Ke pilikia nei kāu keiki liʻiliʻi i ka paʻa ʻana o ka ʻōpū? Ke hele nei ʻo ia i nā lā me ka ʻole o ka neʻe ʻana o ka ʻōpū a manaʻo ʻoluʻolu ʻole? A i ʻole he fecal incontinence kona me ka ʻike ʻole? ʻO ʻoe, ma ke ʻano he keiki a ma ke ʻano he makua, pono ʻoe e ʻeha nui i kēia mau pilikia. I kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā e hiki ke kōkua i ka wā e paʻakikī ai ke kaohi i kēia mau kūlana me nā lāʻau lapaʻau maʻamau.
He aha ka cecostomy ma ka ʻōlelo maʻalahi?
I ka ʻōlelo maʻalahi, he hana ʻoki liʻiliʻi ka cecostomy. Pili ia i ke komo ʻana i kahi ʻōmole ma o ka ʻili o kou ʻōpū pololei i loko o ka ʻāpana mua o kou ʻōpū nui. Ua kapa ʻia kēia ʻāpana mua o kou ʻōpū nui ʻo ka cecum . Ua kapa ʻia kēia ʻōmole he ʻōmole cecostomy a i ʻole ʻōmole C.
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "No ke aha lākou e hoʻokomo ai i kahi ʻōmole e like me kēia?" ʻO ke kumu, e hana lākou i kahi enema ma o kēia ʻōmole. ʻO ka enema kahi wai i hoʻokomo ʻia i loko o ka colon e hoʻomaʻemaʻe iā ia. ʻO ka maʻamau, hana mākou i kahi enema ma o ka anus, ʻo ia ka ʻaoʻao haʻahaʻa o ka colon. Piʻi ka wai i luna. Ua kapa ʻia kēia he retrograde enema . Akā, ʻaʻole kēia ʻano hana e hoʻomaʻemaʻe maoli i ka colon holoʻokoʻa.
Akā ke hana ʻoe i kahi enema ma o kahi ʻōmole cecum, komo ka wai ma ka piko o ka ʻōpū nui. A laila hele ka wai i lalo o ka ʻōpū holoʻokoʻa, e lawe ana i ka ʻōpala, a puka i waho ma o ka anus. Ua like ia me ka ninini ʻana i ka wai i lalo o kahi paipu. Kāhea mākou i kēia he antegrade enemas . He kūpono loa kēia ʻano hana no ka mea hiki iā ia ke hoʻomaʻemaʻe i ka ʻōpū nui holoʻokoʻa. He manawa pōkole kēia lāʻau lapaʻau no kekahi poʻe, akā pono paha no ka wā lōʻihi no kekahi poʻe.
ʻO wai ka mea e pono maoli ai kēia lāʻau lapaʻau?
ʻO ka Cecalostomy ka mea maʻamau i hoʻohana ʻia i ka lāʻau lapaʻau pediatric . He mea kōkua nui ia no nā keiki i loaʻa i ka paʻa paʻa koʻikoʻi a ʻaʻole hiki ke kaohi i ko lākou ʻōpū (fecal incontinence). E noʻonoʻo i ka hoʻonāukiuki o kahi keiki e hoʻokahe hewa i ka ʻōpala i ka wā e pāʻani ana me nā hoaaloha ma ke kula. Hiki i kēia lāʻau ke hana i kahi ʻokoʻa nui i ke ola o ia mau keiki.
Eia kekahi, he mea pono loa kēia no nā keiki i hānau ʻia me kekahi mau pilikia ʻōpū. Eia kekahi laʻana:
- Nā malformations Anorectal: ʻO nā malformations Anorectal he mau malformations congenital o ka anus.
- ʻO ka maʻi Hirschsprung: He pilikia me nā hunaola nerve i loko o ka ʻōpū e hoʻoneʻe pono ʻole ai i ka ʻōpala.
- Spina bifida: ʻO ia kahi kīnā hānau o ka iwi kuamoʻo a me ke kaula kuamoʻo e hoʻopilikia ai i ka kaohi ʻana o ka ʻōpū a me ka ʻōpū mimi.
ʻAʻole ʻōlelo pinepine ʻia ka Cecalostomy no nā pākeke, akā i nā hihia kūikawā, hiki i nā enemas antegrade i kēlā me kēia lā ke kōkua i ka mālama ʻana i nā neʻe ʻana o ka ʻōpū ma kahi papa hana a pale i nā neʻe ʻana o ka ʻōpū i manaʻo ʻole ʻia.
