Manaʻo paha ʻoe he ʻōpū ʻōpū ko kekahi poʻe, ʻo ia hoʻi, he ʻōpū ʻōpū, a ʻaʻohe mea i ka lāʻau lapaʻau a lākou e lawe ai a i ʻole pehea ka nui o kā lākou kāohi ʻana i kā lākou ʻai, ʻaʻole loa ia e ola. Aia kekahi poʻe e kū nei i nā kūlana koʻikoʻi e hoʻoulu ai i ka ʻeha mau, ke kahe koko, a i kekahi manawa hiki i ka perforation o ka ʻōpū. No ia poʻe, i ka wā i hāʻule ʻole ai nā lāʻau lapaʻau ʻē aʻe a pau, ke kamaʻilio nei mākou i kēia lā e pili ana i kahi ʻoki kūikawā a nā kauka e ʻōlelo nei. Ua kapa ʻia ʻo ia he vagotomy.
I ka ʻōlelo maʻalahi, he aha ka vagotomy?
E noʻonoʻo penei: ua like ke aʻalolo Vagus me kahi laina kelepona nui ma waena o ko kākou lolo a me ka ʻōnaehana hoʻoheheʻe ʻana, me nā ʻōpū. ʻO kēia aʻalolo ka mea e hoʻouna i ka hōʻailona i ko kākou ʻōpū e "hūnā i ka waikawa i kēia manawa." ʻOiai he mea pono kēia waikawa i ka wā e ʻai ai kākou, i kekahi manawa ʻo ka hoʻonui ʻia o kēia waikawa ke kumu nui o nā ʻōpū ʻōpū.
ʻO ka Vagotomy ka ʻoki ʻana i ka ʻāpana o ke kelepona, ʻo ke aʻalolo vagus, e hoʻouna ana i nā hōʻailona i ka ʻōpū e hana i ka waikawa, a laila e hoʻōki ana i kēlā hōʻailona. Hoʻemi nui kēia i ka hana ʻana o ka waikawa ʻōpū. He lāʻau lapaʻau radical iki kēia akā he hopena maikaʻi loa no ka poʻe me nā ʻano maʻi ʻōpū peptic koʻikoʻi loa.
He aha ka mea e hana ʻia ke ʻoki ʻia ke aʻalolo vagus? - ʻElua ʻano nui
Ua like ke aʻalolo vagus me kahi lāʻau. He kumu nui kona, kahi e puka mai ai nā lālā like ʻole. ʻOkoʻa ka hopena o ke ʻoki ʻana ma muli o kahi i ʻoki ʻia ai kēia aʻalolo. ʻElua ʻano nui.
| ʻAno o ke ʻoki kino | He aha ka mea e hana a me ka hopena |
|---|---|
| ʻO ka Vagotomy Truncal | ʻO kēia ka ʻoki ʻana i ke "kumu nui" o ke aʻalolo vagus. Hoʻemi kēia i ka hana ʻana o ka waikawa o ka ʻōpū, akā hiki nō hoʻi ke hoʻopilikia i ka hana o nā ʻōpū ʻē aʻe e loaʻa ana nā hōʻailona mai kēia aʻalolo, e like me ke akepaʻa, ka gallbladder, ka pancreas, a me nā ʻōpū. Hiki i kēia ke hana i nā pilikia o ka ʻai ʻana. |
| Vagotomy Koho Kiʻekiʻe | He ʻano hana kūikawā loa kēia. Maanei, ʻaʻole ʻoki ʻia ke kumu aʻalolo holoʻokoʻa. 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 koho ʻia a ʻoki ʻia. ʻAʻole kēia e hoʻopilikia i nā ʻōpū ʻē aʻe. Eia nō naʻe, he hana paʻakikī iki kēia no ke kauka ʻoki e hana a koi aku i ka ʻike loea hou aku. |
I nā hihia hea e ʻōlelo ʻia ai kēia ʻoki kino?
Hiki ke mālama ʻia ka hapa nui o nā ʻōpū ʻeha me ka lāʻau lapaʻau. Eia nō naʻe, i nā hihia paʻakikī a koʻikoʻi hoʻi, e like me kēia, hiki ke ʻōlelo ʻia kēia ʻoki kino e pale aku i ka hoʻi hou ʻana o nā ʻōpū:
- Nā ʻōpū koko: Inā ʻaʻole hiki ke kaohi ʻia ke koko e nā ʻano hana ʻē aʻe, pono paha ke ʻoki ʻana e ho'ōla i ka ʻōpū.
- Nā ʻUlu ʻŌpū: Inā hana ka ʻūlū i kahi lua ma ka paia o ka ʻōpū, pono e pani ʻia me ke ʻoki ʻana i ka pilikia. A i ʻole, hiki i nā germs ke komo i loko o ka ʻōpū a hoʻoulu i kahi maʻi koʻikoʻi. I kēlā hihia, pono e lawe koke ʻia ʻoe i ka ETU (Emergency Treatment Unit) .
- Nā Ala 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. I kēia hihia, pono e wehe ʻia ka ʻiʻo ʻeha ma ke ʻoki ʻana.
ʻO ka mea nui, ʻaʻole hana wale ʻia ka vagotomy. Hana pinepine ʻia ia me kahi hana ʻē aʻe e hoʻoponopono ai i kekahi o nā pilikia i ʻōlelo ʻia ma luna.
