ʻO wai ke Kauka Lapaʻau Laulā? E kamaʻilio maʻalahi kākou e pili ana i kēia!

Ua lohe paha ʻoe i kahi 'Luna Kauka Lapaʻau'. A i ʻole ua hālāwai paha ʻoe me kekahi o kou ʻohana a i ʻole nā ​​hoaaloha. ʻO wai maoli ke Luna Kauka Lapaʻau? He aha kāna hana? Pehea lākou e ʻokoʻa ai mai nā kauka ʻē aʻe? E kamaʻilio kākou e pili ana i kēia mau mea a pau ma ka ʻōlelo maʻalahi, Sinhala hiki iā ʻoe ke hoʻomaopopo.

ʻO wai maoli ke Kauka Lapaʻau?

I ka ʻōlelo maʻalahi, he kauka ke kauka lapaʻau laulā a he kauka lapaʻau hoʻi. ʻO ia hoʻi, hiki iā ia ke ʻike i nā maʻi, mālama iā lākou, a inā pono, hana i ke ʻoki kino. ʻO ka mea kūikawā, ʻaʻole i kaupalena ʻia kēia poʻe i hoʻokahi wale nō ʻāpana o ke kino. E like me kā mākou kauka ʻohana, akā hiki iā lākou ke hana i ke ʻoki kino.

Eia kekahi laʻana, ʻo kekahi mau kauka loea i ka puʻuwai (he `Cardiologist`) a i ʻole ka lolo (he `Neurologist`). Akā, hana ke kauka lapaʻau ma kahi ākea. Eia kekahi laʻana, hiki iā lākou ke mālama i kou mau ʻōpū (`nā ʻōpū ʻōpū`), nā puʻupuʻu ma nā ʻāpana ʻē aʻe o kou kino, a i ʻole nā ​​​​ʻeha he nui mai nā ulia i ka manawa hoʻokahi. ʻO lākou ka poʻe e pāʻani i kahi kuleana koʻikoʻi i ka mālama ʻana i ka mea maʻi ma mua o ke ʻoki kino (`preoperative`), i ka wā o ke ʻoki kino (`operative`), a ma hope o ke ʻoki kino (`postoperative`). ʻO lākou pinepine ka poʻe e hana pū me nā kauka a me nā kahu maʻi ʻē aʻe.

ʻO ke ʻoki kino laulā kekahi o nā ʻoihana ʻoki kino 14 i ʻike ʻia e ka American College of Surgeons.

He aha ka mea a ke kauka lapaʻau laulā e mālama ai?

Ua ʻōlelo mua au ua like ke kauka lapaʻau laulā me ke "kauka ʻohana hiki ke hana i ke ʻoki kino." No laila, mālama lākou i nā ʻano maʻi like ʻole. A, ʻo kēlā mau lāʻau lapaʻau e komo pū ana me nā ʻano ʻoki kino a me nā kaʻina hana like ʻole. Eia nō naʻe, inā manaʻo ke kauka lapaʻau laulā ʻaʻole lākou i hilinaʻi piha i ka mālama ʻana i kahi kūlana kikoʻī, e kuhikuhi maoli lākou iā ʻoe i kahi loea. ʻO ia hoʻi ko lākou kuleana.

He aha nā maʻi maʻamau i mālama ʻia?

Eia kekahi o nā kūlana a ke kauka lapaʻau e mālama pinepine ai:

