Kua āraia tō puku, ā, kāore tō kai e neke tika ana? Kua kōrerotia rānei e tō tākuta ki a koe mō tētahi pokanga e kiia nei ko te "gastrojejunostomy"? He mea noa te mataku ina rongo koe i tētahi ingoa pēnei, me te taumaha hoki ki tō hinengaro nā te mea he uaua ngā kupu. Engari kaua e manukanuka. Me kōrero noa tātou mō tēnei mea, i roto i tētahi huarahi e mārama ai koe. He rite ki te hanga i tētahi rori whakawhiti hou hei karo i te waka nui i runga i te rori.
He aha te Gastrojejunostomy?
He ngāwari noa iho, he pokanga te gastrojejunostomy hei whakarerekē i te huarahi e haere ai te kai. Ko te tikanga he hanga hononga hou, he ara hou rānei, i waenganui i tō puku me te jejunum, te wāhanga waenga o tō whekau iti.
Whakaarohia, ko te kai e kainga ana e tātou ka haere mai i te puku ki te wāhanga tuatahi o te whekau iti, e kiia nei e tātou ko te duodenum . Engari ki te mea he ārai kei roto i tēnei duodenum, he mate, he ārai rānei kei roto i te pylorus, kāore e taea e te kai te haere whakamua. Ko te wā tēnā ka hangaia ai e ngā tākuta tēnei ara whakawhiti, arā, he ara hou. I roto i tēnei, kāore te kai e haere ki te duodenum, engari ka haere tika mai i te puku ki te jejunum. Ko tēnei hononga hou e kiia ana ko te anastomosis i roto i te rongoā.
I ētahi wā, ka whakamahia hoki tēnei ingoa mō tētahi tikanga iti e whakaurua ai he ngongo whāngai ki roto i te whekau iti hei tuku kai. Engari ehara tēnā i te pokanga nui e kōrerohia ana e tātou, he mea kē atu tēnā.
He aha koe i hiahia ai ki tēnei momo pokanga?
He maha ngā take matua mō tēnei pokanga. I ētahi wā ka mahia hei rongoā mō tētahi mate hauora, ā, i ētahi wā ka mahia hei ārai i tētahi raruraru pea ā muri ake nei.
| Āhua | Hei whakarāpopototanga... |
|---|---|
| Te Ārai Putanga Puku (GOO) | Te ārai i te ara e puta ai te kai i te puku. Ka mau te kai ki roto i te puku, kaua ki ngā whekau. |
| Te aukati o te duodenum | Te aukati i te wāhanga tuatahi o te whekau iti (duodenum), kei muri i te puku. |
| Te Matepukupuku Puku, te Matepukupuku Duodenal rānei | He pukupuku matepukupuku e ārai ana i te korokoro, e hiahiatia ana rānei he pokanga hei tango i te pukupuku. |
| Te Mate Pukupuku Peptic | Ka taea e ngā raruraru pēnei i te toto me te mātārae i puta mai i ngā mate puku te whakararu i te ara nakunaku. |
Ngā take o te pokanga hei ārai i te mate
I ētahi wā, ka mahia tēnei pokanga hei ārai i tētahi raruraru i mua i te noho hei raruraru.
- Mena kua tino whara te duodenum (whara): Mena kua pakaru te duodenum, pēnei i tētahi aituā, ā, ki te whakaaro te tākuta he mea morearea te tuku kai mā roto kia ora rā anō, ka hangaia he ara hou hei tuku kai mā roto kia ora rā anō te patunga.
- Te Matepukupuku Repeure Kāore e Taea te Tango: Mena kua tupu te matepukupuku repeure tata ki te duodenum, ā, kāore e taea te tango, ka taea te mahi i tēnei pokanga hei karo i mua i te tipu nui hei aukati i te paipa kai.
Hei tāpiritanga, ka whakamahia hoki tēnei tikanga hei wāhanga o ētahi pokanga whakaiti taumaha . Hei tauira, ko te pokanga taha puku o Roux-en-Y. Ko te whāinga o tēnei he whakaiti i te nui o te kai ka taea te tango ki roto i te puku me te nui o ngā matūkai ka taea te mimiti mai i ngā whekau.
He aha ngā mea ka tupu i mua i te pokanga?