Nā hana ʻē aʻe i hana ʻia i ka manawa like me ka vagotomy
1. Me ka gastrectomy: Pili kēia i ka wehe ʻana i kahi ʻāpana o ka ʻōpū. Hana ʻia kēia inā he mau ʻeha koʻikoʻi a inā he kānalua paha he maʻi kanesa nā ʻeha. Ke wehe ʻia ka ʻaoʻao haʻahaʻa o ka ʻōpū, ua hoʻemi ʻia hoʻi ka hana ʻana o gastrin, kahi hormone e kōkua ai i ka hana ʻana i ka waikawa. Akā no ka mea ʻaʻole lawa kēlā wale nō, hana ʻia kahi vagotomy i ka manawa like e pale ai i ka hoʻi hou ʻana o nā ʻeha.
2. Me ka Pyloroplasty: Inā ʻoe e hana ana i kahi Truncal Vagotomy, ʻo ia hoʻi ke ʻoki ʻana i ke kumu o ke aʻalolo nui, pono nō hoʻi ʻoe e hana i kēia ʻoki pyloroplasty. No ka mea, i ka wā e ʻoki ʻia ai ke aʻalolo vagus, nalowale ka hōʻailona e haʻi ana i ka pylorus e wehe a pani. A laila paʻa ka meaʻai. Hana ʻia ke ʻoki Pyloroplasty e mālama i kēlā puka e wehe ana, i maʻalahi ai ka hele ʻana o ka meaʻai.
He aha ka mea e hana ʻia ma mua a i ka wā o ke ʻoki kino?
Ma muli o kou kūlana, hiki ke hāʻawi ʻia kekahi mau lāʻau lapaʻau ma mua o ke ʻoki ʻana e kōkua iā ʻoe e hoʻihoʻi i kou olakino. No ka laʻana, hiki ke hāʻawi ʻia nā wai IV inā ua maloʻo ʻoe ma muli o ka luaʻi ʻana, a i ʻole hiki ke hāʻawi ʻia kahi hoʻoili koko inā he ʻeha koko kou. Hāʻawi ʻia nā antibiotics ma mua o ke ʻoki ʻana. Hana ʻia kēia ʻoki ma lalo o ka anesthesia laulā.
Hiki ke hana ʻia ke ʻoki kino ma ke ʻano he ʻoki kino hāmama , ʻo ia hoʻi ka ʻoki ʻana i ka ʻōpū, a i ʻole ke ʻoki laparoscopic , ʻo ia hoʻi ke hoʻokomo ʻana i kahi kāmela a me nā mea hana ma o kekahi mau ʻoki liʻiliʻi. Na kāu kauka ʻoki kino e hoʻoholo i kēia.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Nā pono a me nā pilikia
ʻO ka pōmaikaʻi nui o kēia ʻoki kino, hiki iā ia ke hoʻōki loa i ka hoʻi hou ʻana o nā ʻeha koʻikoʻi i ʻeha no ka manawa lōʻihi a ʻaʻole i ho'ōla ʻia e ka lāʻau lapaʻau.
Eia nō naʻe, e like me kekahi ʻoki kino, loaʻa i kēia kekahi mau pilikia a me nā hopena ʻaoʻao .
| ʻAno pilikia/hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā pilikia i ka wā o ke ʻoki kino | Ka hōʻino ʻana i nā ʻōpū a puni, nā kīʻaha koko, a i ʻole nā aʻalolo, ka maʻi, ke kahe ʻana o ke koko, nā ʻūpā koko. |
| Ka maʻi pākī | He kūlana maʻamau kēia, ʻoiai ma hope o ka truncal vagotomy. Hoʻokumu ʻia ia e ka emi ʻana o ka hana o ka gallbladder. He manawa pōkole wale nō ia. |
| ʻO ka maʻi hoʻolei | Ma muli kēia o ke ʻoki pyloroplasty. Hele koke ka meaʻai i loko o nā ʻōpū me ka noho ʻole ʻana i loko o ka ʻōpū, hiki ke hoʻoulu i ka nausea, ka ʻeha o ka ʻōpū, a me ka maʻi diarrhea. Hiki ke kāohi ʻia kēia ma ka hoʻololi ʻana i kāu meaʻai. |
| Nā pōhaku ʻōpū | Ma hope o ka truncal vagotomy, hiki i ka emi ʻana o ka hana o ka gallbladder ke alakaʻi i ka hōʻiliʻili ʻana o ka bile a me ke kūkulu ʻia ʻana o nā pōhaku. |
Pono ʻoe e noho i ka haukapila no kekahi mau lā ma hope o ke ʻoki kino. Hiki ke hala kekahi mau pule ma mua o kou hiki ke ʻai maʻamau. E hoʻomaka ʻoe me nā meaʻai wai a neʻe mālie i nā meaʻai paʻa.
Leka Lawe-Home
- ʻO ka Vagotomy kahi hana ʻoki i hana ʻia ma ke ʻano he hopena hope loa no nā ʻeha ʻōpū koʻikoʻi (nā ʻeha peptic) i mālama ʻole ʻia me ka lāʻau lapaʻau.
- ʻO ka pahuhopu nui ka hōʻemi ʻana i ka hana ʻakika ma o ka ʻoki ʻana i nā hōʻailona aʻalolo e hana ana i ka waikawa i loko o ka ʻōpū.
- ʻElua ʻano nui o kēia ʻoki kino (ʻoki ʻia a koho nui ʻia), a he ʻokoʻa ko lākou mau hopena ʻaoʻao a me nā hopena.
- Hana pinepine ʻia kēia me nā ʻoki kino ʻē aʻe (gastrectomy, pyloroplasty) e mālama i nā pilikia o ka ʻōpū.
- Inā ua ʻōlelo ʻia ʻoe a i ʻole kekahi āu i ʻike ai i kēia ʻano hana ʻoki kino, e kamaʻilio me kāu kauka e pili ana i nā pono, nā pilikia, a me nā hopena ʻaoʻao a nīnau i kāu mau nīnau a pau.
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