Gastrectomy

ʻO Gastrectomy kahi ʻoki e wehe i kahi ʻāpana o ka ʻōpū.

• Inā hemo wale kahi o ka ʻōpū, kapa ʻia ia o gastrectomy hapa
• Inā hemo ka ʻōpū holoʻokoʻa, kāhea ʻia ka gastrectomy āpau

Hana ʻia ke ʻokiʻoki ʻoiai ʻoe ma lalo o ka anesthesia āpau (hiamoe a manu ʻole ka ʻeha). ʻO kaʻokiʻoki e ʻokiʻoki i loko o ka ʻōpū a hemo i nā mea āpau a ʻāpana paha o ka ʻōpū, kaukaʻi ʻia i ke kumu o ka hana.

Kaukaʻi ʻia i ka ʻāpana o ka ʻōpū i hoʻoneʻe ʻia, pono paha e hoʻohui hou i ka ʻōpū i ka ʻōpū i koe (gastrectomy hapa) a i ʻole i ka esophagus (gastrectomy āpau).

I kēia lā, hana kekahi kaukukō i gastrectomy me ka hoʻohana ʻana i ka pahupaʻikiʻi. ʻO ke ʻoki, i kapa ʻia ʻo laparoscopy, hana ʻia me kekahi mau ʻoki liʻiliʻi liʻiliʻi. ʻO nā pōmaikaʻi o kēia ʻoki kino ka hoʻōla wikiwiki, ka liʻiliʻi o ka ʻeha, a he mau ʻoki liʻiliʻi wale nō.

Hoʻohana ʻia kēia ʻoki e mālama i nā pilikia o ka ʻōpū e like me:

• Kahena
• Hoʻonā
• Kanesa
• Polyps (ka ulu ʻana ma ka pale o ka ʻōpū)

Nā pōpilikia no ka anesthesia a me ke kahakaha ma nā ʻano āpau:

• Nā hopena i nā lāʻau a i ʻole nā ​​pilikia hanu
• Kahe ʻana o ke kahe, ke koko koko, a i ʻole ka maʻi

ʻO nā pōʻino no kēia ʻoki ʻana:

• Kūkulu mai ka pili ʻana i ka ʻōpū i hiki ke kumu i ka maʻi a i ʻole abscess
• Hoʻopili ka pili i ka ʻōpū, e poloka ana

Inā ʻoe he puhipaka, pono ʻoe e haʻalele i ka puhipaka ʻana i mau pule ma mua o ke kaha ʻana a mai hoʻomaka hou ʻoe i ka puhipaka ma hope o ke kaha ʻana Hoʻohiohi ʻo Smoking i ka hoʻōla a hoʻonui i ka pilikia o nā pilikia. E haʻi i kāu mea mālama ola inā makemake ʻoe i ke kōkua e haʻalele.

E haʻi i kāu kaukipoki a kahu wahine paha

• Inā hāpai ʻoe a hāpai paha ʻoe
• He aha nā lāʻau, nā wikamina, nā mea kanu, a me nā mea hoʻopili ʻē aʻe āu e lawe nei, ʻo nā mea āu i kūʻai ai me ka ʻole o ka lāʻau

I loko o ka pule ma mua o kou ʻoki kino:

• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā mea lahilahi. Hoʻopili kēia i nā NSAIDs (aspirin, ibuprofen), vitamina E, warfarin (Coumadin), dabigatran (Pradaxa), rivaroxaban (Xarelto), apixaban (Eliquis), a me clopidogrel (Plavix).
• E noi i kāu kaukipona i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.
• E hoʻomākaukau i kou home no ka wā e hoʻi ai i ka home ma hope o ke kaha ʻana. E hoʻonohonoho i kou home e hoʻomaʻemaʻe ai i kou ola ke hoʻi mai ʻoe.

I ka lā o kou ʻoki kino:

• E hāhai i nā ʻōkuhi e pili ana i ka ʻai ʻole a me ka inu.
• E lawe i nā lāʻau a kāu kauka lāʻau i kauoha ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hōʻea i ka haukapila i ka manawa.

Noho paha ʻoe i ka haukapila no 6 a 10 mau lā.

Ma hope o ke kahakaha ʻana, aia paha he pahu i kou ihu e kōkua i ka hakahaka o kou ʻōpū. Wehe ʻia i ka wā e holo pono ana kou ʻōpū.

Loaʻa ka hapanui o ka poʻe i ke ʻeha. Loaʻa paha iā ʻoe kahi lāʻau hoʻokahi a i ʻole ka hui pū ʻana o nā lāʻau e kāohi ai i kou ʻeha. E haʻi i kāu poʻe lawelawe i ka wā e loaʻa ana iā ʻoe ka ʻeha a inā nā lāʻau āu e loaʻa nei ke kaohi i kou ʻeha.

Maikaʻi kāu hana ʻana ma hope o ke kaha ʻana ma muli o ke kumu o ke ʻoki a me kou ʻano.

E noi i kāu kauka inā loaʻa nā hana ʻaʻole pono e hana ma hope o kou hoʻi ʻana i ka home. He mau pule paha kāu e ola hou ai. ʻOiai ke lawe nei ʻoe i nā lāʻau ʻeha narcotic, ʻaʻole pono ʻoe e kalaiwa.

ʻOki kino - wehe ʻōpū; Gastrectomy - huina; Gastrectomy - hapa; Ka maʻi ʻaʻai ʻōpū - gastrectomy

• Gastrectomy - moʻo

Antiporda M, Reavis KM.Gastrectomy. I: Delaney CP, hoʻoponopono. ʻO Netat's Surgical Anatomy a me nā hoʻokokoke ʻana. ʻElua ed. Piladelapia, PA: Elsevier; 2021: chap 8.

ʻO Teitelbaum EN, Hungness ES, Mahvi DM. ʻŌpū. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 48.