Phakathi kweendlela ezigqithisileyo zokwelapha izilonda, izifo ze-oncological, i-polyps, nakwamaxesha athile - amanqanaba amaninzi okunyameka, ingqwalasela ekhethekileyo ifaneleke ukuphinda ivuselele isisu. Lo msebenzi uquka ukususwa kwendawo ebanzi yelungu kunye nokubuyiswa kwendlela yokugaya ngokumisela i-anastamosis.
I-distastimal and gxrectomy
Iindidi zenkqubo yokuhlinzwa zithathwa ngokwahlukileyo ngobukhulu benxalenye yelungu elinqunywe. Ngaloo ndlela, i-resection distal iquka ukususwa kwe-66-75% yeengxenye eziphantsi. Ngethuba lokusebenza okufanayo, ukugqithiswa kwengxenye ephezulu yesisu kwenzeka, kuquka ne-cardia.
Ezinye iintlobo zokuphathwa ngokugqithisileyo:
- i-antral;
- i-subtotal;
- candelo lonyaka.
Ziyi-subspecies zeentlobo ezichazwe ngaphambili kwaye zenzelwe unyango lwe-peptic ulcer, i-carcinoma, umdlavuza wesisu , i-metastases.
Kufuneka kuqatshelwe ukuba utyando oluthile olukhethiweyo lwamathambo alufanelekanga kwiimeko ezichazwe. Ukungenelela okungenakwenzeka okungekho nto kuvumelekile ukufumana uvavanyo oluchanekileyo lobuninzi beethambo ezichaphazelekayo. Ngaloo ndlela, i-laparoscopic resection of isisu ingasetyenziswanga, okanye isetyenziswe ngokungaqhelekanga, ngokuqhelekileyo kwizigaba eziphambili ze-tumor ngaphandle kokukhula kwama-metastases.
Iziphumo kunye noxinzelelo emva kokuthengiswa kwesisu
Njengawuphi na umsebenzi ophenywayo, le nqubo ihambelana nomngcipheko wokuphuhlisa iimpawu ezimbi. Ngokubanzi, ukuphela kwazo kuthiwa yi-post-resection syndrome, imbonakalo eqhelekileyo yi-anastomosis kunye nesifo sokulahla emva kwesigxina somzimba, ngamanye amaxesha "isangqa esichukumisayo" sivela.
Kwimeko yokuqala, kukho ukuvuvukala okuqinileyo kwe-anastomosis yesisu. Inkqubela phambili ye-pathology ihambelana nokunciphisa, ukuphulwa kokukhutshwa kweziqulatho zezitho. Phakathi kweempawu eziqhelekileyo - ukuhlanza, isisonguluko, ukuqokelela esiswini se-fluid kunye negesi, ukungena.
Xa i-dumping syndrome ibonakala imiqondiso enjalo:
- isifo sohudo;
- ukuhlanza;
- ubuthathaka, ukukhathala;
- intloko;
- ukutyhafa kunye neentlanzi;
- ukwanda kwentliziyo.
Le nkqubo ihambelana nokuphulwa kweengcamango zomzimba, ukukhutshwa ngokukhawuleza kokutya.
Okuthiwa "isangqa esichukumisayo" ibonakala ngendinyana yezinto eziphakathi kwesisu ikakhulukazi kumgcini wesango. Ngenxa yokuphuphuma kwamathumbu, iphinda iphonswe kwilungu eliqhutywe kwaye likhupha izibonakaliso zekliniki:
- dyspepsia ;
- ukudinwa;
- ukungabi nesidlo;
- Ukuhlanza okukhulu kunokutya ukutya.
Ukubuyiswa emva kokubuyiswa kwesisu
Ngethuba lokuqala emva kokuphumla kokulala okucetyiswayo okanye umsebenzi omzimba ongaphantsi, ngelixa iisetyenzi zomeleleyo.
Kwixesha elizayo, isigulane kufuneka ihambelane ngokukodwa kwisondlo esikhethekileyo, eqala ngokuzila ukudla (iintsuku ezi-2-4), ngoko-ukufumana izondlo ngokusebenzisa i-infusions kunye neprobe. Xa kuphuculwe kakuhle, ukutya okunyanga kuphuhliswe, imigaqo-siseko:
- Ukuthintela ityuwa.
- Ukwamkela izitya eziqhekeza kalula (iisobho ezinamaqabunga, iizambane ezihlambulukileyo, amaqanda, amaqanda atyhidiweyo).
Kule meko, kubalulekile ukucwangcisa konke ukutya ngokunyanisekileyo, ngokufanelekileyo ukilisa okanye utyumle, kwaye ugaye ngokucophelela, kunye nemifuno neziqhamo.
Emva kweentsuku ezili-10-14 zokutya okunjalo kunconywa ukwandisa ukutya:
- I-fat fat fat with content content of protein yezilwanyana, intlanzi;
- okusanhlamvu, okusanhlamvu.
Kubalulekile ukunciphisa ukusetyenziswa kwamagqabhahydrates ngohlobo lomgubo omhlophe kunye nempahla ebhakawa kuyo, ushukela. Nqatshelwe kakhulu:
- nayiphi na i-salting;
- iimveliso zokutshaya;
- ulondolozo;
- izitya ezinamafutha.
Ukubuyiswa ngokupheleleyo ngokuthobela ngokuthe ngqo le mithetho kubonakala kwiminyaka emi-2-5.