He mea maʻamau ka manaʻo nui i ka makaʻu a me ka haʻalulu ke ʻike mākou he maʻi kanesa ko mākou. I kēlā mau manawa, he mea paʻakikī iā mākou ke hoʻomaopopo i kekahi o nā huaʻōlelo lapaʻau a me nā inoa ʻoki kino a nā kauka e hoʻohana ai. ʻO 'Omentectomy' paha kekahi o ia mau inoa. Akā, mai hopohopo, ʻaʻole kēia i paʻakikī e like me kou manaʻo. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ke aloha i kēia lā.
ʻAe, e nānā mua kākou i ke ʻano o kēia 'omentum'.
I ka ʻōlelo maʻalahi, ʻo ka omentum kahi papa lahilahi o ka ʻiʻo momona e uhi ana i kekahi o nā ʻōkana i loko o ko kākou ʻōpū. I ka pololei, ua like ia me kahi 'apron' e kau ana ma luna o ko kākou ʻōpū a me nā naʻau. Hana nui ʻia ia me nā ʻiʻo momona a me nā kīʻaha koko.
Hana kēia omentum i kekahi mau hana koʻikoʻi i loko o ko mākou kino:
- Hoʻomalu: Hāʻawi i ka palekana kino no nā ʻōpū i loko o ka ʻōpū.
- Hoʻolako koko: Kōkua i ka hoʻolako ʻana i ke koko e pono ai i nā ʻōpū a puni.
- Palekana: Hana pū ia ma ke ʻano he ʻāpana o ka ʻōnaehana pale o ke kino. Inā he maʻi a ʻeha paha, hele ia i kahi a kōkua i ka kaohi ʻana.
A laila no ke aha e wehe ʻia ai kēia omentum ma ke ʻoki ʻana?
ʻO ke kumu nui no ka hoʻohana ʻana i ke ʻoki kino e wehe i ka omentum, i.e. he omentectomy, he maʻi kanesa .
I ka hapanui o ka manawa, hoʻomaka ke kanesa ma ka omentum ponoʻī, he mea kākaʻikahi loa ia. Eia nō naʻe, hiki i ke kanesa e hoʻomaka ana ma kahi ʻē aʻe o ka ʻōpū, e like me nā ovaries, uterus, a i ʻole ka ʻōpū, ke laha maʻalahi i ka omentum. ʻO kēia no ka mea he nui ke koko i loko o ka omentum, a he wahi maikaʻi ia no nā hunaola kanesa e hoʻopili a ulu.
Aia ma lalo iho kekahi o nā ʻano maʻi kanesa nui e ʻōlelo ʻia ai ka omentectomy.
| ʻAno maʻi kanesa | Wehewehena |
|---|---|
| Ka maʻi ʻōpū | ʻO kēia ke kumu nui e laha ai ke kanesa i ka omentum. |
| Ka maʻi ʻōpū | Hiki i nā hunaola maʻi ʻaʻai e laha ana mai ka ʻōpū mai ke noho ʻana ma ʻaneʻi. |
| Ka maʻi ʻōpū | No ka mea aia ma kahi kokoke loa i ka ʻōpū, aia kahi manawa kūpono e laha ai. |
| Ka maʻi ʻaʻai colorectal | Hiki i kēia ʻano maʻi ʻaʻai ke laha i ka omentum. |
| Nā maʻi ʻē aʻe | Hiki i nā maʻi ʻaʻai o ka prostate, nā fallopian tubes, a me ka appendix ke hana i kēia. |
I ka ʻōlelo maʻalahi, inā ʻike kāu kauka i ka maʻi kanesa ma ka omentum, e paipai ʻo ia e wehe iā ia. I kekahi manawa, inā he nui ka manawa e laha ai kahi maʻi kanesa kokoke i ka omentum, hana ʻia kēia ʻoki kino e pale aku i ka laha ʻana o ke kanesa .
I kekahi manawa, wehe nā kauka a nānā i kahi ʻāpana o ka omentum e hoʻoholo ai i ke kahua kikoʻī o ke kanesa. Hiki i kēia ke kōkua nui i ka hoʻoholo ʻana i ka mamao o ka laha ʻana o ke kanesa a me ke ʻano o ka lāʻau e pono ai i ka wā e hiki mai ana.
