He ʻōkana liʻiliʻi ka spleen, e like me ka nui o ka lima, aia ma ka ʻaoʻao hema o kou ʻōpū, ma luna pono o kou mau iwi ʻaoʻao. ʻAʻole paha ʻoe i lohe e pili ana iā ia, akā he ʻāpana koʻikoʻi loa ia o kā mākou ʻōnaehana pale. I ka ʻōlelo maʻalahi, ʻo ka hana nui o ka spleen ka hana ʻana i nā hunaola koko keʻokeʻo e hakakā ana i nā maʻi, a e kānana i nā hunaola koko kahiko a hōʻino ʻia. No laila, inā ʻaʻole hiki i ka spleen ke hana pono i kēia mau hana, inā paha ma muli o kahi ulia a maʻi paha, hiki ke lilo i mea hoʻoweliweli i kou olakino. ʻO ia ka manawa e hoʻoholo ai nā kauka e wehe i ka spleen ma ke ʻoki kino (splenectomy).
Hiki ke ola me ka ʻole o ka spleen?
Ua hiki mai paha kēia nīnau iā ʻoe. ʻAe, hiki nō. Ma hope o ka wehe ʻia ʻana o ka spleen, ua lawe ʻia ka hapa nui o ka hana āna i hana ai e ko kākou akepaʻa a me ka iwi iwi. No laila, ʻaʻohe mea keakea iā ʻoe e ola i kahi ola maʻamau, olakino, a piha.
Akā, hoʻokahi mea. He koa ikaika ka ʻōpū e hakakā ana i nā maʻi. No laila, i ka wā e pau ai, e nāwaliwali iki ana ka hiki o ko kākou kino ke hakakā i nā maʻi. No laila, pono kākou e akahele iki ma mua o ka mea maʻamau.
ʻO ia hoʻi, pono mākou e makaʻala loa i nā mea e like me ka loaʻa ʻana o nā lāʻau pale i ka manawa kūpono a me ka makaʻala e pili ana i nā hōʻailona o ka maʻi.
No ke aha ʻoe e pono ai e wehe i kēia ʻōpū?
Aia kekahi mau kumu e hiki ai ke wehe ʻia ka ʻōpū. Mai kahi ulia a i kahi maʻi lōʻihi, aia kekahi mau kumu no kēia. E nānā kākou i nā kumu nui.
| Kumu | Wehewehena |
|---|---|
| ʻO ka spleen i haki | ʻO kēia ka pilikia maʻamau. E noʻonoʻo ua loaʻa iā ʻoe kahi hahau ikaika ma ka ʻaoʻao hema o kou ʻōpū, inā paha mai kahi ulia kaʻa, kahi hāʻule ʻana mai kahi kiʻekiʻe, a i ʻole i ka wā e pāʻani ana i nā haʻuki. Hiki i kēia ke hōʻino i kou spleen a hoʻoulu i ke kahe ʻana o ke koko i loko. Hiki i kēia ke hoʻoweliweli i ke ola a pono e hana koke ʻia ke ʻoki ʻana. |
| Nā maʻi koko | Hoʻoneʻe ʻia ka spleen ke kūleʻa ʻole nā lāʻau ʻē aʻe no kekahi mau maʻi e pili ana i ke koko. ʻO nā laʻana: Idiopathic Thrombocytopenic Purpura (ITP), Polycythemia Vera, Thalassemia, Sickle Cell Anemia, a me Autoimmune Hemolytic Anemia. |
| Nā ʻAno o ke Kanesa | Inā hoʻonui ʻia a ʻeha ka ʻōpū ma muli o nā maʻi ʻaʻai e like me Hodgkin Lymphoma a me Non-Hodgkin Lymphoma, pono paha e wehe ʻia. Hoʻoneʻe ʻia kekahi manawa ka ʻōpū i ka wā o ke ʻoki ʻana i ke kanesa pancreatic. |
| ʻO ka splenomegaly | Inā hoʻonui ʻia ka spleen no ke kumu ʻole a ke kumu nei i nā hōʻailona e like me ka ʻeha o ka ʻōpū, hiki ke wehe ʻia ka spleen e ʻike i ke kumu a kaohi i nā hōʻailona. |
| Nā maʻi | He mea kākaʻikahi loa, inā e kū mai ana kahi mea e like me ka abscess i loko o ka spleen, pono ke ʻoki kino e wehe ai. |
He aha kāu e hana ai ma mua o ke ʻoki kino?