• Nā ʻeha traumatic: E noʻonoʻo e mālama lākou i nā ʻeha koʻikoʻi i hoʻokumu ʻia e kahi ulia a i ʻole ka hāʻule ʻana i ka wā e hele ana ma ke alanui.
• Nā ʻano kino ʻole: He mau kīnā hānau paha kēia a i ʻole nā ​​​​​​pūpū e ulu ana ma hope o ke ola.
• Ka maʻi ʻaʻai umauma: ʻO ke kanesa o ka umauma, hiki ke loaʻa i nā kāne a me nā wahine, ua mālama ʻia me ke ʻoki ʻana.
• Nā maʻi o ke ala GI luna:ʻO ia hoʻi nā maʻi e pili ana i ko kākou esophagus, ʻōpū, a me ka ʻōpū liʻiliʻi. Eia kekahi laʻana, inā e ʻoi aku ka ʻino o nā mea e like me ka gastritis, pono paha ʻoe e hana i kahi endoscopy a i ʻole ke ʻoki kino.
• ʻAla biliary: Hoʻokomo pū kēia i ka gallbladder, nā ʻauwai bile, ka pancreas, a me ke ake. Hoʻopau pinepine ʻia nā pōhaku gall ma ke ʻoki ʻana e ke kauka lapaʻau.
• Nā kūlana endocrine: No ka laʻana, hana ʻia ke ʻoki ʻana e mālama i nā ʻōpū i loko o ka thyroid gland a i ʻole nā ​​​​gland adrenal.
• Nā kūlana vascular: Hoʻopilikia pū lākou i kekahi mau pilikia vascular.
• Maʻi koʻikoʻi a me ka maʻi make: I kekahi manawa pili lākou i nā ʻoki kino e pono ai nā maʻi ma nā keʻena mālama koʻikoʻi, a i ʻole i kekahi mau mea i hana ʻia e hōʻemi i ka ʻeha o nā maʻi i ka hopena o ko lākou ola.

Pehea ʻoe e lilo ai i Kauka Lapaʻau Nui?

ʻAʻole he huakaʻi maʻalahi ka lilo ʻana i kauka lapaʻau laulā. ʻO ka mea mua, pono lākou e lilo i kauka. ʻO ia hoʻi, pono lākou e aʻo no ʻehā mau makahiki ma ke kula lapaʻau a loaʻa i ke "kekelē lapaʻau". A laila wale nō e hoʻomaka ai lākou i ke aʻo ʻana e lilo i kauka lapaʻau.

No ka hana ʻana i kēia, pono lākou e hoʻopau i kahi papahana noho ʻoki kino no ka liʻiliʻi o ʻelima mau makahiki . Hoʻokō ʻia kēia hoʻomaʻamaʻa ma ke ʻano pae. ʻO ia hoʻi, ma hope o ka hoʻopau pono ʻana i hoʻokahi makahiki e kūpono ai lākou no ka makahiki aʻe.

ʻOiai ma hope o ka pau ʻana o kēia hoʻomaʻamaʻa ʻana, pono lākou e hala i ʻelua mau hoʻokolohua papa e lilo i kauka lapaʻau laulā i hōʻoia ʻia.

1. ʻO ka mua ka hoʻokolohua kūpono . He hoʻokolohua kākau kēia me nā nīnau koho he nui.

2. Ma hope wale nō o ka hala ʻana i kēia e hiki ai iā ʻoe ke noho no ka "hoʻokolohua hōʻoia" . He hoʻokolohua waha kēia.

Ma hope wale nō o ka hala ʻana i kēia mau hoʻokolohua ʻelua e ʻike ʻia ai kekahi ma ke ʻano he "Certified General Surgeon." No laila e noʻonoʻo i ka nui o ka hoʻolaʻa a me ka hana nui e pono ai kēia!

He aha nā mea a ke kauka lapaʻau nui e aʻo ai?

