Ntawm radical txoj kev kho ntawm kev kho mob ntawm ulcers, oncological cov kab mob, polyps, thiab tej zaum - hnyav ua sawv ntawm kev rog, tshwj xeeb mloog deserves resection ntawm lub plab. Txoj haujlwm no yuav tshem tawm ntawm thaj tsam loj ntawm lub cev nrog qhov rov ua kom rov zoo li qub ntawm qhov hnyuv tawm los ntawm kev siv anastamosis.
Distal thiab proximal gastrectomy
Cov hom kev phais mob uas tau txiav txim siab txawv qhov loj ntawm qhov feem ntawm lub cev raug txiav tawm. Li no, distal resection yuav tshem tawm ntawm 66-75% ntawm kev sib cais hauv qab. Thaum lub sijhawm ua haujlwm zoo li qub, kev ua haujlwm ntawm lub plab sab saud tshwm sim, nrog rau daim cardia.
Lwm hom kev phais neeg phais neeg:
- antral;
- subtotal;
- annular segmental.
Lawv yog cov subspecies uas twb tau piav qhia hom thiab npaj rau kev kho mob peptic ulcer, carcinoma, mob plab , metastases.
Nws yuav tsum tau muab sau tias phais mob phais tam sim no yog tsis haum rau cov neeg tau piav qhia. Qhov kev cuam tshuam minimally invasive tsis pub kom muaj feem ntau cov kev ntsuam xyuas ntawm qhov vastness ntawm cov nqaij npuas. Yog li, kev kho plab laparoscopic no tsis yog siv, los yog tau sau heev tsis tshua muaj, feem ntau yog nyob rau hauv thawj theem ntawm tus qog tsis muaj kev loj hlob ntawm metastases.
Qhov yuav tshwm sim thiab muaj teeb meem tom qab lub plab rov hauv plab
Zoo li cov kev ua haujlwm hauv lub cev, qhov txheej txheem no yog txuam nrog kev pheej hmoo ntawm kev tsis pom mob. Feem ntau, lawv cov tagnrho hu ua post-resection syndrome, qhov tshwm sim feem ntau yog kev mob anastomosis thiab cov xaib tom qab lub plab tom qab lub plab, tom qab ib lub voj voos "vicious circle" tshwm sim.
Nyob rau hauv thawj rooj plaub, muaj ib qho muaj zog o ntawm gastrointestinal anastomosis. Ntxiv kev vam meej ntawm pathology yog nrog nws cov vaiv, kev ua txhaum ntawm kev khiav tawm ntawm cov ntsiab lus ntawm plab hnyuv siab raum. Ntawm cov tsos mob tshwm sim - ntuav, xeev siab, qaug zog hauv lub plab ntawm kua thiab roj cua, kis mus rau.
Thaum cov kev xaib xaib no tshwm sim xws li:
- zawv plab;
- ntuav;
- tsis muaj zog, qaug zog;
- mob taub hau;
- tsaus muag thiab kiv taub hau;
- nce lub plawv dhia.
Txoj kev no yog los ntawm kev ua txhaum cai ntawm kev tawm tsam, mob ceev ceev.
Qhov kev sibtham "vicious vojvoog" yog qhia txog cov ntsiab lus ntawm lub plab feem ntau los ntawm tus neeg tsav tsheb. Vim hais tias ntawm lub txeej ntawm cov hnyuv, nws rov muab pov tseg rau hauv lub koom txoos thiab kev quav yeeb tshuaj tshwm sim:
- dyspepsia ;
- qaug;
- tsis muaj qab los noj mov;
- khaus ntuav heev li xwb.
Rehabilitation tom qab resection ntawm lub plab
Thawj lub sij hawm tom qab kev phais pom zoo kom so txaj los yog ua qoj ib ce tsawg kawg nkaus, thaum lub duav tau yoojyim.
Nyob rau hauv lub neej yav tom ntej, tus neeg mob yuav tsum ua raws li kev noj haus tshwj xeeb, uas yog thawj zaug nyob rau hauv kev kho mob yoo mov (2-4 hnub), tom qab ntawd - muab kev pab cuam los ntawm kev siv tshuaj thiab kev sojntsuam. Nrog kev rov zoo, kev noj tshuaj yog tsim tau, cov hauv paus ntsiab lus:
- Kev txwv ntawm ntsev.
- Txais tos ntawm yooj yim assimilable dishes (mucous soups, mashed qos yaj ywm, compotes, mos-boiled qe).
Hauv qhov no, nws yog ib qho tseem ceeb rau kev ua txhua yam khoom noj kom txhij txhua, dua li ncau los yog khib nyiab, thiab ua tib zoo zom, txawm zaub thiab txiv hmab txiv ntoo.
Tom qab 10-14 hnub ntawm kev noj haus no raug pom zoo los nthuav cov zaub mov:
- cov nqaij muaj roj tsawg nrog cov ntsiab lus ntawm cov khoom muaj protein ntau, ntses;
- cereal, cereals.
Nws yog ib qho tseem ceeb kom tsis txhob noj cov carbohydrates nyob rau hauv daim ntawv ntawm dawb hmoov thiab ci khoom muag los ntawm nws, sugars. Nyuaj txwv tsis pub ua:
- txhua yam khoom noj khoom haus;
- cov khoom haus luam yeeb;
- kev txuag;
- fatty lauj kaub tais diav.
Tag nrho rov qab nrog kev ua raws cai nruj nrog cov cai no tshwm sim hauv 2-5 xyoos.