Ua hana ʻia anei ʻoe i ke ʻoki kino i hala koke aku nei, ʻoiai ke ʻoki kino ʻōpū? A i ʻole he ʻeha pinepine kou ʻōpū i wehewehe ʻole ʻia a i ʻole he manaʻo huki? I kekahi manawa ʻo ke kumu paha kekahi mea āu i noʻonoʻo ʻole ai. ʻO ia ka pipili ʻana o nā ʻōpū i loko o ke kino. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he 'adhesions'. He mea hou paha ka inoa iā ʻoe, akā he ʻano maʻamau kēia ma mua o kou manaʻo. No laila e kamaʻilio kākou e pili ana i nā mea āpau i kēia lā.
He aha maoli nā adhesions?
I ka ʻōlelo maʻalahi, ʻo nā hoʻopili ʻana he
ʻiʻo ʻeha e hana ʻia ana i loko o ko kākou kino . E noʻonoʻo i ka wā e ʻoki ʻia ai kou ʻili i kekahi wahi, a ma hope o ka ho'ōla ʻana o ka ʻeha, aia kahi ʻeha ma laila, ʻeā? Pēlā nō, ʻo nā hoʻopili ʻana he ʻiʻo ʻeha e hana ʻia ana ma waena o ʻelua mau ʻāpana i loko o ke kino, ma waena o ʻelua mau wahi i pili ʻole ʻia. I kekahi manawa hiki i kēia mau mea ke lahilahi e like me kahi ʻāpana cellophane, a i ʻole hiki iā lākou ke mānoanoa e like me ke kaula. ʻO ke kumu nui o ka hoʻokumu ʻia ʻana o kēia mau hoʻopili ʻana, ʻo ia ke kaʻina hana ho'ōla maoli o ke kino. Ke hōʻino ʻia nā ʻiʻo o ke kino ma muli o kekahi mea e like me ke ʻoki kino, ka maʻi,
ka trauma , a i ʻole
ka radiation , hoʻomaka ko kākou kino e ho'ōla iā ia. I loko o kēia kaʻina hana ho'ōla, inā pili kokoke kahi ʻāpana i hōʻino ʻia me kekahi ʻāpana ʻē aʻe, ʻaʻole hiki i nā cell ho'ōla i loko o ko kākou kino ke hoʻokaʻawale i nā ʻāpana ʻelua ma ke ʻano he kaʻawale. ʻO ka hopena, ua pili nā ʻāpana ʻelua a ua hana ʻia kahi ʻiʻo ʻeha, a i ʻole ka hoʻopili ʻana.
Ma hea kahi e hana pinepine ai nā adhesions?
ʻOiai hiki ke hoʻopili ʻia nā mea pili ma nā wahi āpau o ke kino, aia kekahi mau wahi i ʻike pinepine ʻia ai lākou. E nānā kākou iā lākou.
| Kahi o nā mea e hoʻopili ai | Hopena a me ka wehewehe ʻana |
|---|
| Nā Hoʻopili ʻōpū | ʻO kēia ke ʻano maʻamau. Ma mua o 90% o ka poʻe i hana ʻia i ke ʻoki ʻōpū a i ʻole ka pelvic e loaʻa iā lākou. Hiki i kēia mau mea hoʻopili ke hoʻopili i nā ʻōpū, wili, a paʻa paha. ʻO ka mea weliweli loa o kēia mau mea he ʻano i kapa ʻia ʻo bowel obstruction . ʻO kēia ka manawa e pau ai ka neʻe ʻana o ka meaʻai ma o nā ʻōpū me ka piha a hapa paha. |
| Nā hoʻopili ʻana o ka pelvic | Hiki i kēia mau mea ke ulu i loko o nā ʻōpū o nā wahine e like me ka uterus, nā ovaries, a me nā fallopian tubes. He mea maʻamau lākou ma muli o nā kūlana e like me ka maʻi mumū pelvic (PID) a i ʻole endometriosis. Hoʻonui ka hoʻopili ʻana i nā fallopian tubes i ka pilikia o ka hānau ʻole ʻana a me ka hāpai ʻana o ka ectopic . Hiki iā lākou ke hana i ka ʻeha pelvic mau loa. |
| Nā Hoʻopili Pleural | Ma hope o ka maʻi niumonia, ka maʻi puʻupuʻu, a i ʻole ke ʻoki ʻana i ka umauma, hiki ke hoʻopili ʻia nā mea pili ma waena o nā membrane e uhi ana i nā māmā. Hiki i kēia ke hōʻeha i ka wā e hanu hohonu ai. |
| Nā Hoʻopili Puʻuwai | Hiki ke hoʻopili ʻia nā ʻeke i loko o ka ʻeke pericardial, ka mea e hoʻopuni ana i ka puʻuwai, a hiki ke hoʻopilikia i ka hana a ka puʻuwai. Hiki i nā maʻi e like me ka rheumatic fever ke hana i nā ʻeke i loko o nā valves o ka puʻuwai, e hōʻemi ana i ka pono o ka puʻuwai. |
He aha nā hōʻailona o nā adhesions?
