ʻO ʻoe a i ʻole kekahi āu i ʻike a aloha ai, ua manaʻo paha ʻoe i kahi makaʻu iki a me kahi kaumaha ma kou puʻuwai i ka wā i haʻi aku ai ke kauka iā ʻoe e pili ana i kēia ʻano hana ʻoki kino, ʻeā? He mea maʻamau ka hopohopo ke lohe ʻoe i kahi inoa nui e like me "Laparoscopic Abdominoperineal Resection." Akā, mai makaʻu. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o kēia hana ʻoki kino, no ke aha i hana ʻia ai, a me nā mea e hana ʻia ma hope o ke ʻoki kino ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha kēia ʻoki kino?
He hana ʻoki kino kēia e hana ʻia e ke kauka ʻoki kino. Hoʻopau ʻia kou anus, rectum, a me ka ʻaoʻao haʻahaʻa o kou ʻōpū nui (sigmoid colon) . Hana ʻia kēia hana ma o kekahi mau lua liʻiliʻi i loko o kou ʻōpū, ma mua o kahi ʻoki nui. Ua kapa ʻia kēia ʻano hana laparoscopy a i ʻole "keyhole surgery."
ʻO ka maʻamau, ua ʻōlelo ʻia kēia ʻoki kino inā aia ka maʻi kanesa ma ka rectum a kokoke paha i ka anus. He mea pono loa kēia ʻoki kino inā aia ka maʻi kanesa kokoke loa i nā ʻiʻo sphincter e kāohi ana i ke hele ʻana o ka ʻōpala, no ka mea, he mea pono kēia ʻoki kino e wehe loa i nā hunaola kanesa me kēlā mau ʻiʻo.
ʻO ka mea nui loa, ʻo ia ka wehe loa ʻana i ke kanesa mai ke kino. Hana kēia ʻoki kino i kēlā.
Ma kēia ʻoki kino, hana ʻia kahi puka hou no ka ʻōpala (feces) e puka i waho o kou kino. Ua kapa ʻia kēia he stoma . Aia kēia stoma ma ka ʻili o kou ʻōpū. Ma o kēia e hoʻopili ʻia ai ka ʻōpū nui. Ua kapa pū nā kauka i kēia kaʻina hana he "colostomy."
He aha ka stoma? Pono anei au e makaʻu iā ia?
ʻAʻole loa. He ʻāpana koʻikoʻi ka stoma o kāu ʻoki ola. E noʻonoʻo i kēia ʻano, e like me ko kākou anus, he ala hou kēia no ka puka ʻana o nā ʻōpala.
Akā, hoʻokahi ʻokoʻa. ʻAʻohe o ka stoma nā ʻiʻo sphincter e kāohi ana i ke hele ʻana o ka ʻōpala, e like me nā mea i loko o ko kākou anus. No laila, ʻaʻole hiki iā kākou ke kāohi i ke hele ʻana o ka ʻōpala i ka wā e makemake ai kākou. No kēia kumu, pono kākou e ʻaʻahu i kahi ʻeke kūikawā (ʻeke) e hōʻiliʻili i nā ʻōpala e puka mai ana.
He mea ʻē paha ke ʻano o ka maʻa ʻana i kēia i ka wā mua. Akā i ka hala ʻana o ka manawa, e lilo ia i ʻāpana maʻamau o kou ola. No ke kōkua ʻana iā ʻoe me kēlā, aia nā limahana kahu maʻi i loaʻa i ke aʻo kūikawā ma kēia. E aʻo aku lākou iā ʻoe i nā mea āpau.
Pehea e hana ʻia ai ke ʻoki ʻana i kēlā me kēia ʻanuʻu
He mea maʻamau ke hopohopo i ka noʻonoʻo ʻana i kahi ʻoki kino nui. Akā i ka manawa e maopopo ai iā ʻoe ke ʻano o ka hana ʻana, e emi nui ana kou makaʻu.
