Pyloroplasty

Anter

• He aha ka pyloroplasty?
• No ke aha i hana ʻia ai?
• Pehea e hana ai?
• ʻOki kino wehe
• ʻOki kino Laparoscopic
• He aha ke ʻano o ka hoʻōla?
• Aia kekahi mau pōpilikia?
• ʻŌpala ʻōpū
• Ke laina lalo

He aha ka pyloroplasty?

ʻO Pyloroplasty kahi ʻoki e hoʻonui i ka pylorus. ʻO kēia kahi hāmama kokoke i ka hopena o ka ʻōpū e hiki ai i ka meaʻai ke kahe i loko o ka duodenum, ka ʻāpana mua o ka ʻōpū liʻiliʻi.

Hoʻopuni ʻia ka pylorus e kahi sphincter pyloric, kahi hui mānoanoa o nā mākala mānoanoa e hoʻomaka iā ia e wehe a hoʻopau i kekahi mau wā o ka digestion. Hoʻopili maʻamau ka pylorus ma kahi o 1 iniha ke anawaena. Ke hāiki a pale paha ka wehe pyloric, paʻakikī i ka ʻai ke hele i loko. ʻO kēia ke alakaʻi i nā ʻōuli e like me ka palaka a me ka paʻa paʻa.

Pili ʻo Pyloroplasty i ka ʻoki ʻana a me ka hoʻoneʻe ʻana i kekahi o ka sphincter pyloric e hoʻonui a hoʻomaha ai ka pylorus. Māmā kēia i ka hele ʻana o ka meaʻai i loko o ka duodenum. I kekahi mau hihia, hemo loa ka sphincter pyloric.

No ke aha i hana ʻia ai?

Ma waho aʻe o ka hoʻonui ʻana i kahi pylorus kikoʻī loa, hiki i ka pyloroplasty ke kōkua i ka mālama ʻana i nā ʻano he nui e pili ana i ka ʻōpū a me nā aʻa gastrointestinal, e like me:

• pyloric stenosis, kahi hoʻopili liʻiliʻi o ka pylorus
• pyloric atresia, kahi pani a nalo paha i ka hānau hānau pylorus
• peptic ulcer (open sores) and peptic ulcer maʻi (PUD)
• Maʻi ʻo Parkinson
• sclerosis maha
• gastroparesis, a i hoʻolōʻihi ʻia paha ka ʻōpū o ka ʻōpū
• pōʻino aʻa maʻi paha
• diabetes

Kaukaʻi ʻia i ke ʻano, hana ʻia paha ka pyloroplasty i ka manawa like me kahi hana ʻē aʻe, e like me:

• ʻO Vagotomy. Hoʻopili kēia hana i ka hoʻoneʻe ʻana i kekahi mau lālā o ke aʻalolo vagus, ka mea e kaohi i nā ʻōpū gastrointestinal.
• Gastroduodenostomy. Hoʻokumu kēia kaʻina hana i kahi pilina hou ma waena o ka ʻōpū a me ka duodenum.

Pehea e hana ai?

Hiki ke hana i ka Pyloroplasty ma ke ʻano he ʻoki ākea kuʻuna. Eia nō naʻe, hāʻawi nā kauka he nui i kēia manawa i nā koho laparoscopic. He hōʻemi iki kēia a lawe i nā makaʻu ʻemi. Hana mau ʻia nā ʻano ʻoki ʻelua ma lalo o ka anesthesia ākea. ʻO kēia ka mea e hiamoe ana ʻoe a ʻaʻole ʻoe e ʻeha i ka wā o ke ʻoki.

ʻOki kino wehe

I ka wā o ka pyloroplasty hāmama, e maʻamau nā kauka.

1. Hana i kahi ʻokiʻoki lōʻihi a ʻoki ʻia paha, ma ka waena ma waena o ka paia o ka ʻōpū, a hoʻohana i nā pono hana e hoʻonui ai i ka wehe.
2. E hana i kahi mau ʻoki liʻiliʻi ma o ka mākala o nā mākala sphincter pylorus, e hoʻonui ana i ka wehe pyloric.
3. Hoʻopili pū i nā mākala pyloric mai lalo a luna.
4. Hana i nā kaʻina hana ʻē aʻe, e like me gastroduodenostomy a me vagotomy.
5. I nā hihia e pili ana i ka palehua nui, hiki ke hoʻokomo ʻia kahi ʻōnaehana gastro-jejunal, kahi ʻano o ka paipu hānai e ʻae i ka meaʻai wai e hele ma waena o ka ʻōpū i loko o ka ʻōpū.

ʻOki kino Laparoscopic

I nā kaʻina laparoscopic, hana nā kauka i ke ʻoki ma o kekahi mau ʻoki liʻiliʻi. Hoʻohana lākou i nā mea liʻiliʻi liʻiliʻi a me kahi laparoscope e kōkua ai i ke alakaʻi ʻana iā lākou. ʻO kahi laparoscope kahi lōʻihi, ʻōpala ea me kahi kāmele wikiō uila liʻiliʻi i hoʻokahi ʻaoʻao. Pili ia i kahi nānā hiʻona e hiki ai i ke kaukipō ke ʻike i nā mea a lākou e hana nei i loko o kou kino.

