I kekahi manawa, ke loaʻa kahi pilikia me kahi ʻāpana o ko kākou ʻōpū, ʻōlelo nā kauka i ka wehe ʻana i kēlā ʻāpana maʻi i ke ʻoki kino. He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo i ka lohe ʻana e pili ana i ia ʻano hana ʻoki kino. Akā i ka manawa e maopopo pono ai iā ʻoe kēia, e nalowale ana kēlā makaʻu i kahi nui. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia mau hana ʻoki kino e wehe ai i kahi ʻāpana o ka ʻōpū.
He aha ka Ileocolectomy a me ka Colectomy ʻākau?
I ka ʻōlelo maʻalahi, ʻelua mau ʻano hana e wehe ai i kahi ʻāpana maʻi o kāu ʻōnaehana hoʻoheheʻe.
- Ileocolectomy: Ma kēia ʻoki ʻana, ʻoki ʻia a wehe ʻia ka ʻāpana hope loa o kou ʻōpū liʻiliʻi, ka ileum, a me ka ʻāpana mua o kou ʻōpū nui, ke kolona piʻi .
- ʻO ka Colectomy ʻākau: Maanei, ua wehe wale ʻia ka ʻaoʻao ʻākau o ka ʻōpū nui (ke kolona piʻi), me ka haʻalele ʻole i ka ileum o ka ʻōpū liʻiliʻi.
I kēia manawa, ke noʻonoʻo nei paha ʻoe no ke aha e hana ʻia ai kēia ʻano ʻoki kino. Aia kekahi mau kumu nui no ka hana ʻana i kēia ʻoki kino.
- Nā kūlana maʻi ʻaʻai e kū ana i loko o ka ʻōpū.
- Nā ulu ʻaʻole maʻi kanesa .
- ʻO ka pehu a me ka mumū i loko o nā ʻōpū i hoʻokumu ʻia e nā kūlana e like me ka maʻi a Crohn .
ʻO ka mea nui loa, ʻo ia ka hoʻoholo ʻana o nā kauka e hana i kēia ʻoki kino ma hope o ka nānā pono ʻana i kou kūlana a me ka hōʻoia ʻana ʻo ia ka lāʻau lapaʻau maikaʻi loa nāu.
He aha ka Laparoscopy?
I ka wā ma mua, pono kēia ʻano hana ʻoki i kahi ʻoki nui ma ka ʻōpū. Akā i kēia manawa, me ka holomua o ka ʻenehana, hana pinepine ʻia kēia hana ʻoki me ka hoʻohana ʻana i kahi ʻano hana i kapa ʻia ʻo laparoscopy . Ua kapa ʻia hoʻi kēia ʻo "keyhole surgery."
E noʻonoʻo, ma kahi o ka hana ʻana i kahi ʻoki nui ma ka ʻōpū, hana ʻia kekahi mau ʻoki liʻiliʻi loa (e like me ka puka kī) ma ka ʻōpū, kahi e hoʻokomo ʻia ai kahi kāmela a me nā mea hana palupalu. ʻO ke ʻano kēia, ʻaʻole ʻoe e ʻeha iki, e ola wikiwiki, a he liʻiliʻi loa nā ʻeha.
Pehea e hana ʻia ai ke ʻoki kino? 4 mau ʻanuʻu nui!
ʻEhā mau ʻanuʻu nui o kēia ʻoki kino. E wehewehe wau iā lākou ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo.
| Nā ʻanuʻu | He mea maʻalahi ka mea e hana ʻia. |
|---|---|
| KaʻAnuʻu Hana 1: Ke hoʻokomo nei i ka laparoscope | Ma hope o kou hoʻomaʻamaʻa ʻia ʻana, hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi loa (ma kahi o 1/2 ʻīniha) kokoke i kou piko ʻōpū (navel). Ma o kēia, hoʻokomo ʻia kahi mea hana me ke kāmela i kapa ʻia he laparoscope i loko o kou ʻōpū. Hōʻike ʻia nā kiʻi mai kēia kāmela ma kahi pale nui (monitor) ma ka lumi hana. A laila, hana ʻia he 5 a 6 paha mau ʻoki liʻiliʻi a hoʻokomo ʻia ke koena o nā mea hana ʻoki. |
| KaʻAnuʻu Hana 2: Hoʻokuʻu i ka ʻōpū | I kēia manawa, pono e hoʻokaʻawale ʻia ka ʻāpana maʻi o ka ʻōpū mai ka ʻāpana olakino. Hoʻopili ʻia ka ʻōpū i ka paia ʻōpū e kahi membrane i kapa ʻia ʻo mesentery . ʻO nā kīʻaha koko nui e hoʻolako i ka ʻōpū me ke koko e hele ma o kēia membrane. ʻOki pono ke kauka i kēia mau kīʻaha koko a sila iā lākou. A laila hoʻokuʻu ʻia ka ʻāpana maʻi o ka ʻōpū mai kēia mesentery. |
| KaʻAnuʻu Hana 3: Wehe i ka ʻāpana maʻi | Ma muli o ka liʻiliʻi loa o nā ʻoki i ka wā laparoscopy, hoʻohana ʻia kahi ʻano hana kūikawā e wehe ai i ka ʻāpana ʻoki o ka ʻōpū. Hana ke kauka i kekahi o nā ʻoki ma mua i ʻoi aku ka nui a hoʻokomo i kahi ʻeke kūikawā i loko o ka ʻōpū ma o ia mea. A laila waiho ʻia ka ʻāpana maʻi i wehe ʻia o ka ʻōpū i loko o kēia ʻeke a wehe pono ʻia ka ʻeke. |
| KaʻAnuʻu Hana 4: Hoʻohui hou i ka ʻōpū | Ma hope o ka wehe ʻia ʻana o ka ʻāpana maʻi, ua hoʻohui ʻia nā wēlau ʻelua o ka ʻōpū olakino i koe. Hana ʻia kēia me ka hoʻohana ʻana i kahi stapler a i ʻole nā sutures hiki ke hoʻoheheʻe ʻia. ʻO kēia kaʻina hana o ka hoʻopili hou ʻana i ʻelua mau ʻāpana o ka ʻōpū ua kapa ʻia he anastomosis . ʻO ka hope loa, ua holoi maikaʻi ʻia ka lua ʻōpū, ua nānā ʻia ka wahi i hoʻopili hou ʻia no nā leaka, a ua pani ʻia nā ʻoki āpau. |
E aʻo kākou e pili ana i ka wā hoʻōla ma ka home
Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, he mea nui loa ia e hoʻomaka mālie i kāu mau hana o kēlā me kēia lā.
