Kua pāngia koe e tēnei āhuatanga? Ka kī tonu koe i muri i te kai, engari ehara i te mea he āhua kī tonu, engari he rite ki te mea kua mau te kai ki roto i tō puku. Ka ruaki rānei koe i muri i te kai mō tētahi wā. Ina haere tonu ēnei āhuatanga, he raruraru nui tēnei i roto i te ao. Nō reira, ka pā mai ēnei āhuatanga nā te raruraru o te 'kūaha' e tuku ana i te kai mai i tō tātou puku ki te whekau iti. Koinei tā tātou e kōrero ai i tēnei rā, he pokanga hei whakatika i taua 'kūaha'.
He aha te tikanga māmā o te pyloroplasty?
Āe, kia mārama tātou ki tēnei. Whakaarohia tō puku he putea e kohi kai ana. Kei raro i tēnei putea, he wāhanga e rite ana ki te taura e here ana i te waha. Koinei te mea e kiia nei e tātou ko `(Pylorus)` i roto i te rongoā. Hei whakamārama, he takirere kaha tēnei i hangaia mai i ngā uaua. Ina kai tātou i te kai, me nakunaku pai i roto i te puku, kātahi ka tukuna ki te whekau iti. I taua wā, ka huaki tēnei takirere e kiia nei ko `(Pylorus)` ka tukuna te kai ki roto i te whekau iti, kātahi ka kati anō.
Nō reira, ko te Pyloroplasty he pokanga e mahia ana ki te `(Pylorus)`. Mēnā he take kāore e tuwhera tika ai tēnei takirere, mēnā kua āraia, mēnā rānei kua pakaru nā tētahi atu pokanga, ka mahia tēnei pokanga hei hanga anō i tōna āhua, hei whakawhānui, hei tuku i te kai kia tere haere. He māmā noa iho, ka whakawhānuihia e tēnei pokanga te kuaha kua āraia i roto i te puku.
I roto i ēhea āhuatanga e hiahiatia ai tēnei pokanga?
Kāore e hiahiatia ana tēnei pokanga mō te katoa. Mena kei te hē te mahi a tō pylorus, ā, kua roa te whakawātea o te puku, he otinga pea tēnei pokanga. Me titiro tātou ki ngā tino take o tēnei.
Ngā mate puku (Te mate pukupuku peptic)
He tino kino te mate puku o ētahi tāngata. Mēnā ka toto tonu, ka kore rānei e ora i te rongoā, ka tūtohu pea ngā tākuta kia pokanga. Ko tētahi momo pokanga motuhake ko te vagotomy. Kei roto i tēnei ko te tapahi i tētahi io e āwhina ana i te puku ki te whakaputa waikawa. Ka whakaitihia te tūponotanga o ngā mate puku, engari hei pānga taha, ka kore e mahi te io e tohu ana i te takirere pylorus kia tuwhera, kia kati hoki.
Whakaarohia, he kēti kei reira, ā, he mana mamao hei whakatuwhera me te kati. He rite te pokanga `(Vagotomy)` ki te tango i te pākahiko mai i taua mana mamao. Nō reira kua kati te kēti.
I taua wā, me mahi koe i tētahi pokanga pyloroplasty. Mā tēnei ka huaki tonu te kuaha kua kati. Kātahi ka taea e te kai te haere ki roto i te whekau iti me te kore he ārai.
Hei tāpiritanga, i ētahi wā ka mumura te mate pukupuku, ka puta rānei he kiko koha ka ārai i te pylorus. I roto i tēnei āhuatanga ohorere, ka taea hoki te mahi i tēnei pokanga.
Te ngoikore o te uaua o te puku (Gastroparesis)
Koinei te wā ka ngoikore haere ngā uaua o te puku, tae atu ki te pylorus. He rite ki te mangere. Kātahi ka heke te nekenekehanga o te puku, ā, ka roa rawa te nakunaku me te haere o te kai. Ka arahi pea tēnei ki te whakapairuaki me te ruaki tonu. Tērā pea kāore e taea e koe te kai, te inu rānei. Ki te kore e angitu ētahi atu maimoatanga, ka tūtohu pea tō tākuta i tētahi pokanga Pyloroplasty hei whakatuwhera i te pylorus mō ake tonu atu.
