Kei a koe anō te raruraru o te ngau kino i te uma, me te piki haere o te kai ki roto i tō korokoro? Ahakoa e kiia ana tēnei he gastritis, he mate kino ake pea tēnei i ētahi wā. Mena ka memeha te raruraru i muri i te tango rongoā mō ētahi rā, engari ka puta anō, tera pea ka whakaaro koe mēnā kāore he otinga tuturu mō tēnei. Mō ēnei tāngata te mea nui o te tikanga maimoatanga hou e kiia nei ko te TIF e kōrerohia nei e tātou i tēnei rā.
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He aha te tikanga o tēnei TIF?
Ko te TIF he whakarāpopototanga mō "Transoral Incisionless Fundoplication." Me wehewehe ngā kupu kia mārama ai tātou.
- Transoral: Ko te tikanga o tēnei "mā te mangai." Ko te tikanga ka mahia te maimoatanga mā te whakauru i ngā taputapu mā roto i tō waha.
- Kore tapahi: Ko te tikanga o tēnei "kāore he tapahi." Ae, i tika tāu i rongo ai! Kāore tēnei maimoatanga e uru ki ngā tapahi i roto i tō puku. Nō reira, kāore he take e manukanuka ai koe mō te pokanga nui.
- Te Whakapūngao: Koinei te mahi tūturu. Ko te tango i te wāhanga o runga o tō puku (e kiia nei ko te 'fundus') ka takai ki te wāhanga o raro o tō korokoro, me te whakakīkī paku.
Ki te whakarapopototanga, he tikanga kore-whakaeke te TIF e whakamahi ana i tētahi kāmera (endoscope) ka whakaurua mā te waha hei whakapakari i te takirere i waenganui i te pito o runga o tō puku me tō korokoro.
Me pēhea te whakapai ake a te maimoatanga TIF i te GERD?
Hei mārama ki tēnei, me titiro tuatahi tātou ki te take e pāngia ai tātou e te mamae o te puku. I te wāhi e hono ai tō tātou korokoro (paipa kai) ki tō tātou puku, kei reira he mowhiti uaua e mahi ana pērā i te takirere. Ina horomia e tātou, ka huaki ka tukuna te kai kia haere ki roto i te puku, kātahi ka kati anō. Mā tēnei ka ārai i te waikawa puku waikawa kei hoki ake ki roto i te korokoro.
Engari, ki te mea kei a koe te GERD (Gastroesophageal Reflux Disease) , koinā te mea e kōrerohia ana, he ngoikore ngā uaua e mahi ana pērā i te takirere. Nō reira ka puta ngāwari te waikawa o te puku. Koinei te mea e hiahia ana koe ki te wera, he reka kawa i roto i tō korokoro.
Tērā pea kei ētahi tāngata he mate e kiia nei ko te hernia hiatal . Koinei te wā e pana ai te wāhanga o runga o te puku mā roto i tētahi kōhao iti i roto i te diaphragm, te pakitara nui e wehe ana i tō tātou uma me te puku. Ka taea e te maimoatanga TIF te whakakī i tēnei takirere ngoikore, ā, ka taea hoki te whakatika i ngā hernia hiatal iti.
Mā wai tēnei maimoatanga TIF e tino tika?
Ehara te TIF i te mea mā te katoa. He tino pai mō:
- Mō te hunga he GERD ngawari ki te kino, he hernia hiatal iti rānei.
- Mō te hunga e mataku ana, e kore rānei e taea te mahi pokanga nui.
- Mō te hunga e hiahia ana ki te karo i te tango rongoā mō te gastritis mō te toenga o ō rātou oranga.
Ko te rongoā tino noa mō te GERD he momo rongoā e kiia nei ko ngā aukati papu proton (PPI) . Heoi, kāore pea ētahi tāngata e kaha ki te aro atu ki ēnei rongoā i roto i te wā. Ko ētahi kāore pea e hiahia ki te tango i ēnei rongoā mō te wā roa. Mō ēnei tāngata, he pai te TIF hei whakakapi i te pokanga me te rongoā mō te wā roa.
Me aha koe i mua i te maimoatanga TIF?
Mena kei te hiahia koe ki tēnei maimoatanga, me kōrero tuatahi koe ki tō tākuta mō tēnei . Ka taea tēnei e te tākuta puku, e te taote pokanga whānui rānei. Māna koe e tirotiro, e whakatau mēnā he tika tēnei māu. Me whai whakamātautau koe.
| Ngā whakamātautau pea | Hei whakarāpopototanga, he aha te mea ka tupu? |
|---|---|
| Te korokoro | I a koe e horomia ana he wai, ka aroturukitia te mahi a te korokoro mā te whakamahi i te hihi-X ataata ('fluoroscopy'). |
| Endoscopy o Runga | Ka whakaurua he kāmera mā te waha, ā, ka tirohia tika te āhua o roto i te korokoro me te puku. |
| Whakamātautau pH o te korokoro | I te wā o te endoscopy, ka whakanohoia he pūoko iti ki roto i tō korokoro, ā, ka ine i te nui o te waikawa e tomo ana ki tō korokoro puta noa i te rā. |
| Te manometria o te korokoro | Ka inehia te pēhanga me te mahi a ngā uaua i roto i te korokoro mā te whakamahi i tētahi ngongo iti (ngongo nasogastric) ka whakaurua mā roto i te ihu. |
Engari kia maumahara, ki te mea he hernia hiatal nui tōu, he uaua ki te horomi, he erosive esophagitis kino, he āhuatanga rānei kua whakarerekētia te arai o tō korokoro mō ake tonu atu (te korokoro a Barrett), kāore pea te maimoatanga TIF e tika mōu.
