ʻO ka poʻe e lohe ana e pili ana i ka wehe ʻana i kahi māmā holoʻokoʻa ma ke ʻoki ʻana, he mea hopohopo iki ia, ʻeā? He hana nui ia. Akā, ʻo ka mea nui e pono ai ʻoe e ʻike, ʻo ia kekahi mau hihia, ʻoiai hoʻi i nā hihia e like me ke kanesa o ka māmā, hiki ke lilo i hana hoʻōla ola. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia hana i kapa ʻia ʻo Pneumonectomy, kona mau pono a me nā pōʻino, a me nā mea e hana ʻia ma hope o ke ʻoki ʻana ma ke ʻano maʻalahi a maopopo.
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I ka ʻōlelo maʻalahi, he aha kēia Pneumonectomy?
ʻO ka pneumonectomy ka wehe ʻoki ʻana i kekahi o kou mau māmā. Loaʻa iā mākou ʻelua mau māmā, hoʻokahi ma ka ʻākau a hoʻokahi ma ka hema. 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.
Ua manaʻo ʻia kēia ʻo ia ka ʻoki ʻana o ka māmā nui loa no ka mea ʻoi aku ka paʻakikī ma mua o nā ʻoki ʻana e like me ka "lobectomy" a i ʻole ka "wedge resection", kahi e wehe ai i kahi ʻāpana liʻiliʻi wale nō o ka māmā.
ʻElua mau ʻano nui o ke ʻoki ʻana o ka pneumonectomy:
- Pneumonectomy maʻalahi/maʻamau: Pili kēia i ka wehe ʻana i kou māmā holoʻokoʻa, a me kekahi paha o nā aʻalolo a me nā ʻiʻo kokoke.
- Pneumonectomy Extrapleural: He hana nui iki kēia. Ma kēia, wehe ke kauka lapaʻau i kēia mau mea:
- Pūmāmā piha.
- ʻO Pleura ka membrane e hoʻopuni ana i nā māmā a me ka paia o ka umauma.
- ʻO ka uhi a puni ka puʻuwai (pericardium).
- Nā ʻāpana o ka diaphragm, ke ʻiʻo ma lalo o nā māmā.
Hoʻohana nā kauka lapaʻau i ʻelua mau ʻano hana e hana ai i kēia ʻoki kino. ʻO kekahi he thoracotomy kuʻuna, ʻo ia hoʻi ka ʻoki ʻana i ka umauma. ʻO kekahi he ʻoki liʻiliʻi i kapa ʻia ʻo ke 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 nā maʻi kanesa i laha i a i ʻole mai nā māmā. Eia nō naʻe, hiki iā ia ke lilo i hopena no kekahi mau kūlana ʻē aʻe. E nānā kākou i ke ʻano o lākou.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Ka maʻi ʻaʻai māmā | ʻO kēia ke kumu nui o ke ʻoki ʻana i ka pneumonectomy. |
| ʻO ka mesothelioma pleural | He maʻi ʻaʻai e kū mai ana i loko o ka paia o nā māmā. |
| Nā pilikia nui o ka māmā | Nā māmā i hōʻino hou ʻia e nā lāʻau ʻē aʻe. |
| ʻO ka Aspergillosis | He maʻi fungal koʻikoʻi o nā māmā. |
| Ka maʻi bronchial | Hoʻonui mau ʻia a hōʻino ʻia nā ala ea. |
| ʻO ka maʻi puʻupuʻu | ʻO ka maʻi puʻupuʻu, kahi maʻi hiki ʻole ke ho'ōla ʻia me ka lāʻau lapaʻau a ua hōʻino nui i nā māmā. |
ʻO wai ka mea kūpono no kēia ʻoki kino?
E hoʻoholo nā kauka inā kūpono ʻoe no kēia ʻoki kino ma muli o kekahi mau kumu.
- Inā aia kou maʻi kanesa ma hoʻokahi wale nō māmā (a ʻaʻole i pālahalaha i nā wahi ʻē aʻe) a hiki iā ʻoe ke hoʻōla piha ʻia ma ka wehe ʻana i ka māmā.
- Ma muli o ka wahi o ke kanesa, ʻaʻole hiki ke wehe loa iā ia me ka ʻole o ka wehe ʻana i ka māmā holoʻokoʻa .
