Babban cirewar hanji

Babban cirewar hanji shine tiyata don cire duka ko ɓangaren babban hanjinku. Wannan tiyatar ana kuma kiranta colectomy. Babban hanji kuma ana kiran shi babban hanji ko hanji.

• Cire dukkan hanji da dubura ana kiransa proctocolectomy.
• Cire dukkan hanji amma ba dubura ba ana kiran shi subtotal colectomy.
• Cire wani ɓangare na uwar hanji amma ba dubura ba ana kiransa mai juzuwar kwalliya.

Babbar hanji ta haɗa ƙaramar hanji zuwa dubura. A ka'ida, kwalliya tana wucewa ta babban hanji kafin barin jiki ta dubura.

Za ku sami maganin rigakafi na gaba ɗaya a lokacin aikinku. Wannan zai sa ku barci kuma ba tare da jin zafi ba.

Za'a iya yin aikin tiyatar ta hanyar laparoscopically ko tare da buɗe tiyata. Dogaro da wane aikin tiyatar da kake yi, likitan zai yi yanka guda ɗaya ko ƙari (ɓoye) a cikin cikin.

Idan kuna da tiyata na laparoscopic:

• Dikitan yayi kananan cutuka 3 (5) a ciki. An saka na'urar kiwon lafiya da ake kira laparoscope ta ɗayan cuts ɗin. Yankin yana da bakin ciki, bututu mai haske tare da kyamara a ƙarshen. Yana bawa likita damar ganin cikin cikinka. Sauran kayan aikin likita an saka su ta sauran cuts din.
• Hakanan za'a iya yin yankan kimanin inci 2 zuwa 3 (santimita 5 zuwa 7.6) idan likitanka na buƙatar saka hannunsu a cikin cikinka don jin ko cire hanjin da yake cuta.
• Ciki ya cika da gas mai cutarwa don faɗaɗa shi. Wannan yana sa yankin sauƙin gani da aiki a ciki.
• Dikita ya binciki gabobin da ke cikin ku don ganin ko akwai matsaloli.
• Sashin cututtukan babban hanjinku yana nan kuma an cire shi. Hakanan za'a iya cire wasu ƙwayoyin lymph.

Idan kuna da tiyata a buɗe:

• Likitan ya yi yanka inci 6 zuwa 8 (santimita 15.2 zuwa 20.3) a cikin cikinku na ƙasa.
• Ana bincika gabobin da ke cikin ku don ganin ko akwai matsaloli.
• Sashin cututtukan babban hanjinku yana nan kuma an cire shi. Hakanan za'a iya cire wasu ƙwayoyin lymph.

A cikin nau'ikan tiyata guda biyu, matakai na gaba sune:

• Idan ya kasance akwai isasshen hanji babba mai ƙoshin lafiya, ƙarshen an ɗinke shi ko tsaka shi. Wannan shi ake kira anastomosis. Yawancin marasa lafiya sunyi wannan.
• Idan babu isasshen hanji mai lafiya wanda zai iya sake haɗuwa, likitan zai yi buɗewa da ake kira stoma ta cikin fatar cikinku. A colon yana manne da bangon ciki na ciki. Tabon zai wuce ta cikin stoma a cikin jakar magudanar bayan jikinku. Wannan ana kiran sa colostomy. Tsarin kwalliyar na iya zama na ɗan gajeren lokaci ko na dindindin.

Gwajin motsa jiki yakan ɗauki tsakanin awa 1 da 4.

Ana amfani da babban raunin hanji don magance yanayi da yawa, gami da:

• Toshewa a cikin hanji saboda tabon nama
• Ciwon hanji
• Cututtukan Diverticular (cutar babban hanji)

Sauran dalilan na cirewar hanji sune:

• Gwarzon dangi na iyali (polyps sune ci gaban rufin uwar hanji ko dubura)
• Raunin da ya lalata babban hanji
• Intussusception (lokacin da wani sashin hanji ya tura zuwa wani)
• Polyps masu dacewa
• Zubar jini mai yawa a cikin ciki
• Karkatar da hanji
• Ciwan ulcer
• Zuban jini daga babban hanji
• Rashin aikin jijiya zuwa babban hanji

Hadarin don maganin sa barci da tiyata gaba ɗaya shine:

• Amsawa ga magunguna
• Matsalar numfashi
• Cutar jini, zubar jini, kamuwa da cuta

Hadarin ga wannan tiyatar sune:

• Zuban jini a cikin cikin ku
• Nama mai kumburin jiki ta hanyar yankewar tiyata, wanda ake kira hernia incisional
• Lalacewa ga gabobin da ke kusa a cikin jiki
• Lalacewa ga mafitsara ko mafitsara
• Matsaloli tare da maganin kwalliya
• Tsoron nama wanda ke samuwa a ciki kuma yana haifar da toshewar hanji
• Gefen hanjin cikin da aka dinke su waje daya ya bude (zubewar ruwa, wanda ka iya zama barazana ga rayuwa)
• Rauni ya karye
• Ciwon rauni
• Ciwon mara
  

Faɗa wa likitanka ko likitan likita irin magungunan da kake sha, har ma da ƙwayoyi, kari, ko ganye da ka saya ba tare da takardar magani ba.