Te Pyloric Stenosis i roto i ngā pēpi nohinohi
He mea noa tēnei āhuatanga e kitea ana i roto i ngā pēpi whānau hou. He tino onge i roto i ngā pakeke. Ko te mea e tupu ana i konei ko te matotoru o ngā pakitara uaua o te "Pylorus" o te pēpi, ka whaiti, ka ārai i te haere o te kai. Ka ruaki ēnei pēpi me te mea kei te pūhia rātou i muri i te inu miraka (ruaki pere). He mea tēnei e tino wehingia ana e ngā mātua. Nā te mea kāore e taea e ēnei pēpi te tuku miraka ki roto i te puku, ka hiahiatia tēnei pokanga. Ka whānui ake te wāhi whaiti.
Hei pānga taha o ētahi atu pokanga
I ētahi wā, i te wā e pokanga ana i te korokoro, i te puku rānei, ka pakaru pea te io vagus e whakahaere ana i te pylorus. I roto i ēnei take, ka taea te mahi pyloroplasty hei pokanga tāpiri.
Me pēhea te mahi i te pokanga pyloroplasty?
E rua ngā huarahi matua mō tēnei pokanga. Ko tētahi he pokanga tuwhera , arā, he tapahi nui ake i te puku. Ko tētahi atu he pokanga laparoscopic , arā, he tapahi iti i roto i te puku, me te whakauru i tētahi kāmera me ngā taputapu ngawari. He iti ake te kaha o tēnei pokanga, ā, he poto ake te wā whakaora.
Ahakoa te tikanga e whakamahia ana , ka mahia te pokanga i raro i te mate whakamoe whānui. Ko te tikanga o tēnei kāore koe e rongo i tetahi mea, ka moe koe.
He maha ngā tikanga hei mahi i tēnei pokanga. Mā te tākuta e whiriwhiri te tikanga tino tika i runga i te āhuatanga.
| Ingoa Tikanga | He aha te mea e tupu noa ana? |
|---|---|
| Te Whakatō Pyloroplasty o Heineke-Mikulicz | Koinei te tikanga e whakamahia whānuitia ana. Ka tapahia e te taote te pylorus kia roa, kātahi ka tuitui kia whakawhiti. Ka whānui ake te wāhanga rite ki te ngongo. |
| Te tango i te kiko o te waewae (Pyloroplasty Ramstedt) | He tikanga tēnei e whakamahia ana mō ngā pēpi whānau hou. I konei, ko te paparanga uaua o te Pylorus anake ka tapahia, kāore ko te arai o roto (kirikiri angiangi). Kātahi ka pupuhi te arai o roto, ka nui ake te ara mō te kai. |
| Te Whakawhanuitanga o te Pyloric | Ka rite tēnei ki te endoscopy. Ka whakauruhia he kāmera mā te waha, ā, ka tukuna he taputapu motuhake mā roto hei whakawhānui i te pylorus me te kore e tapahia. |
| Te Tātaritanga o Jaboulay/Finney Pyloroplasty | Kāore ēnei e whakamahia pinepinetia ana. Ka whakamahia ēnei tikanga mēnā he nui ngā kōhatu me te pupuhi i roto i te pylorus. Ko te mahi i konei ko te karo i te pylorus me te hanga hononga hou i waenga i te puku me te whekau iti (gastroduodenostomy). |
He aha ngā mea hei tumanakohia i muri i te pokanga?
I muri i te pokanga, ka tuia ō tapahi. Mena i pokangahia koe mā te laparoscopy, tera pea ka taea e koe te hoki ki te kāinga i taua rā anō. Heoi, ki te mea i pokangahia koe mā te tuwhera, me noho pea koe ki te hōhipera mō ētahi rā nā te mea he nunui ngā tapahi.
Kāore koe e whakaaetia kia kai i ngā kai mārō i muri tonu i te pokanga. Ka hoatu tuatahitia he wai (tote) mā roto i te uaua. Kātahi ka whakaurua mārire atu koe ki ngā wai, ki ngā hupa, kātahi ki ngā kai ngawari, ā, i te mutunga ko ngā kai noa. Ka mahia katoatia tēnei i runga i ngā tohutohu a tō tākuta.
He aha ngā mōrearea me ngā raruraru o tēnei pokanga?
Pērā i ngā pokanga katoa, he maha ngā tūponotanga kei roto, engari he iti rawa te tūponotanga ka puta ēnei.
