Ua manaʻo paha ʻoe ua pehu a pehu kou ʻōpū e like me ka pōpō i piha i ka wai? Ke paʻakikī nei ʻoe i ka hanu ʻana a manaʻo ʻoe ʻaʻole hiki iā ʻoe ke ʻai a inu pono paha? Hiki paha kēia no ka mea ua piha kou lua ʻōpū i ka nui o ka wai. I ka lāʻau lapaʻau, ua kapa ʻia kēia ʻano he ascites. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi hana lapaʻau maʻalahi akā koʻikoʻi loa e wehe i kēia wai i hōʻiliʻili ʻia. ʻO ia ka paracentesis.
I ka ʻōlelo maʻalahi, he aha ka paracentesis?
ʻO ka Paracentesis kahi hana e wehe ai i ke kahe nui (wai) mai kou ʻōpū, a i ʻole ka lua o ka ʻōpū. E noʻonoʻo ʻoe ua hoʻopuni ʻia nā ʻōpū i loko o kou ʻōpū, e like me kou akepaʻa a me nā ʻōpū, e kahi papa lahilahi o ʻelua mau membrane. Ua kapa ʻia kēia ʻo ka peritoneum. ʻO kēia wai, i kapa ʻia ʻo ascites, e hōʻiliʻili ma ka hakahaka ma waena o kēia mau membrane ʻelua.
Ma kēia lāʻau lapaʻau, hoʻohana ke kauka i kahi nila lahilahi a me kahi paipu palakiko liʻiliʻi (catheter) i hoʻopili ʻia iā ia e wehe i kēia wai i hōʻiliʻili ʻia. Ua like ia me ka hoʻokahe ʻana i ka wai mai loko mai o kahi pahu. Ke wehe ʻia ka wai ma kēia ʻano, ua emi nui ke kaomi a me ka ʻoluʻolu ʻole i loko o ka ʻōpū, e like me ka pehu ʻana.
No ke aha e hana ʻia ai kēia lāʻau lapaʻau?
Hana ʻia kēia no ʻelua kumu nui: hoʻokahi no ka hōʻoia ʻana i ka maʻi , a ʻo kekahi ma ke ʻano he lāʻau lapaʻau .
- ʻO ka Diagnostic Paracentesis: I ka ʻōlelo maʻalahi, e ʻike i ke kumu i piha ai ka ʻōpū i ka wai. Lawe ke kauka i kahi hāpana o ka wai a hoʻouna iā ia i kahi lab. E kōkua nā hopena hoʻāʻo e hoʻoholo i ke kumu pololei o ke kūlana.
- ʻO ka Paracentesis Lapaʻau: Hana ʻia kēia e hōʻoluʻolu i ka ʻeha i hoʻokumu ʻia e ka wai i loko o ka ʻōpū. Hoʻohana pinepine nā kauka i kēia lāʻau lapaʻau ke hiki ʻole i nā diuretics a i ʻole ka ʻai haʻahaʻa paʻakai ke kaohi i ke kūlana.
| ʻAno ʻike | Wehewehena |
|---|---|
| ʻO nā kumu nui o ka ascites | |
| ʻO ka Cirrhosis o ke akepaʻa | ʻO kēia ke kumu maʻamau o ka pehu ʻana. |
| Ke koko kiʻekiʻe o ka puka | Hoʻonui ʻia ke koko i loko o ke aʻa nui o ke akepaʻa. He mea maʻamau i waena o nā poʻe maʻi me ka cirrhosis. |
| Nā maʻi | ʻO ka peritonitis kahi maʻi o ke kahe i loko o ka lua ʻōpū. |
| Ka maʻi ʻaʻai | Ka maʻi ʻaʻai o nā ovaries, uterus, ate, pancreas, a i ʻole colon. |
| Ka hāʻule ʻana o ke kino | Ka hāʻule ʻana o ke akepaʻa a i ʻole ka puʻuwai. |
| Nā hōʻailona e emi ana me ka haʻalele ʻana o ka wai | |
| Nā ʻano | ʻEha a me ke kaomi o ka ʻōpū, ka pehu ʻana o ka ʻōpū, ka paʻakikī o ka hanu ʻana, ka paʻa ʻana o ka ʻōpū, ka pehu ʻana, a me ka nalowale o ka makemake e ʻai. |
Pehea ʻoe e hoʻomākaukau ai no kēia?
