He otinga mō te mamae o te uma! Me ako tātou mō te pokanga Nissen Fundoplication i roto i ngā kupu māmā.

He maha tonu te mamae o te puku? Kei te pēhia koe e te mea kei roto i tō korokoro, i tō uma rānei? Kei te pēhia koe e te mea kei te hoki mai te kai e kainga ana e koe ki roto i tō korokoro? He tokomaha e kī ana i tēnei ko te "gastritis". Ko te ingoa hauora o tēnei mate ko te Gastroesophageal Reflux Disease, arā, ko te (GERD) te poto. Ahakoa te tango rongoā me te whakahaere i tō kai, kāore e taea e koe te whakakore i tēnei raruraru? He mea nui tēnei ki a koe. Me titiro tātou ki tētahi otinga angitu mō tēnei, arā, ko te pokanga.

He aha tēnei pokanga Nissen Fundoplication?

He ngāwari noa iho, he pokanga tēnei e mahia ana hei rongoā i te mate reflux gastroesophageal kino (GERD).

Whakaarohia pēnei. Ina kai tātou, ka heke te kai i te korokoro ki roto i te puku. Kei waenganui i te korokoro me te puku he takirere e kiia nei ko te sphincter e mahi ana pērā i te tatau. Ina horomia e tātou, ka huaki tēnei takirere ka tukuna te kai kia haere ki roto i te puku. Kātahi ka kati pūmau. Ka mahi i tēnei hei aukati i ngā waikawa kino o te puku kei hoki mai ki roto i te korokoro.

Engari mō te tangata whai GERD, kāore tēnei takirere e mahi tika. He wetekina. Nō reira ka tere te piki o te waikawa i roto i te puku, arā, ki roto i te korokoro. Koia te take ka puta ai ngā tohu pēnei i te mamae o te puku me te reka kawa i roto i tō korokoro.

Anei ngā mahi e pā ana ki te Nissen Fundoplication. Ka tangohia e te taote pokanga te pito o runga o te puku (te fundus) ka takai ki te pito o raro o te esophagus. He rite ki te here i tētahi mea e kore e uru. Mā tēnei takai ka whakapakari anō i te takirere kore uru. Kātahi ka noho te waikawa o te puku ki roto i te puku, ā, kāore e puta ake.

He rerekē ngā momo pokanga o tēnei?

Ae, he maha ngā momo matua o tēnei pokanga, i runga i te nui o te kiko puku e takai ana i te korokoro. Mā tō taote pokanga koe e whakamārama ko tēhea te tikanga pai rawa atu mō tō āhuatanga.

He aha ngā mea me mahi e au i mua i te pokanga?

I muri i te whakatau kia pokangahia, ka whakahaua e tō tākuta ētahi whakamātautau. Ka mahia ēnei hei tirotiro mēnā kua whaiti tō korokoro, me pēhea tana mahi, me te mea kei a koe tētahi mate e kiia nei ko te hernia hiatal . Ko te hernia hiatal he hernia e pana ana tētahi wāhanga o te puku ki runga mā te diaphragm ki roto i te uma. Ka taea e tēnei te whakanui ake i ngā tohu GERD. Mēnā kei a koe tēnei mate, ka whakatikahia e te taote pokanga i te wā kotahi e pokangahia ana.

Koinei ngā whakamātautau e mahia ana i te nuinga o te wā:

• Endoscopy o Runga: Ka whakauruhia he ngongo me te kāmera e piri ana mā te waha hei tirotiro i te roto o te korokoro me te puku.
• Whakamātautau Manometri o te korokoro: He whakamātautau e ine ana i te pai o te kōpeketanga o ngā uaua o te korokoro, arā, te pai o tā rātou mahi.
• Whakamātautau Aroturuki pH: He whakamātautau e ine ana i te nui o te waikawa i roto i tō korokoro mō te 24 hāora pea.
• Ngā hihi-X o te puku (GI): Ka tangohia ngā whakaahua hihi-X o te korokoro me te puku i muri i te inu i tētahi wai motuhake (barium). Ka tirohia te āhua me te mahi o te korokoro me te puku.

Waihoki, ka tohutohuhia koe kia kaua e kai, e inu rānei i tetahi mea i muri i te waenganui pō o te pō i mua i te pokanga. He mea tino nui kia tino whai i ēnei tohutohu.

