Chiremba wako anotarisa ura hudiki munzvimbo iyo homwe kana diverticulum iri.
• Chiremba wako anovhiya achabvisa iyo diverticulum kubva pamadziro emukati mako.
• Dzimwe nguva, chiremba anovhiya angangoda kubvisa chikamu chidiki chemukati mako pamwe ne diverticulum. Kana izvi zvikaitwa, magumo akavhurika emukati mako achasonwa kana kusunganidzwa pamwechete. Iyi nzira inonzi anastomosis.

Vanachiremba vanovhiya vanogona zvakare kuvhiya uku vachishandisa laparoscope. Iyo laparoscope chishandiso chinoratidzika sediki teresikopu ine mwenje uye vhidhiyo kamera. Inoiswa mudumbu rako kuburikidza nekacheka kadiki. Vhidhiyo kubva kukamera inoonekwa pane yekutarisa mukamuri yekushandisa. Izvi zvinobvumira chiremba anovhiya kuti aone mukati medumbu rako panguva yekuvhiyiwa.

Mukuvhiya uchishandisa laparoscope:

• Zvidimbu zvitatu kusvika zvishanu zvidiki zvinoitwa mudumbu mako. Iyo kamera nemamwe maturusi madiki anozoiswa kuburikidza nekucheka uku.
• Chiremba wako anovhiya anogonawo kuita kucheka kune 2 kusvika 3 inches (5 kusvika 7.6 cm) yakareba kuisa ruoko kuburikidza, kana zvichidikanwa.
• Dumbu rako richazadzwa negasi kubvumira chiremba anovhiya kuti aone nzvimbo uye kuita kuvhiyiwa aine imwe nzvimbo yekushanda.
• Iyo diverticulum inoshandiswa pane zvatsanangurwa pamusoro.

Kurapa kunodiwa kudzivirira:

• Kubuda ropa
• Kuvhiringidzika kwemuviri (kuvhara mukati mako)
• Utachiona
• Kuzvimba

Chiratidzo chinowanzozivikanwa cheMeckel diverticulum kusabuda kweropa kusingarwadzi. Chituru chako chinogona kunge chiine ropa nyowani kana kutaridzika kuve chitema uye uchimirira.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Allergic reaction kumishonga kana matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, kana hutachiona

Ngozi dzekuvhiya uku ndedzekuti:

• Kukuvadza kunhengo dziri pedyo mumuviri.
• Zvironda zvinokuvadza kana ronda rinozaruka mushure mekuvhiyiwa.
• Bulging tishu kuburikidza nekucheka kwekuvhiya. Izvi zvinonzi incisional hernia.
• Iwo mativi ematumbu ako akasonerwa kana akasunganidzwa pamwechete (anastomosis) anogona kuuya akavhurika. Izvi zvinogona kukonzera matambudziko anotyisidzira hupenyu.
• Iyo nzvimbo iyo matumbo akasonerwa pamwechete anogona kukuvara uye kugadzira kuvharika kwetumbo.
• Kuvharika kwematumbo kunogona kuitika mushure mekusungirirwa kunokonzerwa nekuvhiya.

Udza chiremba wako wechiremba:

• Kana iwe uri kana uchigona kuve nepamuviri
• Ndeapi mishonga yauri kutora, kunyangwe 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 kuti ndeapi madhiragi aunofanira kutora pazuva rekuvhiyiwa.
• Ukasvuta, edza kurega. Kumbira chiremba wako kana mukoti kuti akubatsire kurega.

Pazuva rekuvhiyiwa kwako:

• Tevera mirairo yachiremba wako nezvekuti ndirini paunofanira kurega kudya nekunwa.
• Tora mishonga yawakanzi utore nekunwa zvishoma mvura.
• Svika kuchipatara nenguva.

Vanhu vazhinji vanogara muchipatara kwe1 kusvika kumazuva manomwe zvichienderana nekuti kuvhiyiwa kwaive kwakakura sei. Munguva ino, vatapi vezvehutano vanonyatso kukuongorora.

Kurapa kunogona kusanganisira:

• Mishonga yemarwadzo
• Tube kuburikidza nemhino dzako mudumbu rako kuti uburitse dumbu rako uye kubvisa kunetseka uye kurutsa

Iwe zvakare uchapihwa zvinwiwa kuburikidza nemutsinga (IV) kudzamara mupi wako achinzwa kuti wagadzirira kutanga kunwa kana kudya. Izvi zvinogona kuve nekukurumidza sezuva mushure mekuvhiyiwa.

Iwe unozofanirwa kuteedzera-nachiremba wako anovhiya muvhiki kana maviri mushure mekuvhiyiwa.

Vanhu vazhinji vane kuvhiyiwa uku vane mhedzisiro yakanaka. Asi mhedzisiro yekuvhiya chero kupi inoenderana nehutano hwako hwese. Taura nachiremba wako nezve zvaunotarisira mhedzisiro.

Meckel diverticulectomy; Meckel diverticulum - kuvhiya; Meckel diverticulum - kugadzirisa; GI kubuda ropa - Meckel diverticulectomy; Kubuda ropa mudumbu - Meckel diverticulectomy

• Kuchengeta ronda rekuvhiya - rakavhurika

• Meckel's diverticulectomy - akateedzana

Fransman RB, Harmon JW. Management ye diverticulosis yeiyo diki ura. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 143-145.

Harris JW, Evers BM. Utumbo hudiki. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 49.