He aha inā e wehe hou ʻia ka ʻeha i humuhumu ʻia ma hope o ke ʻoki ʻana? (Wound Dehiscence) Mai hopohopo, e kamaʻilio kāua!

Ua hana ʻia anei ʻoe i kahi ʻoki? A i ʻole ua lohe paha ʻoe i kekahi āu i ʻike ai e ʻōlelo ana, "Auē, ke wehe iki nei koʻu mau humuhumu" i kekahi mau lā ma hope? He mea weliweli iki ia. Akā inā maopopo pololei iā ʻoe kēia, ʻaʻohe pono e makaʻu pono ʻole. I kēia lā, ke kamaʻilio nei mākou e pili ana i ka mea i kapa ʻia ʻo "wehe hou ʻana" o kahi ʻeha i humuhumu ʻia ma hope o ke ʻoki ʻana.

He aha ke ʻano o kēia dehiscence ʻeha? (Wound Dehiscence)

I ka ʻōlelo maʻalahi, ʻo ka dehiscence ʻeha ka wā e ho'ōla pono ʻole ai ka ʻoki i hana ʻia e ke kauka lapaʻau i ka wā o kāu ʻoki ʻana a wehe hou ma hope. Ua like ia me ke kau ʻana i ka zipper ma kahi lole a wehe hou ia i waenakonu. I kekahi manawa kapa nā kauka i kēia '(Wound Disruption)' a i ʻole '(Wound Separation)'.

He mea weliweli iki paha kēia, ʻeā? "Auē, no ke aha lā kēia e hana nei?" "E ola koke ana anei au?" Ke noʻonoʻo nei paha ʻoe. Akā, mai hopohopo. Hiki i kēia mau ʻeha ke wehe ʻia no nā kumu like ʻole. Hiki ke kumu o ke kaumaha, kahi maʻi, a i ʻole nā ​​​​​​kūlana olakino ʻē aʻe āu e loaʻa nei. Akā ʻo ka mea maikaʻi loa, aia nā lāʻau lapaʻau e loaʻa ana e kōkua iā ʻoe e hoʻi i ke ala e hoʻōla ai.

Aia kekahi mau pae like ʻole o ka dehiscence ʻeha? (Dehiscence hapa a me ka Dehiscence piha)

ʻAe, hiki i kēia ʻeha ke wehe ma kekahi o nā ʻano ʻelua:

• Ka wehe ʻana o ka ʻeha hapa: ʻO kēia ka wā e wehe hou ai kahi ʻāpana liʻiliʻi o ka ʻeha. I kekahi manawa hiki ke loaʻa kahi kaʻawale ma waena o ka papa luna o ko mākou ʻili (epidermis) a me ka papa ma lalo (dermis). E noʻonoʻo e like me ke kaula a ʻelua paha e haki ana ma kahi o ka humuhumu ʻana.
• Ka hemo piha ʻana o ka ʻeha: ʻO kēia ka manawa e wehe hou ai ka ʻoki ʻoki holoʻokoʻa. ʻO ke ʻano kēia e wehe paha ka lōʻihi holoʻokoʻa o ka ʻoki, a i ʻole e wehe paha ma nā papa āpau o ka ʻili a me nā ʻiʻo.

ʻOiai ke ʻano o kēia hana, he mea maʻamau ke hopohopo iki ke ʻike ʻoe. Akā, ʻo ka mea nui loa, ʻaʻole ia e hopohopo.

He aha nā hōʻailona āu e ʻike ai i ka wā e kokoke ana ka ʻeha e ho'ōla?

I ka hoʻomaka ʻana o kahi ʻeha e ho'ōla, hiki iā ʻoe ke manaʻo a ʻike paha i nā mea e like me:

• Ke kahe nei ke koko mai kahi ʻeha.
• Me he mea lā ua haki ka humuhumu .
• Kuni .
• Ke ʻeha nei ma kahi o ka ʻeha.
• Ka pehu a puni ka ʻoki.
• ʻUlaʻula a ʻeleʻele paha ka ʻili ma kahi i hana ʻia ai ke ʻoki.
• Ka manaʻo o kekahi mea e huki ana a haehae paha ma kahi o ke kuʻi.

