Tērā pea ka whakaaro koe he mate puku tō ētahi tāngata, arā, he mate puku, ā, ahakoa te rongoā e tangohia ana e rātou, te nui rānei o tā rātou whakahaere i tā rātou kai, e kore rawa e ora. Tērā ētahi tāngata e pāngia ana e ngā āhuatanga kino e puta ai te mamae tonu, te toto, ā, i ētahi wā ka pakaru te puku. Mō ēnei tāngata, ina kore e angitu ngā maimoatanga katoa, kei te kōrero tātou i tēnei rā mō tētahi pokanga motuhake e taunakihia ana e ngā tākuta. Ka kiia ko te vagotomy.
He aha te tikanga o te vagotomy?
Whakaarohia pēnei: he rite te io Vagus ki te raina waea matua i waenganui i tō tātou roro me te pūnaha nakunaku, tae atu ki ngā whekau. Ko tēnei io te mea e tuku ana i te tohu ki tō tātou puku kia "tukuna te waikawa ināianei." Ahakoa e hiahiatia ana tēnei waikawa ina kai tātou, i ētahi wā ko te pikinga o tēnei waikawa te tino take o ngā mate puku.
Ko te vagotomi te tapahi āta i te wāhanga o te raina waea, te io vagus, e tuku tohu ana ki te puku kia hanga waikawa, ā, ka mutu taua tohu. Ka tino whakaitihia te hanga waikawa o te puku. He maimoatanga tino kaha tēnei engari he tino whai hua mō te hunga e pāngia ana e te mate puku peptic tino kino.
He aha te mea ka tupu ina motu te io vagus? - E rua ngā momo matua
He rite te io vagus ki te rākau. He pūtake matua tōna, ā, ka puta mai ngā manga rerekē. Ka rerekē te pānga o te pokanga i runga i te wāhi i tapahia ai tēnei io. E rua ngā momo matua.
| Momo pokanga | He aha te mea ka tupu, me te pānga |
|---|---|
| Te tango i te ngako o te waewae | Ko te tikanga o tēnei ko te tapahi i te "pūtake matua" o te io vagus. Ka whakaitihia te hanga waikawa o te puku, engari ka pā anō hoki ki te mahi a ētahi atu okana e whiwhi ana i ngā tohu mai i tēnei io, pērā i te ate, te pūkahukahu, te repeure, me ngā whekau. Ka pāngia pea te pūnaha nakunaku e tēnei. |
| Te Vagotomy Tino Kōwhiri | He tikanga tino motuhake tēnei. I konei, kāore te pūtake io katoa e tapahia. Ko ngā peka io iti noa iho e kawe ana i ngā tohu ki ngā pūtau whakaputa waikawa (ngā pūtau parietal) i roto i te puku ka tīpakohia, ka tapahia atu. Kāore tēnei e pā ki ētahi atu okana. Heoi, he mahi uaua tēnei mā te taote pokanga, ā, me nui ake te mōhiotanga hangarau e hiahiatia ana. |
I roto i ēhea āhuatanga ka tūtohutia tēnei pokanga?
Ka taea te rongoā i te nuinga o ngā mate puku mā te rongoā. Heoi, i roto i ngā take uaua me ngā take kino, pērā i ēnei e whai ake nei, ka tūtohutia pea tēnei pokanga hei ārai i te hokinga mai o ngā mate puku:
- Ngā Mate Pukupuku Toto: Ki te kore e taea e ētahi atu tikanga te whakahaere i te toto, me mahi pokanga pea hei whakaora i te mate puku.
- Ngā Mate Puku: Mena ka puta he kōhao i te pakitara o te puku i te mate puku, me kati mā te pokanga ohorere. Ki te kore, ka uru pea ngā huakita ki roto i te puku, ka pā he mate kino. Mēnā he pēnei, me haria tonu koe ki te ETU (Emergency Treatment Unit) .
- Ngā Ārai Putanga Puku: Ka ārai pea te kiko whara i te rerenga o te kai mai i te puku ki te whekau iti i ngā whara roa . I tēnei wā, me tango te kiko whara mā te pokanga.
He mea nui, kāore te vagotomy e mahia takitahitia. He maha ngā wā ka mahia ngātahitia me tētahi atu pokanga hei whakatika i tētahi o ngā raruraru kua whakahuatia ake nei.
