ʻOki kino Hiatal Hernia

Anter

• He aha ke kumu o ke kahakaha hernia hiatal?
• Pehea e hiki ai iā ʻoe ke hoʻomākaukau no kahi ʻoki hernia hiatal?
• Pehea e hana ai i kahi kahakaha hernia hiatal?
• Hoʻoponopono wehe
• Hoʻoponopono laparoscopic
• Endoluminal fundoplication
• Pehea ke ʻano o ka hana hoʻōla?
• Manawa
• He aha ke kuanaʻike no ke kahakaha hernia hiatal?

Hōʻike Overview

ʻO kahi hernia hiatal ke hele a ʻāpana o ka ʻōpū ma o ka diaphragm a i loko o ka umauma. Hiki iā ia ke kumu i ka reflux waikawa koʻikoʻi a i ʻole nā ​​hōʻailona GERD. ʻO ka pinepine, hiki ke mālama ʻia kēia mau ʻōuli me nā lāʻau. Inā ʻaʻole holo pono kēlā mau mea, a laila hāʻawi paha kāu kauka i ke ʻoki ʻana ma ke ʻano he koho.

ʻO ke kumukūʻai o ke ʻoki ʻana no ka hernia hiatal ʻano ʻokoʻa e pili ana i ke kaukipō, kou wahi, a me ka ʻinikua e loaʻa iā ʻoe. ʻO ke kumukūʻai insinsured o ke kaʻina hana ma kahi o $ 5,000 ma United States. Eia nō naʻe, e ala aʻe nā kumukūʻai hou aʻe i ka wā o ke ola inā loaʻa iā ʻoe nā pilikia.

He aha ke kumu o ke kahakaha hernia hiatal?

Hiki i ke keʻoki kino ke hoʻoponopono i kahi hernia hiatal ma ka huki ʻana i kou ʻōpū i loko o ka ʻōpū a hana i ka puka ma ka diaphragm liʻiliʻi. Hiki i ke kaʻina hana ke hoʻopili hou i ka hana ʻokiʻoki i ka sphincter esophageal a i ʻole ka wehe ʻana i nā ʻeke hernial.

Eia naʻe, ʻaʻole pono i kēlā me kēia mea i loaʻa i ka hernia hiatal ke ʻoki. Hoʻomaʻamaʻa pinepine ʻia ke kīʻaha no nā poʻe me nā hihia koʻikoʻi ʻaʻole i pane maikaʻi i nā ʻano lāʻau ʻē aʻe.

Inā loaʻa iā ʻoe nā hōʻailona weliweli ma muli o ka hopena o ka hernia, a laila ʻo ke ʻoki wale nō kāu koho. Pākuʻi ʻia paha kēia mau ʻōuli:

• kahe ana ke koko
• scarring
• ulcer
• ʻākiki o ka esophagus

Kuhi ʻia kēia ʻoki ʻana he 90 pākēneka o ke ana kūleʻa. Eia nō naʻe, ma kahi o 30 pākēneka o ka poʻe e hoʻi i nā ʻōuli o ka reflux.

Pehea e hiki ai iā ʻoe ke hoʻomākaukau no kahi ʻoki hernia hiatal?

E hāʻawi aku kāu kauka iā ʻoe i ka ʻike āpau e pono ai e pili ana i ka hoʻomākaukau ʻana no kāu ʻoki kino. ʻO ka hoʻomākaukau ka mea maʻamau:

• e hele wāwae ana 2 a 3 mau mile i kēlā me kēia lā
• hana i nā hana hanu i nā manawa he nui i kēlā me kēia lā
• puhipaka ʻole no 4 mau pule ma mua o ke kaha
• ʻaʻole lawe i ka clopidogrel (Plavix) no hoʻokahi pule ma mua o ke kahakaha ʻana
• ʻaʻole lawe i nā anti-inflammatories nonsteroidal (NSAIDs) i hoʻokahi pule ma mua o ke kahakaha ʻana

ʻO ka maʻamau, ʻaʻole pono kahi papa wai kūpono no kēia ʻoki ʻana. Eia nō naʻe, ʻaʻole hiki iā ʻoe ke ʻai a inu paha ma ka liʻiliʻi he 12 mau hola ma mua o ke kaha ʻana.

Pehea e hana ai i kahi kahakaha hernia hiatal?

Hiki ke hana i nā hana Hiatal me ka hoʻoponopono hāmama, ka hana laparoscopic, a me ka endoluminal fundoplication. Hana ʻia lākou āpau ma lalo o ka anesthesia ākea a lawe i 2 a 3 mau hola e hoʻopau ai.

Hoʻoponopono wehe

ʻOi aku ka nui o kēia ʻoki ma mua o ka hoʻoponopono laparoscopic. I loko o kēia kaʻina hana, e hana kāu mea lapaʻau iā ʻoe i hoʻokahi ʻoki lāʻau nui i loko o ka ʻōpū. A laila, huki lākou i ka ʻōpū i wahi a wahī iā ia a puni ka hapa haʻahaʻa o ka esophagus e hana i kahi sphincter ʻoi aku ka ʻoi. Pono paha kāu kauka e hoʻokomo i kahi paipu i loko o kou ʻōpū e waiho ma kahi. Inā pēlā, pono e hemo ka paipu i 2 a 4 mau pule.

