Loaʻa iā ʻoe kekahi pilikia i ka hoʻokele ʻana i kou neʻe ʻana o ka ʻōpū? E aʻo kākou e pili ana i ke ʻoki ʻana o ka MACE (Appendicostomy)

I kekahi manawa, loaʻa iā kākou nā pilikia olakino a hilahila kākou e kamaʻilio e pili ana, akā he mea ia e hoʻopilikia nui ai i ko kākou ola. E like me ka loaʻa ʻana o nā neʻe ʻana o ka ʻōpū hiki ʻole ke kāohi ʻia, a i ʻole ka hiki ʻole ke kiola no nā lā. He ʻike paʻakikī loa kēia a he mea hoʻokaumaha no ka noʻonoʻo no kahi keiki liʻiliʻi a me kahi pākeke. Hiki i kēia kūlana ke lilo i mea keakea nui i ka hele ʻana i ke kula, ka hele ʻana i ka hana, a me ka launa pū ʻana me nā poʻe ʻē aʻe o ke kaiāulu. No laila, i kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻoki kino kūikawā a nā kauka e hāpai nei ma ke ʻano he hopena i ia mau pilikia.

I ka ʻōlelo maʻalahi, he aha ka appendicostomy?

ʻOiai paha e kani paʻakikī ka inoa, he maʻalahi loa ke kaʻina hana e hoʻomaopopo. ʻO ka appendicectomy, a i ʻole e like me ka mea i ʻike nui ʻia i waena o nā kauka, ʻo ke kaʻina hana MACE (Malone Antegrade Colonic Enema) , he kaʻina hana ʻoki kino.

I ka ʻōlelo maʻalahi, eia ka mea e hana ʻia:

Me ka hoʻohana ʻana i kahi ʻāpana o kāu ʻōpū ponoʻī , hana ʻia kahi ʻōmole liʻiliʻi mai ka ʻili o kou ʻōpū a i kou kolona/ʻōpū nui. Hoʻohana kēia kaʻina hana i kahi wai kūikawā (enema) e holoi i waho o loko o kou kolona a kōkua i ka ʻōpala e hele maʻalahi.

ʻO ka puka liʻiliʻi i hana ʻia ma ka ʻili o ka ʻōpū e hoʻopili ai i kēia ala ua kapa ʻia ʻo stoma . Hana pinepine ʻia kēia ma kahi kokoke i ka piko (ka pihi ʻōpū) a i ʻole ma ka ʻaoʻao ʻākau o ka ʻōpū. No laila, ʻaʻole ʻike nui ʻia mai waho.

ʻO wai ka mea e pono ai kēia ʻoki kino?

ʻO ka maʻamau, ʻōlelo nā kauka i kēia ʻoki kino no ka poʻe i hiki ʻole ke kāohi i ko lākou neʻe ʻana o ka ʻōpū me nā lāʻau ʻē aʻe, e like me nā hoʻololi ʻana i ka meaʻai, nā mea hoʻohui fiber, a i ʻole ke aʻo ʻana e like me ka biofeedback. Hana ʻia ia ma nā keiki a me nā pākeke.

Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau kūlana, makemake paha ʻoe e kamaʻilio me kāu kauka e pili ana i ke ʻoki ʻana o ka MACE.

E aʻo pū kākou e pili ana i ke ʻano o ka hana ʻana o ke ʻoki kino.

Ma mua o ke ʻoki kino

E wehewehe pono ana kāu kauka iā ʻoe i ka mea e pono ai ʻoe e hana ma mua o ke ʻoki ʻana.

• ʻAi ʻana a me ka inu ʻana: E aʻo ʻia ʻoe i ka lōʻihi o kou pale ʻana i ka ʻai ʻana a me ka inu ʻana ma mua o ke ʻoki ʻana.
• Ka Hoʻomaʻemaʻe ʻana i ka ʻōpū: E hāʻawi ʻia kahi kaʻina hana kūikawā e hoʻomaʻemaʻe loa i nā ʻōpū (Bowel Prep) i ka lā ma mua o ke ʻoki ʻana.
• Nā lāʻau lapaʻau ʻē aʻe: Inā ʻoe e lawe nei i ka lāʻau lapaʻau no nā kūlana ʻē aʻe, he mea nui loa ia e nīnau i kāu kauka inā pono ʻoe e lawe i kēlā mau lāʻau lapaʻau ma mua o ke ʻoki ʻana.

I ka wā o ke ʻoki kino

Hana pinepine ʻia kēia ʻoki kino ma ke ʻano laparoscopically . ʻO ia hoʻi, ma ke ʻano he "ʻoki kino kī." Hana ʻia ia ma ke komo ʻana i kahi kāmela a me nā mea hana ma o kekahi mau lua liʻiliʻi i loko o ka ʻōpū, ma mua o ka hana ʻana i kahi ʻoki nui. ʻO ka hopena, ʻoi aku ka liʻiliʻi o ka manawa ho'ōla a me ka emi ʻana o ka ʻeha.

