Ua hopohopo iki paha ʻoe i ka wā i haʻi aku ai kāu kauka iā ʻoe e pono ʻoe e hana i kahi 'omentectomy'. He inoa maʻa ʻole ia, no laila ua noʻonoʻo paha ʻoe, 'He aha ke ʻano o ia ʻoki ʻana?' Mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o ka omentectomy, no ke aha i hana ʻia ai, a me nā mea āpau e pono ai ʻoe e ʻike e pili ana i ia mea ma ke ʻano maʻalahi loa.
ʻO ka mea mua, e nānā kākou, he aha kēia 'omentum'?
I ka ʻōlelo maʻalahi, ʻo ka omentum kahi papa momona e uhi ana i nā ʻōpū i loko o kou ʻōpū, e like me kou ʻōpū a me nā naʻau. Ua like ia me kahi uhi pale no ko mākou mau ʻōpū koʻikoʻi. ʻO kēia ka mea a mākou e kapa nei ʻo 'omentum'. ʻAʻole ia i hana wale ʻia me nā ʻiʻo momona, akā he mau kīʻaha koko hoʻi e holo ana ma loko. No laila hāʻawi ia i ka palekana kino me ka hāʻawi ʻana i ke koko i ko mākou mau ʻōpū. ʻO ka Omentectomy ka wehe ʻoki ʻana i ka omentum āpau a i ʻole kekahi hapa.
No laila he aha ke kumu o ka hana ʻana i kahi omentectomy?
ʻO ke kumu nui o ka omentectomy ka maʻi kanesa . Eia nō naʻe, ʻo ka hapa nui o ka manawa, ʻaʻole hoʻomaka ka maʻi kanesa ma ka omentum. Hoʻomaka ia ma kahi ʻē aʻe o ka ʻōpū, e like me nā ovaries, uterus, a i ʻole ka ʻōpū, a laha i ka omentum (metastasis).
ʻO ka omentum kahi e hiki ai i nā hunaola kanesa ke hiki a laha maʻalahi. ʻO ia ke kumu e hoʻoholo ai nā kauka e wehe i kēia ʻāpana i ka wā o ke ʻoki ʻana i ka maʻi kanesa.
Pono paha ka omentectomy no nā ʻano maʻi kanesa penei:
| ʻAno maʻi kanesa | Wehewehena |
|---|---|
| Ka maʻi ʻōpū | He ʻano maʻi ʻaʻai i ʻoi aku ka palahalaha i ka omentum. |
| Ka maʻi ʻaʻai ʻōpū/Endometrial | Hiki i kēia maʻi ʻaʻai ke laha i ka omentum. |
| Ka maʻi ʻōpū | Aia kahi pilikia o ka laha ʻana no ka mea aia kokoke i ka ʻōpū. |
| Ka maʻi ʻaʻai colorectal | Hiki i kēia mau hunaola kanesa ke laha i ka omentum. |
| Nā maʻi ʻē aʻe | ʻO ke kanesa o nā ʻōpū e like me ka fallopian tube, ka prostate, a me ka appendix. |
I kekahi manawa, wehe nā kauka i ka omentum e nānā i nā hunaola kanesa microscopic. Inā ua pālahalaha lākou, hiki iā lākou ke hoʻoholo i ke kahua o ke kanesa a me ke ʻano o ka lāʻau e pono ai. Eia kekahi, inā manaʻo ʻia ua pālahalaha ke kanesa i ka omentum, hana ʻia kēia ʻoki kino e pale aku i kona laha ʻana i ka wā e hiki mai ana .
E kamaʻilio kākou e pili ana i ke ʻano o ka hana ʻana o ke ʻoki kino.
Hiki ke hana ʻia kahi omentectomy ma nā ʻano nui ʻelua: ke ʻoki laparoscopic a me ke ʻoki hāmama.
- ʻO ke ʻoki Laparoscopic: Pili kēia i ka hana ʻana i 3-4 mau ʻoki liʻiliʻi ma ka ʻōpū a me ke komo ʻana i kahi kāmela (laparoscope) a me nā mea hana palupalu. ʻO ka hopena o kēia ʻano hana he mau ʻeha liʻiliʻi, emi ka ʻeha, a me ka manawa hoʻōla wikiwiki.
- ʻO ke ʻoki kino hāmama: Ma kēia, hana ʻia kahi ʻoki lōʻihi ma ka ʻōpū, nānā ʻia nā ʻōpū i loko o ka ʻōpū, a wehe ʻia ka omentum me nā maʻi kanesa āpau. Hoʻohana ʻia kēia ʻano hana e wehe i nā puʻupuʻu nui, a inā ua pālahalaha ke kanesa i nā ʻōpū he nui.
