E noʻonoʻo inā e ʻoki ʻia kahi kīʻaha koko liʻiliʻi a ʻike ʻole ʻia paha i loko o kou kino i kahi ulia, hiki ke hoʻopili hou ʻia? Manaʻo paha ka poʻe he nui he mea hiki ʻole. Akā ʻo ka pane, "ʻAe, hiki." ʻO ia ka mea a mākou e kapa nei he 'microsurgery' no kēlā mau ʻoki kino paʻakikī a palupalu hoʻi. E kamaʻilio kākou e pili ana i kēia i kēia lā.
He aha ke ʻano o ka microsurgery?
I ka ʻōlelo maʻalahi, ʻo ka microsurgery kahi ʻenehana ʻoki kūikawā e hoʻohana ana i kahi microscope hana ikaika loa a me nā mea hana palupalu loa e hoʻoponopono a kūkulu hou paha i nā ʻāpana liʻiliʻi loa o ko mākou kino, e like me nā kīʻaha koko a me nā aʻalolo, i ʻoi aku ka liʻiliʻi ma mua o ka milimita.
ʻO ke kumu nui o kēia, ʻo ia ka hoʻihoʻi ʻana i ka hana o kahi ʻāpana kino i nalowale ma muli o kahi ulia, ka maʻi ʻaʻai, a i ʻole kekahi kumu ʻē aʻe. Hiki ke hana ʻia kēia ʻoki kino ma nā wahi āpau o ke kino.
He aha nā kūlana e pono ai ke microsurgery?
Ua noʻonoʻo ʻia kēia ʻano hana i nā hihia kahi i kūpono ʻole ai nā ʻano hana ʻoki maʻamau. Aia kekahi mau hihia nui kahi e pono ai kēia. E nānā kākou i ke ʻano o lākou.
| Kūlana | E wehewehe me kahi laʻana ... |
|---|---|
| ʻEha kino | ʻO ka mālama ʻana i nā lālā e pili ana i ka hoʻopili hou ʻana i kahi ʻāpana o kahi lālā, e like me ka manamana lima, ka lima, a i ʻole ka wāwae, i ʻoki loa ʻia ma muli o ka hāʻule ʻana a i ʻole kahi ulia koʻikoʻi ʻē aʻe. Pili kēia i ka hoʻopili hou ʻana i nā kīʻaha koko liʻiliʻi a me nā aʻalolo. |
| Ma muli o ke Kanesa | No ka hoʻopiha ʻana i ka hakahaka i waiho ʻia e kahi puʻupuʻu kanesa. Pili kēia i ka lawe ʻana i kahi ʻili, ka momona, nā ʻiʻo, a me nā kīʻaha koko mai kahi ʻāpana olakino ʻē aʻe o ke kino (e.g., ka ʻūhā, ke kua) a hoʻoili iā ia i loko o ka hakahaka. Ua kapa ʻia kēia he 'free tissue transfer' . |
| Nā ʻano ʻē ʻole o ka hānau ʻana | Hiki ke hānau ʻia kekahi mau keiki me nā kīnā ma kekahi mau ʻāpana o ke kino. Hoʻohana ʻia kēia ʻano hana e hoʻoponopono ai i ia mau mea. |
| Hoʻoponopono ʻōnaehana Lymphatic | Hiki mai ka Lymphedema ma hope o kekahi mau ʻoki ʻana i ke kanesa. Hana ʻia kēia e ka hōʻino ʻia ʻana o nā kīʻaha lymph. Hoʻohana ʻia hoʻi ka microsurgery e hoʻoponopono i kēia mau kīʻaha lymph i hōʻino ʻia a lahilahi loa. |
He aha ka 'flap'?
