ʻO ʻoe a i ʻole kekahi āu i ʻike ai ua manaʻo paha ʻoe i ka makaʻu a me ka hopohopo i ka wā i ʻōlelo ai ke kauka i kahi ʻoki kino i kapa ʻia ʻo 'Proctectomy'. He mea maʻamau loa ia. ʻO wai ka mea makemake ʻole i ka manaʻo o ke ʻoki kino, ʻeā? Akā inā ʻike maopopo mākou i kēia mau mea, hiki iā mākou ke hoʻopau i ka makaʻu pono ʻole a kū i mua me ka maluhia o ka noʻonoʻo. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia ʻoki kino Proctectomy ma nā ʻōlelo maʻalahi.
I ka ʻōlelo maʻalahi, he aha ka Proctectomy?
He hana ʻoki kino ka proctectomy e wehe ai i kahi hapa a i ʻole kou rectum holoʻokoʻa. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ka rectum. ʻO ia ka ʻāpana hope loa o kou ʻōpū nui, ma kahi o ʻeono ʻīniha ka lōʻihi. ʻOi aku ka pololei, ʻo ia ka ʻāpana ma luna pono o ka anus, kahi e puka mai ai ka ʻōpala. I kekahi mau hihia, ma muli o ke kūlana, pono paha e wehe ʻia ka rectum i ka wā o kēia ʻoki kino.
No ke aha ʻoe e pono ai e hana i kēia ʻano ʻoki kino?
Aia kekahi mau kumu nui no ka hana ʻana i ia ʻano ʻoki kino nui. E ʻōlelo wale ke kauka i kēia ʻoki kino i nā hihia koʻikoʻi loa, ke ʻole he koho ʻē aʻe.
- Ka maʻi ʻaʻai rectal: ʻO kēia ke kumu nui a maʻamau no ka proctectomy. Pono kēia ʻoki kino e wehe i nā hunaola kanesa a kāohi iā lākou mai ka laha ʻana.
- ʻO ka maʻi mumū o ka ʻōpū (IBD): Ua lohe paha ʻoe i ka ulcerative colitis a i ʻole ka maʻi ʻo Crohn . Ke lilo kēia mau mea i mea koʻikoʻi loa e hiki ʻole ke kāohi ʻia me nā lāʻau lapaʻau a me nā lāʻau ʻē aʻe, pono paha ke ʻoki ʻana e hōʻoluʻolu i ka ʻeha a me ka maʻi pākī a lākou e hoʻoulu ai.
- ʻO Familial Adenomatous Polyposis (FAP): He kūlana hoʻoilina kēia. Hoʻoulu ia i ka nui o nā ulu liʻiliʻi (polyps) e hana i loko o ka colon a me ka rectum. Loaʻa i kēia mau ulu ka manawa kūpono e lilo i maʻi kanesa i ka hala ʻana o ka manawa. No laila ua ʻōlelo ʻia kēia ʻoki kino ma ke ʻano he hana e pale aku ai i ka ulu ʻana o ka maʻi kanesa.
ʻOiai he hana nui kēia, ʻo ke kōkua e hāʻawi mai ai e hoʻopakele iā ʻoe mai kahi maʻi hoʻoweliweli e like me ke kanesa he mea waiwai ʻole ia.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
E hana kāu kauka i kahi hoʻokolokolo piha iā ʻoe ma mua o ke ʻoki ʻana. He mea nui e loaʻa kahi ʻike maikaʻi o kou olakino holoʻokoʻa ma mua o ka hoʻolālā ʻana i kāu ʻoki ʻana.
- Nā hoʻāʻo: Nā hoʻāʻo koko, nā hoʻāʻo ECG, a me nā hoʻāʻo kiʻi ʻē aʻe inā pono. Inā ʻaʻole ʻoe i loaʻa i kahi colonoscopy ma mua, pono ʻoe e hana i kēlā.
- Hoʻomākaukau ʻōpū: He mea nui loa kēia.Ma mua o ke ʻoki ʻana, pono e hakahaka loa a maʻemaʻe nā ʻōpū. No kēia, e kuhikuhi ke kauka i ka laxative ( laxative ) a hoʻohana paha i ka enema .
- Nā lāʻau lapaʻau: Inā ʻoe e lawe nei i kekahi mau lāʻau lapaʻau, e like me nā lāʻau hoʻokahe koko, e noi ʻia ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o ke ʻoki ʻana. E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
- Puhipaka: Inā he mea puhipaka ʻoe, e kōkua nui ka haʻalele ʻana i kekahi mau pule ma mua o ke ʻoki ʻana i ke kaʻina hana ho'ōla.
