Ua loaʻa anei kēia iā ʻoe? Ua piha ʻoe ma hope o ka ʻai ʻana, akā ʻaʻole ia he manaʻo maʻamau o ka piha ʻana, me he mea lā ua paʻa ka meaʻai i loko o kou ʻōpū. A i ʻole e luaʻi ʻoe ma hope o kekahi manawa ma hope o ka ʻai ʻana. Ke hoʻomau ʻia nā mea e like me kēia, he pilikia maoli ia i ke ola. No laila, hiki ke hana ʻia kēia mau mea ma muli o kahi pilikia me ka 'puka' e hoʻouna ana i ka meaʻai mai ko mākou ʻōpū i ka ʻōpū liʻiliʻi. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā, he ʻoki kino e hoʻoponopono i kēlā 'puka'.
He aha ka pyloroplasty maʻalahi?
ʻAe, e hoʻomaopopo maʻalahi kākou i kēia. E noʻonoʻo i kou ʻōpū he ʻeke e hōʻiliʻili ana i ka meaʻai. Ma lalo o kēia ʻeke, aia kahi ʻāpana e like me ke kaula e nakinaki ai i ka waha. ʻO ia ka mea a mākou e kapa nei he `(Pylorus)` i ka lāʻau lapaʻau. I ka pololei, he kiwikā ikaika kēia i hana ʻia me nā ʻiʻo. Ke ʻai mākou i ka meaʻai, pono e hoʻoheheʻe maikaʻi ʻia i loko o ka ʻōpū a laila hoʻouna ʻia i ka ʻōpū liʻiliʻi. I kēlā manawa, wehe ʻia kēia kiwikā i kapa ʻia ʻo `(Pylorus)` a hoʻouna i ka meaʻai i loko o ka ʻōpū liʻiliʻi, a laila pani hou ʻia.
No laila, ʻo Pyloroplasty kahi ʻoki hana i hana ʻia ma ka `(Pylorus)`. Inā no kekahi kumu ʻaʻole e wehe pono kēia valve, inā ua ālai ʻia, a inā ua hōʻino ʻia ma muli o kekahi ʻoki ʻē aʻe, hana ʻia kēia ʻoki e hoʻoponopono hou iā ia, hoʻonui iā ia, a ʻae i ka meaʻai e hele maʻalahi. I ka ʻōlelo maʻalahi, hoʻonui kēia ʻoki i ka puka i ālai ʻia i loko o ka ʻōpū.
I nā hihia hea e pono ai kēia ʻoki kino?
ʻAʻole pono nā kānaka a pau i kēia ʻoki kino. Inā hana hewa kāu pylorus a lohi ka hoʻokahe ʻana o ka ʻōpū, he hopena paha kēia ʻoki kino. E nānā kākou i nā kumu nui o kēia.
Nā ʻōpū ʻeha (Peptic Ulcer Disease)
Loaʻa i kekahi poʻe nā ʻōpū ʻōpū i hiki ke koʻikoʻi loa. Inā hoʻomau lākou i ke kahe koko a ʻaʻole hoʻi e ho'ōla me ka lāʻau lapaʻau, hiki i nā kauka ke ʻōlelo i kekahi manawa i ke ʻoki kino. ʻO kekahi ʻano ʻoki kino kūikawā he vagotomy. Pili kēia i ka ʻoki ʻana i kahi aʻalolo e kōkua ana i ka ʻōpū e hana i ka waikawa. Hoʻemi kēia i ka pilikia o nā ʻōpū ʻōpū, akā ma ke ʻano he hopena ʻaoʻao, lilo ke aʻalolo e hōʻailona ana i ka valve pylorus e wehe a pani.
E noʻonoʻo, aia kahi puka pā, a aia kahi mea mamao e wehe a pani ai. ʻO ke ʻoki ʻana `(Vagotomy)` ua like ia me ka wehe ʻana i ka pila mai kēlā mea mamao. No laila ua pani ʻia ka puka pā.
