I kekahi manawa, ma muli o nā maʻi e hoʻopilikia ana i ko kākou mau māmā, ʻoiai nā maʻi koʻikoʻi e like me ke kanesa, pono nā kauka e hana i kahi hoʻoholo koʻikoʻi loa. I ia mau hihia, pono paha e wehe ʻia ka māmā holoʻokoʻa me ka maʻi ma ke ʻoki ʻana. ʻO kēia ka mea a mākou e kapa nei he 'Pneumonectomy' i ka lāʻau lapaʻau. ʻOiai he ʻoki nui kēia, he mea nui loa iā ʻoe ke ʻike pono i ka mea e manaʻo ai.
He aha maoli ka pneumonectomy?
I ka ʻōlelo maʻalahi, ʻo ka pneumonectomy ka wehe ʻoki ʻana i kekahi o kou mau māmā. Inā wehe ʻia ka māmā ʻākau, ua kapa ʻia ʻo ia he 'pneumonectomy ʻaoʻao ʻākau', a inā wehe ʻia ka māmā hema, ua kapa ʻia ʻo ia he 'pneumonectomy ʻaoʻao hema'.
ʻO kēia ke ʻano nui loa o ke ʻoki ʻana i ka māmā, no ka mea, i kekahi manawa aia nā ʻoki ʻana e wehe wale i kahi ʻāpana liʻiliʻi o ka māmā.
- (Lobectomy) - Pili kēia i ka wehe ʻana i kahi ʻāpana (lobe) wale nō o ka māmā.
- (Wedge resection) - Ma kēia, ua wehe ʻia kahi ʻāpana liʻiliʻi o ka māmā.
Hana ʻia ke ʻoki pneumonectomy ma nā ʻano nui ʻelua.
| ʻAno o ke ʻoki kino | Wehewehena |
|---|---|
| Pneumonectomy maʻamau | Ma kēia, wehe wale ke kauka lapaʻau i kou māmā holoʻokoʻa. Hiki iā ia ke wehe i kekahi o nā aʻalolo a me nā ʻiʻo kokoke. |
| Pneumonectomy Extrapleural (ʻoki kino nui aʻe) | He ʻoi aku ka paʻakikī o kēia. Ma waho aʻe o nā māmā, ua wehe ʻia kekahi mau mea ʻē aʻe. ʻO ia hoʻi: - Nā māmā - ʻO ka uhi a puni nā māmā (Pleura) - ʻO ka uhi a puni ka puʻuwai (pericardium) - Ua wehe ʻia kekahi ʻāpana o ka diaphragm. |
Hoʻohana nā kauka lapaʻau i ʻelua mau ʻano hana e hana ai i kēia ʻoki kino. ʻO kekahi he ʻoki kino hāmama i kapa ʻia he thoracotomy . ʻO kekahi he ʻoki ʻoki liʻiliʻi i kapa ʻia he ʻoki kino thoracic kōkua wikiō (VATS) . ʻOiai ʻaʻole invasive ka VATS, ʻaʻole kūpono ia no nā maʻi āpau.
He aha nā ʻano kūlana e hana ʻia ai kēia ʻoki kino?
Hana pinepine ʻia kēia ʻoki kino ma ke ʻano he lāʻau lapaʻau no ka maʻi ʻaʻai māmā, akā hiki ke hana ʻia no nā kūlana ʻē aʻe.
- Ka maʻi ʻaʻai māmā
- Nā puʻupuʻu Carcinoid e hana ʻia i loko o nā māmā
- ʻO ka mesothelioma pleural, kahi maʻi kanesa e hana ana i loko o ka uhi o nā māmā
- Nā ʻeha koʻikoʻi o ka māmā
- He maʻi fungal koʻikoʻi i kapa ʻia ʻo Aspergillosis
- He maʻi ka Bronchiectasis kahi e hoʻonui mau ʻia ai ke alaea.
- ʻO ka maʻi puʻupuʻu
- Ke pālahalaha kahi ʻano maʻi kanesa i kapa ʻia ʻo disseminated thymoma
ʻO ka pneumonectomy ka lāʻau lapaʻau maʻamau no ka maʻi kanesa māmā, akā ʻaʻole hiki i nā poʻe maʻi kanesa āpau ke hana i kēia kaʻina hana.
No wai kēia ʻoki kino e kūpono ai?
Hiki iā ʻoe ke kūpono no kēia ʻoki kino ma nā hihia aʻe:
- Inā aia ke kanesa i hoʻokahi wale nō māmā (a ʻaʻole i pālahalaha i nā wahi ʻē aʻe) a hiki ke wehe ʻia ka māmā a hiki ke ho'ōla loa ʻia ke kanesa.
- Ma muli o ka wahi o ka puʻupuʻu kanesa, hiki ke wehe ʻia kahi ʻāpana o ka māmā a ʻaʻole hiki ke wehe ʻia ka puʻupuʻu holoʻokoʻa.
