I kekahi manawa, he mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi aku ke kauka iā ʻoe e pono e wehe ʻia kekahi ʻāpana o kou ʻōpū ma muli o kahi maʻi. "E hiki anei iaʻu ke ola maʻamau ma hope o ka wehe ʻia ʻana o kahi ʻāpana o koʻu ʻōpū?" "ʻAʻole anei e ʻeli ʻia ka meaʻai?" He nui paha kāu mau nīnau e like me kēia i loko o kou manaʻo. No laila, i kēia lā, e kamaʻilio mākou e pili ana i kēia ʻoki kino 'small bowel resection' a i ʻole `(Small Bowel Resection)` ma nā ʻōlelo maʻalahi.
I ka ʻōlelo maʻalahi, pili kēia ʻoki kino i ka wehe ʻana i kahi ʻāpana i hōʻino ʻia a maʻi paha o kou ʻōpū liʻiliʻi. He ʻōkana lōʻihi loa ko kākou ʻōpū liʻiliʻi, wili ʻia, a kupaianaha hoʻi, ʻo ia hoʻi ma waena o 20 a me 30 kapuaʻi ka lōʻihi. ʻO ia kahi e omo ai ke kino i ka hapa nui o nā meaola mai ka meaʻai a kākou e ʻai ai. No laila, inā paha e wehe ʻia kahi ʻāpana liʻiliʻi o kēia ʻōpū lōʻihi, hiki i ko kākou kino ke hoʻololi iā ia a mālama i ka hana maʻamau o ka ʻōpū.
No ke aha he mea pono e hana i kēia ʻano ʻoki kino?
Nui nā kumu e hiki ai ke wehe ʻia kahi ʻāpana o ka ʻōpū liʻiliʻi. Paipai pinepine nā kauka i kēia ʻoki kino ke ʻole i kāohi ʻia ke kūlana me nā lāʻau lapaʻau a i ʻole kahi meaʻai kūikawā. Eia nō naʻe, i nā hihia o nā kūlana hoʻoweliweli ola e like me ke ālai ʻana o ka ʻōpū, pono koke ke ʻoki kino . Eia kekahi o nā kumu nui no kēia ʻoki kino.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Nā hanana kūikawā | ʻO nā kūlana e like me nā ulu ʻana ʻaʻole maʻi kanesa i loko o ka ʻōpū liʻiliʻi, e like me nā tumors, polyps, a i ʻole ke kanesa ʻōpū liʻiliʻi. |
| Nā pilikia mai ka hānau ʻana | ʻO nā kūlana e like me ka diverticulum ʻo Meckel a i ʻole ka malrotation o ka ʻōpū, i loaʻa mai ka hānau ʻana. |
| Nā maʻi lōʻihi | ʻO nā kūlana e like me ka maʻi o Crohn ke kumu o ka mānoanoa a me ka ololi o nā paia o ka ʻōpū (stricture). |
| ʻO ka hernia i ʻūlū ʻia | Ke paʻa kahi ʻāpana o ka ʻōpū i loko o kahi hernia, ua ʻoki ʻia ke kahe o ke koko i kēlā wahi a aia ka pilikia o ka make ʻana o nā ʻiʻo. |
| Ka pale ʻana o ka ʻōpū | ʻO ke ālai ʻana o ka ʻōpū liʻiliʻi kahi kūlana i ālai loa ʻia ai ka ʻōpū no kekahi kumu. He kūlana kēia e pono ai ke ʻoki kino ulia pōpilikia. |
| Nā ulia pōpilikia | Ka hōʻino ʻana i ka ʻōpū ma muli o kahi ulia a ʻeha paha, no ka laʻana, ka perforation. |
He aha nā ʻano hana e hana ai i ke ʻoki kino?
Hiki ke hana ʻia kēia ʻoki kino ma nā ʻano nui ʻekolu. ʻO ke koho ʻana o kekahi o kēia mau ʻano hana e pili ana i kou kūlana a me ka ʻōlelo aʻoaʻo a ke kauka ʻoki kino.
