Ke lohe ʻoe i ka huaʻōlelo "colorectal cancer," makaʻu iki kekahi poʻe, ʻeā? Akā, he ʻano maʻi kanesa kēia i maʻamau i ko kākou ʻāina a puni ka honua. ʻO ka lāʻau lapaʻau nui a kūleʻa loa no kēia, ʻo ia ka wehe ʻana i ka ʻāpana o ka colon e loaʻa ana nā hunaola kanesa ma o ke ʻoki kino. No laila, i kēia lā, e kamaʻilio aloha kākou, he aha kēia mau ʻano ʻoki kino, pehea lākou e hana ʻia ai, a me nā mea nui e pono ai ʻoe e ʻike ma hope o ke ʻoki kino.
ʻO ka mea mua, e hoʻomaopopo kākou i kēia mau ʻano ʻoki kino a me ko lākou manaʻo.
ʻOkoʻa ke ʻano o ke ʻoki ʻana ma muli o ke ʻano o ka maʻi kanesa a me ka mamao o kona laha ʻana. E nānā kākou i nā ʻano hana nui i hoʻohana ʻia.
| ʻAno hana ʻoki kino | I ka ʻōlelo maʻalahi... |
|---|---|
| Polypectomy | ʻO kēia ka wehe ʻana i nā mea ulu liʻiliʻi (polyps) e hana ʻia ana i loko o ka kolona. Hoʻololi pinepine kēia mau mea ulu i ke kanesa ma hope. Hiki ke wehe ʻia kēia mau mea i ka wā o ka colonoscopy. |
| ʻOki ʻana i ke kūloko | Hoʻohana ʻia kēia kaʻina hana no ke kanesa rectal. Hoʻopau ʻia ke kanesa a me kahi ʻāpana liʻiliʻi o ka paia colon a puni. ʻAʻole pono kēia i kahi ʻoki kino nui. |
| ʻOki ʻana | ʻO kēia ke ʻoki ʻana a me ka wehe ʻana i ka ʻāpana o ka kolona kahi i loaʻa ai ke kanesa a me kekahi o nā ʻiʻo a puni. ʻO kēia ke ʻano hana maʻamau. |
| ʻO ke ʻoki kino Laparoscopic | Ua kapa ʻia hoʻi kēia ʻo "keyhole surgery." He ʻoki kino ia e hoʻokomo ʻia ai kahi kāmela a me nā mea kani ma o kekahi mau lua liʻiliʻi ma ka ʻōpū ma kahi o kahi ʻoki nui. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku. |
He aha ke ʻano o ke ʻoki laparoscopic?
I ka wā ma mua, pono ke ʻoki ʻana i kahi ʻoki nui ma ka lōʻihi o ka ʻōpū no ke ʻoki ʻana i ka ʻōpū. Ua kapa ʻia kēia ʻo "open surgery." ʻOi aku ka lōʻihi o ka ho'ōla ʻana a ʻoi aku ka ʻeha.
Akā i kēia manawa ua holomua ka ʻenehana. Ma ke ʻano laparoscopic , hana ke kauka ʻoki i 3 a 6 mau ʻoki liʻiliʻi, ma kahi o 5-10 milimita ka nui, i loko o kou ʻōpū. Hoʻokomo ʻia kahi kāmela (laparoscope) ma o kekahi o nā ʻoki. A laila, hiki ke nānā ʻia nā ʻōpū i loko o ka ʻōpū ma ke ʻano i hoʻonui ʻia, e like me ka pale TV. Hoʻokomo ʻia nā mea hana kūikawā ma o nā ʻoki ʻē aʻe, a hana ʻia ke ʻoki me ke akahele loa.
ʻO nā pōmaikaʻi o kēia ʻano hana, ʻo ia ka hoʻemi ʻana i ka ʻeha a me ke kaha ʻana, ka hoʻōla wikiwiki ʻana, a me ka emi ʻana o ka pilikia o ka maʻi.
Hoʻohana nui ʻia kēia ʻano hana no nā kūlana e like me ka maʻi o Crohn, diverticulitis, a me ke kanesa colon.
He aha nā ʻano hana nui no ka maʻi ʻaʻai colon?
ʻOkoʻa ka ʻāpana o ka ʻōpū i wehe ʻia ma muli o ka wahi a me ka laha ʻana o ke kanesa. E nānā kākou i kekahi o nā ʻano hana ʻoki kino.
- ʻO ka Colectomy hapa: Pili kēia i ka wehe ʻana i ka ʻāpana kanesa o kou kolona a me kekahi mau lymph node kokoke. A laila e hoʻopili hou ʻia nā ʻāpana olakino i koe o kou kolona. Ua kapa ʻia kēia he anastomosis . Ma hope o ke ʻoki ʻana, e hoʻi hou kou ʻano ʻōpū i ka hapa nui o ko lākou kūlana maʻamau.
- ʻO ke Colectomy ʻĀkau / Ileocolectomy: Pili kēia i ka wehe ʻana i ka ʻāpana ʻākau o ka ʻōpū nui. I kekahi manawa ua wehe ʻia ka ʻāpana hope loa o ka ʻōpū liʻiliʻi (ileum) i pili iā ia.
- ʻO ka ʻoki ʻana o ka ʻōpū: He ʻoki kino nui kēia. Hoʻopau loa ʻia kou anus, rectum, a me ka ʻāpana haʻahaʻa o kou colon (sigmoid colon). ʻO ke ʻano kēia, ua hana ʻia kahi puka mau loa i loko o ka ʻili o kou ʻōpū a ua waiho ʻia kahi ʻeke e ʻae i ka ʻōpala e hele. Ua kapa ʻia kēia he colostomy mau loa .
