Ua haʻi ʻia anei ʻoe a i ʻole kekahi āu i ʻike ai e ke kauka e pili ana i kahi ʻoki kino 'ileostomy'? He mea maʻamau ke manaʻo iki i ka makaʻu a loaʻa ka nui o nā nīnau ke lohe ʻoe i ka inoa. "He aha ke ʻano o kēia ʻoki kino?", "No ke aha e pono ai iaʻu kēia?", "Pehea lā koʻu ola ma hope o ke ʻoki kino?" Ke holo nei paha nā mea e like me ia i loko o kou manaʻo. Mai hopohopo, he mea maʻamau ia. I kēia lā, e kamaʻilio mākou e pili ana i kēia ʻoki kino i kapa ʻia he ileostomy ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Ileostomy?
He hana ʻoki kino ka ileostomy e hoʻololi ai i ke ʻano o ka hele ʻana o kou kino i ka ʻōpala. E noʻonoʻo i kāu ʻōnaehana hoʻoheheʻe e like me ka paipu wai. I kekahi manawa, kahi ʻāpana o kēia ʻōnaehana, ʻoiai ke kolona, e pau ka hana pono ma muli o ka maʻi a i ʻole nā kumu ʻē aʻe. ʻO ia ka manawa e hoʻoholo ai nā kauka e hana i kēia ʻoki kino.
Ma kēia kaʻina hana, hana ke kauka lapaʻau i kahi puka liʻiliʻi i loko o kou ʻōpū, i kapa ʻia he stoma, ma o ka ʻili. A laila hoʻopili ʻia ka hopena o kou ʻōpū liʻiliʻi, i kapa ʻia ʻo ka ileum , i ka stoma i hana hou ʻia.
He aha ka mea e hana nei i kēia manawa? Ma kahi o nā huahana ʻōpala e puka mai ana mai ka meaʻai āu e ʻai ai e iho ana i lalo o ka ʻōpū nui a puka i waho o ka anus, puka pololei lākou mai ke kino ma o ka stoma i loko o ka ʻōpū liʻiliʻi. Hoʻohana ʻia kahi ʻeke kūikawā (ʻeke ostomy) i hoʻopili ʻia i ka stoma e hōʻiliʻili i nā huahana ʻōpala e puka mai ana.
ʻO ka mea nui, hiki i kēia ʻoki kino ke lilo i manawa pōkole a mau loa paha, ma muli o kou kūlana. Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ka hiki ke hoʻohuli ʻia kēia ʻoki kino inā hoʻōla ʻia kou kolona ma hope.
He aha nā ʻano nui o ke ʻoki ʻana o ka ileostomy?
ʻElua ʻano nui o ke ʻoki ʻana o ka ileostomy. No ka hoʻomaopopo ʻana i ka ʻokoʻa ma waena o nā mea ʻelua, e nānā i ka papa ma lalo.
| ʻAno o ke ʻoki kino | Ke ʻano a me ke ʻano o ka hana ʻana |
|---|---|
| ʻO ka Ileostomy Loop | He manawa pōkole kēia pinepine.Maanei, lawe ke kauka i kahi ʻāpana e like me ka loop o ka ʻōpū liʻiliʻi mai loko mai o ka puka i hana ʻia ma ka ʻōpū, wehe i kekahi ʻaoʻao o ia mea, a hana i ka stoma. ʻAʻole kēia e ʻoki loa i ka pilina ma waena o ka ʻōpū liʻiliʻi a me ka ʻōpū nui. |
| Hoʻopau i ka Ileostomy | He mea mau loa kēia. Maanei, ua hoʻokaʻawale loa ʻia ka ʻōpū liʻiliʻi mai ka ʻōpū nui, a ua hana ʻia ka stoma ma ka lawe ʻana i ka hopena loa o ka ʻōpū liʻiliʻi. Hoʻohana ʻia kēia ʻano hana i nā hihia kahi e wehe ʻia ai ka ʻōpū nui holoʻokoʻa. |
No ke aha e pono ai i kekahi ke hana i kahi ileostomy?
