Phakathi kwezinqubo ezinkulu zokwelapha izilonda, izifo eziphilayo, ama-polyps, futhi ngezinye izikhathi - izigaba ezinzima zokukhuluphala, ukunakwa okukhethekile kufanele kulungiswe isisu esiswini. Lokhu kuhilela ukukhipha indawo enhle kakhulu yelungu nokuvuselelwa okulandelayo kwendlela yokugaya ngokumisa i-anastamosis.
I-gastrectomy ehlukanisiwe neyinkimbinkimbi
Izinhlobo zezinqubo zokuhlinza zibhekwa njengezifani ngobukhulu besigungu esinqunyiwe. Ngakho, ukuthengiswa kwe-distal kuhilela ukususwa kwama-66-75% wezingxenye eziphansi. Phakathi nokusebenza okufanayo kwe-proximal, ukucabangela kwengxenye engenhla yesisu kwenzeka, kuhlanganise ne-cardia.
Ezinye izinhlobo zokuphathwa ngokuhlinzwa:
- i-antral;
- i-subtotal;
- ingxenye ye-annular.
Ziyi-subspecies yezinhlobo ezichazwe kakade futhi zenzelwe ukwelashwa kwesilonda se-peptic, i-carcinoma, umdlavuza wesisu , ama-metastases.
Kumele kuqashelwe ukuthi ukuhlinzwa okwamanje okwenziwe i-laparoscopic akufanelekile amacala achazwe. Lokhu kungenelela okuncane okungavumelekile ukuthi kungavumeli ukuthola ukuhlolwa okunembile kakhulu kobuningi bezicubu ezithintekayo. Ngakho-ke, ukuthengiswa kwe-laparoscopic kwesisu ngeke kusetshenziswe, noma kunqunywe kakhulu okungajwayelekile, ngokuvamile ezigabeni eziyinhloko zesisu ngaphandle kokukhula kwe-metastases.
Imiphumela kanye nezinkinga emva kokuvuselelwa kwesisu
Njenganoma yikuphi ukuhlinzwa okusebenzayo, le nqubo ihlotshaniswa nengozi yokuthuthukisa izimpawu ezimbi. Ngokuvamile, konke okubizwa ngokuthi i-post-resection syndrome, ukubonakaliswa okuvame kakhulu kune-anastomosis kanye nokulahlwa kwesifo ngemuva kwe-gastrectomy, ngezinye izikhathi "umbuthano ononya" uvela.
Esikhathini sokuqala, kukhona ukuvuvukala okuqinile kwe-anastomosis yamathumbu. Ukuqhubeka okuqhubekayo kwe-pathology kuhambisane nokunciphisa, ukwephula ukukhishwa kokuqukethwe kwezitho. Phakathi kwezimpawu ezivamile - ukuhlanza, isicanucanu, ukuqoqwa esiswini samanzi nezigesi, ukungena.
Lapho i-dumping syndrome ibonakala izimpawu ezinjalo:
- isifo sohudo;
- ukuhlanza;
- ubuthakathaka, ukukhathala;
- ikhanda;
- ukuphelelwa amandla nokuzondwa;
- ukwanda kwentando yenhliziyo.
Le nqubo ihambisana nokuhlukunyezwa kwezingxube ze-organ, ukususwa okusheshayo kokudla.
Okubizwa okuthiwa "umbuthano ononya" kubonakala ngokuhamba kwezinto ezitholakala esiswini ngokuyinhloko ngomlindisango. Ngenxa yokuchichima kwamathumbu, iphinda iphonswe kwisitho esetshenziswayo futhi ivuselela ukubonakaliswa kwemitholampilo:
- i-dyspepsia ;
- ukukhathala;
- ukungabi nesifiso sokudla;
- Ukuhlanza okukhulu nje kudliwa ukudla.
Ukuvuselelwa emva kokuvuselelwa kwesisu
Isikhathi sokuqala ngemuva kokuphumula kombhede okuphakanyisiwe okuhlinzekwa noma umsebenzi omncane ongokomzimba, kuyilapho izigxobo zivaliwe ngokwanele.
Esikhathini esizayo, isiguli kufanele sibambelele ngokuqinile ekudleni okukhethekile, okuqala kokuzila ukudla (ezinsukwini ezingu-2-4), ke-ukuthola izakhi ngokusebenzisa izifo kanye nomshini. Njengoba kutholakala kahle, ukudla kokwelapha kwakha, izimiso eziyisisekelo:
- Ukuvinjelwa kosawoti.
- Ukwamukelwa kwezidakamizwa ezilula kalula (isobho elimnandi, amazambane ahlambulukile, ama-compotes, amaqanda abilisiwe).
Kulesi simo, kubalulekile ukucubungula konke ukudla ngokufudumele, mhlawumbe ubilise noma ushise, futhi ugaye ngokucophelela, ngisho nemifino nezithelo.
Emva kwezinsuku ezingu-10-14 zokudla okunjalo kunconywa ukwandisa ukudla:
- inyama enamafutha aphansi anezinhlayiyana eziphezulu zeprotheyini, izinhlanzi;
- okusanhlamvu, okusanhlamvu.
Kubalulekile ukunciphisa ukusetshenziswa kwama-carbohydrate ngendlela yofulawa omhlophe kanye nezimpahla eziphekwe kuwo, ushukela. Kuvinjelwe ngokuqinile:
- noma iyiphi i-salting;
- imikhiqizo yokubhema;
- ukulondolozwa;
- ukudla okunamafutha.
Ukubuyiselwa ngokugcwele ngokuhambisana ngokuqinile nale mithetho kwenzeka eminyakeni engama-2-5.