Ua lohe paha ʻoe i kahi mea i kapa ʻia ʻo 'polyps'? Malia paha ua nānā kāu kauka iā ʻoe a haʻi iā ʻoe he hoʻokahi kāu. I ka ʻōlelo maʻalahi, he mau ulu liʻiliʻi kēia e hana ʻia ma nā paia o loko o nā ʻōpū i loko o ko mākou kino (no ka laʻana, nā ʻōpū, ka uterus). ʻOiai ʻaʻole weliweli ka hapa nui o kēia mau mea, hiki i kekahi ke lilo i kanesa i ka hala ʻana o ka manawa, no laila ʻoi aku ka maikaʻi o ka wehe ʻana iā lākou a nānā ʻia. No laila i kēia lā e kamaʻilio mākou e pili ana i ke kaʻina hana lapaʻau i kapa ʻia ʻo 'polypectomy', kahi e wehe ai i kēia mau polyps.
He aha maoli ka polypectomy?
He hana lapaʻau ka Polypectomy e wehe ai i kahi polyp a i ʻole ka ulu ʻana i hana ʻia i loko o kahi ʻōkana i loko o kou kino. Hiki i kēia mau polyps ke maʻi kanesa (cancerous) a i ʻole ʻaʻole cancerous (benign).
ʻO ka hapa nui o ka manawa, he ʻano maikaʻi ʻole kēia. Akā hiki i kāu kauka ke ʻike maopopo ma hope o ka wehe ʻana iā lākou a hoʻouna iā lākou i kahi lab no ka hoʻāʻo ʻana. ʻO kekahi mau polyp he "precancerous." ʻO ke ʻano kēia ʻaʻole lākou he maʻi kanesa i kēia manawa, akā loaʻa iā lākou ka hiki ke lilo i maʻi kanesa i ka wā e hiki mai ana.
No ke aha e pono ai e wehe ʻia kēia mau polyp?
Aia kekahi mau kumu e hiki ai ke wehe i kahi polyp.
- Inā loaʻa iā ʻoe nā hōʻailona: Hiki i kekahi mau polyp ke hana iā ʻoe e loaʻa i nā hōʻailona like ʻole, e like me ka ʻeha o ka ʻōpū, ke kahe ʻana o ke koko, a i ʻole nā loli i nā ʻano hana ʻōpū.
- Inā aia kahi pilikia o ka maʻi kanesa: Inā nānā ke kauka a manaʻo he maʻi kanesa paha a he pilikia paha ia o ka maʻi kanesa.
- Inā makemake ʻoe e hoʻāʻo ʻia: No ka ʻike pono ʻana i ke ʻano o ka puʻupuʻu, pono ʻoe e wehe a hoʻouna aku i kahi keʻena hoʻokolohua (he "biopsy").
Manaʻo ka nui o nā kauka he pono e wehe koke ʻia nā polyps maikaʻi ʻole a ʻaʻohe hōʻailona e pale ai i nā pilikia e hiki mai ana.
Ma hea e loaʻa pinepine ai nā Polyps a me ke koʻikoʻi o ka wehe ʻana iā lākou
Hiki ke hana ʻia nā polyps i loko o kekahi ʻōkana hakahaka i loko o ko kākou kino. E hoʻomaopopo hou aku kākou e pili ana i ia mea mai ka papa ma lalo nei.
| Kahi e kū ai nā polyps | Ke koʻikoʻi o ka wehe ʻana (ka maʻi ʻaʻai hiki ke pale ʻia) |
|---|---|
| Nā Polyps o ke Kolon | Ka maʻi ʻaʻai colorectal |
| Nā Polyps o ka ʻōpū | Ka maʻi ʻaʻai cervical a me ke kanesa uterine |
| Nā Polyps ʻōpū | Ka maʻi ʻōpū |
| Nā Polyps o ka ʻōpū gall | Ka maʻi ʻaʻai Gallbladder |
He ʻoki kino nui anei kēia? E ʻeha anei?