He aha nā ʻano paipu i hoʻohana ʻia?
Aia kekahi mau ʻano paipu nui i hoʻohana ʻia no kēia. E nānā i ka papa ma lalo no kahi hoʻomaopopo maʻalahi o kēia mau mea.
| ʻAno Paipu | ʻAno a me ka wehewehe ʻana |
|---|---|
| ʻO ka paipu C | ʻO kēia ka ʻōmole manawa pōkole i hoʻokomo mua ʻia i ka wā o ke ʻoki kino. He catheter lōʻihi a lahilahi hoʻi. ʻO ka hopena o ka ʻōmole i hōʻike ʻia ua ʻōwili ʻia ma luna o ka ʻōpū. |
| ʻO Chait Trapdoor™ | He ʻōmole kēia i hoʻohana mau ʻia . Ua like ia me kahi pihi liʻiliʻi i hoʻokomo ʻia i loko o ka ʻōpū. Ua ʻōwili ʻia ka ʻāpana i loko o ka ʻōpū, no laila e noho mau ia ma kahi me ka ʻole o nā humuhumu. |
| Pihi ʻEnema MiniACE® | He ʻōmole kēia e like me ke pihi a hoʻohana mau ʻia, e like me ka mea ma luna. Akā ua waiho ʻia kēia i loko o ka ʻōpū me kahi pōpō liʻiliʻi i hoʻopiha ʻia. |
Pehea e hana ʻia ai kēia kaʻina hana?
Hiki ke hoʻokaʻawale ʻia kēia kaʻina hana i kekahi mau ʻāpana.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
Ma mua o ke ʻoki ʻana, e noi paha kāu kauka iā ʻoe e hana i kahi hoʻomākaukau ʻōpū . ʻO ke ʻano kēia o ka palena ʻana i kāu meaʻai a me kāu mea inu no kekahi mau lā, a laila e lawe i ka laxative e hoʻokahe loa i kou ʻōpū.
ʻO ka mea nui loa, inā e hana ʻia kēia ʻoki kino i kāu keiki, e wehewehe ʻoe i nā mea āpau e hana ʻia ana ma ke ʻano e maopopo ai iā ia, me ka mālie, a me ka maopopo. Ke hilinaʻi ʻoe, ma ke ʻano he mau mākua, he ikaika nui ia no ke keiki.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
I ka wā o ke ʻoki ʻana, hana ke kauka i kahi puka liʻiliʻi ma o ka ʻili o kou ʻōpū i loko o kahi ʻāpana o kou ʻōpū nui i kapa ʻia ʻo ka cecum.
- I kekahi manawa hana ʻia kēia me kahi mea e like me ke kui. Ua kapa ʻia kēia he percutaneous cecostomy . ʻO ka maʻamau, pili kēia i ka hoʻomāʻū ʻana i ka wahi.
- I kekahi manawa hana ʻia kēia ma o kahi ʻoki liʻiliʻi. Ua kapa ʻia kēia he cecostomy ʻoki kino . No kēia, e hoʻomoe ʻia ʻoe a i ʻole kāu keiki ma lalo o ka anesthesia laulā.
Ma hope o ka hana ʻana i ka lua, hoʻohana ke kauka i ka ʻenehana kāmela kūikawā (fluoroscopy a i ʻole endoscopy) e like me nā kukuna X e hoʻokomo i kahi ʻōmole C ma o ka lua i loko o ka ʻōpū. A laila hoʻopili ʻia ka ʻōmole i ka ʻōpū, a hoʻopili ʻia ka ʻōpū i ka paia ʻōpū.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
E lōʻihi ana ke ʻoki kino ma kahi o hoʻokahi hola. A laila e noho ʻoe ma ka haukapila no kekahi mau lā. I loko o kēia manawa, e mālama pono ke kime lapaʻau iā ʻoe. E hāʻawi ʻia ʻoe i nā lāʻau antibiotic IV e pale aku i ka maʻi. E hāʻawi ʻia ʻoe i nā lāʻau ʻeha inā ʻeha ʻoe. E "palaualelo" iki kou ʻōpū ma hope o ke ʻoki kino, no laila pono ʻoe e ʻai i kahi meaʻai wai a hiki i ka wā e hoʻomaka hou ai lākou e hana pono.
