Loaʻa iā ʻoe kekahi pilikia me ka gastritis ʻaʻole e ho'ōla no ka manawa lōʻihi, ʻo ia hoʻi, nā ʻōpū ʻōpū (Peptic Ulcer Disease)? ʻOiai ma hope o ka lawe ʻana i ka lāʻau lapaʻau, i kekahi manawa hoʻomau kēia mau ʻōpū me ka ʻole o ka ho'ōla ʻana. I kēlā mau hihia koʻikoʻi, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻoki kūikawā a nā kauka e ʻōlelo nei. Ua kapa ʻia kēia ʻo Vagotomy. ʻAʻole paha ʻoe i lohe i kēia inoa. Akā he ʻano lapaʻau koʻikoʻi loa kēia. E nānā kākou i ke ʻano maʻalahi.
I ka ʻōlelo maʻalahi, he aha ka Vagotomy?
E noʻonoʻo ʻoe aia kahi 'uea kelepona' kūikawā e lawe ana i ka ʻike ma waena o kou lolo a me ka ʻōnaehana hoʻoheheʻe i loko o kou ʻōpū. I ka lāʻau lapaʻau, kapa mākou i kēia ʻo ke Aʻalolo Vagus. ʻO kēia aʻalolo ka mea e hāʻawi i kou ʻōpū i ka hōʻailona e "hūnā i ka waikawa i kēia manawa." Ke ʻai mākou, ʻo kēia aʻalolo Vagus ka mea e hoʻouna i ka leka mai ka lolo e hana i ka waikawa e pono ai e hoʻoheheʻe i kēlā meaʻai.
I kēia manawa, hoʻopuka nui nā ʻōpū o kekahi poʻe i ka waikawa. Hiki i kēia ke hōʻino i ka uhi o ka ʻōpū a hoʻoulu i nā ʻeha ʻaʻole e ho'ōla . ʻO ka vagotomy e pili ana i ka ʻoki ʻana i ka ʻāpana o ke aʻalolo vagus e hoʻouna ana i nā leka mai ka lolo i ka ʻōpū e hana i ka waikawa. E like me ka ʻoki ʻana i kahi uea kelepona e hoʻōki ai i ka leka, ʻo ka ʻoki ʻana i kēia aʻalolo e hōʻemi ana i ka hōʻailona i ka ʻōpū e hana i ka waikawa. Kōkua kēia i ka kaohi ʻana i ka hana ʻana o ka waikawa o ka ʻōpū , e kōkua ana i ka ho'ōla ʻana i nā ʻeha a me ka pale ʻana i nā mea hou mai ka hoʻokumu ʻana.
ʻAʻole kēia he mea i hana ʻia no kahi maʻi gastritis maʻamau. He ala hope loa ia no nā ʻōpū ʻeha koʻikoʻi a paʻakikī hoʻi i hiki ʻole ke ho'ōla ʻia me ka lāʻau lapaʻau.
He aha nā ʻano nui o ke ʻoki vagotomy?
Ua like ke aʻalolo vagus me ke kumu lāʻau e hoʻomaka a lālā. Hiki ke hoʻokaʻawale ʻia ke ʻoki vagotomy i ʻelua ʻano nui ma muli o kahi i ʻoki ʻia ai kēia aʻalolo. He ʻokoʻa iki nā hopena o nā mea ʻelua.
| ʻAno o ke ʻoki kino | He wehewehe maʻalahi |
|---|---|
| ʻO ka Vagotomy Truncal | ʻO kēia ka ʻoki ʻana i ke kumu nui o ke aʻalolo vagus. Ua like kēia me ka ʻoki ʻana i ke kumu nui o kahi lāʻau. Hoʻopilikia kēia ʻaʻole wale i ka ʻōpū, akā i nā hōʻailona i ke akepaʻa, ka gallbladder, ka pancreas, a me nā ʻōpū. ʻOiai ke hōʻemi nui nei kēia i ka waikawa, hiki iā ia ke hoʻopilikia i nā ʻāpana ʻē aʻe o ka ʻōnaehana digestive (nā hopena ʻaoʻao). |
| Vagotomy Koho Kiʻekiʻe | Ma kēia, ʻaʻohe mea i hana ʻia i ke kumu aʻalolo nui. Akā, ʻo nā lālā aʻalolo liʻiliʻi loa e lawe ana i nā hōʻailona i nā pūnaewele hana waikawa (nā pūnaewele parietal) i loko o ka ʻōpū i ʻoki koho ʻia a wehe ʻia. Ua like kēia me ka ʻoki ʻana i hoʻokahi lālā o kahi lāʻau me ka hōʻino ʻole i ke kumu. ʻO ka hopena o kēia he kakaikahi nā hopena ʻaoʻao. Eia naʻe, he hana paʻakikī iki kēia no ke kauka ʻoki e hana a koi aku i ke akamai hou aku. |
A laila i nā hihia hea e hana ʻia ai kēia ʻoki kino?
