Ke pilikia nei i ka moni ʻana? E aʻo kākou e pili ana i ka mālama ʻana iā POEM! (Peroral Endoscopic Myotomy)

He mea maʻamau ka manaʻo ʻana i kahi puʻu i loko o kou puʻu ke ʻai ʻoe. Akā inā paʻakikī mau ʻoe i ka ale ʻana i ka meaʻai a manaʻo ʻoe ua paʻa ia i loko o kou umauma, a laila ʻaʻole kēia he mea maʻamau. Hiki paha kēia ma muli o kahi pilikia me nā ʻiʻo i loko o kou esophagus. I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā a maikaʻi loa no ia mau hihia.

He aha ka POEM?

E kahaha paha ʻoe i ka lohe ʻana i ka inoa ʻo POEM. ʻO ia hoʻi ʻo Oral Endoscopic Myotomy . E wehewehe maʻalahi kākou.

• ʻO Peroral: ʻo ia hoʻi "ma o ka waha."
• Endoscopic: pili i kahi mea i hana ʻia me ka hoʻohana ʻana i kahi ʻōmole palupalu, i lako me ke kāmela i kapa ʻia he endoscope.
• Myotomy: ʻO ka huaʻōlelo lapaʻau no ka "ʻoki ʻana i nā ʻiʻo."

I ka ʻōlelo maʻalahi, ʻo POEM kahi hana e pili ana i ke komo ʻana i kahi endoscope ma kou waha, me ka ʻole o ka ʻoki ʻana i kou ʻili, a me ka ʻoki ʻana a me ka hoʻomaha ʻana i nā ʻiʻo paʻa i loko o kou esophagus. Ua like ia me ke ʻoki ʻana, akā no ka mea ʻaʻohe ʻoki ma waho o kou kino, ʻoi aku ka pōkole o ka manawa hoʻōla.

ʻO wai ka mea e pono ai kēia lāʻau lapaʻau?

Hoʻohana nui ʻia kēia lāʻau lapaʻau no ka poʻe me nā maʻi neʻe esophageal e like me ka achalasia . I kēia mau kūlana, ʻaʻole e hoʻomaha pono nā ʻiʻo ma ka ʻaoʻao haʻahaʻa o ka esophagus. A laila, ke moni ʻoe i ka meaʻai, paʻa ka meaʻai i loko o ka esophagus ma kahi o ka iho ʻana i lalo i ka ʻōpū. Hiki i kēia ke hana i ka paʻakikī i ka moni ʻana, ʻeha ka umauma, a me ka hoʻi ʻana mai o ka meaʻai i loko o ka puʻu. Hana ka lāʻau lapaʻau POEM ma ka hoʻomaha ʻana i kēlā mau ʻiʻo paʻa, e ʻae ana i ka meaʻai e hele i loko o ka ʻōpū me ke keʻakeʻa ʻole.

Pehea ʻoe e hoʻomākaukau ai ma mua o ka mālama ʻana iā POEM?

Pono ʻoe e hana i kekahi hoʻomākaukau ma mua o kēia lāʻau lapaʻau. Akā, mai hopohopo no ia mea. E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi maopopo no nā mea āpau. ʻO ka mea nui loa, ʻo ia ka hahai pololei i kēlā mau kuhikuhi.

Eia nā mea āu e hana pinepine ai:

• Pono ʻoe e ʻai i ka papaʻai wai maopopo wale nō no ʻelua lā ma mua o ka mālama ʻana.
• Pono ʻoe e hoʻōki loa i ka ʻai ʻana a me ka inu ʻana i 12 mau hola ma mua o ka lāʻau lapaʻau.

He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?

Ma kahi o hoʻokahi a ʻekolu hola ka lōʻihi o kēia kaʻina hana. I loko o kēia manawa, e hāʻawi ʻia ʻoe i ka anesthesia laulā, no laila e hiamoe loa ʻoe. No laila, ʻaʻole ʻoe e ʻeha. E nānā kākou i kēlā me kēia ʻanuʻu i ke ʻano o ka hana ʻana o ka lāʻau.

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau a pehea ka lōʻihi e hoʻōla ai?

Ma hope o ka lāʻau lapaʻau, pono ʻoe e noho ma ka haukapila no hoʻokahi lā. ʻO kēia ke nānā ʻana i nā pilikia. E hoʻomaka ana kou wā hoʻōla i ka lā aʻe.

• Hoʻāʻo:Hana ʻia kahi barium X-ray e ʻike ai inā ua hoʻomaha loa nā ʻiʻo a ua maopopo ke ala no ka meaʻai.
• ʻAi: Pono ʻoe e ʻai i nā meaʻai wai no nā lā ʻelua a ʻekolu paha. Ma hope o kēlā, pono ʻoe e hoʻomaʻamaʻa i ka ʻai ʻana i nā meaʻai palupalu a haʻahaʻa i ka fiber no hoʻokahi a ʻelua paha pule.
• Ke hoʻi ʻana i ka hana: Hiki iā ʻoe ke hoʻi i ka hana ma kahi o ʻehiku lā. Eia nō naʻe, inā ʻoe e hana ana i kahi hana e pili ana i ka hāpai kaumaha a i ʻole ka hana luhi, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka e pili ana i ka lā maikaʻi loa e hoʻi ai i ka hana.
• Hoʻopaʻa: E noi aku kāu kauka iā ʻoe e hoʻi mai i 10 mau lā ma hope o ka mālama ʻana a ma hope o 3 mau mahina. I ka wā o ka hoʻāʻo 3 mahina (esophagram), e nānā pū lākou e ʻike inā e hoʻokahe pono ana kou esophagus ma hope o kou moni ʻana.

I ka manawa e ʻike koke ai i ke kauka

He mea kākaʻikahi loa nā pilikia mai ka mālama ʻana iā POEM. Eia nō naʻe, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei ma hope o ka mālama ʻana, pono ʻoe e hoʻokaʻaʻike koke aku i kāu kauka.