He aha ka anastomosis i ke ʻoki kino? E hoʻomaopopo maʻalahi kākou!

Ua haʻi aku anei ke kauka iā ʻoe a i ʻole kekahi āu i ʻike ai e pono ʻoe e hana i kahi ʻoki ʻōpū? Ua hoʻohana anei ʻo ia i ka huaʻōlelo 'anastomosis' i kāna ʻōlelo ʻana i kēlā? I kou lohe ʻana i kēia huaʻōlelo, ua manaʻo paha ʻoe i kahi makaʻu iki, "He aha kēia, he maʻi hou anei kēia?" Akā, ʻaʻohe mea e makaʻu ai. He hana ʻoki maʻamau ia a nā kauka ʻoki e hana mau ai. No laila, i kēia lā, e kamaʻilio maʻalahi kākou e pili ana i ia mea, ma ke ʻano e hoʻomālamalama ai i nā nīnau a me nā makaʻu āu e loaʻa ai.

He aha maoli ka anastomosis?

I ka ʻōlelo maʻalahi, ʻo ka anastomosis ka pilina o nā alanui ʻelua. E noʻonoʻo i ʻelua muliwai e hui pū ana a kahe ana ma ke ʻano he muliwai hoʻokahi. He mea like me ia. A i ʻole ua hoʻopili ʻia kahi paipu kaʻawale i ko mākou hale mai ka paipu nui e lawe mai i ka wai i ko mākou mau home, ʻeā? He pilina kēlā e like me ia.

He mea kēia e hana maoli ʻia i loko o ko kākou kino. No ka laʻana, ua pili nā kīʻaha koko i loko o ko kākou kino kekahi i kekahi a ua pālahalaha e like me kahi pūnaewele. Eia kekahi, inā mākou e lawe i kā mākou ʻōnaehana hoʻoheheʻe, ua pili ka esophagus i ka ʻōpū, ka ʻōpū i ka ʻōpū liʻiliʻi, a me ka ʻōpū liʻiliʻi i ka ʻōpū nui. Ua kapa ʻia kēia mau mea he anastomosis kūlohelohe.

Eia nō naʻe, i ka lāʻau lapaʻau, hoʻohana pinepine mākou i kēia huaʻōlelo e pili ana i ka pilina ʻoki kino o ʻelua mau ʻāpana kino. Pono nā kauka lapaʻau e hana i kēia mau pilina i nā manawa a pau. E nānā kākou i ke kumu.

No ke aha i hana ʻia ai kēia ʻano pilina i ka wā o ke ʻoki kino?

Aia paha he ʻelua kumu nui no kēia.

1. Ka wehe ʻana a me ka hoʻopili hou ʻana i kahi ʻāpana i hōʻino ʻia: E noʻonoʻo ua hōʻino ʻia kēlā ʻāpana o kou ʻōpū e ka maʻi kanesa, kahi maʻi koʻikoʻi, a i ʻole kekahi maʻi ʻē aʻe. A laila pono ke kauka ʻoki e ʻoki a wehe i kēlā ʻāpana i hōʻino ʻia. A laila pono e hoʻopili hou ʻia nā wēlau ʻelua o ka ʻōpū olakino i koe. A i ʻole, e ʻoki ʻia ka paipu meaʻai. ʻO ia ka mea a mākou e kapa nei he anastomosis.

2. Ke hana ʻana i ala hou e pale aku ai i kahi ālai ʻia (Bypass): I kekahi manawa hiki ke ālai ʻia kahi kīʻaha koko i loko o ke kino mai loko mai. ʻO ka laʻana maikaʻi loa ke ālai ʻia kahi kīʻaha koko e hoʻolako ana i ke koko i ka puʻuwai e nā waihona cholesterol. ʻO ka mea i hana ʻia ma ʻaneʻi, ʻo ia ke hana i ala hou e pale aku ai i ka ālai ʻia. No ka hana ʻana i kēia, ua lawe ʻia kahi ʻāpana kīʻaha koko olakino i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino a ua hoʻopili ʻia ma luna a ma lalo o ka ālai ʻia e hana i ala hou (bypass). Ua kapa ʻia kēia mau pilina hou ʻelua he anastomosis.

