Pyloroplasty

Pyloroplasty shine tiyata don faɗaɗa buɗewa a cikin ƙananan ɓangaren ciki (pylorus) don haka abubuwan ciki su shiga cikin ƙananan hanji (duodenum).

Pylorus yanki ne mai kauri, murdede. Lokacin da yayi kauri, abinci ba zai iya wucewa ba.

Ana yin aikin tiyatar yayin da kuke cikin rashin lafiyar gabaɗaya (barci da ciwo).

Idan kuna da tiyata a buɗe, likita mai fiɗa:

• Yana sanya babban tiyatar tiyata a cikin ciki don buɗe yankin.
• Yankewa ta cikin tsoka mai kauri don haka ya zama ya fi fadi.
• Yana rufe yanke a hanyar da zata buɗe pylorus. Wannan yana bawa ciki damar yin komai.

Likitocin tiyata ma na iya yin wannan tiyata ta amfani da laparoscope. A laparoscope wani ɗan ƙaramin kamara ne wanda aka saka cikin cikinka ta wani ƙaramin yanki. Bidiyo daga kyamarar za ta bayyana a kan allo a cikin ɗakin aiki. Likitan ya duba mai lura don yin tiyatar. Yayin aikin:

• Ana yin kananan yanka uku zuwa biyar a cikin cikin. Za a saka kyamarar da sauran ƙananan kayan aiki ta waɗannan yankan.
• Ciki zai cika da gas don bawa likitan damar ganin yankin kuma yayi aikin tiyatar tare da ƙarin ɗaki don yin aiki.
• Pylorus yana aiki kamar yadda aka bayyana a sama.

Ana amfani da Pyloroplasty don magance rikice-rikice a cikin mutane tare da ulcer ko wasu matsalolin ciki waɗanda ke haifar da toshewar buɗewar ciki.

Hadarin don maganin sa barci da tiyata gaba ɗaya shine:

• Amsawa ga magunguna ko matsalolin numfashi
• Zub da jini, toshewar jini, ko kamuwa da cuta

Hadarin ga wannan tiyatar sun hada da:

• Lalacewa ga hanji
• Hernia
• Bayarwar abubuwan ciki
• Gudawa na dogon lokaci
• Rashin abinci mai gina jiki
• Hawaye a cikin rufin gabobin da ke kusa (perforation na mucosal)

Faɗa wa likitanka:

• Idan kun kasance ko za ku iya yin ciki
• Waɗanne magunguna kuke sha, ciki har da magunguna, ƙarin, ko ganye da kuka siya ba tare da takardar sayan magani ba

A lokacin kwanakin kafin aikin tiyata:

• Ana iya tambayarka ka daina shan abubuwan kara jini. Wadannan sun hada da NSAIDs (aspirin, ibuprofen), bitamin E, warfarin (Coumadin), dabigatran (Pradaxa), rivaroxaban (Xarelto), apixaban (Eliquis), da clopidogrel (Plavix).
• Tambayi likitanku wane ƙwayoyi ya kamata ku ci a ranar aikin.
• Idan ka sha taba, yi ƙoƙari ka daina. Tambayi likitan ku ko likita don taimakon dainawa.

A ranar tiyata:

• Bi umarni game da rashin ci da sha.
• Theauki magungunan da likitanka ya gaya maka ka sha da ɗan ƙaramin shan ruwa.
• Zuwanka asibiti akan lokaci.

Bayan tiyata, ƙungiyar kula da lafiya za su kula da numfashinku, da hawan jini, da zafin jiki, da kuma bugun zuciyar. Yawancin mutane na iya komawa gida cikin awanni 24.

Yawancin mutane suna murmurewa cikin sauri kuma gaba ɗaya. Matsakaicin zaman asibiti kwana 2 ne zuwa 3. Da alama a hankali za ku fara cin abinci na yau da kullun cikin weeksan makonni.

Ciwon miki - pyloroplasty; PUD - pyloroplasty; Toshewar Pyloric - pyloroplasty

Chan FKL, Lau JYW. Ciwon miki. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: babi na 53.

Teitelbaum EN, Yunwar ES, Mahvi DM. Ciki. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 48.