ʻO ka ʻōpū kekahi o nā ʻōkana koʻikoʻi loa i loko o ko kākou kino e mālama ana i ka meaʻai āu e ʻai ai a hoʻomaka e hoʻoheheʻe iā ia. Akā i kekahi manawa, ʻoiai inā loaʻa kahi maʻi koʻikoʻi e like me ke kanesa ʻōpū, hiki i kēia ʻōpū ke hōʻeha i ko kākou kino. ʻO ia ka manawa e hoʻoholo ai nā kauka e wehe i kahi hapa a i ʻole ka ʻōpū holoʻokoʻa. ʻO kēia ka mea a mākou e kapa nei he `(Gastrectomy)`. ʻOiai he ʻoki kino nui kēia, ua ʻike anei ʻoe hiki iā ʻoe ke ola maikaʻi me ka ʻōpū ʻole? E kamaʻilio kākou e pili ana i kēia me nā kikoʻī.
He aha maoli ke ʻano o ke ʻoki ʻana o ka gastrectomy?
I ka ʻōlelo maʻalahi, he hana ʻoki kino ka gastrectomy e wehe ai i kahi hapa a i ʻole kou ʻōpū holoʻokoʻa. Mālama ka ʻōpū i ka meaʻai a mākou e ʻai ai no kekahi manawa, a laila hoʻouna iā ia i ka ʻōpū liʻiliʻi kahi e hiki ai ke hoʻoheheʻe ʻia a omo ʻia.
ʻElua ʻano nui o kēia ʻoki kino:
- ʻO ka Gastrectomy holoʻokoʻa: ʻO kēia ka wehe ʻana i kou ʻōpū holoʻokoʻa.
- ʻĀpana Gastrectomy: Ma kēia, ʻāpana wale nō o ka ʻōpū e wehe ʻia. He ʻokoʻa nā inoa o kēia mau ʻoki ma muli o ka nui o ka mea i wehe ʻia. No ka laʻana, ma kahi "Subtotal Gastrectomy", ma kahi o 80% o ka ʻōpū e wehe ʻia. Eia kekahi, ʻo ke ʻoki "Gastric Sleeve", kahi i hana ʻia ma ke ʻano he lāʻau lapaʻau no ka momona, he ʻano gastrectomy hapa nō hoʻi.
No ke aha ʻoe e hana ai i kēia ʻano ʻoki kino?
Hana pinepine ʻia kēia ʻoki kino ma ke ʻano he lāʻau lapaʻau no ka maʻi ʻōpū. Hiki iā ia ke kōkua i ka hoʻōla ʻana i ke kanesa a i ʻole ke kāohi ʻana i kona laha ʻana. Hiki ke hoʻohana ʻia hoʻi e kāohi i nā hōʻailona e like me ka ʻeha a me ke kahe ʻana o ke koko ke hiki ʻole ke hoʻōla ʻia ke kanesa.
Hoʻohana ʻia ka Gastrectomy no kekahi mau maʻi ʻē aʻe ma waho aʻe o ke kanesa. Hana pinepine ʻia ia ma ke ʻano he koho hope loa ke ʻole i kōkua nā lāʻau lapaʻau a me nā hoʻololi ʻana i ke ʻano o ka nohona.
| Kūlana olakino | Wehewehena |
|---|---|
| Nā puʻupuʻu maikaʻi ʻole | E wehe i nā ʻōpū e hoʻoulu ai i nā hōʻailona a i ʻole e lilo paha i maʻi kanesa ma hope. |
| ʻO ka maʻi ʻōpū | Inā loaʻa iā ʻoe ka mumū nui o ka ʻōpū a i ʻole nā ʻeha i hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau. |
| Maʻi ʻUlu Peptic | Inā he mau ʻeha kou e hōʻino ai i nā paia o ka ʻōpū a ʻaʻole e ho'ōla. |
| Momona | Ma ke ʻano he ʻoki pohō kaumaha (Bariatric Surgery) e kaohi i nā pae momona maikaʻi ʻole. |
| Nā ʻeha o ka ʻōpū | Inā ua hōʻeha kahi ulia i ka ʻiʻo o ka ʻōpū. |
| Ka pilikia o ka maʻi ʻaʻai hoʻoilina | Hana ʻia kēia ʻoki kino e pale aku i ka pilikia nui o ka loaʻa ʻana o ka maʻi ʻōpū inā loaʻa kahi mutation i loko o ka gene CDH1. |
Pehea e hoʻomākaukau ai ma mua o ke ʻoki kino?
ʻOiai he hana ʻoki kino nui kēia, he mea nui loa e hoʻomākaukau pono no ia.
- E kamaʻilio me kāu kauka: E haʻi i kāu kauka e pili ana i kāu mōʻaukala olakino piha, nā lāʻau lapaʻau āpau, nā huaora, a me nā lāʻau lapaʻau Ayurvedic āu e lawe nei. Mai poina e haʻi iā lākou e pili ana i nā maʻi allergies āu e loaʻa ai.
