Ua makaʻu paha ʻoe i ka huaʻōlelo 'Urostomy'. A i ʻole paha i ka wā e kamaʻilio ai ke kauka e pili ana i kēia ʻano hana ʻoki kino, e noʻonoʻo ana kekahi nīnau ma hope o kekahi. ʻOiaʻiʻo, ʻaʻohe mea e makaʻu ai. He hana kēia e hana ai i kahi ala ʻē aʻe no kekahi mea i loaʻa kekahi keʻakeʻa i loko o ka ʻōnaehana mimi maʻamau o ke kino e hoʻokahe i ka mimi. I ka ʻōlelo maʻalahi, he ala kēia e kōkua ai i ko mākou kino. No laila, i kēia lā e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka Urostomy ma ka ʻōlelo maʻalahi?
He hana ʻoki kino ka urostomy e hana ana i kahi puka liʻiliʻi i loko o kou ʻōpū, a i ʻole ka ʻōpū, no ka mimi e hele ai. Ua kapa ʻia kēia puka i ka ʻōlelo lapaʻau he 'stoma' . ʻO ke ʻano kēia, ʻo ka mimi i hana ʻia i loko o kou kino, ma kahi o ka hele ʻana i waho ma ke ʻano maʻamau, e puka mai ana ma o kēia puka hou. Ua kapa ʻia kēia ʻo 'urinary diversion' .
No ka hōʻiliʻili ʻana i ka mimi e puka mai ana penei, hoʻohana mākou i kahi ʻeke kūikawā (ʻeke urostomy) i hoʻopili ʻia i ka stoma. A laila hiki iā mākou ke wehe maʻalahi i ka mimi e hōʻiliʻili ana i loko o kēlā ʻeke.
I ka hapanui o nā hihia, he mau loa ka urostomy a hiki ʻole ke hoʻihoʻi ʻia. Akā, mai hopohopo. E hana kāu kauka a me ka hui lapaʻau i nā mea āpau e hiki ai iā lākou ke kōkua iā ʻoe e hoʻomaʻamaʻa i kēia ʻano nohona hou.
I nā hihia hea e pono ai kēia ʻoki kino?
Aia kekahi mau kumu e hana ʻia ai kahi urostomy. E nānā kākou iā lākou ma ka papa ma lalo.
| Ke kumu no ke ʻoki kino | He wehewehe maʻalahi |
|---|---|
| Ka maʻi ʻōpū | ʻO kēia ke kumu maʻamau. Hana ʻia kēia ʻoki kino ke pono e wehe ʻia ka ʻōpū mimi ( cystectomy ) ma muli o ke kanesa. |
| Ka pōʻino o ka ʻōpū mimi | Inā ua hōʻino ʻia ka ʻōpū mimi e kahi ulia, maʻi, a i ʻole ka lāʻau lapaʻau radiation. |
| Ka hoʻokaʻawale ʻana o ka mimi | I nā hihia koʻikoʻi kahi hiki ʻole ke hoʻopaʻa ʻia ka mimi a kahe i waho me ka ʻole o ka kaohi. |
| Ka pōʻino o ke kaula iwi kuamoʻo | Ma muli o nā ʻeha o ke kaula kuamoʻo a i ʻole nā maʻi hānau e like me ka spina bifida . |
| Ka pōʻino i ka urethra | Ke hōʻino ʻia ka ʻōmole e lawe ana i ka mimi mai ka ʻōpū mimi a i waho. |
ʻOiai ke kumu, hana ke ʻoki urostomy i kahi ala hou a palekana no ka mimi e puka aku ai i waho o ke kino.
Aia kekahi mau ʻano o ke ʻoki urostomy?
ʻAe, aia kekahi mau ʻano hana no kēia ʻoki kino. Ua kapa ʻia lākou e like me ke ʻano o ka hana ʻana o ke ala hou no ka mimi.
