Diki Bowel Kugadziriswa

Zvemukati

• Sei ndichida diki ura resection?
• Ndedzipi njodzi dzekutapudza mudumbu?
• Ndino gadzirira sei kune diki ura resection?
• Ko diki ura resection inoitwa sei?
• Vhura kuvhiya
• Kuvhiya kwepaparoscopic
• Kupedza kuvhiya
• Kudzoreredza mushure mekuvhiyiwa
• Ndeupi mutarisiro wenguva refu?

Chii chinonzi diki ura resection?

Utumbo hwako hudiki hwakakosha kwazvo kuchengetedza hutano hwekugaya. Iyo zvakare inonzi diki ura, ivo vanonwisa zvinovaka muviri uye fluid yaunodya kana kunwa. Ivo zvakare vanoendesa zvigadzirwa zvemarara kune iro rakakura ura.

Zvinetso nebasa zvinogona kuisa hutano hwako panjodzi. Iwe ungangoda kuvhiyiwa kuti ubvise chikamu chakakanganiswa chemuviri wako mudiki kana uine matumbu anovharika kana zvimwe zvirwere zvemudumbu. Kuvhiya uku kunodaidzwa kunzi ura resection.

Sei ndichida diki ura resection?

Mamiriro ezvinhu akasiyana siyana anogona kukuvadza ura hwako hudiki. Mune zvimwe zviitiko, chiremba wako anogona kukurudzira kubvisa chikamu chemuviri wako mudiki. Mune zvimwe zviitiko, chikamu chemuviri wako mudiki chinogona kubviswa kuti usimbise kana kutonga chirwere kana pachinge paita "hutachiona hutachiona".

Mamiriro ezvinhu angangoda kuvhiyiwa anosanganisira:

• kubuda ropa, hutachiona, kana maronda akakomba mumatumbo mudiki
• kuvharika mumatumbu, kungave kwakazvarwa (kuripo pakuzvarwa) kana kubva kune zvinyama zvinyoro
• isina-cancerous mamota
• precancerous polyps
• gomarara
• kukuvara kune ura hudiki
• Meckel's diverticulum (homwe yematumbo aripo pakuzvarwa)

Zvirwere zvinokonzeresa kuzvimba mumatumbo zvingangoda kuvhiyiwa. Aya mamiriro anosanganisira:

• Chirwere cheCrohn
• dunhu ileitis
• dunhu enteritis

Ndedzipi njodzi dzekutapudza mudumbu?

Chero kuvhiyiwa kune njodzi dzinogona kuitika, kusanganisira:

• ropa rakagwamba mumakumbo
• kunetseka kufema
• chirwere chemabayo
• maitiro kune anesthesia
• kubuda ropa
• hutachiona
• kumira kurova kwemoyo
• sitiroko
• kukanganisa kwezvivakwa zvakapoterera

Chiremba wako uye timu yekutarisira ichashanda nesimba kudzivirira matambudziko aya.

Njodzi dzakanangana nekuvhiyiwa mudumbu diki dzinosanganisira:

• kazhinji manyoka
• kubuda ropa mudumbu
• pus kuunganidza mudumbu, inozivikanwawo seyemukati-mudumbu kuputa (izvo zvingangoda drainage)
• ura kusunda kuburikidza neicho cheki kupinda mudumbu rako (incisional hernia)
• scar tishu inoumba ura hwekuvharika inoda kuvhiyiwa kwakawanda
• pfupi bowel syndrome (matambudziko anotora mavitamini uye zvinovaka muviri)
• kubuda panzvimbo iyo ura hudiki hunobatanidzwazve (anastomosis)
• matambudziko ne stoma
• incision breaking open (dehiscence)
• hutachiona hweiyo incision

Ndino gadzirira sei kune diki ura resection?

Pamberi pemaitiro, iwe unenge uine yakakwana bvunzo yemuviri. Chiremba wako anozoona kuti urikugamuchira kurapwa kunoshanda kune chero mamwe marapirwo, akadai sekukwira kweropa uye chirwere cheshuga. Kana iwe uchisvuta, iwe unofanirwa kuedza kumira mavhiki akati wandei usati wavhiyiwa.

Udza chiremba wako kana uri kutora chero mishonga uye mavhitaminzi. Ive neshuwa yekutaura chero mishonga inotetepa ropa rako. Izvi zvinogona kukonzera matambudziko uye kubuda ropa kwakanyanya panguva yekuvhiyiwa. Mienzaniso yemishonga yekuchera ropa inosanganisira:

• warfarin (Coumadin)
• clopidogrel (Plavix)
• asipurini (Bufferin)
• ibuprofen (Motrin IB, Advil)
• naproxen (Aleve)
• vhitamini E

Rega chiremba wako azive kana iwe uchangobva kuchipatara, uchinzwa kurwara, kana kuva nefivhiri nguva pfupi usati wavhiyiwa. Ungangoda kunonoka maitiro ekuchengetedza hutano hwako.

