Kubantu abathanda ukudla, ukudla ukudla okumnandi ngokukhululekile kuyinjabulo ngempela. Kodwa abanye abantu balahlekelwe injabulo enjalo, futhi kunzima ngisho nokudla ngendlela evamile......
Muva nje, uMnu.Jiang waseJiangxi weza esibhedlela sase-Shanghai Tongji ezokwelashwa.Cishe eminyakeni emithathu edlule,wathola ukuthi njalo uma edla ngokushesha, umphimbo wawuminyanisa. Lesi simo sinjalosobala nakakhulu lapho udla ukudla okunzima. Kamuva,lokho akudlayo kuzophalaza ngisho ngqo.
Lesi sibonakaliso saba sibi nakakhulu kamuva.Kuze kube kamuva, wayekwazi ukugwinya uhlamvu olulodwa lwerayisi ngesikhathi, futhi ngezinye izikhathi wayeba nobuhlungu obukhulu esifubeni sakhe.. OkaMnu. Jiangisisindo siphinde sehla sisuka kumakhilogremu angaba ngu-75 saya ku-60 kilogram.
Ukuze kuxazululwe inkinga "yokudla kanzima", uMnu. Jiang wafuna ukwelashwa yonke indawo. Ngemva kokuhlolwa esibhedlela, kwatholakala ukuthiukudla okudliwe nguMnu. Jiang akuzange kungene nakancane esiswini eduze komminzo, kodwa kwakuvinjwe emthonjeni.!
Yingakho uMnu. Jiang eba nezimpawu ezifana nalezii-reflux yokudla kanye nomphimbo ominyanisiwe. Lokhu kuye kwabafuthi kwaholela ekwandeni okusobala kweshubhu likaMnu. Jiang's esophage ngaphansi kwengcindezi yokudla.
Kungani kwenzeka lesi simo?
USolwazi Shuchang Xu, unobhala weKomidi leQembu kanye noDokotela Omkhulu woMnyango Wezifo Zokugaya ukudla esibhedlela saseTongji eShanghai, ubanjwe ngokucophelela.i-gastroscopy kanye nokuhlolwa kwengcindezi ye-gastroesophagealkaMnu. Jiang.
Ngemva kokuhlolwa, kwatholakala ukuthii-sphincter yesiguli ku-cardia ayikwazanga ukuphumula kahle,okubangela ukuthi ukudla kuvinjwe "unkulunkulu womnyango" lapho ifika ku-cardia ngomminzo.Ukudla okuningi "kuzokwenqatshwa" futhi kuqoqwe emgomeni.Ngasikhathi sinye,ngenxa yokuvuleka komminzo, umminzo awukwazi ukunyakaza ngendlela evamile futhi awukwazi ukuletha ukudla esiswini.
Igama elisemthethweni lalesi sifo lithiachalasia. Nakubaizinga lesigameko aliphezulu kakhulu, lizoletha ubuhlungu obukhulu ezigulini.Umthelela oqondile wukuthi ukudla kuba umsebenzi onzima kakhulu.
Ezinye iziguli zidinga ngisho nokudla ukudla cishe amahora amathathungaphambi kokuba ukudla ezikudlayo kufinyelele kancane kancane esiswini; Ezinye iziguli ziyeukuthembela ekudleni okuwuketshezi ukuze balondoloze ukutholakala kwabo okunomsoco,ngakho-ke iziguli ezinalesi sifo zivame ukulahlekelwa isisindo, futhi imbangela yalesi sifo okwamanje ayicacile.
Ukuze kuvunyelwe uMnu.Jiang ukuthi adle ngokujwayelekile, ochwepheshe bezokwelapha base-Shanghai Tongji Hospital kanye noSolwazi Xu Shuchang basebenze ndawonye ukuze batadishe uhlelo lokwelapha.
Njengamanje, kunezindlela ezimbalwa eziyinhloko zokwelapha i-achalasia,okokuqala ukusebenzisa izidakamizwa ukuphumuza imisipha ye-sphincter ye-cardia yesiguli, kodwa umphumela walokhu kwelashwa awumuhle; okwesibili ukwenza i-cardia dilation ngaphansi kwe-gastroscopy, kodwa le ndlela yokwelapha ingaxazulula izinkinga zesikhashana kuphela; okwesithathu ukujova ubuthi be-botulinum ku-cardia sphincter ngaphansi kwe-endoscopy, kodwa le ndlela iphinde yelapha izimpawu kodwa hhayi imbangela.
Ekugcineni, ochwepheshe bezokwelapha baseTongji Hospital eShanghai banquma ukwenzaI-Preoral endoscopic myotomyukusiza uMnu. Jiang ukuqeda ngokuphelele izinkinga zakhe.
I-preoral endoscopic myotomy ebizwa nangokuthi "POEM".Indlela yokusebenza yalokhu kuhlinzwa iwukuba kuqala wenze imbobo encane endaweni ye-mucosal yodonga lwe-gastroesophageal, bese ubhoboza i-endoscope ngaphansi kwe-mucosa.Ngalo "mhubhe", i-endoscope ithola umsipha oshubile kakhulu ku-cardia. ,ukusika kuvula le ngxenye yomsipha, futhi kuxegise ngokuphelele i-esophageal sphincter.Lokhu kungaxazulula ngokuyisisekelo inkinga ye-achalasia ye-cardia.
Ngemva kokuhlinzwa cishe ihora, umsipha kaMnu. Jiang ku-cardia wavuleka ngempumelelo.Ngakolunye uhlangothi, ngenxa yokuthi ukuhlinzwa kwe-POEM kwenziwa nge-endoscopy, ukuhlukumezeka kwesiguli kuncane kakhulu.UMnu. Jiang angaphuza amanzi phakathi namahora angu-24 futhi aqale kabusha ukudla okuvamile esikhathini esingangesonto.
Kusuka Ezindabeni Ezibomvu Zenkanyezi
Isikhathi sokuthumela: Apr-22-2024