He aha nā hana maʻamau no ka anastomosis?

Hoʻohana ʻia kēia kaʻina hana i nā ʻano ʻoki kino he nui. E nānā kākou i kekahi o nā laʻana maʻamau.

ʻO ke ʻoki ʻana i ka ʻōpū

ʻO kēia ke ʻano maʻamau o ka anastomosis. ʻO kēia ka manawa e pono ai ke wehe ʻia kahi ʻāpana o ka colon a i ʻole ka ʻōpū liʻiliʻi ma muli o ke kanesa, nā maʻi koʻikoʻi (e like me ka diverticulitis), a i ʻole ka ʻeha. A laila e hoʻopili hou ʻia nā ʻāpana olakino i koe. No ka laʻana, ʻo kahi ileocolonic anastomosis kahi e pili ai ka ʻāpana hope o ka ʻōpū liʻiliʻi (ileum) i ke koena o ka ʻōpū nui.

ʻO ke ʻoki ʻoki ʻana

• ʻO ke ʻoki ʻana i ke aʻa koko coronary: E like me kaʻu i ʻōlelo ai ma mua, i ka wā e ālai ʻia ai kahi kīʻaha koko i loko o ka puʻuwai, hana ʻia kahi ala hou e kāpae i ka ālai ʻana me ka hoʻohana ʻana i kahi kīʻaha koko olakino i lawe ʻia mai ka wāwae a i loko paha o ka umauma.
• ʻO ke ʻoki ʻana i ka ʻōpū: He ʻoki ʻana i ka pohō kaumaha kahi e wehe ʻia ai kahi ʻāpana liʻiliʻi o ka ʻōpū a hoʻopili pololei ʻia i ka ʻaoʻao haʻahaʻa o ka ʻōpū liʻiliʻi. Hoʻopōkole kēia i ka paipu meaʻai a kaupalena i ka omo ʻana o ka meaʻai.

Ke hana nei i kahi ala no ka dialysis kidney

Pono nā maʻi me ka hāʻule ʻana o nā puʻupaʻa e hana i ka hemodialysis e hoʻomaʻemaʻe i ko lākou koko. Pono kēia i kahi aʻa nui a ikaika e lawe mau i ke koko a hoʻihoʻi i ke kino. No ka hana ʻana i kēia, hoʻopili ke kauka ʻoki i kahi aʻa a me kahi aʻa ma ka lima e hana i kahi aʻa koko ikaika (Arteriovenous Fistula) . He ʻano anastomosis nō hoʻi kēia.

Hoʻoili ʻana i nā kino

Ke hoʻoili ʻia kekahi ʻano, e like me ke akepaʻa, nā puʻupaʻa, a i ʻole ka puʻuwai, pono e hoʻopili ʻia ke ʻano hou i nā ʻōnaehana o ke kino. ʻO ke ʻano kēia, pono e hoʻopili ʻia nā kīʻaha koko e hoʻolako a hoʻi i ke ʻano, a me nā kīʻaha koko ʻē aʻe e pili ana (e laʻa, ke kahawai bile i loko o kahi hoʻoili akepaʻa), i nā ʻāpana kūpono o ke kino. Ua kapa ʻia kēlā me kēia o kēia mau pilina he anastomosis.

He aha kēia mau ʻano hoʻohui?

ʻEkolu mau ala nui e hoʻopili ai nā kauka lapaʻau i kēia mau kīʻaha koko. Inā loaʻa iā ʻoe kēia mau huaʻōlelo i kāu hōʻike, hiki iā ʻoe ke hoʻomaopopo.

He aha nā pilikia o kahi ʻoki anastomosis?

E like me nā ʻoki kino āpau, aia kekahi mau pilikia e pili ana. Akā e hoʻomanaʻo, ua aʻo maikaʻi ʻia nā kauka ʻoki kino e mālama i kēia mau mea.

Nā pilikia maʻamau o kekahi ʻoki kino:

• Ke kahe ʻana o ke koko
• Nā ʻūpā koko
• Maʻi
• Ka hōʻino ʻana i nā ʻōpū kokoke

Nā pilikia e pili ana i ka anastomosis:

ʻO kēia nā mea e pono ai kākou e makaʻala nui. He haʻahaʻa ka likelika o kēia mau mea, akā he mea nui e makaʻala.

