E aʻo kākou e pili ana i ke ʻoki ʻana o Proctocolectomy ma nā ʻōlelo maʻalahi? (Proctocolectomy)

Malia paha ua haʻi ʻia ʻoe a i ʻole kekahi āu i ʻike ai e ke kauka e pono lākou e hana i kahi ʻoki kino i kapa ʻia ʻo 'proctocolectomy'. He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēia huaʻōlelo. He nui paha kāu mau nīnau i loko o kou poʻo, e like me "He aha kēia ʻoki kino? No ke aha wau e pono ai i kēia? Pehea lā koʻu ola ma hope o kēia?" Mai hopohopo. E kamaʻilio kākou e pili ana i kēia mau mea a pau ma ke ʻano maʻalahi loa, ma kēlā me kēia ʻanuʻu, e like me kāu e kamaʻilio ai me kahi hoaaloha.

I ka ʻōlelo maʻalahi, he aha ka Proctocolectomy?

ʻO kahi proctocolectomy kahi hana ʻoki e wehe ai i kahi ʻāpana a i ʻole kou ʻōpū nui (colon) a me ka rectum.

I kēia manawa, e wehewehe iki kākou i kēia. Loaʻa i kā mākou ʻōnaehana hoʻoheheʻe kahi ʻāpana i kapa ʻia ʻo ka ʻōpū nui. Loaʻa iā ia ʻekolu mau ʻāpana: ke kolona, ​​ka rectum, a me ka anus. E noʻonoʻo iā ia he ʻōmole lōʻihi.

• Kolonā: ʻO kēia ka ʻāpana nui loa o kēia ʻōmole. Maanei e omo ʻia ai nā huahana ʻōpala i koe ma hope o kā mākou ʻeli ʻana i ka meaʻai a mākou e ʻai ai a hoʻololi ʻia i loko o kahi ʻano paʻa, i kapa ʻia he ʻōpala.
• Rectum: ʻO kēia ka ʻāpana pōkole o ka ʻōpū nui e mālama i ka ʻōpala no kekahi manawa ma mua o ka haʻalele ʻana i ke kino.
• Anus: ʻO kēia ka puka e puka ai ka feces mai ke kino.

I ke ʻoki ʻana o ka proctocolectomy, ʻo "procto" e pili ana i ka rectum a ʻo "colectomy" e pili ana i ka wehe ʻana o ka colon. No laila , ʻo ka proctocolectomy kahi ʻoki e wehe ai i ka colon a me ka rectum. I kekahi manawa, inā wehe wale ʻia ka colon, ua kapa ʻia ʻo ia he colectomy. Inā wehe wale ʻia ka rectum, ua kapa ʻia ʻo ia he proctectomy. Maopopo iā ʻoe ka ʻokoʻa?

No ke aha ʻoe e pono ai e hana i kēia ʻano ʻoki kino?

ʻŌlelo wale nā ​​kauka i ke ʻoki kino nui e like me kēia inā he kumu koʻikoʻi. Hana pinepine ʻia kēia ʻoki kino inā pale kahi kūlana i loko o ka colon a i ʻole ka rectum i ka hana pono ʻana o ka colon a i ʻole ka rectum, a inā he mea hoʻoweliweli ke kūlana i ke ola.

Eia kekahi o nā kumu nui:

• Nā Maʻi ʻŌpū Mumū (IBD): ʻO kēia nā kūlana e hoʻoulu ai i ka mumū lōʻihi a me nā ʻeha i loko o nā ʻōpū. ʻO Ulcerative Colitis a me Crohn's Disease nā hiʻohiʻona nui. Pono kekahi poʻe e wehe i nā ʻāpana maʻi o ko lākou ʻōpū ke hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau.
• ʻO ke kanesa colorectal a me nā kūlana precancerous: Ke ulu nā hunaola kanesa i loko o ka colon a i ʻole ka rectum, a i ʻole ke ulu nā polyp i hiki ke lilo i kanesa (nā kūlana e like me Familial Adenomatous Polyposis ), ʻo ka lāʻau maikaʻi loa ka wehe loa ʻana i nā wahi maʻi.
• Nā kumu ʻē aʻe:
• Hana ʻia ka Ischemia ke nalowale ke kahe o ke koko i ka ʻōpū a make nā ʻiʻo.
• Nā kūlana Diverticulitis paʻakikī.
• ʻEha ʻeha i ka ʻōpū ma muli o kahi ulia koʻikoʻi.
• ʻO ka paʻa paʻa nui ʻaʻole hiki ke ho'ōla ʻia me ka lāʻau lapaʻau.

