He aha ke Kaʻina Hana Mitrofanoff? E kamaʻilio maʻalahi kākou e pili ana.

I kekahi manawa, pono mākou e kū i nā pilikia olakino hiki ʻole iā mākou ke noʻonoʻo. ʻO ka hiki ʻole ke mimi maʻamau kekahi o ia mau mea. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻoki kūikawā i hana ʻia ma ke ʻano he hopena i ka wā ʻaʻole hiki ke hoʻomalu pono ʻia ka ʻōpū mimi ma muli o kekahi mau kūlana olakino. Mai makaʻu i ka lohe ʻana i kēia. He mea nui loa ka makaʻala i kēia.

He aha ke ʻano o ke ʻoki kino ʻo Mitrofanoff?

I ka ʻōlelo maʻalahi, he hana ʻoki kino kēia. Pili ia i ka hana ʻana i kahi kahawai liʻiliʻi e like me ka paipu mai kou ʻōpū mimi a i ka ʻili o kou ʻōpū. E noʻonoʻo e like me ka hana ʻana i kahi puka komo hou i kou ʻōpū mimi. Hoʻohana nā kauka ʻoki i kahi ʻāpana o kou kino ponoʻī i kapa ʻia ʻo ka appendix e hana i kēia kahawai.

A laila, hoʻokomo ʻia kahi paipu kūikawā, i kapa ʻia he catheter, i loko o kēia puka liʻiliʻi ma ka ʻōpū (i kapa ʻia he stoma ) e hoʻokahe i ka ʻōpū mimi. He mea maʻalahi kēia a ʻaʻole ʻeha no nā poʻe he nui ma mua o ka hoʻokomo ʻia ʻana o kahi catheter ma o ka urethra.

No ka hoʻomaopopo ʻana i kēia, e nānā mua kākou pehea e hana ai kā kākou ʻōnaehana mimi.

Ua like ka ʻōnaehana mimi i loko o ko kākou kino me kahi ʻōnaehana kānana.

• ʻO ka mea mua, kānana ko mākou mau puʻupaʻa i ke koko, hoʻokaʻawale i nā mea ʻōpala, a hana i ka mimi.
• A laila hele kēia mimi i lalo i ʻelua mau ʻōmole liʻiliʻi i kapa ʻia ʻo ureters a hōʻiliʻili i loko o ka ʻōpū mimi .
• He ʻōkana ka ʻōpū mimi i hana ʻia me nā ʻiʻo e kīkoʻo ana e like me ka pōpō. I ka wā e piha ai, ʻike mākou i ka pono e mimi.
• Ke mimi kākou, hele ka mimi mai ka ʻōpū mimi a i waho o ke kino ma o kahi ʻōmole i kapa ʻia ʻo ka urethra .

Ma muli o kekahi mau kūlana olakino, ʻaʻole hana pono kēia kaʻina hana. ʻO ia ka manawa e pono ai kahi ʻano hana e like me Mitrofanoff.

No laila he aha ka pākuʻi?

He ʻōmole liʻiliʻi e like me ka manamana lima ka appendix i hoʻopili ʻia i ka ʻāpana mua o ko kākou ʻōpū nui. Aia ia ma ka ʻaoʻao ʻākau haʻahaʻa o ko kākou ʻōpū.

ʻAʻole i ʻike nā kauka i kāna hana ʻē aʻe. Wahi a kekahi, pale ia i nā bacteria maikaʻi i loko o ko kākou ʻōpū. Akā , ʻo ka mea nui loa, hiki iā kākou ke ola i ke ola olakino me ka ʻole o nā pilikia me ka ʻole o ka appendix. Ua lohe paha ʻoe i ka wā e loaʻa ai iā ʻoe ka appendicitis, pono ʻoe e wehe. Pēlā nō ia.

Ma ke kaʻina hana Mitrofanoff, lawe nā kauka i ka appendix a hoʻohana iā ia e hana i kahi ala hou no ka mimi e puka aku ai. Inā ua wehe mua ʻia ka appendix o ke kanaka, hiki i ke kauka lapaʻau ke hoʻohana i kahi ʻāpana o ka ʻōpū liʻiliʻi e hana i kēia ala.

ʻO wai ka mea e pono ai kēia ʻoki kino?

Pono paha kēia ʻoki kino no nā keiki a me nā pākeke. E wehewehe kākou i nā kūlana nui e hoʻokumu ai.

