Pono anei ʻoe e wehe i kahi ʻāpana o kou ʻōpū liʻiliʻi? E kamaʻilio kākou e pili ana i kēia ʻoki kino (Small Bowel Resection)!

I kekahi manawa, ʻaʻole e nalowale wale kekahi o ko kākou mau maʻi ʻōpū me ka lāʻau lapaʻau, ʻeā? I ia mau manawa, ʻōlelo nā kauka e pono e wehe ʻia kahi ʻāpana maʻi o ka ʻōpū. He mea maʻamau loa ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēia. He mea kūpono ke noʻonoʻo, "Auē, he aha ka mea e hiki mai iaʻu inā e wehe ʻia kahi ʻāpana o koʻu ʻōpū?" No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia ʻoki ʻōpū liʻiliʻi, i kapa ʻia ma ke ʻano lapaʻau ʻo 'Small Bowel Resection', me ka maopopo a me ka maʻalahi.

He aha ka Resection o ka ʻōpū liʻiliʻi?

I ka ʻōlelo maʻalahi, pili kēia i ka wehe ʻana i kahi ʻāpana i hōʻino ʻia, maʻi, a i ʻole hana ʻole o kou ʻōpū liʻiliʻi. ʻO kekahi mau ʻoki kino e wehe wale i kahi ʻāpana liʻiliʻi loa, akā i kekahi manawa hiki ke wehe ʻia kahi ʻāpana nui.

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Pehea lā wau e ola ai inā e wehe ʻia kahi ʻāpana o koʻu ʻōpū?" E noʻonoʻo i kēia ʻano, ʻo ko kākou ʻōpū liʻiliʻi he ʻano ia he 20-30 kapuaʻi ka lōʻihi . Ua like ia me kahi ʻōmole lōʻihi e ʻōwili ana i loko o ka ʻōpū. ʻO kāna hana nui, ʻo ia ke omo i nā meaola e pono ai ko kākou kino mai ka meaʻai a kākou e ʻai ai. No laila, ʻo ka wehe ʻana i kahi ʻāpana liʻiliʻi o ia ʻōpū lōʻihi, ʻaʻole ia he hopena nui i kāna hana. Hoʻomaʻa ko kākou kino iā ia.

ʻO wai ka mea e pono ai kēia ʻoki kino? No ke ʻano o nā maʻi hea?

Hana pinepine ʻia kēia ʻoki kino ma luna o ka poʻe me nā maʻi ʻōpū koʻikoʻi. Paipai nā kauka i kēia ʻoki kino ke hiki ʻole ke ho'ōla ʻia ke ʻano me ka lāʻau lapaʻau wale nō. E nānā kākou i kēlā mau ʻano.

He aha nā kaʻina hana ʻoki kino?

Hoʻohana nā kauka i ʻekolu mau ʻano nui e hana ai i kēia ʻoki kino. E koho ʻia ke ʻano kūpono loa ma muli o kou kūlana.

Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?

Inā ʻaʻole ia he ʻoki kino ulia pōpilikia, e loaʻa iā ʻoe kekahi mau lā e hoʻomākaukau ai no ke ʻoki kino.

• Nā hoʻāʻo: Hana ʻia nā hoʻāʻo koko, nā hoʻāʻo mimi, a me nā scan e ʻike ai inā hiki iā ʻoe ke ʻae i ke ʻoki ʻana.
• Ke hoʻōki ʻana i ka lāʻau lapaʻau: Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko (e like me ka aspirin) a i ʻole kekahi mau lāʻau ʻeha, pono paha ʻoe e hoʻōki i ka lawe ʻana iā lākou no kekahi mau lā, e like me ke kuhikuhi a kāu kauka.
• Hoʻomaʻemaʻe ʻana i ka kolona: Pono e hoʻomaʻemaʻe loa ʻia ka kolona ma mua o ke ʻoki kino. E noi ʻia ʻoe e ʻai i ka meaʻai kiʻekiʻe i ka fiber a inu i ka wai he nui no kekahi mau lā ma mua o ke ʻoki kino. E noi ʻia ʻoe e kaupalena i kāu meaʻai i nā wai i kou kokoke ʻana i ke ʻoki kino. I kekahi manawa, hāʻawi ʻia paha ʻoe i nā laxatives a i ʻole kahi enema e kōkua i kou ʻōpū e neʻe. Hana ʻia kēia mau mea a pau e palekana ai ke ʻoki kino.

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

I ka wā o ke ʻoki ʻana, e hāʻawi ʻia ʻoe i ka anesthesia laulā, no laila ʻaʻole ʻoe e manaʻo i kekahi mea, e hiamoe nui ana ʻoe. E hana ke kauka i kahi ʻoki e like me ke ʻano i koho ʻia a hiki i ka ʻāpana i hōʻino ʻia o ka ʻōpū. A laila, me ka hoʻohana ʻana i nā mea hana kūikawā, e hopu ʻo ia i ka ʻāpana ma nā ʻaoʻao ʻelua a ʻokiʻoki iā ia.