Ua ʻike paha ʻoe i ka huaʻōlelo 'flap' ma ka laʻana ma mua. I ka ʻōlelo maʻalahi, ʻo ka 'flap' kahi ʻāpana ʻiʻo i lawe ʻia mai kahi ʻāpana kikoʻī o kou kino, me kona lako koko ponoʻī (nā kīʻaha koko) . Hiki i kēia ʻāpana ʻiʻo ke loaʻa i hoʻokahi a ʻoi aku paha mau mea, e like me ka ʻili, ka momona, a i ʻole ka ʻiʻo. A laila lawe ke kauka lapaʻau i kēia ʻāpana ʻiʻo, waiho iā ia ma kahi i makemake ʻia, a hoʻopili hou iā ia i nā kīʻaha koko hou ma lalo o kahi microscope. ʻAe kēia i ka ʻiʻo e loaʻa ka meaʻai a ola.
He aha ka mea e hana ʻia ma mua o ke ʻoki kino?
Ma mua o ka hana ʻana i kēia ʻoki kino, pono ʻoe e ʻike i kahi kauka lapaʻau kūikawā (kūkākūkā). Ma laila,
- E kūkākūkā pono kāu kauka i kou olakino a me kou mōʻaukala lapaʻau.
- E kūkākūkā lākou i kāu mea e manaʻo ai mai ke ʻoki kino.
- Malia paha e lawe lākou i kekahi mau kiʻi e ʻike i ka ʻokoʻa ma mua a ma hope o ke ʻoki kino.
- ʻO ka mea nui loa, e hoʻomaopopo pono ʻia ʻoe e pili ana i nā pilikia a me nā hopena ʻaoʻao o kēia ʻoki kino.
- E hāʻawi ʻia aku nō hoʻi iā ʻoe nā kuhikuhi no ke ʻano o ka hoʻomākaukau ʻana no ke ʻoki kino a pehea e hoʻōla ai ma hope o ke ʻoki kino.
ʻO kēia ka manawa kūpono loa e nīnau ai i kāu kauka e pili ana i nā nīnau, hopohopo, a kānalua paha āu e loaʻa ai. Mai hūnā i kekahi mea iā ʻoe iho.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
Hana ʻia kēia ʻoki kino ma kahi haukapila. Aia ʻoe ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia , ʻaʻole ʻoe e ʻeha, ke hiamoe nei ʻoe .
ʻOkoʻa ke ʻano o ka hana ʻana o ke ʻoki kino ma muli o ka mea e hana ʻia nei. Eia kekahi laʻana, inā mākou e lawe i ke ʻoki kino hoʻoili ʻiʻo a mākou i kamaʻilio ai ma mua,
1. ʻO ka mea mua, wehe pono ke kauka lapaʻau i nā ʻiʻo e pono ai (flap) mai kahi ʻāpana olakino o kou kino (kahi hāʻawi) me kona mau kīʻaha koko.
2. A laila, hana ʻia kekahi ʻoki ʻē aʻe a hoʻomākaukau ʻia ka wahi e hoʻoili ʻia ai ke kino.
3. ʻO ka hope loa, ua hoʻihoʻi ʻia ka ʻiʻo i wehe ʻia i kona wahi mua, a ua hoʻoili pono ʻia nā kīʻaha koko liʻiliʻi i loko ma lalo o kahi microscope i nā kīʻaha koko ma kahi hou.
4. Ke hoʻopili pono ʻia nā mea āpau, e pani ʻia nā ʻoki a hoʻopili ʻia nā humuhumu. Hiki ke hoʻoheheʻe ʻia kekahi o kēia mau humuhumu, a i ʻole pono paha e ʻoki ʻia ma hope.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma hope o ke ʻoki kino, pono ʻoe e noho ma ka haukapila no kekahi mau lā. I loko o kēia manawa, e mālama pono ke kime lapaʻau iā ʻoe.
- ʻOiai inā ua hana ʻia kahi hoʻoili ʻiʻo, e nānā pono ʻia ke kahe o ke koko i ka ʻiʻo i hoʻoili ʻia. He mea nui loa nā hola 24 mua ma hope o ke ʻoki ʻana no kēia.
- Hiki ke hala i kekahi mau mahina e ho'ōla piha ai a ʻike i nā hopena maoli o ke ʻoki ʻana.
