Ua ʻōlelo anei kāu kauka i ke ʻoki kino e wehe i nā pōhaku gall? Inā pēlā, ua haʻi ʻia paha iā ʻoe e hana ʻia kahi 'Intraoperative Cholangiogram' i ka wā o ke ʻoki kino. Hiki ke kani iki ka inoa i mea paʻakikī, a hiki paha iā ʻoe ke makaʻu iki. Akā he hoʻāʻo koʻikoʻi loa kēia i hana ʻia no kou palekana. E nānā kākou i ke ʻano o ia mea, no ke aha e hana ʻia ai, a me nā pono e hiki ai iā ia ke hāʻawi iā ʻoe.
He aha ka Cholangiogram Intraoperative?
I ka ʻōlelo maʻalahi, he hoʻāʻo X-ray kūikawā kahi Intraoperative Cholangiogram i hana ʻia i ka wā o kāu ʻoki ʻana i ka gallbladder ( cholecystectomy ). Hāʻawi ia i ke kauka ʻoki i kahi 'palapala alanui' maopopo o nā ʻauwai bile i loko o kou kino.
ʻO ka bile i hana ʻia e ko kākou gallbladder a me ke akepaʻa e hele ma o kahi ʻōnaehana o nā paipu liʻiliʻi i ka ʻōpū liʻiliʻi. Ua kapa ʻia kēia ʻōnaehana o nā paipu ʻo ke kahawai bile. Me kēia X-ray, hiki i ke kauka lapaʻau ke ʻike maopopo i ke ʻano o ka hoʻonohonoho ʻana o kēia ʻōnaehana o nā paipu, pehea lākou e pili ai kekahi i kekahi, a inā he mau pōhaku gallstone a i ʻole nā mea ʻē aʻe e ālai ana i loko o nā paipu.
ʻO ke kumu nui o kēia, ʻo ia ke kōkua i ke kauka ʻoki e wehe i kou gallbladder me ka palekana , me ka ʻole o ka hōʻino ʻana i nā ducts bile.
No ke aha e hana ai nā kauka i kēia hoʻokolohua?
Aia kekahi mau pono o ka hana ʻana i kēia hoʻāʻo i ka wā o ke ʻoki ʻana i ka ʻōpū. He kōkua nui ia i ka hui lapaʻau.
| Ke kumu o ka hoʻāʻo | He wehewehe maʻalahi |
|---|---|
| Ke ʻike ʻana i nā pōhaku huna | I kekahi manawa, hiki i nā pōhaku liʻiliʻi ke paʻa i loko o nā ʻauwai bile, ʻaʻole paha e hōʻike i kekahi mau hōʻailona i ka wā mua, akā hiki iā lākou ke hoʻoulu i nā pilikia ma hope. Hiki i kēia hoʻāʻo ke ʻike i nā pōhaku huna a, inā hiki, e wehe iā lākou i ka wā o ke ʻoki ʻana. |
| Ke ʻike ʻana i ka hōʻino ʻia o nā ʻāpana bile | Kōkua kēia hoʻāʻo e ʻike i kekahi hōʻino i kahi ʻauwai bile i ka wā o ke ʻoki ʻana a hoʻoponopono hou iā ia i ka manawa like. |
| Ke mālama nei i ke anatomia o nā ʻāpana bile | Hiki ke ʻokoʻa iki ke ʻano o ka hoʻonohonoho ʻana o nā ʻōkana i loko o ke kino o kēlā me kēia kanaka. Hiki ke ʻokoʻa ke ʻano o ka pili ʻana o ke ala cystic mai ka gallbladder a me ke ala bile maʻamau mai ke akepaʻa mai kēlā kanaka a kēia kanaka. Ma ka nānā ʻana i kēia "palapala ʻāina," hiki i ke kauka lapaʻau ke hana i ke hana me ka palekana. |
Aia kekahi mau kumu kūikawā no ka hana ʻana i kēia hoʻokolohua?
Hana kekahi mau kauka ʻoki i kēia hoʻāʻo i kēlā me kēia manawa e hana ai lākou i kahi ʻoki wehe ʻana i ka gallbladder (cholangiography maʻamau). Eia nō naʻe, hana kekahi inā he mau kumu kūikawā (cholangiography koho). Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā kūlana ma lalo nei, e hoʻoholo paha kāu kauka e hana i kēia hoʻāʻo.
- Inā he mau ʻano ʻē kou i nā hoʻokolohua hana ate .
- Inā hoʻokiʻekiʻe ʻia ka pae o nā enzyme pancreatic.
- Inā loaʻa iā ʻoe a i loaʻa paha iā ʻoe ka pancreatitis i kēia manawa.
- Inā he jaundice kou.
- Inā ua loaʻa iā ʻoe kahi poloka i loko o nā ʻauwai bile, e like me nā pōhaku.
- Inā ua hoʻāʻo ʻia ʻoe me kahi hoʻāʻo ERCP (endoscopic retrograde cholangiopancreatography) e ʻike a wehe paha i nā mea ālai i loko o nā ʻauwai bile, akā ʻaʻole hiki ke ʻike piha i nā ʻauwai bile a wehe paha i nā mea ālai.
Pehea e hana ai kēia kaʻina hana?
Hana ʻia kēia kaʻina holoʻokoʻa ma lalo o ka anesthesia a hoʻomoe ʻia ʻoe, no laila ʻaʻole ʻoe e manaʻo i kekahi mea. No laila, ʻaʻohe kumu e makaʻu ai i kēia.
Nā mea e pono ai ʻoe e hana ma mua o ke ʻoki kino
ʻO ka hoʻomākaukau ʻana no kēia ua like ia me ka hoʻomākaukau ʻana no kahi ʻoki ʻana i ka gallbladder. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i kēia.