I kēlā manawa, pono ʻoe e hana i kahi ʻoki pyloroplasty. E wehe mau kēia i ka puka pani. A laila, hiki i ka meaʻai ke hele i loko o ka ʻōpū liʻiliʻi me ke keʻakeʻa ʻole.
Eia kekahi, i kekahi manawa hiki i kahi ʻōpū ke lilo i pehu a i ʻole hiki i nā ʻiʻo ʻeha ke hana a ālai i ka pylorus. I loko o ia ʻano pilikia, hiki ke hana ʻia kēia ʻoki kino.
Ka hana ʻino o nā ʻiʻo o ka ʻōpū (Gastroparesis)
ʻO kēia ka manawa e lilo ai nā ʻiʻo o ka ʻōpū, me ka pylorus, i mea hana ʻole hapa. Ua like ia me ka palaualelo. A laila e emi ana ka neʻe ʻana o ka ʻōpū, a ua lohi loa ka ʻai ʻana a me ka hele ʻana o ka meaʻai. Hiki i kēia ke alakaʻi i ka nausea mau a me ka luaʻi. ʻAʻole paha ʻoe e hiki ke ʻai a inu paha. Inā ʻaʻole holomua nā lāʻau ʻē aʻe, hiki i kāu kauka ke kuhikuhi i kahi ʻoki Pyloroplasty e wehe mau i ka pylorus.
ʻO ka Pyloric Stenosis i nā pēpē ʻōpio
ʻIke pinepine ʻia kēia ʻano maʻi i nā pēpē hānau hou. He mea kākaʻikahi loa ia i nā pākeke. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka mānoanoa o nā paia ʻiʻo o ka "Pylorus" o ke pēpē, e ʻūlū ana a e ālai ana i ke ala o ka meaʻai. Luaʻi kēia mau pēpē me he mea lā e pana ʻia ana ma hope o ka inu ʻana i ka waiū (luaʻi projectile). He mea kēia a nā mākua e makaʻu nui ai. No ka mea, ʻaʻole hiki i kēia mau pēpē ke hoʻokomo i ka waiū i loko o ka ʻōpū, pono kēia ʻoki kino. Hoʻonui kēia i ka hakahaka i ʻūlū ʻia.
Ma ke ʻano he hopena ʻaoʻao o nā hana ʻoki ʻē aʻe
I kekahi manawa, i ka wā o ke ʻoki ʻana ma ka esophagus a i ʻole ka ʻōpū, hiki ke hōʻino ʻia ke aʻalolo vagus e kaohi ana i ka pylorus. I ia mau hihia, hiki ke hana ʻia ka pyloroplasty ma ke ʻano he ʻoki ʻana hou.
Pehea e hana ʻia ai ke ʻoki pyloroplasty?
Hiki ke hana ʻia kēia ʻoki kino ma nā ʻano nui ʻelua. ʻO kekahi, ʻo ia ke ʻoki kino hāmama , kahi e pili ana i ka hana ʻana i kahi ʻoki nui aʻe ma ka ʻōpū. ʻO kekahi, ʻo ia ke ʻoki laparoscopic , kahi e pili ana i ka hana ʻana i kekahi mau ʻoki liʻiliʻi ma ka ʻōpū a me ka hoʻokomo ʻana i kahi kāmela a me nā mea hana palupalu. ʻOi aku ka liʻiliʻi o ka invasive a he pōkole ka manawa hoʻōla.
ʻOiai ke ʻano hana e hoʻohana ʻia , hana ʻia ke ʻoki ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole ʻoe e manaʻo i kekahi mea, e hiamoe ana ʻoe.
Aia nā ʻano hana like ʻole no ka hana ʻana i kēia ʻoki kino. Koho ke kauka i ke ʻano hana kūpono loa ma muli o ke kūlana.
