Hoʻokiʻi liʻiliʻi o ka ʻōpū - hoʻokuʻu

Ua ʻoki ʻoe e wehe a pau a i ʻole kahi hapa o kou ʻōpū liʻiliʻi (ʻōpū liʻiliʻi). Ua loaʻa paha iā ʻoe kahi ileostomy.

I ka wā a ma hope o ke kahakaha ʻana, loaʻa iā ʻoe nā wai hoʻoipoipo (IV). Loaʻa paha iā ʻoe kahi pahu i kau ʻia i loko o kou ihu a i loko o kou ʻōpū. Ua loaʻa paha iā ʻoe nā antibiotic.

Loaʻa paha iā ʻoe kēia mau pilikia ma hope o kou hoʻi ʻana mai ka home mai ka haukapila.

• ʻEha ke ʻeha ʻoe, ʻūlū, a neʻe koke. E mau ana paha kēia i mau pule.
• Hiki paha iā ʻoe ke loaʻa i nā pilikia me nā stools ʻaila a maikaʻi ʻole a i ʻole diarrhea inā lawe ʻia kahi ʻāpana nui o kou ʻōpū liʻiliʻi.
• Loaʻa paha iā ʻoe kahi pilikia me kāu ileostomy.

E hāhai i nā ʻōlelo aʻoaʻo a kāu kahu mālama ola no ka mālama ʻana iā ʻoe iho ma ka home.

Hana:

• He mau pule paha kāu e hoʻi ai i kāu hana maʻamau. E noi i kāu mea hāʻawi inā aia nā hana ʻaʻole pono ʻoe e hana.
• E hoʻomaka me ka hele wāwae pōkole.
• E hoʻonui mālie i kāu hana. Mai hoʻoikaika ikaika iā ʻoe iho.

E hāʻawi aku kāu kauka iā ʻoe i nā lāʻau ʻeha e lawe ma ka home.

• Inā ʻoe e lawe i nā lāʻau ʻehaʻeha 3 a 4 mau manawa i ka lā, e lawe iā lākou i nā manawa like i kēlā me kēia lā no 3 a 4 mau lā. Mālama maikaʻi lākou i ka ʻeha i kēia ala. E noi i kāu mea hāʻawi inā hiki iā ʻoe ke lawe i ka acetaminophen (Tylenol) a i ʻole ibuprofen (Advil a i ʻole Motrin) e kōkua me ka ʻeha a hōʻalo i ka lawe ʻana i ka lāʻau narcotic pain.
• Mai kalaiwa a hoʻohana i nā mīkini ʻē aʻe inā lawe ʻoe i nā lāʻau ʻeha narcotic. Hiki i kēia mau lāʻau lapaʻau ke hiamoe a hoʻolohi i kou manawa pane.

Kaomi i kahi uluna ma luna o kāu ʻokiʻoki ke pono ʻoe e kao a hiʻu paha. Mālama kēia i ka ʻeha.

E noi i kāu kauka ke hoʻomaka ʻoe e lawe hou i kāu mau lāʻau maʻamau ma hope o ke kahakaha ʻana.

Inā ua hoʻoneʻe ʻia kāu staples, loaʻa paha iā ʻoe nā ʻāpana liʻiliʻi o ka lepe i kau ʻia i kāu ʻokiʻoki. E hāʻule kēia mau ʻāpana o kā lākou lepe iā lākou iho. Inā ua pani ʻia kāu ʻokiʻoki me kahi suture hoʻoheheʻe, loaʻa paha ʻoe i ke kaola e uhi ana i ka ʻokiʻoki. E hoʻokuʻu kēia lepa a hele mai i kāna iho. A i ʻole, hiki ke ihi ʻia ma hope o kekahi mau pule.

E noi i kāu mea hāʻawi ke hiki iā ʻoe ke holoi a pulu i loko o kahi pahu wai.

• Maikaʻi inā pulu ka lipine. Mai pulu a ʻānai iā lākou.
• E mālama i kou ʻeha i maloʻo i nā manawa ʻē aʻe āpau.
• E hāʻule nā ​​lepe iā lākou iho ma hope o hoʻokahi pule a ʻelua paha.

Inā loaʻa iā ʻoe kahi kapa komo, e haʻi aku kāu kauka iā ʻoe i ka manawa e hoʻololi pinepine ai a hiki iā ʻoe ke haʻalele i ka hoʻohana ʻana iā ia.

• E hāhai i nā ʻōkuhi no ka hoʻomaʻemaʻe i kou ʻeha i kēlā me kēia lā me ke kopa a me ka wai. E nānā pono no nā loli i ka ʻeha ke hana ʻoe i kēia.
• Pākuʻi i kou ʻeha. Mai hamo ia maloʻo.
• E noi i kāu mea hāʻawi ma mua o ka kau ʻana i kahi wai lotion, holika, a lāʻau lāʻau paha i kou ʻeha.

Mai ʻaʻahu i nā kapa paʻa e ʻumeʻume i kou ʻeha ʻoiai ke ola nei. E hoʻohana i ka ʻeke aniani lahilahi ma luna o ia mea e pale aku ai inā pono.

Inā loaʻa iā ʻoe kahi ileostomy, e hāhai i nā ʻōlelo mālama mai kāu mea hāʻawi.

E ʻai i nā meaʻai liʻiliʻi i nā manawa he nui i ka lā. Mai ʻai i nā pāʻina nui he 3. Pono 'oe:

• E hakahaka i kāu mau pāʻina liʻiliʻi.
• Hoʻohui mālie i nā meaʻai hou i kāu papaʻai.
• E hoʻāʻo e ʻai i ka protein i kēlā me kēia lā.

