Gastrectomy lima kūlana kiʻekiʻe

ʻO ka gastrectomy lima lima vertect ka ʻoki kino e kōkua me ka pohō kaumaha. Wehe ke kauka lāʻau i kahi ʻāpana nui o kou ʻōpū.

ʻO ka ʻōpū hou a liʻiliʻi e pili ana i ka nui o ka maiʻa. Hoʻopili ia i ka nui o nā meaʻai e hiki ai iā ʻoe ke ʻai ma ka hana ʻana iā ʻoe e māʻona ma hope o ka ʻai ʻana i nā meaʻai liʻiliʻi.

E loaʻa iā ʻoe ka anesthesia ākea ma mua o kēia ʻoki ʻana. ʻO kēia ka lāʻau e hiamoe ai ʻaʻohe ʻeha.

Hana pinepine ʻia ke kīpoki ma ka hoʻohana ʻana i kahi pahu paʻi liʻiliʻi i kau ʻia i loko o kou ʻōpū. Kapa ʻia kēia ʻano ʻoki lāʻau ʻo laparoscopy. Kāhea ʻia ke kāmela he laparoscope. Hāʻawi ia i kāu mea kauka e ʻike i loko o kou ʻōpū.

I kēia ʻoki kino:

• Hana kāu kaukoki iā 2 a 5 mau ʻoki liʻiliʻi (ʻokiʻoki) i loko o kou ʻōpū.
• Hoʻokomo ʻia ka laulā a me nā mea pono e hana ai i ke kaha ma o kēia mau ʻoki.
• Pili ka kāmela i kahi nānā wikiō i ka lumi hana. ʻAe kēia i ke kaukipō e ʻike i loko o kou ʻōpū i ka hana ʻana i ka hana.
• Hoʻopili ʻia kahi kinoea kolohe ʻole i loko o ka ʻōpū e hoʻonui ia. Hāʻawi kēia i ka lumi kaukoki e hana.
• Hōʻalo kāu mea lapaʻau i ka hapa nui o kou ʻōpū.
• Hoʻopili pū ʻia nā koena o kou ʻōpū me ka hoʻohana ʻana i nā staples ʻoki lāʻau. Hana kēia i kahi ʻōmole kū lōʻihi a i ʻole ʻōpū maiʻa.
• ʻAʻole pili ke ʻoki i ka ʻoki a hoʻololi ʻana paha i nā mākala sphincter e ʻae ai i ka meaʻai e komo a haʻalele i ka ʻōpū.
• Lawe ʻia ka laulā a me nā mea hana ʻē aʻe. Kuʻi ʻia nā ʻoki.

Lawe ke ʻōpala i 60 a 90 mau minuke.

Hiki ke hoʻonui i kāu kamepiula no ke kaha ʻana me ka pohō kaumaha. E ʻōlelo paha kāu kauka lāʻau iā ʻoe e loaʻa ka cholecystectomy. ʻO kēia kahi ʻoki e wehe i ka gallbladder. Hiki ke hana ʻia ma mua o ke ʻoki kino kaumaha a i ka manawa like.

He koho paha ke ʻoki hōʻemi kaumaha inā he nui ʻoe i ka momona a ʻaʻole i hiki ke lilo i ka kaumaha ma o kaʻai a me ka hoʻoikaika kino.

ʻAʻole wikiwiki ka gastrectomy lima lima no ka momona. E hoʻololi loa ia i kou nohona. Ma hope o kēia ʻoki ʻana, pono ʻoe e ʻai i nā meaʻai olakino, kaohi i nā nui o nā mea āu e ʻai ai, a hoʻoikaika. Inā ʻaʻole ʻoe e hāhai i kēia mau ana, loaʻa paha iā ʻoe nā pilikia mai ke ʻoki a me ka pohō kaumaha.

Koi ʻia kēia kaʻina hana inā loaʻa iā ʻoe:

• Kahi helu nui o ke kino (BMI) o 40 a ʻoi. ʻO kekahi me ka BMI o 40 a ʻoi paha ma kahi o 100 paona (45 kilokilo) ma luna o kā lākou paona i manaʻo ʻia. Aia kahi BMI maʻamau ma waena o 18.5 a me 25.
• ʻO kahi BMI o 35 a ʻoi a me kahi kūlana olakino koʻikoʻi e hoʻomaikaʻi ai me ka pohō kaumaha. ʻO kekahi o kēia mau kūlana he apne moe ālai, ʻano diabetes he 2, a me nā maʻi puʻuwai.

Ua hana pinepine ʻia ka gastrectomy lima lima i ka poʻe kaumaha loa e loaʻa palekana i nā ʻano ʻoki ʻē aʻe o ke kaupaona. Pono paha kekahi poʻe e hana i kahi ʻoki kaumaha kaumaha ʻelua.

ʻAʻole hiki ke hoʻohuli ʻia kēia kaʻina hana ke hana ʻia.

