Cire baƙin ciki

Cutar Spleen ita ce tiyata don cire ƙwayar cuta ko cuta. Wannan aikin tiyatar ana kiran sa da suna splenectomy.

Saifa tana cikin ɓangaren sama na ciki, a gefen hagu ƙarƙashin ƙashin haƙoron. Saifa yana taimakawa jiki wajen yakar kwayoyin cuta da cututtuka. Yana kuma taimakawa wajen tace jini.

An cire saifa yayin da kake cikin maganin rashin lafiya (barci da ciwo). Dikita na iya yin koɗaɗɗen sippleomy ko kuma laparoscopic splenectomy.

A lokacin bude saifa:

• Likitan likitan yana yin yankewa (tsakiyar ciki) a tsakiyar ciki ko gefen hagu na ciki a ƙashin haƙarƙarin.
• Saifa tana nan kuma an cire ta.
• Idan kuma ana kula da ku don cutar kansa, ana binciken ƙwayoyin lymph a cikin ciki. Hakanan za'a iya cire su.
• An rufe wurin raunin ta amfani da ɗinka ko matattakala.

A lokacin cire saifa na laparoscopic:

• Dikitan yayi kananan yanka 3 ko 4 a cikin ciki.
• Likitan ya shigar da kayan aikin da ake kira laparoscope ta hanyar ɗayan yankan. Yankin yana da ƙaramar kyamara da haske a ƙarshen, wanda ke ba da damar likita don ganin cikin ciki. Sauran kayan ana sakawa ta sauran cuts din.
• Ana shigar da iskar gas mara lahani a cikin ciki don faɗaɗa ta. Wannan yana bawa dakin likitan aiki.
• Likita ya yi amfani da faɗin da sauran kayan aikin don cire saifa.
• An cire ikon yinsa da sauran kayan kida. Abubuwan da aka zana an rufe su ta amfani da ɗinka ko matattakala.

Tare da tiyatar laparoscopic, murmurewa sau da yawa yana da sauri kuma ba shi da zafi fiye da buɗe tiyata. Yi magana da likitanka game da wane nau'in tiyata ya dace maka ko ɗanka.

Yanayin da ke iya buƙatar cire ƙwayoyin ciki sun haɗa da:

• Cessunƙara ko mafitsara a cikin saifa.
• Rigar jini (thrombosis) a cikin jijiyoyin jini.
• Ciwan hanta.
• Cututtuka ko rikicewar ƙwayoyin jini, kamar su idiopathic thrombocytopenia purpura (ITP), spherocytosis na gado, thalassemia, hemolytic anemia, da helipitary elliptocytosis. Waɗannan duk yanayi ne mai wuya.
• Hypersplenism (ƙwayar saifa)
• Ciwon daji na tsarin lymph kamar cutar Hodgkin.
• Ciwon sankarar jini
• Sauran ciwace-ciwacen ƙwayoyi ko cututtukan daji da suka shafi saifa.
• Cutar Sikila
• Splenic jijiyoyin jiki aneurysm (rare).
• Cutar zuwa baƙin ciki.

Hadarin don maganin sa barci da tiyata gaba ɗaya shine:

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

Hadarin ga wannan tiyatar sun hada da:

• Rigar jini a cikin jijiya (wata muhimmiyar jijiya ce mai ɗaukar jini zuwa hanta)
• Huhu ya tarwatse
• Hernia a wurin yankan tiyata
• Riskarin haɗari ga kamuwa da cuta bayan sippleomy (yara suna cikin haɗari fiye da manya don kamuwa da cuta)
• Rauni ga gabobin da ke kusa, irin su pancreas, ciki, da kuma hanji
• Tarin Pus a ƙarƙashin diaphragm

Risks iri ɗaya ne don duka buɗaɗɗen ɓarawo da laparoscopic.

Ku ko yaranku za ku sami ziyarar sau da yawa tare da masu ba da kiwon lafiya da gwaje-gwaje da yawa kafin a yi tiyata. Kuna iya samun:

• Cikakken gwajin jiki
• Rigakafi, irin su pneumococcal, meningococcal, Haemophilus mura, da rigakafin mura
• Gwajin jini, gwaje-gwaje na musamman, da sauran gwaje-gwaje don tabbatar da lafiyar ku da za ayi muku tiyata
• Yin ƙarin jini don karɓar ƙarin jajayen jini da platelet, idan kuna buƙatar su

Idan kun sha taba, ya kamata ku yi ƙoƙari ku daina. Shan sigari yana daɗa haɗarinka ga matsaloli kamar jinkirin warkarwa. Tambayi mai ba ku sabis don ya daina.

Faɗa wa mai ba da sabis:

• Idan kun kasance, ko wataƙila kuna da ciki.
• Waɗanne magunguna, bitamin, da sauran abubuwan karin ku da ɗanku ke sha, har ma waɗanda aka sayo ba tare da takardar sayan magani ba.

A lokacin mako kafin aikin tiyata:

• Kai ko yaronka na iya buƙata na ɗan lokaci dakatar da shan abubuwan rage jini. Wadannan sun hada da asfirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), bitamin E, da warfarin (Coumadin).
• Tambayi likitan wane kwayoyi ne ku ko yaranku yakamata ku sha a ranar tiyata.

A ranar tiyata:

• Bi umarni game da lokacin da kai da ɗanka ya kamata ku daina ci ko sha.
• Theauki magungunan da likita ya gaya muku ko yaranku ku sha tare da ɗan shan ruwa.
• Zuwanka asibiti akan lokaci.

Kai ko yaronka zai yi kasa da mako guda a asibiti. Zaman asibiti na iya zama kwana 1 ko 2 ne kawai bayan laparoscopic splenectomy. Waraka zai ɗauki makonni 4 zuwa 6.

Bayan tafiya gida, bi umarni akan kula da kanku ko yaranku.

Sakamakon wannan tiyatar ya dogara da wace cuta ko rauni da ku ko ɗanku ke da shi. Mutanen da ba su da wasu raunuka masu tsanani ko matsalolin likita sukan murmure bayan wannan tiyatar.

Bayan an cire saifa, mutum zai iya kamuwa da cututtuka. Yi magana da mai bayarwa game da samun allurar rigakafin da ake buƙata, musamman allurar rigakafin cutar mura kowace shekara. Yara na iya buƙatar shan maganin rigakafi don hana cututtuka. Yawancin manya ba sa buƙatar maganin rigakafi na dogon lokaci.

Splenectomy; Laparoscopic splenectomy; Cire baƙin ciki - laparoscopic

• Cutar ɓarna a cikin manya - fitarwa
• Bude cire saifa a cikin manya - fitarwa
• Cire baƙin ciki - yaro - fitarwa
• Kula da rauni na tiyata - a buɗe
• Lokacin da kake cikin jiri da amai

• Jini jajayen, masu niyya
• Sauke hanji - jerin

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Mier F, Hunter JG. Pawararren laparoscopic. A cikin: Cameron JL, Cameron AM, eds. Far Mashi na Yanzu. 12th ed. Philadelphia, PA: Elsevier; 2017: 1505-1509.

Poulose BK, Holzman MD. Saifa. 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 56.