Aʻo hohonu ke kauka lapaʻau laulā e pili ana i nā ʻāpana nui ʻeiwa o ke ʻoki kino laulā i kāna aʻo ʻana. ʻO lākou kēia:

• ʻO ke ala ʻōpū: Pili kēia i kēlā me kēia ʻāpana o kā mākou ʻōnaehana hoʻoheheʻe.
• ʻO nā kino o ka ʻōpū a me ka pelvic: ʻO nā kino i loko o ka ʻōpū, e like me ke ake, nā puʻupaʻa, a me ka pancreas.
• Nā umauma, ka ʻili a me nā ʻiʻo palupalu: Aʻo pū lākou e pili ana i nā mea ma luna o ke kino.
• Poʻo a me ka ʻāʻī:Hoʻomaʻamaʻa pū lākou i kekahi mau kūlana e kū nei ma kēia mau wahi.
• ʻŌnaehana cardiovascular: ʻIke kumu e pili ana i ka puʻuwai a me nā kīʻaha koko.
• ʻŌnaehana Endocrine: ʻO ka ʻōnaehana o nā kelepa e hana ana i nā hormones.
• ʻOncology ʻoki kino: ʻO ke ʻano kēia o ka mālama ʻana i ka maʻi kanesa ma o ke ʻoki kino.
• ʻEha: Hoʻokomo pū ʻia kēia me nā ʻeha i ka ʻōnaehana musculoskeletal, nā ʻeha poʻo, a me nā ʻeha lima.
• Nā ʻoki kino koʻikoʻi a me nā ʻoki kino ulia pōpilikia: Nā mea e like me nā ʻoki kino hoʻōla ola e pono e hana koke ʻia.

I loko o kā lākou hoʻomaʻamaʻa ʻana, pono lākou e hoʻolilo ma ka liʻiliʻi he ʻehā a me ka hapa mau makahiki mai loko mai o ʻelima mau makahiki e hana pū ana me nā maʻi. A ma ka liʻiliʻi he ʻekolu mau makahiki e hana ana ma nā wahi nui ʻeiwa i ʻōlelo ʻia ma mua. ʻAʻole hiki iā lākou ke hoʻomaʻamaʻa no nā mahina he 12 a ʻoi aku ma kahi ʻoihana ʻoki kino hoʻokahi a i ʻole ma mua o 6 mau mahina ma kahi ʻoihana lapaʻau ʻaʻole ʻoki kino. ʻO ia hoʻi, pono e ākea loa kā lākou hoʻomaʻamaʻa ʻana.

He aha ka hana a ke Kauka Lapaʻau Nui?

Ke pau ke aʻo ʻana o ke kauka lapaʻau laulā a hele i ka hana, ʻokoʻa paha nā ʻokiʻoki a me nā lāʻau lapaʻau āna e hana mau ai ma muli o ka haukapila āna e hana ai, inā paha ma ke kūlanakauhale nui a i ʻole ma kahi mamao aku.

E noʻonoʻo, ma kahi haukapila nui a lako pono, aia paha he mau loea ʻoki kino e hana ana i kekahi mau ʻoki kino kikoʻī. No ka laʻana, hiki i ke kauka ʻoki puʻuwai ke hana i nā ʻoki kino puʻuwai, a hiki i ke kauka ʻoki kino lolo ke hana i nā ʻoki kino aʻalolo. Eia nō naʻe, ma kahi haukapila kahi ʻaʻole nui nā loea, pono paha i ke kauka ʻoki kino laulā ke hana i nā hana he nui. No laila, he mea nui loa kā lākou kuleana.

He aha nā ʻoki kino i hana pinepine ʻia?

Eia kekahi o nā ʻano hana ʻoki hiki iā ʻoe ke manaʻo e hana mau ʻia e kahi kauka lapaʻau laulā:

