Na ciki tiyata. Iri ayyukan, alamomi, shiri da kuma gudanarwa

Kowane zamani mutane rai ya nuna ta launi. Domin a lokacin da ko'ina, ta zamani, mutum yana barci kasa, ba up karin kumallo, ko cin abincin rana, snacking a kan gudu. Duk wannan yana da wani mummunan sakamako a kan ciki yanayin. A gazawar don magance ga likita dagula halin da ake ciki. Idan miyagun ƙwayoyi jiyya ba zai iya jimre da matsala, wajibi ne a koma ga m matakan. Irin matakan ne na ciki da tiyata.

Mene ne ciki da abin da suke ta ayyuka

Ciki - musamman jiki a matsayin m murdede jakar domin samun kuma narkewa. Located ƙarƙashin ikon da esophagus. Its ƙananan part ta cikin pyloric sphincter da ke shiga cikin duodenum. An komai a ciki yana da wani ƙarfi a cikin kewayon 0.5 lita. Bayan ci abinci da shi yana incremented to 1 lita, amma za su iya jure overeating kuma miƙa har zuwa 4 lita.

Bugu da kari ga adanar da samu abinci a ciki ayyuka sun hada da:

• Machining abinci taro.
• motsi na abinci a cikin gaba sashe na hanji.
• sinadaran sakamakon a kan abinci na ciki da enzymes.
• selection abubuwa da taimako zuwa sha na bitamin B12;
• sha na gina jiki.
• disinfection abinci taro hydrochloric acid.
• samar da hormones.

Domin smoothly gudanar da ayyuka, da jiki dole ne zama lafiya. Muhimmanci lokaci zuwa kula da canje-canje a cikin dandano, ƙwannafi, zafi da tashin zuciya, don kauce wa tiyata a ciki.

Common cututtuka na ciki

Mafi sau da yawa, likitoci yi wa na kullum gastritis, duodenitis, yashewa, miki da ciwon daji siffofin maruran. Kowane cuta a cikin hanya daya ko wani hatsari da kuma bukatar tsallakar da magani. A haƙuri ya kamata gudanar da wani likita ta sayen magani da kuma cikakken bi da dukan shawarwari, bai zama tilas ga ziyarci aiki naúrar.

Iri ayyukan. resection

A likita yi, ga cututtuka na ciki da ake amfani da dama iri m hanyoyin. Wannan resection, gastrectomy, gastroenterostomy, vagotomy. Kowane aiki yana da alamomi da kuma contraindications, da kuma bukatar takamaiman basira na likita.

Gastrectomy ake magana a cire wasu sassa na gaba, ya bi ta hanyar rage esophageal tube ci gaba. Irin wannan na ciki da tiyata wajabta ciwon daji marurai, ulcers ko high-mataki na kiba. The aiki na bukatar wani m ganewar asali da kuma takamaiman haƙuri shiri. Bugu da kari, da zai yiwu ci gaban postoperative rikitarwa.

Dangane da wuya daga cikin cuta, likita ance da irin resection. Wannan na iya zama:

• Complete kau na ciki.
• Ana cire wani ~ angare na sashin jiki a kusa da esophagus, watau, proximal resection.
• Organ kau na ƙananan kansu ga duodenum, cewa shi ne distal resection.
• Hannun Riga kau kiba.

za'ayi aiki proximal da distal mafi yawan lokuta. Gastrectomy a cikin wannan hali ya shafi dungu suturing jiki zuwa esophagus (proximal) ko da kananan hanji (distal). Irin wannan resection zauna a gwani na fiye da 2 hours.

Resection na ciki miki

Mafi sau da yawa, ciki ulcers za a iya warke a kan wani outpatient akai. Amma wani lokacin magani ba haifar. Surgery for ulcers da ake sa a cikin wadannan lokuta:

• A cicatricial takaita da pyloric sphincter (pyloric stenosis).
• A yada cutar a waje da ciki (peneratsiya).
• Lokacin da perforation (ta hanyar-rami bayyanar).
• Ulcers nunawa a lokacin da gudu tare da manyan size da kuma babban zurfin nama lalacewa.

Bugu da kari, na ciki da tiyata iya sanya idan haƙuri fara zub da jini, wanda ba zai iya jimre da magani. Dalilin da resection iya samar da m dakwai, komowan cutar.