- Inā maikaʻi ke olakino o kou puʻuwai, nā kīʻaha koko, a me ke koena o kou māmā e kū ai i ke ʻoki kino .
Eia kekahi, ʻaʻole i ʻōlelo pinepine ʻia kēia ʻoki kino no ka poʻe me ka hana pono ʻole o ka māmā, ka maʻi kīwila puʻuwai koʻikoʻi, a i ʻole ka hiki ʻole ke kahe koko.
He aha ka mea e hana ʻia ma mua a i ka wā o 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 nānā i ke ʻano o ka hana ʻana o kou puʻuwai a me kou mau māmā. Hiki i kēia ke komo pū me nā hoʻokolohua hana pulmonary, echocardiograms, CT scans, X-ray umauma, a me nā hoʻokolohua koko.
ʻO ka mea nui loa, inā he mea puhi paka ʻoe, e hoʻōki loa i ka puhi paka ma mua o ke ʻoki ʻana.ʻAe nō. E kōkua nui kēia i kāu kaʻina hana ho'ōla.
I ka lā o ke ʻoki kino, e hoʻomaʻemaʻe piha ʻia ʻoe, no laila ʻaʻole ʻoe e ʻeha, a ʻaʻole ʻoe e hoʻomanaʻo i kekahi mea i hana ʻia. E hana ke kauka ʻoki i kahi ʻoki ma waena o ʻelua o kou mau iwi ʻaoʻao ma kou ʻaoʻao a me kou kua, e hoʻoneʻe iki i nā iwi ʻaoʻao e hiki ai i ka māmā. A laila, e wehe ʻia ka ea i loko o ka māmā a wehe pono ʻia. Inā pono, e wehe ʻia nā ʻiʻo ʻē aʻe i hōʻino ʻia a e humuhumu hou ʻia ka ʻoki. Hiki i kēia kaʻina hana holoʻokoʻa ke hala i kekahi mau hola.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma hope o ke ʻoki kino, pono ʻoe e noho ma ka haukapila no kekahi mau lā. I loko o kēia manawa, e nānā ke kime lapaʻau i kou pae oxygen a me ka helu o ka puʻuwai, a e hāʻawi iā ʻoe i ka lāʻau lapaʻau e kāohi i ka ʻeha.
He aha ka mea e hana ʻia i ka hakahaka ma hope o ka wehe ʻia ʻana o ka māmā?
He pilikia kēia i loaʻa i nā kānaka he nui. Ke wehe ʻia kahi māmā, piha ka hakahaka i ka ea. Akā, i loko o kekahi mau lā, piha ka hakahaka i ke wai o ke kino . I ka hala ʻana o ka manawa, e paʻi iki ana kou puʻuwai, diaphragm, a me nā ʻōpū ʻē aʻe i loko o kēlā hakahaka. E nui aʻe ana hoʻi kou māmā i koe a hoʻomaʻamaʻa i kona kūlana hou.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?
E like me nā ʻoki kino nui a pau, loaʻa i ka pneumonectomy nā pono a me nā pilikia. He mea nui e kūkākūkā ākea i kēia mau mea me kāu kauka.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Pilikia |
|---|---|
| I ke ʻano o ka maʻi kanesa, wehe ʻia ka puʻupuʻu holoʻokoʻa, e hāʻawi ana i ka manawa kūpono e pale aku i ka laha ʻana o ke kanesa . | Ka hōʻiliʻili ʻana o ka pus i loko o ka lua o ka umauma (Empyema). |
| Ka palekana ʻana mai nā maʻi make (bacteria, fungi) e hiki ke hana ma muli o ka māmā i hōʻino ʻia. | ʻO ka fistula Bronchopleural kahi lua ma waena o ka trachea a me ka uhi o ka māmā. |
| E lanakila i nā pilikia i hoʻokumu ʻia e ka maʻi a neʻe i ke olaKe loaʻa nei kahi manawa kūpono. | ʻO ka niumonia, nā maʻi, nā loli i ka ʻōʻō o ka puʻuwai (Arrhythmia). |
| ʻO ka embolism pulmonary (ka holo ʻana o ke koko i nā māmā). | |
| Ka hāʻule ʻana o ka hanu. | |
| Aia kahi pilikia o ka hoʻi hou ʻana o ke kanesa. |
ʻO kahi mea e makaʻala ai, ʻo ia hoʻi, ma muli o ke ʻano o ke kino, ʻoi aku ka kiʻekiʻe o ka pilikia o nā pilikia i ke ʻoki ʻana e wehe i ka māmā ʻākau ma mua o ke ʻoki ʻana e wehe i ka māmā hema .