He aha ka mea e hana ʻia ma mua a i ka wā o ke ʻoki kino?
ʻO ka hapa nui o ka manawa, ʻaʻole hana ʻia kēia omentectomy ma kāna iho. Hana ʻia ia ma ke ʻano he ʻāpana o kahi ʻoki kino nui e wehe i ke kino nui e loaʻa ana ke kanesa.
Ke hoʻomākaukau nei no ke ʻoki kino
Ma mua o ke ʻoki kino, e kamaʻilio pono kāu hui lapaʻau me ʻoe e pili ana i ia mea. E hōʻike lākou iā ʻoe e pili ana i nā pono, nā pōʻino, a me nā pilikia o ke ʻoki kino. E hana pū lākou i kekahi mau hoʻokolohua e ʻike ai inā hiki i kou kino ke kū i kēia ʻano ʻoki kino.
- Nā hoʻāʻo koko
- He hoʻāʻo ECG e nānā i ka hana o ka puʻuwai
- Nā hoʻāʻo e ʻike ai inā kūpono ʻoe no ka anesthesia laulā
Pehea e hana ai i ke ʻoki kino
Hiki ke hana ʻia kēia ʻoki kino ma nā ʻano nui ʻelua. Aia ia i kou kūlana, ke ʻano o ke kanesa, a me ka hoʻoholo a ke kauka ʻoki kino.
1. ʻO ke ʻoki kino liʻiliʻi loa: Ua kapa ʻia kēia he ʻoki laparoscopic a i ʻole ke ʻoki robotic . Pili kēia i ka hana ʻana i 3-4 mau ʻoki liʻiliʻi ma ka ʻōpū, kahi e hoʻokomo ʻia ai kahi kāmela a me nā mea hana palupalu. ʻO nā pono o kēia ʻano hana, ʻo ia ka emi ʻana o ka ʻeha, ka emi ʻana o ka ʻeha, a me ka wikiwiki o ka hoʻōla ʻana.
2. ʻOki wehe:ʻO kēia ka hana ʻana i hoʻokahi ʻoki lōʻihi ma ka ʻōpū, ka wehe ʻana i ka lua o ka ʻōpū, a me ka hana ʻana i ke ʻoki kino. Hoʻohana ʻia kēia ʻano hana inā ua pālahalaha nui ke kanesa a pono e wehe pū ʻia kekahi mau ʻōkana ʻē aʻe.
ʻO nā hana ʻoki ʻē aʻe i hana ʻia i ka manawa like me kēia hana ʻoki
E like me ka mea i ʻōlelo ʻia ma mua, hiki i ka omentectomy ke lilo i ʻāpana liʻiliʻi o kahi ʻoki kino nui. No laila, hiki ke hana ʻia kekahi a ʻoi aku paha o kēia mau ʻoki kino i ka manawa like:
- Hysterectomy: Wehe ʻana i ka ʻōpū.
- Oophorectomy: Wehe ʻana i kekahi a i ʻole nā ovaries ʻelua.
- Salpingectomy: Wehe ʻana i kekahi a i ʻole nā ʻōpū fallopian ʻelua.
- Gastrectomy: Wehe ʻana i kahi hapa a i ʻole ka ʻōpū holoʻokoʻa.
- Colectomy: Wehe ʻana i kahi hapa a i ʻole ka ʻōpū nui āpau.
- ʻO ke ʻoki ʻana o ka ʻōpū (cytoreductive) a i ʻole ka debulking: Ke wehe ʻana i ka nui o ke kanesa i pālahalaha ma loko o ka lua ʻōpū e like me ka hiki.
