Laparoscopic Fecal Diversion (SFD) - E kamaʻilio kākou e pili ana i kēia ma nā ʻōlelo maʻalahi.

Ke haʻi aku kāu kauka iā ʻoe a i ʻole kekahi āu i ʻike ai e pono ʻoe e hoʻokomo i kahi ʻeke i loko o kou ʻōpū e hoʻokahe i kou ʻōpala, he mea maʻamau ke manaʻo iki i ka haʻalulu a me ka makaʻu. "He aha kēia ʻoki kino?", "He mau loa kēia?", "ʻAʻole anei au e hiki ke ola i kahi ola maʻamau?" He nui paha kāu mau nīnau ma kou manaʻo. Mai hopohopo. E kamaʻilio kākou e pili ana i kēia ʻoki kino, i kapa ʻia ʻo 'Fecal Diversion', ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.

He aha kēia ʻoki kino 'Fecal Diversion'?

ʻO ka 'Fecal Diversion', i ka ʻōlelo maʻalahi, ʻo ia ka hoʻololi manawa pōkole a mau loa paha i ke ala maoli o ka ʻōpala e puka ana mai ke kino (ka rectum) i puka ai ma o ka ʻili o ka ʻōpū. ʻO ka puka hana i hana ʻia ma kēia ʻano ma ka ʻili o ka ʻōpū ua kapa ʻia he stoma .

Hana ʻia kēia stoma me ka hoʻohana ʻana i kahi ʻāpana o ka ʻōpū.

• Inā hana ʻoe i kahi stoma ma ka hoʻohui ʻana i kou ʻōpū liʻiliʻi i ka ʻili, ua kapa ʻia ia he ileostomy .
• Inā pili kou kolona i ka ʻili, ua kapa ʻia ia he colostomy .

I kēia manawa ke noʻonoʻo nei paha ʻoe no ke aha e hana ʻia ai kēia. Paipai pinepine nā kauka i kēia ʻoki kino no kekahi mau kumu:

• Hoʻomaha i nā maʻi paʻakikī a i ʻole nā ​​​​pilikia e pili ana i ka rectum a i ʻole anus.
• Ma ke ʻano he lāʻau lapaʻau no ka maʻi ʻaʻai colon .
• Ka hoʻōki ʻana o ka ʻōpū .

E noʻonoʻo, he ʻiʻo apo ko ko kākou rectum (ʻiʻo sphincter) e kāohi ana i ke kahe ʻana o ka ʻōpala. ʻO ia ke kumu e hiki ai iā kākou ke paʻa a hoʻokuʻu i ka ʻōpala i ka wā e makemake ai kākou. Akā, ʻaʻohe ʻiʻo hoʻomalu o ka stoma i hana ʻia. ʻO ia ke kumu ʻaʻole hiki iā kākou ke kāohi i ke kahe ʻana o ka ʻōpala. ʻO ia ke kumu e pono ai kākou e komo i kahi ʻeke kūikawā (mea hōʻiliʻili ostomy ) i hoʻopili ʻia i ka stoma e hōʻiliʻili i ka ʻōpala e puka mai ana.

Hiki i kēia stoma ke lilo i manawa pōkole a mau loa paha . Aia ia i kou kūlana olakino. No ka laʻana, ke kahe ʻana o ke koko ma ka ʻōpūMa hope o ka ʻoki ʻia ʻana a me ka wehe ʻia ʻana o kahi ʻāpana o ka anus a me ka hoʻopili hou ʻia ʻana o nā ʻāpana ʻelua i koe, hana ʻia kahi stoma manawa pōkole e hoʻomaha ai a hiki i ka wā e hoʻōla ai ka anastomosis. Ke ho'ōla ʻia ka wahi, hana ʻia kekahi ʻoki kino ʻē aʻe e wehe i ka stoma a hana i kahi ala maʻamau no ka ʻōpala. Eia nō naʻe, i nā hihia kahi e wehe loa ʻia ai ka anus a me ka rectum, pono e mālama mau ʻia ka stoma.

Pehea e hana ʻia ai kēia ʻokiʻoki ma ke ʻano laparoscopic?

ʻO ka Laparoscopy, e like me kā kākou e ʻike nei, he ʻano " ʻoki puka kī." Ma kēia, ma kahi o ka hana ʻana i kahi ʻoki nui, he mau lua liʻiliʻi wale nō i hana ʻia i loko o ka ʻōpū.

Hoʻokomo ʻia kahi laparoscope , he ʻōmole lahilahi me kahi kāmela a me ke kukui ma ke alo, i loko o ka ʻōpū ma o kekahi o nā ʻoki liʻiliʻi. Hōʻike ʻia nā kiʻi mai ke kāmela ma kahi pale nui (monitor) i loko o ka lumi hana. Nānā ke kauka i ka pale a hana i ke ʻoki ʻana me ka hoʻohana ʻana i nā mea hana kūikawā i hoʻokomo ʻia ma o nā ʻoki liʻiliʻi ʻē aʻe.

ʻO ka pōmaikaʻi o kēia ʻano hana, ʻaʻohe ʻoki nui, no laila ua emi ka ʻeha, wikiwiki ka ho'ōla ʻana, a me nā lā liʻiliʻi ma ka haukapila.

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Pehea ka hana ʻana o kahi stoma?

ʻElua ʻano nui o nā stoma. He ʻokoʻa iki ke ʻano o ko lākou hana ʻia ʻana.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? E aʻo kākou e pili ana i ka wā hoʻōla

Ma hope o kēia ʻano hana ʻoki kino, pono ʻoe e noho ma ka haukapila no ʻelua a ʻekolu paha lā . Ke pau ke ʻoki kino, e kau ʻia kahi ʻeke ma luna o kou stoma. E hala ana i hoʻokahi a ʻelua paha lā no ka hoʻomaka hou ʻana o kāu ʻōnaehana hoʻoheheʻe . A laila wale nō e hoʻomaka ai ka ʻōpala e puka mai i waho o ka stoma.

ʻOiai ʻoe ma ka haukapila, e hōʻike aku kahi kahu maʻi i aʻo kūikawā ʻia i ka mālama ʻana i ka stoma iā ʻoe pehea e hoʻololi ai i kāu ʻeke a mālama i ka ʻili a puni kou stoma i maʻemaʻe. I ka wā mua, e hōʻike lākou iā ʻoe pehea e hana ai i kēia mau mea, a laila e aʻo lākou iā ʻoe pehea e hana ai iā ʻoe iho. No laila, ke hiki ʻoe i ka home, hiki iā ʻoe ke hana i kēia mau mea ma kāu iho.

No ka mea, he mea hou kēia, e ʻike ʻoe i ka nui o ka loli, ma ke kino a me ka noʻonoʻo. I kekahi manawa, e kaumaha loa paha ʻoe a hoʻonāukiuki ʻia. He mea maʻamau loa kēia. E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi. Aia kāu kahu maʻi, kāu kauka, a me kou ʻohana e kōkua iā ʻoe. E kamaʻilio me lākou i kēlā me kēia manawa āu e kaumaha ai.

He mea paʻakikī paha i ka wā mua, akā i ka hala ʻana o ka manawa e maʻa ʻoe i kēia hoʻololi hou. He miliona o ka poʻe a puni ka honua e hana maʻamau ana, e komo ana i loko o ke kaiāulu, a e noho hauʻoli ana. ʻO ia ke kumu he mea nui loa ka noho ikaika.