I ka wā o ka pyloroplasty laparoscopic, ka mea maʻamau:

1. E hana i ʻekolu a ʻelima mau ʻoki liʻiliʻi i loko o ka ʻōpū a hoʻokomo i kahi laparoscope.
2. E hoʻomehu i ka ʻōpala i loko o ka ʻōpū o ka ʻōpū i mea e maʻalahi ai ke ʻike ʻana i ka meaola piha.
3. E hāhai i nā ʻanuʻu 2 a 5 paha o kahi pyloroplasty hāmama, e hoʻohana ana i nā mea hana ʻoki liʻiliʻi i hana kikoʻī ʻia no ka ʻoki laparoscopic.

He aha ke ʻano o ka hoʻōla?

Loaʻa ka wikiwiki mai ka pyloroplasty. Hiki i ka hapanui o ka poʻe ke hoʻomaka e neʻe mālie a hele wāwae paha ma waena o 12 mau hola ma hope o ke kaha. Hele ka hapa nui i ka home ma hope o ʻekolu mau lā o ka mālama olakino ʻana a me ka mālama ʻana. ʻO nā ʻoki pyloroplasty ʻoi aku ka paʻakikī e koi ai i kahi mau lā keu i ka haukapila.

ʻOiai ʻoe e ola ai, pono paha ʻoe e ʻai i ka papaʻai papa ʻia no kekahi mau pule a i ʻole mau mahina, ke kaukaʻi ʻia i ka nui o ke ʻoki a me nā ʻano olakino kumu e loaʻa ai. E hoʻomanaʻo e hiki ke hala i ʻekolu mau mahina a ʻoi paha e hoʻomaka e ʻike i nā pono piha o ka pyloroplasty.

Hiki i ka hapa nui o ka poʻe ke hoʻomau i ka hoʻoikaika kino ikaika ma kahi o ʻehā a ʻeono pule ma hope o ke kaʻina hana.

Aia kekahi mau pōpilikia?

Hāpai nā ʻoki āpau i nā pilikia āpau. ʻO kekahi o nā pilikia maʻamau e pili pū ana me ke ʻōpū o ka ʻōpū.

• ʻino a ʻōpū paha ʻōpū
• hopena hopena i nā lāʻau anesthesia
• hoʻokahe kūloko
• huʻi koko
• scarring
• maʻi maʻi
• hernia

ʻŌpala ʻōpū

Hiki i ka Pyloroplasty ke kumu i kahi kūlana i kapa ʻia ka ninini gastric wikiwiki, a i ʻole ka hoʻolei ʻōpū. Hoʻopili kēia i nā mea o kou ʻōpū e waiho ana i loko o kou ʻōpū liʻiliʻi.

Ke hiki i ka ʻōpala ʻana o ka ʻōpū, ʻaʻole ʻai pono ʻia nā meaʻai ke hiki i ka ʻōpū. Hoʻoikaika kēia i kou mau lālā e hana i nā huna digestive ma mua o ka maʻamau. Hiki i kahi pylorus hoʻonui ʻia ke ʻae i nā wai digestive o ka ʻōpū a i ʻole ka bile e kulu i loko o ka ʻōpū. Hiki i kēia ke kumu i ka gastroenteritis. I ka hala ʻana o ka manawa, hiki iā ia ke alakaʻi i ka ʻai kino ʻole i nā hihia koʻikoʻi.

Hoʻomaka pinepine nā ʻōuli o ka hoʻolei ʻōpū ma loko o 30 mau minuke i hoʻokahi hola ma hope o ka ʻai ʻana. ʻO nā ʻōuli maʻamau ka:

• ʻōpū o ka ʻōpū
• pāhoehoe
• ʻōhūhū
• nausea
• ka luaʻi, pinepine i kahi ʻōmaʻomaʻo-ʻōmaʻomaʻo, wai inu ʻawaʻawa
• ʻūpā
• kōmi puʻuwai wikiwiki
• hoʻomake wai
• luhi

Ma hope o kekahi mau hola, keu hoʻi ma hope o ka ʻai ʻana i nā meaʻai kō, ʻo ka ʻōuli nui o ka hoʻolei ʻōpū e lilo i kō kō kō. Hana ʻia ma ke ʻano he hopena o kou kino e hoʻokuʻu ana i kahi nui o ka insulin e ʻeli i ka hoʻonui ʻia o ke kō i loko o ka ʻōpū liʻiliʻi.

ʻO nā ʻōuli o ke kīloi ʻana o ka ʻōpū ma hope:

• luhi
• ʻūpā
• kōmi puʻuwai wikiwiki
• nāwaliwali laulā
• ka houʻu ʻana
• ikaika, ʻeha pinepine, pololi
• nausea

Ke laina lalo

ʻO Pyloroplasty kahi ʻano o ke kaha ʻana e hoʻonui i ka wehe ma lalo o ka ʻōpū. Hoʻohana pinepine ʻia e mālama i nā kūlana ʻōpū i pane ʻole i nā ʻano lāʻau ʻē aʻe.

Hiki ke hana ʻia me ka hoʻohana ʻana i nā hana ʻoki wehe kuʻuna a i ʻole nā ​​hana laparoscopic. Ma hope o ke kaʻina hana, pono ʻoe e hoʻi i ka home i loko o kekahi mau lā. He mau mahina paha ma mua o kou hoʻomaka ʻana e ʻike i nā hopena.