Resection for ciwon daji marurai

Gastroenterologists da oncologists sau da yawa koma marasa lafiya da cancerous siffofin maruran. Ciki ciwon daji ne dauke da ya fi na kowa nau'i na cutar daji. Surgery for ciki ciwon daji na iya bukatar ba m resection, da kuma cikakken kau na sashin jiki. Wannan aiki da aka kira gastrectomy. Bisa ga ƙa'ida, irin wannan resection, amma magudi ne mafi hadaddun, da mummunan tasiri a kan haƙuri shi ne mafi pronounced.

Lokacin da gastrectomy kawar da ba kawai da ciki, amma da biyu gland shine yake da Lymph nodes. Complete kau na ciki esophagus da shawara a kai tsaye dangane da da jejunum. Artificial fili (anastomosis) riqe DIL hanji kabu.

Bayan tiyata, da kuma sinadaran inji aiki na abinci ba samar. Wannan na bukatar tsananin riko da abinci da kuma ko da rarraba abinci a ko'ina cikin yini. Rabo ya zama kananan, da menu an shafe hadaddun fats, kuma da wuya a nike abinci.

A cikakken gastrectomy laparoscopic Hanyar kadan amfani. Aiyuka gargajiya bude dabara, a cikin abin da wani babban incision aka yi. A dawo da bayan tiyata da haƙuri bukatar makonni da dama. Bayan tashi mai gidan daga maganin sa barci da haƙuri ba sha ko ci. Ya bayar da urinary catheter da wani nasogastric tube, wani lokacin yakan faru numfashin ta cikin mask.

Ruwa haƙuri fara ba kawai bayan bayyanar hanji sautuna. Idan jiki kullum reacts zuwa cikin ruwa, sa'an nan ya fara bada m abinci.

Resection ga kiba

Tare da wani babban mataki na kiba a wasu lokuta wajabta tsaye resection. Wani lokaci hanya ake kira mai jakar kau. Operation kawar da mafi yawan ciki, amma ya rike physiological bawuloli. Wannan rage jiki girma, amma ba a gaji da damuwa da narkewa. Ciki daina kama da tsoka 'yar jakar, ta kama wani kunkuntar tube wanda ƙarfi ne game da 150 ml. Akwai m raguwa a nauyi kuma rage yunwa kamar yadda share wuri cewa samar da hormone da alhakin ji. Tsaye resection damar rasa up to 60% kiba, alhãli kuwa ba a ciki aka sanya waje jikinsu kamar balan-balan ko bandeji. Wannan hanya na zalunta kiba za a iya amfani da a kowane zamani.

gastroenterostomy

A wasu alamomi a gudanar da wani resection na ciki shi ne ba zai yiwu. Wannan ya shafi tsofaffi da kuma raunana da marasa lafiya, da abin da ya faru na cicatricial stenosis a sakamakon konewa da inoperable ciki ciwon daji lokuta. Irin wannan marasa lafiya kwashe gastroenterostomy. A lokacin aiki da rami kafa anastomosis tsakanin ciki da kuma kananan hanji.

Surgery taimaka canja da ciki, hanzarta da fitarwa na abinci da kuma mayar patency. Duk da haka, shi ba mai yawa da rikitarwa, don haka shi ne kawai ya yi a lokacin da babu wani magani zažužžukan.

vagotomy

Wani Hanyar magani daga ciki ulcers ne vagotomy. Wannan aiki shafe dissection na vagus jijiya. A sakamakon da magudi daina jijiyar daga wanda samar da ciki ruwan 'ya'yan itace dogara. A ciki acidity an rage, sakamakon miki waraka fara.

A karo na farko a cikin aiki naúrar an jẽfo ga mãsu haƙuri ga vagotomy a 1911. A sanarwar da aka sanya a Berlin M Congress. Tun shekarar 1946, da aiki da aka sa a rafi.

Tun shekarar 1993, yawan vagotomy abruptly rage tun zama yadu cinye kwayoyi da kuma toshe samar da acid.

kudin na aiki

The kudin na wannan magudi a kasashe daban-daban da kuma ko da yankuna a cikin kasashen na iya bambanta muhimmanci. A duk ya dogara da wuya daga cikin cuta, cuta wuri, likita ko oncologist cancantar da fasaha kayan aiki na asibitin. Duk al'amurran da suka shafi ake warware a lokacin da shawara tare da kwararru. Mafi sau da yawa a cikin aiki kudin ya hada da asibiti Yawara, maganin sa barci da kuma post-gudanar da kulawa.

A cikin 'yan shekaru, mutanen da suke da tsanani matsaloli tare da kiba, likitoci koma ga taimaka. Don jimre da karin nauyi damar aiki na tsaye gastrectomy. Its talakawan kudin a Rasha ne game da 140 000 rubles.