Hiki ke ʻike ʻia kēia mau hōʻailona i kēlā me kēia manawa i ka wā e ho'ōla ai ka ʻeha.

E hoʻomaopopo iki kākou e pili ana i ke kaʻina hana o ka ho'ōla ʻana i ka ʻeha? (Nā Pae o ka Ho'ōla ʻana i ka ʻeha)

He hana paʻakikī a lōʻihi hoʻi ka hoʻōla ʻana i kahi ʻeha. ʻAʻole mākou e ʻike pinepine i nā pae mua. Kāhea nā kauka i kēia mau pae ho'ōla ʻeha. I nā huaʻōlelo maʻalahi, penei lākou e hana ai:

1. Ka kāohi ʻana i ke kahe ʻana o ke koko (Hemostasis): ʻO kēia ka pane mua a ko mākou kino i kahi ʻeha (ʻoiai he ʻoki). Hoʻemi koke ke kino i ke kahe ʻana o ke koko a hana i kahi ʻūpā koko ma luna o ka ʻeha. He ʻelua lā kēia e hala ai.

2. Ka mumū: Hana ʻia kēia ma hope o ke kūkulu ʻia ʻana o kahi ʻūpā koko a pani ʻia ka ʻeha. Lilo ko kākou mau kīʻaha koko i mea nui aʻe. ʻOi aku ka maʻalahi o ka wehe ʻana i nā mea makemake ʻole ʻia, e like me ka bacteria, mai ka ʻeha.

3. Ka hoʻonui ʻana: ʻO kēia ka manawa e hana ai ke kino i nā ʻāpana hou e kūkulu i nā ʻiʻo hou. Ua kapa ʻia kēia ʻiʻo hou he ʻiʻo granulation. Ke nānā ʻoe i ka ʻeha, e like paha me nā puʻupuʻu liʻiliʻi a poni. ʻO ka lōʻihi o kēia pae ma kahi o 1-3 mau pule.

4. Ka Hoʻomāʻo ʻana: ʻO kēia ke kahua hope loa. E lilo ana ke kino i ʻoi aku ka ikaika a me ka palupalu. Ke hoʻomau nei ka ho'ōla ʻana o ka ʻeha. Hiki ke hala kēia mai kekahi mau pule a i hoʻokahi makahiki.

No laila, ua maopopo iā ʻoe ʻaʻole hiki ke ho'ōla ʻia kahi ʻeha i ka pō hoʻokahi. Pono ʻoe e hāʻawi i ka manawa.

No ke aha e wehe ai nā ʻeha penei? He aha nā kumu?

ʻO ka hapa pinepine, ʻo ke kumu nui o ka wehe ʻana o kahi ʻeha ma hope o ke ʻoki ʻana he maʻi. Ke hana mākou i ke ʻoki ʻana, hana mākou i kahi ʻoki i loko o ka ʻili. Hiki mai ka maʻi ke komo ka bacteria i ke kino ma o kēlā ʻoki. Hiki ke hana kēia i ka wā o ke ʻoki ʻana, ʻoiai ʻoe ma ka haukapila, a i ʻole ʻoiai ʻoe e hoʻōla ana ma ka home.

I kekahi manawa, ʻo nā pilikia ʻē aʻe ma hope o ke ʻoki ʻana, e like me ka luaʻi pinepine a nui paha a i ʻole ke kuni ʻana, hiki ke hana i ka ʻeha ʻāʻī, no ka mea, hoʻokomo kēia i ke kaomi hou aʻe ma luna o ka ʻeha.

He aha nā kumu pilikia no ka ho'ōla ʻana o nā ʻeha?