Idya kudya kwakanaka kwezvakakwira-fiber chikafu uye unwe mvura yakawanda mumasvondo asati avhiyiwa. Nguva pfupi usati wavhiyiwa, ungangoda kunamatira kune chikafu chemvura chemvura yakajeka (muto, muto wakajeka, mvura). Iwe zvakare ungangoda kutora laxative kuchenesa ura hwako.

Usadya kana kunwa usati wavhiyiwa (kutanga pakati pehusiku husiku hwapfuura). Chikafu chinogona kukonzera matambudziko neako anesthesia. Izvi zvinogona kuwedzera kugara kwako muchipatara.

Ko diki ura resection inoitwa sei?

General anesthesia inodiwa pakuvhiya uku. Iwe unenge wakarara uye usingarwadziwe panguva yekuvhiya. Zvichienderana nechikonzero chekuvhiyiwa, maitiro acho anogona kutora pakati peye neawa sere.

Kune maviri epamhando mikuru yediki diki ura resection: kuvhura kwakavhurika kana laparoscopic kuvhiya.

Vhura kuvhiya

Kuvhura kuvhiya kunoda kuti chiremba anovhiya agadzire mudumbu. Iyo nzvimbo uye kureba kweiyo incision zvinoenderana nezvinhu zvakasiyana zvakaita senzvimbo chaiyo yedambudziko rako uye kuvaka kwemuviri wako.

Muvhiyi wako anowana chikamu chakakanganiswa chemuura wako mudiki, ochisunga, obva abvisa.

Kuvhiya kwepaparoscopic

Laparoscopic kana robotic kuvhiya inoshandisa matatu kusvika mashanu madiki akachekwa. Wako anovhiya anotanga kupomba gasi mudumbu rako kuti arifuridzire. Izvi zvinoita kuti zvive nyore kuona.

Ivo vanoshandisa mwenje diki, makamera, uye maturusi madiki kutsvaga nzvimbo ine chirwere, kuibvisa, uye kuibvisa. Dzimwe nguva robhoti inobatsira mune urwu rudzi rwekuvhiya.

Kupedza kuvhiya

Mune chero mhando rwekuvhiya, chiremba anovhiya anotarisa kumagumo akazaruka emukati. Kana paine zvakakwana ura hudiki ura hwasara, iwo maviri akacheka magumo anogona kusonwa kana kubatanidzwa pamwechete. Izvi zvinonzi anastomosis. Ndiko kuvhiyiwa kwakanyanya.

Dzimwe nguva ura haugone kubatanidzwazve. Kana zvirizvo, chiremba wako anovhura akasarudzika mudumbu rako anonzi stoma.

Ivo vanonamira kumagumo kwetumbu padyo padumbu rako kumadziro edumbu rako. Ura hwako hunozobuda kunze kuburikidza neiyo stoma muhomwe yakavharika kana bhegi rekudonha. Maitiro aya anozivikanwa seileostomy.

Iyo ileostomy inogona kunge iri yenguva pfupi kubvumira ura kuwedzera pasi pasi sisitimu yekurapa zvachose, kana inogona kunge iri zvachose.

Kudzoreredza mushure mekuvhiyiwa

Iwe unozoda kugara muchipatara kwemazuva mashanu kusvika manomwe mazuva mushure mekuvhiyiwa. Panguva yekugara kwako, unenge uine catheter mudundira rako. Iyo catheter inodurura weti muhombodo.

Iwe unenge zvakare uine nasogastric chubhu. Iri chubhu rinofamba kubva mumhino dzako richipinda mudumbu rako. Iyo inogona kudurura dumbu rako zvemukati kana zvichidikanwa. Inogona zvakare kuendesa chikafu chaicho kudumbu rako.

Unogona kukwanisa kunwa zvinwiwa zvakajeka mazuva maviri kana manomwe mushure mekuvhiyiwa.

Kana chiremba wako akavhiya huwandu hwakawanda hwetumbo kana kana ichi chaive chirwere chekukurumidzira, ungatofanira kugara kwenguva inopfuura vhiki rimwe chete muchipatara.

Iwe ungangoda kuve pane IV chikafu kune imwe nguva kana chiremba wako akabvisa chikamu chikuru chemuviri mudiki.

Ndeupi mutarisiro wenguva refu?

Vanhu vazhinji vanopora zvakanaka kubva pakuvhiya uku. Kunyangwe iwe uine ileostomy uye uchifanirwa kupfeka mabhegi emvura, unogona kutangazve yakawanda yako akajairwa zviitiko.

Iwe unogona kunge uine manyoka kana iwe uine chikamu chakakura chemuviri chabviswa. Iwe unogona zvakare kuve nematambudziko ekutora zvakakwana zvinovaka muviri kubva muchikafu chaunodya.

Zvirwere zvinoputira senge Crohn's chirwere kana diki gomarara gomarara zvingangoda kumwe kurapwa pamberi pekuvhiyiwa uku.