1. ʻO ke koʻikoʻi Anastomotic:

I ka ʻōlelo maʻalahi, he ʻoki ʻana ia o ka pilina. Ma hope o ke ʻoki ʻana, hana ʻia nā ʻiʻo ʻeha ma kahi pili i ka wā e ho'ōla ai ka ʻeha. I kekahi manawa hiki i kēia ʻiʻo ʻeha ke ulu nui aʻe a hoʻohāiki i ke alahele. Ua kapa ʻia kēia he stenosis . Inā pili nā ʻōpū, hiki i kēia ke hoʻopilikia i ka hele ʻana o ka meaʻai. Inā pili ka urethra ma hope o ke ʻoki ʻana i ka mimi, hiki iā ia ke paʻakikī i ka mimi. Akā ʻo ka nūhou maikaʻi , hiki ke ho'ōla pinepine ʻia kēia ʻano me ka ʻole o ka hana ʻoki ʻē aʻe, ma ke kau ʻana i kahi mea e like me ka balloon i loko o ka wahi i haiki ʻia (dilation).

2. Ka Leaka Anastomotic:

He liki kēia ma ke kiko pili. Ua like ia me ka wai e liki ana mai kahi pilina ma waena o nā paipu wai ʻelua. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻaʻole i sila pono nā paipu pili ʻelua, a ʻo nā mea o loko (no ka laʻana, ka meaʻai a me nā bacteria i loko o nā ʻōpū) e liki ana i waho. Inā liki nā mea o loko o nā ʻōpū i loko o ka lua ʻōpū, hiki iā ia ke hana i kahi maʻi koʻikoʻi (peritonitis).He kūlana koʻikoʻi loa kēia. No laila, makaʻala nui nā kauka a me nā kahu maʻi i nā hōʻailona e like me ke kuni, ka ʻeha nui o ka ʻōpū, a me ka luaʻi ma hope o ke ʻoki ʻana. Inā loaʻa kēia ʻano leaka, pono pinepine ʻia kekahi ʻoki ʻē aʻe e hoʻoponopono ai.

Aia kekahi mau manawa i ʻole e hana ʻia ai kahi anastomosis?

ʻAe. I kekahi mau hihia, hoʻoholo ke kauka ʻoki ʻaʻole e hoʻohui i nā ʻōmole ʻelua i ka manawa hoʻokahi. ʻO ke kumu nui o kēia, ʻaʻole olakino maikaʻi ka ʻiʻo o ka ʻōpū.

E noʻonoʻo ua wehe ʻia kekahi ʻāpana o ka ʻōpū ma muli o kahi maʻi koʻikoʻi. A laila, pehu a nāwaliwali paha nā ʻāpana i koe o ka ʻōpū. Inā humuhumu ʻia ʻelua mau ʻiʻo nāwaliwali, ʻoi aku ka maʻalahi o ka liki ʻana ma mua o ka ho'ōla pono ʻana.

I ia mau hihia, hana nā kauka i kahi ostomy manawa pōkole . ʻO ke ʻano kēia, ua lawe ʻia ka hopena o ka ʻaoʻao o luna o ka ʻōpū i ka ʻili o ka ʻōpū, e hana ana i kahi puka no ka ʻōpala e puka ai. Hoʻopili ʻia kahi ʻeke ostomy iā ia e hōʻiliʻili i ka ʻōpala. Ua pani ʻia ka hopena o ka ʻaoʻao haʻahaʻa o ka ʻōpū no kekahi manawa pōkole a waiho ʻia i loko o ka ʻōpū.

Ma hope o kekahi mau mahina, ke ola maikaʻi ke kino a ua hala ka maʻi, hana ʻia kahi ʻoki lua e hoʻopili i nā ʻāpana ʻelua o ka ʻōpū (anastomosis). A laila pani ʻia ka puka i hana ʻia ma ka ʻōpū. A laila, hiki iā ʻoe ke loaʻa hou nā neʻe ʻana o ka ʻōpū maʻamau.