Hiki i kekahi mau kūlana olakino a me nā lāʻau lapaʻau ke hoʻonui i ka pilikia o ka ho'ōla ʻana o ka ʻeha. No ka laʻana, ʻo nā mea āpau e hoʻopilikia ai i kou koko a i ʻole e hoʻopilikia i ke kahe koko e hiki ke hoʻopaneʻe i ka ho'ōla ʻana o ka ʻeha.

Hiki i kekahi mau maʻi ke hoʻonui i ka pilikia:

• Anemia: He kūlana kēia kahi i loaʻa ai i ke kino ka nui haʻahaʻa o nā hunaola koko ʻulaʻula olakino a waiwai i ka oxygen. Pono ko mākou kino i ka oxygen e ho'ōla i nā ʻeha. Ke haʻahaʻa nā hunaola koko ʻulaʻula, lohi kēlā kaʻina hana.
• COPD (Maʻi Puʻuwai Paʻa Mau): Hiki i kēia kūlana ke hoʻopilikia i ka nui o ka oxygen i loko o ke koko a hoʻolohi i ka ho'ōla ʻana o ka ʻeha.
• Maʻi diabetes: He kiʻekiʻe ke kō koko o ka poʻe me ka maʻi diabetes. Hiki i kēia pae kō kiʻekiʻe ke hoʻopilikia i nā hunaola koko keʻokeʻo e kōkua ana i ka ho'ōla ʻana i nā ʻeha.
• ʻO ka hypoproteinemia:ʻO ia hoʻi ka emi ʻana o ka protein i loko o ke koko. Hoʻohana ko mākou kino i ka protein e kūkulu a hoʻoponopono i nā ʻiʻo a me ka ʻili. Ke emi ka protein i loko o ke koko, lilo ia i mea paʻakikī i ke kino ke kūkulu i nā ʻiʻo hou a ho'ōla i nā ʻeha.
• Momona: Ua hōʻike ʻia e ka noiʻi hiki i ka momona ke hoʻololi i nā kemika i ke kino e hiki ai ke hoʻopilikia i ka ho'ōla ʻana o nā ʻeha.

Ma mua o kou hana ʻoki kino ʻana, e mālama ke kime lapaʻau i kekahi o kēia mau mea pilikia. Eia nō naʻe, i kekahi manawa, e like me ke ʻano o ka hana ʻoki kino ulia pōpilikia ma muli o kahi ulia, ʻaʻole paha e hiki ke mālama mua iā ʻoe.

Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i ka pilikia:

• Lapaʻau radiation: Hiki i ka lāʻau radiation no ke kanesa ke hana i nā ʻiʻo ʻeha. Inā loaʻa kēia ʻiʻo ʻeha ma kahi ʻoki, hiki iā ia ke hoʻopilikia i ka ho'ōla ʻana.
• Corticosteroids: Inā pono ʻoe e lawe i kahi ʻano lāʻau i kapa ʻia ʻo corticosteroids no ka manawa lōʻihi, hiki iā ia ke paʻakikī i kou kino ke hana i nā ʻiʻo hou a me nā kīʻaha koko.

He aha nā pilikia e hiki mai ana o ka wehe ʻana o nā ʻeha?

ʻO ka pilikia koʻikoʻi loa e hiki ke hana ʻia, ʻo ia ka "Evisceration." ʻO ia hoʻi, nā ʻōpū o loko e puka mai ana mai ka ʻoki ʻoki.

He mea kākaʻikahi loa kēia, a hana wale ia ma hope o ke ʻoki ʻana o ka ʻōpū. He pilikia olakino ka evisceration. Inā hana kēia iā ʻoe, pono ʻoe e ʻoki koke.

Pehea e ʻike pololei ai nā kauka i kēia maʻi?

ʻO ka mea mua a ke kauka e hana ai, ʻo ia ke nānā pono i kāu ʻoki. Hiki iā lākou ke lawe i kahi hāpana wai mai ka ʻoki a hoʻouna aku i kahi keʻena hoʻokolohua e hoʻoholo pono i ke ʻano o ka bacteria i loko. I kekahi mau hihia, hiki ke hana ʻia kahi CT scan.

