He hopena no ka ʻeha pinepine o ka umauma! E aʻo kākou e pili ana i ke ʻoki ʻana o ka Nissen Fundoplication ma nā ʻōlelo maʻalahi

Loaʻa pinepine iā ʻoe ka ʻeha puʻuwai? Manaʻo ʻoe ua paʻa kekahi mea i loko o kou puʻu a i ʻole ka umauma? Manaʻo ʻoe e hoʻi mai ana ka meaʻai āu e ʻai ai i kou puʻu? Ua kapa ʻia kēia e ka poʻe he "gastritis." Ua kapa ʻia kēia ʻano ma ke ʻano lapaʻau ʻo Gastroesophageal Reflux Disease, a i ʻole (GERD) no ka pōkole. ʻAʻole hiki iā ʻoe ke hoʻopau i kēia pilikia ʻoiai ke lawe nei i ka lāʻau lapaʻau a me ka kaohi ʻana i kāu ʻai? A laila he mea nui loa kēia iā ʻoe. E nānā kākou i kahi hopena holomua no kēia, ʻo ke ʻoki kino.

He aha kēia ʻoki kino Nissen Fundoplication?

I ka ʻōlelo maʻalahi, he hana hana kēia i hana ʻia e mālama i ka maʻi reflux gastroesophageal koʻikoʻi (GERD).

E noʻonoʻo i kēia ʻano. Ke ʻai kākou, iho ka meaʻai i loko o ka esophagus a i loko o ka ʻōpū. Ma waena o ka esophagus a me ka ʻōpū he kiwikā i kapa ʻia he sphincter e hana ana e like me ka puka. Ke moni kākou, wehe kēia kiwikā a hoʻokuʻu i ka meaʻai e hele i loko o ka ʻōpū. A laila pani paʻa ia. Hana ia i kēia e pale aku i nā waikawa ʻino i loko o ka ʻōpū mai ka hoʻi hou ʻana mai i loko o ka esophagus.

Akā i loko o kekahi me GERD, ʻaʻole hana pono kēia valve. He palupalu. No laila, piʻi maʻalahi ka waikawa i loko o ka ʻōpū, ʻo ia hoʻi, i loko o ka esophagus. ʻO ia ke kumu e loaʻa ai iā ʻoe nā hōʻailona e like me ka heartburn a me ka ʻono ʻawaʻawa i kou puʻu.

Eia ka mea e hana ʻia ana ma kahi Nissen Fundoplication. Lawe ke kauka lapaʻau i ka ʻaoʻao o luna o ka ʻōpū (ka fundus) a kāʻei iā ia a puni ka ʻaoʻao lalo o ka esophagus. Ua like ia me ke kau ʻana i kahi kāʻei a puni kahi mea palupalu. Hoʻoikaika hou kēia kāʻei ʻana i ka valve palupalu. A laila noho ka waikawa ʻōpū i loko o ka ʻōpū a ʻaʻole e piʻi aʻe.

Aia kekahi mau ʻano like ʻole o kēia ʻoki kino?

ʻAe, aia kekahi mau ʻano nui o kēia ʻoki kino, ma muli o ka nui o ka ʻiʻo o ka ʻōpū i kāʻei ʻia a puni ka esophagus. E wehewehe kāu kauka ʻoki iā ʻoe i ke ʻano hana kūpono loa no kou kūlana.

He aha kaʻu e pono ai e hana ma mua o ke ʻoki kino?

Ma hope o ka hoʻoholo ʻana e hana i ke ʻoki kino, e kauoha kāu kauka i kekahi mau hoʻokolohua. Hana ʻia kēia e nānā inā ua haiki kou esophagus, pehea e hana ai, a inā he maʻi kou i kapa ʻia he hiatal hernia . ʻO ka hiatal hernia kahi hernia kahi e hoʻokuke ai kahi ʻāpana o ka ʻōpū i luna ma o ka diaphragm i loko o ka umauma. Hiki i kēia ke hoʻonui i nā hōʻailona GERD. Inā loaʻa iā ʻoe kēia maʻi, e hoʻoponopono ke kauka ʻoki kino iā ia i ka manawa like me ke ʻoki kino.

Eia nā hoʻokolohua i hana pinepine ʻia:

• ʻO ka Endoscopy Kiʻekiʻe: Hoʻokomo ʻia kahi paipu me kahi kāmela i hoʻopili ʻia ma o ka waha e nānā i loko o ka esophagus a me ka ʻōpū.
• Hoʻāʻo Manometry Esophageal: He hoʻāʻo e ana i ka maikaʻi o ka ʻaelike ʻana o nā ʻiʻo o ka esophagus, ʻo ia hoʻi, pehea ka maikaʻi o kā lākou hana.
• Hoʻāʻo Nānā pH: He hoʻāʻo e ana i ka nui o ka waikawa i loko o kou esophagus ma luna o kahi manawa o 24 mau hola.
• Nā kukuna X-ray o ka ʻōpū (GI): Lawe ʻia nā kiʻi kukuna X o ka esophagus a me ka ʻōpū ma hope o kou inu ʻana i kahi wai kūikawā (barium). Nānā ʻia ke ʻano a me ka hana o ka esophagus a me ka ʻōpū.

Eia kekahi, e aʻo ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea ma hope o ke aumoe o ka pō ma mua o ke ʻoki kino. He mea nui loa ia e hahai pololei i kēia mau kuhikuhi.

