He inikini kūikawā no ka ʻeha nui o ka ʻōpū: E aʻo kākou e pili ana i ka Celiac Plexus Block!

I kekahi manawa aia ka ʻeha ma ka ʻōpū, ʻaʻole hiki ke hoʻomanawanui. ʻOiai inā ʻoe e lawe i nā lāʻau ʻeha maʻamau, ʻaʻole e emi ka ʻeha. ʻOi loa aku i nā hihia e like me ke kanesa pancreatic a i ʻole ka pancreatitis, ʻoi loa ka ʻeha ma ka ʻōpū. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻano lapaʻau kūikawā a nā kauka e hoʻohana ai e kāohi i ka ʻeha ma ia mau hihia. Ua kapa ʻia kēia ʻo Celiac Plexus Block.

I ka ʻōlelo maʻalahi, he aha ka Celiac Plexus Block?

He ʻōkuʻi kūikawā kēia i hāʻawi ʻia e hōʻoluʻolu i ka ʻeha. I ka pololei, ua hāʻawi ʻia kēia ʻōkuʻi i kahi pūʻulu o nā aʻalolo i loaʻa ma ka ʻaoʻao o luna o ko kākou ʻōpū, ma hope o ka pancreas. Kāhea mākou i kēia pūʻulu o nā aʻalolo ʻo Celiac Plexus .

E noʻonoʻo, ʻo nā hōʻailona ʻeha mai nā ʻōpū o ko kākou ʻōpū, e like me ke akepaʻa, ka pancreas, a me ka ʻōpū, e lawe ʻia i ka lolo ma o kēia ʻōnaehana nerve. Inā ua ʻomi ʻia kēia mau aʻalolo ma kekahi ʻano, no ka laʻana, e kahi puʻupuʻu kanesa, a laila loaʻa ka ʻeha hiki ʻole ke hoʻomanawanui.

Hoʻopale ka lāʻau pale Celiac Plexus Block i nā hōʻailona ʻeha mai ka hiki ʻana i ka lolo no kekahi manawa a mau loa paha . Hoʻemi nui kēia i ka nui o ka ʻeha a mākou e manaʻo nei. Hiki ke hana ʻia kēia me hoʻokahi inikini, a i ʻole me kekahi mau inikini inā pono.

He aha nā hoʻohana o kēia lāʻau lapaʻau?

Hoʻohana nui ʻia kēia lāʻau lapaʻau no ka ʻeha nui o ka ʻōpū i paʻakikī ke kaohi me nā lāʻau ʻeha ʻē aʻe.

ʻO ka maʻamau, kuhikuhi nā kauka i nā lāʻau lapaʻau ikaika no kēia mau maʻi. Akā i kekahi manawa, ʻo ka lawe ʻana i kēlā mau lāʻau lapaʻau hiki ke hoʻoulu i ka luaʻi ʻana, ka poniuniu, a me ka paʻa ʻana o ka ʻōpū.Hiki ke loaʻa nā hopena ʻaoʻao. Eia kekahi, i kekahi manawa ʻaʻole hiki i kēlā mau lāʻau ke kāohi piha i ka ʻeha. I ia mau hihia, he mea pono loa ka Celiac Plexus Block.

Pehea e hoʻomākaukau ai ma mua o ka mālama ʻana?

E hāʻawi aku kāu kauka iā ʻoe i kahi hoʻonohonoho o nā kuhikuhi ma mua o kēia lāʻau lapaʻau. He mea nui loa ia e hahai iā lākou.

• Ke hoʻōki ʻana i kekahi mau lāʻau lapaʻau: Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau, e like me nā lāʻau hoʻokahe koko, e noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o kāu lāʻau lapaʻau. Akā e hoʻomanaʻo, mai hoʻōki a hoʻololi paha i kāu mau lāʻau lapaʻau me ka ʻae ʻole o kāu kauka.
• Mai ʻai a inu: E noi ʻia ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana no kekahi mau hola ma mua o ka mālama ʻana. ʻO kēia no ka mea e hāʻawi ʻia ʻoe i kahi pae o ka anesthesia i ka wā o ka mālama ʻana, no laila ʻoi aku ka palekana o ka ʻōpū hakahaka.
• Ke pale ʻana i ka puhipaka: Inā he mea puhipaka ʻoe, hiki i ka haʻalele ʻana ma mua o ka mālama ʻana ke hōʻemi i ka pilikia o nā pilikia pono ʻole.
• E hoʻonohonoho no kahi mea hoʻokele: He hana outpatient kēia, ʻo ia hoʻi hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me ka noho ʻole ʻana i ka haukapila. Eia nō naʻe, no ka mea ʻaʻole hiki iā ʻoe ke hoʻokele ma hope o ke kaʻina hana, pono ʻoe e hoʻonohonoho no kekahi e hoʻokele iā ʻoe i ka haukapila a mai laila mai.

