Ua kamaʻilio anei kāu kauka iā ʻoe e pili ana i ka ʻeha ʻōpū a i ʻole ka pilikia o ka ʻōpū? Ua haʻi aku paha ʻo ia iā ʻoe e pili ana i kahi ʻoki kino i kapa ʻia ʻo 'Colectomy'. Hiki ke hopohopo iki ka lohe ʻana i kēia inoa. Akā inā ʻike maopopo mākou i ke ʻano o ia mea, hiki ke hoʻopau nui ʻia kēlā makaʻu. He ʻoki kino kēia e wehe ai i kahi ʻāpana maʻi o ka colon. E nānā kākou ma nā huaʻōlelo maʻalahi i kona manaʻo, no ke aha e hana ʻia ai, a pehea e hana ai me ia.
I ka ʻōlelo maʻalahi, he aha ka Colectomy?
ʻO Colectomy ka wehe ʻoki ʻana i kahi hapa a i ʻole kou ʻōpū nui (colon) āpau. He ʻāpana koʻikoʻi loa ka ʻōpū nui o kā mākou ʻōnaehana hoʻoheheʻe. Eia nō naʻe, hiki i kekahi mau maʻi ke hōʻino i kēia ʻōpū nui. A laila ʻaʻole hiki ke hana pono. ʻO ia ka manawa e hoʻoholo ai nā kauka e wehe i kēia ʻāpana i hōʻino ʻia.
He aha nā kūlana olakino e alakaʻi ai i kēia ʻoki kino?
E ʻōlelo wale ke kauka i kēlā ʻoki kino nui inā he kumu koʻikoʻi. Aia kekahi mau kumu nui no ka hana ʻana i kahi colectomy.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Ka maʻi ʻaʻai kolona | Hana ʻia kēia ʻoki kino e wehe i ka ʻāpana o ka ʻōpū i loaʻa nā hunaola kanesa a hoʻōki i ka laha ʻana o ke kanesa. |
| ʻO ka diverticulitis | Ma ke ʻano he lāʻau lapaʻau no nā maʻi koʻikoʻi i hoʻokumu ʻia e nā ʻeke liʻiliʻi e hana ana i loko o nā paia o ka ʻōpū a lilo i maʻi. |
| Ke kahe koko ʻana o ka ʻōpū | Inā hoʻomau ke kahe ʻana o ke koko mai kahi ʻāpana o ka ʻōpū i hiki ʻole ke kaohi ʻia e nā ʻano hana ʻē aʻe. |
| Ka pale ʻana o ka ʻōpū nui | Inā ua ālai loa ʻia ka ʻōpū ma muli o kahi puʻupuʻu a i ʻole kekahi kumu ʻē aʻe, pono e wehe ʻia kēlā ʻāpana. |
| Maʻi ʻōpū mumū | ʻO nā kūlana e like me ka maʻi a Crohn a i ʻole ka colitis ulcerative i ʻoi aku ka paʻakikī ke kāohi ʻia me ka lāʻau lapaʻau. |
Eia kekahi, loaʻa i kekahi poʻe nā maʻi hoʻoilina, e like me Lynch syndrome a i ʻole Familial adenomatous polyposis (FAP). Hoʻonui kēia mau kūlana i ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai colon i ka wā e hiki mai ana. I ia mau hihia, hiki i nā kauka ke ʻōlelo i kēia ʻoki kino ma ke ʻano he hana pale ma mua o ka ulu ʻana o ka maʻi .
He aha nā ʻano hana colectomy i loaʻa?
Ua māhele ʻia kēia ʻoki kino i kekahi mau ʻano ma muli o ka nui o ka ʻōpū i wehe ʻia.
- ʻO ka colectomy holoʻokoʻa: Ma kēia, ua wehe ʻia kou ʻōpū nui holoʻokoʻa.
