Pyloroplasty

Zvemukati

• Chii chinonzi pyloroplasty?
• Nei zvaitwa?
• Zvinoitwa sei?
• Vhura kuvhiya
• Kuvhiya kwepaparoscopic
• Kudzoreka kwakaita sei?
• Pane njodzi here?
• Kurasa dumbu
• Chinokosha

Chii chinonzi pyloroplasty?

Pyloroplasty kuvhiyiwa kuti iwedzere pylorus. Uku kuvhura padhuze nekuguma kwemudumbu kunotendera chikafu kuyerera mu duodenum, chikamu chekutanga chemukati mudumbu.

Iyo pylorus yakakomberedzwa nepyloric sphincter, bhanhire rakakora remhasuru rakatsetseka rinoitisa kuti izarure nekuvhara pane mamwe matanho ekugaya. Iyo pylorus inowanzo tenderera kusvika ingangoita 1 inch dhayamita. Kana kuvhurwa kwepyloric kwakamanikana zvisingaite kana kuvharika, zvakaoma kuti chikafu chipfuure. Izvi zvinotungamira kune zviratidzo sekuzvimbirwa uye kuzvimbirwa.

Pyloroplasty inosanganisira kucheka nekubvisa imwe yeiyo pyloric sphincter kuti iwedzere uye uzorodze iyo pylorus. Izvi zvinoita kuti zvive nyore kuti chikafu chipfuure mu duodenum. Mune zvimwe zviitiko, iyo pyloric sphincter inobviswa zvachose.

Nei zvaitwa?

Pamusoro pekuwedzera pylorus yakatetepa, pyloroplasty inogona kubatsirawo kubata mamiriro akati wandei anokanganisa dumbu uye tsinga dzemudumbu, senge:

• pyloric stenosis, kudzikisira kusingaite kwepylorus
• pyloric atresia, yakavharwa kana kushayikwa pakuberekwa pylorus
• maronda eronda (maronda akavhurika) uye peptic ulcer chirwere (PUD)
• Chirwere chePasinson
• multiple sclerosis
• gastroparesis, kana kunonoka dumbu kubuda
• vagus nerve kukuvara kana chirwere
• chirwere cheshuga

Zvichienderana nemamiriro ezvinhu, pyloroplasty inogona kuitwa panguva imwechete seimwe maitiro, akadai se:

• Vagotomy. Maitiro aya anosanganisira kubvisa mamwe matavi ean vagus nerve, ayo anodzora nhengo dzemudumbu.
• Gastroduodenostomy. Iyi nzira inogadzira kubatana kutsva pakati pemudumbu uye duodenum.

Zvinoitwa sei?

Pyloroplasty inogona kuitwa sekuvhiya kwetsika. Nekudaro, vanachiremba vazhinji ikozvino vanopa sarudzo dzeparadoscopic. Izvi zvinokanganisa zvishoma uye zvine njodzi shoma. Mhando mbiri dzekuvhiya dzinowanzoitwa pasi peanesthesia. Izvi zvinoreva kuti unenge wakarara uye hauzonzwa chero kurwadziwa panguva yekuvhiyiwa.

Vhura kuvhiya

Munguva yakavhurika pyloroplasty, vanovhiya vanowanzo:

1. Gadzira kucheka kwenguva refu kana kucheka, kazhinji uchidzika pasi pakati pemadziro emudumbu, uye shandisa maturusi ekuvhiya kuwedzera mukova.
2. Gadzira akati wandei akacheka kuburikidza mhasuru yeiyo pylorus sphincter mhasuru, ichiwedzera pyloric kuvhura.
3. Simbisa iyo pyloric mhasuru kumashure pamwechete kubva pasi kusvika kumusoro.
4. Ita dzimwe nzira dzekuvhiya, senge gastroduodenostomy uye vagotomy.
5. Muzviitiko zvinosanganisira kushaya zvinovaka muviri kwakakomba, gastro-jejunal chubhu, mhando yekudyisa chubhu, inogona kuiswa kubvumidza chikafu chemvura kuti chipfuure nepadumbu chakananga mudumbu.

Kuvhiya kwepaparoscopic

Mune laparoscopic maitiro, vanovhiya vanovhiya kuburikidza nekucheka kudiki. Ivo vanoshandisa maturusi madiki uye laparoscope kubatsira kuvatungamira. Iyo laparoscope iguru, repurasitiki chubhu ine diki, yakavhenekerwa vhidhiyo kamera kune kumucheto. Iyo yakabatana neyekuratidzira yekutarisa iyo inobvumidza chiremba anovhiya kuti aone zvavari kuita mukati memuviri wako.