Inā loaʻa iā ʻoe kahi maʻi e pale ai iā ʻoe mai ka hoʻohana ʻana i kou ʻōpū nui (colon) a i ʻole ka ʻāpana hope loa o kou ʻōpū liʻiliʻi (ileum), pono paha ʻoe i kahi ileostomy. I kekahi manawa hana ʻia kēia ma ke ʻano he ʻāpana o kahi hana nui aʻe. Eia kekahi o nā kumu nui:
- Ka ālai ʻana o ka ʻōpū: He ālai ʻana ma kekahi wahi o ka ʻōpū.
- Ka puka ʻana o ka ʻōpū: He lua ma ka paia o ka ʻōpū.
- Ka maʻi ʻaʻai colorectal.
- Diverticulitis: He maʻi i loko o ka kolona.
- ʻO kekahi mau maʻi polyposis hoʻoilina: No ka laʻana, nā kūlana e like me FAP a me JPS.
- Nā maʻi ʻōpū mumū: ʻO nā hiʻohiʻona maikaʻi loa o kēia ka Ulcerative colitis a me ka maʻi ʻo Crohn .
I kekahi manawa, hana ʻia kēia ʻoki kino e hāʻawi i kou ʻōpū i kahi wā hoʻomaha no ka manawa pōkole a ʻae iā ia e ho'ōla. Eia nō naʻe, inā pono e wehe ʻia kekahi hapa a i ʻole kou kolona āpau, pono paha ʻoe i kahi ileostomy mau loa.
He aha ka mea e hana ʻia ma mua a i ka wā o ke ʻoki kino?
Ke hoʻomākaukau nei no ke ʻoki kino
Ma mua o ke ʻoki ʻana, pono ʻoe e hoʻomākaukau i ka ʻōpū. E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi kikoʻī no ka mea e hana ai a me nā wai e inu ai. Pono nō hoʻi ʻoe e kaupalena i kāu meaʻai a me ka mea inu no kekahi mau lā ma mua o ke ʻoki ʻana.
Pehea e hana ʻia ai ke ʻoki kino
Hana ʻia kēia ʻoki kino ma lalo o ka anesthesia laulā , ʻo ia hoʻi, ʻaʻole ʻoe e manaʻo i kekahi mea. E hana ke kauka i kahi ʻoki ma kou ʻōpū, e ʻimi i ka ʻāpana o kou ʻōpū liʻiliʻi i hoʻopilikia ʻia, a hana i ka stoma e like me ka mea i kūkākūkā ʻia ma mua. Hiki ke hana ʻia kēia ʻoki kino ma nā ʻano ʻelua:
1. ʻOki hāmama (Laparotomy): ʻOki hana i hana ʻia ma o kahi ʻoki lōʻihi hoʻokahi ma ka ʻōpū.
2. ʻO ke ʻoki kino liʻiliʻi / ʻO ke ʻoki Laparoscopic: Hana ʻia ke ʻoki ma o kekahi mau ʻoki liʻiliʻi ma ka ʻōpū me ke kōkua o kahi kāmela.
E wehewehe mua ke kauka i ke ʻano o ke ʻoki kino āu e hana ai.
Ke ho'ōla hou nei a me ke ola ʻana me kahi Ileostomy
Ma hope o ke ʻoki ʻana, pono ʻoe e noho i ka haukapila no kekahi mau lā. I loko o kēia manawa, e kōkua nui kahi kahu maʻi i aʻo kūikawā ʻia (kahu maʻi ostomy) iā ʻoe. E aʻo lākou iā ʻoe pehea e mālama ai i kou stoma i maʻemaʻe, pehea e hoʻololi ai i kāu ʻeke, a pehea e ola ai i kahi ola maʻamau.
ʻEhia ka lōʻihi e ho'ōla ai?
ʻOiai he ʻoki kino nui kēia, hiki ke hala ma kahi o 6 a 8 mau pule e hoʻōla piha ai. I nā lā mua ma hope o ke ʻoki kino, pono ʻoe e ʻai i nā wai a me nā meaʻai palupalu wale nō. E aʻo aku kāu kauka iā ʻoe pehea e hoʻi mālie ai i ka ʻai maʻamau. Pono paha kekahi poʻe e hana i nā hoʻololi mau loa i kā lākou ʻai.
Pehea e hoʻopau ai i ka ʻōpala me kahi ileostomy?