- ʻO ka Proctocolectomy holoʻokoʻa: ʻO kēia ke ʻoki ʻana o ka ʻōpū nui loa. Ma kēia, ua wehe loa ʻia ka kolona a me ka rectum.
He aha nā ʻano hana ʻē aʻe e pili ana me ke ʻoki kino?
I kekahi manawa, aia kekahi mau mea ʻē aʻe e pono e hana ʻia ma waho aʻe o ke ʻoki kino nui. He mea nui hoʻi e makaʻala i kēia mau mea.
ʻO Stoma a i ʻole Ostomy
I ka ʻōlelo maʻalahi, ʻo ka stoma kahi hana e hoʻopili ai i kahi ʻāpana o ka ʻōpū i ka ʻili o ka ʻōpū, e hana ana i kahi puka hou no ka puka ʻana o ka ʻōpala.
- Inā ʻoe e hoʻohui i ka hopena o ka ʻōpū nui iā ia,Ua kapa ʻia ia he colostomy .
- Inā pili ka hopena o ka ʻōpū liʻiliʻi, ua kapa ʻia ia he ileostomy .
Hoʻohana ʻia kahi ʻeke kūikawā (ʻeke Stoma) e hōʻiliʻili i nā huahana ʻōpala mai kēia stoma. I kekahi manawa he manawa pōkole kēia. ʻO ia hoʻi, waiho wale ʻia lākou ma kahi a hiki i ka ho'ōla ʻana o ke kahua ʻoki. I loko o kekahi mau mahina, hana ʻia kekahi hana liʻiliʻi e wehe i kēia a hoʻopili hou i ka ʻōpū mai loko mai. Eia naʻe, e like me ka mea i ʻōlelo ʻia ma mua, i kekahi mau ʻoki, pono e waiho mau ʻia kēia mau mea ma kahi .
Nā ʻeke o loko (Nā ʻeke liʻiliʻi)
I kekahi manawa, ma hope o ka wehe loa ʻia ʻana o ka anus, hana ʻia kahi ʻeke liʻiliʻi i loko o ke kino mai ka ʻōpū liʻiliʻi e hōʻiliʻili a mālama i nā ʻōpala. Hoʻopau kēia i ka pono no kahi ʻeke waho. ʻO ka ʻeke Ileal (J) kahi ʻano hana kaulana o kēia ʻano. Eia nō naʻe, he mau ʻokiʻoki paʻakikī iki kēia.
ʻO ke ʻoki ʻana i ke akepaʻa
Hiki i ke kanesa kolona ke laha i kekahi manawa i ke akepaʻa. I kēlā hihia, ma muli o ka nui o ke kanesa, hiki ke wehe ʻia ke kanesa akepaʻa i ka manawa like me ke ʻoki kino kolona.
Hoʻōla hou a me nā hana palekana ma hope o ke ʻoki ʻana
Hoʻōla maikaʻi ka hapa nui o ka poʻe ma hope o kēia mau ʻoki kino. Pono ʻoe e lawe i nā lāʻau ʻeha no nā lā mua. Hiki ke ʻōlelo ʻia iā ʻoe e ʻai wale i nā meaʻai wai. Akā e hiki iā ʻoe ke ʻai maʻamau ma hope o kekahi mau lā.
Eia nō naʻe, e like me nā ʻoki kino āpau, aia kekahi mau pilikia, e like me ke kahe ʻana o ke koko, ka maʻi, a me nā ʻūpā koko ma nā wāwae.
Mea e makaʻala ai: He mea kākaʻikahi loa, hiki ke puka mai kahi leaka mai nā wahi pili i loko o ka ʻōpū. Inā hana ʻia kēia, e makaʻala i kēia mau hōʻailona. Inā loaʻa iā ʻoe kekahi o kēia mau mea , e haʻi koke aku i kāu kauka a i ʻole ka haukapila .
* ʻEha nui o ka ʻōpū
* Kuni
* Paʻakikī ka ʻōpū e like me ka pōhaku
He mea nui loa ia e hoʻomau i ka launa pū me kāu hui lapaʻau ma hope o ke ʻoki ʻana. E hahai pono i kā lākou mau kuhikuhi. Hiki iā lākou ke paipai i nā lāʻau lapaʻau ʻē aʻe, e like me ka chemotherapy, ma waho aʻe o ke ʻoki ʻana.
Leka Lawe-Home
- ʻO ke ʻoki kino ke ʻano lapaʻau nui no ka maʻi ʻaʻai kolona. Mai makaʻu iā ia, ʻo ka mea nui loa, ʻo ia ka makaʻala.
- ʻOkoʻa ke ʻano o ke ʻoki kino i hana ʻia ma muli o ke ʻano o ke kanesa. Nui nā ʻano ʻoki kino like ʻole, mai ka wehe ʻana i kahi puʻupuʻu liʻiliʻi a hiki i ka wehe ʻana i kahi ʻāpana nui o ka kolona.
- ʻO ke ʻoki laparoscopic (keyhole) kahi hana hou i hana ʻia ma o kekahi mau ʻoki liʻiliʻi, ʻaʻole ʻeha iki, a ho'ōla koke.
- Ma hope o kekahi mau ʻoki kino, pono paha ʻoe e hoʻohana i kahi ʻeke ʻōpū (Colostomy/Ileostomy) no kekahi manawa pōkole a mau loa paha e wehe i nā ʻōpala.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻeha nui o ka ʻōpū, a i ʻole ka pehu ʻana o ka ʻōpū ma hope o ke ʻoki ʻana , e hoʻomaopopo koke i kāu kauka .
- He mea nui ka hahai pololei ʻana i nā ʻōlelo a kāu kauka no ka hoʻōla koke ʻana.
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