He nīnau kēia a ka poʻe he nui. ʻAʻole, ʻo ka polypectomy he ʻoki liʻiliʻi maʻamau. He "kaʻina hana minimally invasive". ʻO ia hoʻi, hana ʻia me ka ʻole o ka hana ʻana i nā ʻoki nui.
Hoʻopau pinepine ʻia kēia mau polyps i ka wā o ka colonoscopy a i ʻole endoscopy. Pili kēia i ke komo ʻana i kahi ʻōmole lōʻihi a palupalu me kahi kāmela ma o kahi puka kūlohelohe i loko o kou kino (e.g., rectum, waha) a me ka hoʻokomo ʻana i nā mea hana liʻiliʻi ma o ia mea e wehe ai i ka polyp.
Eia kekahi, ʻo ka mea a ka poʻe he nui e makaʻu nei, ʻo ia ka ʻeha. ʻAʻole ʻoe e ʻike i kekahi ʻeha i ka wā o kēia kaʻina hana. E hāʻawi ke kauka iā ʻoe i ka anesthesia a me nā lāʻau ʻeha e hōʻoia i kou ʻoluʻolu. Hiki ke hāʻawi ʻia iā ʻoe ka anesthesia laulā (kahi ʻano anesthesia) inā makemake ʻoe. A i ʻole hiki ke hāʻawi ʻia iā ʻoe ka sedation (kahi ʻano lāʻau lapaʻau e hoʻohiamoe iā ʻoe). Hiki iā ʻoe ke manaʻo i kahi kaomi iki ke wehe ʻia ka polyp, akā ʻaʻole ia he ʻeha.
He aha ka mea e hana ʻia ma mua a i ka wā o ke ʻoki kino?
Hoʻomākaukau ma mua o ke ʻoki kino
- Hoʻomaʻemaʻe ʻōpū: ʻOi loa no ka colonoscopy e wehe i nā polyps i loko o ka ʻōpū nui, pono e hakahaka loa kou ʻōpū a maʻemaʻe. No kēia, e hāʻawi kāu kauka iā ʻoe i kahi wai kūikawā ("(bowel prep formula)") e inu. Pono nō hoʻi ʻoe e hahai i kahi papaʻai kūikawā no kekahi mau lā.
- Nā lāʻau lapaʻau:E kūkākūkā mua ke kauka anesthesiologist me ʻoe i ke ʻano o ka anesthesia e hāʻawi ʻia iā ʻoe. Hiki iā ia ke noi iā ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau (e like me nā lāʻau hoʻokahe koko) i ka lā o ke ʻoki kino.
I ka wā o ke ʻoki kino
Hana ʻia kahi polypectomy maʻalahi me ka hoʻohana ʻana i kahi endoscope, ʻo ia hoʻi kahi ʻōmole me kahi kāmela i hoʻopili ʻia.
1. E hoʻokomo ke kauka i kēia ʻōmole i loko o kou kino a hele i kahi o ka polyp.
2. A laila, ua hoʻokomo ʻia kahi liʻiliʻi o ke kinoea kalapona ʻokikene i loko o ke kino e hoʻopiha iā ia i ʻike maopopo ʻia ai ke ʻano o loko o ke kino.
3. A laila, me ka hoʻohana ʻana i kahi mea hana liʻiliʻi (e like me nā forceps a i ʻole kahi loop wire) i hoʻokomo ʻia ma o ka paipu, ʻoki mua ʻia ka polyp a wehe ʻia.
4. Ma hope o ka wehe ʻia ʻana o ka polyp, hoʻopau pōkole ʻia ka wahi (electrocautery) e hoʻōki i ke kahe ʻana o ke koko a wehe i nā ʻiʻo i koe. Pale pū kēia i ka ulu hou ʻana o ka polyp.
Pehea e wehe ʻia ai kekahi mau polyp paʻakikī?
