Ua ālai ʻia kou ʻōpū a ʻaʻole e neʻe pono ana kāu meaʻai? A i ʻole ua haʻi aku kāu kauka iā ʻoe e pili ana i kahi ʻoki kino i kapa ʻia ʻo "gastrojejunostomy"? He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe i kahi inoa e like me kēia, a me ka manaʻo nui i ke kaumaha ma kou manaʻo no ka mea he paʻakikī iki nā huaʻōlelo. Akā, mai hopohopo. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo. Ua like ia me ke kūkulu ʻana i alanui bypass hou e pale aku i ke kaʻa nui ma ke alanui.
He aha ka Gastrojejunostomy?
I ka ʻōlelo maʻalahi, he hana ʻoki kino ka gastrojejunostomy e hoʻololi i ke ʻano o ka hele ʻana o ka meaʻai. Pili ia i ka hana ʻana i kahi pilina hou, a i ʻole kahi alahele, ma waena o kou ʻōpū a me ka jejunum, ka ʻāpana waena o kou ʻōpū liʻiliʻi.
E noʻonoʻo, ʻo ka meaʻai a mākou e ʻai ai e hele ana mai ka ʻōpū a i ka ʻāpana mua o ka ʻōpū liʻiliʻi, kahi a mākou e kapa nei ʻo ka duodenum . Akā inā no kekahi kumu he paʻa i loko o kēia duodenum, he maʻi, a i ʻole he paʻa i loko o ka pylorus, ʻaʻole hiki i ka meaʻai ke hele i mua. ʻO ia ka manawa e hana ai nā kauka i kēia bypass, ʻo ia hoʻi, he ala hou. Ma kēia, ʻaʻole hele ka meaʻai i ka duodenum, akā pololei mai ka ʻōpū a i ka jejunum. Ua kapa ʻia kēia pilina hou he anastomosis i ka lāʻau lapaʻau.
I kekahi manawa, hoʻohana ʻia kēia inoa no kahi hana liʻiliʻi kahi e hoʻokomo ʻia ai kahi ʻōmole hānai i loko o ka ʻōpū liʻiliʻi e hoʻouna i ka meaʻai. Akā, ʻaʻole kēlā ke ʻoki kino nui a mākou e kamaʻilio nei, he mea ʻē aʻe kēlā.
No ke aha ʻoe e pono ai e hana i kēia ʻano ʻoki kino?
Aia kekahi mau kumu nui no kēia ʻoki kino. I kekahi manawa hana ʻia ia ma ke ʻano he lāʻau lapaʻau no kahi maʻi, a i kekahi manawa hana ʻia ia e pale aku i kahi pilikia e hiki mai ana.
| Kūlana | I ka ʻōlelo maʻalahi... |
|---|---|
| Ka Pale ʻana o ka Puka ʻŌpū (GOO) | Ka ālai ʻana o ke ala e puka ai ka meaʻai mai ka ʻōpū. Paʻa ka meaʻai i loko o ka ʻōpū ma kahi o ka hiki ʻana i nā ʻōpū. |
| Ka Pale ʻana o ka Duodenal | Ka pale ʻana o ka ʻāpana mua o ka ʻōpū liʻiliʻi (duodenum), aia ma hope o ka ʻōpū. |
| Ka maʻi ʻōpū a i ʻole Duodenal | He puʻupuʻu maʻi ʻaʻai e ālai ana i ka esophagus a i ʻole e pono ai ke ʻoki ʻana e wehe i ka puʻupuʻu. |
| Maʻi ʻUlu Peptic | ʻO nā pilikia e like me ke kahe ʻana o ke koko a me ka ʻeha ma muli o nā ʻōpū ʻōpū hiki ke hana i ka ālai ʻana o ke ala ʻai. |
Nā hihia o ke ʻoki kino ma ke ʻano he ana pale
I kekahi manawa, hana ʻia kēia ʻoki kino e pale ai i kahi pilikia ma mua o ka lilo ʻana i pilikia.