ʻO ke kahawai ʻo Ileal - ʻO ke ʻano hana i hoʻohana pinepine ʻia
ʻO kēia ke kaʻina hana maʻamau. Maanei, lawe ke kauka lapaʻau i kahi ʻāpana liʻiliʻi o kou ʻōpū liʻiliʻi a hana i kahi paipu mai loko mai. Hoʻopili ʻia kekahi ʻaoʻao o kēia paipu i kahi stoma i hana ʻia i loko o kou ʻōpū. Hoʻopili ʻia kekahi ʻaoʻao i nā paipu ʻelua e lawe ana i ka mimi mai kou mau puʻupaʻa (ureters). A laila kahe ka mimi i hana ʻia i loko o kou mau puʻupaʻa ma o kēia paipu hou a puka i waho o ka stoma.
ʻAuwai Kolonika
Ua like loa kēia me ke ʻano i ʻōlelo ʻia ma luna, koe wale nō ka hoʻohana ʻia ʻana o kahi ʻāpana o ka ʻōpū nui (colon) e hana i ka ʻōmole ma kahi o ka ʻōpū liʻiliʻi.
ʻUreterostomy
Ma kēia ʻano hana, ʻaʻole i hana ʻia kahi ʻōmole mai kahi ʻāpana o ka ʻōpū e like me kēlā. Akā, ua hoʻopili pololei ʻia nā ureters mai nā puʻupaʻa i kahi stoma i hana ʻia i loko o ka ʻōpū.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
Ma mua o ke ʻoki ʻana, e kamaʻilio pono kāu kauka ʻoki a me ka hui me ʻoe. E wehewehe lākou i kēia mau mea iā ʻoe:
- No ke aha ʻoe e pono ai i kēia ʻoki kino?
- He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
- He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?
- He aha nā pilikia e pili ana i kēia?
E aʻo pū lākou iā ʻoe i ka wā e hoʻōki ai i ka ʻai ʻana a me ka inu ʻana ma mua o ke ʻoki ʻana, a inā paha e hoʻōki ʻoe i ka lawe ʻana i nā lāʻau lapaʻau āu e lawe mau ai. E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā mea hoʻohui āu e lawe nei.
Ma mua o ke ʻoki ʻana, e kōkua kāu hui lapaʻau iā ʻoe e koho i kahi kūpono loa ma kou ʻōpū e hana ai i ka stoma. Pono ia he wahi pālahalaha e hiki ai iā ʻoe ke ʻike maʻalahi, hiki aku, a hiki aku.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
E hoʻokomo ʻia ʻoe ma lalo o ka anesthesia laulā no ke ʻoki ʻana. No laila, ʻaʻole ʻoe e ʻeha . E hana ke kauka ʻoki i kahi stoma ma kahi i koho mua ʻia i loko o kou ʻōpū a hoʻohui i nā ureters iā ia.
I kekahi manawa, ʻoiai hoʻi i nā hihia o ke kanesa, pono e wehe ʻia ka ʻōpū holoʻokoʻa a i ʻole kekahi hapa i ka manawa like. Eia kekahi, inā pono, pono e wehe ʻia nā ʻōpū e like me ka appendix, nā lymph nodes, a i ʻole ka prostate gland i nā kāne a i ʻole ka uterus i nā wahine. Hiki i kēia ʻoki kino ke hala a hiki i 6 mau hola .
Pehea ka manawa ho'ōla ma hope o ke ʻoki kino?
Ma hope o ke ʻoki ʻana, e lawe mua ʻia ʻoe i kahi keʻena hoʻōla a laila e hoʻoneʻe ʻia i kahi keʻena.
- E kau ʻia ana hoʻokahi a ʻoi aku paha mau ʻauwai e wehe i ka wai e hōʻiliʻili ana i loko o ke kino.
- E hoʻolako ʻia nā lāʻau ʻeha e pono ai.
- E paipai ʻia ʻoe e noho i luna o kahi moe i ka hikiwawe loa, e hoʻoneʻe i kou mau wāwae, a hele me ke kōkua o nā limahana lapaʻau. Hiki i kēia ke kōkua i ka pale ʻana i nā maʻi e like me ke koko ʻana a me ka maʻi niumonia .
- Hiki iā ʻoe ke hoʻomaka e ʻai a inu maʻamau i loko o kekahi mau lā.
ʻO ka maʻamau, pono ʻoe e noho ma ka haukapila no 3 a 7 mau lā. I loko o kēia manawa, e aʻo ʻia ʻoe pehea e mālama ai i kou stoma a pehea e hoʻohana ai i kāu ʻeke mimi. Ma hope o kou hoʻi ʻana i ka home, hiki ke hala ma kahi o ʻelua mahina e hoʻi ai i nā hana maʻamau (hana, kula).
