Kei te raru koe i te gastritis, i ngā mate pukupuku rānei e mau tonu ana, e kore e ora ahakoa kua tangohia e koe te rongoā? Ina kaha rawa ēnei mate pukupuku , ā, kāore e aro ki ngā maimoatanga paerewa, ka tūtohu pea ngā taote pokanga i tētahi tikanga motuhake e kiia nei ko te Vagotomy. Kāore pea koe i rongo i mua, engari he wawaotanga hauora nui tēnei. Me whakamārama tātou he aha te tikanga i roto i ngā kupu māmā noa iho.
He aha tonu te Vagotomi?
Whakaarohia tō tinana he 'raina waea' motuhake e hono ana i tō roro ki tō pūnaha nakunaku. I roto i ngā kupu hauora, e mōhiotia ana tēnei ko te Nerve Vagus. Ko tēnei io te kawenga mō te tuku tohu ki tō puku hei whakaputa waikawa nakunaku ina kai koe. Mō ētahi tāngata, he nui rawa te waikawa e whakaputaina ana e te puku, ka kai i te arai o te puku, ā, ka puta he mate puku pumau . I te wā o te Vagotomy, ka tapahia e te taote pokanga te wāhanga motuhake o te io Vagus e tohu ana ki te puku kia whakaputa waikawa. Pērā i te tapahi i te raina waea ka mutu te tohu, ka whakaitihia te tohu mō te whakaputa waikawa mā te tapahi i tēnei io. Ka āwhina tēnei ki te pupuri i ngā taumata waikawa o te puku kia kore e neke, ka taea ai e ngā mate puku te ora me te ārai i ngā mate puku hou kia puta.
Ehara tēnei i te rongoā mō te gastritis noa. E kiia ana koinei te otinga whakamutunga mō ngā mate puku kino, uaua hoki, e kore nei e taea te whakahaere mā te rongoā anake.
He aha ngā momo matua o te Vagotomi?
He rite te io Vagus ki te pūtake rākau e manga ana. I runga i te wāhi i tapahia ai te io, ka wehea te Vagotomy ki ngā momo matua e rua, he rerekē te pānga o ia momo.
| Momo Tukanga | Whakamārama Māmā |
|---|---|
| Te tango i te ngako o te waewae | Ko te tikanga o tēnei ko te tapahi i te pūtake matua o te io vagus. Nā te mea ko tēnei io anō hoki e whāngai ana i te ate, te pūkahukahu, te repeure, me ngā whekau, ka pāngia ēnei whekau katoa e te tapahi i te peka matua. Ahakoa ka whakaitihia te waikawa, ka nui ake te tūponotanga o ngā pānga taha o te nakunaku. |
| Te Vagotomy Tino Kōwhiri | I tēnei huarahi, kāore te pūtake io matua e pāngia. Engari, ko ngā manga iti anake e kawe ana i ngā tohu ki ngā pūtau parietal e whakaputa waikawa ana i roto i te puku ka tapahia. He tika ake tēnei, he iti ake ngā pānga taha, engari me whai tohunga pokanga tino pūkenga. |
Āhea te wā e taunakitia ai tēnei pokanga?
Ahakoa he pai te urupare a te nuinga o ngā mate puku ki te rongoā, ka whakaarohia te pokanga mō ngā āhuatanga motuhake, kino hoki:
- Ngā Mate Pukupuku Toto Kāore e Taea te Whakahaere: Mena ka toto tonu te mate puku, ā, kāore e taea te whakahaere mā te endoscopy, me pokanga hei whakamutu i te toto me te ārai i te hokinga mai.
- Ngā Mate Puku: He āhuatanga ohorere hauora tēnei. Mēnā ka kai te mate puku i te pakitara o te puku, ka turuturu te waikawa me te kai ki roto i tō puku, ka puta he mate morearea. Me pokanga tonu koe, ā, ki te whakapae koe i tēnei, me haere tonu koe ki te tari ohorere tata ki a koe.
- Te Ārai Putanga Puku: I roto i te wā, ka ārai pea te kiko koha mai i ngā mate puku roa i te putanga mai i tō puku, ka puta ai te ruaki tonu. Tērā pea me pokanga hei whakakore i tēnei ārai.
Ngā tikanga e mahia ana i te nuinga o te wā i te taha o te Vagotomy
Kāore i te maha ngā wā ka mahia motuhake te Vagotomy; he maha ngā wā ka honoa tahitia me ētahi atu tikanga hei whakatika i ngā raruraru i puta mai i ngā mate pukupuku.