| Inoa o ke ʻano hana (Inoa Hana) | He aha kēia e hana nei? |
|---|---|
| ʻO ka hana hoʻopili ʻana o Heineke-Mikulicz | ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia. ʻOki ke kauka lapaʻau i ka pylorus i ka lōʻihi a laila humuhumu iā ia ma ke keʻa. Hoʻonui kēia i ka ʻāpana e like me ka paipu. |
| ʻO ka hana ʻoki ʻana i ka ʻiʻo o ka ʻiʻo (Pyloroplasty o Ramstedt) | Hoʻohana kūikawā ʻia kēia ʻano hana no nā pēpē hānau hou. Maanei, ʻo ka papa ʻiʻo o Pylorus wale nō i ʻoki ʻia, ʻaʻole ka uhi palupalu o loko (mucosa). A laila, puka mai ka uhi o loko, e hoʻonui ana i ke ala no ka meaʻai. |
| Hoʻonui ʻia ka Pyloric | Hana ʻia kēia e like me ka endoscopy. Hoʻokomo ʻia kahi kāmela ma o ka waha, a hoʻokomo ʻia kahi mea hana kūikawā ma o ia mea e hoʻonui i ka pylorus me ka ʻole o ka hana ʻana i kahi ʻoki. |
| ʻO ka Jaboulay/Finney Pyloroplasty | ʻAʻole hoʻohana pinepine ʻia kēia mau mea. Hoʻohana ʻia kēia mau ʻano hana inā he nui ka ʻōpala a me ka pehu ʻana i loko o ka pylorus. ʻO ka mea i hana ʻia ma ʻaneʻi, ʻo ia ke kāpae i ka pylorus a hana i kahi pilina hou ma waena o ka ʻōpū a me ka ʻōpū liʻiliʻi (gastroduodenostomy). |
He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?
Ma hope o ke ʻoki ʻana, e humuhumu ʻia kou mau ʻoki. Inā ua hana ʻia ʻoe i ke ʻoki laparoscopic, hiki paha iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Eia nō naʻe, inā ua hana ʻia ʻoe i ke ʻoki hāmama, pono paha ʻoe e noho i ka haukapila no kekahi mau lā no ka mea he nui nā ʻoki.
ʻAʻole ʻoe e ʻae ʻia e ʻai i nā meaʻai paʻa ma hope koke o ke ʻoki ʻana. E hāʻawi mua ʻia ʻoe i nā wai (saline) ma o kahi aʻa. A laila, e hoʻolauna mālie ʻia ʻoe i nā wai, nā sopa, a laila nā meaʻai palupalu, a ma hope nā meaʻai maʻamau. E hana ʻia kēia a pau e like me nā kuhikuhi a kāu kauka.
He aha nā pilikia a me nā pilikia o kēia ʻoki kino?
E like me nā hana ʻoki kino āpau, aia kekahi mau pilikia e pili ana, akā he haʻahaʻa loa ka likelika o kēia mau mea.
- Ke kahe ʻana o ke koko
- Nā maʻi
- Ke kāpili ʻana o ke koko
- Ka hōʻino ʻana i nā ʻōpū a puni
- Ke kahe nei mai nā humuhumu
Ma waho aʻe o kēia mau pilikia maʻamau, aia kekahi mau pilikia e pili ana i ke ʻoki ʻana i ka pyloroplasty. E makaʻala pū kākou i kēlā mau mea.
ʻO ka maʻi hoʻolei
ʻO kēia ka hopena ʻaoʻao nui i ʻike ʻia ma hope o kēia ʻoki kino. Akā ʻo ka hapa nui o ka manawa he manawa pōkole wale nō ia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻolei koke ʻia ʻana o ka meaʻai i loko o ka ʻōpū i loko o ka ʻōpū liʻiliʻi. ʻO ia hoʻi, hāʻule ia. ʻOiai ʻo ke kumu o ke ʻoki kino ʻana, ʻo ia ka hoʻopuka ʻana i ka meaʻai, ma hope o ke ʻoki kino, hoʻomaka ka meaʻai e hala wikiwiki.
Loaʻa nā hōʻailona o kēia i ʻelua ʻāpana.
- Nā hōʻailona mua (Early Dumping):Hiki mai kēia ma hope o ka ʻai ʻana. Hiki iā lākou ke komo pū me nā ʻeha o ka ʻōpū, ka nausea, a me ka pehu ʻana.