1. ʻO ke ʻoki Laparoscopic: ʻAʻole kēia e pili ana i ka hana ʻana i kahi ʻoki nui ma ka ʻōpū. Akā, hana ʻia kekahi mau ʻoki liʻiliʻi loa a hoʻokomo ʻia kahi kāmela a me nā mea hana ʻoki ma o lākou. ʻO ka pōmaikaʻi o kēia ʻano hana, ʻo ia ka ho'ōla koke ʻana a ʻaʻole ʻeha iki.
2. ʻO ke ʻoki ʻana i ka robot: Ua like kēia me ke ʻoki laparoscopic, akā ma ʻaneʻi ke kāohi nei ke kauka ʻoki i nā lima o kahi mīkini robot, e hana ana i ke ʻoki me ka pololei a me ka maʻalahi .
3. ʻO ke ʻoki hāmama: ʻO kēia ke ʻano kuʻuna. Maanei, hana ʻia kahi ʻoki nui ma ka ʻōpū a komo i nā ʻōpū. Hoʻohana ʻia kēia ʻano hana ke kūpono ʻole nā ʻano hana ʻelua ʻē aʻe.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
He mea nui e loaʻa iā ʻoe kekahi manaʻo e pili ana i kēia.
ʻO ka mea mua, e hoʻopau piha ʻia ʻoe, no laila ʻaʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki ʻana.
A laila hana ke kauka lapaʻau i kahi ʻoki me ka hoʻohana ʻana i kekahi o nā ʻano i ʻōlelo ʻia ma mua e hiki ai i ka ʻāpana i hōʻino ʻia o ka ʻōpū. A laila, paʻa ʻia ka ʻāpana ma nā ʻaoʻao ʻelua me nā mea hana kūikawā (nā clamps) a ʻoki ʻia ka ʻāpana i hōʻino ʻia a wehe ʻia.
ʻO ka hana aʻe ka mea nui loa.
- ʻAnastomosis:I ka hapanui o nā hihia, ua hoʻohui ʻia nā wēlau o nā ʻāpana olakino ʻelua o ka ʻōpū i koe ma hope o ka wehe ʻia ʻana o ka ʻāpana a ua humuhumu hou ʻia. Hana ʻia kēia me ka hoʻohana ʻana i nā humuhumu kūikawā a i ʻole nā staples. Ua kapa ʻia kēia kaʻina hana he anastomosis.
- ʻIleostomy: Eia nō naʻe, i kekahi manawa ʻaʻole hiki ke hoʻohui i nā ʻāpana ʻelua i koe o ka ʻōpū. No ka laʻana, inā lōʻihi loa ka mamao ma waena o nā ʻāpana ʻelua, a inā pale ka maʻi i ka hoʻopili hou ʻana, e hana ke kauka i kahi mea ʻē aʻe. I kēia hihia, hana ʻia kahi puka (stoma) i ʻike ʻia ka hopena o ka ʻōpū liʻiliʻi i ka ʻili o ka ʻōpū. Puka mai ka ʻōpala ma o kēia puka a hōʻiliʻili i loko o kahi ʻeke kūikawā (ʻeke ostomy) i hoʻopili ʻia i ka ʻili. Ua kapa ʻia kēia he ileostomy. Hiki i kēia ke manawa pōkole a mau loa paha.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Pehea ka lōʻihi e hoʻōla ai?
Pono ʻoe e noho ma ka haukapila no kekahi mau lā ma hope o ke ʻoki ʻana.
- ʻAi ʻana: I nā lā mua, no ka mea, pono nā ʻōpū e hoʻomaha, ʻaʻole hāʻawi ʻia ka meaʻai ma ka waha. Akā, hāʻawi ʻia ka meaʻai ma o kahi paipu (hānai paipu). I ka wā e hoʻōla mālie ai ke keiki, hiki ke hoʻomaka ʻia nā wai a me nā meaʻai palupalu ma ka waha, e like me ke kuhikuhi a ke kauka.
