Kubantu abakuthandayo ukutya, ukutya ukutya okumnandi ngesisa kuluyolo ngokwenene.Kodwa abanye abantu baphulukane nolo lonwabo, kwaye kunzima nokutya okuqhelekileyo ……
Kutshanje, uMnu.Jiang waseJiangxi weza kwiSibhedlele saseShanghai Tongji ukuze afumane unyango. Malunga neminyaka emithathu eyadlulayo,wafumanisa ukuba qho xa esitya ngokukhawuleza, umqala wakhe wawuminxeka.Le mekokubonakala ngakumbi xa usitya ukutya okunzima.Kamva,into ayityayo ide igabhe ngqo.
Olu phawu luye lwaba lukhulu ngakumbi kamva.De kube kamva, wayekwazi ukuginya ukhozo olunye kuphela lwerayisi ngexesha, yaye maxa wambi wayesiba neentlungu eziqatha esifubeni sakhe..KaMnu. Jiang'subunzima nabo behla ukusuka malunga neekhilogram ezingama-75 ukuya kuma-60 eekhilogram.
Ukuze kulungiswe ingxaki "yokutya kunzima", uMnu. Jiang wafuna unyango lwezonyango kuyo yonke indawo.Emva kokuxilongwa esibhedlele, kwafunyaniswa ukubaukutya awayekutyile uMnumzana Jiang akuzange kungene esuswini ecaleni komqalazo kwaphela, kodwa kwakuvalekile kummizo.!
Yiyo loo nto uMnu Jiang wavelisa iimpawu ezifanai-reflux yokutya kunye nomqala oxutywe.Oku kuyekwakhona kwakhokelela ekwandiseni ngokucacileyo ityhubhu yommi kaMnu Jiang phantsi koxinzelelo lokutya.
Kwakutheni ukuze kwenzeke le meko?
UNjingalwazi uShuchang Xu, uNobhala weKomiti yeQela kunye noGqirha oyiNtloko weSebe leGastroenterology kwiSibhedlele saseTongji eShanghai, uqhutywe ngononophelo.i-gastroscopy kunye novavanyo loxinzelelo lwe-gastroesophagealkuMnu. Jiang.
Emva kovavanyo, kwafunyaniswa ukubai-sphincter yesigulane kwi-cardia ayikwazanga ukuphumla kakuhle,ebangela ukuba ukutya kuvinjwe "nguthixo womnyango" xa ifikelela kwi-cardia nge-esophagus.Ukutya okuninzi kuya "kwaliwa" kwaye kuqokelele kwi-esophagus.Ngexesha elifanayo,ngenxa yokuncipha kommizo, ummizo awukwazi ukuhamba ngokuqhelekileyo kwaye awukwazi ukuhambisa ukutya esiswini.
Igama elisemthethweni lesi sifoachalasia.Nangonaizinga lezehlo aliphezulu kakhulu, liya kuzisa intlungu enkulu kwizigulane.Impembelelo ethe ngqo kukuba ukutya kuba ngumsebenzi onzima kakhulu.
Ezinye izigulana zide zifune ukutya malunga neeyure ezintathungaphambi kokuba ukutya ezikutyayo kufikelele ngokuthe ngcembe esiswini;Ezinye izigulana ziyeukuthembela kukutya okungamanzi ukugcina isondlo sabo,ngoko izigulane zesi sifo zihlala zinciphisa umzimba, kwaye unobangela wesi sifo okwangoku awukacaci.
Ukuze avumele uMnu Jiang ukuba adle ngokuqhelekileyo, iingcali zonyango zaseShanghai Tongji Hospital kunye noProfesa Xu Shuchang basebenze kunye ukuze bafunde isicwangciso sonyango.
Okwangoku, kukho iindlela ezininzi eziphambili zokunyanga i-achalasia,eyokuqala kukusebenzisa iziyobisi ukukhulula i-sphincter muscle ye-cardia yesigulana, kodwa umphumo wolu nyango awulungile;okwesibini kukwenza i-cardia dilation phantsi kwe-gastroscopy, kodwa le ndlela yonyango inokusombulula iingxaki zexesha elifutshane kuphela; eyesithathu kukufaka i-botulinum i-toxin kwi-cardia sphincter phantsi kwe-endoscopy, kodwa le ndlela iphinda iphathe iimpawu kodwa kungekhona unobangela.
Ekugqibeleni, iingcali zonyango kwiSibhedlele saseTongji eShanghai zagqiba ekubeni ziqhubeI-myotomy yangaphambili ye-endoscopicukunceda uMnu. Jiang ukuba azilahle ngokupheleleyo iingxaki zakhe.
I-endoscopic myotomy yangaphambili ikwabizwa ngokuba yi "POEM".Indlela yokusebenza yolu tyando kukuqala ukwenza i-incision encinci kwindawo ye-mucosal yodonga lwe-gastroesophageal, kwaye emva koko uqhube i-endoscope phantsi kwe-mucosa. Ngale "tunnel", i-endoscope ifumana i-muscle enzima kakhulu kwi-cardia. , ukusika kuvula le nxalenye yesihlunu, kwaye kukhulula ngokupheleleyo i-sphincter ye-esophageal. Oku kunokusombulula ngokusisiseko ingxaki ye-achalasia ye-cardia.
Emva kotyando olumalunga neyure, isihlunu sikaMnu. Jiang kwi-cardia savuleka ngempumelelo.Kwelinye icala, ngenxa yokuba utyando lwe-POEM lwenziwa nge-endoscopy, ukwenzakala kwisigulane kuncinci kakhulu.UMnu. Jiang unokusela amanzi kwiiyure ezingama-24 kwaye aphinde aqalise ukutya okuqhelekileyo malunga neveki.
Ukusuka kwiiNdaba zeRed Star
Ixesha lokuposa: Apr-22-2024