Gastrectomy

Ka loa mau hana ana i loko o nā maʻi o ka duodenum a me ka opu mea gastrectomy.

Ke kumu o ka hana ka excision o maÿi hapa o ka hui,. Penei ka hoʻomauʻana hoihoi hou (ano hoopono) gastrointestinal anastomosis ua hana ma waena o ka jejunum, a me ka duodenum a'ōpū kumu.

ʻoki lāʻau lapaʻau 'uao i ke i e nā kumu o ke ki ina hana like.

ka hana mua wā hoʻohana 'ana (Billroth I) Gastrectomy ua hana ma ka huina excision kona pyloric antrum a me ka oihana. Ma keia hihia, ke kau o ka anastomosis ua hana ma waena o ka haahaa loa o ke kino a me ke kumu o ka duodenum ma luna o ka loina hooponopono o ka "kala ai kekahi kala".

Gastrectomy ma keia hana i ka hopena ma muli o kona kulana he weliweli complication, hoikeia ma ka nele o ka tightness o ka anastomosis ma ka huina o ekolu ami wahi. E hoʻopau mea, ma laila nō wale nōʻano nui. Mau hoʻohana 'Gaberera nā loli II. Me keia hana, ma hope o excision 2 \ 3 mobilization a gastric waiwai luminal hou ia ma ka mea o ka crimping na nakaka, no laila, i kona laula, ua like ia me ka laula o ka lumen o ka duodenum.

Gastrectomy me Billroth II iaoiaeii ua lawe mai ma ka paa i kumu suturing kino. E hoihoi i ka ka hoʻomauʻana o ka gastrointestinal'āpana i loko o keia hihia paka uhi nō hoʻi e kūkulu 'ole mua gastroenteroanastomosis.

Ke koho ana o ka papa hana o ka excision ua lawe mai e lawe i ka mooolelo o ka 'ano o ka pathology, kona IIeEeAIEUAA a excised'ōpū nui.

Aia i pili, a piha nāʻikepili no kaʻoki kino no ka excision.

Loa noonoo malignancies, recurrent ulcer kahe ana ke koko, manao malignancy degeneration o ulcers a me pyloric stenosis.

No ka pili nāʻikepili nā unhealed no ka lōʻihi manawa ulcers ma ka duodenum a me ka opu, e like me perforated ulcer ma luna o ke kāʻei kua o ke ano maikai o ka hoomanawanui, i ua loaa loko o ka mua hola eono ma hope o ka perforation.

Ma ke alo o ka malignancy a me peptic ulcer ana ua hana ka hoʻohana 'ana i ka hana' ana i kūpono.

Penei, ka wā peptic ulcer ia mea kupono e excise 2/3 ai 3/4 o ka'ōpū me ka pyloric kino. Pela, ka mea, ua hooki relapse. Ma ka hihia o ka luna luna o ka uuku curvature ulcers noi subtotal gastrectomy. A pau keia ua hana excision 4/5 hui, (aneane 80%).

ʻai ma hope o gastric resection komo ai i ka hoʻokumu 'o ai i ka ai i kekahi manawa. Penei, e paipai i nā mea maʻi oi aku 250 nā huna o ka ai a me ka inu aniani. Ma ka 'aina awakeaʻoe eʻai i hou aku nā meaʻai. Ai ma ka lā ua paipai pinepine (ma ka liʻiliʻi loa elima a eono mau manawa). Mahuahua i ka helu o ka mea i loaa mai paipai kumuʻiʻo (120 g), ke kaupalenaʻana i ka nui o carbohydrates (300 g). Ma kekahi mau hihia e hiki ke loa hoʻokoe 'sugaryʻai a me ka inu. Ua Ua 'ae' ia e hoʻohana kōpaʻa ae pani ai. E hoomahuahua i ka nui o ke kumuʻiʻo paipai hoolapalapaia ai, ka iʻa, calcined a papa manamana, me ka waiū, kahi o Kepakailiula 'oiaʻiʻo ma loko.

He kupono e hookomo ma kaʻai a me ka dietary huahana lako oukou me kaʻai mea kāhinu,. I Ina o ilihune tolerability, i pau i loko o ka noa palapala a me kā lākou mau dala ua kaupalena 'ia 70-80 nā huna no ka lā. Ma ka hihia o ka intolerance i ka waiū ma kona noa palapala, ia wale nō pū i loko o ka haku mele 'ana o kona mau kīʻaha a UAIAaIN ma nā huahana.

Keʻai pū pono nā hoomakaukau i loaʻa ka hao a me ka multivitamin.

Ma ka hihia o ka ho'ēmiʻana i loko o ka paona o ka hoʻomanawanui ua 'ae' e hoʻonui i ka ikehu waiwai io o ka ai ma ka 10-15% hoʻohālikelike i ka physiological kūmau.