Gastrectomy

Gastrectomy kuvhiya kubvisa chikamu kana dumbu rese.

• Kana chikamu chega chedumbu chabviswa, chinonzi chidimbu gastrectomy
• Kana dumbu rese rikabviswa, rinodaidzwa kuti rese gastrectomy

Kuvhiya kunoitwa iwe uchinge uri pasi peanesthesia (wakarara uye unorwadziwa mahara). Chiremba anovhiya mudumbu uye anobvisa zvese kana chikamu chedumbu, zvinoenderana nechikonzero chemaitiro acho.

Zvichienderana nechikamu chedumbu chakabviswa, ura hungangoda kubatanidzwazve kune iro rakasara dumbu (chikamu gastrectomy) kana kune iyo esophagus (yakazara gastrectomy).

Nhasi, vamwe vanovhiya vanoita gastrectomy vachishandisa kamera. Kuvhiya kwacho, uko kunonzi laparoscopy, kunoitwa nezvidimbu zvidiki zvekuvhiya. Zvakanakira kuvhiyiwa uku kukurumidza kupora, kurwadziwa kushoma, uye mashoma mashoma ekucheka.

Uku kuvhiya kunoshandiswa kurapa matambudziko emudumbu akadai se:

• Kubuda ropa
• Kuzvimba
• Gomarara
• Polyps (kukura pamubhedha wedumbu)

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji zvinosanganisira:

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

Ngozi dzekuvhiya uku dzinosanganisira:

• Kudonha kubva pakubatana kuenda muura izvo zvinogona kukonzeresa hutachiona kana bundu
• Kubatana kune ura kunopera, zvichikonzera kuvhara

Kana iwe uchisvuta, unofanirwa kurega kuputa mavhiki akati wandei usati wavhiyiwa uye kwete kutanga kuputa zvakare mushure mekuvhiyiwa. Kusvuta kunononoka kupora uye kunowedzera njodzi yezvinetso. Udza mupi wako wezvehutano kana iwe uchida rubatsiro kurega.

Udza chiremba wako kana mukoti:

• Kana iwe uri kana ungave uine pamuviri
• Ndeapi mishonga, mavitamini, mahebhu, uye zvimwe zvekuwedzera zvauri kutora, kunyangwe izvo zvawakatenga usina mushonga

Pakati pevhiki 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 anovhiya mishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.
• Gadzirira imba yako kuitira paunoenda kumba mushure mekuvhiyiwa. Gadzira imba yako kuti hupenyu hwako huve nyore uye huchengeteke paunodzoka.

Pazuva rekuvhiyiwa kwako:

• Tevedza rairo nezvekusadya kana kunwa.
• Tora mishonga yawakaudzwa nachiremba wako kuti utore nekunwa mvura shoma.
• Svika kuchipatara nenguva.

Unogona kugara muchipatara kwemazuva matanhatu kusvika kugumi.

Mushure mekuvhiyiwa, panogona kunge paine chubhu mumhino dzako iyo inobatsira kuchengetedza dumbu rako risina chinhu. Inobviswa nekukurumidza apo ura hwako huri kushanda mushe.

Vanhu vazhinji vanorwadziwa kubva pakuvhiyiwa. Unogona kugamuchira mushonga mumwe chete kana musanganiswa wemishonga kudzora kurwadziwa kwako. Udza vanokupa paunenge uchirwadziwa uye kana iyo mishonga yauri kugamuchira inodzora marwadzo ako.

Kunyatsoita kwaunoita mushure mekuvhiyiwa kunoenderana nechikonzero chekuvhiyiwa uye nemamiriro ako.

Kumbira chiremba wako anovhiya kana paine chero zviitwa zvausingafanire kuita kana waenda kumba. Zvinogona kutora vhiki dzinoverengeka kuti uwanezve zvizere. Paunenge uchitora marwadzo ekurwadziwa narcotic, haufanire kutyaira.

Kuvhiya - kubvisa dumbu; Gastrectomy - yakazara; Gastrectomy - kukwana; Kenza yemudumbu - gastrectomy

• Gastrectomy - akateedzana

Antiporda M, Reavis KM.Gastrectomy. Mune: Delaney CP, rakanyorwa. Netter yekuvhiya Anatomy uye Nzira. 2nd ed. Philadelphia, PA: Elsevier; 2021: chits. 8.

Teitelbaum EN, Hungness ES, Mahvi DM. Dumbu. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 48.