- E olakino: He mea nui e noho maikaʻi loa ma mua o ke ʻoki kino. E hoʻoponopono i kāu papaʻai a me ka papa hana hoʻoikaika kino e like me nā kuhikuhi a kāu kauka.
- Mai puhi paka: Inā he mea puhi paka ʻoe, pono ʻoe e hoʻōki loa i ka puhi paka i kekahi mau pule ma mua o ke ʻoki kino. E hoʻomaikaʻi nui kēia i nā hopena o ke ʻoki kino.
- E hoʻoponopono i kāu mau lāʻau lapaʻau: Pono paha ʻoe e hoʻōki i ka lawe ʻana i nā lāʻau lapaʻau e like me nā lāʻau hoʻokahe koko, nā lāʻau hoʻomaha ʻeha (NSAID), aspirin, a me warfarin. E haʻi pololei kāu kauka iā ʻoe i nā lāʻau lapaʻau e hoʻōki a me nā mea e hoʻomau i ka lawe ʻana.
- Hoʻokē ʻai: ʻAʻole hiki iā ʻoe ke ʻai a inu paha i kekahi mea no kekahi mau hola ma mua o ke ʻoki kino. E hahai pono i nā kuhikuhi.
- Kekahi e kōkua ma ka home: Pono ʻoe i kekahi e hoʻokele iā ʻoe i ka home mai ka haukapila. Eia kekahi, ʻoi aku ka maʻalahi o ka loaʻa ʻana o kekahi e kōkua i nā hana o ka home i kou wā e hoʻōla ana.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
I ka wā o ke ʻoki ʻana, e noho ʻoe ma lalo o ka anesthesia piha, ʻo ia hoʻi, ʻaʻole ʻoe e ʻeha a ʻike ʻole paha.
1. Anesthesia: E hoʻohiamoe ʻia ʻoe e kahi lāʻau lapaʻau i hāʻawi ʻia i loko o kou aa a hiki i ka pau ʻana o ke ʻoki ʻana.
2. Catheterization: Hoʻokomo ʻia kahi catheter e hōʻiliʻili i ka mimi. Eia kekahi, hoʻokomo ʻia kahi paipu (ʻo "Nasogastric tube") ma o ka ihu a i loko o ka ʻōpū e wehe i nā mea o loko o ka ʻōpū. Ma hope mai, hiki ke hāʻawi ʻia ka lāʻau lapaʻau a me ka meaʻai ma o kēia paipu.
3. ʻŌpū Gastric bypass: Wehe ke kauka ʻoki i kahi hapa a i ʻole ka ʻōpū holoʻokoʻa ma o kahi ʻoki nui (Open Surgery) a i ʻole ma o kekahi mau ʻoki liʻiliʻi me ka hoʻohana ʻana i kahi kāmela (Laparoscopy). I ke ʻano o ka maʻi kanesa, wehe ʻia nā lymph node a puni ia e nānā inā ua laha ka maʻi kanesa.
4. Ke kūkulu hou ʻana o ke ala ʻai: ʻO kēia ka hana koʻikoʻi aʻe. E kūkulu hou ke kauka ʻoki i kou ala ʻai. Inā ua wehe ʻia kekahi hapa o ka ʻōpū, e pili pū ka ʻōpū liʻiliʻi i ke koena. Inā ua wehe ʻia ka ʻōpū holoʻokoʻa, e pili pololei ka ʻōpū liʻiliʻi i ka esophagus.
5. Humuhumu: ʻO ka hope loa, ua pani ʻia nā ʻoki me nā humuhumu.
Hiki i kēia ʻoki kino ke hala ma kahi o 5 mau hola, ma muli o ke ʻano o ke ʻoki kino āu e hana ai.
He aha ka mea e hana ʻia ma hope o ke ʻoki ʻana a pehea ka lōʻihi e hoʻōla ai?
Ma hope o ke ʻoki kino, pono ʻoe e noho ma ka haukapila no hoʻokahi a ʻelua paha pule. I loko o kēia manawa, e mālama pono nā limahana lapaʻau iā ʻoe.
- ʻAi ʻana: I ka wā mua, e hānai ʻia ʻoe ma o kahi aʻa koko a i ʻole kahi paipu i kau ʻia i loko o kou ʻōpū. Ke ho'ōla ʻia kou mau ʻeha, hiki iā ʻoe ke hoʻomaka e lawe i nā meaʻai wai ma ka waha. A laila, e hoʻolauna mālie ʻia ʻoe i nā meaʻai palupalu e like me ka porridge, a laila nā meaʻai māmā maʻamau.
- Kaohi ʻeha: Hāʻawi ʻia ka lāʻau lapaʻau e kaohi i ka ʻeha.
- Ka manawa ho'ōla: He huakaʻi kēia e hala ana i nā mahina . Hiki ke hala ma kahi o ʻelua mahina no ka ho'ōla ʻana o nā ʻeha. Hiki ke hala i 3-6 mahina a ʻoi aku paha no ke kino e loaʻa hou ai ka ikaika a hoʻomaʻamaʻa i kahi papaʻai hou . E hāʻawi i kou kino i ka manawa e pono ai e ho'ōla, a e hoʻomanawanui.