- Nā hōʻailona o ka hoʻolei lohi ʻana: Loaʻa kēia mau mea i kekahi mau hola ma hope o ka ʻai ʻana. ʻO ka emi koke ʻana o ke kō koko hiki ke hoʻoulu i ka nāwaliwali, ka poniuniu, ka ʻulaʻula, a me ka puʻuwai wikiwiki.
ʻO ka maʻamau, nalowale kēia mau hōʻailona i ka hala ʻana o ka manawa. I loko o kēia manawa, he mea nui e hoʻololi i kāu meaʻai. E aʻo aku kāu kauka iā ʻoe i ke ʻano a me ka mea e ʻai ai. Inā pono, aia nā lāʻau lapaʻau e kāohi i kēia.
ʻO ka reflux bile
Ua ʻike mākou ua wehe mau ʻia ka valve `(Pylorus)`. Ma muli o kēia, hiki i nā mea o loko o ka ʻōpū liʻiliʻi, ʻoiai ka bile, ke kahe hou i loko o ka ʻōpū. ʻAʻole maikaʻi loa kēia bile no nā paia o ka ʻōpū. Inā hoʻomau kēia, hiki ke loaʻa kahi mumū o ka ʻōpū `(Gastritis)`.
ʻEhia ka lōʻihi e hoʻōla ai a pehea ka holomua o ke ʻoki kino?
Hoʻōla koke ka hapa nui o ka poʻe ma hope o kēia ʻoki kino, ʻoiai inā ua hana ʻia ma ke ʻano laparoscopic. Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau a me ka ʻai ʻana i loko o kekahi mau pule. Inā loaʻa iā ʻoe kahi mea e like me ka "dumping syndrome," pono ʻoe e makaʻala loa i kāu ʻai ʻana. E nalo aku ia i loko o kekahi mau mahina.
He kūpono loa kēia ʻoki kino ma ke ʻano he hopena no nā kūlana e like me 'Gastroparesis' a me 'Pyloric stenosis'. ʻOi aku ka kiʻekiʻe o kona kūleʻa ma kahi o 90%.
Ua like ko kākou ʻōnaehana hoʻoheheʻe me kahi mīkini e hana mau ana. Inā he poloka ma kekahi ʻāpana o ia mea, e hoʻopilikia ʻia ka ʻōnaehana holoʻokoʻa. Pēlā nō ka pilikia me ka `(Pylorus)`. He ʻoki liʻiliʻi ka Pyloroplasty i hana ʻia ma kahi liʻiliʻi, akā hiki iā ia ke loaʻa ka hopena nui a maikaʻi i kou olakino. ʻOiaʻiʻo, he hoʻoholo nui ka ʻoki ʻana. Akā inā ʻaʻole i kōkua nā lāʻau ʻē aʻe, ʻo kēia ʻoki paha ka hopena maikaʻi loa i kāu pilikia.
Leka Lawe-Home
- ʻO ka Pyloroplasty kahi hana ʻoki e hoʻonui ai i ka 'puka' (pylorus) ma lalo o kou ʻōpū, e ʻae ana i ka meaʻai e hele maʻalahi.
- Hoʻōla ia i nā kūlana e like me nā ʻōpū ʻōpū, gastroparesis, a me Pyloric Stenosis, ʻoi aku hoʻi i nā pēpē hānau hou.
- Hiki ke hana ʻia kēia ʻoki kino ma ke ʻano hāmama a laparoscopic paha (ma o kahi ʻoki liʻiliʻi). ʻOi aku ka maʻalahi o ke ʻano laparoscopic a ho'ōla wikiwiki.
- Hiki ke loaʻa nā hopena ʻaoʻao e like me ka dumping syndrome ma hope o ke ʻoki ʻana, akā he manawa pōkole wale nō ia. Hiki ke kāohi ʻia kēia mau mea ma ka hoʻololi ʻana i kāu meaʻai.
- Ua manaʻo ʻia kēia ʻoki kino he ʻoki kino palekana e loaʻa ai nā hopena holomua loa.
- Inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma kēia ʻatikala, e ʻoluʻolu e ʻike koke i kāu kauka no ka ʻōlelo aʻo. E pale i ka mālama ponoʻī ʻana.
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