- Ke hele wāwae nei: ʻOiai ʻoe ma ka haukapila, a ma hope o kou hoʻi ʻana i ka home, he mea nui loa e ala aʻe mai kahi moe a hele wāwae iki e pale aku i nā ʻūpā koko .
- Ka manawa ho'ōla: Hiki ke hala i kekahi mau mahina e ho'ōla piha ai, akā hiki i ka hapanui o ka poʻe ke hoʻi i nā hana o kēlā me kēia lā i loko o kekahi mau pule.
He aha nā pilikia a me nā hopena ʻaoʻao o kēia ʻoki kino?
E like me nā hana ʻoki kino a pau, aia kekahi mau pilikia, a he mea nui e ʻike pono iā lākou.
| Pōpilikia / Hopena ʻaoʻao | Wehewehena |
|---|---|
| Ka leaka Anastomotic | Ka liki ʻana mai nā humuhumu/staples. He kūlana weliweli loa kēia a he mea hoʻoweliweli paha i ke ola. |
| Ka maʻi pākī | Hiki ke loaʻa ka maʻi kahe no kekahi mau pule ma hope o ke ʻoki ʻana i ka wā e hoʻomaʻamaʻa ai ke kino i ke kūlana hou. |
| ʻO ka hernia inguinal | Nā ʻāpana o ka ʻōpū e pahu ʻia ana i waho ma o ka ʻoki i hana ʻia i ka wā o ke ʻoki ʻana. |
| Nā pilikia ʻē aʻe | Nā maʻi, nā ʻūpā koko, ka anemia mau loa, a me ka hōʻino ʻana i nā ʻōpū kokoke e like me ke akepaʻa a i ʻole ka pancreas. |
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka!
Ke hoʻi ʻoe i ka home ma hope o ke ʻoki kino, pono ʻoe e mālama pono i kou kino. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kāhea koke i kāu kauka a i ʻole e hele i ka haukapila .
- Paʻakikī i ka neʻe ʻana o ka ʻōpū a i ʻole ka neʻe ʻole ʻana o ka ʻōpū no kekahi mau lā.
- Ka luaʻi a me ka luaʻi ʻana a hiki i kahi hiki ʻole ke hoʻomau i ka ʻai a i ʻole nā wai ma ka waha.
- Ka puh a i ʻole ke kahe ʻana o ke koko mai ka ʻoki ʻoki.
- ʻEha nui ʻaʻole e emi iho ma hope o ka lawe ʻana i ka lāʻau lapaʻau.
- Nā hōʻailona o ka maʻi, e like me ke kuni, ka ʻulaʻula a me ka mehana a puni ka ʻoki.
E hoʻomanaʻo, inā pilikia ʻoe i kēia mau hōʻailona, mai hoʻonele i ka manawa a e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- ʻO ka 'Small Bowel Resection' ka wehe ʻoki ʻana i kahi ʻāpana maʻi a i ʻole i hōʻino ʻia o ka ʻōpū liʻiliʻi. Mai makaʻu i kēia.
- Ma muli o ka lōʻihi o ko kākou ʻōpū liʻiliʻi, hiki i ke kino ke hana maʻamau ʻoiai inā e wehe ʻia kahi ʻāpana liʻiliʻi o ia mea.
- He manawa iki ka lōʻihi e hoʻōla piha ai mai ke ʻoki kino. I loko o ia manawa, e hahai pono i nā ʻōlelo a ke kauka.
- E makaʻala i nā hōʻailona pōpilikia (ke kuni, ka ʻeha nui, ka luaʻi ʻana, ka pus e kahe ana mai ka ʻoki ʻia) ma hope o ke ʻoki ʻana. Inā ʻike ʻoe i kekahi o kēia mau mea, e ʻimi koke i ke kōkua lapaʻau.
- Inā he mau nīnau hou aku kāu e pili ana i kēia, e ʻoluʻolu e kūkākūkā me kāu kauka.
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