• ʻO ke ʻoki kino anti-reflux (Nissen fundoplication): He ʻoki kino e pale ai i ka waikawa o ka ʻōpū mai ke kahe ʻana i luna i loko o ka puʻu ma muli o nā kūlana e like me ka gastritis.
• Ka wehe ʻana i ka ʻāpiki (Wehe ʻana i ka ʻāpiki / Appendectomy): Ke loaʻa kahi maʻi (appendicitis) ma kahi ʻāpana liʻiliʻi o ke kino i kapa ʻia ʻo ka ʻāpiki, lawe ʻia ma ke ʻoki ʻana.
• ʻO ke ʻoki kino Bariatric (hoʻemi kaumaha): ʻO ke ʻoki kino e kōkua i ka poʻe momona loa e hoʻemi i ke kaumaha.
• ʻOki umauma: ʻOki no nā puʻupuʻu umauma, e like me ke kanesa o ka umauma.
• ʻO ke ʻoki ʻimi (Laparotomy a i ʻole Laparoscopy): Ke hiki ʻole ke ʻike ʻia kahi maʻi, wehe ʻia ke kino a hoʻokomo ʻia paha kahi kāmela e nānā i loko.
• Ka wehe ʻana i ka ʻōpū gall (Cholecystectomy): Ka wehe ʻana i ka gallbladder ke loaʻa nā pilikia e like me nā gallstones.
• ʻO ke ʻoki hoʻoponopono hernia:Ke hoʻoponopono ʻana i kahi hernia (kahi puka ʻana o nā ʻāpana o ka ʻōpū ma o kahi nāwaliwali o ka paia ʻōpū).
• Ka wehe ʻana i ka prostate (Prostatectomy): He ʻoki kino i hana ʻia i nā kāne e mālama i nā kūlana e like me ke kanesa prostate.
• Ka wehe ʻana i ka spleen (Splenectomy): Pono paha e wehe ʻia ka spleen ma muli o kekahi mau maʻi koko a me nā pōpilikia.
• Ka wehe ʻana i ka ʻōpū (Hysterectomy): He ʻoki kino i hana ʻia e mālama i kekahi mau kūlana e pili ana i ka ʻōpū o nā wahine.

He aha nā ʻano hana ʻoki kino?

I kēia mau lā, ua hoʻomaʻamaʻa ʻia nā kauka lapaʻau laulā e hana me ka ʻenehana hou loa ('ʻenehana hana i kōkua ʻia e ka ʻenehana'). ʻO ke ʻano kēia, ma kahi o ka hoʻohana ʻana i nā ʻoki nui ma ke ʻano kahiko, hoʻohana lākou i nā ʻoki liʻiliʻi a me nā ʻoki ʻana i kōkua ʻia e ke kāmela. Hoʻemi kēia mau ʻano i ka ʻoluʻolu ʻole o ka mea maʻi a hiki ke kōkua iā lākou e hoʻōla wikiwiki.

ʻEkolu mau ʻano hana nui:

1. Endoscopy

2. ʻO ke ʻoki kino Laparoscopic

3. ʻO ke ʻoki kino robotic

He aha ka Endoscopy?

He hana ʻano ʻē loa kēia. ʻO ka Endoscopy kahi hana e hiki ai i kahi kauka lapaʻau ke hana i nā hana liʻiliʻi i loko o kou kino me ka ʻole o ka ʻoki ʻana i kou ʻili a i ʻole nā ​​​​ʻiʻo. E noʻonoʻo, hoʻohana lākou i nā mea hana lōʻihi a lahilahi. Hoʻokomo ʻia kēia mau mea ma o kahi paipu lōʻihi a palupalu i kapa ʻia ʻo endoscope. Ma kekahi ʻaoʻao o kēia paipu he kāmela wikiō liʻiliʻi.

Hoʻokomo ʻia kēia `endoscope` ma kou puʻu (`endoscopy luna`) a i ʻole ka rectum (`colonoscopy`). Hōʻike ʻia nā kiʻi i ʻike ʻia mai ke kāmela ma kahi `pale`. Hoʻohana ke kauka i kēia mau mea hana liʻiliʻi e hana i ke ʻoki ʻana i ka wā e nānā ana i ka pale.

I ka ʻōlelo maʻalahi, he hoʻokolokolo a hana ʻoki liʻiliʻi paha kēia e pili ana i ke hoʻokomo ʻana i kahi kāmela i loko o ke kino me ka ʻole o ka hana ʻana i nā ʻoki nui.

