ʻO ke ʻoki ʻana o APR no ka maʻi ʻaʻai rectal? Mai makaʻu, e kamaʻilio kākou e pili ana i nā kikoʻī (Abdominoperineal Resection)

Ua haʻi aku anei kāu kauka iā ʻoe a i ʻole kekahi āu i ʻike ai e pono ke ʻoki ʻia no ka maʻi ʻaʻai rectal? He mea maʻamau ka hopohopo a me ka hopohopo i ka manawa e like me kēia. ʻOi loa aku hoʻi i ka wā e ʻike ai ʻoe he ʻoki nui ia e like me ka 'APR'. Akā, mai hopohopo. ʻO ka ʻike maikaʻi ʻana e pili ana i kēia mau ʻano ʻoki hiki ke hōʻemi nui i kou makaʻu. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o ka APR, pehea e hoʻomākaukau ai no ia mea, a me nā mea e manaʻo ai ma hope o ke ʻoki ʻana.

I ka ʻōlelo maʻalahi, he aha kēia ʻoki kino APR?

ʻO ka Abdominoperineal Resection, i ʻike ʻia hoʻi ʻo APR, he ʻoki kino nui i hana ʻia no ka mālama ʻana i nā maʻi ʻaʻai o ka rectum haʻahaʻa. He ʻoki kino paʻakikī iki ia.

E noʻonoʻo e pili ana i ia mea, ʻo ka ʻāpana hope loa o kā mākou ʻōnaehana hoʻoheheʻe ʻana ʻo ia ka anus a me ka rectum. Ma muli o kahi o ke kanesa, no ka wehe loa ʻana i nā hunaola kanesa, pono paha e wehe ʻia ka ʻāpana a puni. I mea e pololei ai, i ka wā o kēia kaʻina hana APR, e hana kāu kauka ʻoki i kekahi mau mea koʻikoʻi:

• Ua wehe loa ʻia kou anus , ka puka e puka ai ka feces, a ua humuhumu ʻia ka ʻāpana.
• Ua wehe ʻia kou rectum , ka ʻāpana hope loa o kou ʻōpū nui.
• E wehe ʻia kekahi ʻāpana o kou kolona .

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Pehea lā wau e hoʻokahe ai?" ʻAe, ʻo ia ka ʻokoʻa nui loa i kēia ʻoki kino. Ma muli o ka wehe ʻia ʻana o ka anus, pono e hana ʻia kahi ala hou no ka ʻōpala e puka ai i waho o ke kino. ʻO ia ke kumu e hana ʻia ai kahi colostomy mau loa .

I ka ʻōlelo maʻalahi, lawe ʻia ke koena o kou kolona a hoʻopili ʻia kona hopena i ka ʻili o ka ʻili o kou ʻōpū. Ua kapa ʻia kēia puka he 'stoma' . A laila, hoʻopili ʻia kahi ʻeke kūikawā (ʻeke ostomy) i kēia stoma. A laila hele pololei kāu ʻōpala i loko o kēia ʻeke. He mea hou paha kēia i ka wā mua, akā e maʻa ʻoe iā ia i ka hala ʻana o ka manawa. Aia nā limahana kahu hānai kūikawā e kōkua iā ʻoe me kēia.

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

ʻOiai he ʻoki kino nui ʻo APR, he mea nui loa ia e hoʻomākaukau no ia. E wehewehe kāu hui lapaʻau i nā mea āpau iā ʻoe. Aia ma lalo iho kekahi o nā mea e hiki ke hana ʻia i ka wā o kēia hoʻomākaukau ʻana.

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

No ka mea, aia ʻoe ma lalo o ka anesthesia laulā, ʻaʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki kino. E hiamoe maikaʻi ʻoe. E hana ke kime o ke kauka i kēia ʻoki kino no kekahi mau hola.

Hiki ke hana ʻia kēia ʻoki kino ma nā ʻano ʻelua:

1. ʻOki Hāmama: Hana ʻia ke ʻano kuʻuna ma o kahi ʻoki lōʻihi hoʻokahi ma ka ʻōpū.

2. ʻO ke ʻoki Laparoscopic/Robotic: Hana ʻia kēia ʻano hana ma o kekahi mau ʻoki liʻiliʻi ma ka ʻōpū, me ka hoʻohana ʻana i kahi kāmela a me nā mea hana kūikawā. He pōkole ka manawa hoʻōla o kēia ʻano hana a ʻaʻole ʻeha iki.

I ka wā o ke ʻoki ʻana, wehe ke kauka ʻoki i ka rectum, anus, a me kahi ʻāpana o ka colon kahi i loaʻa ai ke kanesa. I ka manawa like, wehe ʻia nā lymph nodes a puni ka wahi. ʻO kēia no ka mea ʻo kēia mau lymph nodes kahi e hiki ai i nā hunaola kanesa ke pālahalaha. A laila, e like me ka mea i kūkākūkā ʻia ma mua, hana ʻia ka stoma i loko o ka ʻōpū a humuhumu ʻia ka ʻili kahi i loaʻa ai ka anus a pani ʻia.

He aha nā pilikia e hiki ke loaʻa ma hope o ke ʻoki kino?

ʻOiai he ʻoki kino nui ʻo APR, e like me nā ʻoki kino nui a pau, aia kekahi mau pilikia e pili ana. Akā, mai hopohopo, ke hana nei ke kime lapaʻau i kā lākou mea maikaʻi loa e hōʻemi i kēia mau pilikia. He mea nui e makaʻala i nā pilikia e hiki mai ana.

