Ua loaʻa anei iā ʻoe kahi endoscopy? Malia paha ua noi kāu kauka iā ʻoe e hana i kēia hoʻāʻo no ka ʻōpū ʻōpū a i ʻole kekahi ʻeha ʻē aʻe. I ka hana ʻana i kēia hoʻāʻo, i kekahi manawa ʻike ke kauka i ke kahe ʻana mai kahi ʻeha liʻiliʻi i loko o kou ʻōpū a i ʻole nā naʻau, a i ʻole nā mea ulu liʻiliʻi (polyps) i hana ʻia. I ka wā ma mua, pono kēia i ke ʻoki liʻiliʻi, akā me ka ʻenehana holomua o kēia wā, aia nā ala e mālama ai i kēia mau mea me ka ʻole o ka hana ʻana i kahi ʻoki. ʻO ia kekahi o nā lāʻau lapaʻau holomua a mākou e kamaʻilio nei i kēia lā. Ua kapa ʻia ʻo Argon Plasma Coagulation, a i ʻole APC no ka pōkole.
I ka ʻōlelo maʻalahi, he aha ka APC (Argon Plasma Coagulation)?
ʻAe, he mea paʻakikī paha kēia inoa, akā he mea maʻalahi loa ka mea e hana ʻia ma kēia. E noʻonoʻo he lua liʻiliʻi i loko o kahi paipu i loko o ko kākou kino (e like me ke ala ʻai) e kahe ana ke koko. Ma kēia ʻano hana i kapa ʻia ʻo APC, hoʻouna ke kauka i kahi paipu lahilahi ʻē aʻe ma o ka paipu endoscope (scope), a hoʻokomo ʻia kahi kinoea kūikawā i kapa ʻia ʻo 'Argon' ma o ia mea. A laila, hoʻohana ʻia kahi au uila liʻiliʻi loa e hoʻā i ke kinoea. ʻO ka wela kiʻekiʻe i hana ʻia e kēia e puhi i ka wahi kahe koko a hoʻōki i ke kahe koko. Eia kekahi, inā he mau ulu liʻiliʻi i makemake ʻole ʻia (polyps), hiki i kēia ʻano hana ke hoʻopau loa iā lākou.
Ua like kēia me ka hoʻoponopono ʻana i kahi pilikia i loko o ke kino, me ka ʻoki ʻole ʻana i ke kino, akā me ke akahele loa mai waho. ʻO ia hoʻi, ʻaʻohe pono e hele i kahi ʻoki kino nui. ʻO ia ka mea a mākou e kapa nei he 'minimally invasive' i ka lāʻau lapaʻau.
Hana ʻia kēia ʻano hana e kahi gastroenterologist a i ʻole pulmonologist.
I nā hihia hea e pono ai kēia lāʻau lapaʻau?
Hoʻohana ʻia ka lāʻau lapaʻau APC no nā kumu like ʻole. E nānā kākou i kāna hana nui.
| Ke mālama ʻia nei ke kūlana | He wehewehe maʻalahi |
|---|---|
| Ke hoʻōki nei i ke kahe koko i loko o ke kino | Hoʻohana ʻia ia e mālama i ke kahe koko i hoʻokumu ʻia e nā ʻeha i loko o ka ʻōpū a me nā ʻōpū, ke kahe koko ʻana i ka rectal, a i ʻole kahi maʻi i kapa ʻia ʻo 'ʻōpū watermelon' (Gastric Antral Vascular Ectasia Syndrome). |
| Ka wehe ʻana i nā ʻiʻo/puʻupuʻu i makemake ʻole ʻia | Hoʻohana ʻia kēia kaʻina hana e wehe i nā ulu liʻiliʻi (polyps) a i ʻole nā ʻiʻo e hiki ke lilo i maʻi kanesa i loko o nā ʻōpū. Hiki ke hoʻohana ʻia hoʻi e hoʻēmi i kahi puʻupuʻu kanesa i loko o kekahi kanaka ʻaʻole hiki ke hana i ke ʻoki kino nui. |
| Ke mālama ʻana i ka Barrett's Esophagus | Hoʻokumu ʻia kēia e ka gastritis lōʻihi (GERD) e hoʻoulu ai i nā loli i nā pūnaewele o ka esophagus. Hoʻohana ʻia nā APC e wehe i kēia mau pūnaewele i hoʻololi ʻia ma mua o ko lākou lilo ʻana i ka maʻi kanesa. |
| Ka piʻi ʻana o ke kaumaha ma hope o ke ʻoki ʻana i ka pohō kaumaha | Ma hope o kekahi mau ʻoki pohō kaumaha, hiki i ka wahi i hoʻopili ʻia ai ka ʻōpū ke kīkoʻo a hoʻonui i ka hala ʻana o ka manawa. A laila e loaʻa hou ke kaumaha. Hoʻohana ʻia ka lāʻau APC e hoʻopaʻa a hoʻēmi hou i kēlā wahi i kīkoʻo ʻia. |
| Nā pilikia o ka māmā a me ka hanu | Hoʻohana ʻia kēia ʻano hana me ka bronchoscopy e mālama i nā ʻōpū liʻiliʻi a i ʻole nā wahi kahe koko i loko o nā alaloa. |
Pehea e hana ai kēia lāʻau lapaʻau?