ʻO ka maʻamau, hiki ke mālama ʻia nā ʻōpū ʻōpū me ka lāʻau lapaʻau. Eia nō naʻe, aia kekahi mau hihia koʻikoʻi. ʻO ia ka manawa e pono ai ʻoe e noʻonoʻo i kahi ʻoki vagotomy.
- Nā ʻōpū koko: Inā hoʻomau ke kahe ʻana o ke koko o ka ʻōpū a ʻaʻole hiki ke kāohi ʻia me nā ʻano hana e like me ka endoscopy, pono paha ke ʻoki ʻana e hoʻoponopono i ka ʻōpū. Hiki ke hana ʻia kahi vagotomy e pale aku i ka hoʻokumu ʻia ʻana o ka ʻōpū.
- Nā ʻUlu ʻŌpū: He pilikia kēia. Inā hohonu ka ʻūlū e hana i kahi lua i loko o ka paia, hiki i ka waikawa o ka ʻōpū a me ka meaʻai ke komo i loko o ka lua o ka ʻōpū, e hana ana i kahi maʻi koʻikoʻi. I ia mau hihia, pono ke ʻoki ʻana e pani i ka lua i ka wā hikiwawe loa. Hiki ke hana ʻia kahi vagotomy. I ia mau hihia, e hoʻokomo koke ʻia ʻoe i ka ʻOihana Pilikia (ETU) .
- Ka Pale ʻana o ka Puka ʻŌpū: Hiki i nā ʻiʻo ʻeha mai nā ʻeha lōʻihi ke ālai i ke hele ʻana o ka meaʻai mai ka ʻōpū a i ka ʻōpū liʻiliʻi. Hiki i kēia ke hoʻopaʻa i ka meaʻai i loko o ka ʻōpū a hoʻoulu i ka luaʻi . Hiki ke hana ʻia kahi vagotomy i ka wā o ke ʻoki ʻana e wehe i kēia mea pale.
ʻO nā hana ʻoki ʻē aʻe i hana ʻia me ka vagotomy
ʻAʻole pinepine ka Vagotomy i kahi ʻoki kino kū hoʻokahi. Hana ʻia ia me nā ʻoki kino ʻē aʻe e hoʻoponopono i nā pilikia i hoʻokumu ʻia e nā ʻeha.
1. Vagotomy me Gastrectomy
I kekahi mau hihia koʻikoʻi, pono paha e wehe ʻia kahi ʻāpana o ka ʻōpū. Ua kapa ʻia kēia he gastrectomy. ʻO ka hapa pinepine, wehe ʻia ka ʻaoʻao haʻahaʻa o ka ʻōpū. Hoʻopuka kēia ʻāpana i kahi hormone i kapa ʻia ʻo gastrin. Kōkua pū kēia hormone i ka hana ʻana i ka waikawa. No laila, ke wehe ʻia kahi ʻāpana o ka ʻōpū, hana ʻia kekahi vagotomy e pale aku i ka hōʻeha hou ʻana.
2. Vagotomy me Pyloroplasty
Inā mākou e hana i ke ʻoki kino Truncal Vagotomy a mākou i kamaʻilio ai ma mua, pono mākou e hana i kēia ʻoki kino pyloroplasty i ka manawa like. Ma ka hopena o ka ʻōpū, aia kahi ʻāpana e like me ka valve muscular i kapa ʻia ʻo pylorus. Ua like kēia me kahi puka e wehe a pani ʻia e ʻae i ka meaʻai e hele i loko o ka ʻōpū liʻiliʻi. Ke ʻoki ʻia ke kumu nui o ke aʻalolo vagus i loko o kahi truncal vagotomy, nalowale nā hōʻailona e wehe a pani i kēia puka. A laila paʻa ka meaʻai i loko o ka ʻōpū. Hana ʻia ke ʻoki kino Pyloroplasty e hoʻoponopono i kēlā puka i mea e wehe mau ai. A laila hele maʻalahi ka meaʻai i loko o ka ʻōpū liʻiliʻi.
He aha ka mea e hana ʻia ma mua a i ka wā o ke ʻoki kino?
Ma mua o ke ʻoki kino, e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e pono ai e mālama i kou olakino i ke kūlana maikaʻi. No ka laʻana, e hāʻawi ʻia ʻoe i ka saline inā ua maloʻo ʻoe ma muli o ka luaʻi ʻana, a i ʻole ke koko inā ua nalowale ke koko ma muli o ke kahe ʻana o ke koko. E hāʻawi pū ʻia ʻoe i nā antibiotics e pale aku i ka maʻi a me nā lāʻau lapaʻau e pale aku i nā ʻūlū koko . Hana ʻia ke ʻoki kino ma lalo o ka anesthesia , ʻo ia hoʻi e hiamoe loa ʻoe.