He aha nā pōmaikaʻi a me nā pilikia o kēia?
E like me nā lāʻau lapaʻau āpau, loaʻa i kēia lāʻau nā pono a me nā pilikia.
| Nā Pōmaikaʻi | Nā Pōʻino |
|---|---|
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Akā, mai makaʻu i kēia mau pilikia. E aʻo aku kāu hui lapaʻau iā ʻoe pehea e mālama ai i ka ʻōmole maʻemaʻe a mālama pono iā ia. Inā ʻoe e hahai pono i kēlā mau kuhikuhi, hiki iā ʻoe ke hōʻemi nui i kēia mau pilikia.
ʻEhia ka lōʻihi e ho'ōla ai a pehea e hoʻohana ai i ka ʻōmole?
Ma kahi o ʻelua pule e ho'ōla ai ke kahua ʻoki. I loko o ia manawa, ʻaʻole ia he manaʻo maikaʻi e hana i nā mea e like me ka ʻauʻau a i ʻole ka ʻauʻau ʻana. Pono ʻoe e hoʻi mai ma hope o ʻelua pule e wehe i kou mau humuhumu. Hiki iā ʻoe ke hoʻomaka e hoʻohana i ka ʻōmole ma hope o ka pule mua.
ʻO ka C-tube i kau mua ʻia he manawa pōkole. Hoʻohana ʻia ia no kahi o 6 a 8 mau pule . Ma hope o kēlā, pono ʻoe e ʻike i kāu kauka. E wehe ʻo ia i kēlā ʻōmole a hoʻokomo i kahi ʻōmole mau loa e like me ka "pihi" e like me ka mea i ʻōlelo ʻia ma mua. He maʻalahi loa ia.
He pālahalaha kēia ʻōmole pihi e kū pono ana i ka ʻōpū, no laila ʻaʻole ʻike nui ʻia mai waho. Ke pono ʻoe e hana i kahi enema, aia kahi ʻāpana ʻōmole kaʻawale e hiki ke hoʻopili ʻia i ke pihi. Hoʻokomo ʻia ka wai enema ma o ia mea. Hiki ke hoʻohana ʻia kēia ʻōmole mau loa no ka lōʻihi e pono ai. Eia nō naʻe, paipai nā kauka e hoʻololi i kēia ʻōmole i kēlā me kēia 6 a 12 mau mahina no nā kumu hoʻomaʻemaʻe.
Nā manawa ʻē aʻe e pono ai ʻoe e ʻike i ke kauka
Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka.
- Nā hōʻailona o ka maʻi: ke kuni, ka wai e like me ka pehu e kahe ana mai kahi o ka paipu.
- ʻEha ʻē: ʻEha hiki ʻole ke hoʻomanawanui, pehu ʻana, a i ʻole ke kahe ʻana o ke koko a puni ka ʻōmole.
- Pilikia paipu: Inā me he mea lā ua neʻe ka paipu mai kona wahi aku, a inā paha ua hemo loa ia.
Inā puka mai ka ʻōmole, he pilikia koʻikoʻi loa ia. No ka mea, hiki i ka lua ke pani koke. No laila, inā hana ʻia kēlā, pono ʻoe e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
Leka Lawe-Home
- He lāʻau lapaʻau kūleʻa ʻo Cecostomy no ka paʻa paʻa nui a me ka hiki ʻole ke hoʻopaʻa i ka ʻōpū, ʻoiai hoʻi i nā keiki.
- Hana ʻia kēia ma ka holoi ʻana i ka kolona mai luna a lalo (antegrade enema) e kōkua i ka hoʻokuke ʻana i ka ʻōpala.
- ʻOiai aia kekahi mau pilikia i kēia ʻano hana, hiki ke hoʻēmi ʻia ma ka mālama pono ʻana i ka paipu a me nā wahi a puni. ʻOi aku ka nui o nā pono ma mua o lākou.
- E nīnau i kāu kauka pehea e hoʻomaʻemaʻe ai i ka ʻōmole, pehea e hāʻawi ai i ka enema, a me nā mea e hana ai i ka wā pilikia. E hahai pono i kāna mau kuhikuhi.
- Hāʻawi kēia lāʻau i ke keiki a i ʻole ʻoe i kahi manawa kūpono e ola hou ai i kahi ola kūʻokoʻa a kāohi ʻia.
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