Hiki ke hoʻopau i kahi ʻeke ostomy? (Ostomy Reversal) E kamaʻilio kākou e pili ana i ke ʻoki kino

Loaʻa iā ʻoe kahi ʻeke i hoʻopili ʻia i kou ʻōpū e hoʻokahe i kāu ʻōpala? Ua loaʻa paha iā ʻoe kahi colostomy a ileostomy paha ma ke ʻano he lāʻau lapaʻau no kahi maʻi ʻōpū a i ʻole ke ʻano. Ua ʻike paha ʻoe i ka ʻoluʻolu ʻole o ka noho ʻana me kēia ʻeke. No laila, ʻo ka nīnau a ka poʻe he nui, "ʻAʻole hiki iaʻu ke hoʻihoʻi i ke ʻano ma mua?" Hiki maoli ke hana ʻia. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.

He aha ka hoʻohuli ʻana o ka Ostomy?

I ka ʻōlelo maʻalahi, ʻo ka hoʻohuli ʻana ostomy he ʻoki kino e wehe ai i ka ʻeke i loko o kou ʻōpū a hoʻihoʻi i kāu hana ʻōpū. E hoʻomanaʻo paha ʻoe i ka wā o kāu ʻoki kino mua, ua hana nā kauka i kahi lua i loko o kou ʻōpū kahi i puka mai ai kahi hapa o kou ʻōpū (colon a ileum paha) ma o ka ʻili. Kāhea mākou ia he stoma . Ua puka mai ka ʻōpala ma o kēlā stoma.

I kēia manawa, ma kēia ʻoki hoʻohuli, ua hoʻihoʻi ʻia ka ʻōpū i hoʻopili ʻia i ka stoma i loko o ka ʻōpū a hoʻopili hou ʻia me ke koena o ka ʻōpū. A laila, ua pani ʻia ka lua i loko o ka ʻōpū (stoma). Ma hope o kēia, hiki iā ʻoe ke hoʻomoe hou ma o ka anus ma ke ʻano kahiko.

No ke aha e makemake ai ka nui o ka poʻe e hana i kēia ʻoki kino?

He mea kēia e pili ana iā ʻoe. Nui ka poʻe e koho i kēia no ka mea makemake lākou e hele hou i ka lua ma ko lākou ʻano maʻamau. Ua like kēia ʻoki kino me kahi manawa kūpono e hoʻi ai i ke ola a lākou i loaʻa ai ma mua o ke kau ʻia ʻana o ka ʻeke ostomy.

Ma hope o kēia ʻoki kino, ʻaʻole pono ʻoe e hopohopo hou e pili ana i ka hoʻololi ʻana i kāu ʻeke ostomy a i ʻole ka mālama ʻana i ka ʻili a puni kou stoma i maʻemaʻe. I kekahi manawa, ʻo ka noho ʻana me nā mea e like me ka liki ʻana mai ka ʻeke a me nā maʻi ʻili hiki ke lilo i mea kaumaha loa. No laila, he mea hōʻoluʻolu nui kēia ʻoki kino no ka hoʻokuʻu ʻia ʻana mai kēlā mau kaumaha āpau.

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Pehea e hiki ai iaʻu ke kūpono no kēia ʻoki kino?

Inā makemake ʻoe e hana i kēia ʻoki kino, e noʻonoʻo kāu kauka i kekahi mau mea. ʻAʻole hiki i nā kānaka a pau ke hana i kēia ʻoki kino. Aia ia i kou olakino. ʻO ka maʻamau, ua noʻonoʻo ʻia kēia ʻoki kino ma hope o 3 a 12 mau mahina.

E nānā i ka papa ma lalo no nā mākau nui e pono ai no kēia.

He aha nā hoʻokolohua e hana ʻia ma mua o ke ʻoki kino?

Hiki i kāu kauka ke hana i kekahi mau hoʻokolohua e ʻike ai inā kūpono ʻoe no ke ʻoki ʻana, e like me:

• Endoscopy: Hoʻokomo ʻia kahi ʻōmole me kahi kāmela ma o ka anus e nānā i nā maʻi a i ʻole nā ​​​​​​mea ālai i loko o nā ʻōpū.
• ʻO ke kukuna X-ray: Hāʻawi ʻia kahi wai kūikawā (wai hoʻohālikelike) a hana ʻia kahi kukuna X-ray e ʻike inā he leaka ma kekahi wahi o ka ʻōpū.
• Hoʻokolokolo Rectal Digital: Hoʻohana ke kauka i kona manamana lima e nānā i nā ʻiʻo o ka rectum.
• Nā hoʻāʻo koko: Hana ʻia nā hoʻāʻo koko e ʻike ai i kou kūlana meaʻai a me nā pilikia olakino ʻē aʻe.

He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?

E hāʻawi ʻia ʻoe i ka anesthesia laulā, no laila ʻaʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki ʻana, e hiamoe ana ʻoe. ʻO ka maʻamau, e hahai ke kauka i kēia mau ʻanuʻu:

1. Wehe ʻia a hoʻokaʻawale ʻia ka ʻāpana o ka ʻōpū (stoma) i hoʻopili ʻia i ka ʻili o ka ʻōpū.

2. A laila hoʻopili hou ʻia kēlā ʻāpana i ka ʻaoʻao haʻahaʻa o ka ʻōpū. Ua kapa ʻia kēia he anastomosis ma nā ʻōlelo lapaʻau.