ʻAʻole kēia he hana ʻoki kino nui, akā pono ʻoe e hoʻomākaukau iki ma mua. E wehewehe kāu kauka i nā mea āpau iā ʻoe.
- Mōʻaukala lapaʻau: E nīnau kāu kauka e pili ana i kou mau maʻi i hala, nā ʻoki kino, a me nā maʻi ʻaleka. He mea nui e hoʻomaopopo iā lākou inā hāpai ʻoe.
- ʻŌlelo aʻoaʻo no ka lāʻau lapaʻau: Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko e like me `(Aspirin)` a i ʻole `(Warfarin),` e aʻo aku paha kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana i kēlā mau lāʻau lapaʻau no kekahi mau lā. Hiki i kāu kauka ke aʻo aku iā ʻoe e hoʻōki i ka lawe ʻana i nā lāʻau ʻeha `(NSAID)` a i ʻole kekahi mau lāʻau lapaʻau no ka maʻi diabetes. He mea nui loa ia e hahai i nā ʻōlelo a kāu kauka.
- ʻO ka hoʻokē ʻai: E aʻo ʻia ʻoe e kāohi i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola ma mua o ka mālama ʻana.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
Hiki ke hana ʻia kēia ma ke keʻena o ke kauka a i ʻole ma ka haukapila. ʻOi aku ka maikaʻi o ka mimi ʻana a hoʻokahe i kou ʻōpū mimi ma mua o ka mālama ʻana.
1. Ke hoʻomākaukau nei iā ʻoe: ʻO ka mea mua, e hoʻomoe ʻia ʻoe ma luna o kahi moe.
2. Hoʻomaʻemaʻe a me ka hoʻomāʻū ʻana: Ma hope o kēlā, hoʻomaʻemaʻe maikaʻi ʻia ka wahi i hou ʻia a hoʻomāʻū ʻia ka wahi. Hāʻawi ʻia kahi inikini liʻiliʻi no kēia. Ke hou ʻia, ʻeha iki ia, me he mea lā e nahu ʻia ana e kahi ʻanuʻu, akā ma hope o kēlā, ʻaʻohe ʻeha ma ia wahi.
3. Ke hoʻokomo ʻana i ka catheter: E hoʻohana pinepine ke kauka i kahi scan ultrasound e ʻike pono ai i kahi o ka wai. A laila, ma o kahi i puka ai, e hoʻokomo mālie ʻia ka catheter a me kahi paipu plastik liʻiliʻi (catheter) i hoʻopili ʻia i loko o ka ʻōpū.
4. Ka wehe ʻana i ka wai: A laila e hoʻohana i kahi syringe a i ʻole kahi ʻōmole vacuum e wehe ai i ka wai. Inā he mau lita wai kāu e wehe ai, e hoʻohana i kēia ʻōmole vacuum e wikiwiki ai ke kaʻina hana.
5. Ka wehe ʻana i ke kui a me ke kāʻei ʻana: Ke hoʻokahe ʻia ka wai, e wehe i ke kui, e kaomi i ka wahi e hoʻōki ai i ke kahe ʻana o ke koko, a e kāʻei i kahi kāʻei maʻemaʻe.
No kekahi poʻe, ʻoiai inā e wehe ʻia ka wai ma kēia ʻano, e hoʻi hou mai ana ia. No ia poʻe, ua hoʻokomo ʻia kahi ʻōmole lōʻihi kūikawā (Tunneled Peritoneal Drainage Catheter). A laila hiki iā ʻoe ke wehe i ka wai ma ka home. Na kāu kauka e hoʻoholo inā kūpono ia iā ʻoe.
