E aʻo wale kākou e pili ana i ka Mucous Fistula ma hope o ke ʻoki ʻana o ka ʻōpū.

I kekahi manawa pono mākou e hana i ke ʻoki kino nui o ka ʻōpū, ʻeā? Ua lohe paha ʻoe ma hope o ia ʻoki kino, ua hana ʻia kahi puka liʻiliʻi, i kapa ʻia he `(stoma)`, ma luna o ka ʻili o ka ʻōpū. He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēia. I kēia lā e kamaʻilio mākou e pili ana i kahi mea paʻakikī iki hoʻi, akā he mea nui loa. ʻO ia hoʻi, he aha ka `Mucous Fistula` a no ke aha e pono ai.

He aha ka Mucous Fistula?

I ka ʻōlelo maʻalahi, he puka liʻiliʻi kahi fistula mucous i hana ʻia ma ke ʻoki ʻana i kahi ʻāpana i wehe ʻia o kou ʻōpū i ka ʻili o kou ʻōpū.

E noʻonoʻo, ʻaʻole wale ko kākou ʻōpū he ʻōmole. Hoʻopuka mau lākou i kahi mea huna i kapa ʻia ʻo mucus e pale iā lākou iho a kōkua i nā mea e neʻe maʻalahi. I kēia manawa, e noʻonoʻo kākou ua wehe ʻia kahi ʻāpana o ka ʻōpū ma muli o kahi maʻi, a i ʻole ua hoʻokaʻawale ʻia mai ke koena o ke kino no ka mea pono e hoʻomaha. A laila, hoʻomau ka ʻāpana hana ʻole o ka ʻōpū i ka hana ʻana i kēlā mucus.

ʻO ka maʻamau, e loaʻa iā ʻoe ʻelua mau puka (stomas) i kēia ʻano hana.

1. ʻO ka stoma nui (Colostomy a i ʻole Ileostomy): Maanei e puka mai ai ka meaʻai i ʻeli ʻia a me ka ʻōpala. Hoʻopili ʻia kahi ʻeke i kēia.

2. Mucous fistula: ʻOi aku ka liʻiliʻi o kēia ma mua o kekahi. ʻO nā mea huna mucous a mākou i ʻōlelo ai e puka mai ana mai kēia.

No ke aha mākou e pono ai i ka fistula mucous?

Hana pinepine ʻia kēia me nā ʻoki ʻōpū ʻē aʻe. He mea pono paha ia no ka poʻe me nā maʻi ʻōpū mumū (IBD). Aia kekahi mau kumu ʻē aʻe.

No ke aha e pono ai kēia i nā pēpē liʻiliʻi?

I kekahi manawa pono e hana ʻia kēia ʻoki kino no nā pēpē hānau hou.

• Anus Imperforate: Hānau ʻia kekahi mau pēpē me ka ʻole o kahi puka i loko o ka anus. ʻO ke ʻano kēia, ʻaʻohe ala no ka ʻōpala e hele ai. Hana ʻia kahi colostomy manawa pōkole e ʻae i ka ʻōpala e hele a hana ʻia kahi fistula mucous e ʻae i ka mucus e hele a hiki i ka ikaika o ka pēpē e hana i ke ʻoki hoʻoponopono.
• ʻO nā atresias ʻōpū: Loaʻa i kekahi mau pēpē nā mea i pale ʻia a i ʻole ka ʻoki ʻana i loko o ko lākou ʻōpū. Inā ʻaʻole hiki ke hoʻoponopono ʻia kēia mau mea me kahi hana hoʻokahi, pono paha kahi fistula mucous no ka manawa pōkole.

Pehea ke ʻano o kēia ʻoki kino a me ke kaʻina hana e pili ana?

Hana pinepine ʻia kēia e ke kauka lapaʻau colorectal i loea i ke ʻoki ʻana o ka ʻōpū nui a i ʻole ka ʻōpū liʻiliʻi.

Ma mua o ke ʻoki kino

E wehewehe pono ana kāu kauka iā ʻoe i kāu mea e pono ai ke hana ma mua o ke ʻoki kino. Eia nā mea maʻamau āu e pono ai ke hana:

• Mai ʻai a inu paha i kekahi mea no kekahi mau hola ma mua o ke ʻoki kino (hoʻokē ʻai).
• E hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā mea e hōʻemi ai i ke kāpili ʻana o ke koko) e like me ke kuhikuhi a kāu kauka.
• Inā ʻoe e puhipaka, he mea nui e haʻalele i kekahi mau pule ma mua o ke 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.
• E hoʻokahe a hoʻomaʻemaʻe loa i kou ʻōpū ma ka inu ʻana i kahi mea inu kūikawā (bowel prep) i hāʻawi ʻia e kāu kauka.

