ʻO ke ʻoki ʻana i ka diverticulitis? E ʻike pono kākou i ke ʻano o kēia.

Ke ʻeha nei paha ʻoe i ka diverticulitis, kahi maʻi e hoʻoulu ai i ka ʻeha mau i kou ʻōpū a me ke kuni. Ke paʻakikī ke kāohi i kou kūlana me ka lawe ʻana i ka lāʻau lapaʻau a me nā lāʻau lapaʻau ʻē aʻe, hiki i kāu kauka ke kuhikuhi i ke ʻoki kino. No laila he mea maʻamau ke manaʻo iki i ka makaʻu ke ʻōlelo ʻo ia i kēlā. Eia naʻe, ke ʻike pono ʻoe i ke ʻano o kēia ʻoki kino, pehea e hana ʻia ai, a me nā mea e hana ʻia ma hope, e nalo aku kou makaʻu. I kēia lā, e kamaʻilio kākou e pili ana i kēia ʻoki kino diverticulitis.

No ke aha mākou e pono ai ke ʻoki ʻana i ka diverticulitis?

I ka ʻōlelo maʻalahi, ʻo ka diverticulitis ke ʻano kahi e hana ʻia ai nā ʻeke liʻiliʻi (diverticula) i loko o nā paia o ko kākou kolona, ​​kahi a mākou e kapa nei ma ke ʻano lapaʻau he diverticula , e lilo i maʻi a pehu paha. ʻO ka wā wale nō e lilo ai kēia ʻano i mea koʻikoʻi e noʻonoʻo ʻia ai ke ʻoki ʻana.

ʻO ka maʻamau, e ʻōlelo aku kāu kauka i ke ʻoki kino i nā hihia aʻe:

• Inā ʻaʻole hiki ke kaohi ʻia ke kūlana me ka lawe ʻana i ka lāʻau lapaʻau a me nā lāʻau lapaʻau ʻē aʻe ʻaʻole ʻokiʻoki.
• Inā hoʻi hou kēia maʻi ma hope o ka mālama ʻana (recurrent diverticulitis).
• Hoʻokumu ʻia kahi pilina kūpono ʻole, e like me ka fistula , ma waena o ka paia o ka ʻōpū nui a me nā ʻōpū kokoke e like me ka ʻōpū mimi a i ʻole ka vagina.

ʻO ke ʻano o kēia ʻoki kino, ʻo ia ka ʻoki ʻana a me ka wehe ʻana i kahi ʻāpana o ka ʻōpū nui i hoʻopilikia ʻia e ka maʻi. Kāhea mākou i kēia he colectomy hapa .

ʻO ka hapa pinepine, wehe ʻia ka ʻāpana sigmoid, ka ʻāpana hope loa o ka ʻōpū nui. Ke wehe ʻia kēia ʻāpana, aneane nalowale loa nā hōʻailona.

I kekahi manawa, ma hope o ka wehe ʻana i kahi ʻāpana o kēia ʻōpū, pono nō hoʻi ke kauka lapaʻau e hana i kahi ostomy . E nānā kākou i ke ʻano o ia mea.

He aha kēia mau ʻano hana ʻoki kino?

Hiki i kāu kauka lapaʻau ke koho i kekahi o kēia mau ʻoki kino ma muli o kou kūlana.

Ka ʻike hou aku e pili ana i ke ʻoki ʻana ostomy

Mai makaʻu ke lohe ʻoe i kēia. E noʻonoʻo e like me ke kūkulu ʻana i alanui, e hana ana i alanui ʻē aʻe no nā kaʻa e hele ai. Ke hana nei kekahi mea like ma ʻaneʻi. Ke kūkulu ʻia nei kēia alanui no ka manawa pōkole e pale aku i ka hele ʻana o ka ʻōpala ma kahi i hana ʻia ai ke ʻoki ʻōpū a hiki i ka wā e ola ai.

• Colostomy: Hoʻopili ʻia kahi ʻāpana o ka ʻōpū nui i ka ʻili o ka ʻōpū, e hana ana i kahi puka. Puka mai ka ʻōpala ma o ia mea a hōʻiliʻili i loko o kahi ʻeke colostomy) i hoʻopili ʻia i ka ʻōpū.
• Ileostomy: Hana ʻia kēia wehe ʻana me ka hoʻohana ʻana i kahi ʻāpana o ka ʻōpū liʻiliʻi (ileum).

ʻO ka mea nui, ʻo ia ka manawa pōkole o kēia mau ʻoki ostomy. I loko o kekahi mau mahina, ma hope o ka ho'ōla ʻana o nā ʻeha o loko, hiki ke hana ʻia kekahi ʻoki liʻiliʻi e pani i ka puka a hoʻihoʻi i ka neʻe ʻana o ka ʻōpū maʻamau.

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Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?