Pehea e hana ʻia ai ke ʻoki kino a me nā ʻano nui
Ma mua o ka hoʻomaka ʻana o ke ʻoki kino, e hāʻawi ke kauka anesthesiologist iā ʻoe i ka anesthesia laulā. No laila e hiamoe ana ʻoe i ka wā o ke ʻoki kino me ka ʻole o ka ʻeha.
ʻO ke ʻano o ka proctectomy āu e hana ai ma muli o ke ʻano, ka wahi, a me ka nui o ka maʻi. ʻEkolu mau ʻano nui.
| ʻAno o ke ʻoki kino | Wehewehena |
|---|---|
| ʻO ka ʻoki ʻana o ka ʻōpū (APR) | Ma kēia, ua wehe ʻia kou rectum holoʻokoʻa, anus, a me nā ʻiʻo a puni ia (nā ʻiʻo sphincter). Ma muli o ka wehe ʻia ʻana o ka anus, ua hana ʻia kahi puka ma ka ʻili o ka ʻōpū e ʻae i ka ʻōpala e hele ma waena. Ua kapa ʻia kēia he ostomy . Hoʻopili ʻia kahi ʻeke ma waho o ka puka. Hōʻiliʻili ka ʻōpala i loko o kēia ʻeke. Pono e hoʻokahe ʻia kēia ʻeke i nā manawa he nui i ka lā. Hana ʻia kēia ʻoki kino inā kokoke loa ke kanesa i ka anus. |
| ʻO ka ʻoki mua haʻahaʻa (LAR) | ʻO kēia ka hoʻāʻo ʻana e mālama i ka anus a me nā ʻiʻo i ka hiki. ʻO ka ʻāpana maʻi wale nō e wehe ʻia, a ʻo ke koena o ka ʻōpū olakino e hoʻopili hou ʻia i ka anus ( anastomosis ). Inā holomua kēia, ʻaʻole pono kahi ʻeke ostomy. Hiki iā ʻoe ke hele i ka ʻōpala ma ke ʻano maʻamau. |
| ʻO ka ʻoki ʻana i ka rectal i kōkua ʻia e Robotic | He ʻano hana hou kēia, he minimally invasive i hoʻohana ʻia e hana i ke ʻoki LAR. Hoʻohana ke kauka ʻoki i ka ʻenehana robotic e hana i ke ʻoki me ka pololei a me ka pololei loa. ʻO nā pono o kēia, ʻo ia ka emi ʻana o ke kahe koko, ka wikiwiki o ka hoʻōla ʻana, a me ka pololei nui aʻe. |
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma hope o ke ʻoki ʻana, pono ʻoe e noho ma ka haukapila no kekahi mau lā, malia paha he pule, ma muli o kou kūlana.
- Hoʻokele ʻeha: E hoʻomau ʻoe i ka loaʻa ʻana o ka lāʻau lapaʻau e kāohi i ka ʻeha āu e ʻike nei.
- Nā Paipu: Hiki ke kau ʻia kahi catheter e hoʻokahe i ka mimi a hiki ke kau ʻia nā paipu ʻē aʻe (nā paipu hoʻokahe) e wehe i ka wai e hōʻiliʻili ana ma kahi ʻoki. He manawa pōkole kēia.
- ʻAi: ʻAʻole paha ʻoe e hiki ke ʻai i ka wā mua. Ke hoʻōla hou ʻia kou ʻōnaehana hoʻoheheʻe ʻana, e hāʻawi mua ʻia ʻoe i nā wai, a laila e hoʻolauna mālie ʻia i kahi meaʻai palupalu.
- Hoʻōla kino: Hiki i ke kauka hoʻōla kino ke kōkua iā ʻoe e loaʻa hou ka ikaika a hele.
Ma mua o kou hoʻi ʻana i ka home, e wehewehe ana kāu hui lapaʻau pehea e mālama ai i kou ʻeha, pehea e lawe ai i ka lāʻau ʻeha, nā meaʻai e ʻai ai, a me nā kuhikuhi āu e pono ai e hahai.
He aha nā pilikia a me nā pilikia o ke ʻoki kino?