Hiki ke paʻakikī ke wehe i kekahi mau polyp me nā ʻano hana maʻalahi no ka mea he nui lākou, pālahalaha, a i ʻole aia ma ke ʻano e paʻakikī ai ke wehe. I ia mau hihia, hoʻohana ʻia nā ʻano hana ʻē aʻe.
| ʻAno hana | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ke ʻoki kino Laparoscopic | Ke hana ʻana i kekahi mau ʻoki liʻiliʻi loa ma ka ʻōpū, e hoʻokomo ana i kahi kāmela a me nā mea hana e wehe ai i ka polyp. |
| ʻO ka ʻoki ʻana o ka mucosal endoscopic (EMR) | E hoʻokomo i kahi hopena saline i loko o ka membrane ma lalo o ka polyp, e ʻae ana i ka polyp e wehe maʻalahi ke piʻi aʻe. |
| ʻO ka hoʻokaʻawale ʻana o ka submucosal endoscopic (ESD) | Hoʻoneʻe ʻia nā polyp nui a i ʻole nā maʻi kanesa i hoʻokahi ʻāpana, me ka membrane hohonu ma lalo. |
He aha ka mea e hana ʻia ma hope o ke ʻoki ʻana a he mau pilikia paha?
Ma hope o ke ʻoki kino
Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Eia nō naʻe, ʻoiai ʻaʻole hiki iā ʻoe ke hoʻokele ma muli o nā hopena o ka anesthesia, he mea nui e loaʻa i kekahi e hoʻokele iā ʻoe. Hiki iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole no kekahi mau lā ma muli o ka ea i paʻa i loko o kou ʻōpū. E hoʻouna ʻia ka polyp i wehe ʻia i kahi keʻena hoʻokolohua, a e loaʻa ka hōʻike i loko o hoʻokahi a ʻelua pule.
Nā pilikia a me nā pilikia
He mea kākaʻikahi loa nā pilikia, akā he mea nui e ʻike iā lākou.
- Ke kahe koko nei (`(Ke kahe koko nei)`)
- Maʻi (`(Maʻi)`)
- Ka puka ʻana o ke kino (`(Perforation)`)
- Nā kuni i hana ʻia e nā mīkini uila
ʻO kekahi maʻi laha ʻole loa ʻo ia ka Postpolypectomy Coagulation Syndrome (PPCS) . ʻO kēia ka wā e puhi ai ka wela mai ka polyp i nā ʻiʻo ma lalo, e hana ana i nā hōʻailona e like me ka ʻeha o ka ʻōpū a me ke kuni. ʻAʻole kēia he mea koʻikoʻi e like me ka perforation. Hoʻopau pinepine ʻia me ka lāʻau lapaʻau i loko o kekahi mau lā. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona i loko o kekahi mau lā o ke ʻoki ʻana, e haʻi koke i kāu kauka.
E ho'ōla loa ʻoe i loko o kekahi mau lā. Pono ʻoe e lawe i nā lāʻau hoʻomaha no hoʻokahi a ʻelua paha lā. Hiki ke hele kekahi koko liʻiliʻi ma kou ʻōpala a i ʻole ka mimi, he mea maʻamau ia. Eia nō naʻe, inā nui ke kahe ʻana o ke koko a hoʻomau paha, e kamaʻilio me kāu kauka.
Leka Lawe-Home
- He hana lapaʻau maʻalahi a palekana hoʻi ka Polypectomy e wehe ai i nā polyps, kahi ʻano ulu e kū nei i loko o ke kino.
- ʻOiai ʻaʻole weliweli ka hapa nui o nā polyp, he mea nui e wehe a nānā iā lākou ma muli o ka pilikia o ko lākou lilo ʻana i ka maʻi ʻaʻai.
- ʻAʻohe ʻeha o kēia kaʻina hana, a hōʻemi nā ʻano hana anesthesia i kou ʻeha.
- He pōkole loa ka manawa ho'ōla, he mau lā wale nō.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē (ʻeha nui, kuni, kahe koko nui) ma hope o ke ʻoki ʻana, e hoʻomaopopo koke i kāu kauka.
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