He aha ka cholecystostomy? E pili ana i ke kau ʻana i kahi ʻōmole i loko o ka gallbladder

Hiki iā ʻoe ke noʻonoʻo i ka ʻeha hiki ʻole ke hoʻomanawanui ʻia i hoʻokumu ʻia e kahi maʻi koʻikoʻi, ka mumū, a i ʻole nā ​​​​pōhaku gall i loko o kou gallbladder? I kekahi manawa, i ia hihia, hiki i ke kūlana o ka mea maʻi ke koʻikoʻi loa a ʻaʻole hiki ke hana ʻoki e wehe loa i ka gallbladder. I ia mau hihia, e kamaʻilio mākou e pili ana i kahi ʻano lapaʻau kūikawā, ʻaʻole i komo nui a nā kauka e hoʻohana ai e hoʻopakele i ke ola o ka mea maʻi, hoʻemi i ka ʻeha, a kāohi i ka maʻi.

He aha ka cholecystostomy?

I ka ʻōlelo maʻalahi, he hana lapaʻau liʻiliʻi ka cholecystostomy kahi e hana ʻia ai kahi lua liʻiliʻi i loko o kou gallbladder a hoʻokomo ʻia kahi paipu (catheter) ma loko. E like me ka inoa e hōʻike nei, ʻo "cholecyst-" ke ʻano o ka gallbladder, a ʻo "-ostomy" ke ʻano o ka wehe ʻana i hana ʻia e ke ʻoki. He ʻāpana liʻiliʻi e like me ka ʻeke ka gallbladder e mālama ana i ka bile, kahi e pono ai no kā mākou ʻōnaehana hoʻoheheʻe.

Ua kapa pinepine ʻia kēia ʻano hana he "percutaneous cholecystostomy." ʻO "Percutaneous" ke ʻano o kahi mea i hana ʻia ma o ka ʻili. ʻO ia hoʻi, hana ke kauka i kahi lua liʻiliʻi ma o ka ʻili o kou ʻōpū a hoʻokomo i kēia ʻōmole i loko o ka gallbladder.

No ke aha he mea e pono ai kēia ʻano lapaʻau?

Pono pinepine ʻia kēia lāʻau lapaʻau i kahi kūlana i kapa ʻia ʻo acute cholecystitis. Hana ʻia kēia i ka wā e ālai ai kekahi mea e like me nā pōhaku gall i kahi ʻauwai bile, e hoʻoulu ai i ka bile e hōʻiliʻili a loaʻa i ka maʻi bacteria. Hoʻoulu kēia i ka pehu ʻana o ka gallbladder a lilo i mea ʻeha loa.

ʻO ka maʻamau, ʻo ka lāʻau lapaʻau maikaʻi loa no kēia ʻano he ʻoki ʻana e wehe loa i ka gallbladder (cholecystectomy). Eia nō naʻe, inā loaʻa i ka mea maʻi nā maʻi koʻikoʻi ʻē aʻe e like me ka maʻi puʻuwai, ka maʻi diabetes, ka maʻi puʻupaʻa, a i ʻole ua ʻelemakule loa, ʻaʻole paha e hiki iā ia ke kū i kahi ʻoki nui i kēlā manawa. I ia mau hihia, ma ke ʻano he pani no ke ʻoki nui, hana ʻia kēia lāʻau i kapa ʻia ʻo Cholecystostomy e hoʻopaʻa i ke kūlana o ka mea maʻi.

He aha ka ʻokoʻa ma waena o ka Cholecystostomy a me ka Cholecystectomy?

He ʻano like paha kēia mau inoa ʻelua, no laila e huikau paha ʻoe. Akā he ʻelua ʻano lapaʻau like ʻole kēia. E hoʻomaopopo pono kākou i ka ʻokoʻa ma waena o nā mea ʻelua.

Pehea e hana ʻia ai kēia lāʻau lapaʻau?

Hana pinepine ʻia kēia e kahi Radiologist Interventional . ʻO ia hoʻi, he loea e hoʻohana ana i ka ʻenehana kiʻi e like me ka ultrasound a me ka CT scan e nānā i nā ʻōpū i loko o ke kino a hana i nā ʻoki liʻiliʻi kikoʻī loa e hana i ka mālama ʻana.

Hoʻomākaukau ma mua o ka mālama ʻana

• E wehewehe ke kauka iā ʻoe i nā pilikia a me nā pono o kēia lāʻau lapaʻau a e kiʻi i kāu ʻae ʻia.
• Ua aʻo ʻia ʻoe e kāohi i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola.
• Hana ʻia kahi hoʻāʻo koko e nānā i ka hiki o ke koko ke kāpili. Inā pono, hāʻawi ʻia ka lāʻau lapaʻau.
• E kau ʻia kahi laina IV i loko o kahi aʻa koko i kou lima e hāʻawi iā ʻoe i nā lāʻau antibiotic, saline, a, inā pono, ka sedation.