- Inā ua ʻeha nui ka duodenum (trauma): Inā ua hōʻino ʻia ka duodenum, e like me kahi ulia, a manaʻo ke kauka he mea weliweli ke hoʻohele i ka meaʻai ma o ia mea a hiki i ka wā e ho'ōla ai, e hana ʻia kahi ala hou e hoʻohele i ka meaʻai a hiki i ka wā e ho'ōla ai ka ʻeha.
- ʻO ke Kanesa Pancreatic i Hiki ʻole ke Wehe ʻia: Inā ua ulu ke kanesa pancreatic kokoke i ka duodenum a ʻaʻole hiki ke wehe ʻia, hiki ke hana ʻia kēia ʻoki e kāpae iā ia ma mua o kona ulu nui ʻana e ālai i ka paipu meaʻai.
Eia kekahi, hoʻohana ʻia kēia ʻano hana ma ke ʻano he ʻāpana o kekahi mau ʻoki pohō kaumaha . ʻO kahi laʻana ʻo ke ʻoki bypass gastric Roux-en-Y. ʻO ka pahuhopu ka hōʻemi ʻana i ka nui o ka meaʻai e hiki ke lawe ʻia i loko o ka ʻōpū a me ka nui o nā meaola e hiki ke omo ʻia mai nā ʻōpū.
He aha ka mea e hana ʻia ma mua o ke ʻoki kino?
Ma mua o kou hele ʻana i ke ʻoki kino, he mea nui e hoʻomākaukau pono iā ʻoe iho. ʻOiai inā he paʻa kou ʻōpū, ʻaʻole paha ʻoe e hiki ke ʻai pono no kekahi manawa, e luaʻi paha, maloʻo loa , a nele i ka meaʻai . No laila e hana ka hui lapaʻau i nā mea āpau e hiki ai iā ʻoe ke hoʻihoʻi iā ʻoe i ke olakino maikaʻi loa.
| Lapaʻau | Wehewehena |
|---|---|
| Nā Wai IV | Ke hāʻawi ʻana i ka saline . Kōkua kēia i ke kaulike hou ʻana i nā electrolytes i hoʻopau ʻia i loko o ke kino. |
| IV Meaʻai | Ka hāʻawi ʻana i ka meaʻai e pono ai ma o ka wai saline i hāʻawi pololei ʻia i loko o kahi aa koko no ka mea ʻaʻole hiki iā ʻoe ke ʻai. |
| Hoʻoili koko | Inā he anemia, e hāʻawi i ke koko. |
| Nā lāʻau lapaʻau | E hoʻomaka i ka mālama ʻana i nā lāʻau antibiotic ma hope o ke ʻoki ʻana ma mua e pale aku i ka maʻi. |
| Hoʻopau ʻana i ka ʻōpū | Hoʻokomo ʻia kahi ʻōmole nasogastric ma o ka ihu e wehe i kekahi mea i paʻa mai ka ʻōpū a hoʻēmi i ke kaomi. He palekana nō hoʻi kēia no ka anesthesia. |
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
ʻO ka maʻamau, ʻelua a ʻehā hola ka lōʻihi o kēia hana ʻoki kino. I loko o kēia, e hahai ke kauka i kēia mau ʻanuʻu:
1. E hoʻokomo ʻia ʻoe ma lalo o ka anesthesia laulā . ʻO ke ʻano kēia e hiamoe maikaʻi ʻoe a hiki i ka pau ʻana o ke ʻoki ʻana.
2. Hoʻokomo ʻia kahi ʻōmole ma o ka ihu e hōʻemi i ke kaomi i loko o ka ʻōpū.
3. Hana i ke ʻoki ʻōpū, ma o ke ʻoki hāmama a i ʻole laparoscopically , ʻo ia hoʻi he mau ʻoki liʻiliʻi wale nō i hana ʻia a hoʻokomo ʻia kahi kāmela i loko o ka lua ʻōpū. He pōkole ka manawa hoʻōla o ke ʻoki laparoscopic a he liʻiliʻi nā ʻeha.
4. Loaʻa ka wahi kikoʻī o ka pilikia ma ke ala ʻai.
5. Koho ʻia kahi kūpono mai ka jejunum, kahi ʻāpana o ka ʻōpū liʻiliʻi, a ua pili ia ma ka liʻiliʻi he 5 kenimika ma luna o ka ʻāpana o ka pilikia ʻōpū.