Aia kahi hoʻomākaukau liʻiliʻi e pono ai ʻoe e hana ma mua o kēia lāʻau lapaʻau. Aia ia i ke ʻano o kou makemake e hana ai.
- ʻO ka Endoscopy Kiʻekiʻe: Pili kēia i ke komo ʻana i kahi ʻōmole ma o ka waha e nānā i ka ʻōpū a me ka esophagus.
- Colonoscopy: ʻO ke komo ʻana i kahi ʻōmole ma o ka rectum e nānā i ka ʻōpū nui.
- Bronchoscopy: ʻO kēia ke komo ʻana i kahi ʻōmole ma o ka ihu a i ʻole ka waha e nānā i nā māmā.
Ma mua o kēia, e noi aku kāu kauka iā ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola . Me ka colonoscopy, e hāʻawi ʻia ʻoe i kahi hoʻomākaukau ʻōpū e kōkua i ka hoʻomaʻemaʻe ʻana i kou kolona. Eia kekahi, inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko e like me ka aspirin, e noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana iā lākou no kekahi mau lā.
I ka wā o ka mālama ʻana...
1. E hāʻawi ʻia ʻoe i ka anesthesia e hōʻoluʻolu ai ʻoe a ʻaʻole e ʻeha. ʻO kēia ke kau ʻana i kahi ʻōmole liʻiliʻi (laina IV) i loko o kahi aa koko ma kou lima a hāʻawi iā ʻoe i ka lāʻau lapaʻau ma o ia mea.
2. A laila e hoʻomoe ʻia ʻoe ma luna o ka moena lapaʻau.
3. Hoʻokomo ke kauka i kahi ʻōmole lahilahi a palupalu (scope) me kahi kāmela i hoʻopili ʻia i loko o ke kino e like me ke kūpono (ma o ka waha, ka ihu, a i ʻole ka anus).
4. I mea e pale ai i kekahi pōʻino i kou kino mai ke au uila, ua hoʻopili ʻia kahi papa pālahalaha (papa hoʻoheheʻe honua) i kou kino (ʻo kou ʻūhā maʻamau).
5. A laila, hoʻokomo ʻia ke catheter e loaʻa ana ka hāmeʻa APC ma o ka scope i kahi kūpono.
6. Hoʻokomo mua ʻia ke kinoea Argon, a laila hoʻohana ʻia ke au uila e hoʻā iā ia. A laila puhi ʻia ka ʻiʻo i manaʻo ʻia.
7. Hoʻopau ke kauka i ka lāʻau lapaʻau ma ka hoʻoneʻe ʻana i ka hāmeʻa e like me ka mea e pono ai, e kaohi ana i ka nui o ke kinoea a me ke au uila.
8. Ke pau ka hana, e wehe ʻia ke ana ʻike, ke catheter, a me ka pad grounding.
ʻO ka maʻamau, ʻo kēia kaʻina hana holoʻokoʻa he 15 mau minuke a hoʻokahi hola .
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau? Aia kekahi mau hopena ʻaoʻao?