- ʻO ka colectomy hapa: Ma kēia, ua wehe ʻia kahi hapa o ka ʻōpū nui. Aia kekahi mau ʻano ʻē aʻe o kēia.
| ʻAno o ke ʻoki kino | ʻO ka ʻāpana e wehe ʻia |
|---|---|
| Hemicolectomy | Ka wehe ʻana i kahi ʻāpana o ka ʻaoʻao ʻākau a hema paha o ka ʻōpū nui. |
| ʻO ka proctocolectomy | Ka wehe ʻana i ka ʻōpū nui a me ka rectum. |
| ʻO ke kāpili ʻana o ka ʻōpū ma Sigmoid | Ke wehe nei i ka ʻāpana sigmoid, ke kūlou hope loa o ka ʻōpū nui, e pili ana i ka rectum. |
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
ʻOiai he ʻoki kino nui kēia, pono ia e hoʻomākaukau pono. E hālāwai kāu kauka ʻōpū me ʻoe a wehewehe i nā kikoʻī āpau e pili ana i ke ʻoki kino āu e hana ai a pehea e hana ʻia ai.
Eia kekahi, e hana ʻia kekahi mau hoʻokolohua e ʻike ai inā hiki iā ʻoe ke kū i ke ʻoki kino.
- Nā hoʻāʻo koko
- Kolonoskopi
- EKG (Electrocardiogram) e nānā i ka hana o ka puʻuwai
- Nā hoʻokolohua kiʻi e like me ka CT scan a i ʻole MRI scan
E hāʻawi pū ke kauka iā ʻoe i nā kuhikuhi no nā mea e pono ai ʻoe e hana i kekahi mau lā ma mua o ke ʻoki kino.
1. Kekahi e lawe iā ʻoe i ka home: E hoʻonohonoho mua no kekahi e lawe iā ʻoe i ka home mai ka haukapila ma hope o ke ʻoki ʻana.
2. ʻAi wai: E noi ʻia ʻoe e ʻai wale i nā meaʻai wai maopopo no kekahi mau lā ma mua o ke ʻoki ʻana. Eia kekahi laʻana, nā mea e like me ka wai sopa a me ka wai ʻalani.
3. Hoʻomaʻemaʻe ʻōpū: Ma mua o ke ʻoki ʻana, pono e hoʻokahe loa ʻia a hoʻomaʻemaʻe ʻia kou mau ʻōpū. E hāʻawi ʻia ʻoe i kahi wai kūikawā (bowel prep) e inu. Hiki ke lilo i mea ʻoluʻolu ʻole iki kēia, akā he mea nui loa ia no ka holomua o ke ʻoki ʻana.
4. Hoʻokē ʻai: Ua ʻōlelo ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea mai ke aumoe o ka lā ma mua o ke ʻoki kino.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
ʻAʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki ʻana no ka mea e hoʻomaka ke ʻoki ʻana ma hope o kou hoʻomaʻamaʻa piha ʻia ʻana (anesthesia laulā) a hiamoe maikaʻi.
I ka ʻōlelo maʻalahi, eia ka mea e hana ʻia:
- E hoʻokomo kāu anesthesiologist iā ʻoe ma lalo o ka anesthesia laulā.
- Hana ke kauka lapaʻau i hoʻokahi ʻoki lōʻihi i loko o kou ʻōpū (colectomy hāmama) a i ʻole kekahi mau ʻoki liʻiliʻi (laparoscopic colectomy a i ʻole robotic colectomy). ʻOi aku ka wikiwiki o ka hoʻōla ʻana me ke ʻoki laparoscopic.
- A laila, ʻike ʻia ka ʻāpana i hōʻino ʻia a maʻi paha o ka ʻōpū a ʻoki ʻia.
- A laila, ua hui pū ʻia nā wēlau ʻelua o ka ʻōpū olakino i koe.
- I kekahi manawa, aia nā manawa i hiki ʻole ai ke hoʻopili ʻia kēia mau wēlau ʻelua. I kēlā mau hihia, ua hahai ʻia kekahi ʻano hana ʻokoʻa (e kamaʻilio mākou e pili ana i kēlā).
- ʻO ka hope loa, ua pani ʻia nā ʻoki me nā humuhumu.
Hiki i kēia hana holoʻokoʻa ke hala ma kahi o hoʻokahi a ʻehā hola.
He aha ka Anastomosis a me ka Ostomy? He mea nui loa kēia.
Ma hope o ka wehe ʻia ʻana o kahi ʻāpana o ka ʻōpū, he mea nui loa ia e ʻike i ka mea e hana ʻia i nā ʻāpana ʻelua i koe. ʻElua mau ʻano hana nui ma ʻaneʻi. Na kāu kauka e koho i ke ʻano hana kūpono loa iā ʻoe.