6. Nānā ʻia ka anastomosis i hana hou ʻia e ʻike inā e hana pono ana a inā he mau leaka.
7. Inā maikaʻi nā mea a pau, e humuhumu ʻia nā ʻoki a hoʻopau ʻia ke ʻoki ʻana.
He aha ka mea e hana ma hope o ke ʻoki ʻana a he aha nā pilikia?
Pono ʻoe e noho i ka haukapila no kekahi mau lā ma hope o ke ʻoki ʻana. E lōʻihi ka manawa no kou ʻōpū a me kou naʻau e hoʻomaka hou e hana maʻamau. Hiki iā ʻoe ke manaʻo i ka luaʻi no nā lā mua, a lohi iki paha kou naʻau. Pono kekahi poʻe e loaʻa kahi ʻōmole ihu no kekahi mau lā.
ʻO ka mea mua, e hāʻawi ʻia ʻoe i nā wai a me nā meaʻai ma o ka saline, a laila e hoʻolauna mālie ʻia i nā meaʻai wai, a laila i kahi papaʻai palupalu ma mua o ka hoʻouna ʻia ʻana i ka home.
E like me nā ʻoki kino āpau, aia kekahi mau pilikia e pili ana. Nā mea e like me ke kahe ʻana o ke koko, nā ʻūpā koko, a me ka hōʻino ʻana i nā ʻōpū a puni. Akā, he mea kākaʻikahi loa kēia.
Aia kekahi mau pilikia a me nā hopena ʻaoʻao lōʻihi e pili ana i kēia ʻoki kino.
| Pilikia/Hopena ʻaoʻao | He aha ka mea e hana nei me kēia? (He aha ka mea e hana nei?) |
|---|---|
| Nā pilikia koke | |
| Ka Leaka Anastomotic | Ke kahe ʻana o ka pilina i hana hou ʻia. He mea kākaʻikahi kēia, akā he koʻikoʻi. Inā ulu kahi maʻi i loko o ka lua ʻōpū a pālahalaha i ke koko, hiki ke hoʻoweliweli i ke ola. |
| Nā hopena ʻaoʻao lōʻihi | |
| ʻO ka maʻi hoʻolei | ʻIke ʻia nā hōʻailona e like me ka nausea, ka pehu ʻana, a me ka ʻeha o ka ʻōpū ma hope o ka ʻai ʻana no ka mea ua hele koke ka meaʻai mai ka ʻōpū a i loko o ka ʻōpū liʻiliʻi. I ka hapanui o nā hihia, e nalo ana kēia ma hope o kekahi manawa. |
| ʻUlu ʻaoʻao | Ma muli o ke komo pololei ʻana o nā waikawa o ka ʻōpū i loko o ka jejunum, ʻaʻole hiki i ka jejunum ke kū i kēlā mau waikawa, e hana ana i nā ʻōpū. |
| ʻO ka reflux bile | Ke kahe hou ʻana o nā wai ʻai, e like me ka bile, mai nā ʻōpū i loko o ka ʻōpū. Hiki i kēia ke hōʻino i nā paia o ka ʻōpū. |
ʻEhia ka lōʻihi e ho'ōla ai a āhea wau e kāhea aku ai i ke kauka ?
ʻO ka maʻamau, ʻeono pule ka lōʻihi e ho'ōla piha ai. Eia nō naʻe, hiki ke loli kēia ma muli o ke ʻano o ke ʻoki kino āu i hana ai (hāmama a laparoscopic paha) a me ka nui o ke ʻoki kino. E hāʻawi kāu hui lapaʻau iā ʻoe i nā kuhikuhi no ka mālama ʻana i kou ʻeha ma hope o kou hoʻi ʻana i ka home, pehea e hoʻokele ai i ka ʻeha, a me ka wā e hiki ai iā ʻoe ke hoʻi hou i nā hana maʻamau.
He mea nui loa: Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma hope o kou hoʻi ʻana i ka home, e haʻi koke aku i kāu kauka a i ʻole ka haukapila. Mai hoʻopanee i kēia.