He aha ka mea e hana ai inā hāmama ka ʻeha? He aha ka lāʻau lapaʻau? (Lāʻau lapaʻau)

ʻOkoʻa paha ka mālama ʻana no kahi ʻeha i wehe ʻia ma muli o kou kūlana. ʻO ka maʻamau, pili ia i kēia mau mea:

• Nā lāʻau antibiotic: Inā he maʻi bacteria, hiki ke hāʻawi ʻia nā lāʻau antibiotic intravenous.
• Lapaʻau ʻeha kaomi maikaʻi ʻole: Pili kēia i ke kau ʻana i kahi kāʻei kūikawā ma luna o ka ʻeha a hoʻopili iā ia i kahi pamu liʻiliʻi. Hoʻopuka kēia pamu i ka wai keu mai ka ʻeha. Kōkua kēia i ka ho'ōla wikiwiki ʻana o ka ʻeha.
• ʻOki: Pono paha kāu kauka ʻoki e hana i kahi ʻoki ʻē aʻe e wehe i kekahi ʻiʻo i hōʻino ʻia, maʻi ʻia, a make paha. A laila, hiki iā ia ke kau i nā humuhumu hou a i ʻole e pani paha i ka ʻeha me kahi mea e like me kahi ʻupena liʻiliʻi.

E ola anei kahi ʻeha e like me kēia ma ona iho?

Aia nō ia i kou kūlana. Inā paha he puka liʻiliʻi wale nō a me kekahi mau humuhumu haki, hiki i ke kauka ke ʻōlelo aku e uhi ʻoe i ka ʻeha me ka ʻole o ke humuhumu hou ʻana a mālama iā ia i uhi ʻia e pale aku ai i ka maʻi. A laila e ho'ōla wale nō ka ʻeha. Akā, he mea nui e hahai mau i nā ʻōlelo a kāu kauka.

Pehea ka lōʻihi o ka ho'ōla ʻana o kahi ʻeha e like me kēia?

He manawa ka lōʻihi no ka ho'ōla ʻana o kahi ʻeha. E loli ka manawa e pono ai ma muli o kou kūlana. ʻO ka maʻamau, hiki i kahi ʻeha liʻiliʻi hāmama ke hala i kekahi mau pule e ho'ōla ai. Eia nō naʻe, inā e wehe hou ʻia kahi ʻoki nui a koi ʻia ke ʻoki hou ʻana, hiki ke hala i nā mahina e ho'ōla ai. He mea nui e hoʻomanawanui a hahai pono i nā ʻōlelo a kāu kauka.

He aha kā mākou e hana ai e pale aku i ka wehe ʻana o nā ʻeha ma hope o ke ʻoki ʻana?

ʻAʻole hiki iā mākou ke kāohi i nā mea āpau, akā aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia o ka loaʻa ʻana o kahi ʻeha:

• ʻAi maikaʻi: Pono mākou i nā calorie no ka ikehu. Pono mākou i ka protein, nā huaora, a me nā minelala e kūkulu a hoʻoponopono i nā ʻiʻo. ʻO ka ʻai ʻana i ka meaʻai kaulike ma mua a ma hope o ke ʻoki ʻana e hiki ke kōkua i ka ho'ōla wikiwiki ʻana o nā ʻeha.
• Inā ʻoe e puhipaka, e hoʻōki: Hoʻonui ka puhipaka i ka pae o ke kalapona monoxide i loko o kou kino. Hoʻemi kēia i ka lako o ka oxygen i nā ʻiʻo a hoʻopaneʻe i ka ho'ōla ʻana o ka ʻeha. No laila, ʻoi aku ka maikaʻi o ka hoʻōki ʻana i ka puhipaka i ka wā hikiwawe loa.
• E mālama i kou ʻoki ʻia: E wehewehe kāu hui lapaʻau pehea e mālama ai i kou ʻeha. Hiki i kekahi mau kūlana olakino ke hoʻonui i ka pilikia o nā ʻeha hāmama. Hiki iā lākou ke haʻi iā ʻoe e nānā i kou ʻeha i ʻelua manawa i ka lā.
• E mālie: Ma hope o ke ʻoki ʻana, pono kou kino i ka hoʻomaha e ho'ōla ai. Hiki i ka hāpai ʻana i nā mea kaumaha ke kumu o ka haki ʻana o nā humuhumu. E haʻi aku kāu hui lapaʻau iā ʻoe i nā hana āu e hana ʻole ai. E hahai pono i kēlā mau kuhikuhi.