- Inā olakino maikaʻi kou puʻuwai, nā kīʻaha koko, a me nā ʻōpū ʻē aʻe.
ʻO wai ka mea kūpono ʻole no kēia ʻoki kino?
- No ka poʻe i lawa ʻole ka hana o ko lākou māmā.
- No ka poʻe me ka maʻi koʻikoʻi o ka valve puʻuwai.
- No ka poʻe me ke koko kiʻekiʻe o ka pulmonary (ke kaomi kiʻekiʻe i loko o nā kīʻaha koko e lawe i ke koko i nā māmā).
- No ka poʻe me ka hiki ʻole ke pumehana puʻuwai (hana ventricular maikaʻi ʻole).
Ma mua o ke ʻoki kino a me ka hoʻomākaukau no ke ʻoki kino
I kekahi mau lā a i ʻole mau pule ma mua o ke ʻoki ʻana, e hana kāu kauka i kekahi mau hoʻokolohua e ʻike ai pehea e hana ai kou puʻuwai a me kou mau māmā.
- (VQ scan)
- Nā hoʻāʻo hana pulmonary
- Hoʻāʻo puʻuwai (Echocardiogram)
- X-ray umauma
- (PET scan) a me (CT scan)
- Nā hoʻāʻo koko
Pehea ʻoe e hoʻomākaukau ai?
ʻOiai he hana ʻoki nui kēia, pono ʻoe e hoʻomākaukau maikaʻi ma mua.
- E hoʻonohonoho i kekahi e mālama i nā hana o ka hale a me nā holoholona i kou wā ma ka haukapila.
- E kamaʻilio me kekahi e kiʻi iā ʻoe ke hoʻi ʻoe mai ka haukapila.
- He mea nui loa ka loaʻa ʻana o kekahi e kōkua iā ʻoe no kekahi manawa ma hope o kou hoʻi ʻana i ka home. E hoʻolālā no kēlā.
- Inā ʻoe e puhipaka ana, e hoʻōki koke. He mea nui loa kēia. Inā pilikia ʻoe i ka haʻalele ʻana, e noi i kāu kauka no ke kōkua.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. Hiki iā ia ke noi iā ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau a hoʻololi paha i ka manawa ma mua o ke ʻoki ʻana.
- Inā he mau maʻi ʻaleka kou i nā lāʻau lapaʻau, e haʻi mai iā mākou e pili ana iā lākou.
- E haʻi aku ke kauka iā ʻoe ʻaʻole e ʻai a inu paha i kekahi mea ma hope o ke aumoe o ka pō ma mua o ke ʻoki kino. E hahai pono i kēlā mau kuhikuhi.
He aha ka mea e hana ʻia i ka wā a ma hope o ke ʻoki kino?
I ka wā o ke ʻoki ʻana, e hoʻopau loa ʻia ʻoe i ka anesthesia, no laila ʻaʻole ʻoe e manaʻo i kekahi mea. E nānā ke kauka anesthesiologist iā ʻoe i ka wā o ke ʻoki ʻana. E hana ke kauka ʻoki i kahi ʻoki ma ka ʻaoʻao o kou umauma, ma waena o ʻelua mau iwi ʻaoʻao, a e hoʻoneʻe i nā iwi ʻaoʻao e hiki ai i ka māmā. A laila, e wehe ke kauka ʻoki i kekahi o ka ea mai ka māmā a wehe pono iā ia. Inā pono, e wehe ʻia nā ʻiʻo ʻē aʻe, a e humuhumu hou ʻia nā iwi ʻaoʻao, nā ʻiʻo, a me ka ʻili. Hiki i kēia hana ke hala i kekahi mau hola.
Ma hope o ke ʻoki kino...
Ma hope o ke ʻoki ʻana, pono ʻoe e noho ma ka haukapila no kekahi mau lā.
- E hoʻomau ka hui lapaʻau i ka nānā ʻana i kāu pae oxygen, ka helu o ka puʻuwai, a me ke koko.
- E hāʻawi ʻia nā lāʻau hoʻopau ʻeha e kāohi i ka ʻeha.
- E hele mai nā mea hoʻoponopono kino e aʻo iā ʻoe i nā hoʻomaʻamaʻa hanu, e kōkua iā ʻoe e ala i waho o kahi moe a hele.
He aha ka mea e hana ʻia i kēlā hakahaka ke wehe ʻia ka māmā?
He pilikia kēia i loaʻa i nā kānaka he nui. Ke wehe ʻia kahi māmā, piha ka hakahaka i ka ea. Ma hope o kekahi manawa, ua pani ʻia kēlā ea e ka wai. I ka hala ʻana o ka manawa, ua hoʻokuke ʻia kou puʻuwai, diaphragm, a me nā ʻōpū ʻē aʻe i kēlā ala. E nui iki aʻe ana hoʻi ka māmā i koe. Hoʻomaʻamaʻa ko mākou kino i kēia kūlana hou ma ke ʻano kupaianaha.