Hoʻoponopono laparoscopic

I ka hoʻoponopono laparoscopic, ʻoi aku ka wikiwiki a loaʻa ka liʻiliʻi o ka maʻi no ka mea ʻoi aku ka liʻiliʻi o ka hana. E hana kāu mea kauka lāʻau i 3 a 5 mau ʻoki liʻiliʻi i loko o ka ʻōpū. E hoʻokomo lākou i nā mea hana ʻoki ma o kēia mau ʻokiʻoki. Alakaʻi ʻia e ka laparoscope, nāna e hoʻoili i nā kiʻi o nā mea kūloko i kahi monitor, e huki hou kāu kauka i ka ʻōpū i loko o ka ʻōpū o ka ʻōpū ma hea. A laila e wahī lākou i ka ʻaoʻao o luna o ka ʻōpū a puni ka ʻaoʻao haʻahaʻa o ka esophagus, kahi e hana ai i kahi sphincter ʻoi aku ka paʻakikī e mālama i ka reflux.

Endoluminal fundoplication

ʻO kahi Endoluminal fundoplication kahi hana hou, a ʻo ia ka koho invasive liʻiliʻi loa. ʻAʻole e hana ʻia nā ʻokiʻoki. Akā, e hoʻokomo kāu kauka iā ʻoe i kahi endoscope, nona ka pahu paʻi uila, ma o kou waha a iho i lalo i ka esophagus. A laila e kau lākou i nā pākuʻi liʻiliʻi i ka manawa e hui ai ka ʻōpū me ka esophagus. Hiki i kēia mau pakalōlō ke pale aku i ka waikawa ʻōpū a me ka meaʻai mai ke kua ʻana i loko o ka esophagus.

Pehea ke ʻano o ka hana hoʻōla?

I kou wā e ola ai, hāʻawi ʻia ʻoe i ka lāʻau e lawe wale ai me ka meaʻai. ʻIke ka hapa nui o ka poʻe i ke kani a ʻeha paha ka ʻeha ma kahi o ka incision, akā he manawa pōkole kēia manaʻo. Hiki ke mālama ʻia me nā NSAID, me nā koho over-the-counter e like me ibuprofen (Motrin).

Ma hope o ke kahakaha ʻana, pono ʻoe e holoi mālie i ka ʻokiʻoki me ke kopa a me ka wai i kēlā me kēia lā. Hōʻalo i ka ʻauʻau, nā ʻauʻau, a me nā pahu wai wela, a pili wale i ka ʻauʻau wale nō. Loaʻa iā ʻoe kahi papaʻai papa ʻia e pale i ka ʻōpū mai ka hoʻonui ʻana. Pili ia i ka ʻai ʻana he 4 a 6 mau meaʻai liʻiliʻi i kēlā me kēia lā ma kahi o 3 nui. Hoʻomaka maʻamau ʻoe i ka papaʻai wai, a laila neʻe iki i nā meaʻai palupalu e like me ka uala i kāwili ʻia a me nā hua huaʻai.

Pono ʻoe e hōʻalo:

• inu ma waena o kahi mauʻu
• nā meaʻai e hiki ai ke kumu i ke kinoea, e like me ka kulina, nā pi, kāpeti, a me ka pua kō
• nā mea inu kalapona
• ʻalekohola
• citrus
• huahana Tomato

E hāʻawi paha kāu kauka iā ʻoe i ka hanu ʻana a me ka hoʻoikaika ʻana i ka puʻu e kōkua i ka hoʻoikaika i ka diaphragm. Pono ʻoe e hana i kēia i kēlā me kēia lā, a i ʻole e like me ke kuhikuhi a kāu kauka.

Ke hiki koke ʻoe, pono ʻoe e hele wāwae maʻamau e pale i nā kahe koko mai ka hana ʻana i kou mau wāwae.

Manawa

No ka mea he ʻoki nui kēia, hiki i ka hoʻihoʻi piha ke lawe i 10 a 12 mau pule. Ke ʻōlelo ʻia, hiki iā ʻoe ke hoʻomaka hou i nā hana maʻamau ma mua o 10 a 12 mau pule.

ʻO kahi laʻana, hiki iā ʻoe ke hoʻomaka i ka hoʻokele hou ke haʻalele ʻoe i ka lāʻau ʻeha narcotic. ʻOiai ʻaʻole paʻakikī kāu hana ma ke kino, hiki iā ʻoe ke hoʻomaka hou i ka hana ma kahi o 6 a 8 mau pule. No nā hana koi kino hou aku e koi ai i ka nui o ka hana paʻakikī, kokoke paha i ʻekolu mau mahina ma mua o kou hiki ke hoʻi.

He aha ke kuanaʻike no ke kahakaha hernia hiatal?

Ke pau ka manawa hoʻōla, pono e hoʻopau i kou puʻuwai puʻuwai a me nā ʻōuli. E paipai paha kāu kauka iā ʻoe e hōʻalo i nā meaʻai a me nā mea inu e hiki ai ke hōʻeuʻeu i nā hōʻailona GERD, e like me nā meaʻai acidic, nā mea inu carbonated, a i ʻole ka waiʻona.