Pehea ʻoe e hoʻopau ai i ka ʻōpala ma hope o ke ʻoki ʻana?

ʻO kēia ka nīnau nui loa ma ka noʻonoʻo o nā kānaka a pau. Ma hope o ka wehe ʻia ʻana o ka colon a me ka rectum, ua nalowale ke ala maʻamau no ka puka ʻana o ka ʻōpala. Pehea ʻoe e hoʻokahe ai?

ʻO ka pane i kēia ma muli o ke ʻano o ka proctocolectomy āu e hana nei. Na kāu kauka e hoʻoholo i ke ʻano o ke ʻoki kino kūpono loa iā ʻoe ma muli o kou kūlana olakino a me ke kumu o ke ʻoki kino. E nānā kākou i nā ʻano.

He aha nā ʻano o nā ʻoki proctocolectomy?

Aia kekahi mau ala e hana ai i kēia ʻoki kino. Na kāu kauka e koho i ke ʻano hana kūpono loa iā ʻoe.

He aha kāu e hana ai ma mua o ke ʻoki kino?

Inā ʻaʻole ia he ʻoki kino ulia pōpilikia, e loaʻa iā ʻoe ka manawa kūpono e hoʻomākaukau ai.

• He mau pule ma mua: E kamaʻilio me kāu kauka e pili ana i ke ʻoki kino, kona mau ʻano, nā pilikia, a me nā pono. E nīnau i kāu mau nīnau.
• ʻElua pule ma mua: Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko, e aʻo aku kāu kauka iā ʻoe e hoʻōki a hōʻemi paha iā lākou. Eia kekahi, e hoʻāʻo e mālama i ke olakino o kou ʻōpū ma ka ʻai ʻana i ka nui o ka fiber a me ka inu ʻana i ka wai he nui i kēia manawa.
• 24 mau hola ma mua: ʻO ka lā ma mua o ke ʻoki ʻana, e hāʻawi ʻia ʻoe i kahi hoʻomākaukau ʻōpū e hoʻomaʻemaʻe loa i kou mau ʻōpū. E ʻae wale ʻia ʻoe e inu i nā wai moakaka, e like me ka wai a me ka sopa, i kēlā lā. Hiki ke hāʻawi ʻia iā ʻoe nā lāʻau antibiotic e pale aku i ka maʻi ma hope o ke ʻoki ʻana.

He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?

Ke hele ʻoe i ka haukapila, e hoʻokomo ʻia ʻoe i loko o kahi lole ʻoki. E hoʻokomo ʻia kahi catheter IV i loko o kou aa a e hāʻawi ʻia iā ʻoe ka saline a me nā lāʻau lapaʻau e pono ai. A laila e lawe ʻia ʻoe i ka lumi hana.

E hoʻokomo ke kauka anesthesiologist iā ʻoe ma lalo o ka anesthesia laulā. ʻAʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki ʻana. E hoʻopili ʻia ʻoe i kahi mīkini (ventilator) e kōkua iā ʻoe e hanu.

ʻO ke ʻoki kino hāmama? ʻO ke ʻoki kino Laparoscopic?