He aha nā pono a me nā pilikia o ke ʻoki kino?
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Pilikia |
|---|---|
| I ke ʻano o ka maʻi kanesa, hiki ke wehe ʻia ka puʻupuʻu holoʻokoʻa e pale i ka laha ʻana o ke kanesa, a hiki ke ho'ōla loa ʻia. | ʻO ka ʻōpū umauma (Empyema) |
| Hiki iā ia ke pale aku i nā maʻi make (bacteria, fungi) e hiki ke kū mai ma muli o kahi māmā i hōʻino ʻia. | Nā hewa o ka puʻuwai (Arrhythmia) |
| Ka hāʻule ʻana o ka hanu | |
| Pneumonia | |
| ʻO ka embolism pulmonary | |
| ʻO ka fistula Bronchopleural (lua ma waena o ka trachea a me ka uhi o ka māmā) | |
| Aia kahi pilikia o ka hoʻi hou ʻana mai o ke kanesa ma hope o ke ʻoki ʻana. |
Mea nui: Ma muli o ke ʻano o ke kino, ʻoi aku ka kiʻekiʻe o ka pilikia o nā pilikia i ka wā o ke ʻoki ʻana e wehe i ka māmā ʻākau ma mua o ka hema.
Hoʻōla hou a me ke ola e hiki mai ana
He mau mahina paha e ola piha ai. I loko o kēia manawa:
- Aia nā kapu i nā mea e like me ka hāpai ʻana i nā mea kaumaha a me ka hoʻokele ʻana.
- Manaʻo luhi ma mua o ka maʻamau.
- Pono ʻoe e hoʻomaha mau.
- He mea paʻakikī paha ke hana i nā hana maʻamau o kēlā me kēia lā.
E nalo aku ana kekahi o kēia mau mea i kou ho'ōla ʻana, a e lilo paha kekahi mau mea i ʻāpana o kāu "maʻamau hou."
He aha ka mea e hiki ke ʻōlelo ʻia e pili ana i ke ola holoʻokoʻa?
Aia kēia i nā kumu he nui. ʻO ke kumu nui o ke ʻoki kino ʻo ia ke kumu i hana ʻia ai. No ka laʻana, ʻoi aku ma mua o 3 o 4 mau kānaka i hana ʻia ke ʻoki kino no ka maʻi puʻupuʻu e ola ana no nā makahiki he 10 a ʻoi. Eia nō naʻe, hōʻike nā noiʻi he 1 wale nō o 3 mau kānaka i hana ʻia ke ʻoki kino no ka maʻi ʻaʻai māmā e ola ana no nā makahiki he 5 a ʻoi. No laila, he mea nui e kūkākūkā i kou kūlana me kāu kauka.
I ka manawa hea e ʻimi ai i ke aʻo lapaʻau
E makaʻala pono i nā loli i kou kino i kou wā e hoʻōla hou ai.
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e kāhea koke aku i kāu kauka. | |
|---|---|
| - Inā pulu ke kāʻei ma ka ʻeha ʻoki i ke koko. | - Inā he ʻala pilau ko ka ʻeha a i ʻole he wai kala ʻokoʻa e puka mai ana. |
| - He ʻū me ka nui o ka huʻa a i ʻole ka huʻa i hoʻololi ʻia ke kala. | - Ke kuni. |
| - Ka luaʻi a i ʻole ka luaʻi ʻana. | - ʻEha ʻaʻole e nalowale ma hope o ka lawe ʻana i ka lāʻau lapaʻau. |
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e hele koke i ka ETU (Emergency Treatment Unit) o ka haukapila. | |
| - Inā ʻoe e ʻū ana i ke koko. | - Paʻakikī nui ka hanu ʻana. |
| - ʻEha koke ka umauma me ka paʻakikī o ka hanu ʻana. | - Ka nalowale o ka ʻike. |
Leka Lawe-Home
- He ʻoki kino koʻikoʻi loa ka pneumonectomy. Hana ʻia ia i nā hihia koʻikoʻi wale nō, i ka wā he kakaikahi nā koho lapaʻau ʻē aʻe.
- He mau mahina ka lōʻihi e ho'ōla piha ai mai ke ʻoki ʻana, a he mea nui e hoʻomanawanui i kēia manawa.
- ʻOiai hiki ke noho me hoʻokahi māmā no ka manawa lōʻihi, pono kekahi mau hoʻololi i ke ʻano o ka nohona.
- E ʻoluʻolu e kūkākūkā i nā nīnau a hopohopo paha āu e loaʻa ai ma mua a ma hope paha o ke ʻoki ʻana me kāu kauka. A laila wale nō hiki iā ʻoe ke hana i ka hoʻoholo maikaʻi loa no kou olakino.
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