Inā ʻaʻole kēia ʻoki kino he pilikia, akā he mea i hoʻolālā ʻia, e loaʻa iā ʻoe kekahi manawa e hoʻomākaukau ai. E wehewehe kāu kauka i kēia mau mea iā ʻoe.
- Ke kiʻi ʻia ʻana o ka lāʻau pale: He mea nui loa kēia. ʻOiai ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā maʻi ma hope o ka wehe ʻia ʻana o ka spleen, he mea nui e kiʻi i nā lāʻau pale e pono ai e pale aku i kēlā mau maʻi i kekahi mau pule ma mua o ke ʻoki ʻana. Ma kēia ʻano, e loaʻa ka palekana o kou kino i kona kiʻekiʻe loa i ka wā e hana ʻia ai ke ʻoki ʻana.
- E pale i ka puhipaka: Inā he mea puhipaka ʻoe, hiki i ka haʻalele ʻana ma mua o ke ʻoki ʻana ke kōkua nui i kou mau ʻeha e ho'ōla wikiwiki.
- Nā hoʻokolohua lapaʻau: E nānā kāu kauka iā ʻoe, hana i nā hoʻokolohua koko, nā scan, a me nā hoʻokolohua ʻē aʻe e hōʻoia i kou kino i ke kūlana maikaʻi no ke ʻoki ʻana.
- Nā kuhikuhi ʻē aʻe: E aʻo aku kāu kauka iā ʻoe i ka wā e hoʻōki ai i ka ʻai ʻana a me ka inu ʻana i ka lā ma mua o ke ʻoki ʻana, a inā pono ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau, e like me nā lāʻau hoʻokahe koko.
Pehea e hana ʻia ai ke ʻoki kino?
ʻElua mau hana ʻoki kino nui e wehe ai i ka spleen. Ma nā kaʻina hana ʻelua, ua hoʻokomo ʻia ʻoe ma lalo o ka anesthesia laulā, no laila ʻaʻole ʻoe e manaʻo i kekahi mea a ke hiamoe nei.
ʻO ke ʻoki kino Laparoscopic
ʻO kēia ke ʻano hana i hoʻohana nui ʻia i kēia manawa. Ua kapa ʻia hoʻi ʻo "keyhole surgery." Ma kahi o ka hana ʻana i kahi ʻoki nui ma ka ʻōpū, hana ʻia ke ʻoki ma o 3 a 4 mau ʻoki liʻiliʻi loa, kahi e hoʻokomo ʻia ai kahi kāmela (laparoscope) a me nā mea hana ʻoki palupalu. Hana ke kauka ʻoki i ke ʻoki ʻana me ka nānā ʻana i nā kiʻi mai ke kāmela ma kahi monitor. Ma kēia ʻano hana, ua liʻiliʻi nā ʻoki, no laila ʻoi aku ka liʻiliʻi o ka ʻeha, wikiwiki ka hoʻōla ʻana , a me ka manawa liʻiliʻi ma ka haukapila.
ʻO ke ʻoki kino hāmama
Inā nui loa ka ʻōpū a i ʻole ke kahe koko nei me ke kāohi ʻole ʻia, he mea paʻakikī paha ke wehe iā ia ma o ka laparoscopically. ʻO ia ka manawa e hoʻohana ai nā kauka i ke ʻoki wehe. Pili kēia i ka hana ʻana i kahi ʻoki nui iki ma ka ʻōpū.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
E hiki iā ʻoe ke hoʻi i ka home i loko o ʻelua a ʻekolu mau lā inā ua hana ʻia ʻoe i ke ʻoki laparoscopic, a ma kahi o ʻelima a ʻehiku mau lā inā ua hana ʻia ʻoe i ke ʻoki hāmama. Ma mua o kou hoʻi ʻana i ka home, e wehewehe pono ke kime lapaʻau iā ʻoe i nā mea e pono ai ʻoe e mālama i ka wā e ola ana me ka ʻole o ka spleen.
- Ke kiʻi ʻana i nā lāʻau pale kūpono: E hāʻawi ʻia ʻoe i kahi papa hana lāʻau pale kikoʻī. ʻO kēia mau mea nā lāʻau pale kūʻē iā Pneumococcus, Meningococcus, Haemophilus influenzae type b (Hib), a me ka lāʻau pale maʻi flu makahiki a me ka lāʻau pale COVID. He mea nui e kiʻi i kēia mau lāʻau pale i ka manawa kūpono.