I ka manawa hea e pono ai iaʻu ke kāhea aku i ke kauka?
Inā he mau nīnau a hopohopo paha kāu e pili ana i kāu urostomy, e kamaʻilio me kāu kauka. E ʻimi pono i ke aʻo lapaʻau, ʻoiai inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:
- kuni
- Ke kahe koko ʻano ʻē
- ʻEha nui
- Ka paʻakikī i ka hoʻohana ʻana i ka ʻeke urostomy
- Hoʻololi i ke kala o ka mimi a i ʻole ka ʻala ikaika
Nā nīnau maʻamau e pili ana i ka noho ʻana me kahi urostomy
He nui paha kāu mau nīnau e pili ana i ke ola ma hope o kēia ʻoki kino. E pane kākou iā lākou.
Pehea ke ʻano o ka stoma? Pehea kona manaʻo?
Ke nānā mua ʻoe i kou stoma, pehu iki paha, ʻulaʻula ʻeleʻele, a ʻike ʻia he palapū. He mea maʻamau kēia. I ka hala ʻana o ka manawa, e emi iho ka pehu, lilo i ʻulaʻula māmā, a emi iho ka nui. He ʻano poepoe a ʻōval paha.
ʻO ka mea nui loa, ʻaʻohe hopena aʻalolo o ka stoma. No laila, ʻaʻole manaʻo ka stoma i kekahi mea a ʻeha paha . ʻOiai paha e ʻeha ka ʻāpana a puni a hiki i ka wā e ho'ōla ai ka ʻeha ʻoki, ʻaʻole ʻeha ka stoma ponoʻī.
ʻEhia pinepine e hoʻololi ʻia ai ka ʻeke urostomy?
ʻO ka hoʻokahe ʻana i ka ʻeke a me ka hoʻololi loa ʻana he ʻelua mea like ʻole.
- Ke hoʻokahe nei i ka ʻeke: E like me kāu mimi ʻana ma mua o ke ʻoki kino, pono ʻoe e hoʻokahe i ka ʻeke i kēlā me kēia mau hola. Mai kali a piha loa ka ʻeke. ʻOi aku ka maikaʻi o ka hoʻokahe ʻana iā ia i ka wā e piha ai ka hapakolu (1/3) a i ʻole ka hapalua (1/2). E kōkua kēia i ka pale ʻana i ka ʻeke mai ka liki ʻana a me ka hoʻoulu ʻana i nā maʻi ʻili. Ke hiamoe ʻoe i ka pō, hiki iā ʻoe ke hoʻohui i kēia ʻeke i kahi waihona nui aʻe (pahu hoʻokahe). E ʻae kēia iā ʻoe e hiamoe me ka ʻole o ke ala ʻana i ka pō.
- Ke hoʻololi nei i ka ʻeke: Pili kēia i ke ʻano o ka ʻōnaehana ʻeke āu e hoʻohana nei. Pono e hoʻololi ʻia kekahi i kēlā me kēia lā, aʻo kekahi e hiki ke hoʻohana ʻia no 3 mau lā a i ʻole hoʻokahi pule.
Leka Lawe-Home
- He hana ʻoki kino ka urostomy e kōkua iā ʻoe a e maʻalahi ai kou ola, ʻaʻole ia he mea e makaʻu ai.
- He loli mau loa kēia maʻamau, akā e loaʻa iā ʻoe ka ʻike a me ke kākoʻo āpau āu e pono ai e maʻa ai iā ia mai kāu hui lapaʻau.
- He mea nui loa ka mālama ʻana i ka ʻili a puni ka stoma i maʻemaʻe a maloʻo. Hiki i kēia ke kōkua i ka pale ʻana i nā maʻi ʻili.
- ʻO nā hopohopo kino a naʻau paha āu e pili ana i kēia, e kamaʻilio ākea me kāu kauka e pili ana iā lākou. Inā pono, e hui pū me nā hui kākoʻo me nā poʻe ʻē aʻe i loaʻa nā ʻike like.
- Hiki nō iā ʻoe ke ola i kahi ola piha a hana ma hope o ke ʻoki ʻana o ka urostomy.
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