I kēia mau lā, hana ʻia ka hapa nui o nā ʻoki proctocolectomy ma ke ʻano laparoscopic . ʻO ke ʻano kēia, ma kahi o ka hana ʻana i kahi ʻoki nui i loko o ka ʻōpū, hana ʻia ke ʻoki ma o kekahi mau lua liʻiliʻi, kahi e hoʻokomo ʻia ai kahi kāmela a me nā mea hana ʻoki liʻiliʻi loa. ʻAe kēia ʻano hana i ka hoʻōla wikiwiki, ka emi ʻana o ka ʻeha, a me nā ʻeha liʻiliʻi. Eia naʻe, ʻaʻole kūpono kēia ʻano hana no nā mea āpau. I nā hihia paʻakikī a pilikia paha, pono ke ʻoki wehe kuʻuna.

I ka wā o ke ʻoki ʻana, wehe pono ke kauka ʻoki i ka kolona a me ka rectum i maʻi ʻia. A laila, e like me ka mea i kūkākūkā ʻia ma mua, hana ʻia kahi ileostomy/colostomy a i ʻole e hoʻopili hou ʻia nā ʻōpū (anastomosis).

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 hoʻokahi pule. I loko o kēia manawa, e hoʻolauna mālie ʻia ʻoe i nā meaʻai wai a laila e hoʻolauna mālie ʻia i nā meaʻai paʻa.

Inā loaʻa iā ʻoe kahi ostomy (ileostomy/colostomy), e kōkua kekahi Wound Ostomy Continence Nurse (WOCN) iā ʻoe. E aʻo lākou iā ʻoe i nā mea āpau e pono ai ʻoe e ʻike e pili ana i ka hoʻohana ʻana i ka ʻeke ostomy a me ka mālama ʻana i kou stoma (ka wehe ʻana i loko o kou ʻōpū) i ka maʻemaʻe. ʻOiai he ostomy manawa pōkole ia, e hala kekahi mau mahina ma mua o kou hiki ke kūkākūkā i nā ʻanuʻu aʻe (ka wehe ʻana a i ʻole ka hana ʻana i kahi ʻeke kūloko) me kāu kauka.

He aha nā pilikia a me nā pilikia e pili ana i kēia ʻoki kino?

E like me nā ʻoki kino āpau, aia kekahi mau pilikia e pili ana, akā he mea kakaikahi loa kēia.

Pehea ka mālama ma hope o ke ʻoki kino?

Hiki ke hala kekahi mau mahina e ho'ōla piha ai. I loko o kēia manawa, he mea nui loa e hahai pono i nā ʻōlelo a kāu kauka.

• Ka mālama ʻeha: Na ke kauka a kahu maʻi paha e aʻo iā ʻoe pehea e hoʻomaʻemaʻe ai i ka ʻeha a hoʻololi i ke kapa komo.
• Mālama Ostomy: E aʻo ʻoe pehea e hoʻokahe ai i ka ʻeke ostomy i nā manawa he nui i ka lā a mālama i ka ʻili a puni ka stoma i maʻemaʻe.
• ʻAi: Ma hope o kou hoʻi ʻana i ka home mai ka haukapila, e hoʻolauna mālie i nā meaʻai paʻa. Ma kahi o ka ʻai ʻana i kahi meaʻai nui i ka manawa hoʻokahi, e ʻai i nā mea liʻiliʻi i nā manawa he nui i ka lā. E nau pono i kāu meaʻai.
• Hoʻomaʻū wai: He mea nui loa kēia. Ma muli o ka wehe ʻia ʻana o kahi hapa nui o kou kolona, ​​e emi ana ka wai e omo ai kou kino. No laila he mea nui e inu i ka nui o ka wai a me nā wai i ka lā holoʻokoʻa.

I ka manawa hea e ʻike ai i ke kauka

Ma hope o ka hoʻi ʻana i ka home mai ke ʻoki ʻana, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona , ​​​​e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

• ʻO nā hōʻailona o ke ālai ʻana o ka ʻōpū e komo pū me ka constipation, ka ʻeha o ka ʻōpū, ka pehu ʻana, a me ka nausea.
• Nā hōʻailona o kahi maʻi lele e like me ka ʻeha nui o ka ʻōpū, ka pehu ʻana, ka kahe ʻana o ka pehu mai ka ʻeha, a me ke kuni.