ʻElua ala e hana ai i ke ʻoki kino:
- ʻO ke ʻoki hāmama: Ke ʻano hana kuʻuna, i hana ʻia ma o kahi ʻoki nui ma ka ʻōpū.
- ʻO ke ʻoki Laparoscopic: Ua kapa ʻia kēia ʻo 'keyhole surgery'. He hana ia e pili ana i ka hana ʻana i kekahi mau ʻoki liʻiliʻi ma ka ʻōpū a me ke komo ʻana i kahi kāmela a me nā mea hana palupalu. ʻO ka hopena, ʻoi aku ka liʻiliʻi o ka manawa ho'ōla a me nā ʻeha liʻiliʻi.
Na ke kauka lapaʻau e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Nā pilikia a me nā hopena ʻaoʻao
Ma muli o ke ʻano o ke ʻoki ʻana, pono paha ʻoe e noho ma ka haukapila no kekahi mau lā. E hoʻouna ʻia ʻoe i ka home ke hiki iā ʻoe ke hele a hana kūʻokoʻa hou. Hiki ke hala i kekahi mau pule e hoʻōla piha ai. E hoʻomaka ʻoe me ka ʻai wai a hoʻomaʻamaʻa mālie i ka meaʻai maʻamau.
E like me nā ʻoki kino āpau, loaʻa i kēia kekahi mau pilikia.
| Nā pilikia a me nā hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā pilikia i ka wā o ke ʻoki kino | ʻO ka hōʻino ʻana i nā ʻōpū a puni, nā kīʻaha koko, a i ʻole nā aʻalolo, ka maʻi, ke kahe nui ʻana o ke koko, nā ʻūpā koko, a pēlā aku. |
| Ka maʻi pākī | He hopena maʻamau kēia, ʻoiai ma hope o ka truncal vagotomy. Hiki mai kēia kūlana ke kahe koke ka bile i loko o ka ʻōpū ma muli o ka emi ʻana o nā hōʻailona aʻalolo i ka gallbladder. He manawa pōkole kēia. |
| ʻO ka maʻi hoʻolei | ʻO ke kumu o kēia ʻoki ʻana o ka pyloroplasty. I ka neʻe wikiwiki ʻana o ka meaʻai mai ka ʻōpū a i nā ʻōpū, hiki ke loaʻa koke ka nausea, ka ʻeha o ka ʻōpū, a me ka maʻi kahe ma hope o ka ʻai ʻana. I kekahi manawa, ma hope o kekahi mau hola, hiki ke hāʻule koke nā pae kō koko a hiki iā ʻoe ke manaʻo he nāwaliwali. Hiki ke kāohi ʻia kēia ma ka hoʻololi ʻana i kāu ʻai. |
| Nā pōhaku ʻōpū | Ma hope o ka truncal vagotomy, hiki i ka bile ke hōʻiliʻili a hana i nā pōhaku ma muli o ka emi ʻana o ka hana o ka gallbladder. |
ʻAʻole loaʻa kēia mau hopena ʻaoʻao i nā kānaka a pau. A e hāʻawi kāu kauka iā ʻoe i nā lāʻau lapaʻau a me nā ʻōlelo aʻoaʻo e mālama i ka hapa nui o lākou. ʻO ka mea nui loa, ʻo ka pōmaikaʻi nui o kēia ʻoki kino ka hiki ke ho'ōla piha i nā ʻōpū ʻōpū i hoʻōla ʻole ʻia a lōʻihi.
Leka Lawe-Home
- ʻO ka Vagotomy kahi hana kūikawā i hana ʻia no nā ʻōpū ʻeha koʻikoʻi a paʻakikī hoʻi (Peptic Ulcers) hiki ʻole ke ho'ōla ʻia me ka lāʻau lapaʻau.
- Maanei, ʻoki ʻia a wehe ʻia ka ʻāpana pili o ke aʻalolo Vagus, ka mea e lawe ana i nā hōʻailona mai ka lolo i ka ʻōpū e hana i ka waikawa.
- ʻElua ʻano nui o kēia ʻoki kino: Truncal Vagotomy a me Highly Selective Vagotomy.
- Hana pinepine ʻia kēia me kahi hana ʻē aʻe, e like me ka gastrectomy a i ʻole pyloroplasty.
- Hiki ke loaʻa nā hopena ʻaoʻao e like me ka diarrhea a me ka dumping syndrome ma hope o ke ʻoki ʻana, akā hiki ke mālama ʻia ka hapa nui o lākou.
- Pono e hoʻoholo ʻia inā kūpono kēia ʻoki kino iā ʻoe ma hope o ka nānā pono ʻana i kou kūlana olakino a me ke kūkākūkā ʻana me kāu kauka lapaʻau kūikawā.
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