Pehea e hana ʻia ai ke ʻoki kino a me ka manawa hoʻōla

Ma mua o ke ʻoki kino

Ma mua o ke ʻoki ʻana, pono ʻoe e hoʻokahe loa i kou ʻōpū e hōʻemi i ka pilikia o ka maʻi. Pono kēia iā ʻoe e hahai pololei i nā ʻōlelo a kāu kauka. ʻO ke ʻano kēia o ka hoʻokē ʻai ʻana a me ka hana ʻana i ka hoʻomaʻemaʻe ʻōpū.

I ka wā o ke ʻoki kino

Hana ʻia kēia ʻoki kino ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole ʻoe e manaʻo i kekahi mea, e hiamoe ana ʻoe. E hahai ke kauka ʻoki kino i kēia mau ʻanuʻu:

1. ʻOki ʻia ka ʻili o ka ʻōpū (ʻoki ʻia) a hoʻokaʻawale ʻia ke apendiks mai ka ʻōpū nui.

2. Hoʻopili ʻia kekahi ʻaoʻao o ka paipu ileostomy i ka ʻōpū mimi a ʻo kekahi ʻaoʻao i kahi puka liʻiliʻi (stoma) i hana ʻia ma ka ʻōpū.

3. Hana ʻia ka pilina i ka ʻōpū mimi e like me kahi kiwikā e pani koke ana ke piha ka ʻōpū mimi. Hoʻōki kēia i ka mimi mai ke kahe ʻana.

4. Ma hope o ke ʻoki ʻana, hoʻokomo ʻia kahi ʻōmole manawa pōkole (ʻōmole suprapubic) e ʻae i ka mimi e hele a hiki i ka wā e ho'ōla ai ka ʻōpū mimi.

5. ʻO ka hope loa, ua pani ʻia kahi ʻoki me nā humuhumu hiki ke hoʻoheheʻe ʻia.

Ma hope o ke ʻoki kino

Pono ʻoe e noho i ka haukapila no kekahi mau lā, malia paha he pule. I kou wā e hoʻōla ai, hiki iā ʻoe ke manaʻo i kēia mau mea:

• ʻO ka saline wale nō (nā wai IV) e hāʻawi ʻia no kekahi mau lā.
• No nā pule 4-6 mua, ua kau ʻia kahi catheter i loko o ke alahele hou i hana ʻia (Mitrofanoff tunnel) e pale aku ai i kona pani ʻana.
• Ma hope o 6 mau pule, e aʻo aku kāu kauka iā ʻoe pehea e hoʻokahe ai i kou ʻōpū mimi ma kāu iho me ka hoʻohana ʻana i kahi catheter.

He aha nā pōmaikaʻi a me nā pilikia o kēia?

Eia nō naʻe, e like me nā ʻoki kino āpau, aia kekahi mau pilikia.

• Pono ke hana hou ʻana: I ka hala ʻana o ka manawa, hiki ke lilo ke alahele i hana ʻia i mea haiki (stenosis) a nāwaliwali paha, e koi ana i kahi hana ʻē aʻe e hoʻoponopono ai.
• Ka hana ʻana o ka mucus: ʻOiai ke hoʻohana hou ʻia ka appendix, hoʻomau ia i ka hana ʻana i ka mucus. No laila, pono e mālama ʻia kēia ala ma ka hoʻoinu mau ʻana me kahi hopena e like me ka saline.
• ʻO nā pilikia ʻē aʻe: Hiki ke loaʻa nā pōhaku mimi, nā maʻi ʻaʻai mimi (UTI), a me ke kahe ʻana o ke koko.

Mai makaʻu i kēia mau pilikia. E hōʻike aku kāu kauka iā ʻoe e pili ana i kēia mau mea a pau a hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e pono ai.

Āhea ʻoe e pono ai e kamaʻilio me ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa .

• Inā ʻaʻole hiki iā ʻoe ke hoʻokuʻu loa i kou ʻōpū mimi.
• Inā he nui ke kahe koko, ka pehu ʻana, a i ʻole ka palapū.
• Inā hoʻomau ka nausea a me ka luaʻi.
• Inā he ʻeha nui, ʻeha hiki ʻole ke hoʻomanawanui.
• Nā hōʻailona o ka maʻi, e like me ka hoʻokuʻu ʻana o ke kino mai ka stoma a i ʻole ke kuni.