I ka wā o ke ʻoki kino

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

1. Hana ʻia kahi ʻoki ma ka ʻili o ka ʻōpū e hiki ai i ka ʻāpana kūpono o ka naʻau.

2. Ua hoʻokaʻawale ʻia ka ʻāpana maʻi o ka ʻōpū a i ʻole ka ʻāpana e pono ai ke hoʻomaha.

3. Hoʻopili ʻia kekahi ʻaoʻao o ka ʻāpana hana o ka ʻōpū i ka puka nui i hana ʻia ma ka ʻōpū (stoma). Ua kapa ʻia kēia he ileostomy a i ʻole colostomy.

4. Hana ʻia kekahi puka liʻiliʻi a hoʻopili ʻia i kekahi wēlau o ka ʻāpana kīnā o ka ʻōpū. ʻO kēia ka mucous fistula .

5. A laila ua humuhumu ʻia ka ʻoki nui.

6. Hoʻopili ʻia nā ʻeke kūikawā (nā ʻeke ostomy) i nā puka ʻelua.

Nā pono, nā pilikia, a me ka manawa ho'ōla

E like me nā ʻoki kino āpau, loaʻa i kēia ʻoki kino nā pono a me nā pilikia.

Ka manawa ho'ōla

E noho ʻoe ma ka haukapila no hoʻokahi pule ma hope o ke ʻoki kino. I loko o kēia manawa, e aʻo aku ke kahu maʻi iā ʻoe pehea e hoʻomaʻemaʻe a hoʻololi i kou mau stoma a me nā ʻeke, a pehea e mālama ai i ka ʻili a puni lākou. I ka wā mua, ʻike ʻia paha nā stoma he nui iki aʻe, ʻeleʻele, a pulu, akā i ka hala ʻana o ka manawa e emi a palahalaha lākou.

I nā pae mua, aia ka nui o ka mucus mai ka fistula mucous.Hiki ke puka i waho. No laila, pono ʻoe e ʻaʻahu i kahi ʻeke liʻiliʻi no kēlā. Akā i ka hala ʻana o ka manawa, e emi nui kēia kahe ʻana. I kekahi manawa e emi ana ia a hiki i kahi e hiki ai ke uhi ʻia me kahi ʻāpana gauze maʻamau.

He mau loa kēia?

ʻO kekahi o nā makaʻu nui no nā kānaka he nui, ʻo ia ka lilo ʻana o kēia i mea no ke ola holoʻokoʻa. ʻO ka nūhou maikaʻi, i ka hapa nui o nā hihia, he manawa pōkole kēia. Hana ʻia kēia e hāʻawi i ka ʻāpana i hoʻopilikia ʻia o ka ʻōpū i kahi hoʻomaha a me kahi manawa e ho'ōla ai. Hiki i kēia kaʻina hana ho'ōla ke hala i nā pule, nā mahina, a i ʻole nā ​​makahiki. Inā hoʻoholo kāu kauka e hana pēlā, hiki iā lākou ke hoʻopili hou i ka ʻāpana o ka ʻōpū ma ke ʻoki ʻana a ʻae iā ʻoe e loaʻa nā neʻe ʻana o ka ʻōpū maʻamau.

I ka manawa e kāhea koke aku ai i ke kauka

Ma hope o kou hoʻi ʻana i ka home, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e kāhea koke i kāu kauka . A i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

• Inā he koko i loko o ka ʻōpala.
• Inā ʻoe e kahe koko nui ana a ʻano ʻē.
• Inā loaʻa iā ʻoe ka nausea a me ka luaʻi pinepine.
• Inā he mau hōʻailona kou o ka maʻi, e like me ke kuni, ka ʻūlū, a me ka haʻalulu.
• Inā pilikia ʻoe i ka mimi ʻana a i ʻole ka defecating (mai ka stoma nui).

Hiki ke paʻakikī ke noho me ka stoma i ka wā mua. Akā i ka manawa e aʻo ai ʻoe pehea e hoʻokele ai, hiki iā ʻoe ke ola i kahi ola maʻamau. E wehe me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.