I kēia manawa, ʻaʻole e puka mai kou ʻōpala ma kou anus. Akā, hele pololei ia i loko o ka ʻeke ma o ka stoma i loko o kou ʻōpū. ʻAʻole hiki iā ʻoe ke kāohi i kēia . ʻO ia hoʻi, ʻaʻole ʻoe e manaʻo e pono ʻoe e hele. Akā, ʻaʻole e loli kou mimi. E hoʻomau ʻia ia e like me ka mea maʻamau.
E hoʻopilikia anei kēia ʻoki kino i koʻu ola?
ʻAʻole loa. ʻAʻole pili ka loaʻa ʻana o kahi ileostomy i kou ola ma kekahi ʻano. ʻO ka ʻoiaʻiʻo, hana ʻia kēia ʻoki kino ma ke ʻano he lāʻau lapaʻau no nā kūlana i hiki ke lilo i mea weliweli loa. No laila, ʻaʻole ia e hoʻomaikaʻi wale i kou ʻano ola, akā i kekahi manawa hoʻopakele i kou ola .
I ka manawa hea e ʻimi ai i ke aʻo lapaʻau
He mea nui loa e hoʻomaopopo koke i kāu kauka inā loaʻa iā ʻoe kekahi pilikia ma hope o kāu ʻoki ʻana. E makaʻala pono i nā hōʻailona ma lalo nei.
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e kāhea koke aku i kāu kauka. | |
|---|---|
| ʻAla ʻino | Inā he ʻala ʻino a pilau hoʻi e puka mai ana mai ka stoma a i ʻole kahi e puni ana. |
| ʻEha a kahe koko paha | Inā ʻeha, ʻeha, a kahe paha ke koko ma kahi a puni ka stoma. |
| Ka luaʻi a me ka ʻeha | Inā loaʻa iā ʻoe ka ʻeha mau o ka ʻōpū, ka nausea, a i ʻole ka luaʻi ʻana. |
| Ka hoʻōki ʻana o ka manaʻo | Inā ʻaʻole e hōʻiliʻili ka ʻōpala i loko o ka ʻeke no nā hola he 6 a ʻoi. He hōʻailona paha kēia o kahi ālai ʻana o ka ʻōpū. E hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU) . |
ʻO ka ileostomy, ʻoiai inā he manawa pōkole, he ʻike hoʻololi ola. He mea maʻamau ka lawe ʻana i kekahi manawa e hoʻomaʻamaʻa ai i nā ʻano hou. Hiki iā ʻoe ke manaʻo mehameha a ʻoluʻolu ʻole. E hoʻomanawanui iā ʻoe iho. E kamaʻilio e pili ana i kou mau manaʻo me kou ʻohana, kahi hoaaloha hilinaʻi, a, inā pono, he kākāʻōlelo. Ua mākaukau mau kāu kauka a me nā limahana kahu maʻi e kōkua iā ʻoe. No laila, mai makaʻu e nīnau i kekahi mau nīnau.
Leka Lawe-Home
- He hana ʻoki kino ka ileostomy e hoʻololi i ke ʻano o ka puka ʻana o ka ʻōpala mai ke kino. Hana ʻia kēia ma o kahi puka i kapa ʻia he stoma, i hana ʻia ma ka ʻili o ka ʻōpū.
- Hana ʻia kēia ʻoki kino ma ke ʻano he lāʻau lapaʻau no nā maʻi koʻikoʻi e like me ke kanesa colon, nā maʻi koʻikoʻi, a me nā mea ālai.
- Hiki i kēia ke hana no ka manawa pōkole a mau loa paha, a he hana ia e hoʻōla ai i ke ola a hoʻomaikaʻi i ka maikaʻi o ke ola.
- Na ke limahana lapaʻau e alakaʻi iā ʻoe i ka mālama ʻana i kou stoma a me kou ʻeke ma hope o ke ʻoki ʻana.
- Inā ʻike ʻoe i nā hōʻailona hōʻailona e like me ka ʻeha o ka ʻōpū, ka luaʻi ʻana, a i ʻole ka neʻe ʻana o ka ʻōpū no kekahi mau hola, e kelepona koke aku i kāu kauka.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo