ʻO ke ʻoki ʻōpū? E kamaʻilio kākou e pili ana i ka laparotomy.

Ua ʻōlelo ʻia anei ʻoe a i ʻole kekahi āu i ʻike ai e ke kauka e "ʻoki i ka ʻōpū" no kahi pilikia ʻōpū? A i ʻole ua lohe paha ʻoe e pono ana kahi hana nui e ʻike ai i kahi pilikia i loko o ka ʻōpū ma hope o kahi ulia, a i ʻole e hoʻōki i ke kahe ʻana o ke koko? I ka lāʻau lapaʻau, ʻo kēia hana ʻoki, i hana ʻia i ia mau hihia, e wehe i ka lua ʻōpū a nānā i nā ʻōpū, ua kapa ʻia ʻo "laparotomy." He ʻano hana nui kēia, no laila hiki i ka poʻe he nui ke makaʻu iā ia. No laila, e kamaʻilio kākou e pili ana i ia mea me ka maʻalahi a me ka maopopo i kēia lā.

He aha maoli ke ʻano o ka laparotomy?

I ka ʻōlelo maʻalahi, ʻo ka laparotomy kahi hana ʻokiʻoki kahi e wehe ai ke kauka lapaʻau i kou lua ʻōpū (ka hakahaka i loko o kou ʻōpū) e nānā a mālama paha i nā ʻōpū i loko.

Hiki ke hana i kēia ma nā ʻano nui ʻelua:

1. No ka hōʻoia ʻana (Exploratory Laparotomy): I kekahi manawa, ʻoiai inā he pilikia e like me ka ʻeha o ka ʻōpū a i ʻole ke kahe koko i loko, ʻaʻole hiki ke loaʻa ke kumu me nā scan. I kēlā mau hihia, hana ke kauka ʻoki i kēia hana e ʻike maoli a hoʻomaopopo i ka mea e hana nei i loko o ka ʻōpū. I kēlā manawa, inā pono, hiki ke lawe ʻia kahi ʻāpana ʻiʻo a hoʻouna ʻia no ka hoʻokolokolo ʻana (`Biopsy`).

2. Laparotomy Laparative: I kekahi manawa hana ʻia ke ʻoki kino ma hope o ka ʻike ʻia ʻana o ka pilikia. No ka laʻana, hana ʻia kēia ʻoki kino e wehe i kahi puʻupuʻu maʻi ʻaʻai, hoʻoponopono i kahi ʻōpū i hōʻino ʻia, a wehe paha i kahi appendix pehu.

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

ʻOiai he mau ʻoki ʻōpū nā mea ʻelua, aia kahi ʻokoʻa nui ma waena o nā mea ʻelua. He nui ka poʻe e huikau nei i kēia mau inoa ʻelua. E nānā kākou i ke ʻano o ka ʻokoʻa.

I nā hihia hea e pono ai ka laparotomy?

Aia paha kekahi mau kumu kikoʻī e koho ai ke kauka laparotomy ma mua o ka laparoscopy. ʻOi aku ka pono o kēia ʻano hana, ʻoiai hoʻi i kahi kūlana pilikia kahi e pono ai kahi hana wikiwiki.

Aia kekahi mau kūlana e pono ai ka laparotomy:

• No ka nānā ʻana no ka hōʻino ʻana i nā ʻōpū o loko ma hope o kahi ʻeha nui o ka ʻōpū.
• Peritonitis (maʻi o ka lua ʻōpū).
• Ka puka ʻana o ka ʻōpū a i ʻole ka naʻau a i ʻole ke kahe koko hiki ʻole ke kaohi ʻia.
• E wehe i ka ʻōpū i pehu nui a kokoke e pohā.
• E wehe i ka ʻōpū ke pahū i kahi ulia.
• No ka wehe ʻana i nā cysts ovarian nui a i ʻole nā ​​​​endometriomas .
• No ka nānā ʻana a me ka mālama ʻana i ke kūlana a me ka laha ʻana o ka endometriosis .
• Nā ʻoki kino nui e like me ke kaʻina hana Whipple no ka maʻi ʻaʻai pancreatic.
• ʻO ke kanesa ovarian a i ʻole ka lymphoma HodgkinNo ka ʻike ʻana i ka mamao o ka laha ʻana o ke kanesa, e like me ka Hodgkin lymphoma, i loko o ke kino (Cancer staging).
• ʻO ka ʻoki ʻoki cesarean i hoʻolālā ʻia a i ʻole ka ʻoki ʻoki ulia pōpilikia (`C-section`).

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

ʻOiai he hana nui kēia, aia kekahi mau mea e pono ai ʻoe e hoʻomākaukau ma mua.

1. ʻAe ʻia me ka ʻike

E wehewehe pono ana kāu kauka ʻoki i ke ʻoki kino, kona mau pilikia a me nā pono, a me nā ʻano lapaʻau ʻē aʻe iā ʻoe. E hoʻomaopopo lākou i kēia mau mea a pau a loaʻa iā lākou kāu ʻae palapala. I ka wā o kahi pilikia, e hoʻoholo ʻia nā hoʻoholo ma ke kūkākūkā ʻana me ka ʻohana pili loa inā ua poina ka mea maʻi.