ʻO ka mea nui ma ʻaneʻi,
ʻaʻole ka hapa nui o nā mea hoʻopili e hoʻoulu i kekahi mau hōʻailona . Hiki iā lākou ke noho i loko o ke kino me ka ʻike ʻole ʻoe. ʻIke wale ʻia nā hōʻailona inā hoʻopilikia kēia mau mea hoʻopili i ka hana o kahi ʻōkana. Hiki i nā hōʻailona
maʻamau ke komo pū me:
- Inā he mau pipili i loko o kou ʻōpū , hiki iā ʻoe ke ʻike i ka ʻeha huki i kou ʻōpū i ka wā e hoʻoikaika kino ai a i ʻole e hoʻoluhi ana.
- Inā he mau pipili o nā wāhine i loko o ko lākou vagina a i ʻole ka uterus , hiki iā lākou ke ʻeha i ka wā e moe ai.
- Hiki i nā pipili o ka māmā ke hoʻoulu i ka ʻeha a i ʻole ka paʻakikī o ka hanu ʻana i ka wā e hanu hohonu ai.
- Hiki ke ʻeha ka umauma ma muli o nā pipili pili i ka puʻuwai .
Ka ʻĀʻī ʻana o ka ʻōpū - He pilikia kēia!
ʻO ka pilikia koʻikoʻi loa o ka hoʻopili ʻana, ʻo ia ke ālai ʻana o ka ʻōpū. Ua manaʻo ʻia kēia he pilikia olakino. Hana ʻia kēia i ka wā e ālai ai nā hoʻopili ʻana i ka ʻōpū, e pale ana i ka neʻe ʻana o ka meaʻai ma loko. He mea nui e ʻike i nā hōʻailona o kēia maʻi.
- He ʻeha ʻoi a hou i loko o ka ʻōpū e hiki koke mai ana a mau no kekahi mau minuke. Hiki ke ʻoi aku ka ʻeha ma hope o ka ʻai ʻana.
- Ka luaʻi ʻana me ka ʻeha. Ma hope o ka luaʻi ʻana, me he mea lā e emi ana ka ʻeha no kekahi manawa.
- Pehu a me ka pehu.
- Ke lohe nei i kahi leo nui "chiri chiri" mai loko mai o ka ʻōpū.
- I ka hala ʻana o ka manawa, hiki i kēia ʻano ke lilo i mea koʻikoʻi. Hoʻomau ka ʻeha, pau ke kani ʻana o ka ʻōpū, a pau loa ke kahe ʻana o ka ea a me ka ʻōpala. Hiki ke ulu mai ke kuni.
Mai hoʻowahāwahā i kēia mau hōʻailona, ʻoiai inā ua hana mua ʻia ʻoe i ke ʻoki ʻōpū. He mau hōʻailona paha kēia o ke ālai ʻana o ka ʻōpū. E ʻike koke i kāu kauka . A i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa iā ʻoe.
Pehea e ʻike ai inā he mau adhesions?
ʻAʻole hiki ke ʻike maʻalahi ʻia nā pipili me nā hoʻokolohua e like me nā X-ray a me nā scan CT. ʻOiai inā hōʻike kēlā mau scan i kahi mea e like me ka paʻa ʻana i loko o nā ʻōpū, ʻaʻole hiki ke ʻōlelo maopopo inā he pipili ke kumu. ʻO ke ala wale nō e hoʻoholo ai i ka 100% inā loaʻa maoli nā pipili i ka wā o ke ʻoki kino. ʻO ka maʻamau, hoʻohana ʻia kahi ʻano i kapa ʻia ʻo
laparoscopy no kēia. Ma kēia, hana ʻia kahi lua liʻiliʻi i loko o ka ʻōpū, hoʻokomo ʻia kahi kāmela ma loko a nānā ʻia ke ʻano o loko o ka lua ʻōpū. Inā loaʻa nā pipili i ka wā o ia ʻano hoʻokolokolo, hiki ke wehe pinepine ʻia i ka wā o ke ʻoki kino like.
