Vertical gastrectomy: he aha ia, nā mea maikaʻi a me ka hoʻōla

Anter

• Pehea e hana ai ke ʻoki
• Nā pono nui
• Nā pilikia paha
• Pehea ke ola ʻana

Vectical gastrectomy, i kapa ʻia hoʻi lole lima a i ʻole kaʻaila gastrectomy, kahi ʻano o ke ʻoki bariatric i hana ʻia me ka pahuhopu o ka mālama ʻana i ka momona o ka maʻi, ʻo ia hoʻi ka hemo ʻana o ka ʻaoʻao hema o ka ʻōpū, kahi e hoʻemi ai i ka hiki i ka ʻōpū ke mālama i nā meaʻai. No laila, hiki i kēia ʻoki ʻana ke alakaʻi i kahi nalo o 40% o ke kaupaona mua.

Hōʻike ʻia kēia ʻoki no ka mālama ʻana i ka momona ke hoʻohana ʻia nā mea ʻē aʻe, ʻaʻole i hana ʻia nā ʻano kūlohelohe hou aʻe ma hope o 2 mau makahiki a i ʻole ke loaʻa i kahi kanaka kahi BMI i ʻoi aku ma mua o 50 kg / m². Hoʻohui ʻia, hiki ke hana ʻia i nā mea maʻi me ka BMI o 35 kg / m² akā loaʻa pū ka puʻuwai, hanu a decompensated diabetes paha.

ʻIke ke hōʻike ʻia ke kahakaha bariatric ma ke ʻano he ʻano lapaʻau.

Pehea e hana ai ke ʻoki

Vertical gastrectomy no ke kaupaona lilo ʻana o kahi ʻoki kino i hana ʻia ma lalo o ka anesthesia ākea a mau nō, ma ka awelika, 2 mau hola. Eia nō naʻe, he mea mau no ke kanaka e hoʻokomo i ka haukapila no 3 mau lā.

ʻO ka maʻamau, hana ʻia kēia ʻoki e videolaparoscopy, kahi e hana ʻia ai nā puka liʻiliʻi i loko o ka ʻōpū, kahi e hoʻokomo ʻia ai nā paipu a me nā mea kani e ʻoki liʻiliʻi ai i ka ʻōpū, me ka ʻole o kahi ʻoki nui i ka ʻili.

I ka wā o ke ʻoki kino, hana ke kauka i kahi ʻoki kū ʻoi, ʻokiʻoki i ka ʻaoʻao hema o ka ʻōpū a waiho i ka ʻōpala i ke ʻano o ka paipu a i ʻole ka lima, e like me ka maiʻa. I kēia ʻoki ʻana a hiki i ka 85% o ka ʻōpū e hoʻoneʻe ʻia, e hoʻoliʻiliʻi ana a e hoʻoliʻiliʻi ai ke kanaka.

Nā pono nui

ʻO nā mea nui o ka gastrectomy kūleʻa ma luna o nā ʻano ʻoki lāʻau bariatric ʻē aʻe:

• Hoʻokomo i waena o 50 a 150 ml o ka meaʻai, ma kahi o 1 L, ʻo ia ke ʻano maʻamau ma mua o ke kaha ʻana;
• ʻO ka lilo o ke kaupaona ʻoi aku ka nui ma mua o ka mea i loaʻa me ka band gastric hiki ke hoʻoliʻiliʻi, me ka ʻole e koi i nā hoʻoponopono band;
• Hoʻololi i ka gastrectomy i kāpae ʻōpū, inā pono;
• ʻAʻole loli ka ʻōpū, me ka hānai maʻamau o nā meaola nui e kū nei.

He ʻoki maʻalahi ʻoi aku ka maʻalahi ma mua o ka kāpae gastric, e ʻae ana i ka pohō kaumaha ma mua o kekahi mau makahiki a me ka liʻiliʻi o ka pilikia.

Eia nō naʻe, ʻoiai nā keu pono āpau, lilo ia i ʻenehana hōʻeuʻeu loa no ka meaola a me ka hiki ʻole ke hoʻohuli ʻia, ʻaʻole like me nā ʻano o ke ʻoki maʻalahi maʻalahi, e like me ke kau ʻana i kahi pēpē gastric a i ʻole kahi baluna.

Nā pilikia paha

Hiki i ka gastrectomy kiʻekiʻe ke kumu i ka nausea, ka luaʻi a me ka puʻuwai puʻuwai. Eia nō naʻe, ʻo nā pilikia koʻikoʻi o kēia ʻoki ʻana me ka helehelena o ka fistula, kahi pilina maʻamau ma waena o ka ʻōpū a me ka ʻōpū o ka ʻōpū, a hiki ke hoʻonui i nā manawa o nā maʻi. I kēlā mau hihia, pono paha ke kahakaha hou.

Pehea ke ola ʻana

Hiki ke ola mai ke ʻoki ʻana ma waena o 6 mau mahina a 1 makahiki, me ka lohi o ke kaumaha a me ka pono e hoʻololi i ka nohona.

No laila, ʻo ka mea i loaʻa i ka gastrectomy e pono e hāhai i nā ʻōkuhi:

• ʻAiʻai i kuhikuhi ʻia e ka nutristist. E ʻike i ke ʻano o ka meaʻai ma hope o ke kahakaha bariatric.
• E lawe i kahi antiemetic e like me Omeprazole, i kuhikuhi ʻia e ke kauka, ma mua o ka pāʻina ʻana e pale aku ai i ka ʻōpū;
• Lawe i nā painkillers waha, e like me Paracetamol a i ʻole Tramadol, e like me ke kuhikuhi a ke kauka, inā ʻeha ʻoe;
• E hoʻomaka i ka hana o ka hoʻoikaika kino hoʻoikaika kino ma hope o 1 a i ʻole 2 mau mahina, e like me ka loiloi a ke kauka;
• Nā lole komo ma ke keʻena olakino hoʻokahi hebedoma ma hope o ke kaha.

Pono e mālama i kēia mau aka āpau i mea e hōʻemi iki ai ka hōʻeha a me ka wikiwiki. E ʻike i nā ʻōkuhi kikoʻī e pili ana i ka mea e hana ai i ka wā postoperative o ke kauka bariatric.