Ke ʻike pinepine nei ʻoe i ka ʻeha puʻuwai? E aʻo kākou e pili ana i ke ʻoki kino Nissen Fundoplication no GERD

Loaʻa iā ʻoe kekahi ʻano e manaʻo mau ai i kahi ʻala wela i loko o kou umauma a me kahi ʻono ʻawaʻawa i loko o kou puʻu? Ke ʻoi aku ka ʻino o kēia ʻano inā he ʻala iki ka meaʻai āu e ʻai ai, a inā ʻoe e moe i lalo no kekahi manawa ma hope o ka ʻai ʻana i ka pō? ʻO kēia ka hōʻailona nui o kahi ʻano i kapa ʻia e ka poʻe he "gastritis", akā ma nā ʻōlelo lapaʻau mākou e kapa nei iā ia he Gastroesophageal Reflux Disease, a i ʻole GERD no ka pōkole. I kekahi manawa, ʻoiai ka lawe ʻana i ka lāʻau lapaʻau a me ka hoʻololi ʻana i ke ʻano o ka nohona ʻaʻole ia e hōʻemi i kēia ʻano hoʻonāukiuki. I kēlā mau manawa, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻoki kūikawā a nā kauka e ʻōlelo nei.

ʻO ka mea mua, he aha ka GERD?

I ka ʻōlelo maʻalahi, ʻo GERD kahi maʻi e kū mai ana i loko o kā mākou ʻōnaehana hoʻoheheʻe. Aia kahi ʻōmole e lawe ana i ka meaʻai a mākou e ʻai ai mai ko mākou waha a i ko mākou ʻōpū (ʻōpū), a kapa mākou ia he esophagus . ʻO ka maʻamau, aia kahi valve ma waena o ka esophagus a me ka ʻōpū e pale aku i nā waikawa ikaika i loko o ka ʻōpū, e kōkua ana i ka hoʻoheheʻe ʻana i ka meaʻai, mai ke kahe ʻana i luna o ka esophagus.

Akā i loko o GERD, ʻaʻole hana pono kēia valve, no laila ke kahe hou nei ka waikawa o ka ʻōpū a me ka meaʻai i ʻeli ʻia i loko o ka esophagus. He mea maikaʻi inā hana ʻia kēia i hoʻokahi a ʻelua paha manawa, akā i ka wā e hana mau ai a i ʻole maʻi mau, kapa mākou iā ia ʻo GERD. ʻO kēia waikawa ke kumu e manaʻo ai ʻoe i nā mea e like me ke kuni ʻana i kou umauma a me ka ʻeha o ka puʻu.

No laila he aha kēia ʻoki kino Nissen Fundoplication?

ʻAe, e kamaʻilio kākou e pili ana i kēia ʻoki kino. ʻO Nissen Fundoplication kahi ʻoki kino aʻu i ʻōlelo ai ma mua e hoʻoponopono i ke kūlana GERD. ʻO ka hana a kēia, ʻo ia ka hoʻoikaika ʻana i ka ʻāpana e hana ana e like me ka valve kahi e hui ai ka esophagus a me ka ʻōpū.

Pehea e hana ʻia ai? E noʻonoʻo e lawe ana kā mākou kauka lapaʻau i ka ʻaoʻao o luna o ka ʻōpū (kapa mākou iā ia ʻo ka fundus) a kāʻei iā ia a puni ka ʻaoʻao lalo o ka esophagus a hoʻopaʻa iā ia. Ua like ia me kā mākou lawe ʻana i kahi ʻāpana lole a kāʻei iā ia a puni kahi paipu a nakinaki i kahi puʻupuʻu. Hoʻopaʻa kēia i ka ʻāpana e like me ka valve wehe, e pale ana i ka waikawa o ka ʻōpū mai ka hoʻi ʻana mai i luna. ʻO kēia ka mea nui e hana ʻia me kēia ʻoki kino.

ʻElua ala e hana ai i kēia ʻoki kino.

Hana nā kauka i kēia ʻoki kino ma nā ʻano nui ʻelua. Na kāu kauka e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe ma muli o kou kūlana.

ʻO wai ka makemake e hana i kēia ʻoki kino?

ʻAʻole pono nā kānaka a pau me GERD i kēia ʻoki kino.

Eia nō naʻe, inā ʻaʻole i hoʻomaikaʻi ʻia kāu mau hōʻailona me ka nānā ʻole i kēia mau hana, a inā ʻaʻole ʻoe ʻoluʻolu i ka lawe ʻana i ka lāʻau lapaʻau no ka manawa lōʻihi a i ʻole ke ʻike nei ʻoe i nā hopena ʻaoʻao ʻē aʻe mai ka lāʻau lapaʻau, hiki i kāu kauka ke paipai iā Nissen Fundoplication. Hiki ke hana ʻia kēia ʻoki kino ma nā keiki a me nā pākeke.

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

Ma hope o ka hoʻoholo ʻana e hana i ke ʻoki ʻana, e kauoha kāu kauka i kekahi mau hoʻokolohua e loiloi pololei i ke kūlana o kou esophagus a me ka ʻōpū.

