y l khi Bm m mt hn quc bt kp con ngi x Hn d dy overfills
vi khng kh, thc n v bn khng th gim bt p lc bi nng hoc nn ma. Nhng triu chng ny t t tt hn cho hu ht mi ngi. au v kh khn khi nut. iu ny c gi l chng kh nut. Trong hu ht mi ngi, iu ny i xa trong 3 thng u tin sau khi phu thut. S tr v ca thot v hernia hoc tro ngc. Bn c th cn xt nghim sau: Cc xt nghim mu ( mu ton din , cht in gii , hoc xt nghim gan) o p lc thc qun ( o p lc trong thc qun) hoc theo di pH ( xem c bao nhiu axit d dy s tr li vo thc qun ca bn) Ni soi. Hu nh tt c nhng ngi phu thut chng tro ngc ny c th nghim ny. Nu bn cha c th nghim ny, bn s cn phi lm iu . X-quang thc qun Lun lun ni vi bc s hay y t nu bn: Bn c th mang thai Bn ang dng bt c loi thuc, v thm ch c thuc b, hoc dc tho qu v mua m khng cn toa Trc khi phu thut ca bn: Bn cn phi ngng dng aspirin, ibuprofen (Advil, Motrin), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), v bt k loi thuc hoc cht b sung m nh hng n ng mu vi ngy n mt tun trc khi phu thut khc. Hy hi bc s ca bn m cc loi thuc bn vn nn i vo ngy phu thut ca bn. Vo ngy phu thut ca bn: Khng n hoc ung bt c th g sau na m ca m trc khi phu thut. Dng cc loi thuc bc s bo bn mang theo mt ngm nc nh. Tm m trc hoc vo bui sng thc hin phu thut. Bc s hoc y t ca bn s cho bn bit khi n bnh vin. Sau khi cc th tc Hu ht nhng ngi c phu thut ni soi c th ri khi bnh vin trong vng 1-3 ngy sau khi lm th thut. Bn c Bm m mt hn quc bt kp con ngi x Hn th cn li bnh vin trong 2-6 ngy nu bn c phu thut m. Hu ht cc bnh nhn tr li lm vic 2-3 tun.
Outlook (Tin lng)
Anti-reflux phu thut l mt hot ng an ton. nng v cc triu chng khc s c ci thin sau khi phu thut. Mt s ngi vn cn phi dng ma ty v nng sau khi phu thut. Bn c th cn mt phu thut trong tng lai nu bn pht trin cc triu chng tro ngc mi hoc cc vn nut. iu ny c th xy ra nu d dy c bc xung quanh thc qun qu cht, qun ni lng, hoc thot v hernia mi pht trin. Anti-reflux phu thut l phu thut tht cht cc c bp di cng ca thc qun (ng mang thc n t ming n d dy). Vn vi cc c ny c th dn n bnh tro ngc d dy thc qun (GERD). Phu thut ny cng c th c thc hin trong mt thot v hernia sa cha. Bi vit ny bn v chng tro ngc sa cha phu thut tr em. Miu t Cc loi ph bin nht ca chng tro ngc phu thut c gi l fundoplication. Phu thut ny thng mt 2-3 gi. Con qu v s c cung cp cho gy m tng qut trc khi phu thut. iu c ngha l tr s ng v khng th cm thy au trong khi lm th thut. Cc bc s phu thut s s dng mi khu bc phn trn ca d dy ca con qu v vo khong cui ca thc qun. iu ny gip ngn chn acid d dy v thc phm t chy ngc tr ln. Mt ng d dy (g-tube) c th c a ra nu con qu v nut hoc n cc vn . ng ny gip vi cho n v gii phng kh t d dy ca con qu v. Mt phu thut, c gi l pyloroplasty cng c th c thc hin. Phu thut ny m rng vic m gia d dy v rut non d dy trng rng c th nhanh hn. Phu thut ny c th c thc hin bng nhiu cch, bao gm: M sa cha: Cc bc s phu thut s lm cho mt phn ln vng bng ca tr (bng). Sa cha ni soi: Bc s phu thut s lm cho 3-5 vt ct nh trong bng. Mt ng mng, rng vi mt camera nh xu trn kt thc (mt ng ni soi) c t thng qua mt trong nhng ct gim ny. Cc cng c khc c truyn qua cc vt ct phu thut khc. Cc bc s phu thut c th Bm m mt hn quc bt kp con ngi x Hn cn phi chuyn sang m m nu c chy mu, rt nhiu m so t ca phu thut trc , hoc nu a tr l rt tha cn.