Inā ʻoe a i ʻole kekahi āu i ʻike ai e hana ʻia ana i ke ʻoki kino e wehe i kahi ʻāpana o ko lākou kolona, he mea maʻamau ke manaʻo iki i ka hopohopo a me ka hoihoi. ʻOi loa aku i ka wā paʻakikī iki ka huaʻōlelo. ʻO kekahi o ia ʻano hana i kapa ʻia he laparoscopic proctosigmoidectomy. ʻOiai ke kani weliweli paha ka inoa, e kamaʻilio kākou e pili ana i kona manaʻo maʻalahi. E noʻonoʻo i kahi hoaaloha ʻike e wehewehe ana iā ʻoe.
No ke aha e hana ʻia ai kēia ʻoki kino? He aha nā kumu no kēia?
I ka ʻōlelo maʻalahi, pili kēia ʻoki kino i ka ʻoki ʻana a me ka wehe ʻana i ka ʻāpana maʻi o kou kolona a me ka rectum. ʻO ke kikoʻī, ʻo ka ʻāpana ʻano S o kou kolona, ka kolona sigmoid , a me ka ʻaoʻao o luna o kou rectum ma lalo.
Paipai nā kauka i kēia ʻoki kino ma ke ʻano he lāʻau lapaʻau no kekahi mau kūlana olakino. E nānā kākou i kēlā mau mea.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Nā maʻi ʻaʻai kolona a me ka rectum | Inā ua pālahalaha nā hunaola kanesa i kēia mau ʻāpana o ka ʻōpū, hana ʻia kēia ʻoki kino e wehe loa i ka ʻāpana maʻi. |
| Nā ulu ʻole o ka maʻi kanesa | I kekahi manawa, hiki i nā mea e like me nā polyps, ʻaʻole ia he maʻi kanesa akā hiki ke hoʻoulu i nā pilikia, ke ulu aʻe ma kēia mau wahi. Hoʻohana ʻia kēia ʻano hana e wehe iā lākou. |
| ʻO ka diverticulitis paʻakikī | ʻO kēia ka manawa e hana ʻia ai nā ʻeke liʻiliʻi ma ka paia o ka ʻōpū, kahi e lilo ai i maʻi, pala, a i kekahi manawa pohā. I loko o ia kūlana paʻakikī, pono e wehe ʻia ka ʻāpana i hōʻino ʻia. |
He aha ka manaʻo o ka huaʻōlelo 'laparoscopic'?
Eia ka mea kūikawā e pili ana i kēia ʻoki kino. ʻO ke ʻano o 'Laparoscopic' ʻo ia hoʻi ' keyhole surgery ', e like me kā mākou e ʻike nei. Ma kahi o ka hana ʻana i kahi ʻoki lōʻihi i loko o kou ʻōpū e like me ma mua, hana ke kauka ʻoki kino i kekahi mau ʻoki liʻiliʻi loa (ma kahi o 5-10 millimeters) i loko o kou ʻōpū a hana i ke ʻoki kino ma o kēlā mau lua.
ʻO kēia ka hoʻohana ʻana i kahi mea hana liʻiliʻi e like me ka paipu i kapa ʻia he laparoscope me kahi kāmela liʻiliʻi i hoʻopili ʻia iā ia. Ke hoʻokomo ʻia kēia i loko o ka ʻōpū, hiki i ke kauka ʻoki ke ʻike maopopo i nā ʻōpū i loko o ka ʻōpū ma kahi monitor a hana i ke ʻoki ʻana me ka pololei loa. ʻO nā pono o kēia ʻano hana, ʻaʻole ia he ʻeha iki, ho'ōla koke, a ʻaʻole e waiho i kahi ʻeha nui.
E noʻonoʻo, ma kahi o ka wehe ʻana i kahi puka nui a komo i loko o ka hale, ʻo ka mea e hana ʻia ua like ia me ka nānā ʻana ma o ka puka kī a me ka hoʻohana ʻana i nā mea hana liʻiliʻi e hana i nā hana i loko o ka hale.
He aha nā ʻanuʻu nui ʻelima i ke ʻoki kino?
ʻElima mau ʻanuʻu nui o kēia ʻoki kino. E hoʻomaopopo kākou iā lākou pākahi ma nā huaʻōlelo maʻalahi.