Pehea e hana ʻia ai ke ʻoki kino?

Hiki ke hana ʻia kēia ʻoki kino ma nā ʻano nui ʻelua. E hāʻawi ʻia ʻoe i ka anesthesia laulā, no laila ʻaʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki kino, e hiamoe ana ʻoe.

ʻO ka maʻamau, ma kahi o hoʻokahi a ʻekolu hola ka lōʻihi e hoʻopau ai i kēia ʻoki kino.

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?

Nā Pōmaikaʻi

ʻO ka pōmaikaʻi nui o kēia ʻoki kino, ʻo ia ka hāʻawi ʻana i ka hōʻoluʻolu mai nā hōʻailona GERD koʻikoʻi i hiki ʻole i nā lāʻau ʻē aʻe ke kaohi. Hoʻemi pū ia i ka pilikia o ka hoʻomohala ʻana i ka esophagus Barrett, kahi kūlana e hiki ke ulu i ka hala ʻana o ka manawa ma muli o GERD. ʻO ka esophagus Barrett kahi kūlana precancerous e hiki ai ke alakaʻi i ka maʻi ʻaʻai o ka esophagus.

Nā Pōpilikia (Nā Pilikia)

E like me nā ʻoki kino āpau, aia kahi pilikia o ka maʻi. Akā ʻo ka pilikia nui ka hiki ke hoʻi hou mai nā hōʻailona ma hope o kekahi manawa. Wahi a kekahi mau noiʻi, ma kahi o 10% o ka poʻe i loaʻa i kēia ʻoki kino e pono paha e hana hou ʻia.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Pehea ka lōʻihi e hoʻōla ai?

Ma hope o ke ʻoki ʻana, pono ʻoe e noho ma ka haukapila no hoʻokahi lā a i ʻole kekahi mau lā.

• Inā ua loaʻa iā ʻoe kahi ʻoki hāmama, hiki iā ʻoe ke hoʻokomo i kahi paipu nasogastric manawa pōkole ma kou ihu e hoʻokahe i kekahi wai e hōʻiliʻili ana i loko o kou ʻōpū.
• E hāʻawi ʻia ʻoe i ka saline (nā wai IV) e pale ai i kou kino mai ka maloʻo ʻana.
• E hoʻolako ʻia ka meaʻai ma o ka saline a hiki i ka wā e hoʻomaka hou ai kou mau ʻōpū e hana maʻamau (ʻo ia hoʻi, a hiki i kou puka ʻana i ke kinoea a i ʻole ka ʻōpala).

Ka Manawa Hoʻōla

He mea nui loa ka hoʻomaha no nā lā mua ma hope o ke ʻoki kino. Ma hope o kēlā, hiki iā ʻoe ke hoʻi mālie i kāu mau hana maʻamau. Eia nō naʻe, inā he kanaka hoʻoikaika kino nui ʻoe, e aʻo aku kāu kauka iā ʻoe e hana i nā hoʻoikaika kino māmā wale nō no kekahi mau pule.

Hiki i ke keiki i hana ʻia kēia ʻoki kino ke hoʻi i ke kula i loko o kekahi mau lā, akā pono e pale i ka holo ʻana, ka lele ʻana, a i ʻole nā ​​​​haʻuki ikaika no ka liʻiliʻi o ʻekolu pule.

ʻAi

Hiki paha iā ʻoe ke loaʻa i kahi ʻeha puʻu i nā lā mua ma hope o ke ʻoki ʻana. No laila, pono ʻoe e ʻai i nā wai a me nā meaʻai palupalu no nā lā 7-10 mua .

• E hoʻomaka me nā wai e like me nā protein shakes a me nā smoothies.
• A laila hiki iā ʻoe ke neʻe i nā meaʻai palaka e like me ka yogurt, nā hua manu i kāwili ʻia, pasta, a me ka laiki.
• He mea nui loa e noho mamao aku mai nā meaʻai ʻala, ʻaila, a me nā meaʻai paʻakikī ke ʻeli i kēia manawa.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻike koke i ke kauka.

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana i ka home ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka.

• Inā ʻoi aku ke kahe o ke koko ma ka ʻoki ma mua o ka mea i manaʻo ʻia.
• Inā ʻike ʻoe i nā hōʻailona o ka maʻi :
• Inā he pehu nui a puni ka ʻoki.
• Inā he kuni kou.
• Inā he ʻulaʻula a puni ka ʻoki.
• Inā mehana ka ʻili a puni ka ʻoki ke pā aku.
• Inā manaʻo ʻoe e hoʻi mai ana kāu mau hōʻailona GERD i loaʻa ma mua o ke ʻoki ʻana .

Inā ʻoe kekahi kanaka i lawe i ka lāʻau lapaʻau, kāohi i kāu ʻai, a hana i nā mea āpau akā ke ʻeha nei i kēia ʻano wela i loko o ka umauma a me ka pilikia reflux acid, ʻo ke ʻoki ʻana ʻo Nissen Fundoplication he hopena maikaʻi paha ia nou. Hiki i kēia ke lawe mai i ka hōʻoluʻolu nui i kou ola. No ka ʻike hou aku e pili ana i kēia, a no ka hoʻoholo ʻana inā kūpono kēia iā ʻoe, e kamaʻilio me kāu kauka.