E aʻo kākou e pili ana i kahi hana ʻōpū? He maʻalahi ke ʻoki laparotomy

I kekahi manawa, e ʻōlelo paha ke kauka iā ʻoe, "Pono ʻoe e hana i kahi ʻoki ʻōpū." He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēlā. ʻO ka inoa lapaʻau no kēia ʻano ʻoki kino, ʻo ia hoʻi ka wehe ʻana i ka ʻōpū, ʻo ia ka "laparotomy." No laila e kamaʻilio kākou e pili ana i kēia i kēia lā, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha, ma ke ʻano e hoʻopau ai i kou mau hopohopo a pau.

I ka ʻōlelo maʻalahi, he aha ka laparotomy?

He hana ʻoki kino ka laparotomy e wehe ai i kou lua ʻōpū, kahi i loaʻa ai kou mau kino ʻōpū. E noʻonoʻo e like me ka wehe ʻana i ke poʻo o ke kaʻa e nānā i ka ʻenekini e ʻike i ka mea hewa. Hana nā kauka i kēia kaʻina hana e nānā pololei i nā kino i loko o kou ʻōpū.

Hiki i kēia ke hana ma nā ʻano nui ʻelua:

1. Ma ke ʻano he ʻokiʻoki ʻimi: I kekahi manawa, ʻaʻole hiki i nā scan ke loaʻa ke kumu o kou ʻeha ʻōpū a i ʻole ke kahe koko i loko o kou ʻōpū. I ia mau hihia, hana nā kauka i kēia ʻokiʻoki e ʻike ai i ka mea e hana maoli ana i loko. I kēlā manawa, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) no ka hoʻokolokolo ʻana.

2. Ma ke ʻano he ʻoki lapaʻau: I kekahi manawa hana ʻia kēia ʻoki e mālama i kahi maʻi. No ka laʻana, pono paha e wehe i kahi ʻāpana i haki, wehe i kahi puʻupuʻu kanesa, a wehe paha i kahi ʻōkana holoʻokoʻa.

He aha ka ʻokoʻa ma waena o ka Laparotomy a me ka Laparoscopy?

Ua lohe paha ʻoe i ka "keyhole surgery." ʻO ia ke ʻano o ka laparoscopy. ʻOiai ua hoʻohana ʻia kēia mau ʻano ʻelua e nānā i loko o ka ʻōpū, aia kahi ʻokoʻa nui ma waena o nā mea ʻelua. E hoʻomaopopo pono kākou i kēlā.

No ke aha mākou e pono ai i ka laparotomy?

ʻO ka maʻamau, hoʻohana wale ke kauka i ke ʻoki kino nui e like me kēia ke ʻole nā ​​koho ʻē aʻe. Aia kekahi mau kumu nui:

• ʻEha ʻōpū i wehewehe ʻole ʻia: Ke hiki ʻole i nā scan ke loaʻa ke kumu o ka ʻeha ʻōpū mau a i ʻole ka pehu ʻana.
• Ke kahe koko ʻana i loko o ka ʻōpū: E ho'ōki i ke kahe koko ʻana i loko o ka ʻōpū ma muli o kahi ulia a i ʻole kekahi kumu ʻē aʻe.
• Nā pae o ke kanesa: Wehe i kahi puʻupuʻu kanesa, a i ʻole e ʻike i ka mamao o ka laha ʻana o ke kanesa i loko o ka ʻōpū (Cancer Staging).
• Nā kūlana pilikia: Eia kekahi laʻana, i ka wā e kokoke ana ka pahū ʻana o ka appendicitis, a i ʻole he lua i loko o ka ʻōpū.
• ʻO ka ʻoki Cesarean (ʻoki C): ʻO ka ʻoki caesarean, i hana ʻia no ka hānau ʻana i hoʻolālā ʻia a i ʻole ka hānau ulia pōpilikia, he ʻano laparotomy nō hoʻi.
• Ka wehe ʻana i nā kino:No ka wehe ʻana i kahi ʻōkana e like me ka spleen a i ʻole ka uterus ma muli o kahi maʻi.

He aha nā ʻōkana i nānā ʻia ma kēia ʻoki kino?

ʻO ka wehe ʻana i ka ʻōpū e hiki ai i ke kauka ke nānā i nā ʻōpū nui he nui. ʻO kekahi o kēia mau mea:

• ʻōpū
• Nā ʻōpū liʻiliʻi a me nā ʻōpū nui (Nā ʻōpū)
• Pākuʻi
• ʻŌpū
• ʻO ka pancreas
• Ake
• ʻŌpū Gall
• Nā puʻupaʻa, nā kelepa adrenal a me nā ureters
• ʻŌpū mimi
• Nā kino hānau wahine (ʻōpū, fallopian tubes, ovaries)

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

No ka mea he hana ʻoki kino nui ka laparotomy, aia kekahi mau hana hiki iā ʻoe ke hana e hoʻomākaukau ai no ia. ʻAʻole hiki ke hana ʻia kekahi o kēia mau hana i ka wā o kahi ʻoki kino ulia pōpilikia.