Me pēhea te mahi i te pokanga?

E rua ngā huarahi matua mō tēnei pokanga. Ka tukuna he rongoā whakamoe whānui ki a koe, kia kore ai koe e rongo i tetahi mea i te wā e pokangahia ana, engari ka moe koe.

Ko te tikanga ka roa te mahi i tēnei pokanga i te kotahi ki te toru hāora.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Ngā Painga

Ko te painga nui o tēnei pokanga ko te whakaora i ngā tohumate GERD kino kāore i taea e ētahi atu maimoatanga te whakahaere. Ka whakaitihia hoki te mōrearea o te whakawhanake i te esophagus a Barrett, he mate ka puta i roto i te wā nā te GERD. Ko te esophagus a Barrett he mate pukupuku i mua i te mate pukupuku ka arahi pea ki te mate pukupuku o te esophagus.

Ngā Tūponotanga (Ngā Raruraru)

Pērā i ngā pokanga katoa, he tūponotanga kei te pangia koe e te mate. Engari ko te tūponotanga matua ko te hokinga mai o ngā tohu i muri i tētahi wā. E ai ki ētahi rangahau, tata ki te 10% o te hunga kua pokangahia, me pokanga anō pea.

He aha ngā mea ka tupu i muri i te pokanga? Kia pēhea te roa o te wā e ora ai?

I muri i te pokanga, me noho koe ki te hōhipera mō te rā kotahi, mō ētahi rā rānei.

• Mena i pokanga tuwhera koe, ka whakauruhia pea he ngongo nasogastric rangitahi mā roto i tō ihu hei tango i te wai e kohia ana i roto i tō puku.
• Ka hoatu he wai tote ki a koe (he wai IV) hei ārai i te maroke o tō tinana.
• Ka whakaratohia he kai mā te tote kia tīmata rā anō te mahi a ō whekau i te āhua noa (arā, kia puta rā anō te hau, te tūtae rānei).

Wā Whakaora

He mea tino nui te okioki mō ngā rā tuatahi i muri i te pokanga. Whai muri i tēnā, ka taea e koe te hoki mārire ki ō mahi o ia rā. Heoi, ki te mea he tangata whakakorikori tinana nui koe, ka tohutohu tō tākuta kia mahi noa koe i ngā whakakorikori tinana māmā mō ētahi wiki.

Ka taea e te tamaiti kua pokaina tēnei te hoki ki te kura i roto i ētahi rā, engari me karo i te oma, te pekepeke, ngā hākinakina uaua rānei mō te toru wiki pea te roa.

Kai

Tērā pea ka mamae tō korokoro i ngā rā tuatahi i muri i te pokanga. Nō reira, me kai koe i ngā wai me ngā kai ngohengohe mō ngā rā tuatahi e 7-10 .

• Tīmata ki ngā wai pērā i ngā inu pūmua me ngā inu huamata.
• Kātahi ka taea e koe te neke atu ki ngā kai koretake pērā i te miraka kawa, ngā hua manu i paraipanatia, te rimurapa, me te raihi.
• He mea tino nui kia mawehe atu i ngā kai raukikī, hinuhinu, me ngā kai uaua ki te nakunaku i tēnei wā.

Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta tonu.

Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te hokinga ki te kāinga i muri i te pokanga, waea atu ki tō tākuta tonu atu.

• Mena he nui atu te toto o te motu i tō te mea i whakaarohia.
• Ki te kite koe i ngā tohu o te mate :
• Mena he nui rawa te pupuhi huri noa i te wahi i tapahia.
• Ki te mea he kirika tōu.
• Mena he whero te taha o te wahi i tapahia.
• Mena ka mahana te kiri huri noa i te wahi i tapahia ina pā atu.
• Mena kei te whakaaro koe kei te hoki mai anō ngā tohumate GERD i kitea i mua i te pokanga .

Mena kua tangohia e koe he rongoā, kua whakahaere i tāu kai, ā, kua mahia e koe ngā mea katoa engari kei te pāngia tonu koe e te werawera o te uma me te mate huka, he otinga pai pea te pokanga Nissen Fundoplication māu. Ka taea e tēnei te whakaora i tō oranga. Ki te hiahia koe ki te ako atu mō tēnei, me te whakatau mēnā he tika tēnei māu, me kōrero ki tō tākuta.