I ka wā o ke hana ʻana, ke kauka lapaʻau:

1. Lawe lākou i kahi ʻāpana liʻiliʻi o kou appendix a i ʻole ka ʻōpū a hoʻohālike iā ia i loko o kahi ʻōmole.

2. Ua pili kēlā ʻōmole i loko o ka ʻōpū nui.

3. Hoʻopili ʻia kekahi ʻaoʻao o ka paipu i kahi puka liʻiliʻi (stoma) i hana ʻia ma ka ʻili o ka ʻōpū.

4. I ka wā mua, ua hoʻokomo ʻia kahi ʻōmole lahilahi, i kapa ʻia he catheter, i loko o ka stoma no kekahi manawa e wehe ai.

ʻO ka maʻamau, hiki i kēia ʻoki kino ke hala ma kahi o ʻelua hola.

Ma hope o ke ʻoki kino

E noho wale ʻoe ma ka haukapila no kekahi manawa pōkole, ma kahi o hoʻokahi a ʻelua paha lā. I loko o ia manawa, e aʻo aku nā limahana kahu maʻi iā ʻoe pehea e holoi ai i kou ʻōpū ma o kāu stoma hou i hana ʻia. E aʻo ʻia ʻoe e hana i kēia ma kāu iho ke hoʻi ʻoe i ka home.

He aha nā pōmaikaʻi a me nā hopena ʻaoʻao o kēia ʻoki kino?

ʻO ka pōmaikaʻi nui , ʻo ia ka loaʻa hou ʻana o ke kaohi ma luna o kou neʻe ʻana o ka ʻōpū. ʻAe kēia iā ʻoe e ola i kahi ola maʻamau, pāʻani haʻuki, a hele i ka hana me ka hilahila ʻole a me ka makaʻu ʻole. Mālama ʻia kou pilikino no ka mea ʻaʻole hiki i nā poʻe ʻē aʻe ke ʻike i kou stoma.

Aia kahi pilikia o nā hopena ʻaoʻao (nā pilikia) . ʻAʻole e ʻike nā kānaka a pau i kēia, akā he mea nui e makaʻala.

• I kekahi manawa e kahe paha kahi liʻiliʻi o ka ʻōpala a i ʻole ka wai mai ka anus.
• I kekahi manawa hiki ke lilo ke alahele i hana ʻia (stoma) i mea haiki.
• Hiki i kekahi poʻe ke loaʻa i kekahi ʻano o ka paʻa ʻana o ka ʻōpū a i ʻole ka paʻakikī ke kaohi ʻana i ka neʻe ʻana o ko lākou ʻōpū ma hope o ke ʻoki ʻana.

ʻO ka maʻamau, he hoʻokahi mahina ka lōʻihi e ho'ōla ai. Ke aʻo aku nei nā kauka iā ʻoe e pale i ka hāpai kaumaha a me nā haʻuki ikaika i kēlā manawa. Ma hope o hoʻokahi mahina, e wehe ʻia ka paipu manawa pōkole (catheter) i kau ʻia i loko o ka stoma. Ma hope o kēlā, hiki iā ʻoe ke hoʻokomo i ka paipu iā ʻoe iho ke pono ʻoe e hoʻomaʻemaʻe i kou ʻōpū.

Āhea ʻoe e ʻike koke ai i ke kauka?

Inā loaʻa iā ʻoe a i kāu keiki paha kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka a e ʻimi paha i ka lāʻau lapaʻau.

Hiki ke hoʻohuli ʻia kēia ʻoki kino?

ʻAe. Inā loaʻa hou iā ʻoe a i ʻole kāu keiki ka hiki ke hoʻokahe maʻamau, hiki ke wehe ʻia kēia ala i hana ʻia ma ke ʻoki ʻana a hoʻihoʻi ʻia i ka maʻamau. ʻAʻole hōʻeha kēia kaʻina hana i ka hana o ka ʻōpū nui.

ʻO ka mea hope loa, ʻo nā pilikia ʻōpū kekahi mea e hiki ke lawe aku i kou hauʻoli a me kou hilinaʻi i ke ola. Akā, loaʻa i ka lāʻau lapaʻau hou nā hopena kūpono no lākou. ʻO kāu kauka ke kanaka maikaʻi loa e hoʻoholo inā kūpono kēia ʻoki kino iā ʻoe a i ʻole kāu keiki. No laila, e aʻo hou e pili ana i kēia, e kūkākūkā maopopo i kāu pilikia, a e loaʻa ka lāʻau lapaʻau maikaʻi loa.