2. Loiloi Kino

E nīnau ke kauka e pili ana i kou olakino, nā lāʻau lapaʻau āu e lawe nei, a me nā ʻoki kino āu i hana ai ma mua. E hana pū ʻo ia i kekahi mau hoʻokolohua maʻamau, e like me nā hoʻokolohua koko a me nā kukuna X, e ʻike ai inā kūpono ʻoe e hana i ka anesthesia laulā.

3. Hoʻomākaukau ʻōpū

Ma muli o ke ʻano o ke ʻoki ʻana, pono paha ʻoe e hoʻokahe loa i kou ʻōpū ma mua o ke ʻoki ʻana. Hiki ke hāʻawi ʻia iā ʻoe kahi laxative formula a i ʻole enema. Hiki ke noi ʻia iā ʻoe e hoʻokē ʻai a inu wale paha i nā wai i ka lā ma mua o ke ʻoki ʻana.

4. Hoʻomaʻemaʻe

Ma mua o ke ʻoki kino, e noi ʻia paha ʻoe e ʻauʻau me ke kopa antiseptic. A i ʻole, e hoʻomaʻemaʻe nā limahana o ka haukapila i kou ʻōpū. Hiki iā lākou ke kahi i kekahi lauoho ma ia wahi.

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

Ma hope o ke ʻoki ʻana, e lawe ʻia ʻoe i kahi lumi postoperative, kahi e nānā ʻia ai kou puʻuwai a me ke koko a hiki i kou hoʻi hou ʻana i ka ʻike. A laila e hoʻoneʻe ʻia ʻoe i kahi keʻena a pono ʻoe e noho ma ka haukapila no kekahi mau lā.

• Nā lāʻau hoʻopau ʻeha: Hāʻawi ʻia nā lāʻau hoʻopau ʻeha e kāohi i ka ʻeha o ka ʻeha.
• ʻO nā paipu: ʻO nā laina IV a me nā catheters urinary i kau ʻia i ka wā o ke ʻoki ʻana e noho mau no kekahi mau lā, ma muli o ka pono.
• Ka hele wāwae ʻana: ʻOiai inā he ʻeha, paipai ʻia ʻoe e ala a hele mālie me ke kōkua o nā limahana. He mea nui loa kēia e pale aku ai i nā ʻūpā koko a me nā maʻi maʻi māmā.
• Nā hoʻomaʻamaʻa hanu: Ua aʻo ʻia nā hoʻomaʻamaʻa hanu hohonu.
• ʻAi: ʻO ka mua, hāʻawi ʻia nā wai, a laila hoʻokomo mālie ʻia ka meaʻai maʻamau. I kekahi manawa he mau lā e hoʻi ai ka ʻōpū i ka maʻamau. Ua kapa ʻia kēia ʻo 'Paralytic ileus' .

He aha nā pilikia o kēia ʻoki kino?

E like me nā hana nui a pau, loaʻa i ka laparotomy kekahi mau pilikia.

• Ka hōʻino ʻino ʻole ʻia i nā ʻōpū ʻē aʻe kokoke.
• Ke kahe nui ʻana o ke koko mai nā kīʻaha koko i hōʻeha ʻia.
• Ka maʻi ʻeha 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.
• Hana ʻia ka Hernia (hernia) ma ka pili ʻana me ka ʻoki ʻana.
• Hoʻokumu ʻia nā ʻiʻo ʻeha (nā hoʻopili ʻana o ka ʻōpū) i loko o ka ʻōpū, e alakaʻi ana i ka pale ʻana o ka ʻōpū i ka wā e hiki mai ana.

ʻEhia ka lōʻihi e ho'ōla ai?

Pili kēia i kou olakino holoʻokoʻa a me ka paʻakikī o ke ʻoki kino.

• Ka ho'ōla ʻana o ka ʻeha: ʻO ka maʻamau, ma kahi o 6 mau pule e ho'ōla piha ai ka ʻeha.
• ʻEha: Ua waiho ʻia kahi ʻeha lōʻihi ma ka ʻōpū. Eia naʻe, e mae mālie kēia i ka hala ʻana o ka manawa (i loko o 3-6 mau makahiki).
• Ke hoʻi ʻana i ka hana: Ma muli o ke ʻano o kāu hana, hiki paha iā ʻoe ke hoʻi i ka hana ma hope o ka hoʻōla ʻana o ka ʻeha. Eia nō naʻe, ʻoi aku ka maikaʻi o ka hana ʻole ʻana i kekahi mea kaumaha, e like me ka hāpai ʻana i nā mea kaumaha, no kekahi mau mahina.
• Hoʻoikaika Kino: Hiki ke hala a hiki i ʻelua mau makahiki no ka hoʻi ʻana o ka ikaika o kou mau ʻiʻo ʻōpū i ka maʻamau. No laila, pono e hoʻomaka mālie ka hoʻoikaika kino a ma lalo o ka nānā ʻana o ke kauka .

Ma hope o kou hoʻi ʻana i ka home, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e kāhea koke i kāu kauka .