I mua i tō haerenga ki te pokanga, he mea nui kia pai tō whakarite i a koe. Ina koa mēnā he aukati i roto i tō puku, tērā pea kāore e taea e koe te kai tika mō tētahi wā, tērā pea kei te ruaki koe, kei te maroke te wai , ā, kei te kore kai pai . Nō reira, ka whakapau kaha te tīma hauora ki te whakahoki i a koe ki te hauora pai rawa atu.
| Te maimoatanga | Whakaahuatanga |
|---|---|
| Ngā Wai IV | Te hoatu tote . Ka āwhina tēnei ki te whakataurite anō i ngā electrolytes kua pau i roto i te tinana. |
| Kai Totika IV | Te whakarato i te matūkai e tika ana mā te wai tote e hoatu tika ana ki roto i te uaua nā te mea kāore e taea e koe te kai. |
| Te Whakawhiti Toto | Mena he toto totokore, hoatu he toto. |
| Ngā rongoā paturopi | Te hoatu i ngā rongoā paturopi i mua i te pokanga hei ārai i te mate urutā i muri i te pokanga. |
| Te Whakaiti i te Pēhanga o te Puku | Ka whakaurua he ngongo nasogastric mā te ihu hei tango i tetahi mea kua mau i roto i te puku, hei whakaiti hoki i te pēhanga. He haumaru hoki tēnei mō te rongoā whakamoe. |
He aha ngā mea ka tupu i te wā o te pokanga?
E rua ki te whā hāora te roa o tēnei pokanga. I tēnei wā, ka whai te tākuta i ēnei mahi:
1. Ka tukuna koe ki raro i te rongoā whakamoe whānui . Ko te tikanga ka moe pai koe kia mutu rā anō te pokanga.
2. Ka whakaurua he ngongo mā te ihu hei whakaiti i te pēhanga i roto i te puku.
3. Whakahaerehia te pokanga puku, mā te pokanga tuwhera , mā te laparoscopy rānei, arā, he torutoru noa ngā tapahi iti ka mahia, ā, ka whakaurua he kāmera ki roto i te kōhao puku. He poto ake te wā whakaora o te pokanga laparoscopy, ā, he iti ake ngā koha.
4. Ka kitea te wāhi tuturu o te raruraru i roto i te ara nakunaku.
5. Ka tīpakohia he wāhi tika mai i te jejunum, he wāhanga o te whekau iti, ā, ka honoa kia 5 henimita te iti rawa ki runga ake i te wāhi o te raruraru puku.
6. Ka tirohia te anastomosis hou kua hangaia kia kitea ai mēnā kei te mahi tika, ā, mēnā he turuturu kei roto.
7. Ki te pai ngā mea katoa, ka tuia ngā tapahi, ā, ka oti te pokanga.
He aha ngā mea ka tupu i muri i te pokanga, ā, he aha ngā mōrearea?
Me noho koe ki te hōhipera mō ētahi rā i muri i te pokanga. Ka roa pea te wā ka tīmata anō tō puku me ō whekau ki te mahi i te āhua noa. Tērā pea ka whakapairuaki koe i ngā rā tuatahi, ā, ka puhoi pea ō whekau. Me whai ngongo ihu ētahi tāngata mō ētahi rā.
Tuatahi, ka hoatu he wai me te kai mā te tote ki a koe, kātahi ka whakaurua mārire ki ngā kai wai, kātahi ki te kai ngohengohe i mua i te tukunga ki te kāinga.
Pērā i ngā pokanga katoa, he tūponotanga kei roto. He mea pēnei i te toto, te toto e pupuhi ana, me te kino ki ngā whekau e karapoti ana. Engari he tino onge ēnei.
He maha anō hoki ngā mōrearea me ngā pānga taha mō te wā roa e pā ana ki tēnei pokanga.
| Ngā raruraru/Pānga taha | He aha te mea ka tupu ki tēnei? (He aha te mea ka tupu?) |
|---|---|
| Ngā raruraru tonu | |
| Te turuturu o te pūnaha io | Te turuturu o te hononga hou. He onge tēnei, engari he kino rawa. Mēnā ka puta he mate i roto i te puku, ā, ka horapa ki te toto, ka tūpono pea te ora. |
| Ngā Pānga Taha mō te Wā Roa | |
| Te Mate Putunga | Ka puta ngā tohu pēnei i te whakapairuaki, te pupuhi, me te mamae o te puku i muri i te kai nā te mea ka puta whakarere te kai mai i te puku ki roto i te whekau iti. I te nuinga o te wā, ka memeha haere tēnei i muri i tētahi wā. |
| Te Mate Pukupuku o te Taha | Nā te mea ka haere tika ngā waikawa o te puku ki roto i te jejunum, kāore e taea e te jejunum te tu atu i aua waikawa, ka puta he mate pukupuku. |
| Te Whakahokinga o te Au | Te rerenga whakamuri o ngā wai nakunaku, pērā i te au, mai i ngā whekau ki roto i te puku. Ka taea e tēnei te kino i ngā pakitara o te puku. |
Kia pēhea te roa e ora ai, ā, āhea ahau me waea atu ki te tākuta ?
