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gastrofundoplikacija, dar vadinama laparoskopine stemplinės angos diafragmos išvaržos arba gastroezofaginio refliukso operacija. Jos tikslas – padėti pacientams, kuriems nustatyta stemplinės angos diafragmos išvarža ar pacientai kenčia nuo gastroezofaginio refliukso (GERL), kai medikamentinis gydymas nebepadeda. Minėtų ligų metu rūgštus skrandžio turinys nevalingai grįžta atgal į stemplę, nudegina ją. Taip stemplėje susidaro žaizdelės. Liga nustatoma 3–4 proc. pacientų.\u003C\u002Fp>\u003Cp>Pagrindinė GERL atsiradimo priežastis – apatinio stemplės raumeninio žiedo (dar vadinamu rauku) nepakankamumas. Kai rauko būklė yra nepakitusi, maistas stemple slenka į skrandį, stemplės apačioje esantis raumeninis žiedas uždaro maisto grįžimą į stemplę Atsiradus stemplės rauko nepakankamumui, dalis skrandžio turinio grįžta į stemplę ir sukelia simptomus – rėmens graužimą, diskomfortą už krūtinkaulio, krenkštimą, o ligai progresuojant ir maisto atpylimą.\u003C\u002Fp>\u003Cp>Operacijos metu abdominalinės (pilvo) chirurgijos gydytojas apsuka dalį skrandžio sienos aplink stemplės apatinę dalį taip suformuojant naują raumeninį žiedą, kuris sustiprina atsipalaidavusį apatinį stemplės rauką. Atlikus laparoskopinę operaciją, raukas patikimai uždaro skrandį ir padeda išvengti refliukso.\u003C\u002Fp>\u003Ch3>\u003Cstrong>Kam atliekama laparoskopinė gastrofundoplikacija?\u003C\u002Fstrong>\u003C\u002Fh3>\u003Cp>Ši procedūra atliekama pacientams, kuriems nustatyta gastroezofaginio refliukso liga (GERL). Nemalonus reiškinys, kai skrandžio turinys patenka atgal į stemplę, kartais nutinka daugeliui žmonių ir dažniausiai nesukelia ilgalaikių sveikatos problemų. Vis dėlto, dažnai ir ilgai pasikartojantys epizodai, kai rūgštus skrandžio turinys patenka į stemplę, gali pažeisti stemplės sieną, aplinkinius audinius, pabloginti dantų, burnos gleivinės būklę ir sukelti ilgalaikį fizinį diskomfortą. Tai ženkliai pablogina pacientų gyvenimo kokybę, todėl reikalingas efektyvus gydymas.\u003C\u002Fp>\u003Cp>Ši operacija yra puikus sprendimas pacientams, sergantiems GERL, kai nustatoma stemplinės angos diafragmos išvarža. Tai greitas būdas greitai ir ilgam atsisveikinti su šia nemalone būkle ir ją lydinčiomis sveikatos problemomis.\u003C\u002Fp>\u003Ch3>\u003Cstrong>Kaip atliekama procedūra?\u003C\u002Fstrong>\u003C\u002Fh3>\u003Cp>Laparoskopinė gastrofundoplikacija atliekama bendrinėje nejautroje, todėl pacientas nejaučia skausmo ar diskomforto. Operuojama naujos kartos laparoskopu su integruota didelės raiškos vaizdo kamera ir kiti specialūs instrumentai.\u003C\u002Fp>\u003Cp>Įprastai atliekami keli maži pjūveliai iki 5–10 mm. Per juos į pilvo ertmę įkišama speciali kamera ir chirurginiai instrumentai. Abdominalinės chirurgijos gydytojas aplink stemplę apsuka dalį skrandžio sienos ir suformuoja vožtuvą – raumeninį žiedą, kurio paskirtis sustiprinti apatinį stemplės rauką ir neleisti skrandžio turiniui atsipilti į stemplę.\u003C\u002Fp>\u003Ch3>\u003Cstrong>Pooperacinis periodas ir gijimas\u003C\u002Fstrong>\u003C\u002Fh3>\u003Cp>Tai minimaliai invazyvi operacija, todėl jos metu atlikti odos pjūviai užgis per porą savaičių. Vis dėlto, svarbu atkreipti dėmesį, kad Jūsų stemplė ir skrandis po chirurginės intervencijos gis maždaug 6–8 savaites, todėl visu šiuo metu būtina laikytis gydytojo nurodyto mitybos ir poilsio režimo.\u003C\u002Fp>\u003Cp>Laparoskopinė fundoplikacija atliekama tausojant aplinkinius audinius, jie nėra pažeidžiami. 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