Huina colectomy a i ʻole proctocolectomy - hoʻokuʻu

Ua ʻoki ʻia ʻoe e wehe i kou ʻōpū nui. Ua wehe ʻia paha kou anus a me kou kiko. Ua loaʻa paha iā ʻoe kahi ileostomy.

Hōʻike kēia ʻatikala i ka mea e kali ai ma hope o ke kaha ʻana a pehea e mālama ai iā ʻoe iho ma ka home.

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.

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

Inā kou kolo a anus paha koe, hiki iā ʻoe ke loaʻa ka manaʻo e pono ʻoe e neʻe i kou ʻōpū. Hiki paha iā ʻoe ke kahe i ka pahu a i ʻole ka mucus i nā mau pule mua.

Inā ua hoʻoneʻe ʻia kāu kiko, ʻike paha ʻoe i nā humuhumu i kēia wahi. Malu paha ʻoe ke noho ʻoe.

E ʻeha paha ʻoe ke kahe ʻoe, kaʻuʻu, a neʻe koke. E mau paha kēia no kekahi mau pule akā e hoʻomaikaʻi ana i ka holo ʻana o ka manawa.

Hana:

• He mau pule paha kāu e hoʻi ai i kāu hana maʻamau. E noi i kāu kauka inā aia kekahi mau hana pono ʻole ʻoe e hana.
• E hoʻomaka me ka hele wāwae pōkole.
• E hoʻonui mālie i kāu hoʻoikaika kino. 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 ka lāʻau ʻeha 3 a 4 mau manawa i ka lā, e lawe ia i nā manawa like i kēlā me kēia lā no 3 a 4 mau lā. Mālama ʻoi aku ka maikaʻi o ka ʻeha i kēia ala.
• 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 pani ʻia kāu ʻokiʻoki me ka hemo ʻana o nā sutures, loaʻa paha iā ʻoe ka pulupulu e uhi ana i ka ʻokiʻoki. E hoʻokuʻu kēia kuʻi a hele wale ma 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 mea hāʻawi iā ʻoe i ka manawa hea e hoʻololi 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 kauka.

E noi i kāu mea nāna e hāʻawi i ka wai āu e inu ai i kēlā me kēia lā e pale ai i ka make wai.

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 mea hāʻawi ke kākau i kahi leka e kaupalena ai i kāu mau hana inā hana nui ʻoe i ka hana.

Kāhea i kāu mea hāʻawi 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
• Manaʻo ʻoe i ka maʻi i kou ʻōpū a i ʻole ke kīloi nui ʻana a hiki ʻole ke mālama i ka meaʻai
• 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 a ʻoi aku ka maikaʻi, a ʻaʻole kōkua nā lāʻau ʻeha
• Ua pau ka hana ʻana o kāu colostomy i ka ninini ʻana i kahi wai a i ʻole nā ​​noho i hoʻokahi a ʻelua paha lā
• ʻO nā loli i kāu ʻokiʻoki e like me ka huki ʻana o nā kaʻe, ka hoʻokahe ʻana a i ʻole ke kahe ʻana mai ka maʻi mai, ʻulaʻula, hoʻomehana, pehu, a i ʻole ʻeha ka ʻeha.
• Pokole o ka hanu a me ka ʻeha o ka umauma
• Nā wāwae pehu a ʻeha paha i kāu mau bipi keiki
• Hoʻonui i ka hoʻoheheʻe wai mai kāu polima
• Kaumaha o ke kaumaha i kou wahi ākea

Hoʻopau ileostomy - colectomy a i ʻole proctolectomy - hoʻokuʻu; ʻO ka ileostomy Continent - hoʻokuʻu; Ostomy - colectomy a i ʻole proctolectomy - hoʻokuʻu; Hoʻolaha hou proptocolectomy - hoʻokuʻu; Ileal-anal resection - hoʻokuʻu; ʻEke ʻIleal-anal - hoʻokuʻu; J-ʻeke - hoʻokuʻu; S-ʻeke - hoʻokuʻu; Puke pelvic - hoʻokuʻu; Ileal-anal anastomosis - hoʻokuʻu; ʻEke ʻIleal-anal - hoʻokuʻu; Ileal ʻeke - anal anastomosis - hoʻokuʻu; IPAA - hoʻokuʻu; ʻOki kino ʻIleal-anal - hoʻokuʻu

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugen S, Fry RD. Kolona a me ka pololei. 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 51.

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; 2016: chap 26.

• Maʻi ʻaʻai kala
• Ileostomy
• ʻO ka hoʻohaunaele ʻōpū a me Ileus
• Huina nui o ka ʻōpū colectomy
• Ka nui o ka proctocolectomy a me ka ʻeke ileal-anal
• ʻO ka nui o ka proctocolectomy me ka ileostomy
• Ulcerative colitis

• Papaʻai Bland
• 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

• Nā maʻi Colonic
• Ka maʻi ʻaʻai kala
• ʻO ka maʻi ʻo Crohn
• ʻO Diverticulosis a me Diverticulitis
• Pāpale Intestinal
• Ulcerative Colitis