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

1. Ke nānā mau ʻia nei kou puʻuwai a me ke koko.

2. E hoʻomaʻemaʻe i kahi e hoʻokomo ʻia ai ka ʻōmole ʻōpū,Ke lawe nei au i ka lāʻau hoʻopau ʻeha.

3. E hoʻohana ʻia ka ultrasound a i ʻole CT scan e hoʻoholo ai i ke ala maikaʻi loa a palekana hoʻi e hoʻokomo i ka ʻōmole (hiki i kēia ala ke hele ma o ke akepaʻa (transhepatic) a i ʻole ma o ka paia ʻōpū (transperitoneal).

4. A laila, ma lalo o ke alakaʻi ʻana o X-ray, ua hoʻokomo ʻia ka ʻōmole i loko o ka ʻōpū me ka hoʻohana ʻana i kahi nila lahilahi loa a me kahi uea alakaʻi.

5. Ke kau ʻia ka ʻōmole, e hoʻopaʻa ʻia i ka ʻili me kahi humuhumu , a ua hoʻopili ʻia kekahi ʻaoʻao o ka ʻōmole i kahi ʻeke hoʻokahe wai.

Hiki i kēia kaʻina hana holoʻokoʻa ke lawe ma waena o 30 mau minuke a me hoʻokahi hola.

Pehea e mālama ai i ka ʻōpū ma hope o ka lāʻau lapaʻau?

ʻO kēia ka ʻāpana koʻikoʻi loa. E noho mau ana kēia ʻōmole hoʻokahe i loko o kou kino no 4 a 6 mau pule . Pono ʻoe e mālama pono iā ia ke hoʻi ʻoe i ka home.

• Ka mālama ʻana i nā ʻeha: Pono e hoʻololi ʻia ke kapa komo ma ka ʻōmole i kēlā me kēia lā. E mālama i ka wahi i maʻemaʻe a maloʻo. E ʻaʻahu i kahi uhi palakika pale wai i ka wā e ʻauʻau ai.
• Ka holoi ʻana i ka paipu: I mea e pale ai i ka paʻa ʻana o ka bile i loko o ka paipu, pono ʻoe e holoi i ka paipu me ka saline sterile i hoʻokahi manawa i ka lā. E hōʻike kāu kauka a kahu maʻi paha iā ʻoe pehea e hana ai i kēia.
• Ka hoʻokahe ʻana i ka ʻeke: Pono e hoʻokahe ʻia ka ʻeke e hōʻiliʻili ana i ka wai i ka wā e piha ai. Hiki i kāu kauka ke haʻi aku iā ʻoe e mālama i ka nui o ka wai āu e hōʻiliʻili nei i kēlā me kēia lā. Inā piʻi koke ka wai a i ʻole e pau ka puka ʻana mai, he hōʻailona koʻikoʻi kēlā.

Ma mua o ka wehe ʻia ʻana o ka ʻōmole, hana ʻia kahi hoʻāʻo X-ray kūikawā i kapa ʻia ʻo cholangiogram e ʻike ai inā maʻamau ke kahe ʻana o ka bile i loko o ka gallbladder a ʻaʻohe mea e ālai ʻia ai. Ma hope wale nō o ka hōʻoia ʻia ʻana ua maikaʻi nā mea āpau, wehe ʻia ka ʻōmole.

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

Ma ka ʻaoʻao maikaʻi, he lāʻau palekana a maikaʻi loa kēia. ʻO ka nui o ka holomua i ka kaohi ʻana i ka cholecystitis acute he 95%. Hiki iā ia ke hāʻawi i kahi ho'ōla wikiwiki me ka pilikia haʻahaʻa loa no kahi mea maʻi i hiki ʻole ke ʻae i ke ʻoki kino nui.

He mea kākaʻikahi nā pilikia a me nā pilikia, akā pono mākou e makaʻala iā lākou.

Āhea wau e kāhea aku ai i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona i kou wā e hoʻōla ai, e hoʻomaopopo koke i kāu kauka a i ʻole ka haukapila kahi i loaʻa ai iā ʻoe ka lāʻau lapaʻau.

• Kuni: He kuni ma luna o 38.3 Celsius (101 Fahrenheit).
• ʻEha: ʻEha nui a wehewehe ʻole ʻia ma ka ʻōpū a i ʻole kahi i hoʻokomo ʻia ai ka ʻōmole.
• Nā hōʻailona o ka maʻi: ʻulaʻula o ka ʻili a puni ka ʻōmole, ka pehu ʻana, a i ʻole kahi kahe ʻala ʻino.
• Nā pilikia o ka paipu: hiki ʻole ke holoi i ka paipu, ka paipu e puka mai ana mai ka ʻili, ka liki ʻana o ka bile mai loko mai o ka paipu.
• Ka loli ʻana o ka nui o ka wai: Ka hoʻonui koke ʻana a i ʻole ka hoʻōki loa ʻana o ka nui o ka wai i hoʻohui ʻia i loko o ka ʻeke.

I kēlā kūlana, he mea nui loa e ʻimi koke i ke kōkua lapaʻau.