ʻO nā mea maʻamau i hana ʻia ma o ka endoscopy:

• Ka wehe ʻana i nā polyps liʻiliʻi a i ʻole nā ​​​​pūpū (polypectomy).
• Ke lawe ʻana i nā laʻana ʻiʻo no ka hoʻāʻo ʻana (biopsy).
• ʻO ka ʻoki ʻana a me ka hoʻokuʻu ʻana i kahi ʻiʻo paʻa (`myotomy`).

He aha ke ʻano o ke ʻoki laparoscopic?

ʻO ke ʻoki Laparoscopic kekahi ʻano hana ʻoki kino minimally invasive . Ma kēia, komo ke kauka ʻoki i kou mau ʻōpū ma o kekahi mau ʻoki liʻiliʻi "keyhole", ʻaʻole i emi iho ma mua o ka hapalua ʻīniha ka nui .

Hoʻokomo ʻia kahi ʻōmole i lako me ke kāmela i kapa ʻia ʻo laparoscope (he ʻano endoscope hoʻi) ma kekahi o nā lua a nānā ʻia ke ʻano o loko. Hoʻolele ʻia nā kiʻi mai ke kāmela ma luna o kahi pale. A laila hoʻokomo ʻia nā mea hana lōʻihi a lahilahi ma o nā lua ʻē aʻe a hana ʻia ke ʻoki ʻana me ka nānā ʻana i ka pale. ʻAe kēia ʻano hana i ka mea maʻi e hoʻōla wikiwiki a waiho i nā ʻeha liʻiliʻi.

ʻO nā hana laparoskopika maʻamau i hana ʻia e nā kauka lapaʻau laulā:

• ʻO ka Appendectomy kahi ʻoki kino no ka appendicitis.
• ʻO ke ʻoki kino no nā pōhaku gall (Cholecystectomy).
• ʻO ke ʻoki bypass gastric kahi ʻoki pohō kaumaha.

He aha ke ʻokiʻoki robotic?

He ʻano holomua o ke ʻoki laparoscopic ke ʻoki robotic . Hoʻohana ia i kahi laparoscope a me nā mea hana lōʻihi a lahilahi ma o nā puka kī liʻiliʻi. ʻO ka ʻokoʻa, ua hoʻopunipuni ʻia kēia mau mea hana e nā lima robotic.

Akā, ʻaʻole kēia manaʻo e hana ka lopako i ke ʻoki kino ma kāna iho. Hoʻokele ke kauka ʻoki kino i ka lima lopako mai kahi console kamepiula ma ka lumi hana. ʻAe kēia i nā ʻoki kino pololei a akahai loa. Hiki i nā kauka ʻoki kino laulā ke aʻo e pili ana i ke ʻoki kino lopako i ko lākou hoʻomaʻamaʻa maʻamau, a i ʻole hiki iā lākou ke hana i nā hoʻomaʻamaʻa hou aʻe (fellowship).

He aha ka ʻokoʻa ma waena o ke kauka lapaʻau laulā a me ke kauka maʻamau?

He nīnau kēia a ka poʻe he nui e nīnau ai. He kauka lapaʻau kēlā me kēia kauka ʻoki. Akā, ʻaʻole he kauka ʻoki nā kauka a pau. He poʻe kauka nā kauka ʻoki a laila loaʻa iā lākou ke aʻo hou aʻe a me ka palapala hōʻoia e hana i ke ʻoki. I ka ʻōlelo maʻalahi, ʻo ke ʻoki ʻana he hana i hana ʻia ma loko o ke kino o ke kanaka, e like me nā ʻōpū, nā ʻiʻo, a me nā iwi, e mālama i nā ʻeha a i ʻole nā ​​maʻi.

ʻO ke Kauka Lapaʻau Laulā (a i ʻole Kauka Mālama Kumu - PCP) he kauka e hana ana i ka lāʻau lapaʻau laulā, ma kahi o kahi ʻoihana kūikawā. ʻAʻole lākou e hana i ke ʻoki kino.