Yi magana da likita ko likita game da yadda aikin tiyata zai shafi:

• Shaƙatawa da jima'i
• Ciki
• Wasanni
• Aiki

A lokacin makonni 2 kafin aikin tiyata:

• Ana iya tambayarka ku daina shan ƙwayoyin cuta masu rage jini. Wadannan sun hada da asfirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), da sauransu.
• Tambayi likitan wane kwayoyi ne ya kamata ku ci a ranar aikinku.
• Idan ka sha taba, yi ƙoƙari ka daina. Shan sigari yana da haɗarin matsaloli kamar jinkirin warkarwa. Tambayi likitan ku ko likita don taimakon dainawa.
• Faɗa wa likitan nan da nan idan kana da mura, mura, zazzaɓi, ɓarkewar ƙwayoyin cuta, ko wata cuta kafin aikinka.
• Ana iya tambayarka kaje cikin hanji domin tsabtace hanjinka daga dukkan abin da yake ciki. Wannan na iya haɗawa da kasancewa cikin abincin ruwa na aan kwanaki da amfani da mayukan shafawa.

Ranar kafin tiyata:

• Ana iya tambayarka ku sha ruwa mai tsabta kamar romo, ruwan 'ya'yan itace mai tsabta, da ruwa.
• Bi umarni game da lokacin da za a dakatar da ci da sha.

A ranar tiyata:

• Theauki magungunan da likita ya gaya maka ka sha tare da ɗan shan ruwa.
• Zuwanka asibiti akan lokaci.

Zaka kasance a asibiti na tsawon kwana 3 zuwa 7. Wataƙila ku daɗe da zama idan aikin haɗin gwiwa aikin gaggawa ne.

Hakanan kuna iya buƙatar tsayawa na dogon lokaci idan an cire babban hanjinku ko kuma kun sami matsaloli.

A rana ta biyu ko ta uku, wataƙila za ku iya shan ruwa mai tsabta. Za'a saka ruwa mai kauri sannan kuma za'a sanya abinci mai laushi yayin da hanjinki zai fara aiki.

Bayan ka tafi gida, bi umarnin kan yadda zaka kula da kanka yayin da kake warkarwa.

Mafi yawan mutanen da suke da babban ciwon hanji suna murmurewa sosai. Ko da tare da kwalliyar fata, yawancin mutane suna iya yin ayyukan da suke yi kafin ayi musu tiyata. Wannan ya hada da yawancin wasanni, tafiye-tafiye, aikin lambu, yawon shakatawa, sauran ayyukan waje, da yawancin nau'ikan aiki.

Idan kana da wani yanayi na dogon lokaci (na rashin lafiya), kamar kansar, cututtukan Crohn, ko ulcerative colitis, kana iya buƙatar ci gaba da magani.

Hawan colectomy; Haɗuwa da haɗin gwiwa; Maɓallin haɗin kai; Dama-dama; Tsarin hagu; Reseananan raunin baya; Sigmoid colectomy; Tananan kwalliya; Proctocolectomy; Rushewar hanji; Laparoscopic colectomy; Colectomy - m; Cutar da ciki na ciki

• Tsaron gidan wanka don manya
• Abincin Bland
• Canza jakar kayanka
• Ileostomy da ɗanka
• Lissafin abinci da abincinku
• Kulawa - kula da cutar ku
• Ileostomy - canza aljihun ku
• Ileostomy - fitarwa
• Abincin gida - abin da za a tambayi likitan ku
• Babban yankewar hanji - fitarwa
• Abincin mai ƙananan fiber
• Hana faduwa
• Kula da rauni na tiyata - a buɗe
• Ire-iren gyaran jiki
• Lokacin da kake cikin jiri da amai

• Babban hanji
• Kalan fata - Jerin
• Ragowar babban hanji - Series

Brady JT, Althans AR, Delaney CP. Ciwon laparoscopic da tiyatar dubura. A cikin: Cameron JL, Cameron AM, eds. Far Mashi na Yanzu. 12th ed. Philadelphia, PA: Elsevier; 2017: 1520-1530.

Mahmud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Gashin ciki da dubura. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na Tiyata: Tushen Halittu na Ayyukan Tiyata na Zamani. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 51.