1. Te tango i te puku me te tango i te puku
I ngā wā tino kino, ka tangohia tetahi wāhanga o te puku (he tangohanga puku). He maha ngā wā, ka tangohia te wāhanga o raro nā te mea ka puta te homoni 'gastrin', e whakaoho ana i te hanga waikawa. Mā te tango i tēnei wāhanga ka ārai i ngā mate puku a muri ake nei.
2. Pyloroplasty me te Vagotomy
Mena he Truncal Vagotomy tāu, he maha ngā wā ka hiahiatia he Pyloroplasty. Ko te pylorus he uaua rite ki te takirere kei te pito o te puku e mahi ana hei kaitiaki mō te kai e neke ana ki roto i te whekau iti. Nā te mea ka taea e te Truncal Vagotomy te whakakore i ngā tohu io e whakatuwhera ana i tēnei kuaha, ka whakarite te tikanga Pyloroplasty kia noho tuwhera tonu te takirere, kia ngāwari ai te haere o te kai.
Ngā mea hei tumanako atu i mua atu, ā, i te wā o te pokanga
I mua i te pokanga, ka whakarite tō tīma hauora kei te ora koe. Mena kua matewai koe i te ruaki, ka tukuna he wai ki roto i te uaua; ki te mate toto koe i te toto, ka tukuna pea he whakawhiti toto ki a koe. Ka tukuna hoki he paturopi hei ārai i te mate . Ka mahia te pokanga i raro i te rongoā whakamoe whānui , arā, ka moe koe, ā, kāore he mamae.
E rua ngā tikanga pokanga:
- Pokanga Tuwhera: Ko te tikanga tuku iho me tapahi kotahi te tapahi nui ki te puku.
- Pokanga Laparoscopic: E mōhiotia ana ko te 'pokanga kī', he tapahi iti ake tēnei, he kāmera, me ngā taputapu motuhake. He tere ake te whakaora, ā, he iti noa te koha.
Mā tō taote pokanga e tohutohu te tikanga pai rawa atu māu.
Te Whakaora me ngā Mōrearea Pea
Ka noho pea koe ki te hōhipera mō ētahi rā tae noa ki te wā e rite ai koe ki te neke haere. E hia wiki te roa mō te whakaoranga katoa. Ka tīmata koe me ngā kai wai, kātahi ka hoki mārire ki te kai noa.
| Ngā Tūponotanga me ngā Pānga Taha | Whakaahuatanga |
|---|---|
| Ngā Mōrearea Pokanga | Ko ngā mōrearea pea ko te kino o ngā whekau, o ngā uaua toto rānei e karapoti ana, te mate, te totohu, te pupuhi toto rānei. |
| Korere | He maha ngā wā ka kitea i muri i te Truncal Vagotomy nā te panoni o ngā tohu io ki te pūkahukahu. He wā poto noa iho tēnei. |
| Te Mate Putunga | I puta mai i te Pyloroplasty, arā, te tere rawa o te urunga o te kai ki roto i te whekau iti, ka puta te whakapairuaki, te mamae o te puku, me te korere i muri tata mai i te kai. Ka taea te whakahaere i tēnei mā te whakarerekē i te kai. |
| Ngā kōhatu o te pūhā | Ko te hekenga o te mahi o te puku i muri i te pokanga ka arahi pea ki te hanganga o ngā kōhatu. |
He ngāwari te whakahaere i te nuinga o ngā pānga taha. Ko te mea nui hei ako mā te tini, mā tēnei pokanga anake te whakaora pumau mō ngā mate puku mamae, pumau hoki.
Ngā Whakaaro Matua
- Ko te Vagotomi he pokanga mō ngā mate puku kino, uaua hoki e kore e ora mā te rongoā.
- Ka whakakorea e te tikanga te tohu a te io Vagus ki te whakaputa i te waikawa puku nui rawa.
- Ko ngā momo matua e rua ko te Truncal me te Highly Selective Vagotomy.
- He maha ngā wā ka mahia ngātahitia me ētahi atu tikanga pērā i te gastrectomy me te pyloroplasty.
- Ahakoa e taea ana ngā pānga taha pēnei i te mate korere, te mate tākihi rānei, he maha ngā wā ka taea te whakahaere.
- Me kōrero tonu ki tō taote pokanga mō ngā kōwhiringa pokanga kia mōhio ai koe mēnā koinei te huarahi tika mō tō hauora.
Te tango i te io, Te io vagus, Ngā mate puku, Te kapia, Te waikawa puku, Te pokanga, Te tango i te io truncal, Te pokanga pyloroplasty