Pono ʻoe e hana i kekahi mau hoʻomākaukau ma mua o ke ʻoki ʻana. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i kēia. ʻO ka maʻamau, hana ʻia kēia mau mea.

• Nā scan hou aʻe: E noi ʻia paha ʻoe e hana i kahi scan computed tomography (CT) a i ʻole nā ​​​​hoʻokolohua X-ray kūikawā ʻē aʻe.
• Nānā olakino: Pono paha ʻoe e hana i nā hoʻāʻo koko, kahi colonoscopy , kahi EKG , a pēlā aku. Hiki paha iā ʻoe ke hālāwai me ka hui anesthesia.
• Hoʻomākaukau ʻōpū: ʻO kēia ka ʻāpana paʻakikī loa. E noi ʻia ʻoe e hoʻōki i ka ʻai ʻana no kekahi mau hola ma mua o ke ʻoki ʻana a inu wale i nā wai e like me ka wai a me ka sopa. E hāʻawi ʻia nō hoʻi iā ʻoe kahi lāʻau lapaʻau kūikawā e hoʻomaʻemaʻe loa i kou ʻōpū.

He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?

No kēia mau ʻoki kino a pau, ua hoʻomoe piha ʻia ʻoe (general anesthesia), ʻo ia hoʻi, ʻaʻole ʻoe e manaʻo i kekahi mea, ua hiamoe ʻoe.

1. Hana ke kauka i hoʻokahi ʻoki nui i ke ʻoki hāmama, a i ʻole kekahi mau ʻoki liʻiliʻi i ke ʻoki laparoscopic e hiki ai i ka ʻōpū nui.

2. A laila e wehe ʻia ka ʻāpana maʻi o ka ʻōpū me ka diverticulitis .

3. Hoʻopili hou ʻia nā ʻāpana olakino ʻelua o ka ʻōpū me ka hoʻohana ʻana i nā staples a i ʻole nā ​​​​sutures.

4. Inā pono, hana ʻia kahi ostomy e hoʻopili i kahi ʻāpana o ka ʻōpū i ka ʻili.

5. ʻO ka hope loa, ua pani ʻia nā ʻoki i hana ʻia ma ka ʻōpū.

ʻO ka maʻamau, ma kahi o ʻekolu a ʻehā hola kēia hana ʻoki kino, akā hiki ke loli kēia manawa ma muli o kou kūlana a me ke ʻano o ke ʻoki kino e hana ʻia nei.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? A pehea ka lōʻihi e hoʻōla ai?

Pono ʻoe e noho i ka haukapila no kekahi mau lā ma hope o ke ʻoki kino. E pili ana kēia i ka wikiwiki o kou hoʻōla ʻana. I loko o kēia manawa:

• ʻAi a me ka Mea Inu: No nā pule mua, pono ʻoe e ʻai i nā meaʻai wai, māmā, a haʻahaʻa ka fiber e like me ka porridge a me ka sopa. Ma hope o hoʻokahi mahina, hiki iā ʻoe ke ʻai i nā mea āu e makemake ai.
• Hoʻoikaika kino a me ka hāpai kaumaha: Pono ʻoe e pale i ka hāpai ʻana i nā mea kaumaha no 6-8 mau pule .
• Ke hoʻokele nei: Hiki iā ʻoe ke hoʻokele i kahi kaʻa ma hope o kou hoʻōki ʻana i ka lawe ʻana i nā mea hoʻomaha ʻeha.
• Ka mālama ʻeha: E aʻo aku ke kahu maʻi iā ʻoe pehea e mālama ai i kou ʻeha. Inā he ostomy kou, e aʻo pū lākou iā ʻoe pehea e hoʻohana ai i ka ʻeke.

Hiki ke hala kekahi mau mahina e ho'ōla piha ai. He mea nui loa ke ahonui.

Aia kekahi mau pilikia i kēia ʻoki kino?

E like me nā ʻoki kino āpau, aia kekahi mau pilikia. Hiki ke loaʻa ka leaka anastomotic, ke kahe ʻana o ke koko, a i ʻole ka maʻi ʻeha. Eia nō naʻe, he mea kākaʻikahi loa kēia. He holomua loa kēia ʻoki kino, a ma kahi o 98% o nā maʻi ʻaʻole e loaʻa hou ka diverticulitis.

Āhea e ʻike hou ai i kāu kauka

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana mai ka home mai ke ʻoki ʻana, pono ʻoe e kāhea koke i kāu kauka :

• ʻEha nui o ka ʻōpū ʻaʻole i emi iho ma hope o ka lawe ʻana i ka lāʻau lapaʻau a ke hoʻomaka nei e ʻino.
• ʻAʻole hiki ke hele i ka noho.
• Nā hōʻailona o ka maʻi, e like me ka pehu ʻana, ka ʻulaʻula, ke kuni, a i ʻole ka luaʻi ʻana a puni ka ʻeha.