台中一名90歲蔡老太太因為腸造口皮膚糜爛，每天換便袋、貼便袋的時候都痛到哀嚎，家屬不忍，向醫師求助。醫師評估患者身體狀況，決定幫老太太施做微創腹腔鏡手術，在腹部開3個小傷口切除腫瘤，同時接通大、小腸、關閉腸造口，也就是人工肛門，讓患者重拾生活品質。
光田綜合醫院大腸直腸外科主任吳喬森指出，老太太的腸造口，也就是人工肛門，是因為升結腸有一顆4到5公分大的惡性腫瘤，造成無法排便，嚴重腹水，當時為了救命，外科醫師先幫她開了腸造口。老太太的兒子形容，母親每更換一次便袋就得忍受撕皮痛楚，腸造口四周都破皮。
吳喬森主任說明，隨著年齡的增長，銀髮族身體機能逐漸退化，對藥物的承受能力較低，接受手術及麻醉風險也相對來的高，加上通常會伴隨著慢性病，以及心肺功能退化、器官老化等狀況，因此在選擇手術治療上的風險更難以掌握。
他說，台灣進入高齡社會，銀髮醫療越顯重要，另一方面高齡者常擔憂會連累家人而忍痛，通常就醫時可能都已經很嚴重，提醒照顧者要留意家中長輩有無異狀。
幸運的是現代醫療發展越來越成熟且多元，比起傳統剖腹手術，腹腔鏡手術的好處是手術過程只需要在患者腹部打幾個小洞，經過腹腔鏡的放大效果及超高解析影像，可以幫助外科醫師對病灶部位有更清楚的視野，再加上許多科技先進儀器的協助下，腹腔鏡手術對患者的創傷小，術後復原更快、效果更好，對高齡者來說更為安全。銀髮病患只要經專業醫師術前評估後以微創手術來切除病灶，有助於維持生活品質才是最重要的！
吳喬森醫師提醒，一般來說大腸癌的緣起都是由於正常的腸道細胞接受了來自於環境中的各種毒物之後，慢慢變成瘜肉，最後再突變成大腸癌。統計起來，這個過程所需要的時間約在10年左右，所以基本上，只要能每3到5年接受一次完整全大腸鏡的檢查，應可有效預防瘜肉癌變的可能。
醫師也建議飲食不規律，嗜吃燒烤、油炸或醃漬類食物的民眾，慢性大腸發炎性疾病的患者，有大腸直腸癌或是大腸息肉家族史的民眾，是大腸癌好發族群，最好的預防方式就是定期接受大腸鏡檢查。
A 90-year-old Mrs. Cai, a Taichung woman, was sorrowful because she had a bad skin in her intestines. When she changed her bag and put it on her daily bag, she felt pain and mourned. The family could not bear it and asked the doctor for help. The doctor assessed the patient's physical condition and decided to help the old lady to perform minimally invasive laparoscopic surgery. Three small wounds were removed from the abdomen to remove the tumor. At the same time, the large and small intestines were closed, and the intestinal stoma was closed, which is the artificial anus, allowing the patient to regain his life. quality.
Wu Qiaosen, director of the colorectal and rectal surgery at Guangtian General Hospital, pointed out that the old woman's intestine stoma, which is artificial anus, is because the ascending colon has a malignant tumor 4 to 5 cm in size, causing inability to defecate and severe ascites. At that time, in order to save lives, the surgeon First help her open the mouth. The old lady’s son described that the mother had to endure the pain of tearing every time she changed her pocket, and the intestines were broken around.
Director Wu Qiaosen explained that with the increase of age, the physical function of the silver-haired people is gradually degraded, the ability to withstand drugs is low, the risk of surgery and anesthesia is relatively high, and usually accompanied by chronic diseases, as well as degeneration of heart and lung function, organs Conditions such as aging, so the risk of choosing surgical treatment is more difficult to grasp.
He said that when Taiwan enters a senior society, silver-haired medical care becomes more and more important. On the other hand, elderly people often worry that they will suffer from family problems. They may be very serious when they go to hospital, reminding caregivers to pay attention to whether there are any abnormalities in their elders.
Fortunately, modern medical development is more and more mature and diverse. Compared with traditional laparotomy, the advantage of laparoscopic surgery is that the surgery only needs to make a few holes in the patient's abdomen, after laparoscopic amplification and ultra-high resolution images. It can help surgeons have a clearer view of the lesions. With the help of many advanced scientific and technological instruments, laparoscopic surgery has less trauma to the patient, faster recovery and better effect, especially for the elderly. Safety. It is the most important thing for a silver-stricken patient to use a minimally invasive surgery to remove a lesion after a preoperative evaluation by a professional physician.
Dr. Wu Qiaosen reminded that in general, the origin of colorectal cancer is due to the fact that normal intestinal cells receive various poisons from the environment, slowly become sputum, and finally mutate into colorectal cancer. Statistically, the time required for this process is about 10 years, so basically, as long as you can receive a complete gutoscopy every 3 to 5 years, it should be effective to prevent the possibility of carcinogenesis.
Physicians also recommend people with irregular diets, people who eat barbecue, fried or pickled foods, patients with chronic large intestine inflammatory diseases, people with a family history of colorectal cancer or colorectal polyps, and are the most common cause of colorectal cancer. The prevention method is to receive colonoscopy regularly.
laennec is the ethical drug manufactured with JBP’s unique technologies.
laennec is the ethical drug manufactured with JBP’s unique technologies for effective extraction of variety of growth factors, cytokines, and other physiologically active substances from the human placenta. For instance, HGF (hepatocyte growth factor) promotes the proliferation of hepatic parenchymal cells for recovery of a damaged liver. Our product safety is ensured by the most rigid safety measures among existing scientific standards.
留言列表