- E noi ʻia ʻoe e hoʻokē ʻai (e hōʻole i ka ʻai ʻana a i ʻole ka inu ʻana) no kekahi mau hola ma mua o ke ʻoki kino.
- Pono ʻoe e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei. Pono paha e hoʻōki ʻia kekahi mau lāʻau lapaʻau a hoʻoponopono ʻia paha ka nui ma mua o ke ʻoki ʻana. Mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- E hoʻonohonoho i kekahi e lawe iā ʻoe i ka home ma hope o ke ʻoki ʻana.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino
1. E hāʻawi ke kauka anesthesiologist iā ʻoe i ka anesthesia a hoʻomoe loa iā ʻoe.
2. Hana ke kauka ʻoki i kahi ʻoki liʻiliʻi a i ʻole kekahi mau ʻoki i loko o ka ʻōpū no ke ʻoki ʻana.
3. A laila, hoʻokomo ʻia kahi ʻōmole lahilahi loa (catheter) i loko o ka cystic duct.
4. Ma o kēia ʻōmole, ua hoʻokomo ʻia kahi wai kūikawā i kapa ʻia ʻo ka dye contrast i loko o ka ʻōnaehana bile duct. ʻO kēia wai ke kumu o ka ʻōnaehana bile duct e ʻike maopopo ʻia a keʻokeʻo ma ka X-ray.
5. I kēia manawa, me ka hoʻohana ʻana i ka mīkini X-ray, nānā ke kauka lapaʻau i ke kahe e neʻe ana ma o kēia ʻōnaehana o nā paipu ma o kahi monitor.
6. Inā ʻike ʻoe i kekahi mau pōhaku i paʻa i kēia manawa, e hoʻāʻo e wehe koke iā lākou inā hiki.
7. Me ka hoʻohana ʻana i kēia "palapala ʻāina" X-ray, ua wehe palekana ʻia ka ʻōpū, ua hoʻopau ʻia ke ʻoki ʻana, a ua pani ʻia nā ʻoki.
Ma hope o ke ʻoki kino
Ma hope o ke ʻoki kino, e mālama ʻia ʻoe ma lalo o ka nānā ʻana ma ka lumi mālama. Hiki iā ʻoe ke hoʻi i ka home i ke ahiahi hoʻokahi a i ʻole ia lā aʻe.
He aha nā pilikia a me nā pono o kēia hoʻokolohua?
E like me nā hana lapaʻau a pau, aia kekahi mau pilikia liʻiliʻi loa, akā he nui nā pono.
| Nā Pōmaikaʻi | Nā Pōʻino |
|---|---|
| - Ma muli o ka ʻike maopopo ʻia ʻana o nā ʻauwai bile, ua hoʻemi nui ʻia ka pilikia o ka hōʻino ʻana iā lākou i ka wā o ke ʻoki ʻana. | - Nā hopena maʻi i ka dye contrast (he mea kākaʻikahi loa kēia). |
| - Hiki ke ʻike ʻia nā pōhaku liʻiliʻi i ʻike ʻole ʻia ma mua a hiki ke pale ʻia nā pilikia i ka wā e hiki mai ana. | - Ka hōʻino ʻana i nā ʻauwai bile (akā ʻo ke kumu o kēia hoʻāʻo ʻana e pale aku i kēia). |
| - Ka hiki ke ʻike a hoʻoponopono koke i kekahi pōʻino inā loaʻa. | - Ka maʻi ʻaʻai, ke kahe koko ʻana, ka maʻi pancreatitis. |
ʻO ka mea nui, he haʻahaʻa loa ka manawa kūpono o kēia mau pilikia, a ua hoʻomaʻamaʻa maikaʻi ʻia kāu hui ʻokiʻoki e hoʻoponopono i kēlā ʻano kūlana.
Āhea wau e kāhea aku ai i ke kauka?
Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, e makaʻala loa i kēia mau hōʻailona. Inā loaʻa iā ʻoe kekahi o kēia mau mea, pono ʻoe e kamaʻilio koke me kāu kauka . Inā pono, hiki iā ʻoe ke hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Inā loaʻa iā ʻoe ka ʻeha nui i manaʻo ʻole ʻia a i ʻole ka ʻeha hiki ʻole ke hoʻomanawanui .
- Inā ʻulaʻula ka ʻoki ʻoki, pehu, mehana , a i ʻole he pus a koko paha e puka mai ana mai loko mai.
- Inā loaʻa iā ʻoe ke kuni .
Inā he kānalua iki kou e pili ana i kekahi mea e like me kēia, mai kānalua e nīnau i kāu kauka. ʻO kou palekana ka mea nui loa.
Leka Lawe-Home
- ʻO kahi cholangiogram intraoperative kahi hoʻāʻo X-ray kūikawā i hana ʻia e hoʻonui i kou palekana i ka wā o ke ʻoki ʻana i ka gallbladder.
- Kōkua kēia i ke kauka ʻoki e ʻike maopopo i kāu ʻōnaehana bile duct, hana i ke ʻoki me ka ʻole o ka hōʻino ʻana, a wehe i nā pōhaku huna.
- ʻAʻole ʻoe e ʻeha i ka wā o kēia hoʻokolohua no ka mea ua hāʻawi ʻia ʻoe i ka anesthesia.
- Inā he mau nīnau kāu, makaʻu, a kānalua paha e pili ana i kēia, e kamaʻilio ākea me kāu kauka e pili ana i ia mea ma mua o ke ʻoki ʻana.
- E makaʻala i nā hōʻailona hōʻike (ke kuni, ka ʻeha nui, nā hōʻailona o ka maʻi ma ka ʻoki) e hiki mai ana ma hope o ke ʻoki ʻana, a e ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i kekahi o kēia mau mea.
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