He mea maʻamau ka manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi aku kāu kauka iā ʻoe e pono ʻoe e hana i ke ʻoki ʻana i ka colon, kahi colectomy. Hopohopo iki mākou a pau ke lohe mākou i ka huaʻōlelo "ʻoki ʻana." Akā i ka manawa e ʻike pono ai ʻoe i ke ʻano o ia mea, no ke aha e hana ʻia ai, a pehea e hana ʻia ai, e nalo aku kou makaʻu. No laila i kēia lā, e kamaʻilio maʻalahi kākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka colectomy?
I ka ʻōlelo maʻalahi, ʻo ka colectomy ka wehe ʻana i kahi ʻāpana a i ʻole kou ʻōpū nui (colon) āpau. He ʻāpana koʻikoʻi loa ka ʻōpū nui o kā mākou ʻōnaehana hoʻoheheʻe. Ke hōʻino ʻia kēia ʻāpana ma muli o kahi maʻi, e pau kāna hana pono ʻana. ʻO ia ka manawa e hoʻoholo ai nā kauka e hana i kēia ʻoki kino.
ʻO ka mea maʻamau, ua ʻōlelo ʻia kēia hana ʻoki kino ma nā kūlana ma lalo nei:
- Ka maʻi ʻaʻai kolona: Wehe i ka ʻāpana o ka kolona i loaʻa nā hunaola kanesa.
- Diverticulitis: He ʻano kēia e hana ʻia ai nā ʻeke liʻiliʻi i loko o ka paia o ka ʻōpū nui, kahi e lilo ai i ka maʻi a me ka mumū.
- ʻO ke kahe koko ʻana o ka ʻōpū: Inā he kahe koko hiki ʻole ke kaohi ʻia mai nā ʻōpū.
- Pale ʻia ka ʻōpū nui: Inā ua pale loa ʻia ka ʻōpū no kekahi kumu.
- Ka maʻi ʻōpū mumū koʻikoʻi: Ke lilo nā kūlana e like me ka maʻi a Crohn a i ʻole ka ulcerative colitis i mea koʻikoʻi.
I kekahi manawa, inā he kiʻekiʻe loa ka pilikia o ka loaʻa ʻana o ka maʻi kanesa i ka wā e hiki mai ana ma muli o nā kūlana genetic i hoʻoilina ʻia (no ka laʻana, Lynch syndrome), hiki ke hana ʻia kēia ma ke ʻano he colectomy pale e hōʻemi i kēlā pilikia.
Aia kekahi mau ʻano like ʻole o kēia ʻoki kino?
ʻAe, ua māhele ʻia kēia ʻoki kino i kekahi mau ʻano ma muli o ka ʻāpana o ka ʻōpū i wehe ʻia. Hoʻoholo ʻia kēia e ke kauka ʻoki kino nāna e mālama iā ʻoe ma muli o kou kūlana olakino.
| ʻAno o ke ʻoki kino | I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia? |
|---|---|
| Colectomy holoʻokoʻa | E wehe ʻia kou kolona holoʻokoʻa. |
| ʻO ke Colectomy hapa | ʻO ka ʻāpana maʻi wale nō o ka kolona e wehe ʻia. Aia kekahi mau ʻano ʻē aʻe o kēia. |
| Hemicolectomy | Hoʻokaʻawale ʻia kekahi ʻaoʻao o ka ʻōpū nui, ʻo ka ʻaoʻao ʻākau a hema paha. |
| ʻO ka proctocolectomy | Ua wehe ʻia ka ʻōpū nui a me ka rectum. |
| ʻO ke kolotomi Sigmoid | ʻO ka ʻāpana hope loa o ka ʻōpū nui, ʻo ia hoʻi ka sigmoid colon, e pili ana i ka rectum, ua wehe ʻia. |
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
ʻOiai he hana ʻoki kino nui kēia, he mea nui loa ka hoʻomākaukau ʻana no ia.
ʻO ka mea mua, e kamaʻilio kāu kauka lapaʻau me ʻoe a wehewehe i ke ʻano o ke ʻoki ʻana āu e hana ai, pehea e hana ʻia ai (inā paha e hana ʻia ma o kahi ʻoki nui a i ʻole me kahi kāmela). A laila, e hana lākou i kekahi mau hoʻokolohua e ʻike ai inā hiki i kou kino ke lawelawe i ke ʻoki ʻana.
- Nā hoʻāʻo koko
- Kolonoskopi
- ʻO kahi hoʻokolohua EKG (Electrocardiogram) e nānā i ka hana o ka puʻuwai
- Nā hoʻokolohua kiʻi, e like me nā scan CT a i ʻole nā scan MRI
Eia kekahi, e hoʻomaopopo pū ke kime lapaʻau iā ʻoe e pili ana i nā mea e pono ai ʻoe e hahai i kekahi mau lā ma mua o ke ʻoki kino. Eia kēia mau mea:
- E hoʻonohonoho i kahi mea e hoʻokele iā ʻoe i ka home mai ka haukapila: ʻAʻole hiki iā ʻoe ke hoʻokele iā ʻoe iho ma hope o ke ʻoki ʻana.
- E hoʻomaka i kahi papaʻai wai: E noi ʻia ʻoe e inu wale i nā wai e like me ka sopa a me ka wai huaʻai no kekahi mau lā ma mua o ke ʻoki ʻana.
