ʻOki kino Anti-reflux - hoʻokuʻu

Ua ʻoki ʻoe iā ʻoe e mālama i kāu maʻi reflux gastroesophageal (GERD). ʻO GERD kahi ʻano e hoʻoulu ai i ka meaʻai a wai paha mai kou ʻōpū i loko o kou esophagus (ka paipu e lawe i ka meaʻai mai kou waha i kou ʻōpū).

I kēia manawa ke hoʻi nei ʻoe i ka home, e mālama pono i nā ʻōlelo aʻo a kāu kaukukō no ka mālama pono ʻana iā ʻoe iho.

Inā loaʻa iā ʻoe kahi hernia hiatal, hoʻoponopono ʻia ia. Kūkulu kahi hernia hiatal ke nui ka wehe kūlohelohe i kāu diaphragm. ʻO kāu diaphragm ka pale o ka mākala ma waena o kou umauma a me kou ʻōpū. Hoʻopili paha kou ʻōpū ma o kēia lua nui i loko o kou umauma. Kapa ʻia kēia ʻōpuʻu he hernia hernia. Hiki iā ia ke hōʻino i nā hōʻailona GERD.

Hoʻopili pū kāu mea kauka i ka ʻaoʻao i luna o kou ʻōpū a puni ka hopena o kou esophagus e hana i kaomi ma ka hopena o kāu esophagus. Kōkua kēia kaomi i ka pale ʻana i ka waikawa ʻōpū a me ka meaʻai e kahe ana i luna i luna.

Ua hana ʻia kāu ʻoki kino e ka hana ʻana i kahi ʻoki nui i loko o kou ʻōpū o luna (hāmama hamama) a i ʻole me kahi ʻoki liʻiliʻi e hoʻohana ana i ka laparoscope (kahi paipu lahilahi me kahi pahu paʻi liʻiliʻi ma ka hopena).

Hoʻi ka hapa nui o ka poʻe i ka hana 2 a 3 mau pule ma hope o ke kaha ʻana o ka laparoscopic a me ka 4 a i ka 6 mau pule ma hope o ke kaha ʻana.

Hiki paha iā ʻoe ke ʻano o ka pilī ke ale ʻoe no 6 a 8 mau pule. ʻO kēia mai ka pehu ʻana i loko o kou esophagus. Loaʻa paha iā ʻoe i kahi bloating.

Ke hoʻi mai ʻoe i ka home, e inu ʻoe i ka papa wai maikaʻi no 2 mau pule. Aia ʻoe ma ka papaʻai wai piha piha ma kahi o 2 mau pule ma hope o kēlā, a laila ka papaʻai meaʻai palupalu.

Ma ka papa wai.

• E hoʻomaka me ka hapa liʻiliʻi o ka wai, ma kahi o 1 kīʻaha (237 ml) i ka manawa. Sip. Mai ʻālunu. E inu pinepine i nā wai i ka lā ma hope o ke kaha.
• Hōʻalo i nā wai anuanu.
• Mai inu i nā mea inu ʻona.
• Mai inu i loko o nā mauʻu (hiki iā lākou ke lawe i ka ea i loko o kou ʻōpū).
• Pākuʻi i nā pila a lawe iā lākou me nā wai no ka mahina mua ma hope o ke kaha ʻana.

Ke ʻai hou ʻoe i nā meaʻai paʻa, e nau pono. Mai ʻai i nā meaʻai anu. Mai ʻai i nā meaʻai e puʻupuʻu pū, e like me ka laiki a me ka berena. E ʻai i nā meaʻai liʻiliʻi i nā manawa he nui i ka lā ma kahi o ʻekolu mau pāʻina nui.

E hāʻawi aku kāu kauka iā ʻoe i ka palapala no ka lāʻau ʻeha. Hoʻopiha ia ke hele ʻoe i ka home no laila loaʻa iā ʻoe ke pono ia. Lawe i kāu lāʻau ʻeha ma mua o ka lilo ʻana o kou ʻeha i mea nui loa.