• ʻAe ʻia me ka ʻike: E wehewehe ke kauka i nā mea āpau iā ʻoe e pili ana i ke ʻoki kino, kona mau pilikia, a me nā lāʻau lapaʻau ʻē aʻe. A laila, e loaʻa iā lākou kāu ʻae i kākau ʻia.
• Hoʻokolokolo kino: Hana ʻia nā hoʻokolohua koko a me nā kukuna X e nānā i kou olakino. He mea nui loa e hoʻomaopopo i ke kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei a me nā maʻi ʻē aʻe āu e loaʻa ai.
• Hoʻomākaukau ʻōpū: Hiki ke hāʻawi ʻia iā ʻoe kahi laxative a i ʻole enema e hoʻomaʻemaʻe i kou ʻōpū i ka lā ma mua o ke ʻoki ʻana. Pono nō hoʻi ʻoe e hoʻokē ʻai no kekahi mau hola ma mua o ke ʻoki ʻana.
• Hoʻomaʻemaʻe: Ma mua o ke ʻoki ʻana, holoi maikaʻi ʻia ka ʻōpū me kahi kopa antiseptic. I kekahi manawa, hiki ke wehe ʻia ka lauoho ma ia wahi.

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

Hana ʻia ke ʻoki ʻana ma lalo o ka anesthesia laulā, no laila ʻaʻole ʻoe e ʻeha. Hana ke kauka i kahi ʻoki ma kou ʻōpū e hiki ke lōʻihi mai 3 a 12 ʻīniha. Ma hope o kēlā, hana ʻia nā hoʻokolohua a i ʻole nā ​​​​lāʻau lapaʻau e pono ai, a humuhumu ʻia ka ʻoki. Hiki i ke ʻoki ke hala i kekahi mau hola.

Ma hope o ke ʻoki ʻana, e lawe ʻia ʻoe i kahi lumi ma hope o ke ʻoki ʻana. E nānā ʻia kou puʻuwai a me ke koko a hiki i kou hoʻi hou ʻana i ka ʻike. I loko o kēia manawa, aia paha kekahi mau ʻōmole i loko o kou kino:

• He laina IV: Hoʻokomo ʻia kēia i loko o kahi vein a hāʻawi i nā sedatives, antibiotics, a me ka saline.
• ʻŌmole Nasogastric: Wehe i ke kahe mai loko mai o ka ʻōpū.
• ʻO ke catheter mimi: No ka hoʻokahe ʻana i ka mimi.

E hāʻawi ʻia ʻoe i nā lāʻau ʻeha e kāohi i ka ʻeha. I nā lā mua ma ka haukapila, e kōkua ʻia ʻoe e hele wāwae iki me ke kōkua o nā kahu maʻi. He mea nui loa kēia e pale aku i nā ʻūpā koko a me nā maʻi maʻi māmā.

He aha nā pilikia o kēia ʻoki kino?

E like me nā hana nui a pau, hiki i ka laparotomy ke lawe mai i kekahi mau pilikia, akā ʻaʻole nā ​​​​kānaka a pau e ʻike i kēia.

• Ka hōʻino ʻino ʻole ʻia i nā ʻōpū ʻē aʻe kokoke.
• Ke kahe nui ʻana o ke koko ma muli o ka hōʻino ʻia ʻana o nā kīʻaha koko.
• ʻO ka maʻi o ka ʻoki a me ka lohi o ka ho'ōla ʻana.
• Manuʻa mau loa ma kekahi mau wahi a puni ka ʻoki ma muli o ka hōʻino ʻia ʻana o nā aʻalolo.
• ʻO ka Hernia i loko o ka hernia ʻokiʻoki.
• Aia kahi manawa liʻiliʻi e hiki mai ai kahi maʻi e like me ke ālai ʻana o ka ʻōpū i ka wā e hiki mai ana ma muli o nā pipili ʻana o ka ʻōpū.

ʻEhia ka lōʻihi e ho'ōla ai?

E loli kēia ma muli o kou olakino laulā a me ka nui o ke ʻoki ʻana i hana ʻia.

• ʻO ka maʻamau , ma kahi o 6 mau pule e ho'ōla ai ka ʻoki .
• Ua waiho ʻia kahi ʻeha lōʻihi ma ka ʻōpū, akā nalo mālie ia i ka hala ʻana o ka manawa.
• Ma muli o ke ʻano o kāu hana, hiki paha iā ʻoe ke hoʻi i ka hana ma hope o 6 mau pule.
• E hala ana kekahi mau mahina hou aʻe ma mua o kou hiki ke hāpai i nā kaumaha a hana paha i ka hoʻoikaika kino ikaika.
• Hiki ke hala ma kahi o ʻelua mau makahiki no ka hoʻi ʻana o ka ikaika o kou mau ʻiʻo ʻōpū i ke kūlana ma mua o ke ʻoki ʻana. Hiki i ka hoʻoikaika kino mau ke kōkua i kēia.

Ma hope o kou hoʻi ʻana i ka home, i ka manawa hea ʻoe e pono ai e kamaʻilio me ke kauka?

He mea nui loa ka nānā ʻana i kou hoʻōla ʻana ma hope o kou hoʻi ʻana i ka home. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka ʻOihana Pilikia o ka haukapila (ETU).

ʻAʻole he mea e makaʻu ai ka laparotomy, he hana ia e pono ai e hoʻopakele i kou ola a i ʻole e kōkua iā ʻoe e hoʻōla. ʻOiai ʻoi aku ka lōʻihi o ka manawa hoʻōla, ma ka hahai pono ʻana i nā ʻōlelo a kāu kauka, hiki iā ʻoe ke hoʻōla koke.