Panguva yekurapa kwemamwe magomarara, kubviswa kwe membrane inomisa dumbu ndeimwe yefungidziro. Omentectomy mugomarara inogona kudzivirira kusagadzikana asiwo kuwedzera kurarama. Muzviitiko zvipi zvinoratidzwa? Ndezvipi zvinobatsira? Ngatitarisei maitiro aya.

Kuvhiya kunogona kuva chikamu chekurapa kwegomarara. Mhando uye chiyero chekuvhiya chinokurukurwa neboka remarudzi akawanda: vanachiremba, oncologists uye radiologists. Pamwe chete, vanoshanda pamwe chete kuti vaone nguva yakanaka yekuvhiyiwa, zvichienderana nechirwere uye mamwe marapiro. 

Omentectomy inzira inobviswa yese kana chikamu chemadziro edumbu. Nyama inoda kubviswa inonzi omentum. Iyi nhengo ine mafuta inoumbwa ne peritoneum iri pasi pedumbu rinovhara chikamu checolon. Iyi nzira inoshandiswa kutarisa kuvepo kwekenza masero. Iyi nzvimbo inonziwo "guru omentum", saka zita rekuti omentectomy rinopihwa kupindira uku.

Iyo yakakura omentum inhengo ine mafuta inovhara nhengo dziri mudumbu, iyo peritoneum. 

Isu tinosiyanisa:

• Iyo shoma omentum, kubva mudumbu kusvika kuchiropa;
• Iyo yakakura omentum, iri pakati pedumbu uye inotenderera colon.

Omentectomy inonzi ine chidimbu kana chikamu chimwe chete che omentum chabviswa, yakazara kana chiremba anovhiya achibvisa zvachose. Iyo ablation haina mhedzisiro chaiyo.

Izvi zvinogona kuitwa panguva yekuvhiyiwa kenza.

Kuvhiya uku kunoratidzwa kune varwere vane gomarara revakadzi reovary kana chibereko uye gomarara rekudya rinosanganisira mudumbu. 

Yakapoteredzwa ne peritoneum, iyo omentum inodzivirira nhengo dzedumbu. Inoumbwa nemafuta ane mafuta, tsinga dzeropa, uye masero anodzivirira zvirwere. 

Kubviswa kwe omentum kunogona kudikanwa:

• Muchiitiko chekurwiswa nemaseru atova nekenza mumaovari, chibereko kana ura;
• Sekuchengetedza: kune vanhu vane kenza mune imwe nhengo iri pedyo neomentum, omentectomy inoitwa kuti irege kupararira ipapo;
• Muzviitiko zvisingawanzoitiki, kana kuzvimba peritoneum (peritonitis);
• Murudzi rwechipiri chirwere cheshuga: nekuderedza huwandu hwemafuta enyama pedyo nedumbu, zvinokwanisika kudzorera zviri nani insulin senitivity.

Omentectomy inogona kuitwa nenzira mbiri:

• kana kuti laparoscopy: Mavanga madiki mana ari mudumbu anoita kuti kamera nezvishandiso zvipfuure. Inoda kuchipatara kwemazuva 4-2 chete;
•  kana laparotomy: vanga rakakura repakati rakamira pakati pe thorax uye pubis rinobvumira dumbu kuvhurika. Kuchipatara kunenge mazuva 7-10, zvichienderana nezviito zvakaitwa panguva yekuita.

Mitsipa yeropa inotenderera muomentum inosungirirwa (kuitira kumisa kana kudzivirira kubuda kweropa). Zvadaro, omentum yakanyatsoparadzaniswa kubva kune peritoneum isati yabviswa.

Omentectomy inowanzoitwa pasi peanesthesia panguva imwe chete nekumwe kuvhiyiwa. Muchiitiko chegomarara revakadzi, kubviswa kwemaovary, uterine chubhu, kana chibereko zvinotarisirwa. Muchiitiko ichi, zvino ichipatara chakakosha chinoda kugara imwe nhamba yemazuva kumba.

Muchirwere chegomarara, kufungidzira mushure mekubviswa kwe omentum kunoenderana nedanho rechirwere. Kazhinji, gomarara ratove padanho repamusoro. Kupindira kwekuvhiya kunobvumira:

• Kuderedza matambudziko akadai sekuunganidzwa kwemvura mudumbu (ascites);
• Kuwedzera kupona kwemwedzi yakati wandei. 

Nekufamba kwenguva, mhedzisiro yekubvisa omentum haisati yanyatsozivikanwa, sezvo kubatanidzwa kweichi tishu kunoramba kusinganzwisisike.

Mushure mokupindira, munhu wacho anocherechedzwa uye anotarisirwa muimba yekuchengetedzwa kwakanyanya. Kazhinji, vanhu vanogona kutamiswa zuva rinotevera kune zuva unit. 

Kurapa uye kutarisirwa kwekutevera kunoenderana nerudzi uye danho rechirwere chegomarara. Kana nzira yacho ichiitwa pamunhu ane kenza, inogona kuteverwa nekemotherapy zvikamu zvekugadzirisa mikana yekupora. 

Ngozi dzine chekuita nekupindira uku dzinoenderana:

• Neanesthesia: njodzi yeallergic reaction kune chigadzirwa chinoshandiswa;
• Ane chirwere cheronda; 
• Muzviitiko zvisingawanzoitiki, kukonzera ileus yakaoma, kureva, kusungwa kwekufamba kwematumbo;
• Kunyanya, kuvhiyiwa kunogona kukuvadza chimiro chakatenderedza: perforation ye duodenum semuenzaniso, chikamu chekutanga chemukati mudiki.