Ētahi atu mahi i mahia i te wā kotahi me te vagotomy
1. Me te tango i te puku: Ko te tango i tētahi wāhanga o te puku tēnei. Ka mahia tēnei mēnā he koha nui, mēnā rānei he whakapae kei te mate pukupuku ngā whara. Ina tangohia te wāhanga o raro o te puku, ka whakaitihia hoki te hanga o te gastrin, he homoni e āwhina ana ki te hanga waikawa. Engari nā te mea kāore e ranea ana tēnei anake, ka mahia hoki he vagotomy i te wā kotahi hei ārai i te hokinga mai o ngā whara.
2. Me te Pyloroplasty: Ki te mea kei te whakahaerehia he Truncal Vagotomy, arā, ko te tapahi i te pūtake o te io matua, me mahi anō hoki tēnei pokanga pyloroplasty. Nā te mea, ina tapahia te io vagus, ka ngaro te tohu e kī ana ki te pylorus kia tuwhera, kia kati hoki. Kātahi ka piri te kai. Ka mahia te pokanga pyloroplasty hei pupuri i taua kuaha kia tuwhera, kia ngāwari ai te haere o te kai.
He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?
I runga i tō āhua, ka tukuna pea ētahi maimoatanga i mua i te pokanga hei āwhina i a koe kia ora anō. Hei tauira, ka tukuna pea he wai IV mēnā kua maroke koe i te ruaki, ka tukuna rānei he whakawhiti toto mēnā he patunga toto tōu. Ka hoatu ngā paturopi i mua i te pokanga. Ka mahia tēnei pokanga i raro i te mate whakamoe whānui.
Ka taea te mahi pokanga tuwhera , arā, te tapahi i te puku, te pokanga laparoscopic rānei, arā, te whakauru i tētahi kāmera me ngā taputapu mā roto i ētahi tapahi iti. Mā tō taote pokanga tēnei e whakatau.
He aha ngā mea ka tupu i muri i te pokanga? Ngā painga me ngā mōrearea
Ko te painga matua o tēnei pokanga he tata tonu te aukati i te hokinga mai o ngā patunga kino kua roa e pāngia ana, ā, kāore anō kia ora i te rongoā.
Heoi, pērā i ngā pokanga katoa, he mōrearea me ngā pānga taha anō hoki tō tēnei pokanga.
| Momo mōrearea/pānga taha | Whakaahuatanga |
|---|---|
| Ngā tūponotanga i te wā pokanga | Te kino ki ngā whekau e karapoti ana, ki ngā oko toto, ki ngā io rānei, ki te mate pāwera, ki te totohu, ki te pupuhi toto. |
| Korere | He āhuatanga noa tēnei, inā koa i muri i te tango i te pūkahukahu. Nā te ngoikore o te mahi a te pūkahukahu i puta ai. He wā poto noa iho. |
| Te Mate Putunga | Nā te pokanga pyloroplasty tēnei. Ka tere te uru o te kai ki roto i ngā whekau, engari kāore e noho ki roto i te puku, ka pāngia ai te whakapairuaki, te mamae o te puku, me te korere. Ka taea te whakahaere i tēnei mā te whakarerekē i tō kai. |
| Ngā kōhatu o te pūhā | I muri i te tango i te ure o te puku (truncal vagotomy), ka heke te mahi a te pūkahukahu ka hua ake te kohikohinga o te au me te hanganga o ngā kōhatu. |
Me noho koe ki te hōhipera mō ētahi rā i muri i te pokanga. Tērā pea ka roa ētahi wiki i mua i te taea e koe te kai i te āhua noa. Ka tīmata koe ki ngā kai wai, kātahi ka neke haere ki ngā kai mārō.
Karere Tangohia ki te Kāinga
- Ko te Vagotomy he tikanga pokanga e mahia ana hei rongoā whakamutunga mō ngā mate puku kino (ngā mate peptic) kāore e rongoatia ki te rongoā.
- Ko te whāinga matua he whakaiti i te hanga waikawa mā te tapahi i ngā tohu io e whakaputa ana i te waikawa i roto i te puku.
- E rua ngā momo matua o tēnei pokanga (te pokanga poto me te pokanga tino whiriwhiri), ā, he rerekē ngā pānga taha me ngā hua ka puta.
- He maha ngā wā ka mahia tēnei i te taha o ētahi atu pokanga (gastrectomy, pyloroplasty) hei rongoā i ngā raruraru o te mate puku.
- Mena kua tūtohutia tēnei momo pokanga ki a koe, ki tētahi rānei e mōhio ana koe, kia mōhio koe ki te kōrero ki tō tākuta mō ngā painga, ngā mōrearea, me ngā pānga taha, ā, pātai atu hoki i ō pātai katoa.
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