- Te toto
- Ngā mate urutā
- Te toto totoka
- Te kino ki ngā whekau e karapoti ana
- Te turuturu mai i ngā tuitui
Haunga ēnei mōrearea noa, he maha ngā raruraru e pā ana ki te pokanga pyloroplasty. Kia mōhio hoki tātou ki ēnei.
Te Mate Putunga
Koinei te pānga taha matua i kitea i muri i tēnei pokanga. Engari i te nuinga o te wā he wā poto noa iho. Ko te mea e tupu ana i konei ko te kai i roto i te puku ka "maka" ohorere, ka tere hoki ki roto i te whekau iti. Arā, ka taka. Ahakoa ko te take o te pokanga he tuku kai, i muri i te pokanga ka tīmata te tere o te tukunga o te kai.
E rua ngā wāhanga o ngā tohu o tēnei.
- Ngā tohu tōmua (Te Whakakorenga Mōrearea):Ka puta ēnei tohu i muri i te kai. Kei roto i ēnei ko te mamae o te puku, te whakapairuaki, me te pupuhi.
- Ngā tohu o te tukunga kai tōmuri: Ka puta ēnei i muri i ētahi haora. Ka taea e te hekenga ohorere o ngā taumata huka toto te whakararuraru i te tinana, te whanoke, te whero o te mata, me te tere o te ngakau.
I te nuinga o te wā ka memeha haere ēnei tohu. I tēnei wā, he mea nui kia whakarerekētia tō kai. Ma tō tākuta koe e tohutohu mō te āhua me te aha e kai ai. Mena e tika ana, he rongoā hei whakahaere i tēnei.
Te rerenga o te au
E mōhio ana tātou kua tuwhera tonu te takirere `(Pylorus)`. Nā tēnei, ka taea e ngā mea o roto i te whekau iti, inā koa te au, te hoki ki roto i te puku. Kāore tēnei au i te tino pai mō ngā pakitara o te puku. Ki te haere tonu tēnei, ka puta he mumura o te puku `(Gastritis)`.
Kia pēhea te roa o te wā e ora ai, ā, e pēhea ana te angitu o te pokanga?
Ka tere te ora o te nuinga o te tangata i muri i tēnei pokanga, inā koa mēnā i mahia mā te laparoscopy. Ka taea e koe te hoki ki ō mahi me tō kai noa i roto i ētahi wiki. Ki te pāngia koe e te ahua pēnei i te "mate tāwharau", me tino tupato koe ki tō kai. Ka memeha haere i roto i ētahi marama.
He tino whai hua tēnei pokanga hei rongoā mō ngā mate pēnei i te 'Gastroparesis' me te 'Pyloric stenosis'. E 90% te angitu.
He rite tō tātou pūnaha nakunaku ki tētahi mīhini e mahi tonu ana. Mēnā he aukati kei tētahi wāhanga o taua pūnaha, ka pakaru te pūnaha katoa. Pērā tonu te raruraru o te `(Pylorus)`. He pokanga iti te Pyloroplasty e mahia ana i tētahi wāhi iti, engari ka pā nui, ka pai hoki ki tō hauora. He pono, he whakatau nui te pokanga. Engari ki te kore ētahi atu maimoatanga i āwhina, koinei pea te otinga pai rawa atu mō tō raruraru.
Karere Tangohia ki te Kāinga
- Ko te Pyloroplasty he pokanga e whakawhanui ana i te 'kūaha' (pylorus) i te pito o raro o tō puku, kia māmā ake ai te haere o te kai mā roto.
- He rongoā mō ngā mate pēnei i te mate puku, te gastroparesis, me te Pyloric Stenosis, inā koa i roto i ngā pēpi hou.
- Ka taea te mahi i tēnei pokanga tuwhera, mā te laparoscopy rānei (mā te tapahi iti). He māmā ake te tikanga laparoscopy, ā, he tere ake te ora.
- Tērā pea ka puta ngā pānga taha pēnei i te mate tāmi i muri i te pokanga, engari he wā poto noa iho. Ka taea te whakahaere i ēnei mā te whakarerekē i tō kai.
- E kiia ana tēnei pokanga he pokanga haumaru, ā, he tino angitu ngā hua.
- Mena kei a koe ētahi o ngā tohu kua whakahuatia i roto i tēnei tuhinga, me toro atu ki tō tākuta tonu mō ētahi tohutohu. Kaua e rongoā i a koe anō.
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