• Inā loaʻa iā ʻoe nā ʻeha kinoea, hoʻāʻo e hele a puni e hōʻoluʻolu iā lākou.
• Mai kalaiwa, hana i nā mīkini, a i ʻole inu i ka waiʻona ke lawe ʻoe i ka lāʻau narcotic pain. Hiki i kēia lāʻau ke hōʻeha loa iā ʻoe a holo ʻole a hoʻohana paha i nā mīkini ʻaʻole palekana.

Hele wāwae i nā manawa he nui i ka lā. Mai hāpai i kekahi mea ʻoi aku ke kaumaha ma mua o 10 paona (e pili ana i kahi galona waiū; 4.5 kg). Mai hana i kekahi hoʻokū a huki paha. E hoʻonui mālie i kāu hana a puni ka hale. E haʻi aku kāu kauka iā ʻoe ke hiki iā ʻoe ke hoʻonui i kāu hana a hoʻi i ka hana.

Mālama i kou ʻeha (incision):

• Inā hoʻohana ʻia nā sutures (stitches), staples, a i ʻole glue e pani ai i kou ʻili, hiki iā ʻoe ke hemo i nā pale o ka ʻeha (bandages) a ʻauʻau i ka lā ma hope o ke kaha ʻana.
• Inā hoʻohana ʻia nā ʻope lipi e pani i kou ʻili, uhi i nā ʻeha me ka wahī palekiko ma mua o ka ʻauʻau ʻana no ka pule mua. E hoʻopaʻa pono i nā kihi o ka ea i mea e waho ai ka wai. Mai hoʻāʻo e holoi i nā ʻāpana. E hāʻule lākou i kā lākou iho ma hope o hoʻokahi pule.
• Mai pulu i loko o kahi pahu wai a i ʻole pahu wai wela, a hele aku i ka ʻauʻau ʻana, a hiki i ke kauka ʻana e haʻi aku ua maikaʻi.

Kāhea i kāu kahu mālama ola inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Mahana o 101 ° F (38.3 ° C) a ʻoi aku paha
• ʻO ke kīkaha ke kahe ʻana, ʻulaʻula, mehana i ka pā ʻana, a i ʻole ka paheʻe, melemele, ʻōmaʻomaʻo, a me ka wai wai waiū
• Pāhū ʻo Belly a ʻeha paha
• Nusea a i ʻole ka luaʻi no 24 mau hola
• Pilikia i ka ale ʻana i ka ʻai ʻole
• ʻO nā pilikia e ale ana ʻaʻole e hele ma hope o 2 a 3 mau pule
• ʻAʻole kōkua ka lāʻau ʻeha i kou ʻeha
• Hī pilikia
• Mele hele ʻole
• ʻAʻole hiki ke inu a ʻai ʻole
• E melemele ka ʻili a i ʻole ka hapa keʻokeʻo o kou mau maka

Fundoplication - hoʻokuʻu; Nissen fundoplication - hoʻokuʻu; Belsey (Mark IV) fundoplication - hoʻokuʻu; Toupet fundoplication - hoʻokuʻu; Thal fundoplication - hoʻokuʻu; Hoʻoponopono hou ʻo Hiatal hernia - hoʻokuʻu; Endoluminal fundoplication - hoʻokuʻu; GERD - hoʻokuʻu kālā; ʻO ka maʻi reflux Gastroesophageal - hoʻokuʻu fundoplication

Katz PO, Gerson LB, Vela MF. Nā ʻōkuhi no ka ʻike a me ka mālama ʻana i ka maʻi reflux gastroesophageal. ʻO Am J Gastroenterol. 2013; 108 (3): 308-328. PMID: 23419381 pubmed.ncbi.nlm.nih.gov/23419381/.

Richter JE, Vaezi MF. ʻO ka maʻi reflux Gastroesophageal. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 46.

ʻO Yates RB, ʻo Oelschlager BK. ʻO ka maʻi reflux Gastroesophageal a me ka hernia hernia. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022: chap 43.

• ʻOki kino Anti-reflux
• ʻOki kino Anti-reflux - keiki
• ʻO ke koʻikoʻi Esophageal - maikaʻi
• ʻElepagitis
• ʻO ka maʻi reflux Gastroesophageal
• Puʻuwai puʻuwai
• Hānnia hernia

• Papaʻai Bland
• Reflux Gastroesophageal - hoʻokuʻu
• Heartburn - he aha e nīnau aku ai i kāu kauka

• GERD