Munguva yeparacoscopic pyloroplasty, vanovhiya vanowanzo:

1. Gadzira matatu kana mashanu akacheka mudumbu uye isa laparoscope.
2. Pombi gasi mudumbu kuitira kuti zvive nyore kuona izere nhengo.
3. Tevera nhanho 2 kusvika ku5 yeakavhurika pyloroplasty, uchishandisa maturusi madiki ekuvhiya akagadzirwa zvakanyanya pakuvhiya kweparoscopic.

Kudzoreka kwakaita sei?

Kudzoreredza kubva pyloroplasty inokurumidza kukurumidza. Vanhu vazhinji vanogona kutanga kufamba zvinyoronyoro kana kufamba mukati memaawa gumi nemaviri mushure mekuvhiyiwa. Vazhinji vanoenda kudzimba mushure memazuva angangoita matatu ekurapwa nekutarisirwa. Zvimwe zvakaomarara kuvhiya kwepyloroplasty kungangoda mamwe mazuva mashoma muchipatara.

Paunenge uchipora, ungangoda kudya chikafu chakaganhurirwa kwemavhiki mashoma kana mwedzi, zvichienderana nekuti kuvhiyiwa kwaive kwakakura sei uye chero mamiriro ehutano aunazvo. Ramba uchifunga kuti zvinogona kutora mwedzi mitatu kana kupfuura kuti utange kuona iwo mabhenefiti akazara epyloroplasty.

Vanhu vazhinji vanogona kutangazve kusaremedza kurovedza muviri anenge mana kusvika matanhatu mavhiki anotevera maitiro.

Pane njodzi here?

Kuvhiya kwese kune njodzi dzakawanda. Zvimwe zvezvinetso zvakajairika zvine chekuita nekuvhiyiwa mudumbu zvinosanganisira:

• mudumbu kana kukuvara kwemukati
• allergic reaction kune anesthesia mishonga
• kubuda ropa mukati
• kugwamba kweropa
• vanga
• hutachiona
• hernia

Kurasa dumbu

Pyloroplasty inogona zvakare kukonzera mamiriro anonzi akurumidza gastric kurasa, kana kurasa dumbu. Izvi zvinosanganisira zvirimo mudumbu rako kudurura mukati medu dumbu diki nekukurumidza.

Kana kuraswa kwemudumbu kuchiitika, chikafu hachina kugayiwa zvakanaka pachinosvika kumatumbu. Izvi zvinomanikidza mitezo yako kuti ibudise zvakavanzika zvekugaya zvakawanda kupfuura zvakajairwa. Iyo yakawedzera pylorus inogona zvakare kubvumira yemukati yekugaya mvura mvura kana bile kuti idonhe mudumbu. Izvi zvinogona kukonzera gastroenteritis. Nekufamba kwenguva, zvinogona zvakare kutungamira mukushomeka kwezvakakwana mumatambudziko akakomba.

Zviratidzo zvekurasa mudumbu zvinowanzotanga mukati memaminitsi makumi matatu kusvika paawa mushure mekudya. Zviratidzo zvakajairika zvinosanganisira:

• kurwadziwa nemudumbu
• manyoka
• kuzvimba
• kusvotwa
• kurutsa, kazhinji greenish-yero, inovava-inonaka mvura
• dzungu
• kukurumidza kurova kwemoyo
• kupera mvura mumuviri
• kupera simba

Mushure memaawa mashoma, kunyanya mushure mekudya zvikafu zvine shuga, chiratidzo chekutanga chekurasa mudumbu chinova yakaderera ropa shuga. Izvo zvinoitika semhedzisiro yemuviri wako kuburitsa yakawanda insulini kugaya yakawedzera huwandu hweshuga mudumbu dumbu.

Zviratidzo zvekunonoka dumbu kuraswa zvinosanganisira:

• kupera simba
• dzungu
• kukurumidza kurova kwemoyo
• general kushaya simba
• vangadikitira
• nzara yakasimba, inowanzo rwadza
• kusvotwa

Chinokosha

Pyloroplasty imhando yekuvhiya iyo inowedzera kuvhura pasi peguvhu. Inowanzoshandiswa kurapa mamiriro emudumbu asina kupindura kumwe kurapwa.

Izvo zvinogona kuitwa uchishandisa chinyakare nzira dzakavhurika dzekuvhiya nzira kana laparoscopic hunyanzvi. Kutevera maitiro, iwe unofanirwa kuenda kumba mukati memazuva mashoma. Zvinogona kuve mwedzi yakati wandei usati watanga kuona mhedzisiro.