Tin Tuc Tu Bac Si Giai Phau Su Giai Phau Ve Laparoscopic Anti-Reflux

SU GIAI PHAU CHO BENH “O CHUA”

Neu qui vi dau kho ve benh “o chua”, bac si giai phau cua qui vi co the gioi thieu ve su giai phau cua Laparoscopic Anti-Reflux de chua tri trung benh nay.

Benh nay con duoc goi la benh Gastroesophageal reflux disease (GERD). Bai viet sau day cat nghia cho qui vi hieu ro ve nhung dieu sau day:

  • Benh Gastroesophageal reflux disease (GERD) la benh gi?
  • Su chua tri va giai phau cho benh GERD.
  • Su giai phau thi thuc hien nhu the nao.
  • Ket qua xay ra sau khi giai phau.
  • Nhung su doi mong gi neu qui vi chon lua, de co su giai phau ve Laparoscopic Anti-reflux.

Benh Gastroesophageal reflux disease (GERD) la benh gi?

Mac du la benh “ O chua” thi thuong dinh nghia trong nhieu van de cua su tieu hoa. Trong danh tu y khoa, no chinh la mot chung benh cua Laparoscopic Anti-reflux. Trong tinh trang nay, chat acid trong bung di tro lai tu trong bung den cuon hong. Benh “ o chua”tiec ra mot chat dang, va dau o giua nhung manh gan hay o duoi co. Cai cam giac co the toa ra xuyen qua co hong va co. Nhieu ngou o nuoc My co cam giac dau don it nhat mot lan trong vong mot thang. Nhung trieu trung khac cung co the xay ra la non mua, nuot kho khi an va ho khinh nien hay tho kho khe.

Cai gi la nguyen nhan cua benh GERD?

Khi qui vi an, thuc an di tu mieng toi bung xueng qua mot cai ong goi la cuong hong. O cuoi cua cuong hong la mot vong tron goi la Lower Esophageal sphincter (LES). LES hoat dong nhu la mot xu bap, chay mot chieu cho thuc an chay xuyen qua bung. Binh thuong cai xu bap nay no dong ngay sau khi nuot thuc an de ngan can chat sinh trong bung di nguoc tro lai, ma co chat acid di vao cuong hong. Benh GERD xay ra khi LES khong lam viec dung muc va de cho chat acid chay tro nguot, va lam sot cuong hong.

Cai gi thi dong gop cho benh GERD?.

Mo so nguoi sanh voi mot LES yeu tu nhien. Voi nhung nguoi khac, thuc an beo, cay, mot so thuoc uong, quan ao chat, hut thuot la, uong ruou, tap the dung manh bao, hay thay doi vi tri cua than hinh ( cuoi xuong, hay nam xuong) co the la nguyen nhan cua LEX de co ran,nguyen nhan cu Reflux. Hiatal Hernia (mot danh tu cho GERD) co the xuat hien trong nhieu benh nhan, ma dau kho boi benh GERD, nhung khong co the la nguyen nhan cua trung benh “o chua”.

Benh GERD thi duoc chua tri nhu the nao?

GERD thi thuong duoc tri trong 3 phan duoi day:

  • Phuong canh song hang ngay phai thay doi: Trong nhieu truong hop, thay doi su khien an, va uong thuoc antacid o quay ban, co the giam bot chung benh. Giam can, ngung uong thuoc, uong ruou, va su thay doi phuong phap an uong, su nghi nguoi cung co the giup.
  • Phuong phap tri lieu bang thuoc: Neu chung benh van con sau khi thay doi canh song, thi phep tri lieu bang thuoc phai duoc dung. Thuoc Antacids cho acid o bung va thuoc o quay ban con the giam xuong so luong acid o trong bung san xuat ra. Ca hai co the giam thieu duoc chung benh. Thuoc bien toa cua bac si cung co the chua khoi con dau cua cuong hong va giam bot chung benh. Dung phuong phap nay nen hoi y kien cua bac si giai phau cua qui vi.
  • Phuong phap giai phau: Nhung benh nhan ma khong co ket qua tot, sau khi thay doi canh song, hay sau khi dung thuoc, hay nhung nguoi cu tiep tuc uong thuoc de dieu khien chung benh cua ho. Nhung nguoi nay phai song, voi tinh trang cua ho hay phai trai qua cuoc giai phau. Phuong phap giai phau rat co hieu qua trong van de chua tri benh GERD. Co nhieu phuong phap de thu, nhu la phuong phap Intralluminal Endoscopic procedures, day la su thay doi giua laparoscopic va phuong phap giai phau mo tung ra. Qui vi can hoi y kien voi bac si mo hay bac si gia dinh khi qui vi de xem minh co the la mot thanh vien trong bat cu phuong phap chua tri tren.

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Brought to you by:

SOCIETY OF AMERICAN GASTROINTESTINAL ENDOSCOPIC SURGEONS (SAGES)
11300 West Olympic Blvd., Suite 600
Los Angeles, CA 90064
Tel:
(310) 437-0544
Fax:
(310) 437-0585
E-Mail:
publications@sages.org
This brochure is intended to provide a general overview of a surgery. It is not intended to serve as a substitute for professional medical care or a discussion between you and your surgeon about the need for a surgery. Specific recommendations may vary among health care professionals. If you have a question about your need for a surgery, your alternatives, billing or insurance coverage, or your surgeons training and experience, do not hesitate to ask your surgeon or his/her office staff about it. If you have questions about the operation or subsequent follow up, discuss them with your surgeon before or after the operation.