A laila hele mai ka ʻāpana koʻikoʻi. I kēia manawa, loaʻa iā ʻoe ʻelua mau wēlau olakino o ka ʻōpū, ʻeā? ʻO ka mea āu e hana ai ma hope e hoʻoholo ai i kou wā e hiki mai ana. ʻElua mau koho nui ma aneʻi.

1. Hoʻohui hou i nā ʻāpana ʻelua o ka ʻōpū (Anastomosis)

ʻO kēia ke kaʻina hana maʻamau. E like me ke hoʻopili hou ʻana i kahi paipu haʻihaʻi, ua hoʻopili hou ʻia nā wēlau ʻelua o ka ʻōpū olakino me ka hoʻohana ʻana i nā sutures a i ʻole nā ​​staples . Ke holomua kēia, e hoʻomaka hou kāu ʻōnaehana hoʻoheheʻe e hana maʻamau.

2. ʻIleostomy

I kekahi manawa, ʻaʻole paha e lōʻihi nā ʻāpana olakino i koe o ka ʻōpū e hoʻohui i nā ʻāpana ʻelua. A i ʻole, ma muli o kahi maʻi, he mea weliweli paha ke hoʻohui iā lākou a pau i ka manawa hoʻokahi. I kēlā mau hihia, e lawe mai ke kauka i ka hopena o ka ʻōpū liʻiliʻi ma o kahi puka liʻiliʻi (stoma) i hana ʻia ma ka ʻili o ka ʻōpū. A laila, hoʻopili ʻia kahi ʻeke kūikawā i kēlā puka. Hōʻiliʻili ka ʻōpala i loko o kēlā ʻeke. Hiki i kēia ke lilo i mea manawa pōkole . Ma hope mai, hiki ke hoʻopili hou ʻia ka ʻōpū mai loko mai me kahi ʻoki ʻē aʻe. I kekahi manawa, pono e mālama mau ʻia penei.

Nā pilikia kūpono a me nā hopena ʻaoʻao o ke ʻoki kino

E like me nā ʻoki kino āpau, loaʻa i kēia kekahi mau pilikia.

• ʻO ka leaka anastomotic: ʻO kēia ka pilikia koʻikoʻi loa. Hana ia i ka wā e pili ai nā ʻōpū, ʻo ia hoʻi, kahi i kau ʻia ai nā humuhumu a i ʻole nā ​​staples. Inā hana kēia, hiki i ka ʻōpala ke komo i loko o ka ʻōpū a hoʻoulu i kahi maʻi koʻikoʻi. He pilikia weliweli kēia e ola ai .
• Anemia mau loa: Hiki ke loaʻa ka anemia i kahi manawa lōʻihi.
• Ka hōʻino ʻana i nā ʻōpū a puni: I ka wā o ke ʻoki ʻana, hiki ke hōʻino ʻia nā ʻōpū a puni e like me ke akepaʻa a me ka pancreas.
• Ka maʻi kahe: He mea maʻamau ka loaʻa ʻana o ka maʻi kahe no kekahi mau pule ma hope o ke ʻoki ʻana. He manawa ka lōʻihi no nā aʻalolo a me nā ʻiʻo i loko o nā ʻōpū e hoʻomaʻamaʻa ai i kēia loli.
• Hernia: Hiki ke ulu aʻe kahi hernia i kekahi manawa ma hope o kahi ʻoki ʻoki.
• Stricture: Hiki i kahi i pili ai ka ʻōpū ke haiki a hana hou i ka pale ʻana.

Pehea ka manawa ho'ōla?

Ma hope o ke ʻoki kino, pono ʻoe e noho ma ka haukapila no kekahi mau lā. I nā lā mua, ʻaʻole ʻoe e hāʻawi ʻia i ka meaʻai ma ka waha e hoʻomaha ai i kou ʻōpū. E hāʻawi ʻia ʻoe i ka meaʻai ma o kahi paipu (ʻai enteral). I kou hoʻōla ʻana, e hoʻomaka ʻoe e hāʻawi i nā wai, a laila nā sopa, a laila nā meaʻai palupalu .

He mea nui e hoʻomaha no kekahi mau pule ma hope o kou hoʻi ʻana i ka home. Eia nō naʻe, ʻaʻole kūpono ke noho ma kahi moe. He mea nui e hele wāwae iki e pale i nā ʻūpā koko . Hiki ke hala kekahi mau mahina e hoʻōla piha ai, akā hiki i ka hapa nui o ka poʻe ke hoʻi i kā lākou hana maʻamau i loko o kekahi mau pule.

I kēia hihia, e kāhea koke i kāu kauka!

He mea nui loa ka nānā ʻana i kou olakino ma hope o kou hoʻi ʻana i ka home. Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa iā ʻoe.