ʻO nā hana ʻoki ʻē aʻe i hana ʻia me ka omentectomy
ʻAʻole hana wale ʻia kēia ʻoki kino. Ma muli o kahi i hoʻomaka ai ke kanesa a me kahi i laha ai, wehe ʻia kēlā ʻāpana o ke kino i ka manawa like.
| Inoa o ke ʻoki kino (Huaʻōlelo Pelekania) | ʻŌkana/ʻāpana e wehe ʻia |
|---|---|
| Hoʻopau ʻia ka hysterectomy | ʻōpū |
| ʻO ka hoʻokaʻawale ʻana o ka salpingo-oophorectomy | ʻO nā ovaries a me nā fallopian tubes |
| ʻOki ʻana i ka ʻōpū | ʻĀpana a i ʻole ka ʻōpū holoʻokoʻa |
| ʻO ke kolotomi | ʻĀpana o ka ʻōpū nui |
| ʻO ke ʻoki kino cytoreductive | Ke wehe nei i ka nui o ke kanesa i pālahalaha ma loko o ka ʻōpū e like me ka hiki |
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 ke ʻoki kī ma kou poʻohiwi, pono paha ʻoe e noho no kekahi manawa pōkole, akā inā ua hana ʻia ke ʻoki kino nui i wehe i kekahi mau ʻōpū, pono paha ʻoe e noho no hoʻokahi pule a ʻoi aku paha. E kamaʻilio kāu kauka ʻoki kino me ʻoe e pili ana i nā hopena o ke ʻoki kino a me nā hōʻike lab.
E hoʻomanaʻo, ma hope o ke ʻoki ʻana i ka maʻi kanesa, pono paha ka lāʻau hou aʻe e hoʻopau i nā hunaola kanesa i koe.
No laila, ʻo nā hana e hiki mai ana, e like me ka radiation therapy a i ʻole chemotherapy, e hoʻoholo ʻia ma hope o kēlā.
He aha nā pilikia e hiki mai ana o kēia ʻoki kino?
E like me nā ʻoki kino āpau, aia kekahi mau 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 kū ma hope aku, ʻo ia ka pale ʻana o ka ʻōpū liʻiliʻi . Hiki ke hana kēia ma muli o nā pipili e hana ʻia i loko o ka ʻōpū ma hope o ke ʻoki ʻana, e hoʻopili ai i nā ʻōpū a paʻa. Inā ʻike ʻoe i nā hōʻailona e like me ka pehu ʻana, ka luaʻi ʻana, a i ʻole ka ʻeha o ka ʻōpū, pono ʻoe e ʻike koke i ke kauka.
Kekahi mau nīnau i nīnau pinepine ʻia
E ulu hou mai anei ka omentum i wehe ʻia?
ʻAʻole. He kuhihewa kēia i loaʻa i nā poʻe he nui. ʻO ka omentum kekahi ʻāpana o ka peritoneum. ʻOiai he hiki i ka ʻiʻo peritoneal ke ho'ōla koke, ʻaʻole e ulu hou ka omentum i wehe ʻia ma ke ʻoki ʻana.
ʻEhia ka lōʻihi e hoʻōla piha ai?
E loli kēia ma muli o ke ʻano o ke ʻoki kino āu i hana ai. ʻO kahi ʻoki liʻiliʻi, e like me ke ʻoki ʻana i ka lua kī, hiki ke hala i kekahi mau pule e ho'ōla ai. Eia nō naʻe, ʻo kahi ʻoki kino nui kahi e wehe ʻia ai kekahi mau ʻōpū hiki ke hala a hiki i 8 mau pule e ho'ōla piha ai.
Leka Lawe-Home
- ʻO ka omentectomy ka wehe ʻoki ʻana i ka membrane momona i kapa ʻia ʻo omentum i loko o ka ʻōpū.
- Hana nui ʻia kēia i ka wā e pālahalaha ai nā maʻi kanesa e like me ke kanesa ovarian a me ka ʻōpū i ka omentum a i ʻole e pale aku i kona laha ʻana.
- Hiki ke hana ʻia kēia ʻoki kino ma ke ʻano laparoscopic a wehe ʻia paha, a hana pinepine ʻia me ka wehe ʻana o nā ʻōpū ʻē aʻe e pili ana i ka maʻi kanesa.
- Aia ka manawa hoʻōla i ka nui o ke ʻoki ʻana, a pono paha ke hana hou ʻia ka lāʻau lapaʻau, e like me ka chemotherapy, ma hope.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, e kūkākūkā ākea me kāu kauka. Ua mākaukau mau lākou e hāʻawi iā ʻoe i ka ʻike pololei loa a me ka hōʻoluʻolu.
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