E ono wiki pea te roa o te wā hei whakaora katoa. Heoi, ka rerekē pea tēnei i runga i te momo pokanga i mahia ki a koe (tuwhera, laparoscopic rānei) me te roa o te pokanga. Ma tō rōpū hauora koe e tohutohu mō te tiaki i tō patunga i muri i tō hokinga ki te kāinga, me pēhea te whakahaere i te mamae, me te wā ka taea e koe te hoki anō ki ngā mahi o ia rā.
He mea tino nui: Ki te puta mai tētahi o ngā tohu e whai ake nei i muri i tō hokinga ki te kāinga, me kōrero tonu atu ki tō tākuta, ki te hōhipera rānei. Kaua e whakaroa.
- Ki te mea ka whero, ka mamae, ka pupuhi, ka mahana rānei te wāhi i whara ai (he tohu mate ēnei).
- Te kirika (neke atu i te 38 Celsius / 100 Fahrenheit).
- Mena he uaua te whakahaere i te mamae.
- Mena he uaua ki a koe te kai, te pupuri i te kai kia iti, te ruaki tonu rānei.
- Mena he mate korere tonu tōu.
- Ki te huri tō kiri, te mā rānei o ō kanohi hei kōwhai.
Ka nui te rerekētanga o tēnei pokanga ki tō pūnaha nakunaku. Ka taea e tēnei te huri i tō oranga. Nō reira, kaua e haere ko koe anake i tēnei haerenga. Kōrero ki tō tākuta mō ngā pātai, ngā āwangawanga rānei ka pā mai ki a koe i mua atu, i muri mai hoki i te pokanga. Kei reira tonu rātou hei āwhina i a koe.
Karere Tangohia ki te Kāinga
- Ko te Gastrojejunostomy he pokanga e hanga ana i tētahi ara hou i waenganui i te puku me te whekau iti.
- Ko te nuinga o tēnei ka mahia hei rongoā mō ngā āhuatanga pēnei i te aukati i te ara nakunaku, te mate pukupuku, ngā whara kino rānei.
- He mea tino nui kia pai tō hauora i mua i te pokanga, ā, he roa te wā e ora ai koe i muri i te pokanga.
- I muri i te pokanga, me whakarerekē e koe tō kai me tō momo noho, ā, he mea nui hoki kia whai i ngā tohutohu a tō tākuta.
- Ki te pā mai ētahi tohu whakatūpato pēnei i te mate pāwera o te patunga, te kirika, te mamae kore e taea te whakahaere, te uaua rānei ki te kai, rapua tonutia he tohutohu hauora.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 🥩 He aha ngā kai he nui te rino? He aha i hiranga ai ēnei mō tēnei pokanga?
He nui te rino i roto i ngā kai pēnei i te mīti whero, te pīni, te pīnihi, me ngā pīni rēneti. Nā te mea ka whakarerekētia te huarahi kai i te wā o te gastrojejunostomy, ka taea te whakaiti i te mimiti o te rino e te tinana. Koia te take he mea nui anō hoki te rino ina kōrerohia tēnei pokanga.
💬 🩺 Ka taea te pāngia e te anemia i muri i tēnei pokanga (Gastrojejunostomy)?
Āe, ka taea. Nā te mea ka haere te kai mā te wāhi matua o te mimiti rino i tēnei pokanga. Nō reira, hei tāpiritanga ki te kai i ngā kai whai kiko rino, me tango anō hoki e ētahi tāngata ngā tāpiringa rino e ai ki te whakahau a tā rātou tākuta.
💬 🍋 Me pēhea taku kai kia pai ai te mimiti o te rino?
Mēnā ka kai koe i ngā kai he nui te rino, tāpirihia he mea kei roto te huaora C, pērā i te rēmana, te karaka rānei. Mā tēnei ka māmā ake te mimiti o te rino mō tō tinana, ahakoa i muri i te pokanga. Engari kia mahara, kaua e inu tī, kawhe rānei i muri i te kai, nā te mea ka ārai i te mimiti o te rino.
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