Loaʻa iā ʻoe a i ʻole kāu keiki nā pilikia kaohi ʻōpū? E kamaʻilio kākou e pili ana i ke ʻoki ʻana o ka cecostomy

I kekahi manawa pono mākou e kū i nā pilikia olakino hiki ʻole iā mākou ke noʻonoʻo. ʻO ka incontinence fecal me ka ʻike ʻole a i ʻole ka paʻa paʻa koʻikoʻi i hiki ʻole ke hoʻomanawanui ʻia kekahi o lākou. Pehea ka paʻakikī o ke ola me kēia mau kūlana? Nui ka poʻe e ʻeha nei i ka hilahila a me ka hilahila o ka hele ʻana i waho i ka lehulehu a hana i kā lākou hana. No laila i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻoki kino kūikawā e hiki ke kōkua i kēlā mau pilikia a hoʻomaʻalahi hou i ke ola.

I ka ʻōlelo maʻalahi, he aha ka cecostomy?

He hana ʻoki kino ka cecostomy. Ma kēia hana, hana nā kauka ʻoki kino i kahi ʻoki liʻiliʻi ma ka ʻaoʻao ʻākau o kou ʻōpū a hoʻokomo i kahi paipu liʻiliʻi i loko o ka cecum, ka ʻāpana mua o ka ʻōpū nui. Aia kekahi ʻaoʻao o ka paipu i loko o ka cecum, a ʻo kekahi ʻaoʻao e hōʻike ʻia ma luna o ka ʻili o ka ʻōpū. He hana ʻoki kino kēia i hana ʻia ma nā keiki a me nā pākeke.

E makaʻu iki paha ʻoe ke lohe ʻoe i kēia. Ke noʻonoʻo nei paha ʻoe, "Pehea lā e loaʻa ai kahi ʻōmole i loko o kou ʻōpū?" Akā, me he mea lā he mea liʻiliʻi loa ia. A he kiʻekiʻe loa nā pono o ia mea. E kamaʻilio hou aku kākou e pili ana i ia mea.

ʻO wai ka mea e pono ai kēia ʻoki kino?

ʻAʻole pono kēia ʻoki kino no ka paʻa ʻana o ka ʻōpū maʻamau a i ʻole ka hiki ʻole ke hoʻopaʻa i ka ʻōpū i kekahi manawa. Paipai ʻia no ka poʻe me ka paʻa ʻole o ka ʻōpū a i ʻole ka paʻa ʻana o ka ʻōpū, ʻoiai inā ʻaʻole i holomua nā lāʻau ʻē aʻe.

ʻO kekahi o nā kūlana olakino e hiki ai ke hana i kēia mau kūlana:

• Nā pilikia hānau: No ka laʻana, ʻaʻole i hana pono ʻia ka anus i ka wā hānau (Imperforate anus).
• ʻO ka maʻi Hirschsprung: He kūlana kēia e pilikia ai ka hele ʻana i ka ʻōpala ma muli o kahi pilikia me nā hunaola nerve i loko o ka ʻōpū nui.
• ʻO ka maʻi ʻo Klippel Feil: He ʻano laha ʻole kēia i hana ʻia e ka hui ʻana o nā vertebrae i loko o ka iwi kuamoʻo.
• Spina bifida: He kīnā hānau i ka ulu ʻana o ka iwi kuamoʻo a me ke kaula kuamoʻo.

No ke keiki a makua paha me kēia mau kūlana, hiki ke paʻakikī loa ke ola o kēlā me kēia lā. He kōkua nui kēia ʻoki kino iā lākou.

Pehea e kōkua ai kahi ʻōmole cecostomy iā mākou? ʻO ka ʻokoʻa ma waena o kahi enema a me kahi ʻōmole cecostomy

I mea e hoʻomaopopo ai i kēia, pono mua mākou e ʻike i ke ʻano o ka enema. ʻO ka enema kahi hana e pili ana i ka hoʻokomo ʻana i kahi wai i loko o ka ʻōpū nui e kōkua i ka hele ʻana o ka ʻōpala me ka maʻalahi. ʻO ke ʻano kuʻuna a mākou i ʻike ai, ʻo ia ka hāʻawi ʻana i kahi enema ma o ka anus.

ʻO ke ʻano kūikawā o ke ʻoki ʻana o ka cecostomy, ʻo ia ka hiki ke hana i kahi ʻano enema kūikawā i kapa ʻia ʻo antegrade enema . I kēia manawa, e nānā kākou i ka ʻokoʻa ma waena o kēia mau ʻano ʻelua.

Ke hoʻomākaukau nei no ke ʻoki kino a me nā mea e hana ʻia

I ka lā ma mua o ke ʻoki kino, pono ʻoe e hoʻomaʻemaʻe loa i kou ʻōpū (hoʻomākaukau ʻōpū) e like me nā kuhikuhi a kāu kauka.