He aha nā manawa kūpono loa e ʻike ai i ke kauka?

Inā wehe ʻia kou ʻoki ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka ʻoki. ʻOiai inā he puka liʻiliʻi wale nō a he humuhumu haki paha, he mea ia e pono ai i kāu kauka ke makaʻala. Inā ʻike koke ʻoe, hiki ke mālama ʻia ma mua o ka lilo ʻana i pilikia nui.

He aha ke ʻano o nā ʻoki kino e hana pinepine ʻia ai kēia maʻi ma hope?

Hiki ke hana ʻia kēia ʻano i kēlā me kēia manawa i hana ʻia ai kahi ʻoki ʻoki, akā ʻike pinepine ʻia ma hope o ke ʻoki ʻana o ka ʻōpū a me ke ʻoki puʻuwai.

Ma hope o ke ʻoki ʻana, ke kakali nei paha ʻoe i ka hoʻōla koke ʻana a me ka hoʻi ʻana i ka home. Akā, ʻo ka loaʻa ʻana o kahi ʻeha e like me kēia e wehe ʻia ana he mea āu i manaʻo ʻole ai, a ʻaʻole ia he mea a mākou e hauʻoli nui ai. Ke noʻonoʻo nei paha ʻoe, "No ke aha i hana ʻia ai kēia iaʻu?" "Pehea lā e pili ai kēia i koʻu hoʻōla ʻana?" Akā, e wehewehe kāu hui lapaʻau i kēia mau mea a pau iā ʻoe. E hāʻawi pū lākou iā ʻoe i ka lāʻau lapaʻau e pono ai e hoʻihoʻi iā ʻoe ma ke ala e hoʻōla ai. No laila, mai hopohopo.

ʻO ka mea hope loa, ʻo ka mea nui loa e hoʻomanaʻo! (Leka Lawe-Home)

• He mea hiki ke hana ʻia ka dehiscence o nā ʻeha ma hope o ke ʻoki ʻana.
• Nui nā kumu no kēia, ʻo ke kumu nui ʻo ia ka maʻi.
• Inā loaʻa iā ʻoe nā hōʻailona e like me ke kahe ʻana o ke koko mai ka ʻeha, nā humuhumu haki, ke kuni, a i ʻole ka ʻeha, e haʻi koke aku i ke kauka.
• Aia kekahi lāʻau lapaʻau no kēia, no laila mai makaʻu.
• Hiki ke hoʻēmi ʻia kēia pilikia ma ka ʻai pono ʻana, ka ʻole o ka puhi paka, ka mālama pono ʻana i ka ʻeha, a me ka hahai ʻana i nā ʻōlelo aʻoaʻo a ke kauka.
• Inā he kānalua kou, mai makaʻu e nīnau i kāu kauka, ʻoiai no nā mea liʻiliʻi. ʻO kou olakino ka mea nui loa!

Ke makemake nei iā ʻoe e ho'ōla koke!

ʻO ka hemo ʻana o ka ʻeha, nā ʻeha ma hope o ke ʻoki ʻana, ka haki ʻana o ka suture, ka hemo ʻana o ka ʻeha Sinhala, ka ho'ōla ʻana o ka ʻeha, nā ʻeha ʻoki, nā maʻi ʻeha