Hiki i kēia loli ke loaʻa ka hopena nui i kou ola, no laila he mea nui e hoʻomaopopo pono iā ia.
| ʻAno hana | Wehewehena |
|---|---|
| Anastomosis (hoʻohui hou ʻana) | ʻO kēia ke humuhumu ʻana i nā wēlau ʻelua o ka ʻōpū olakino i koe ma hope o ka hoʻopili hou ʻia ʻana o ka ʻāpana i wehe ʻia. Inā holomua kēia, e hoʻi hou kou neʻe ʻana o ka ʻōpū i ka maʻamau. |
| Ostomy (e hana ana i kahi alahele mai ka ʻōpū a i waho) | I kekahi manawa, ʻaʻole hiki ke hoʻopili ʻia nā wēlau ʻelua o ka ʻōpū i ka manawa hoʻokahi (no ka laʻana, ma muli o kahi maʻi). I kēia hihia, hana ʻia kahi puka i hiki ai i ka wēlau o ka ʻaoʻao luna o ka ʻōpū ke piʻi i ka ʻili o ka ʻōpū. Ua kapa ʻia kēia he stoma. Puka mai ka ʻōpala mai kēia puka mai, a pono e ʻaʻahu ʻia kahi ʻeke kūikawā (ʻeke ostomy) e hōʻiliʻili iā ia. Hiki i kēia ke lilo i mea manawa pōkole a mau loa paha. |
He mea maʻamau ka makaʻu a me ka hopohopo ke haʻi ʻia aku iā ʻoe e pono ʻoe e noho me kahi ostomy. Akā na nā kauka a me nā limahana kahu maʻi e aʻo iā ʻoe i ke ala maikaʻi loa e maʻa ai iā ia, pehea e hoʻohana ai i ka ʻeke, a pehea e ola ai i kahi ola maʻamau me ia.
He aha nā pilikia e hiki mai ana o kēia ʻoki kino?
E like me ke ʻano o kekahi hana nui, loaʻa i ke kaʻina colectomy kekahi mau pilikia, akā hana nā kauka i ka mea maikaʻi loa e hōʻemi i kēia mau pilikia.
- Ka leaka anastomotic: Ke kahe ʻana o ka ʻōpala i loko o ka lua ʻōpū mai kahi o ka pilina ʻōpū.
- Ke kahe koko nui: Ke kahe koko nui i ka wā a ma hope paha o ke ʻoki kino.
- Nā maʻi: Nā maʻi i loko o ka ʻeha ʻoki a i loko paha o ka ʻōpū.
- Ka hōʻino ʻana i nā kino kokoke: Aia kahi pilikia liʻiliʻi o ka hōʻino ʻana i nā kino kokoke, e like me ka ʻōpū mimi a me ka ʻōpū liʻiliʻi.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma hope o ke ʻoki kino, pono ʻoe e noho ma ka haukapila no kekahi mau lā, a hiki paha i hoʻokahi pule. I loko o kēia manawa:
- A hiki i ka wā e hana hou ai kou ʻōpū, e hāʻawi mua ʻia ʻoe i nā wai intravenous, a laila nā wai waha a me kahi meaʻai palupalu.
- Nānā pinepine nā kahu maʻi inā e ho'ōla maikaʻi ana ka ʻeha ʻoki a inā he mau hōʻailona o ka maʻi.
- E hāʻawi ʻia ʻoe i nā ʻōlelo kikoʻī e pili ana i ka mālama ʻana i ka ʻeha ma hope o kou hoʻi ʻana i ka home.
- Inā he ostomy kou, e hāʻawi ʻia ʻoe i ke aʻo kūikawā no ka mālama ʻana i ka stoma a pehea e hoʻololi ai i ka ʻeke.
- Ma hope o kou hoʻi ʻana i ka home, e hāʻawi lākou iā ʻoe i ka ʻōlelo aʻoaʻo no nā meaʻai e ʻai ai a me nā hana liʻiliʻi hiki iā ʻoe ke hana (e like me ka hele wāwae).