3. ʻO ka hope loa, ua humuhumu ʻia nā ʻeha ʻoki a pau, me ka lua stoma ma ka ʻōpū.

ʻOi aku ka maʻalahi o kēia ʻoki kino ma mua o ke ʻoki kino ostomy mua. Hoʻokahi a ʻelua paha hola wale nō ka lōʻihi. Eia nō naʻe, i kekahi manawa hiki ke lōʻihi iki inā he ʻiʻo ʻeha mai kahi ʻoki kino ma mua.

He aha nā pilikia a me nā hopena ʻaoʻao e hiki ke kū mai ma hope o ke ʻoki kino?

E like me nā ʻoki kino āpau, aia kekahi mau pilikia e pili ana. Hiki ke loaʻa ka maʻi, ke kahe ʻana o ke koko, a me nā ʻūpā koko.

Akā, aia kekahi pilikia koʻikoʻi loa e pili pono ana i kēia ʻoki kino. ʻO ia ke ʻano i kapa ʻia ʻo ka anastomotic leak . ʻO ia hoʻi, he leak mai kahi i pili ai nā ʻōpū ʻelua. Hiki ke lilo i mea weliweli iki kēia, no ka mea, hiki i nā bacteria mai nā ʻōpū ke komo i loko o ka lua ʻōpū a hoʻoulu i kahi maʻi. Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni a me ka ʻeha nui ma ka ʻōpū lalo, pono ʻoe e kānalua. Akā, he mea kākaʻikahi loa kēia e hana.

Nā hopena ʻaoʻao pōkole

ʻO nā mea maʻamau i nā lā mua ma hope o ke ʻoki ʻana:

• ʻEha a me ka ʻoluʻolu ʻole: Hiki i nā ʻeha ʻoki ke hoʻoulu i ka ʻeha iki a me ka ʻoluʻolu ʻole, e like me ka ʻōpū piha.
• ʻIleus Paralytic: He mea maʻamau ka lohi iki o nā ʻōpū no kekahi mau lā ma hope o ke ʻoki ʻana. ʻO ia ke kumu e hāʻawi mua ʻia ai nā meaʻai wai.
• Nā loli i nā ʻano hana ʻōpū: Ke hoʻomaka hou ka hana ʻana o nā ʻōpū, hiki iā ʻoe ke loaʻa i ka maʻi pākī i ka wā mua. Hiki i kekahi poʻe ke loaʻa i ka paʻa ʻana o ka ʻōpū. He mea maʻamau nō hoʻi ka pono e hele pinepine i ka lua. E hoʻomaikaʻi kēia mau mea ma hope o kekahi mau mahina.

Nā hopena ʻaoʻao lōʻihi

• Hernia: Puka kahi ʻāpana o ka ʻōpū ma o ka ʻili ma o kahi ʻoki ʻoki.
• Hoʻopili ʻana o ka ʻōpū: Hoʻopili ʻia ʻana o nā ʻiʻo i loko o ka ʻōpū ma muli o ke ʻoki kino.
• ʻO ka incontinence fecal: Loaʻa paha i kekahi poʻe ka pilikia i ka kaohi ʻana i ko lākou ʻōpū ma muli o ka nāwaliwali o nā ʻiʻo rectal. Hiki ke mālama ʻia kēia me ka hoʻōla kino.

Pehea ka lōʻihi e hoʻōla ai? Pehea e mālama ai i kaʻu ʻai?

ʻO ka maʻamau, ma kahi o 6 a 8 mau pule e hoʻōla piha ai. I loko o kēia manawa, e hoʻihoʻi mālie ʻoe i kou ikaika.

Pono ʻoe e makaʻala nui i kāu meaʻai a me kāu mea inu.

• E hoʻomaka me nā meaʻai maʻalahi e ʻeli a haʻahaʻa i ka fiber (e.g. maiʻa, laiki, berena).
• E inu i ka wai he nui , ʻoiai inā he paʻa kou ʻōpū.
• E ho'ōki i ka inu ʻana i ka waiʻona, nā mea inu kalapona (e like me ka soda), a me ke kofe no kekahi manawa.
• Ma kahi o ʻekolu mau pāʻina nui, e ʻai i kekahi mau pāʻina liʻiliʻi i ka lā.
• E ʻike i nā meaʻai e hoʻoluhi iā ʻoe a pale iā lākou no kekahi manawa.

ʻO ka mea nui loa:Mai hana i nā mea e like me ka hāpai ʻana i nā mea kaumaha a i ʻole ka hoʻokele ʻana a hiki i ka wā e ʻae ai kāu kauka.

He aha nā hōʻailona e pono ai ʻoe e ʻike koke i ke kauka?

E hāʻawi ʻia ʻoe i ka nānā ʻana i nā lā ma hope o ke ʻoki ʻana. Eia nō naʻe, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e ʻike koke i kāu kauka.

• Inā e ʻoi aku ka ʻino o ka ʻeha a me ka pehu
• Inā he nausea a me ka luaʻi
• Inā loaʻa iā ʻoe ke kuni
• Inā he wai e like me ka pus e puka mai ana mai ka ʻeha ʻoki
• Inā hoʻomau ka maʻi pākī a i ʻole ka paʻa ʻana
• Inā pilikia ʻoe i ka mālama ʻana i ka meaʻai a i ʻole nā ​​​​wai i lalo