Pokanga pekitīlia. Ngā momo o ngā mahi, tohu, te faaineineraa, me te whakahaere

whakatupuranga katoa o te iwi ora puaki tona manawataki. I roto i te tikanga ki te kia i te wa nga wahi katoa, kua ki te moe iti, hoatu ake parakuihi tina ranei, paramanawa i runga i te oma te tangata hou. tenei katoa he pānga tōraro i runga i te huru puku. He kore ki te whakatutuki ki te tākuta fakafaingata'a'ia'i te āhuatanga. Ki te kore e taea e ki te akakoromaki i te raruraru maimoatanga whakapōauau, ko reira e tika ana ki te huihui ki mehua uruhi. Taua mehua he pokanga pekitīlia.

He aha te mea te kopu, me aha e ona mahi

Puku - tinana motuhake rite te putea uaua tuwhera mō te fariiraa i me te nakunaku. Kei raro i te mana o te pū kai. Ko tōna wahi o raro i roto i te sphincter pyloric haere ki te duodenum. I te puku kau he rōrahi i te whānuitanga o te 0.5 rita. I muri i kai te incremented reira ki te 1 rita, engari ka taea e te tu opue, me totoro ake ki 4 rita.

I tua atu ki te rokiroki i te kai riro i roto i te mahi puku ngā:

• Machining papatipu kai;
• kaupapa o te kai i roto i te wāhanga o muri o te whēkau;
• pānga matū i runga i te kai whākōkī pekitīlia;
• huānga kōwhiringa e whai wāhi ki te absorption o huaora B12;
• absorption o ngā matūkai;
• disinfection o kai waikawa pūmāota papatipu;
• hanga o hormones.

I roto i te tikanga ki te pai te kawe i roto i ona mahi, me kia ora te tinana. wa nui ki te whakarongo ki ngā huringa i roto i te reka, tokopā, mamae me te whakapairuaki, ki te karo pokanga i runga i te puku.

mate noa o te puku

Nuinga o ngā wā, tākuta hamani ma'i gastritis, duodenitis, horo, whewhe, me te mate pukupuku pukupuku. Ia mate i roto i tetahi ara ranei tetahi mōrearea, me te hiahia taau maimoatanga. kia mauria whakahaunga o te tākuta, me te tino ū ki te tūtohutanga katoa te manawanui, e kore i reira e tika ana ki te haere ki te wae whakahaere.

Ngā momo o ngā mahi. resection

I roto i te mahi hauora, whakamahia hoki mate o te puku kei te maha ngā momo o ngā tukanga hāparapara. Tenei resection, gastrectomy, gastroenterostomy, vagotomy. Kei ia mahi ona tohu me contraindications, a titau pūkenga motuhake o te tākuta.

tuku Gastrectomy tango i etahi wahi o te okana, aru i te whakaiti o te haere tonutanga ngongo esophageal. pokanga pekitīlia taua whakaritea mo pukupuku mate pukupuku, tuwhenua tiketike-tohu o te mōmona ranei. titau te mahi he tātaritanga whānui, me te faaineineraa manawanui motuhake. I tua atu, i te whanaketanga ka taea o pōauautanga postoperative.

Tei runga i te matatini o te mate, kōwhiria e te tākuta te momo o te resection. Ka taea e kia tenei:

• Whakaotia tango o te puku.
• Tango i tetahi wahi o te okana tata te pū kai, arā, resection proximal.
• Okana tango o te rängai raro ki te duodenum, e ko te resection distal.
• mōmona tango Sleeve.

proximal mahi kawea me distal nuinga o te wā. Gastrectomy i roto i tenei take tā tumu tinana suturing ki te pū kai (proximal) te whēkau iti (distal) ranei. Taua resection noho he mātanga hoki neke atu i te 2 haora.

Resection o whewhe pekitīlia

Nuinga o ngā wā, e taea te ora mariao puku i runga i te kaupapa tūroro. Otiia ētahi wā e kore e rongoā hua. whakaritea pokanga mō keha e i roto i te wā e whai ake nei:

• I roto i te whāiti cicatricial o te sphincter pyloric (stenosis pyloric).
• I roto i te whakatö o mate i waho te puku (peneratsiya).
• A, no te perforation (i roto i-rua ahua).
• hanga mariao ka rere ki te rahi nui, me te hohonu nui o te kino kiko.

I tua atu, kia whakaritea ai pokanga pekitīlia ki te tīmata te manawanui toto, e kore e taea e akakoromaki i rongoā. Ko te take mo te resection kia whakarato relapses auau.

