Yakakura ura resection

Huru uturu resection kuvhiyiwa kubvisa zvese kana chikamu chemuhomba hwako hukuru. Kuvhiya uku kunonziwo colectomy. Hura hwakakura hunodaidzwa zvakare kuti ura hombe kana hutumbu.

• Kubviswa kwekoloni yese uye rectum inonzi proctocolectomy.
• Kubviswa kwese colon asi kwete iyo rectum inonzi subtotal colectomy.
• Kubviswa kwechikamu chekoloni asi kwete iyo rectum inonzi yakasarudzika colectomy.

Hura hukuru hunobatanidza ura hudiki kune anus. Kazhinji, chigaro chinopfuura nepamuviri mukuru usati wabva mumuviri nepanhengo.

Iwe uchagamuchira general anesthesia panguva yekuvhiyiwa kwako. Izvi zvinokuchengeta iwe wakarara uye usina kurwadziwa.

Kuvhiya kwacho kunogona kuitwa laparoscopically kana nekuvhiya kwakashama. Zvichienderana nekuvhiyiwa kupi kwauinako, chiremba anovhiya anozocheka kamwe kana kupfuura (kutsemura) mudumbu rako.

Kana iwe uine laparoscopic kuvhiyiwa:

• Chiremba anovhiya anoita matatu kusvika mashanu madiki akachekwa (akachekwa) mudumbu rako. Chigadzirwa chekurapa chinonzi laparoscope inoiswa kuburikidza nechimwe chekucheka. Iko kukura itetepa, yakavhenekerwa chubhu ine kamera kumagumo. Inoita kuti chiremba anovhiya aone mukati medumbu rako. Zvimwe zvekurapa zviridzwa zvinoiswa kuburikidza nekumwe kucheka.
• Acheka anenge maviri kusvika matatu masendimita (mashanu kusvika 7.6 masendimita) anogona zvakare kuitwa kana chiremba wako anovhiya achida kuisa ruoko rwake mukati medumbu rako kuti unzwe kana kubvisa ura hune chirwere.
• Dumbu rako rakazadzwa negasi risingakuvadzi kuti riwedzere. Izvi zvinoita kuti nzvimbo yacho ive nyore kuona nekushanda mukati.
• Chiremba anovheneka nhengo dziri mudumbu kuti aone kana paine matambudziko.
• Chikamu chinorwara chemuwuru wako muhombe chiripo uye chabviswa. Dzimwe lymph node dzinogona zvakare kubviswa.

Kana iwe ukavhiyiwa pachena.

• Chiremba anovhiya anoita akacheka masendimita matanhatu kusvika masere (15.2 kusvika 20.3 masendimita) mudumbu rako rezasi.
• Nhengo dziri mudumbu mako dzinoongororwa kuti paone kana paine matambudziko.
• Chikamu chinorwara chemuwuru wako muhombe chiripo uye chabviswa. Dzimwe lymph node dzinogona zvakare kubviswa.

Mune ese maviri marudzi ekuvhiya, anotevera matanho ndeaya:

• Kana paine zvakakwana hutano hwakakura ura hwakasara, magumo anosonwa kana kusunganidzwa pamwechete. Izvi zvinonzi anastomosis. Varwere vazhinji vakaita izvi.
• Kana pasina kukwana kwakakwana ura hwakakura kuti ubatanidzwezve, chiremba anovhiya anoita musuwo unonzi stoma kuburikidza neganda redumbu rako. Iyo colon inosungirirwa kumadziro ekunze edumbu rako. Chitsiko chichafamba nepastoma kupinda muhombodo yemvura kunze kwemuviri wako. Izvi zvinonzi colostomy. Iyo colostomy inogona kunge iri pfupi-pfupi kana yekusingaperi.

Colectomy inowanzo kutora pakati pe1 ne4 maawa.

Huru uturu resection inoshandiswa kurapa akawanda mamiriro, kusanganisira:

• Kuvharika mumatumbo nekuda kwekukuvara kwechivara
• Gomarara rekoloni
• Zvirwere zvakasiyana (chirwere chemuviri mukuru)

Zvimwe zvikonzero zvekutapudza ura ndezvi:

• Inowanzozivikanwa polyposis (polyps ari kukura pane iyo lining yekoloni kana rectum)
• Kukuvara kunokanganisa ura hukuru
• Intussusception (apo chimwe chikamu chemuura chinosundira mune chimwe)
• Precancerous polyps
• Ropa rakawandisa remudumbu
• Kumonyanisa ura (volvulus)
• Ulcerative colitis
• Kubuda ropa kubva muura hukuru
• Kushaikwa kwetsinga kunoshanda kuura hukuru

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Zviitiko kumishonga
• Matambudziko ekufema
• Ropa rakagwamba, kubuda ropa, hutachiona

Ngozi dzekuvhiya uku ndedzekuti:

• Kubuda ropa mukati medumbu rako
• Kuburitsa nyama kuburikidza nekucheka kwekuvhiya, kunodaidzwa kuti incisional hernia
• Kukuvadza kunhengo dziri pedyo mumuviri
• Kukuvadza kune ureter kana bladder
• Matambudziko necolostomy
• Mavanga matumbu anoumba mudumbu uye anokonzeresa kuvhara matumbu
• Iyo micheto yematumbo ako ayo akasonerwa pamwechete anouya akavhurika (anastomotic leak, iyo inogona kutyisidzira hupenyu)
• Ronda richivhurika
• Ronda hutachiona
• Peritonitis
  

Udza chiremba wako anovhiya kana mukoti kuti ndeipi mishonga yauri kutora, kunyangwe zvinodhaka, zvinowedzera, kana mahebhu awakatenga pasina mushonga.