| Kahua o ke ʻoki kino | He aha ka mea e hana ʻia |
|---|---|
| 1. Hoʻomaʻamaʻa ʻana | ʻO ka mea mua, e hoʻomaʻemaʻe piha ʻia ʻoe. ʻO ke ʻano kēia, ʻaʻole ʻoe e manaʻo i kekahi mea a hiki i ka pau ʻana o ke ʻoki ʻana, a e hiamoe loa ʻoe. |
| 2. Hoʻomaka ka laparoscopy | ʻOiai ʻoe e hiamoe ana, hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi (ma kahi o 1/2 ʻīniha) kokoke i kou pihi ʻōpū a hoʻokomo i kahi mea hana liʻiliʻi e like me ke kāmela (laparoscope) ma loko. Hiki i kēia kāmela iā ʻoe ke ʻike i loko o kou ʻōpū. A laila, hana ʻia ma kahi o 4 a 5 mau lua liʻiliʻi i loko o kou ʻōpū e hoʻokomo i nā mea hana e pono ai e hana i ke ʻoki kino. |
| 3. Ke hoʻomākaukau nei no ka wehe ʻana i ka ʻōpū | ʻOki ʻia a pani ʻia nā kīʻaha koko nui e hoʻolako ana i ke koko i ka ʻāpana o ka kolona e wehe ʻia. A laila, hoʻokuʻu ʻia ka ʻāpana o ka kolona e wehe ʻia (sigmoid colon) mai nā ʻiʻo a puni a hoʻokaʻawale ʻia mai ke koena o ka ʻōpū nui. Hoʻokuʻu ʻia hoʻi ka rectum mai nā ʻiʻo a puni ma ke ʻano like. |
| 4. Ka wehe ʻana i ka anus | Ma hope o ka hoʻokuʻu ʻia ʻana o nā ʻāpana ʻōpū, e hana kekahi lālā o ke kime ʻokiʻoki i ke ʻoki ʻana ma ka ʻāpana ma waena o kou mau wāwae (ka ʻāpana perineal) a wehe loa i ka anus, ka rectum, a me ka ʻāpana i hoʻopilikia ʻia o ka colon. |
| 5. Ka Hoʻokumu ʻana o Stoma | Ma hope o ka wehe ʻana i ka ʻiʻo kanesa, hana ke kauka lapaʻau i kahi stoma ma o kahi lua liʻiliʻi i hana mua ʻia. Hana pinepine ʻia kēia ma ka ʻaoʻao hema o ka ʻōpū. Lawe ʻia ke koena o ka kolona ma o ka lua, pili i ka ʻili, a humuhumu ʻia. |
| 6. Hoʻopau ʻana o ke ʻoki kino | ʻO ka hope loa, holoi pono ʻia ka lua ʻōpū (i loko o ka ʻōpū), a kau ʻia kahi ʻōmole hoʻokahe liʻiliʻi e hoʻokahe i nā wai i makemake ʻole ʻia i hōʻiliʻili ʻia i loko. Kōkua kēia i ka ho'ōla wikiwiki ʻana o ka ʻeha. A laila, humuhumu ʻia nā ʻoki ʻē aʻe i loko o ka ʻōpū. |
He aha ka mea e manaʻo ai i ka wā e hoʻōla ai?
Ma hope o ke ʻoki kino, pono ʻoe e noho ma ka haukapila no kekahi mau lā, ma kahi o hoʻokahi pule. I loko o kēia manawa, e mālama pono nā kauka a me nā kahu maʻi iā ʻoe.
He aha ka mea e hana ʻia ma ka haukapila?
Ke ala ʻoe ma hope o ke ʻoki ʻana, e hoʻopili ʻia kahi ʻeke i kou stoma e hōʻiliʻili i nā ʻōpala. E hala kekahi mau lā no kāu ʻōnaehana hoʻoheheʻe, a i ʻole nā ʻōpū, e hoʻomaka hou e hana. Ke hana ia, e hāʻawi ʻia ʻoe i nā wai e inu ai i ka wā mua . Ke ho'ōla mālie ʻoe, hiki iā ʻoe ke neʻe i nā meaʻai paʻa maʻamau .
Ke aʻo ʻana e mālama i kou stoma
ʻO kēia ka ʻāpana koʻikoʻi loa. ʻOiai ʻoe ma ka haukapila, e kōkua kekahi kahu maʻi i hoʻomaʻamaʻa kūikawā ʻia i ka mālama stoma (Enterostomal Therapist a i ʻole ET nurse) iā ʻoe.
- E hōʻike lākou iā ʻoe pehea e hoʻololi ai i kāu ʻeke stoma.
- Ke aʻo aku nei ia iā ʻoe pehea e mālama ai i ka ʻili a puni ka stoma i maʻemaʻe a olakino hoʻi.
- Ke hoʻi ʻoe i ka home, e hoʻomaʻamaʻa ʻoe pehea e hana ai i kēia mau mea ma kāu iho.
He loli nui ka noho ʻana me kahi colostomy mau loa. E hāʻawi iā ʻoe iho i kahi manawa e maʻa ai iā ia. Mai hopohopo i kekahi mea. ʻO kāu kahu maʻi ET ka mea maikaʻi loa e nīnau i nā nīnau āu e loaʻa ai a loaʻa ke kōkua mai.
Inā he mau hopohopo a nīnau paha kāu i kēlā me kēia manawa, mai makaʻu e kamaʻilio me kāu kauka a kahu maʻi ET paha . Aia lākou ma laila e kōkua iā ʻoe.
Leka Lawe-Home
- He ʻoki kino nui kēia (Laparoscopic Abdominoperineal Resection) hiki ke hoʻōla i ke ola no ka maʻi ʻaʻai rectal.
- Ma muli o ka hana ʻia ʻana o kēia me ka hoʻohana ʻana i ke ʻano "keyhole" (Laparoscopy), ʻaʻohe ʻoki nui, no laila ua wikiwiki ka manawa hoʻōla.
- Ma hope o ke ʻoki ʻana, pono ʻoe e hoʻohana i kahi puka mau loa i loko o kou ʻōpū (stoma) e ʻae i ka ʻōpala e puka i waho a me kahi ʻeke (ʻeke) e hōʻiliʻili i ka ʻōpala.
- ʻOiai hiki ke paʻakikī ke aʻo ʻana e mālama i kahi stoma i ka wā mua, hiki ke hana maʻalahi ʻia me ke kōkua o nā limahana kahu hānai i aʻo kūikawā ʻia.
- He loli nui kēia, ma ke kino a me ka noʻonoʻo. No laila e wehe a ʻoiaʻiʻo me kāu mau kauka, nā kahu maʻi, a me ka ʻohana e kākoʻo iā ʻoe. ʻAʻole ʻoe hoʻokahi.
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