• Ke kahe ʻana o ke koko: Hiki ke kahe ke koko mai ka wahi i hana ʻia ai ke ʻoki kino.
• Ka maʻi: Hiki ke loaʻa nā maʻi ma nā ʻoki a i loko paha o ke kino.
• Nā ʻūpā koko: Hiki ke hana ʻia nā ʻūpā koko ma nā wāwae a hele i nā māmā. I mea e pale aku ai i kēia, ua ʻōlelo ʻia ʻoe e hele wikiwiki ma hope o ke ʻoki ʻana.
• Ka hōʻino ʻana i nā kino a puni: Aia kahi manawa liʻiliʻi o ka hōʻino ʻana i nā kino a puni ka wahi ʻoki, e like me ka ʻōpū mimi.
• Nā pilikia e pili ana i ka anesthesia: ʻO ka pilikia o nā pilikia koʻikoʻi e like me ka pneumonia, ka hōʻeha puʻuwai, a me ka hahau he haʻahaʻa loa ia, akā maikaʻi ke ʻike iā lākou.

I kekahi manawa, aia nā pilikia lōʻihi e kū mai ana i ka hala ʻana o ka manawa. No ka laʻana, hiki ke ulu kahi hernia a puni ka stoma. Aia kekahi hiki ke loaʻa kahi hernia perineal kahi i wehe ʻia ai ka anus.

He aha ka mea e hana ʻia ma ka haukapila ma hope o ke ʻoki kino?

Ma hope o ke ʻoki kino, pono ʻoe e noho ma ka haukapila no kekahi mau lā. I loko o kēia manawa, e mālama pono ke kime lapaʻau i kou hoʻōla ʻana.

• Nā paipu a me nā paipu: E kau ʻia kahi catheter e hoʻokahe i kou mimi. E kau ʻia hoʻi kahi paipu i loko o kou ʻōpū e hoʻokahe i kekahi wai e hōʻiliʻili ana ma kahi o ke ʻoki ʻana. E wehe ʻia kēia mau mea i loko o kekahi mau lā.
• Nā lāʻau hoʻopau ʻeha:E hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e like me ka mea e pono ai e kāohi i ka ʻeha.
• ʻAi: Ma hope o ke ʻoki kino, e hāʻawi mua ʻia ʻoe i nā wai e inu ai. Hiki iā ʻoe ke hoʻomaka e ʻai i nā meaʻai palupalu e like me ka sopa a me ka yogurt i ka lā aʻe.
• Ka hele wāwae: He mea nui loa ka ala koke ʻana mai kahi moe a me ka hele wāwae ʻana no ke kaʻina hana ho'ōla. Hiki iā ia ke kōkua i ka pale ʻana i nā mea e like me ke koko ʻana.
• Hoʻomaʻamaʻa Ostomy: ʻO kēia ke aʻo koʻikoʻi loa āu e loaʻa ai ma ka haukapila. E hele mai ke kahu maʻi ostomy a aʻo iā ʻoe pehea e mālama ai i kāu stoma hou, hoʻololi i ka ʻeke, a mālama i kou ʻili i ka maʻemaʻe. Mai makaʻu e nīnau hou a hiki i kou maopopo ʻana. E noi i kahi lālā o ka ʻohana e hui pū me ʻoe i kēia manawa. Ma kēlā ala, e loaʻa iā ʻoe kekahi e kōkua iā ʻoe ke hoʻi ʻoe i ka home.

E ʻae ʻia ʻoe e hoʻi i ka home ke hiki iā ʻoe ke ʻai i nā meaʻai palupalu, kaohi i ka ʻeha me nā lāʻau lapaʻau home, a hiki iā ʻoe ke hilinaʻi e mālama i kou ostomy iā ʻoe iho.

Pehea ka manawa hoʻōla ma hope o ka hoʻi ʻana i ka home?

E lōʻihi ka manawa e hoʻōla piha ai ma hope o kou hoʻi ʻana i ka home. I loko o kēia manawa, e hoʻolohe i kou kino. Inā luhi ʻoe, e hoʻomaha.

Inā ʻoe e hana ana, hiki ke hala kekahi mau pule a i ʻole hoʻokahi mahina e hoʻi ai i ka hana, ma muli o ke ʻano o ka ho'ōla ʻana o kou mau ʻeha a me ke ʻano o kāu hana.

I ka manawa hea e kāhea aku ai i ke kauka

Inā loaʻa iā ʻoe kekahi mau pilikia i kou wā e hoʻōla ai, e kāhea koke i kāu kauka a i ʻole ka haukapila kahi i hana ʻia ai kāu ʻoki kino. E hōʻoia e hōʻike i kekahi o kēia mau hōʻailona:

• ʻEha nui o ka ʻōpū hiki ʻole ke kāohi ʻia ʻoiai me nā lāʻau ʻeha.
• Kuni. He kuni o 38.6 kekelē Celsius (101.5 Fahrenheit) a ʻoi aku paha.
• Inā hoʻomau ka luaʻi a me ka nausea .
• Ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi kahe.
• Inā ʻulaʻula nā wahi i ʻoki ʻia, pehu, a ʻeha paha .
• Inā loaʻa iā ʻoe kekahi ʻeha a pilikia paha me kou ostomy .

He ʻike hoʻololi ola ka ʻoki ʻana o APR. E lōʻihi ka manawa e maʻa ai iā ia. E kamaʻilio me kāu kauka, ʻohana, a me nā hoaaloha e pili ana i kou hopohopo, makaʻu, a me kou mau manaʻo. ʻAʻole pono ʻoe e hele hoʻokahi ma kēia huakaʻi.