Ua ʻike paha ʻoe a lohe paha i nā kānaka me kahi ʻano ʻeke liʻiliʻi e pili ana i ko lākou ʻōpū. Ke ʻike ʻoe i kēia, nui ka poʻe e noʻonoʻo nei, "He aha kēia?" Pili pinepine kēia i kekahi ʻano ʻoki ʻōpū. I kēia lā e kamaʻilio mākou e pili ana i kekahi ʻano ʻoki. He ʻano ia i kapa ʻia ʻo Mucous Fistula. He paʻakikī iki paha ke kani ʻana o ka inoa, akā mai hopohopo. E mālama kākou i ka maʻalahi a maopopo.
I ka pōkole, he aha ka Mucous Fistula?
E noʻonoʻo e pono e wehe ʻia kekahi ʻāpana o ko kākou ʻōpū ma ke ʻoki ʻana ma muli o ka maʻi a i ʻole e wehe ʻia mai ka hana no kekahi manawa e hoʻomaha ai. A laila, e hoʻokaʻawale ke kauka ʻoki i kēlā ʻāpana o ka ʻōpū mai ka pilina.
E noʻonoʻo i kēia ʻano. ʻAʻole wale ko kākou ʻōpū he ʻōmole. Hoʻopuka mau lākou i nā mea huna mai loko mai. Kāhea mākou i kēia he mucus . E like me ka lawai i loko o ko kākou waha, kōkua kēia wai e like me ka mucus i ka pale ʻana i ka ʻili o loko o nā ʻōpū, pale iā lākou mai ka hamo ʻana kekahi i kekahi, a pale i ka hōʻino ʻia mai nā ʻāpana meaʻai i ʻeli ʻole ʻia.
No laila, ke ʻoki ʻia kahi ʻāpana o ka ʻōpū, e hoʻomau kēlā ʻāpana o ka ʻōpū i ka hoʻopuka ʻana i ka mucus. Inā ʻaʻohe wahi e hele ai kēia mau mea huna, hiki iā lākou ke hōʻiliʻili i loko o ka ʻōpū i ʻoki ʻia a hoʻoulu i nā pilikia koʻikoʻi e like me ka ʻeha a me ka maʻi.
No ka pale ʻana i kēlā pilikia, hana nā kauka i kahi fistula mucous .
I ka ʻōlelo maʻalahi, pili ia i ke ʻoki ʻana i ka hopena o ka ʻōpū i ʻoki ʻia i kahi puka liʻiliʻi (stoma) i hana ʻia ma ka ʻili o ka ʻōpū. A laila, ma kahi o ka mucus i hana ʻia i loko o ka ʻōpū e puka mai ana ma o ka anus, puka ka stoma i hana hou ʻia mai ke kino. Hana kēia e like me kahi hoʻokahe keu.
No ke aha e pono ai i kekahi ke ʻano hana ʻoki kino?
Hana pinepine ʻia kēia ʻoki kino me kekahi ʻoki kino nui ʻē aʻe. I ka hapa nui o ka manawa, pono kēia no kekahi mau maʻi ʻōpū. E nānā kākou i kēlā mau mea.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Nā Maʻi ʻōpū mumū (IBD) | ʻO kēia māhele ka maʻi nui o Crohn a me ka ulcerative colitis.ʻO ka Ulcerative Colitis kahi maʻi e hoʻoulu ai i ka mumū a me nā ʻōpū i loko o ka ʻōpū no ka manawa lōʻihi. |
| Ka maʻi ʻaʻai colorectal | I nā hihia o ke kanesa colon, pono paha kēia ʻoki ma hope o ka wehe ʻia ʻana o ka ʻāpana kanesa o ke colon. |
| ʻO ke diverticulosis | Nā ʻeke liʻiliʻi e like me nā ʻeke i puka i loko o ka paia o ka kolona. Hiki i kēia ke hōʻeha nui inā loaʻa ka maʻi. |
| Nā ʻeha a i ʻole nā ʻeha i nā ʻōpū | Inā ua hōʻino ʻia ka ʻōpū ma muli o kahi ulia a i ʻole kekahi kumu ʻē aʻe, hana ʻia kēia e hoʻomaha ai i ka ʻāpana i hōʻino ʻia a hiki i kona ho'ōla ʻana. |
| Ka pale ʻana o ka ʻōpū | Inā paʻa loa ka ʻōpū no kekahi kumu, pono paha kēia ʻoki ʻana i ka wā e mālama ʻia ai ka paʻa. |
| ʻO ka Polyposis Adenomatous ʻOhana | He kūlana hoʻoilina kēia kahi e kū ai nā haneli o nā ulu liʻiliʻi (polyps) i loko o ka kolona, hiki ke lilo i ka maʻi ʻaʻai. |
Pono anei nā pēpē liʻiliʻi i kēia?
ʻAe, i kekahi manawa pono nā pēpē hānau hou e hana i kēia ʻoki kino. ʻO ke kumu nui o kēia he ʻelua mau kīnā hānau.