Taura nachiremba wako kana mukoti nezvekuti kuvhiyiwa kuchakanganisa sei:

• Kushamwaridzana uye zvepabonde
• Kubata pamuviri
• Mitambo
• Shanda

Pakati pevhiki mbiri usati wavhiyiwa:

• Iwe unogona kukumbirwa kumira kutora ropa rakaonda mishonga. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), nevamwe.
• Kumbira chiremba anovhiya mishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, edza kurega. Kusvuta kunowedzera njodzi kumatambudziko akadai sekunonoka kupora. Kumbira chiremba wako kana mukoti kuti akubatsire kurega.
• Udza chiremba anovhiya ipapo ipapo kana uine dzihwa, dzihwa, fivha, herpes breakout, kana chimwe chirwere usati wavhiyiwa.
• Iwe unogona kubvunzwa kuti upfuure kuburikidza negadziriro yekugadzirira kuti uchenese ura hwako pazvose zvituru. Izvi zvinogona kusanganisira kugara pachikafu chemvura kwemazuva mashoma uye kushandisa laxatives.

Zuva rakapfuura kuvhiyiwa:

• Unogona kukumbirwa kunwa zvinwiwa zvakajeka semuto, muto wakachena, nemvura.
• Tevedzera rairo nezve nguva yekurega kudya uye kunwa.

Pazuva rekuvhiyiwa:

• Tora mishonga yawakaudzwa nachiremba wako kuti utore nekunwa mvura shoma.
• Svika kuchipatara nenguva.

Iwe uchave uri muchipatara kwemazuva matatu kusvika manomwe. Iwe unogona kugara kwenguva yakareba kana iyo colectomy yaive yekukurumidzira mashandiro.

Iwe unogona zvakare kuda kugara kwenguva yakareba kana huwandu hwakawanda hwematumbo ako mahombe hwakabviswa kana iwe ukava nezvinetso.

Pakazosvika zuva rechipiri kana rechitatu, iwe unenge uchikwanisa kunwa zvinwiwa zvakajeka. Mvura inodzikama uyezve zvinyoro nyoro zvichawedzerwa sezvo ura hwako huchitanga kushanda zvakare.

Mushure mekuenda kumba, tevedzera rairo yekuti ungazvichengete sei iwe uchipora.

Vanhu vazhinji vane ura hukuru resection vanopora zvizere. Kunyangwe iine colostomy, vanhu vazhinji vanokwanisa kuita zviitiko zvavaive vachiita vasati vavhiyiwa. Izvi zvinosanganisira mitambo yakawanda, kufamba, kurima gadheni, kukwira makomo, zvimwe zviitiko zvekunze, uye mhando zhinji dzebasa.

Kana iwe uine yakareba-refu (isingagumi) mamiriro, senge kenza, chirwere cheCrohn, kana ulcerative colitis, ungangoda kurapwa kunoenderera.

Kukwira colectomy; Kuburuka colectomy; Inofamba colectomy; Kurudyi hemicolectomy; Kuruboshwe hemicolectomy; Yakaderera anterior resection; Sigmoid colectomy; Subtotal colectomy; Proctocolectomy; Colon resection; Laparoscopic colectomy; Colectomy - kukwana; Abdominal perineal resection

• Kuchengetedzwa kwekugezera kwevakuru
• Bland kudya
• Kuchinja homwe yako yeostomy
• Ileostomy nemwana wako
• Ileostomy uye kudya kwako
• Ileostomy - kutarisira stoma yako
• Ileostomy - kuchinja homwe yako
• Ileostomy - kubuda
• Ileostomy - chii chekubvunza chiremba wako
• Yakakura ura resection - kubuda
• Chikafu chakaderera-fiber
• Kudzivirira kudonha
• Kuchengeta ronda rekuvhiya - rakavhurika
• Mhando dze ileostomy
• Paunenge uine kusvotwa uye kurutsa

• Ura hwakakura
• Colostomy - Series
• Yakakura ura resection - Series

Brady JT, Althans AR, Delaney CP. Laparoscopic colon uye rectal kuvhiya. Mune: Cameron JL, Cameron AM, eds. Parizvino Kuvhiya Therapy. 12th ed. Philadelphia, PA: Elsevier; 2017: 1520-1530.

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon uye rectum. 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: chits. 51.