Resection mō te pukupuku mate pukupuku

maha Gastroenterologists me oncologists kōrero tūroro ki te pukupuku matepukupuku. whakaaro mate pukupuku kopu te te puka tino noa o te mate pukupuku. Pokanga mō te mate pukupuku puku kia rapua e kore resection kanohi, a oti tango o te okana. huaina ana tēnei mahi ko gastrectomy. Ōkawa, ko te matatini atu tenei momo o resection, engari te whawhe, me te pā tōraro i runga i te manawanui ko te ake korerotia.

A, no te tango i gastrectomy te puku e kore anake, engari te repe me tīpona kōpuku rua. Whakaotia tango o te pū kai pekitīlia kōrero te hononga tika ki te jejunum. pūhui Artificial (anastomosis) mau Dil tui intestinal.

I muri i te pokanga, e kore e hua matū me te tukatuka pūkaha o te kai. Me whiwhi tēnei pipiki tino ki te kai, me te ara tohatoha o kai puta noa i te ra. kia wahi iti, kei te tino whakakorea te tahua ngako matatini, me te pakeke ki te ngaungau kai.

I ki tonu tikanga gastrectomy laparoscopic o iti whakamahi. Tīpakongia technique tuwhera tuku iho, i roto i nei whakamana i te kokoti nui te. I te ora i muri i te pokanga titau te manawanui e rave rahi wiki. I muri fafangu i te rehunga kore e te manawanui inu kai ranei. hoatu e ia he pū tōngāmimi mimi, me te ngongo nasogastric, i ētahi wā puta manawa i roto i te kanohi.

tīmata Water manawanui ki te hoatu i muri noa i te ahua o oro whēkau. Ki te tikanga tauhohe te tinana ki te wai, ka tīmata hoatu kai ngohengohe.

Resection mō te mōmona

Ki te nui rawa o te mōmona i roto i ētahi wā i whakaritea resection roa. I te tahi taime i huaina te tikanga ko te tango putea. tapahia mahi atu te nuinga o te puku, engari mau vaolo whaiaroaro. te whakaiti i tenei te rōrahi tinana, engari e kore e te ohorere nakunaku. Puku roa rite ki te putea uaua, rite te ngongo kuiti nei rōrahi ko e pā ana ki 150 ml titiro reira. He he he whakaiti tuwhena i roto i te taimaha me te whakaiti o te te kai rite wāhi mukua e hua i te taiaki kawenga mō te mana'o. resection roa taea ngaro ake ki te 60% taumaha, i te kore i roto i te kopu whakanohoia te tinana ke pērā i te opupu takai ranei. Ka taea te whakamahi i tēnei tikanga o te rongoā mōmona i tetahi tau.

gastroenterostomy

I roto i te tahi mau tohu ki te kawe i roto i resection o kahore he taea te kopu. E pā ana tēnei ki te tūroro ruhiruhia me ngoikore, te pā o te stenosis cicatricial rite ki te hua o weranga me take mate pukupuku puku mahi tika. kawea taua tūroro gastroenterostomy. I roto i te mahi te kōhao hanga anastomosis i waenganui i te puku, me te whēkau iti.

tauturu pokanga atawhai te puku, whakatere te hōneatanga o kai me ki whakahoki patency. Heoi, homai ana e ia he rota o pōauautanga, na kua whakamana anake reira ka reira he kahore atu kōwhiringa maimoatanga.

vagotomy

Ko tētahi atu tikanga o te maimoatanga o keha pekitīlia ko te vagotomy. Tenei mahi e whai wāhi mai tuaki o te karere vagus. Ka rite ki te hua o te whawhe mutu ponana karere i ai te hanga o te wai pekitīlia tei. I roto i te heke kawatanga pekitīlia ko, hua i roto i te whakaora whewhe haamata.

Kua hoki te wa tuatahi i roto i te kōwae whakahaere kua tukua ki te manawanui hoki vagotomy i roto i 1911. I hanga te fanongonongo i te Berlin Surgical Congress. Mai 1946, hoatu te mahi i runga i awa.

Mai 1993, koimutu heke te maha o vagotomy mai hei taero whānui pau e aukati hanga o te waikawa.

utu o te mahi

Ko te utu o te whawhe taua i roto i whenua rerekē me rohe tae noa i roto i nga whenua e taea rerekē tino. Te reira i katoa tei runga i te matatini o te mate, wāhi mate, taote ranei tohu matepukupuku rānei, me te taputapu hangarau o te whare hauora. ngā take katoa e whakatau i roto i te kōrero ki te tohunga. Nuinga o ngā wā i roto i te utu mahi ngā hōhipera noho, rehunga me tiaki pou-mahi.

I roto i nga tau tata nei, te iwi e whai raruraru nui ki te mōmona, huihui tākuta ki te āwhina. Hei whakaea ki te taimaha anō ka taea te mahi o te gastrectomy wä roa. Ko tōna utu toharite i roto i Russia he e pā ana ki 140 000 moni.