• Nā kukuna X-ray GI (Barium Swallow): Ua moni ʻia kahi wai kūikawā i kapa ʻia ʻo barium a lawe ʻia nā kiʻi X-ray i kona hele ʻana i lalo o ka esophagus. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he paʻa i loko o ka esophagus.
• Manometry Esophageal: Hoʻokomo ʻia kahi ʻōmole liʻiliʻi ma kou ihu i loko o kou esophagus a ana i ke kaomi i loko o nā ʻiʻo o kou esophagus ke ale ʻoe i kahi mea.
• ʻO ka Endoscopy Kiʻekiʻe: ʻO ka hoʻāʻo "endoscopy" a mākou a pau i ʻike ai. Hoʻokomo ʻia kahi ʻōmole me kahi kāmela i hoʻopili ʻia ma o ka waha a nānā i ka esophagus, ka ʻōpū, a me ka hapa mua o ka ʻōpū liʻiliʻi.
• pH Probe: He hoʻāʻo e ana i ka nui o ka waikawa i loko o ka esophagus a me ka lōʻihi o kona noho ʻana ma laila.

Hiki i kēia mau hoʻokolohua ke ʻike i kekahi manawa i kahi kūlana i kapa ʻia he hiatal hernia . ʻO kēia ka wā e puka ai ka ʻaoʻao o luna o ka ʻōpū i loko o ka lua umauma. Hiki i kēia ke hoʻonui i nā hōʻailona GERD. Hiki ke hoʻoponopono ʻia kēia kūlana me ke ʻoki ʻana.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino?

Ke ala ʻoe ma hope o ke ʻoki kino, aia ʻoe i loko o ka lumi mālama maʻi.

• E ʻeha iki paha kou puʻu i nā lā mua ʻelua.
• Inā ua hana ʻia ʻoe i ke ʻoki hāmama, e hoʻokomo ʻia kahi ʻōmole (Nasogastric - NG tube) ma kou ihu e hoʻokahe i kekahi wai e hōʻiliʻili ana i loko o kou ʻōpū. E wehe ʻia ia ma hope o kekahi manawa.
• A hiki i kou hiki ke ʻai a inu hou, e hāʻawi ʻia ʻoe i nā wai ma o ka laina IV.
• Ke hoʻokuʻu ʻoe i ke kinoea a i ʻole ka neʻe ʻana o ka ʻōpū, ʻo ia hoʻi ke hoʻomaka nei kāu ʻōnaehana hoʻoheheʻe e hana maʻamau. Ma hope o kēlā, hiki iā ʻoe ke hoʻomaka mālie e ʻai.

ʻO ka maʻamau, inā loaʻa iā ʻoe ke ʻoki laparoscopic, hiki iā ʻoe ke hoʻi i ka home i hoʻokahi a ʻelua paha lā. Inā loaʻa iā ʻoe ke ʻoki hāmama, pono ʻoe e noho i ka haukapila no kekahi mau lā.

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

E like me nā koho ʻē aʻe, loaʻa i kēia kekahi mau pono a me nā pilikia liʻiliʻi.

ʻO ka pōmaikaʻi nui ka hōʻoluʻolu nui mai nā hōʻailona GERD. Ua pau ka ʻeha mau a me ka regurgitation. Kōkua pū ia i ka hōʻemi ʻana i ka pilikia o ka loaʻa ʻana o ke kanesa esophageal (ʻo Barrett's esophagus) ma muli o GERD i ka wā lōʻihi. ʻOi loa inā hana ʻia ke ʻoki laparoscopically, ʻoi aku ka liʻiliʻi o ka ʻeha, ka wikiwiki o ka hoʻōla ʻana, a me ka noho pōkole ʻana i ka haukapila.

I ka wā e pili ana i nā pilikia , ʻo ka mea nui, i kekahi manawa ʻaʻole mau loa ka hōʻoluʻolu mai kēia ʻoki kino. He kakaikahi loa ka poʻe e pono e hana hou i ke ʻoki kino i loko o kekahi mau makahiki. Eia kekahi, e like me nā ʻoki kino āpau, aia kahi pilikia liʻiliʻi o ka maʻi ma ka ʻoki.

ʻEhia ka lōʻihi e ho'ōla ai?

Ma hope o kou hoʻi ʻana i ka home, e ʻōlelo paha kāu kauka i kahi papaʻai wai a palupalu paha no ka pule mua a ʻelua paha. Eia kekahi laʻana, ka sopa, ka yogurt, ka porridge, a me ka ʻuala i kuʻi ʻia. Ma hope o kēlā, hiki iā ʻoe ke neʻe mālie i nā meaʻai maʻamau.

Hiki iā ʻoe ke hoʻi hou i nā hana maʻamau i loko o kekahi mau lā ma hope o ke ʻoki ʻana. Eia nō naʻe, ʻoi aku ka maikaʻi o ka pale ʻana i ka hāpai kaumaha a i ʻole ka hoʻoikaika kino no ʻekolu pule ma ka liʻiliʻi. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī no kēia.

Āhea ʻoe e makemake ai e ʻike hou i ke kauka?

Inā hoʻi hou mai kāu mau hōʻailona ma hope o ke ʻoki ʻana, e ʻike pono i kāu kauka. He mea maʻamau nō hoʻi ke loaʻa ʻana o kekahi pehu a puni ka ʻeha ʻoki. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka.

• Inā e kahe ana ke koko o ka ʻeha
• Inā piʻi nui ka pehu
• Inā loaʻa iā ʻoe ke kuni
• Inā ʻulaʻula ka ʻili a puni ka ʻeha a wela ke ʻano
• Inā luaʻi