ʻO ka hele wāwae ka hoʻoikaika kino maikaʻi loa!
ʻAe, hiki i ka hele wāwae ke kōkua nui i kāu kaʻina hana ho'ōla. Hoʻoikaika ka hele wāwae i nā ʻiʻo , hoʻomaikaʻi i ke kahe koko, a pale i nā ʻūpā koko., a kōkua pū kekahi ia i ka mālama ʻana i kou mau māmā i ke olakino . Inā he kanaka hoʻoikaika kino maikaʻi ʻoe ma mua o ke ʻoki kino, hiki iā ʻoe ke hoʻomaka i kāu hana hoʻoikaika kino maʻamau ke ʻoluʻolu ʻoe a hāʻawi kāu kauka iā ʻoe i ka ʻae.
Akā e hoʻomanaʻo! ʻAʻole ʻōlelo ʻia e hana i ka hoʻoikaika kino ikaika, ka hāpai kaumaha, a me nā hoʻomaʻamaʻa e kau ana i ke kaomi ma ka ʻōpū, e like me nā sit-up, no ʻeono pule ma hope o ke ʻoki ʻana.
Pehea ke ʻano o ka papaʻai?
Ke hoʻouna ʻia ʻoe i ka home mai ka haukapila mai, e hāʻawi ʻia ʻoe i nā kuhikuhi no kahi papaʻai e hahai ai no kahi manawa pōkole. E aʻo pinepine ʻia ʻoe e hahai i kahi papaʻai palupalu . ʻO ia hoʻi, hiki iā ʻoe ke ʻai i ka hapa nui o nā mea koe wale nō nā huaʻai maka a me nā mea kanu. E hahai i kēia papaʻai a hiki i kou hele ʻana i ke keʻena lapaʻau no kāu nānā ʻana ma hope o ke ʻoki ʻana.
Mea nui: Inā loaʻa iā ʻoe ka paʻa ʻana o ka ʻōpū ma muli o kēia ʻai, e ʻoluʻolu e nīnau i kāu kauka no ka ʻōlelo aʻo. Mai lāʻau ponoʻī.
ʻOiai he mea nui ke ʻoki kino, me ka ʻike kūpono a me ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau, hiki iā ʻoe ke hoʻōla koke a hoʻi i kou ola maʻamau.
Leka Lawe-Home
- ʻO ka Ileocolectomy a me ka Right Colectomy ʻelua mau hana ʻoki e wehe ai i kahi ʻāpana maʻi o ka colon. Hana ʻia lākou no nā kūlana e like me ke kanesa, nā puʻupuʻu ʻaʻole kanesa, a me ka maʻi Crohn.
- ʻO ka hapa pinepine, hana ʻia kēia ʻoki ʻana me ka hoʻohana ʻana i kahi ʻano hana "keyhole" i kapa ʻia ʻo laparoscopy. ʻO ka hopena, ʻoi aku ka liʻiliʻi o ka ʻeha a me ka wikiwiki o ka hoʻōla ʻana.
- Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, e hoʻomaka mālie i ka hoʻoikaika kino māmā, e like me ka hele wāwae. Akā, e pale i ka hāpai kaumaha a me ka hoʻoikaika kino ikaika no 6 pule.
- E hahai pono i nā ʻōlelo aʻoaʻo meaʻai a kāu kauka. Inā loaʻa iā ʻoe kahi pilikia e like me ka paʻa ʻana o ka ʻōpū, e kamaʻilio me kāu kauka e pili ana i ia mea.
- Inā he kānalua a he nīnau paha kāu, mai kānalua e nīnau i kāu kauka.
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