He ʻeha anei kēia? Pehea ka lōʻihi?
Hiki paha iā ʻoe ke ʻeha iki ke loaʻa iā ʻoe ka inikini hoʻomāno, akā ʻaʻole ʻoe e ʻeha nui ke wehe ʻia ka wai. Eia nō naʻe, hiki paha iā ʻoe ke manaʻo i kahi kaomi iki a i ʻole ka ʻoluʻolu ʻole i loko o kou ʻōpū. Inā ʻoe e manaʻo i kekahi ʻoluʻolu ʻole a i ʻole ka poniuniu, mai makaʻu e haʻi aku i ke kauka a i ʻole ke kahu maʻi ma laila.
ʻO ka maʻamau, ma waena o 20 a me 45 mau minuke ka lōʻihi o kēia kaʻina hana. ʻOkoʻa ia ma muli o ka nui o ka wai e wehe ʻia ana. No nā kumu diagnostic, lawe ʻia kahi liʻiliʻi, ma kahi o 25 milliliters. No ka mālama ʻana, i kekahi manawa hiki ke wehe ʻia he 5 lita a ʻoi aku paha.
Pehea e mālama pono ai i kou hoʻi ʻana i ka home?
ʻOi aku ka maikaʻi o ka hoʻomaha ʻana no nā hola 24 mua ma hope o ka mālama ʻana. Na kāu kauka e aʻo iā ʻoe pehea e mālama ai i ka ʻeha.
- Mālama ʻeha: E holoi pono i kou mau lima me ke kopa a me ka wai ma mua o ka hoʻololi ʻana i ke kāʻei. E haʻi i kāu kauka inā ʻulaʻula ka ʻeha, pehu, a i ʻole e kahe ana ka pus.
- ʻAi: Pono ʻoe e hōʻemi i ka paʻakai i kāu meaʻai, no ka mea, hoʻonui ka paʻakai i ka paʻa ʻana o ka wai i loko o ke kino.
- Lāʻau lapaʻau: E lawe i nā diuretics i kauoha ʻia e kāu kauka i ka manawa kūpono.
- Ka hoʻomaʻemaʻe:Mai hoʻokuʻu i ka ʻeha e pulu a hiki i ka wā e ho'ōla ai. No laila, ʻoi aku ka maikaʻi o ka pale ʻana i ka ʻauʻau ʻana a lawe i ka ʻauʻau huʻahuʻa.
Āhea ʻoe e ʻimi koke ai i ke aʻo lapaʻau?
He mea kākaʻikahi loa nā pilikia, akā he mea nui e hana koke inā kū mai kekahi mau hōʻailona pilikia.
| Manawa kūpono | Nā hōʻailona |
|---|---|
| Kāhea i kāu kauka. | |
| Nā hōʻailona o ka maʻi | Kuni a me ke anu, ʻulaʻula a ʻeha paha ma kahi i inikini ʻia, a me kahi kahe wai ʻala ʻino a pus paha. |
| E hele koke i ka Emergency Treatment Unit (ETU). | |
| Nā kūlana pilikia | ʻEha ka umauma, paʻakikī nui ka hanu ʻana, poniuniu, ʻeha nui ka ʻōpū a i ʻole ka pehu ʻana. |
Leka Lawe-Home
- He kaʻina hana palekana loa ka paracentesis e wehe ai i ka wai keu mai ka ʻōpū.
- Hiki i kēia ke kōkua iā ʻoe e ʻike i ke kumu o ka pehu a hoʻemi i ka ʻoluʻolu ʻole e hoʻoulu ai.
- He mea nui loa e hahai pololei i nā ʻōlelo a kāu kauka, ma mua a ma hope o ka lāʻau lapaʻau.
- E makaʻala i nā hōʻailona e like me ke kuni, ka pehu ʻana o ka ʻeha, a me ka ʻeha nui o ka ʻōpū. Inā loaʻa kekahi o kēia mau mea, e ʻimi koke i ke kōkua lapaʻau.
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