I kekahi manawa, inā aia ke kanesa i kona wā mua, e holoi ke kauka ʻoki i ka lua ʻōpū me kahi wai saline (holoi peritoneal) a hoʻouna i ka wai holoi i ka hale hana. Hiki i kēia ke kōkua i ka hoʻoholo pono ʻana inā ua laha nā hunaola kanesa.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Pono ʻoe e noho i ka haukapila no kekahi mau lā ma hope o ke ʻoki kino. Inā ua hana ʻia ʻoe i ke ʻoki laparoscopic, ʻoi aku ka pōkole o kou noho ʻana i ka haukapila. Eia nō naʻe, inā ua hana ʻia ʻoe i ke ʻoki kino nui i wehe i kekahi mau ʻōpū, e lōʻihi ka manawa hoʻōla.
Ma hope o ke ʻoki ʻana, e kūkākūkā kāu kauka i nā hopena o ke ʻoki ʻana a me nā hōʻike lab me ʻoe. E kūkākūkā pū ʻoe i ka mea e hana ai ma hope. I ka manawa pinepine, ma hope o ke ʻoki ʻana i ka maʻi kanesa, hāʻawi ʻia nā lāʻau lapaʻau ʻē aʻe e pepehi i nā hunaola kanesa i koe i loko o ke kino. No ka laʻana , chemotherapy a i ʻole radiation therapy .
Aia kekahi mau hopena ʻaoʻao a i ʻole nā pilikia?
E like me nā ʻoki kino āpau, aia kahi pilikia liʻiliʻi.
- Ke kahe ʻana o ke koko
- Maʻi
- Ka hōʻino ʻana i nā ʻōpū a puni
Eia kekahi, ʻo kahi pilikia kikoʻī e hiki ke hana ma hope o ka omentectomy ʻo ia ka pale ʻana o ka ʻōpū liʻiliʻi . ʻO kēia no ka mea ʻo ka ʻiʻo ʻeha (i kapa ʻia he adhesions ) e hana ʻia i loko o ka ʻōpū ma hope o ke ʻoki ʻana hiki ke hoʻopili i nā ʻōpū a ālai i ka ʻōpū.
Kekahi mau nīnau i nīnau pinepine ʻia
E ulu hou mai anei ka omentum ma hope o ka wehe ʻana?
ʻAʻole. ʻO ka omentum kekahi ʻāpana o ka peritoneum, ka membrane e uhi ana i ko kākou lua ʻōpū. Ma muli o ka hiki i kēia peritoneum ke ho'ōla koke, manaʻo kekahi poʻe e ulu hou ka omentum. Eia naʻe, ʻaʻole e ulu hou kahi omentum i wehe ʻia.
ʻEhia ka lōʻihi e ho'ōla ai?
Aia wale nō kēia ma ke ʻano o ke ʻoki kino āu i hana ai. ʻOiai ʻo ke ʻoki kino liʻiliʻi e like me ke ʻoki laparoscopic e lōʻihi paha i kekahi mau pule e ho'ōla ai, ʻo ke ʻoki kino nui e wehe ʻia ai nā ʻōpū he nui e lōʻihi paha a hiki i 8 mau pule e ho'ōla piha ai.
Hana ʻia ke ʻoki kino no ke kanesa me ka manaʻolana e hiki ke ho'ōla ʻia. Ua ʻōlelo kāu kauka i kahi omentectomy me ka manaʻolana e hiki iā ia ke kaohi a ho'ōla paha i kou kanesa.
Leka Lawe-Home
- ʻO ka Omentectomy kahi hana ʻoki e wehe ai i ka omentum, kahi membrane momona i loko o ka ʻōpū.
- ʻO ke kumu nui o kēia, ʻo ia ka laha ʻana a i ʻole ka pilikia o ka laha ʻana o ke kanesa mai nā ʻōpū e like me nā ovaries a me ka ʻōpū a i ka omentum.
- Kōkua kēia ʻoki kino i ka wehe ʻana i ke kanesa, pale i kona laha ʻana, a hoʻoholo i ke kahua o ke kanesa.
- ʻO ka manawa hoʻōla e pili ana i ke ʻano o ke ʻoki kino (mini-incision a wehe paha) a me kona nui.
- He ʻanuʻu koʻikoʻi a hoihoi kēia i ke kaʻina hana mālama maʻi kanesa. E ʻoluʻolu e kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.
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