Diki ura resection

Mudiki ura resection kuvhiya kuti ubvise chikamu chako chidiki dumbu. Izvo zvinoitwa kana chikamu chemuviri wako mudiki chakavharwa kana kurwara.

Hura ura hunonziwo ura hudiki. Kugaya kwakawanda (kuputsa uye kutora zvinovaka muviri) kwechikafu chaunodya kunoitika mudumbu diki.

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

Kuvhiya kwacho kunogona kuitwa laparoscopically kana nekuvhiya kwakashama.

Kana iwe uine laparoscopic kuvhiyiwa:

• Chiremba anovhiya anoita matatu kusvika mashanu madiki akachekwa (akachekwa) mudumbu rako rezasi. 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 masentimita) anogona zvakare kuitwa kana chiremba wako anovhiya achida kuisa ruoko rwavo mukati medumbu rako kuti unzwe ura kana kubvisa chikamu chinorwara.
• Dumbu rako rakazadzwa negasi risingakuvadzi kuti riwedzere. Izvi zvinoita kuti zvive nyore kuti chiremba anovhiya aone nekushanda.
• Chikamu chinorwara chemuviri wako mudiki chiripo uye chabviswa.

Kana iwe ukavhiyiwa pachena.

• Chiremba anovhiya anoita akacheka masendimita matanhatu kusvika masere (15.2 kusvika 20.3 masentimita) mukati medumbu rako.
• Chikamu chinorwara chemuviri wako mudiki chiripo uye chabviswa.

Mune ese maviri marudzi ekuvhiya, anotevera matanho ndeaya:

• Kana paine zvakakwana ura hudiki ura hwasara, magumo anosonwa kana kusunganidzwa pamwechete. Izvi zvinonzi anastomosis. Varwere vazhinji vakaita izvi.
• Kana paine husina kukwana hutano ura mudiki kuti ubatanidzwezve, chiremba wako anovhiya anoita mukana unonzi stoma kuburikidza neganda redumbu rako. Iyo dumbu ura inosungirirwa kumadziro ekunze edumbu rako. Chitsiko chichafamba nepastoma kupinda muhombodo yemvura kunze kwemuviri wako. Izvi zvinonzi ileostomy. Iyo ileostomy inogona kunge iri pfupi-yenguva kana yekusingaperi.

Kudonhedza ura mudiki kazhinji kunotora maawa 1 kusvika ku4.

Mudiki ura resection inoshandiswa kurapa:

• Kuvharika mumatumbo kunokonzerwa nemavanga enyama kana kuberekwa (kubva pakuberekwa) kuremara
• Kubuda ropa, hutachiona, kana maronda anokonzerwa nekuzvimba kwemukati mudumbu kubva mumamiriro akadai seCrohn chirwere
• Gomarara
• Carcinoid bundu
• Kukuvara kune ura hudiki
• Meckel diverticulum (homwe pamadziro echikamu chepazasi chemukati chiripo pakuzvarwa)
• Noncancerous (benign) mamota
• Precancerous polyps

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

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

Ngozi dzekuvhiya uku dzinosanganisira:

• Bulging tishu kuburikidza neiyo incision, inonzi incisional hernia
• Kukuvadza kunhengo dziri pedyo mumuviri
• Manyoka
• Matambudziko neileostomy yako
• Mavara enyama anoumba mudumbu mako uye anokonzeresa kuvhara kwemukati mako
• Pfupi ura chirwere (kana huwandu hwakawanda hwetumbo mudiki huchifanira kubviswa), izvo zvinogona kutungamira kumatambudziko kutora zvakakosha zvinovaka muviri uye mavitamini
• Chirwere chekushaya ropa
• Mhedzisiro yematumbo ako akasonerwa pamwechete anouya (anastomotic leak, izvo zvinogona kutyisidzira hupenyu)
• Ronda richivhurika
• Ronda hutachiona

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 wako wekuvhiya ipapo ipapo kana uine dzihwa, dzihwa, fever, 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 ungatofanira kugara kwenguva yakareba kana kuvhiyiwa kwako kwaive kuita kwekukurumidzira.

Iwe zvakare ungangoda kugara kwenguva yakareba kana huwandu hwakawanda hwese ako mudumbu hwakabviswa kana iwe ukava nezvinetso.

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

Kana huwandu hukuru hwetumbu rako hudiki hwakabviswa, ungangoda kupihwa mvura zvinovaka muviri kuburikidza netsinga (IV) kwenguva yakati. IV yakakosha ichaiswa mumutsipa wako kana kumusoro kwepachipfuva kununura chikafu.

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

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

Kana chikamu chakakura chemuura wako mudiki chakabviswa, unogona kunge uine matambudziko nezvakasununguka zvituru uye nekuwana zvinovaka muviri zvakakwana kubva muchikafu chaunodya.

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

Kuvhiya mudumbu mudiki; Bowel resection - dumbu ura; Kugadziriswa kwechikamu chemuviri mudumbu; Enterectomy

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

• Diki ura resection - akateedzana

Albers BJ, Lamon DJ. Diki ura kugadzirisa / resection. Mune: Baggish MS, Karram MM, eds. Atlas yePelvic Anatomy uye Gynecologic Kuvhiya. 4th ed. Philadelphia, PA: Elsevier; 2016: chits. 95.

DiBrito SR, Duncan M. manejimendi ekudzivirira mudumbu mudiki. Mune: Cameron JL, Cameron AM, eds. Parizvino Kuvhiya Therapy. 12th ed. Philadelphia, PA: Elsevier; 2017: 109-113.

Harris JW, Evers BM. Utumbo hudiki. 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. 49.