1. Anus imperforate: Hānau ʻia kekahi mau pēpē me ka ʻole o ka anus. No laila, pono e hana ʻia kahi ala e hele ai i ka ʻōpala no lākou. Hana ʻia kahi colostomy manawa pōkole a me ka fistula mucous no kēia. Ke ʻelemakule iki a ikaika aʻe ka pēpē, hoʻohana ʻia kēia a hiki i ka hoʻoponopono ʻia ʻana o ka anus me ke ʻoki hoʻoponopono.
2. Nā atresias ʻōpū: Hānau ʻia kekahi mau pēpē me nā ʻāpana o ko lākou ʻōpū i ālai ʻia a i ʻole i hoʻokaʻawale ʻia. Inā ʻaʻole hiki ke hoʻoponopono ʻia kēia me kahi ʻoki hoʻokahi, pono paha kahi fistula mucous manawa pōkole.
Pehea e hana ʻia ai kēia ʻoki kino?
E like me kaʻu i ʻōlelo ai ma mua, ʻaʻole hana ʻia kahi fistula mucous ma kāna iho. Hana pinepine ʻia ia me kahi ʻoki kino ʻē aʻe i kapa ʻia he colostomy a i ʻole ileostomy . E nānā kākou i kēlā mau mea ʻelua.
- ʻO ka colostomy hope: Ma kēia kaʻina hana, hoʻopili ke kauka lapaʻau i kekahi hopena o kou ʻōpū nui (colon) i kahi puka (stoma) i hana ʻia ma ka ʻili o kou ʻōpū. Puka mai ka ʻōpala mai kēia stoma.
- ʻO ka ileostomy hope: ʻO kēia kahi e pili ai ka hopena o kou ʻōpū liʻiliʻi (ileum) i kahi puka i hana ʻia ma ka ʻili o kou ʻōpū. Puka mai ka ʻōpala mai kēia stoma.
No laila, ke loaʻa iā ʻoe kahi colostomy hope a i ʻole kahi ileostomy hope e like me kēia, loaʻa iā ʻoe ʻelua stoma i loko o kou ʻōpū. ʻO kekahi no ka puka ʻana o ka ʻōpala, a ʻo kekahi he stoma fistula mucus i hana ʻia e hoʻokuʻu i ka mucus e puka mai ana mai ka ʻāpana o ka ʻōpū i hoʻokaʻawale ʻia.
ʻOi aku ka nui o ka stoma e hiki ai i ka ʻōpala ke puka i waho. ʻOi aku ka liʻiliʻi o ka mucous fistula.
Ke nānā ʻoe i kahi stoma, ʻano poni a pulu hoʻi ia, e like me ke ʻano o loko o ko kākou papālina. No ka mea, ʻaʻohe ona aʻalolo, ʻaʻole ia e ʻeha ke pā aku.
Ma hope o ke ʻoki ʻana, ua kau ʻia kahi ʻeke ostomy ma waho o nā stoma ʻelua. I ka wā mua, hiki i kahi fistula mucous ke hana i ka nui o nā mea huna, no laila pono pū kekahi ʻeke liʻiliʻi. Eia nō naʻe, i ka hala ʻana o ka manawa, emi ka nui o nā mea huna. I kēlā manawa, hiki paha ke uhi ʻia ka ʻeke me ka gauze ma kahi o kahi ʻeke.
Pehea e hoʻomākaukau ai ma mua o ke ʻoki kino?
ʻOiai he hana ʻoki kino nui kēia, pono ʻoe e hoʻomākaukau maikaʻi ma mua. E wehewehe pono kāu kauka i kēia iā ʻoe. Eia nā mea e noi pinepine ʻia ai ʻoe e hana:
- ʻO ka hoʻokē ʻai: Pono ʻoe e hōʻalo loa i ka meaʻai a me ka mea inu no kekahi mau hola ma mua o ke ʻoki ʻana.
- Ke Hoʻōki ʻana i nā Lāʻau Lapaʻau: Hiki i kāu kauka ke aʻo aku iā ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau (ʻoiai nā lāʻau hoʻokahe koko) ma mua o ke ʻoki ʻana.
- Ka haʻalele ʻana i ka puhipaka: He mea nui loa kēia. Inā he mea puhipaka ʻoe, pono ʻoe e hoʻōki i ka puhipaka ma ka liʻiliʻi he mau pule ma mua o kou ʻoki kino. Hoʻonui ka puhipaka i ka pilikia o nā pilikia ma hope o ke ʻoki kino a hoʻopaneʻe i ka ho'ōla ʻana o ka ʻeha.
- Hoʻomaʻemaʻe ʻōpū: E hāʻawi ke kauka iā ʻoe i kahi wai kūikawā (bowel prep) e inu e hoʻomaʻemaʻe loa i kou ʻōpū ma mua o ke ʻoki ʻana.