1. Hoʻokomo ʻia ʻana o ka laparoscope a me nā mea hana
ʻO ka mea mua, e hāʻawi ʻia ʻoe i ka anesthesia laulā, no laila ʻaʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki ʻana, e hiamoe loa ʻoe. A laila, e hana ke kauka ʻokiʻoki i kahi ʻoki liʻiliʻi ma kahi o hoʻokahi kenimika kokoke i kou piko (pihi ʻōpū) a hoʻokomo i ke kāmela laparoscopic ma o ia mea i loko o kou ʻōpū. I kēia manawa hiki iā ia ke ʻike i loko o kou ʻōpū. A laila, e hana ʻo ia ma kahi o ʻelima a ʻeono paha mau ʻoki liʻiliʻi e hoʻokomo i nā mea hana palupalu ʻē aʻe e pono ai no ke ʻoki ʻana.
2. Ke hoʻokuʻu nei i ka ʻāpana maʻi o ka ʻōpū
I kēia manawa, pono mākou e ʻoki i ka ʻōpū sigmoid maʻi a me kahi ʻāpana o ka rectum. Akā ma mua o kēlā, pono mākou e hoʻokuʻu i kēlā ʻāpana mai nā ʻiʻo ʻē aʻe.
Ua pili ko kākou mau ʻōpū i ka paia o ka ʻōpū e kahi membrane i kapa ʻia ʻo mesentery . Aia i loko o kēia membrane nā kīʻaha koko nui (nā aʻa) e hoʻolako ana i ke koko i kēlā ʻāpana o ka ʻōpū. ʻOki pono ke kauka lapaʻau i kēia mau kīʻaha koko, ʻokiʻoki iā lākou a pani (e hoʻōki i ke kahe ʻana o ke koko). A laila, hoʻokuʻu ʻia ka ʻāpana maʻi o ka ʻōpū mai kēia mesentery. ʻO ka hope loa, wehe ʻia ka ʻāpana i hoʻopilikia ʻia o ka ʻōpū me ka ʻāpana maʻi o ka ʻōpū.
I kekahi manawa, inā pono e wehe ʻia ka rectum holoʻokoʻa, ua kapa ʻia ia he Total Proctosigmoidectomy.
3. Ke hoʻomākaukau nei no ka hoʻopili hou ʻana o ka ʻōpū
Ma hope o ka wehe ʻia ʻana o ka ʻāpana maʻi, pono e hoʻopili hou ʻia nā ʻāpana olakino ʻelua i koe o ka ʻōpū. ʻO ke ʻano kēia, pono e hoʻopili ʻia ka hopena olakino o ka colon ma luna i ka hopena olakino o ka rectum i koe ma lalo.
No ka hana ʻana i kēia, hoʻokuʻu ke kauka lapaʻau i kahi ʻāpana olakino o ka ʻōpū mai ka mesentery, i hiki ke huki maʻalahi ʻia i lalo. Hoʻokuʻu pū ʻo ia i ke koena o ka rectum. Hiki ke hoʻopili ʻia nā mea ʻelua. I ke ʻano o ka maʻi kanesa, holoi ʻia ke koena o ka rectum a hoʻomaʻemaʻe ʻia me kahi hopena kūikawā e hōʻemi i ka laha ʻana o nā hunaola kanesa .
4. Ka wehe ʻana i ka ʻāpana maʻi o ka ʻōpū mai ke kino
No ka mea, he liʻiliʻi loa nā ʻoki 'keyhole', ʻaʻole hiki ke wehe ʻia ka ʻāpana ʻoki o ka ʻōpū nui ma o lākou. Hoʻohana ʻia kahi hana kūikawā no kēia. Hana ke kauka lapaʻau i kekahi o nā ʻoki mua i ʻoi iki aʻe a hoʻokomo i kahi ʻeke kūikawā i loko o ka ʻōpū ma o ia mea. A laila, waiho ʻia ka ʻāpana ʻoki o ka ʻōpū i loko o ka ʻeke a huki mālie ʻia ka ʻeke i waho.
5. Hoʻohui hou i nā wēlau ʻelua o ka ʻōpū (Anastomosis)
ʻO kēia ka hana hope loa a koʻikoʻi loa o ke ʻoki kino. ʻO ke kaʻina hana o ka hoʻohui ʻana i nā wēlau olakino ʻelua o ka ʻōpū i kapa ʻia he anastomosis ma ka ʻōlelo lapaʻau.
No kēia, hoʻokomo ke kauka lapaʻau i kahi mea hoʻopaʻa kūikawā ma o ka anus. Hoʻokuʻu ka mea hana i kahi apo o nā staples, e hoʻopili ana i nā wēlau ʻelua o ka ʻōpū. A laila nānā ke kauka lapaʻau no kekahi mau leaka ma kahi pili a holoi pono i ka lua ʻōpū.