Ma hope o ka lāʻau lapaʻau, e mālama ʻia ʻoe i loko o kahi lumi hoʻōla no kekahi manawa a e hoʻouna ʻia i ka home ma hope o ka pau ʻana o nā hopena o ka anesthesia. Hiki ke loaʻa kekahi ʻoluʻolu iki.
- Manaʻo ua piha kou ʻōpū.
- Ke kahe nei ke kinoea a me ka hopena o ka ʻeha iki o ka ʻōpū.
- Luhi iki, poniuniu iki.
He mea maʻamau kēia mau mea. ʻAʻohe mea e hopohopo ai. E nalo aku kēia mau ʻeha i loko o kekahi mau hola. ʻAʻole ʻoe e ʻeha i ka wā o ka mālama ʻana no ka mea e hāʻawi ʻia ʻoe i ka anesthesia.
He kaʻina hana palekana loa ka APC. He kākaʻikahi nā pilikia. Eia nō naʻe, e like me nā kaʻina hana lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi. ʻO ke kahe koko, nā pilikia me ka anesthesia, ka haiki ʻana o ka esophagus (stenosis), a i ʻole ka haki ʻana o nā ʻiʻo hiki ke hana kākaʻikahi loa. No laila he mea nui e hana ʻia kēia mau kaʻina hana e ke kauka akamai.
Nā hōʻailona e pono ai ke kōkua koke ʻana o ke kauka
Ma hope o ka hoʻi ʻana i ka home, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, pono ʻoe e hele koke i ka haukapila, ʻoiai ke Keʻena Pōpilikia (ETU). He mau hōʻailona paha kēia o kahi mea koʻikoʻi, no laila he mea nui e hana koke.
| Nā hōʻailona hōʻike e makaʻala ai! | |
|---|---|
| 🔴 | ʻEha nui o ka ʻōpū ʻaʻole e emi iho ma hope o ka puka ʻana o ke kinoea. |
| 🔴 | ʻEha ka umauma . |
| 🔴 | Paʻakikī ka hanu ʻana . |
| 🔴 | Ka luaʻi ʻana i ke koko (e like me ke koko ʻulaʻula a i ʻole ke koko kope). |
| 🔴 | Ke kahe koko ʻana o ke koko rectal (koko ʻulaʻula a ʻeleʻele paha i loko o ka ʻōpala). |
| 🔴 | Kuni a i ʻole ke anu. |
| 🔴 | Ka paʻakikī i ka moni ʻana a i ʻole ka hoʻonui ʻia o ka ʻeha o ka puʻu. |
Ma hope o kou hoʻi ʻana i ka home, e hahai pono i nā ʻōlelo a ke kauka.
- Ma muli o nā hopena o ka lāʻau hoʻomāmā, mai hoʻokele a hoʻohana paha i nā mīkini kaumaha i ia lā.
- E lawe mai i kekahi e lawe iā ʻoe i ka home. ʻOi aku ka maikaʻi inā e noho kekahi me ʻoe no kekahi mau hola ma hope o kou hoʻi ʻana i ka home.
- E pale i ka inu ʻana i ka waiʻona.
- Na ke kauka e aʻo iā ʻoe i ka mea hiki iā ʻoe ke ʻai a me ka wā e hiki ai iā ʻoe ke hoʻomaka e ʻai maʻamau.
Leka Lawe-Home
- ʻO ka Argon Plasma Coagulation (APC) kahi lāʻau lapaʻau holomua ʻole i hoʻohana ʻia e hoʻōki i ke kahe koko i loko o ke kino a wehe i nā ʻiʻo i makemake ʻole ʻia.
- Hana ʻia kēia ma lalo o ka anesthesia, no laila ʻaʻole ʻoe e ʻike i ka ʻeha.
- Ma hope o ka mālama ʻana, hiki iā ʻoe ke ʻike i kahi ʻoluʻolu iki, e like me ka pehu ʻana a me ke kinoea, akā naʻe nalo koke kēia mau mea.
- Ke hoʻi ʻoe i ka home ma hope o ka lāʻau lapaʻau, e hahai pono i nā ʻōlelo a ke kauka.
- Inā ʻike ʻoe i kekahi mau hōʻailona e like me ka ʻeha nui o ka ʻōpū, ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka luaʻi ʻana i ke koko, e hele koke i ka Emergency Department (ETU) o ka haukapila.
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