Ma ka ʻaoʻao ʻē aʻe, he kauka lapaʻau laulā he kauka i koho e loea i ke ʻoki kino. ʻAʻole lākou i kaupalena ʻia i hoʻokahi ʻoihana lapaʻau kūikawā, akā hana lākou ma ke kahua ākea o "ke ʻoki kino laulā."

ʻEhia ka lōʻihi e lilo ai i Surgeon General?

E noʻonoʻo wale, ma kahi ʻāina e like me ʻAmelika, ʻehā mau makahiki e loaʻa ai ke kēkelē laepua. A laila ʻehā mau makahiki hou e loaʻa ai ke kēkelē lapaʻau. A laila ʻelima mau makahiki e loaʻa ai kahi noho ʻoki kino. He 13 mau makahiki kēlā! A laila he manawa ka lōʻihi e hala ai i kēlā mau hoʻokolohua papa aʻu i ʻōlelo ai ma mua. No laila, pono ʻoe e aʻo no ka liʻiliʻi he 13 mau makahiki e lilo ai i kauka lapaʻau laulā. ʻAʻole anei he hoʻohiki nui kēlā?

He aha ka ʻokoʻa ma waena o ke Kauka Lapaʻau Nui a me ke Kauka Lapaʻau Pediatric?

He mea nui nō hoʻi kēia. He kauka lapaʻau laulā kēlā me kēia kauka lapaʻau keiki. Akā, ʻaʻole he kauka lapaʻau pediatric kēlā me kēia kauka lapaʻau laulā.

I ka ʻōlelo maʻalahi, he kauka lapaʻau pediatric kekahi kanaka i aʻo ʻia ma ke ʻano he kauka lapaʻau laulā a laila loaʻa iā ia ke aʻo kūikawā hou aʻe e mālama i nā keiki. Ua like ia me kahi pediatrician, akā hiki i kēia kauka ke hana i ke ʻoki kino.

Ua like ke kauka lapaʻau laulā me ke kauka maʻamau me ka mana keu. ʻO kēlā mana ka hiki ke mālama i nā ʻano maʻi like ʻole i loko o ka lumi hana.

He nui ke aʻo ʻana, ka ʻike, a me ke akamai e pono ai e lilo i kanaka e like me kēia. Akā, he ʻoihana ʻoluʻolu loa ia. No ka mea, ʻaʻohe lā ʻelua e like. Aia mau nā pilikia hou, nā ʻike hou.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, ke manaʻo nei au ua loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i ke kauka lapaʻau nui.

• He kauka loea ke kauka lapaʻau laulā i hoʻomaʻamaʻa ʻia e hana i nā ʻano ʻoki kino like ʻole. ʻAʻole lākou i kaupalena ʻia i hoʻokahi wale nō ʻāpana o ke kino.
• Hoʻōla lākou i nā mea he nui, e like me nā pilikia ʻōpū, nā ulia pōpilikia, nā puʻupuʻu umauma, a me nā hernia.
• Mālama lākou i ka mea maʻi ma mua, i ka wā, a ma hope o ke ʻoki ʻana.
• Hiki iā lākou ke hana i nā ʻokiʻoki me ka hoʻohana ʻana i nā ʻano hana hou e like me 'Endoscopy' a me 'Laparoscopy', me ka hoʻohana ʻana i nā ʻoki liʻiliʻi.
• ʻO ka lilo ʻana i kauka lapaʻau laulā e pono ai ka hoʻonaʻauao nui a me ke aʻo ʻana.
• Inā pono ʻoe i ke ʻoki kino, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi kauka lapaʻau laulā. Mai hopohopo, aia lākou ma laila e kōkua iā ʻoe.

Inā he mau nīnau hou aku kāu, e kamaʻilio me kāu kauka. E noho olakino!

Kauka Lapaʻau, Kauka Lapaʻau Nui, ʻoki kino, ʻoki kino, lapaʻau lapaʻau, hōʻailona, ​​Kauka Lapaʻau Nui