I ka wā o ke ʻoki kino:

• E hāʻawi ʻia ʻoe i ka anesthesia laulā . ʻO ke ʻano kēia e hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e hoʻomoe iā ʻoe i ʻole ʻoe e ʻeha.
• Hana ke kauka i kahi ʻoki liʻiliʻi ma ka ʻaoʻao ʻākau o lalo o ka ʻōpū.
• Me ka hoʻohana ʻana i nā ʻano hana kiʻi kūikawā, ua hoʻokomo ʻia ka ʻōmole cecostomy ma o ka ʻoki ʻana i loko o ka cecum.
• Hoʻokomo ʻia ka cecum kokoke i ka paia ʻōpū a hoʻopaʻa ʻia me kekahi mau humuhumu.
• Hoʻokomo ʻia kekahi ʻaoʻao o ka paipu ma luna o ka ʻili a hoʻopaʻa ʻia i ka ʻili me kahi plaster inā pono.

He aha nā pōmaikaʻi a me nā pilikia o ke ʻoki ʻana o ka cecostomy?

E like me kekahi kaʻina hana olakino, loaʻa i kēia kekahi mau pono a me kekahi mau pilikia.

Nā Pōmaikaʻi:

• Ua hoʻemi nui ʻia nā ulia lepo: No ka mea hiki iā ʻoe ke kaohi i kou noho, hiki iā ʻoe ke noho maʻemaʻe i ka lā a pau.
• Hoʻonui i ka hilinaʻi iā ʻoe iho:Manaʻo maikaʻi iā ʻoe iho no ka mea ua nalowale kou hilahila a me kou makaʻu.
• He ola ʻoi aku ka hana: Hiki iā ʻoe ke hana me ka manawaleʻa i nā mea e like me ka hele ʻana i ke kula, ka hana, ka hele pū ʻana me nā hoaaloha, a me ka ʻauʻau me ka makaʻu ʻole i ka "pono ​​mau e kokoke i ka lua."
• ʻAʻole pono hou nā diapers a i ʻole nā ​​​​​​lawe komo pale.

Nā pilikia hiki ke loaʻa:

• Nā pilikia e pili ana i ka anesthesia: Nā mea e like me ka ʻeha ʻāʻī a me ka luaʻi ʻana ma hope o ke ala ʻana.
• Ka puka ʻana o ka ʻōpū: He lua i loko o ka ʻōpū nui i hana ulia pōpilikia ʻia i ka wā o ke ʻoki kino.
• Stomal stenosis: Ka hāiki ʻana o ka ʻāpana o ka ʻōpū a puni kahi i hoʻokomo ʻia ai ka paipu.
• Ke kahe ʻana o ka ʻōpū: Ke kahe ʻana o ka wai enema mai ka ʻōpū a puni.

He mea kākaʻikahi loa kēia mau pilikia, a e hana kāu hui lapaʻau i ka mea maikaʻi loa e pale aku iā lākou.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino?

Aia kekahi mau mea e pono ai ʻoe e hahai i ka wā a ma hope o kou wā hoʻōla.

• Hoʻokuʻu ʻia mai ka haukapila: Hiki i ka hapa nui o ka poʻe ke hoʻi i ka home i ka lā hoʻokahi ma hope o ke ʻoki ʻana.
• ʻEha: Hiki paha iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole a me ka ʻeha ma hope o ka hoʻi ʻana i ka home. Hiki iā ʻoe ke hoʻohana i nā mea hōʻeha ʻeha i kuhikuhi ʻia e kāu kauka no kēia.
• Nā kapu hana: Pono ʻoe e pale i ka ʻauʻau ʻana no ʻelua pule ma hope o ke ʻoki ʻana. Pono hoʻi ʻoe e pale i nā haʻuki a me ka hāpai kaumaha no ʻehā a ʻeono pule .
• Mālama lōʻihi:
• Pono ʻoe e ʻike i ke kauka i loko o hoʻokahi a ʻelua paha pule e wehe ʻia ai nā humuhumu.
• E aʻo maikaʻi loa ke kime lapaʻau iā ʻoe i ka wā a pehea e hoʻomaka ai i nā enemas antegrade me ka hoʻohana ʻana i ka ʻōmole cecostomy.
• I kekahi manawa, hoʻokomo ʻia kahi ʻōmole manawa pōkole i ka wā o ke ʻoki ʻana a laila hoʻololi ʻia i kahi ʻōmole mau loa a lōʻihi ke hele ʻoe i ke keʻena lapaʻau ma hope o 6 mau pule. He hana liʻiliʻi kēia, ʻaʻohe ʻeha, i hana ʻia me ka ʻole o ka anesthesia.
• ʻO ka mea nui loa, pono e hoʻololi ʻia kēia ʻōmole cecostomy i kēlā me kēia 6 a 12 mau mahina. He mea maʻalahi hoʻi kēia i hana ʻia ma ke keʻena lapaʻau.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻike koke i ke kauka.

Inā loaʻa iā ʻoe kekahi mau hōʻailona o kahi pilikia ma hope o ke ʻoki ʻana, pono ʻoe e hoʻomaopopo koke i kāu kauka.