Pakati pemhando dzakasiyana-siyana dzehutachiona hwezvironda, zvirwere zvepachikafu, zvipembenene, uye dzimwe nguva - matanho akaremera ekuderedza, kunyatsotarisirwa kunofanirwa kugadziriswa kwemuviri. Kuvhiya uku kunosanganisira kubviswa kwenzvimbo yakakura yechirongwa pamwe nekudzorerwa kunotevera kwegumbo rekudya nekuisa anastamosis.
Kutsauka uye kukanganisa kwepamusoro
Mhando dzekuvhiya dzinofungidzirwa dzinofananidzwa zvakasiyana nekukura kwechikamu chinoparadzwa. Nokudaro, distal resection inosanganisira kubviswa kwe 66-75% kwemazana mashoma. Munguva imwechete yekushanda, kufungidzira kwechikamu chepamusoro chemuviri kunoitika, kusanganisira cardia.
Mamwe maitiro ekugadzirisa chirwere:
- antral;
- subtotal;
- annular segmental.
Idzo dzinonzi subspecies dzatove dzakatsanangurwa maitiro uye dzinotarisirwa kurapwa peptic ulcer, carcinoma, kenza yemuviri , metastases.
Zvinofanira kuonekwa kuti chirwere chinonzi raparus laparoscopic chazvino hachina kukodzera kumatambudziko anotsanangurwa. Iro kupindira kusinganzwisisiki hakubvumi kuwana kuongororwa kwakajeka kwehukuru hwehutachiona hwakakanganiswa. Nokudaro, laparoscopic resection yemudumbu haisi kushandiswa, kana inorayirwa kazhinji kazhinji, kazhinji mumatanho ekutanga emuviri asina kukura kwemasastases.
Migumisiro uye zvinetso pashure pokugadzirisa dumbu
Kufanana nekuvhiya kupi zvako, chirongwa ichi chinobatanidzwa nehutano hwekuvandudza zviratidzo zvisina kunaka. Nenzira yakawanda, hutano hwavo hunonzi post-resection syndrome, zviratidzo zvakajairika ndezvokuti anastomosis uye dumping syndrome mushure mekuita gastrectomy, dzimwe nguva "mhirizhonga inotyisa" inomuka.
Muchiitiko chekutanga, pane kuvimba kwakasimba kwepamuviri anastomosis. Kuwedzera kufambira mberi kwehutano kunoenderana nekuputika kwayo, kuputsa kwekubudiswa kwezviri mukati memaviri. Pakati pezviratidzo zvinowanzoonekwa - kurutsa, kushungurudza, kusungira mudumbu remvura uye gasi, kupinda.
Apo dumping syndrome inoratidzika zviratidzo zvakadaro:
- diarrhea;
- kurutsa;
- kusimba, kuneta;
- headache;
- kuneta uye chizivo;
- kuwedzera kwenhamba yemwoyo.
Iyi nzira inopesana nekuputsa kwechirongwa chemajeri, kukurumidza kubuda kwezvokudya.
Izvo zvinonzi "mhirizhonga yakaipa" inoratidzirwa nekutenderera kwezviri mukati memudumbu kunyanya kuburikidza nemuchengeti wegedhi. Nokuda kwekuputika kwemukati, inowanzokandwa mujeri rinoshandiswa uye inoita kuti zvipatara zvionekwe:
- dyspepsia ;
- kuneta;
- kusava nenzara;
- kushorwa kwakanyanya kunongodya kudya.
Kuvandudza mushure mekugadziriswa kwemuviri
Nguva yekutanga mushure mekuvhiyiwa mubhedha wakakurudzirwa mubhedha kana basa rekuita zvishoma, apo zvikwata zvakakwana zvakasimbiswa.
Mune ramangwana, murwere anofanira kunyatsoteerera kudya kwakakosha, iyo inotanga kutanga mukurapa kwemazuva (2-4 mazuva), zvino-kuwana michina kuburikidza nekunyanyisa uye kuburikidza neprobe. Nekupora kwakanaka, chirongwa chekurapa chinogadzirwa, mazano anotevera:
- Kurambidzwa kwemunyu.
- Kugamuchirwa kwezvokudya nyore nyore (soupous soups, mbatata yakasviba, compotes, mazai anonyorova).
Muchiitiko ichi, zvakakosha kugadzirisa zvokudya zvose zvakanyatsopisa, zvinoshandiswa kubika kana kupisa, uye kunyatsokuya, kunyange miriwo nemichero.
Mushure memazuva gumi nemaviri ezvokudya zvakadaro zvinokurudzirwa kuwedzera kudya:
- nyama yakaderera-mafuta ine zvakakosha zvepuroteni yemhuka, hove;
- zviyo, zviyo.
Zvakakosha kugadzirisa kushandiswa kwemakhahydrates muhupenyu hwehupfu hwakachena uye zvakabikwa kubva mairi, mashuga. Zvakadziviswa zvachose:
- chero salting;
- tsvina;
- kuchengetedza;
- mafuta mafuta.
Kunyatsosununguka nekuteerera zvakasimba nemitemo iyi kunoitika mukati memakore maviri kusvika ku5.