I kekahi manawa, hiki ke kau ʻia kahi 'drain', kahi ʻōmole liʻiliʻi, no kekahi mau lā ma hope o ke ʻoki ʻana e kōkua i ka hoʻokahe ʻana i kekahi wai e hōʻiliʻili ana i loko. ʻO ka hope loa, ua pani ʻia nā ʻoki āpau me nā humuhumu a i ʻole ka lipine kūikawā.
Pehea ka manawa ho'ōla ma hope o ke ʻoki kino?
He mea nui ka manawa e hoʻōla ai ma hope o ke ʻoki kino e like me ka holomua o ke ʻoki kino.
- Mai hāpai i nā mea kaupaona: Pono ʻoe e hoʻōki loa i ka hāpai ʻana i nā mea kaupaona a me ka hana ʻana i nā hoʻomaʻamaʻa e hoʻoluhi i kou ʻōpū (e like me nā sit-up) no 6 mau pule ma hope o ke ʻoki ʻana.
- He mea maikaʻi ka hele wāwae : E hoʻonui mālie i kāu pae hana ma hope o kou hoʻi ʻana i ka home. ʻO ka hele wāwae ka hoʻoikaika kino maikaʻi loa hiki iā ʻoe ke hana i kēia manawa. Hāʻawi ka hele wāwae iā ʻoe i ka ikehu, hoʻomaikaʻi i ke kahe koko a pale i nā ʻūpā koko, a kōkua i ka mālama ʻana i kou mau māmā i ke olakino.
- ʻAi a me ka Mea Inu: Hiki iā ʻoe ke ʻai i ka hapa nui o nā meaʻai ke hoʻi ʻoe i ka home. Eia nō naʻe, pono ʻoe e pale i ka ʻai ʻana i nā huaʻai maka a me nā mea kanu no kekahi manawa. ʻOi aku ka maikaʻi o ka hahai ʻana i kahi papaʻai "palupalu" a hiki i kou ʻike ʻana i kāu kauka ma hope o ke ʻoki ʻana (nānā ma hope o ke ʻoki ʻana). Inā loaʻa iā ʻoe ka paʻa ʻana ma muli o kēia papaʻai, e kāhea koke i kāu kauka no ka ʻōlelo aʻo.
- Nā hana ʻē aʻe: Inā ʻoe e hoʻomaʻamaʻa ana ma mua o ke ʻoki ʻana, hiki iā ʻoe ke hoʻomaka hou e hoʻomaʻamaʻa ke ʻoluʻolu ʻoe a ʻōlelo kāu kauka, "ʻAe, e hoʻomaka i kēia manawa."
ʻO ka mea nui loa, ʻo ia ka hoʻolohe ʻana i kou kino. Inā manaʻo ʻoe ua luhi, e hoʻomaha. Inā he mau nīnau kāu, mai hūnā iā ʻoe iho a e kamaʻilio me kāu kauka.
Leka Lawe-Home
- ʻO ka Laparoscopic proctosigmoidectomy kahi ʻoki 'keyhole' e wehe ai i kahi ʻāpana maʻi o ka colon. Ma kahi o hoʻokahi ʻoki nui, hoʻohana wale ʻia kekahi mau lua liʻiliʻi.
- Hana ʻia kēia ʻoki kino ma ke ʻano he lāʻau lapaʻau no nā kūlana e like me ke kanesa colon, nā ʻōpū ʻaʻole cancerous, a me ka diverticulitis paʻakikī.
- ʻO ke ʻano hana 'kī puka' ka hopena i ka emi ʻana o ka ʻeha, ka noho pōkole ʻana i ka haukapila, ka wikiwiki o ka ho'ōla ʻana, a me ka emi ʻana o ka ʻeha.
- He mea nui e pale i ka hāpai ʻana i nā mea kaumaha no 6 mau pule ma hope o ke ʻoki ʻana a hana i nā hoʻoikaika kino māmā e like me ka hele wāwae.
- Inā he nīnau kāu e pili ana i ka papaʻai a i ʻole kekahi mea ʻē aʻe, mai kuhi.E ʻimi mau i ka ʻōlelo aʻo mai kāu kauka lapaʻau a kauka paha.
Laparoscopy, keyhole surgery, colon surgery , rectal cancer, sigmoid colon, proctosigmoidectomy sinhala, laparoscopy sinhala
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