He aha ngā mea ka tupu i te wā e rongoatia ana?
Ka mahia tēnei maimoatanga i raro i te rongoā whakamoe whānui, arā, kei te moe katoa koe. Nō reira, kāore koe e rongo i tetahi mea.
Ka whakaurua e te tākuta he endoscope, he kāmera, me tētahi taputapu TIF mā roto i tō waha. I a ia e titiro ana ki ngā whakaahua i runga i te mata, ka āta whakapikohia e te tākuta te taha o runga o te puku ki te taha o te korokoro, ā, ka whakamahia he topenga iti, he tuitui rānei ('mau here') hei pupuri i a ia ki tōna tūranga. He rite tēnei ki te whakapakari i tētahi wāhi ngoikore, pērā i te kara o te hāte.
E 45 ki te 60 meneti te roa o te tukanga katoa. Whai muri i te maimoatanga, ka tirotirohia koe, ā, ka whakaaetia kia hoki ki te kāinga i taua rā anō, ki te kore rānei ka tonoa koe kia noho ki te hōhipera mō te pō.
I muri i te maimoatanga... te mamae me te wā whakaora
Ina ara ake koe, ka hoatu he rongoā mamae mā te wai tote. Ko te nuinga o te tangata ka pāngia e te mamae iti, ā, ka roa mō te rā kotahi, e rua rānei. He mea noa te mamae o te korokoro me te mamae o te uma.
Mō te wā whakaora, ka taea e koe te hoki anō ki ngā mahi o ia rā i roto i ētahi rā. Heoi, e rua ki te ono wiki pea te roa kia tino ora ai te roto o te korokoro. I tēnei wā, me whakarerekē tō kai.
- I ngā rā tōmua: he wai mārama (hei tauira, he wai hupa, he wai karaka)
- Panuku: Ngā wai matotoru me ngā kai i hurihia kia pai
- I muri i ētahi wiki: Ka taea e koe te taunga ki te kai noa.
I tēnei wā, he mea tino nui kia karohia ngā mahi pēnei i te hiki taumaha me te whakakori tinana uaua mō te marama pea .
He tūponotanga kei roto i tēnei?
Pērā i ngā tikanga hauora katoa, he iti noa iho ngā mōrearea ka pā mai i ngā TIF. Heoi, he iti rawa te tūponotanga ka puta ēnei.
| Ngā raruraru pea (tino onge) | |
|---|---|
| Te kino ki te esophagus, ki te puku rānei | Te toto, te poka rānei. |
| Ngā mate urutā | Ngā āhuatanga pēnei i te mate pukupuku o te uma (mediastinitis). |
| Te hokinga mai o ngā tohu | Ki te hoki mai anō ngā tohu i roto i te wā, me huri pea koe ki tētahi atu tikanga maimoatanga. |
He aha te rerekētanga i waenga i te TIF me te pokanga tuku iho (Nissen Fundoplication)?
Ko te pokanga matarohia mō te GERD e kiia ana ko te Nissen fundoplication . Ko te rerekētanga matua ko te urunga atu o te tākuta ki te puku mā te tapahi i te puku. I ētahi wā, ka mahia mā te laparoscopy, mā roto i ētahi tapahi iti.
Ko tētahi atu rerekētanga ko te takai pūmau ake a te tikanga Nissen i te puku ki te korokoro. Nā tēnei ka tino whai hua mō te GERD kino. Heoi, mō ētahi tāngata, ka pā mai pea ngā pānga taha pēnei i te uaua ki te horomi me te uaua ki te tuku hau (te pupuhi) .
He tino onge ngā pānga taha mō te wā roa pēnei i te maimoatanga TIF. Ka whakaratohia he otinga taurite ki tētahi raruraru taurite. Nō reira, ka taea e ia te whakarato i tētahi otinga pai ki te raruraru me te kore e pāngia e ngā mōrearea me te wā whakaora roa o te pokanga.
He mea hou tonu te maimoatanga TIF, engari e whakaatu ana ngā hua tōmua i te angitu o te 80% i muri i te 5 tau. Ko te tikanga o te angitu kua roa te whakaoranga o ngā tūroro, ā, kua taea e rātou te whakaiti, te mutu rānei i te whakamahi rongoā.
Karere Tangohia ki te Kāinga
- He maimoatanga hou te TIF, kāore e pokanoa mō te mate reflux gastroesophageal (GERD) pumau me ngā hernia hiatal iti.
- Ka mahia tēnei mā te kāmera e whakanohoia ana mā roto i te waha. Nō reira, kāore he mōrearea, he mamae rānei e pā ana ki te pokanga nui.
- He kōwhiringa pai tēnei mō te hunga whai GERD āhua-waenga kāore e hiahia ki te tango rongoā mō te toenga o ō rātou oranga, ki te mahi rānei i tētahi pokanga nui.
- I mua i te tīmatanga o te maimoatanga, me kōrero koe ki tō tākuta kia mōhio ai mēnā he tika tēnei māu.
- He poto te wā whakaora, engari he mea nui kia whai i ngā tohutohu a te tākuta me te okioki kia tino ora ra ano koe.
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