- Hoʻomākaukau ʻōpū: I ka lā ma mua o ke ʻoki kino, e hāʻawi ʻia ʻoe i kahi wai kūikawā e inu ai e hoʻokahe loa i kou mau ʻōpū. He mea ʻoluʻolu ʻole kēia, akā he mea nui loa ia no ka holomua o ke ʻoki kino.
- ʻAi ʻole: ʻAʻole hiki iā ʻoe ke ʻai a inu paha i kekahi mea mai ke aumoe o ka lā o ke ʻoki kino.
He aha ka mea e hana ʻia i ka wā a ma hope o ke ʻoki kino?
I ka wā o ke ʻoki ʻana, e hoʻopau loa ʻia ʻoe i ka anesthetize, no laila ʻaʻole ʻoe e manaʻo i kekahi mea. E hana ke kauka ʻoki i hoʻokahi ʻoki lōʻihi ma kou ʻōpū (Open Colectomy) a i ʻole kekahi mau ʻoki liʻiliʻi me ke kōkua o kahi kāmela (Laparoscopic Colectomy). E wehe lākou i ka ʻāpana maʻi o kou colon a hoʻopili hou i nā ʻāpana olakino ʻelua. Ua kapa ʻia kēia he anastomosis .
Eia nō naʻe, i kekahi manawa ʻaʻole hiki ke hoʻohui i nā ʻāpana olakino ʻelua. No ka laʻana, inā nui loa ka hakahaka ma waena o nā ʻāpana ʻelua i koe, a inā ʻaʻole hiki ke hoʻohui koke iā lākou ma muli o kahi maʻi, hiki i ke kauka lapaʻau ke hoʻoholo e hana i kahi ostomy .
He aha ka Ostomy?
ʻO ka ostomy e pili ana i ka lawe ʻana mai i ka hopena olakino o ka ʻōpū i ka ʻili o ka ʻili ma ka ʻōpū, e hana ana i kahi puka hou (stoma) no ka hele ʻana o ka ʻōpala. A laila hōʻiliʻili ʻia ka ʻōpala i loko o kahi ʻeke kūikawā (ʻeke ostomy) i hoʻopili ʻia i kēlā puka.
Ua ʻike mākou he loli nui kēia i kou ola. Akā, e loaʻa iā ʻoe nā ʻōlelo aʻoaʻo a me nā hoʻomaʻamaʻa āpau āu e pono ai e hoʻokele i kēia a ola mau i ke ola maʻamau ma ka haukapila. No laila, mai makaʻu iā ia.
Ma hope o ke ʻoki ʻana, pono ʻoe e noho ma ka haukapila no kekahi mau lā a i ʻole hoʻokahi pule. E kaupalena ʻia ʻoe i nā wai a me nā meaʻai palupalu no nā lā mua. Hiki iā ʻoe ke hoʻi i ka ʻai maʻamau i kou hoʻōla ʻana. Hiki ke hala a hiki i 6 mau pule e hoʻōla piha ai ma hope o kou hoʻi ʻana i ka home. Eia nō naʻe, hiki i ka hapa nui o ka poʻe ke hoʻi i ka hapa nui o kā lākou mau hana maʻamau i loko o ʻelua pule.
Āhea ʻoe e kamaʻilio ai me ke kauka?
He mea nui loa ka makaʻala i nā hōʻailona hōʻike e kū mai ana ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e haʻi koke aku i kāu kauka a kauka ʻoki paha.
| Hiʻohiʻona ʻōlelo aʻo | Wehewehena |
|---|---|
| kuni kiʻekiʻe | Hoʻonui ʻia ka mahana o ke kino, ka manaʻo o ka nāwaliwali. |
| Nā hōʻailona o ka maʻi ma kahi ʻoki | ʻUlaʻula, pehu, ʻeha nui, a i ʻole ka pehu a puni ka ʻoki. |
| Hoʻonui mālie i ka ʻeha o ka ʻōpū | Inā piʻi mālie ka ʻeha o ka ʻōpū ma kahi o ka emi ʻana. |
| Ka paʻakikī o ka hoʻokahe ʻana | ʻAʻohe neʻe ʻana o ka ʻōpū a i ʻole ka pahū ʻana no kekahi mau lā. |
Hiki i ka colectomy ke lilo i mea hoʻololi ola. Hiki iā ia ke hōʻoluʻolu i kāu mau hōʻailona ʻeha, ho'ōla i kou maʻi kanesa, a kōkua paha iā ʻoe e ola lōʻihi me ke kanesa. E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. Ua mākaukau mau lākou e kōkua iā ʻoe.
Leka Lawe-Home
- ʻO Colectomy ka wehe ʻoki ʻana i kahi ʻāpana i hōʻino ʻia o ka ʻōpū nui.
- Hana ʻia kēia ʻoki kino no nā maʻi koʻikoʻi e like me ke kanesa a me ka diverticulitis.
- He mea nui loa e hahai i nā ʻōlelo lapaʻau, me ka hoʻomaʻemaʻe ʻana i ka ʻōpū, ma mua o ke ʻoki ʻana.
- Pono paha ʻoe i kahi ʻeke ostomy e hele ai i ka ʻōpala, akā e loaʻa iā ʻoe ke kākoʻo āpau e pono ai ʻoe e ola me ia.
- He lōʻihi ka manawa e ho'ōla ai, no laila e aloha iā ʻoe iho a e hoʻolōʻihi i kou manawa e ho'ōla ai.
- Inā loaʻa iā ʻoe nā hōʻailona hōʻailona e like me ke kuni a i ʻole ka ʻeha nui ma hope o ke ʻoki ʻana, e kelepona koke aku i kāu kauka.
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