Nā pilikia no ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena āpau i nā lāʻau
• Nā pilikia hanu
• Kahe ʻana o ke kahe, ke koko, maʻi

ʻO nā pōʻino no ka gastrectomy lima kaulike:

• Gastritis (hoʻoliʻiliʻi ʻōpū lining), puʻuwai puʻuwai, a i ʻole nā ​​puʻuwai ʻōpū
• ʻO ka hōʻeha i kou ʻōpū, ʻōpū, a i ʻole nā ​​mea ʻē aʻe i ka wā o ke ʻoki
• Ke hele nei mai ka laina kahi i staple pū ʻia ai nā ʻāpana o ka ʻōpū
• ʻAnoʻai maikaʻi ʻole, ʻoiai ʻoi aku ka liʻiliʻi ma mua o ka ʻoki ʻana o ka gastric
• ʻO ka scarring i loko o kou ʻōpū i hiki ke alakaʻi i kahi blockage i kou ʻōpū i ka wā e hiki mai ana
• ʻO ka luaʻi mai ka ʻai ʻana ma mua o ka ʻūlū o kou ʻōpū ke paʻa

E noi aku kāu kauka iā ʻoe e hana i nā hoʻokolohua a kipa pū me kāu poʻe lawelawe olakino ʻē aʻe ma mua o kāu hana ʻana i kēia ʻoki. ʻO kekahi o kēia mau mea:

• He hōʻike kino piha.
• Nā hoʻāʻo koko, ultrasound o kāu gallbladder, a me nā hoʻokolohua ʻē aʻe e ʻike pono ʻoe i ke olakino e hiki ai ke ʻoki ʻia.
• ʻO nā kipa me kāu kauka e hōʻoia i nā pilikia olakino ʻē aʻe āu e loaʻa ai, e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me nā pilikia o ka puʻuwai a me ka hanu.
• ʻLelo aʻoaʻo kino.
• Nā papa e kōkua iā ʻoe e aʻo i ka mea e hana ai i ka wā o ke ʻoki ʻana, ka mea āu e manaʻo ai ma hope, a he aha nā pilikia a pilikia paha e hiki mai ana ma hope.
• Makemake paha ʻoe e kipa me kahi kākāʻōlelo e ʻike pono mākaukau ʻoe no kēia ʻoki kino. Hiki iā ʻoe ke hoʻololi i kou nohona ma hope o ke kahakaha ʻana.

Inā puhipaka ʻoe, pono ʻoe e hooki i mau mau pule ma mua o ke kaha ʻana a mai hoʻomaka hou i ka puhipaka ʻana ma hope o ke kaha ʻana. Hoʻohiohi ʻo Smoking i ka hoʻōla a hoʻonui i ka makaʻi no nā pilikia. E noi i kāu mea nāna e hāʻawi i ke kōkua no ka haʻalele.

E haʻi i kāu kauka.

• 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 lāʻau lahilahi. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), wikamina E, warfarin (Coumadin, Jantoven), a me nā mea ʻē aʻe.
• E nīnau i kāu kauka i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.

I ka lā o kou ʻoki kino:

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

Hiki paha iā ʻoe ke hoʻi i ka home i 2 mau lā ma hope o kou ʻoki ʻana. Hiki iā ʻoe ke inu i nā wai maopopo i ka lā ma hope o ke kahakaha ʻana, a laila hele i ka papaʻai maʻemaʻe ma ka manawa āu e hoʻi ai i ka home.

Ke hoʻi ʻoe i ka home, hāʻawi ʻia paha ʻoe i nā lāʻau ʻeha a i ʻole nā ​​wai a me kahi lāʻau i kapa ʻia he proton pump inhibitor.

Ke ʻai ʻoe ma hope o kēia ʻoki ʻana, e hoʻopiha koke ka ʻeke liʻiliʻi. E māʻona ʻoe ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi loa.

ʻO ke kauka, kahu hānai, a i ʻole ka mea hānai e paipai i kahi papaʻai nāu. Pono nā meaʻai e liʻiliʻi e hōʻole i ka ʻōpū o ka ʻōpū i koe.

ʻAʻole nui paha ka pohō hopena hope loa e like me ka bypass gastric. Ua lawa paha kēia no nā poʻe he nui. E kamaʻilio me kāu kaukukō e pili ana i ke kaʻina hana kūpono no ʻoe.

E hele mālie ke kaumaha ma mua o ka bypass gastric. E mālama ʻoe i ka lilo ʻana o kaupaona a i 2 a 3 mau makahiki.

ʻO ka lilo ʻana o ke kaupaona ma hope o ke kaha ʻana hiki ke hoʻomaikaʻi i nā kūlana olakino ʻē aʻe āu. ʻO nā kūlana e hoʻomaikaʻi paha i ka hānō, ka maʻi diabetes 2, ka maʻi kōpaʻa, ke koko kiʻekiʻe, ka hiamoe hiamoe ākea, ke kolesterol kiʻekiʻe, a me nā maʻi gastroesophageal (GERD).

ʻO ke kaupaona ʻana he mea liʻiliʻi ka mea e ʻoi ai ka maʻalahi iā ʻoe e neʻe a hana i kāu hana i kēlā me kēia lā.

ʻAʻole kēia ʻoki wale i kahi hopena i ka nalo ʻana o ka paona. Hiki iā ia ke hoʻomaʻamaʻa iā ʻoe e ʻai liʻiliʻi, akā pono ʻoe e hana nui i ka hana. No ka lilo ʻana o ke kaupaona a me ka hōʻalo ʻana i nā pilikia mai ke kaʻina hana, pono ʻoe e hāhai i nā ʻōkuhi a me nā alakaʻi ʻai e hāʻawi ʻia i kāu kauka lāʻau lapaʻau.

Gastrectomy - lima lima; Gastrectomy - curvature ʻoi aku; Gastrectomy - parietal; Hoʻoemi Gastric; ʻO gastroplasty kiʻekiʻe

• Ke kaʻina hana lima Gastric

ʻAmelika Hui Pū ʻIa no ka pūnaewele Metabolic a me Bariatric Surgery.Nā kaʻina hana o Bariatric. asmbs.org/patients/bariatric-surgery-procedures#sleeve. Loaʻa iā ʻApelila 3, 2019.

Richards WO. Momona momona. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 47.

Thompson CC, Morton JM. ʻOki kino a me ka endoscopic lapaʻau o ka momona. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 8.