Hoʻokumu paha kekahi mau meaʻai i ke kinoea, nā noho humuhumu, a i ʻole ka paʻa paʻa i kou wā e ola ai. Pale i nā meaʻai ke kumu o nā pilikia.

Inā maʻi ʻoe i kou ʻōpū a i ʻole he diarrhea, e kāhea i kāu mea hāʻawi.

Inā he mau kūleʻa paʻakikī kou:

• E hoʻāʻo e ala aʻe a hele a puni. Hiki ke kōkua i ka eleu hou ʻana.
• Inā hiki iā ʻoe, e hoʻemi i nā lāʻau ʻeha a kāu kauka i hāʻawi ai iā ʻoe. Hiki iā lākou ke hoʻokūpī iā ʻoe.
• Hiki iā ʻoe ke hoʻohana i nā palupalu palule inā haʻi ke kauka iā ʻoe ua maikaʻi.
• E noi i kāu kauka inā hiki iā ʻoe ke lawe i ka waiū o magnesia a i ʻole magnesium citrate. Mai lawe i nā laxatives me ka nīnau ʻole ʻana i kāu kauka.
• E noi i kāu mea hāʻawi inā maikaʻi ka ʻai ʻana i nā meaʻai i loaʻa ka nui o ka fiber a i ʻole lawe i kahi huahana fiber over-the-counter e like me psyllium (Metamucil).

E kamaʻilio i kāu mea hāʻawi inā he nīnau kāu e pili ana i ka ileostomy a me kāu papaʻai.

E hoʻi i ka hana wale nō ke mākaukau. Kōkua paha kēia mau ʻōlelo aʻoaʻo:

• Mākaukau paha ʻoe ke hiki ke hana ma kahi o ka hale no 8 mau hola a ke ʻoluʻolu nei ke ala ʻoe i ke kakahiaka aʻe.
• E makemake paha ʻoe e hoʻomaka i hope manawa a ma ka hana māmā ma ka mua.
• Hiki i kāu kauka ke kākau i kahi leka e kaohi i kāu mau hana hana inā hana ʻoe i ka hana kaumaha.

Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Fever o 101 ° F (38.3 ° C) a ʻoi aku paha, a i ʻole ke kuni e hele ʻole me ka acetaminophen (Tylenol)
• ʻŌpū ʻōhū
• Minamina i kou ʻōpū a i ʻole ke kīloi nui nei ʻoe
• ʻAʻole i loaʻa kahi ʻōpū 4 mau lā ma hope o ka haʻalele ʻana i ka haukapila
• Ke neʻe nei o ka ʻōpū a kū koke lākou
• ʻO nā noho ʻeleʻele a i ʻole lōʻihi, a he koko paha i loko o kāu mau noho
• ʻO ka ʻeha o ka ʻōpū e hele nei i ka ʻino, a ʻaʻole kōkua nā lāʻau ʻeha
• Ua pau ka hana ʻana o kāu ileostomy no hoʻokahi lā a ʻelua paha
• Nā loli i kāu lūlū, e like me ka huki ʻana o nā kihi, ka hoʻokahe ʻana a i ʻole ke kahe ʻana o ke koko mai laila mai, ʻulaʻula, hoʻomehana, pehu, a i ʻole ʻeha ka ʻeha.
• Ka ʻeha o ka hanu a me ka ʻeha o ka umauma
• Nā wāwae pehu a ʻeha paha i kāu mau bipi keiki

ʻOki ʻōpū liʻiliʻi - hoʻokuʻu; ʻO ke kīloi ʻōpū - ʻōpū liʻiliʻi - hoʻokuʻu; ʻIke o kahi ʻāpana o ka ʻōpū liʻiliʻi - hoʻokuʻu; Enterectomy - hoʻokuʻu

Elmously A, Yeo HL. Ka mālama ʻana i ka ālai liʻiliʻi o ka ʻōpū. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 129-132.

Harris JW, Evers BM. ʻŌpū liʻiliʻi. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 49.

Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M. Mālama pono. I: Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M, eds. Nā mākau hanai maʻi lapaʻau: Nā Pono i nā Manaʻo Pale. 9th ed. Nu Ioka, NY: Pearson; 2017: chap 26.

ʻO Yeo HL, ʻo Michelassi F, ka mālama ʻana i ka maʻi o Crohn o ka ʻōpū liʻiliʻi. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 129-132.

• Maʻi ʻaʻai kala
• Maʻi Crohn
• ʻO ka hoʻohaunaele ʻōpū a me Ileus
• Hoʻokiʻi ʻōpū liʻiliʻi

• Papaʻai Bland
• Maʻi Crohn - hoʻokuʻu
• ʻAiʻai wai piha
• Ke hele nei i waho o kahi moe ma hope o ke kaha ʻana
• ʻO Ileostomy a me kāu keiki
• Ileostomy a me kāu papaʻai
• Ileostomy - mālama i kāu stoma
• Ileostomy - ke hoʻololi nei i kāu ʻeke
• Ileostomy - hoʻokuʻu
• Ileostomy - he aha e nīnau aku ai i kāu kauka
• ʻAiʻai haʻahaʻa
• Mālama ʻeha ʻeha - wehe
• Nā ʻano o ka ileostomy
• Hoʻololi nā lole komo pulu-i-maloʻo

• Ka maʻi ʻaʻai ʻōpū
• Pāpale Intestinal
• Nā maʻi kīnā liʻiliʻi liʻiliʻi