- Inā ʻoe e ʻike i ka ʻulaʻula, ka ʻeha, ka pehu ʻana, a i ʻole ka mehana ma kahi o ka ʻeha (he mau hōʻailona kēia o ka maʻi).
- Kuni (ma luna o 38 Celsius / 100 Fahrenheit).
- Inā paʻakikī ke kāohi i ka ʻeha.
- Inā pilikia ʻoe i ka ʻai ʻana, ka mālama ʻana i ka meaʻai i lalo, a inā hoʻomau ʻoe i ka luaʻi.
- Inā loaʻa iā ʻoe ka maʻi diarrhea mau loa.
- Inā melemele kou ʻili a i ʻole nā keʻokeʻo o kou mau maka.
E hana kēia ʻoki kino i kahi ʻokoʻa nui i kāu ʻōnaehana hoʻoheheʻe. Hiki iā ia ke lilo i mea hoʻololi ola no kou olakino. No laila, mai hele wale i kēia huakaʻi. E kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai ma mua a ma hope o ke ʻoki kino. Aia mau lākou ma laila e kōkua iā ʻoe.
Leka Lawe-Home
- ʻO ka Gastrojejunostomy kahi ʻoki kino e hana ai i kahi alahele hou ma waena o ka ʻōpū a me ka ʻōpū liʻiliʻi.
- Hana nui ʻia kēia ma ke ʻano he lāʻau lapaʻau no nā kūlana e like me ke ālai ʻana o ka ʻōpū, ka maʻi ʻaʻai, a i ʻole nā ʻeha koʻikoʻi.
- He mea nui loa ia e hoʻoikaika i kou olakino ma mua o ke ʻoki ʻana, a he manawa ka lōʻihi e hoʻōla ai ma hope o ke ʻoki ʻana.
- Ma hope o ke ʻoki ʻana, pono ʻoe e hoʻololi i kāu meaʻai a me kou nohona, a he mea nui e hahai i nā ʻōlelo a kāu kauka.
- Inā ʻike ʻoe i kekahi mau hōʻailona e like me nā hōʻailona o ka maʻi ʻeha, ke kuni, ka ʻeha hiki ʻole ke kāohi, a i ʻole ka paʻakikī i ka ʻai ʻana, e ʻimi koke i ke kōkua lapaʻau.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 🥩 He aha nā meaʻai waiwai i ka hao? No ke aha lākou i koʻikoʻi ai no kēia ʻoki kino?
Waiwai i ka hao nā meaʻai e like me ka ʻiʻo ʻulaʻula, ka pī, ka sipinaki, a me nā lentil. Ma muli o ka hoʻololi ʻia ʻana o ke ala o ka ʻai ʻana i ka wā o ka gastrojejunostomy, hiki ke hoʻemi ʻia ka omo ʻana o ke kino i ka hao. ʻO ia ke kumu he mea nui hoʻi ka hao i ka wā e kūkākūkā ai i kēia ʻoki kino.
💬 🩺 Hiki paha ke loaʻa ka anemia ma hope o kēia ʻoki kino (Gastrojejunostomy)?
ʻAe, hiki nō. ʻO kēia no ka mea e hele ana ka meaʻai ma ke kahua nui o ka omo ʻana o ka hao i ka wā o kēia ʻoki kino. No laila, ma waho aʻe o ka ʻai ʻana i nā meaʻai waiwai i ka hao, pono kekahi poʻe e lawe i nā mea hoʻohui hao e like me ke kauoha a kā lākou kauka.
💬 🍋 Pehea e ʻai ai au e omo maikaʻi i ka hao?
I ka ʻai ʻana i nā meaʻai waiwai i ka hao, e hoʻohui i kahi mea me ka wikamina C, e like me nā lemona a i ʻole nā ʻalani. E maʻalahi kēia i kou kino ke omo i ka hao, ʻoiai ma hope o ke ʻoki ʻana. Akā e hoʻomanaʻo, mai inu i ke kī a i ʻole ke kofe ma hope o ka ʻai ʻana, no ka mea, ke kāohi nei lākou i ka omo ʻana o ka hao.
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