Ke ho'ōla nei a me ke ola ʻana me hoʻokahi māmā
He mau mahina paha e ho'ōla piha ai. I loko o kēia manawa, paʻakikī paha iā ʻoe ke hana maʻamau.
- E kaupalena ʻia nā hana e like me ka hāpai ʻana i nā mea kaumaha a me ka hoʻokele ʻana.
- E ʻoi aku kou luhi ma mua o ka maʻamau a pono ʻoe e hoʻomaha pinepine.
- Aia paha he pilikia iki ka hanu ʻana.
E nalo aku ana kekahi o kēia mau mea i kou ho'ōla ʻana, aʻo kekahi e lilo paha i kou "maʻamau hou." E lōʻihi ka manawa e hoʻomaʻamaʻa ai i ia mea.
Pehea e maʻalahi ai ke kaʻina hana ho'ōla?
- E hahai pono i nā kuhikuhi a ke kauka. E hana i nā hoʻomaʻamaʻa kino a me nā hoʻomaʻamaʻa hanu e like me ke kauoha.
- E lawe i kāu lāʻau lapaʻau i ka manawa kūpono.
- E hōʻoia e hele i nā lā a lākou e ʻōlelo ai e hoʻi mai e hōʻike iā ʻoe.
- Inā loaʻa iā ʻoe kekahi mau pilikia a pilikia paha, e kamaʻilio me ke kauka e pili ana i ia mea.
ʻO ka lōʻihi o kou ola ʻana me hoʻokahi māmā e pili ana i nā mea e like me ke kumu o ke ʻoki ʻana, kou makahiki, a me kou olakino holoʻokoʻa. ʻOkoʻa paha ke ola o kekahi mea i hana ʻia no ke ʻoki ʻana no kekahi maʻi ʻē aʻe ma mua o kekahi mea i hana ʻia no ke kanesa.
I ka manawa e ʻimi koke ai i ke aʻo lapaʻau
Inā ʻike ʻoe i nā hōʻailona ma lalo nei i kou wā e hoʻōla ai, e kāhea koke aku i kāu kauka :
- Inā e kahe ana ke koko ma loko o ke kāʻei o ka ʻeha ʻoki.
- Inā he wai ʻala pilau, kala like ʻole e puka mai ana a puni ka ʻeha.
- Inā he ʻūhū kou me ka nui o ka mucus a i ʻole ka mucus i hoʻololi ʻia ke kala.
- Kuni.
- ʻEha hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau.
Inā loaʻa iā ʻoe nā hōʻailona ma lalo nei, e hele koke i ka haukapila Emergency Department (ETU) kokoke loa:
- Ke ʻū ʻana i ke koko.
- Paʻakikī nui ka hanu ʻana.
- ʻEha koke ka umauma me ka pilikia o ka hanu ʻana.
- Ka nalowale o ka ʻike.
Leka Lawe-Home
- He hana ʻoki kino nui ka pneumonectomy i hana ʻia no nā kūlana olakino koʻikoʻi. Hana ʻia ia ke ʻole he nui nā koho lapaʻau ʻē aʻe.
- Hiki i nā kānaka he nui ke ola no ka manawa lōʻihi me hoʻokahi māmā. Hoʻomaʻamaʻa ke kino i kēia kūlana hou i ka hala ʻana o ka manawa.
- Hiki ke lōʻihi ka manawa hoʻōla, no laila he mea nui e hoʻomanawanui a hahai i nā ʻōlelo a kāu kauka.
- Ma mua o ke ʻoki ʻana, e kamaʻilio ākea me kāu kauka a me kou ʻohana e pili ana i nā pono, nā pilikia, a me nā lāʻau lapaʻau ʻē aʻe e hana i ka hoʻoholo maikaʻi loa.
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