He mau loa anei kēia? E mau loa anei ia?
He nīnau kēia e hopohopo ai nā kānaka he nui ke lohe lākou. Akā, ʻo ka nūhou maikaʻi, ʻo ka hapa nui o ka manawa, ʻaʻole kēia he mea mau loa.
No nā kānaka he nui, hana ʻia kahi fistula mucous a me ka colostomy/ileostomy pili no kekahi manawa.ʻO ka pahuhopu nui ma ʻaneʻi, ʻo ia ka hāʻawi ʻana i nā ʻōpū pehu a hōʻino ʻia i kahi hoʻomaha a me ka manawa e ho'ōla ai.
Hiki i kēia kaʻina hana ho'ōla ke hala i nā pule, nā mahina, a i ʻole hoʻokahi makahiki. Ke ho'ōla loa ʻia kou ʻōpū, hiki i kāu kauka lapaʻau ke hana i kahi hana ʻē aʻe e hoʻopili hou i nā ʻāpana i ʻoki ʻia o kou ʻōpū. Ma hope o kēlā, hiki iā ʻoe ke loaʻa hou nā neʻe ʻana o ka ʻōpū maʻamau.
He aha nā pilikia a me nā pilikia o kēia?
E like me nā hana ʻoki kino a pau, aia kekahi mau pilikia a me nā pilikia e hiki mai ana, akā, ʻaʻole e ʻike nā kānaka a pau i kēia.
| Nā pilikia kūpono | |
|---|---|
| Maʻi | Hiki ke loaʻa nā maʻi a puni ka ʻeha ʻoki a i ʻole ka stoma. |
| ʻUluʻulu | Hoʻonāwaliwali ʻia nā ʻiʻo ʻōpū a puni ka stoma, e hoʻoulu ana i kahi ʻāpana o ka ʻōpū e puka i waho ma lalo o ka ʻili. |
| Nā pilikia e pili ana i ka stoma | Hiki i ka stoma ke piholo i lalo o ka pae o ka ʻili (retraction), e puka mamao loa (prolapse), a i ʻole e haiki ka puka (stricture). |
| Nā pilikia ʻili | ʻO ke ʻeke i hoʻopili ʻia i ka stoma a i ʻole ke kahe ʻana mai ia mea hiki ke hana i nā ʻeha ʻili, ʻulaʻula, a i ʻole ka maneʻo. |
| ʻO ka Proctitis Hoʻohuli | Ma muli o ka neʻe ʻole ʻana o ka ʻōpala, hiki ke loaʻa ka mumū i loko o ka rectum. Hiki i kēia ke hoʻoulu i ke koko a i ʻole nā paʻa koko e hele. |
| Make ʻana o nā ʻiʻo (Necrosis) | He mea kākaʻikahi loa, hiki i ka ʻiʻo i loko o ka stoma ke make ma muli o ka emi ʻana o ke kahe koko. |
I ka manawa hea e pono ai ʻoe e kāhea aku i ke kauka?
Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, pono ʻoe e makaʻala no kekahi mau hōʻailona hōʻike. Inā ʻike ʻoe i kekahi o kēia mau mea, pono ʻoe e kāhea koke aku i kāu kauka.
- Inā loaʻa iā ʻoe ke kuni a i ʻole ke anu (he mau hōʻailona paha kēia o kahi maʻi).
- Inā hoʻomau ka nausea a me ka luaʻi .
- Inā he nui ke kahe koko mai ka stoma a i ʻole me ka ʻōpala.
- Inā pilikia ʻoe i ka hoʻokahe ʻana a i ʻole ka mimi ʻana.
- Inā loli ke kala o ka stoma (no ka laʻana, inā lilo ia i poni ʻeleʻele a ʻeleʻele paha).
Leka Lawe-Home
- ʻO ka mucous fistula kahi ala palekana no ka hoʻokahe ʻana i ka mucus mai ka ʻāpana i hoʻokaʻawale ʻia o ka ʻōpū ma hope o ke ʻoki ʻana o ka ʻōpū.
- Hana pinepine ʻia kēia i nā kūlana e like me ka maʻi ʻōpū mumū (IBD), ke kanesa, a i ʻole ka ʻeha ʻōpū.
- He manawa pōkole wale nō kēia. Ke ho'ōla ʻia ka ʻōpū, hiki ke hoʻopili hou ʻia nā ʻāpana o ka ʻōpū ma ke ʻoki ʻana.
- ʻO ka loaʻa ʻana o hoʻokahi a ʻelua paha stoma ma kou ʻōpū e manaʻo iki paha he mea ʻē i ka wā mua, akā e aʻo ʻia ʻoe pehea e mālama pono ai iā lākou ma ka haukapila.
- Inā he mau nīnau kāu, hopohopo, a kānalua paha e pili ana i kēia, mai makaʻu e kamaʻilio ākea me kāu kauka. Ua mākaukau mau lākou e kōkua iā ʻoe.
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