I loko o kēia manawa, pono ʻoe e hoʻomanaʻo i nā mea he nui i ka manawa hoʻokahi. No laila he manaʻo maikaʻi e loaʻa iā ʻoe kahi lālā o ka ʻohana a i ʻole kahi hoaaloha me ʻoe i ka wā e kamaʻilio ana ke kauka.
ʻEhia ka lōʻihi e ho'ōla ai?
Hiki ke hala a hiki i ʻeono pule e hoʻōla piha ai ma hope o ka hoʻi ʻana i ka home. Eia nō naʻe, hiki i ka hapa nui o ka poʻe ke hoʻi hou i ka hapa nui o kā lākou hana maʻamau i loko o ʻelua pule. Akā, mai wikiwiki. E hoʻolohe i kou kino. Inā manaʻo ʻoe ua luhi, e hoʻomaha.
He aha kaʻu e ʻai ai ma hope o ke ʻoki kino?
ʻO ka maʻamau, no ka mahina mua a i ʻole, pono ʻoe e ʻai i nā meaʻai haʻahaʻa-fiber . No ka mea, ʻoi aku ka maʻalahi o ka ʻeli ʻana o nā ʻōpū. Hiki iā ʻoe ke ʻai i nā mea e like me ka laiki keʻokeʻo, nā lentil i moʻa maikaʻi ʻia, nā mea kanu i moʻa maikaʻi ʻia, ka iʻa, a me ka moa. ʻŌlelo ke kauka iā ʻoe e hoʻōki i ka ʻai ʻana i nā meaʻai kiʻekiʻe-fiber e like me nā mea kanu lau ʻōmaʻomaʻo a me nā palaoa piha no kekahi manawa.
Āhea ʻoe e kamaʻilio ai me ke kauka?
E makaʻala loa i kou kino ma hope o kou hoʻi ʻana i ka home. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka lapaʻau.
| Nā hōʻailona pōʻino - e haʻi koke i kāu kauka ! | |
|---|---|
| ʻEha ʻōpū | ʻEha nui ka ʻōpū e lilo ana i mea ʻino i ka hala ʻana o ka manawa. |
| Nā hōʻailona o ka maʻi | Kuni, ʻulaʻula, pehu, ʻeha, a i ʻole ka pehu mai ka ʻeha ʻoki. |
| Ka paʻakikī o ka hoʻokahe ʻana | ʻAʻole hiki ke hoʻokahe a i ʻole ka maʻi diarrhea mau. |
He ʻike hoʻololi ola ke ʻano o ke ʻoki kino e like me kēia. Hiki iā ia ke hōʻoluʻolu i kou mau hōʻailona ʻeha, ho'ōla iā ʻoe i ke kanesa, a hāʻawi paha iā ʻoe i ke ola lōʻihi. Hiki i ka noho ʻana me kahi ostomy ke lilo i hoʻololi nui. Akā he nui ka poʻe e hiki ke kōkua iā ʻoe e hoʻomaʻamaʻa iā ia. No laila e wehe e pili ana i kāu mau nīnau, makaʻu, a me nā hopohopo me kāu kauka.
Leka Lawe-Home
- ʻO Colectomy kahi ʻoki e wehe ai i kahi ʻāpana maʻi a i ʻole ka kolona holoʻokoʻa.
- Hana ʻia kēia ma ke ʻano he lāʻau lapaʻau no nā maʻi koʻikoʻi e like me ke kanesa, nā mea ālai ʻōpū, a me nā maʻi koʻikoʻi.
- E hahai pono i nā ʻōlelo a ke kauka (ʻai, hoʻomaʻemaʻe ʻōpū) ma mua o ke ʻoki ʻana.
- He manawa ka lōʻihi e ho'ōla ai ma hope o ke ʻoki ʻana, no laila e hoʻomanawanui a hāʻawi i kou kino i ka nui o ka hoʻomaha.
- I kekahi manawa, pono paha e hana ʻia kahi puka (ostomy) ma ka ʻili o ka ʻili ma kou ʻōpū i mea e hele ai ka ʻōpala, a e kōkua ke limahana lapaʻau iā ʻoe e maʻa iā ia.
- Inā ʻike ʻoe i kekahi mau hōʻailona weliweli e like me ke kuni, ka ʻeha nui o ka ʻōpū, a i ʻole ka pus e kahe ana mai ka ʻeha, e kāhea koke aku i kāu kauka.
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