He aha nā pilikia a me nā pilikia o kēia ʻoki kino?
E like me nā ʻoki kino āpau, aia nā pilikia maʻamau e like me ka maʻi, nā hopena maʻi i ka anesthesia, a me nā ʻūpā koko. Eia kekahi, aia paha kekahi mau pilikia e pili ana i kēia ʻoki kino.
| Ka pilikia | He wehewehe maʻalahi |
|---|---|
| Ka Leaka Anastomotic | Ke liki nei ka meaʻai mai nā wahi i hoʻopili hou ʻia (nā humuhumu). |
| ʻO ka maʻi hoʻolei | Neʻe wikiwiki loa ka meaʻai i loko o ka ʻōpū liʻiliʻi ma mua o ka hoʻoheheʻe pono ʻia ʻana. Hiki i kēia ke hana i ka pehu ʻana, ka nausea, ka ʻeha o ka ʻōpū, a me ka maʻi pākī. |
| Ka ʻai ʻole ʻana | ʻAʻole hiki i ke kino ke omo pono i nā meaʻai e pono ai, hiki iā ia ke alakaʻi i nā kūlana e like me ka anemia. |
| ʻO ka reflux bile | ʻO ka bile i hana ʻia i loko o ke akepaʻa e kahe i hope i loko o ka ʻōpū a i ʻole ka esophagus. |
| Hernia kūloko | Nā ʻāpana o ka ʻōpū liʻiliʻi e puka mai ana mai kahi ʻāpana ʻē aʻe o ka ʻōpū. Hiki i kēia ke lilo i kūlana e pono ai ka mālama ʻana i ka pilikia. |
Inā loaʻa iā ʻoe kekahi ʻano ʻoluʻolu ʻole e like me kēia, e haʻi koke aku i kāu kauka.
Hiki iā ʻoe ke ola i kahi ola maʻamau ma hope o kahi gastrectomy?
ʻAe, hiki nō iā ʻoe! Hiki iā ʻoe ke ola i kahi ola olakino a maʻamau. Akā, pono ʻoe e maʻa i kahi "maʻamau hou" i ka wā e pili ana i kāu mau ʻano ʻai.
- E ʻai liʻiliʻi a pinepine: Ma kahi o 3 mau ʻai nui i ka lā, e ʻai ma kahi o 6 mau ʻai liʻiliʻi.
- E hoʻololi i kāu ʻai: ʻO nā meaʻai kiʻekiʻe i ka fiber (nā cereals, nā berena) a me nā huahana waiū paha he mea paʻakikī ke ʻeli i ka wā mua. E hoʻāʻo e ʻike i ka mea e kūpono loa iā ʻoe.
- Nā wikamina a me nā mea hoʻohui: Me ka ʻōpū ʻole, he paʻakikī i ke kino ke omo i kekahi mau meaolaola, ʻoiai ka wikamina B12. E lawe i nā wikamina a me nā mea hoʻohui e pono ai e like me ke kuhikuhi a kāu kauka.
- Hoʻomaha a hoʻoikaika kino:E hoʻomaha nui. Eia kekahi, e hana i nā hoʻoikaika kino māmā e like me ka hele wāwae me ka ʻole o ke kaumaha i kou kino. Hiki i kēia ke kōkua i ka pale ʻana i nā pilikia e like me ke koko ʻana.
Āhea wau e ʻike ai i ke kauka?
E hōʻoia e hele i kāu mau manawa ma ke keʻena lapaʻau ma hope o ke ʻoki kino. Eia kekahi, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona a i ʻole e ʻoi aʻe ka ʻino, e hoʻomaopopo koke i kāu kauka.
- Ka luaʻi a me ka luaʻi
- Ka maʻi pākī
- ʻEha ʻōpū a pehu paha
- ʻUlaʻula, pehu, mehana, a i ʻole ka pus ma kahi ʻeha ʻoki
- kuni
Leka Lawe-Home
- ʻOiai he ʻoki kino nui ka gastrectomy, he lāʻau koʻikoʻi loa ia e hoʻopakele ai i nā ola mai nā maʻi e like me ke kanesa.
- He mea nui loa ke ahonui no ka mea, he mau mahina e ho'ōla piha ai.
- Ma hope o ke ʻoki ʻana, pono ʻoe e hoʻololi mau i kāu mau ʻano ʻai. E hoʻomaʻamaʻa i ka ʻai ʻana i nā meaʻai liʻiliʻi a pinepine.
- E hahai mau i nā ʻōlelo aʻo a kāu kauka e pili ana i ka ʻai, nā huaora, a me ka hoʻoikaika kino.
- Ke hoʻomaʻa ʻoe i kēia mau loli, hiki iā ʻoe ke ola i kahi ola olakino piha.
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