E like me ke ʻano o kekahi hana nui, hiki i ke ʻoki proctectomy ke loaʻa kekahi mau pilikia a me nā pilikia, a he mea nui e ʻike iā lākou.
| ʻAno Paʻakikī | Wehewehena |
|---|---|
| Nā pilikia pōkole | |
| Maʻi | Hiki ke loaʻa nā maʻi ma kahi i ʻoki ʻia ai a i loko paha o ka ʻōpū. |
| Ke kahe ʻana o ke koko | Inā nui ke kahe ʻana o ke koko i ka wā a ma hope paha o ke ʻoki ʻana, pono paha ʻoe e loaʻa i kahi hoʻoili koko. |
| Nā ʻūpā koko | Ma hope o ke ʻoki ʻana, hiki ke hana ʻia nā ʻūpā koko ma nā wāwae ma muli o ke kū ʻana. Inā hele lākou i nā māmā ( pulmonary embolism ), he mea weliweli lākou. |
| Ka leakage i loko o ka pilina | Inā loaʻa kahi liki ma kahi o ka hoʻopili hou ʻana o ka ʻōpū (anastomosis), pono e hana hou ʻia ke ʻoki ʻana. |
| Nā pilikia lōʻihi | |
| Hana ʻino i ka moekolohe | Hiki i ke ʻoki kino ke hōʻino i nā aʻalolo e pili ana i ka hana moekolohe, hiki ke hana i ka erectile dysfunction i nā kāne a i ʻole anorgasmia i nā wahine ʻelua. |
| Nā loli i nā neʻe ʻana o ka ʻōpū | Hiki paha iā ʻoe ke loaʻa i nā koi pinepine e hele i ka lua, nā koi koke e hele i ka lua, a i ʻole ka pilikia o ka kaohi ʻana i kou ʻōpū. |
| Nā pilikia e pili ana i ka Ostomy | Hiki i nā kūlana e like me nā pilikia ʻili, nā leaka, a i ʻole nā hernias ke hana a puni ka ʻeke ostomy. |
Āhea ʻoe e pono ai e kamaʻilio me ke kauka?
Ke hoʻi ʻoe i ka home, he mea nui e makaʻala i kekahi mau hōʻailona hōʻike. Inā ʻike ʻoe i kekahi o kēia mau mea, e kāhea koke aku i kāu kauka.
- Inā he kuni kou he 38 kekelē Celsius (100.4 Fahrenheit) a ʻoi aku paha.
- Inā e ʻoi aku ka ʻino o ka ʻeha a i ʻole ʻaʻole i hōʻoluʻolu ʻia e nā painkiller.
- Inā ʻulaʻula ka wahi i ʻoki ʻia, pehu, a i ʻole e puka mai ana kahi wai e like me ka nahu.
- Inā he nui ke kahe koko.
- Inā pilikia ʻoe i ka mimi ʻana a inā ʻaʻole puka iki mai ka mimi.
- Ka luaʻi mau ʻana a me ka luaʻi ʻana.
- Paʻakikī ka hanu ʻana.
- Inā ʻike ʻoe i kahi loli i ka hana o ka ʻeke ostomy (kala, nui).
Leka Lawe-Home
- He hana nui ka proctectomy, akā he hana pono ia e hiki ai ke hoʻopakele i kou ola mai kahi maʻi e like me ke kanesa a hāʻawi paha i ka hōʻoluʻolu mai kahi maʻi koʻikoʻi.
- He mea nui loa e hahai pono i nā ʻōlelo a ke kauka ma mua o ke ʻoki ʻana e hoʻokō ai i kahi hopena holomua.
- He manawa ka lōʻihi e ho'ōla ai. I loko o ia manawa, e hoʻomanawanui, e hahai i nā ʻōlelo aʻoaʻo a ke kauka, a e loaʻa ke kākoʻo o kou ʻohana.
- He kuleana kou e kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.
- Me ka ʻenehana ʻoki kino hou, ua holomua loa nā hopena o kēia mau ʻoki kino. No laila, e kū i kēia me ka noʻonoʻo maikaʻi.
👩🏽⚕️ Nā nīnau i nīnau pinepine ʻia (FAQ) mai ke Kauka
💬 He aha ke ʻoki ʻana o ka proctectomy?
ʻO ka Proctectomy ka wehe ʻana i kahi ʻāpana a i ʻole ka rectum āpau, ʻo ia ka ʻāpana hope loa o ka ʻōpū nui.
💬 No ke aha e hana ʻia ai ka proctectomy?
Aia kekahi mau kumu nui no kēia ʻoki kino, me ke kanesa rectal, ka maʻi ʻōpū mumū koʻikoʻi (IBD) hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau, a me nā kūlana genetic e like me Familial Adenomatous Polyposis (FAP), i hoʻohana ʻia e pale i ka ulu ʻana o ka maʻi kanesa.
💬 Hana ʻia ke ʻoki proctectomy no ke kanesa rectal?
ʻAe, ʻo ke kumu nui a maʻamau no ka proctectomy, ʻo ia ke kanesa rectal. He mea nui loa kēia ʻoki kino e wehe i nā hunaola kanesa a kāohi iā lākou mai ka laha ʻana i nā ʻāpana ʻē aʻe o ke kino.
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