- Pono ʻoe e hele i nā keʻena lapaʻau i nā lā a ke kauka e haʻi aku ai iā ʻoe e ʻike inā e ho'ōla pono ana kou mau ʻeha.
- ʻAʻole hiki iā ʻoe ke hoʻokele, hana, a hele paha i ke kula no kekahi manawa ma hope o ke ʻoki ʻana.
He aha nā pilikia o ka microsurgery?
E like me nā ʻoki kino āpau, aia kekahi mau pilikia. E wehewehe mua kāu kauka i kēia mau mea iā ʻoe.
| Pilikia/Paʻakikī | He wehewehe maʻalahi |
|---|---|
| Ke kahe ʻana o ke koko | Ke kahe ʻana o ke koko mai ka wahi ʻoki. |
| Maʻi | Nā huakino e komo ana i nā ʻeha. |
| Ka nalowale o nā ʻiʻo / Necrosis | Inā ʻoki ʻia ke kahe koko i nā ʻiʻo i hoʻoili ʻia, hiki i nā ʻiʻo ke make. He pilikia koʻikoʻi loa kēia. |
| Māʻule | Hoʻemi ʻia a nalowale paha ka ʻike ma muli o ka hōʻino ʻia ʻana o nā aʻalolo i ka ʻāpana ʻoki. |
| Ka ʻeha | Noho nā ʻeha ma hope o ka ho'ōla ʻana o nā ʻoki. |
| Ho'ōla like ʻole | ʻOi aku hoʻi i nā ʻoki maka, ʻaʻole hoʻōla like nā ʻaoʻao ʻelua. |
| Pono no nā ʻoki kino hou aku | I kekahi manawa, ma muli o nā pilikia a i ʻole e hoʻokō i nā hopena i makemake ʻia, pono paha nā ʻokiʻoki hou aʻe. |
Āhea wau e ʻimi ai i ke aʻo lapaʻau?
He mea nui loa ia e ʻike i ka mea e hana ai inā kū mai kahi pilikia ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana.
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e kamaʻilio me kāu kauka. | |
|---|---|
| ⚫ | Inā he ʻeha nui a pehu paha ma kahi i hana ʻia ai ke ʻoki. |
| ⚫ | Inā ʻulaʻula ka ʻeha a hōʻike i nā hōʻailona o ka maʻi, e like me ka pus. |
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. | |
| 🔴 | Inā loaʻa iā ʻoe ka ʻeha o ka umauma. |
| 🔴 | Inā lilo ka puʻuwai i mea kūpono ʻole. |
| 🔴 | Inā pilikia ʻoe i ka hanu ʻana. |
He holomua nui maoli ka microsurgery i ka ʻepekema lapaʻau. I kēia lā, ua hiki ke ho'ōla i nā mea he nui i manaʻo ʻia he hiki ʻole ke ho'ōla ʻia a hoʻihoʻi i nā hana i nalowale.
Leka Lawe-Home
- He hana ʻoki kūikawā ka Microsurgery i hana ʻia ma lalo o kahi microscope e hoʻoponopono i nā kīʻaha koko a me nā aʻalolo i liʻiliʻi loa ke ʻike ʻia me ka maka ʻōlohelohe.
- Hoʻohana nui ʻia ia no nā kūlana e like me nā ulia koʻikoʻi, ke kūkulu hou ʻana ma hope o ke ʻoki ʻana i ka maʻi ʻaʻai, a me nā kīnā hānau.
- No ka mea he ʻoki kino paʻakikī loa kēia, aia nā pilikia e pili ana me ia. E kūkākūkā pono i kēia mau mea a pau me kāu kauka ma mua o ke ʻoki kino.
- He mau mahina paha e ho'ōla piha ai, a he mea nui loa e hahai pololei i nā ʻōlelo aʻoaʻo lapaʻau.
- E makaʻala i nā hōʻailona ma hope o ke ʻoki ʻana, e like me nā hōʻailona o ka maʻi, ka ʻeha nui, a i ʻole ka paʻakikī o ka hanu ʻana. E ʻimi koke i ke kōkua lapaʻau inā hana ʻia kēia.
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