He aha nā lāʻau lapaʻau no kēia?
Inā ʻaʻohe hōʻailona, ʻaʻole pono e mālama ʻia nā pipili. Eia nō naʻe, inā loaʻa nā hōʻailona, aia nā lāʻau lapaʻau. ʻO ka lāʻau lapaʻau nui, ʻo ia ka ʻoki ʻana a me ka hoʻokaʻawale ʻana i kēia mau pipili ma o ke ʻoki ʻana. Kāhea mākou i kēia
he adhesiolysis . Aia ʻelua mau ʻano hana ʻoki nui i hoʻohana ʻia no kēia.
| ʻAno hana ʻoki kino | Pehea e hana ai? |
|---|
| Laparoscopy | Ma kēia ʻano hana, i ʻike ʻia hoʻi ʻo "keyhole surgery," hoʻokomo ʻia kahi kāmela a me nā mea kani ma o kekahi mau ʻoki liʻiliʻi e ʻoki a wehe i nā mea hoʻopili. |
| Laparotomy | He "ʻoki hāmama" kēia. Hana ʻia kahi ʻoki nui ma ka ʻōpū, e ʻae ana i nā ʻōpū o loko e ʻike pololei ʻia a wehe ʻia nā mea i hoʻopili ʻia. |
Akā ʻo ka pilikia ma ʻaneʻi, ʻo ke ʻoki ʻana e wehe i nā mea hoʻopili hiki ke hana i nā mea hoʻopili hou. Ma muli o ke ʻoki ʻana ke kumu o ka hōʻino ʻana i nā ʻiʻo, hoʻomaka hou ke kaʻina hana ho'ōla o ke kino.
ʻAʻole hiki iā ʻoe ke pale aku i ka hoʻokumu ʻana o nā adhesions?
ʻOiai ʻaʻole hiki ke pale loa ʻia, hana nā kauka ʻoki i nā ʻanuʻu like ʻole e hōʻemi i ka pilikia o ka hoʻomohala ʻana i nā pipili i ka wā o ke ʻoki ʻana.
- Hoʻemi i ka manawa i lawe ʻia no ke ʻoki kino.
- E lawelawe mālie a me ke akahele i ka ʻiʻo.
- Ka mālama ʻana i ka ʻiʻo i pulu i ka wā o ke ʻoki ʻana.
- Ka hoʻohana ʻana i nā mīkina lima kūikawā (ʻaʻohe starch, ʻaʻohe latex).
- I kekahi mau hihia, kau ʻia nā pepa ʻiliʻili kūikawā e pale aku i nā pipili ma waena o nā kino.
Inā ʻoe e hoʻomākaukau ana no kekahi ʻoki kino, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i kēia.
Leka Lawe-Home
- ʻO nā adhesions he ʻiʻo ʻeha kūloko e hana ʻia i loko o ke kino, ʻoi aku hoʻi ma hope o ke ʻoki ʻana.
- ʻAʻohe mea ʻino ka hapa nui o nā mea hoʻopili, akā hiki i kekahi ke hana i nā kūlana koʻikoʻi e like me ka ʻeha, ka paʻakikī i ka loaʻa ʻana o nā keiki, a i ʻole ka poloka ʻana o ka ʻōpū.
- Inā loaʻa i kekahi mea i hana ʻia ma ke ʻoki kino ma mua ka ʻeha nui o ka ʻōpū, ka luaʻi ʻana, a me ka pehu ʻana, he hōʻailona paha ia o ka ʻōpū paʻa a he pilikia olakino ia. E ʻike koke i ke kauka.
- ʻO ka manawa pinepine e hoʻoholo ʻia ai ke ʻano pololei o nā adhesions i ka wā o ke ʻoki kino.
- ʻOiai inā ʻoki ʻia a wehe ʻia nā mea pipili ma ke ʻano he lāʻau lapaʻau, aia kahi pilikia o ka hoʻi hou ʻana mai.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē ma hope o ke ʻoki ʻana a i kekahi manawa ʻē aʻe paha, mai kānalua e kamaʻilio me kāu kauka e pili ana i ia mea.
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