Wehe i ka gallbladder - laparoscopic - hoʻokuʻu
ʻO ka hemo ʻana o ka gallbladder laparoscopic kahi ʻoki e wehe i ka gallbladder me ka hoʻohana ʻana i kahi lāʻau lapaʻau i kapa ʻia he laparoscope.
He hana kāu i kapa ʻia ʻo laparoscopic cholecystectomy. Ua hana kāu kauka 1 i nā ʻoki liʻiliʻi ʻehā i loko o kou ʻōpū a hoʻohana i kahi mea kani kūikawā i kapa ʻia he laparoscope e lawe ai i kāu pahu hana
ʻO ka hoʻōla ʻana mai ka laparoscopic cholecystectomy e lawe a i 6 mau pule no ka hapanui o ka poʻe. Hiki paha iā ʻoe ke hoʻi i nā hana maʻamau i loko o hoʻokahi pule a ʻelua paha, akā hiki ke hala i mau pule hou e hoʻi ai i kāu pae ikehu maʻamau. Loaʻa paha iā ʻoe kekahi o kēia mau ʻōuli ke ola hou ʻoe:
- ʻEha i loko o kou ʻōpū. Hiki paha iā ʻoe ke ʻeha i loko o hoʻokahi a i ʻole ʻelua mau poʻohiwi. ʻO kēia ʻeha mai ka gas i waiho ʻia i loko o kou ʻōpū ma hope o ke kahakaha ʻana. E māmā ka ʻeha ma luna o kekahi mau lā a i hoʻokahi pule.
- ʻO kahi ʻāʻī ʻeha mai ka pū hanu hanu. Hoʻoluʻolu paha nā lozenges puʻu.
- Nusea a e kīloi ana paha i luna. Hiki i kāu kauka lāʻau ke hāʻawi iā ʻoe i ka lāʻau nausea inā pono.
- Loose stools ma hope o ka ʻai ʻana. Hiki paha kēia i 4 a 8 mau pule. Eia nō naʻe, i kekahi mau hihia hiki ke lōʻihi ka lōʻihi.
- ʻEha a puni kou mau ʻeha. E hele wale aku nō kēia.
- ʻUlaʻula ʻili a puni kou mau ʻeha. He maʻamau kēia inā pili wale ia i ka ʻoki.
E hoʻomaka i ka hele wāwae ma hope o ke kaha ʻana. E hoʻomaka i kāu hana i kēlā me kēia lā ke noʻonoʻo ʻoe i ia. E neʻe a puni ka hale a holoi, a hoʻohana i ke alapiʻi i kou home o ka pule mua. Inā ʻeha ke hana ʻoe i kekahi mea, e hoʻōki i ka hana i kēlā hana.
Hiki paha iā ʻoe ke kalaiwa ma hope o hoʻokahi pule a inā ʻaʻole ʻoe e lawe i nā lāʻau ʻehaʻeha (narcotics) a inā hiki iā ʻoe ke neʻe wikiwiki me ka ʻole o ka ʻeha inā pono ʻoe e pane i kahi pilikia. Mai hana i kekahi hana ikaika a hāpai paha i kekahi mea kaumaha no ka liʻiliʻi o ʻelua mau pule. I kēlā me kēia manawa, inā hana kekahi hana i ka ʻeha a huki paha i nā ʻokiʻoki, mai hana wale.
Hiki paha iā ʻoe ke hoʻi i kahi pākaukau ma hope o hoʻokahi pule e pili ana i ka nui o ka ʻeha āu e loaʻa nei a me kou ʻeleu e manaʻo ai. E kamaʻilio me kāu mea mālama ola inā kino kāu hana.
Inā hoʻohana ʻia nā sutures, staples, a glue paha e pani i kou ʻili, hiki iā ʻoe ke hemo i nā lole ʻeha a ʻauʻau i ka lā ma hope o ke kaha ʻana.
Inā hoʻohana ʻia nā pale lepe (Steri-strips) e pani i kou ʻili, e uhi i nā ʻeha me ka wahī palekiko ma mua o ka holoi ʻana no ka pule mua ma hope o ke kahakaha ʻana. Mai hoʻāʻo e holoi i nā Steri-strips. E hāʻule lākou i kā lākou iho.
Mai pulu i loko o kahi pahu wai a i ʻole pahu wai wela, a hele aku i ka ʻauʻau ʻana, a hiki i ke kauka ʻana e haʻi aku ua maikaʻi.
ʻAi i ka papaʻai kiʻekiʻe-fiber. Inu he 8 a 10 mau aniani o ka wai i kēlā me kēia lā e kōkua i ka hoʻoneʻe i ka ʻōpū. Makemake paha ʻoe e hōʻalo i nā meaʻai momona a me nā nīnoi no kekahi manawa.
E hele no kahi kipa ukali me kāu mea hoʻolako 1 a 2 mau pule ma hope o kāu ʻoki ʻana.
Kāhea i kāu mea hāʻawi inā:
- Aia kou mahana ma luna o 101 ° F (38.3 ° C).
- ʻO kou mau ʻehaʻeha ke kahe ʻana i ke koko, ʻulaʻula a i ʻole mehana i ka pā a i ʻole he pā kōpuʻu, melemele a ʻōmaʻomaʻo paha kāu.
- He ʻeha kou i kōkua ʻole ʻia me kāu mau lāʻau ʻeha.
- Paʻa ka hanu.
- He ʻūhū kāu hele ʻole.
- ʻAʻole hiki iā ʻoe ke inu a ʻai paha.
- Melemele kou ʻili a i ʻole ka ʻāpana keʻokeʻo o kou mau maka.
- He hina hina kāu mau noho.
ʻO Cholecystectomy laparoscopic - hoʻokuʻu; Cholelithiasis - hoʻokuʻu laparoscopic; Ka helu biliary - hoʻokuʻu laparoscopic; Gallstones - hoʻokuʻu laparoscopic; Cholecystitis - hoʻokuʻu laparoscopic
- Pākuʻi
- Anatomia Gallbladder
- ʻOki kino Laparoscopic - moʻo
Pūnaewele ʻAmelika Hui Pū ʻIa ʻAmelika. ʻO Cholecystectomy: ka wehe ʻana o ka gallbladder. ʻO ke Kulanui ʻAmelika o nā Surgeons Surgical Patient Education Program. www.facs.org/~/media/files/education/patient%20ed/cholesys.ashx. Loaʻa iā Nowemapa 5, 2020.
ʻO Brenner P, Kautz DD. Ka mālama postoperative o nā mea maʻi e hele ana i kēlā lā lā lā laparoscopic cholecystectomy. AORN J. 2015; 102 (1): 16-29. PMID: 26119606 pubmed.ncbi.nlm.nih.gov/26119606/.
Jackson PG, Evans SRT. ʻŌnaehana Biliary. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 54.
CRG wikiwiki, Biers SM, Arulampalam THA. Nā maʻi Gallstone a me nā maʻi pili. I: CRG wikiwiki, Biers SM, Arulampalam THA, nā hua. Nā pilikia ʻoki poʻomanaʻo nui, ʻike a me ka hoʻokele. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 20.
- Cholecystitis huehue
- Cholecystitis maʻi
- Nā Pohaku
- Nā maʻi Gallbladder
- Nā Pohaku