- Nā lāʻau antibiotic: Hiki ke kuhikuhi ʻia kekahi poʻe, ʻoiai nā keiki ma lalo o 5 mau makahiki a me ka poʻe me nā ʻōnaehana pale nāwaliwali, i kahi papa hana lāʻau antibiotic i kēlā me kēia lā. Eia kekahi, hiki i kāu kauka ke kuhikuhi i nā lāʻau antibiotic pilikia e lawe ai ke loaʻa iā ʻoe nā hōʻailona o kahi maʻi, e like me ke kuni a i ʻole ke kuni.
- Palapala Lapaʻau: He mea nui loa ka lawe mau ʻana i kahi kāleka a i ʻole ke kūpeʻe lima palapala lapaʻau e hōʻike ana ua wehe ʻia kou ʻōpū. He kōkua nui kēia i ka poʻe e mālama ana iā ʻoe i ka wā o kahi pilikia.
- I ka wā e huakaʻi ana: Inā ʻoe e hele ana i kahi huakaʻi lōʻihi, ʻoi aku hoʻi i kahi i loaʻa pinepine ai nā maʻi e like me ka malaria, e ʻike i kāu kauka i kekahi mau pule ma mua o kou haʻalele ʻana e kiʻi i nā ʻōlelo aʻoaʻo a me nā lāʻau pale e pono ai.
Nā mea e makaʻala ai a me ka wā e ʻimi ai i ke aʻo lapaʻau
No kekahi kanaka me ka ʻole o ka spleen, hiki i kahi maʻi liʻiliʻi ke lilo koke i mea koʻikoʻi. No laila e makaʻala loa i kēia mau hōʻailona. Ua kapa ʻia hoʻi kēia mau mea he "hōʻailona hae ʻulaʻula."
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e hele koke i ka ʻOihana Pilikia kokoke loa (ETU)! | |
|---|---|
| Kuni (ma luna o 101°F / 38.5°C) | Haʻalulu ma muli o ke anu |
| Ka hoʻokuʻu ʻana e like me ka pus mai kahi ʻeha ʻoki | ʻUlaʻula a me ka pehu a puni ka ʻeha |
| ʻUmiʻumi a me ka paʻakikī o ka hanu ʻana | ʻEha nui o ka ʻōpū, ka nausea, a me ka luaʻi ʻana |
| Inā ʻoe e nahu ʻia e kahi holoholona (ʻoi aku ka ʻīlio, ka pōpoki) | ʻEha ʻaʻole e emi iho ʻoiai ke lawe nei i nā lāʻau painkillers |
He maʻi koʻikoʻi ka OPSI (Overwhelming Post-Splenectomy Infection) e kū mai ana ma hope o ke ʻoki ʻana. Hiki i kēia ke hoʻoweliweli i ke ola inā ʻaʻole mālama koke ʻia. No laila , inā ʻike ʻoe i kekahi o nā hōʻailona i luna, mai hoʻonele i ka manawa a hele koke i ka Emergency Department (ETU) o ka haukapila.
Leka Lawe-Home
- He ʻoki kino ka Splenectomy e wehe ai i ka spleen. ʻOiai he ʻoki kino nui kēia, hiki iā ʻoe ke ola i kahi ola piha a olakino me ka ʻole o ka spleen.
- Me ka ʻole o ka spleen, ua emi iki ka hiki o kou kino ke hakakā i nā maʻi. No laila, ʻo ka pale ʻana iā ʻoe iho mai nā maʻi ka mea nui loa.
- E kiʻi i nā lāʻau pale a pau i kuhikuhi ʻia e kāu kauka i ka manawa kūpono, me ka ʻole o ka haʻalele ʻana i kekahi o lākou.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona o ka maʻi, e like me ke kuni, ke anu, a i ʻole ka pehu ʻana o ka ʻeha, mai hoʻowahāwahā. E ʻimi koke i ke kōkua lapaʻau a i ʻole e hele i ka ʻOihana Pilikia kokoke loa (ETU).
- Ma ka hahai pono ʻana i nā ʻōlelo a kāu kauka, hiki iā ʻoe ke noho palekana a olakino hoʻi.
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