Gastrectomy

Ko te ngā mahi tino nuitia whakamana i roto i mate o te duodenum me kopu, ko te gastrectomy.

Ko te pūtake o te mahi ko te excision o wahi turoro o te okana. Ko te kupu whakamana tonu fakafoki mai (tapatahi) anastomosis gastrointestinal te i waenganui i te jejunum me te duodenum puku ranei tumu.

kia hanga wawaotanga hāparapara i te rua tikanga taketake.

A, no te te whakamahi i te tikanga tuatahi i mahi (Billroth ahau) Gastrectomy e excision katoa tona antrum pyloric me tari. I roto i tenei take, whakamana te whakapanga o anastomosis te i waenganui i te wahi o raro o te tinana, me te take o te duodenum i runga i te parau tumu o "mutu ki te mutunga".

Gastrectomy e tenei tikanga kia hua i roto i rawa te pōauautanga mōrearea, whakakitea i roto i te kore o te tightness o te anastomosis i te komititanga o te rohe e toru hononga. Hei whakakore i te reira, i reira e maha putanga rerekē. whakamahia nuitia Gaberera whakarerekētanga II. Ki tenei mahi, i muri i excision 2 \ 3 roopu me te luminal hua pekitīlia whāiti reira e te tikanga o crimping kaimono mau kia e he rite ki te whanui o te lumen o te duodenum tona whanui.

kawea Gastrectomy ki tikanga Billroth II te roto e piri te tinana suturing tumu. Hei whakahoki i te tonu o te wahi gastrointestinal i roto i tenei take hua whakakikorua gastroenteroanastomosis muri mua ranei.

kawea te kōwhiringa o te tikanga o te excision te i tango ki pūkete te momo o māuiuitanga, tona localization me te rahi puku motuhia.

He tohu whanaunga, me te tino mo te pokanga mō te excision.

Absolute whakaaro malignancies, toto whewhe recurrent, whakapae e hōloa repara o keha me stenosis pyloric.

Hoki ngā unhealed mo te tuwhenua wa roa i roto i te duodenum me puku, me te tohu whanaunga whewhe pūwatawata i runga i te whakamārama o te huru pai o te manawanui, riro nei i roto i te haora tuatahi e ono i muri i te perforation.

I roto i te aroaro o te repara, me te mahi whewhe keté whakamana te whakamahi i te tikanga motuhake.

Ko te kupu, ka keté whewhe he mea tika ki te Ekisia 2/3 3/4 o te puku me te tinana pyloric ranei. Ko te kupu, Kei te haukotia te reira matahoki. I roto i te take o nga rangatira runga o nga tuwhenua curvature iti tono gastrectomy tapekeroto. mahi, no te tenei te excision 4/5 okana (tata 80%).

Kai i muri i resection pekitīlia tā te herenga o te kai kainga i te wa. Ko te kupu, Kei te kore tūtohutia tūroro neke atu i te 250 karamu o te hupa te karaihe inu ranei. I tina taea kai koe kaua e nui ake kai e rua. Kai puta noa i te ra e auau (i te iti rawa e rima e ono ranei nga wa) tūtohutia. Te whakanui ake i te tokomaha o te pūmua tūtohutia riro (120 g), whāiti te nui o te warowaihā (300 g). I roto i ētahi wā ka taea te tino waho reira kai huka, me te inu. Kei te whakaaetia te reira ki te whakamahi i whakakapi huka. Hei whakanui i te nui o te pūmua kai kohua, ika tūtohu, calcined tīhi waruwaru ranei, scrambled kiri egg.

He mea tika ki te whakauru i roto i te hua kai, me te kai taonga ki ngā hinu huawhenua. I roto i te take o te tolerability rawakore, i ngā i roto i te puka noa, me te iti o ratou nui te ki 70-80 karamu ia ra. I roto i te take o te ātete ki te waiu i roto i tona ahua noa, te reira anake ngā i roto i te hanganga o rihi whakakapi e ētahi atu hua ranei.

Te kai hoki tika ngā teuteu kei roto rino, me te multivitamin.

I roto i te take o te whakaiti i roto i te taimaha o te manawanui whakaaetia te ki ake i te uara pūngao o te kai i te 10-15% whakaritea ki te täkupu whaiaroaro.