He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?

Hiki i kekahi poʻe ke makaʻu ke lohe i kēia, akā i ka manawa e ʻike ai lākou i ke ʻano o ka hana ʻana, e nalo aku kēlā makaʻu.

1. ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi lāʻau liʻiliʻi (he `sedative`) i loko o kahi aa e hoʻomaha ai iā ʻoe. ʻAʻole kēia e hoʻomāʻona loa iā ʻoe, akā e hoʻomaha a hiamoe ʻoe.

2. A laila, e hoʻohuli ʻia ʻoe ma kou ʻōpū ma luna o kahi papaʻaina a e kau ʻia i kahi kūlana ʻoluʻolu me kahi uluna ma lalo o kou mau pūhaka.

3. Ua hoʻomaʻemaʻe pono ʻia ka wahi e hāʻawi ʻia ai ka inikini me kahi wai hoʻomaʻemaʻe.

4. A laila, hāʻawi ʻia kahi inikini liʻiliʻi (anesthesia kūloko) e hoʻomāno i ka wahi. I kēia manawa, hiki iā ʻoe ke manaʻo i kahi kui liʻiliʻi.

5. ʻO kēia ka ʻāpana koʻikoʻi loa. E hoʻokomo ke kauka i kahi nila lahilahi loa i loko o kou ʻōpū a hoʻokomo i kahi wai kūikawā (contrast dye). E ʻike maopopo ʻia kēia wai ma kahi scan e like me ka X-ray, CT scan, a i ʻole ka endoscopic ultrasound. E kōkua kēia iā ʻoe e ʻike i kahi kikoʻī o ke aʻa nerve kahi āu e makemake ai e hoʻokomo i ka lāʻau ʻeha.

6. Ke loaʻa ka wahi kūpono, e hoʻokomo ʻia kahi anesthetic a steroid paha i loko o ka wahi.

7. I kekahi manawa, no ka hōʻoluʻolu lōʻihi, ua hoʻokomo ʻia kahi kemika i kapa ʻia ʻo ka waiʻona a i ʻole phenol. Ua kapa ʻia kēia he kaʻina hana neurolytic . Hoʻopau mau kēia i nā olonā aʻalolo e lawe ana i ka ʻeha.

ʻO ka lōʻihi o kēia kaʻina hana holoʻokoʻa ma kahi o 30 a 45 mau minuke, ʻo ka lōʻihi loa ma kahi o hoʻokahi hola.

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?

E hoʻomaka paha ʻoe e ʻike i ka emi ʻana o ka ʻeha i loko o 30 mau minuke o ka mālama ʻana. Eia naʻe, ʻaʻole ʻoe e hoʻouna koke ʻia i ka home. E nānā ʻia ʻoe no ka liʻiliʻi o ka hapalua hola a laila wale nō e ʻae ʻia ʻoe e hoʻi i ka home ma hope o ka hōʻoia ʻia ʻana ʻaʻohe pilikia.

Pono ʻoe e hōʻalo i nā hana ikaika a hoʻoikaika kino no nā hola 24 mua. Pono ʻoe e hiki ke hoʻi i kāu mau hana maʻamau i loko o hoʻokahi a ʻelua paha lā.

He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau a pau, aia nā pono a me nā pōʻino kakaikahi loa.

He haʻahaʻa loa ka likelika o kēia mau hopena ʻaoʻao koʻikoʻi. Eia kekahi, e hoʻomaopopo pono kāu kauka iā ʻoe i kēia mau pilikia āpau ma mua o ka mālama ʻana a e hana i kēia me kāu ʻae.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma hope o kou hoʻi ʻana i ka home ma hope o ka mālama ʻana, e hoʻomaopopo koke i kāu kauka:Makemake.

• Pōniuniu, māʻule, makewai nui (he mau hōʻailona paha kēia o ke koko haʻahaʻa).
• Paʻakikī ka hanu ʻana.
• Nā hōʻailona o ka maʻi ma kahi i inikini ʻia, e like me ka ʻulaʻula, ka pehu, ka pus, a i ʻole ke kuni.
• Inā manaʻo ʻoe e mae ana kou mau wāwae a nalowale paha ka ʻike.

ʻO ka ʻeha kahi mea e lawe aku ai i ka hauʻoli o ke ola. No laila, inā ʻoe a i ʻole kekahi āu i ʻike ai e ʻeha nei i kēia ʻano ʻeha nui, he mea kūpono ke kamaʻilio me kāu kauka e pili ana i ia mea a nīnau e pili ana i nā lāʻau lapaʻau e like me Celiac Plexus Block.