Esophagectomy - hoʻokuʻu

Ua ʻoki ʻoe e wehe i kahi hapa, a i ʻole, o kāu esophagus (paipu meaʻai). Hoʻohui ʻia ka hapa i koe o kou esophagus a me kou ʻōpū.

I kēia manawa ke hoʻi nei ʻoe i ka home, e hāhai i nā ʻōlelo aʻo a ka mea mālama ola e pili ana i ka mālama ʻana iā ʻoe iho ma ka home ʻoiai ʻoe e hoʻōla nei. E hoʻohana i ka ʻike ma lalo i mea hoʻomanaʻo.

Inā ua ʻoki ʻoe i hoʻohana i ka laparoscope, hana ʻia kekahi mau ʻoki liʻiliʻi (incision) i loko o kou ʻōpū o luna, ka umauma, a me kou ʻāʻī. Inā ʻoe i ʻoki poepoe, hana ʻia nā ʻoki nui i kou ʻōpū, umauma, a ʻāʻī.

Hoʻouna ʻia paha ʻoe i ka home me kahi paipu hoʻowai i kou ʻāʻī. E hoʻoneʻe ʻia kēia e kāu kauka lā i ka wā o ke kipa keʻena.

Loaʻa paha iā ʻoe kahi pūpana hānai no 1 a 2 mau mahina ma hope o ke kahakaha ʻana. E kōkua kēia iā ʻoe e loaʻa ka nui o nā calorie e kōkua iā ʻoe e kaupaona. E mālama pū ʻoe i kahi papaʻai kūikawā ke hoʻi mua ʻoe i ka home.

ʻOi aku ka loiloi o kou mau noho a loaʻa paha iā ʻoe ke neʻe o kou ʻōpū ma mua o ka ʻoki.

E noi i kāu kaukukō i ka nui o ke kaupaona e palekana iā ʻoe e hāpai i luna. ʻ belelo ʻia paha ʻoe ʻaʻole e hāpai a hāpai i kekahi mea ʻoi aku ka nui ma mua o 10 paona (4.5 kilo).

Hele wāwae paha ʻoe i 2 a i ʻole 3 mau manawa i ka lā, piʻi i luna a i ʻole lalo i nā ʻanuʻu, a i ʻole holo i ke kaʻa. E hoʻomaha pono ma hope o ka hana. Inā ʻeha ke hana ʻoe i kekahi mea, e hoʻōki i ka hana i kēlā hana.

E mālama pono i ka palekana o kou home i kou wā e ola nei. ʻO kahi laʻana, hemo i nā kapeta hoʻolei e pale ai i ka haki a hāʻule ʻana. I loko o ka lua, e hoʻouka i nā kaola palekana e kōkua iā ʻoe e komo a i waho o ka pā a me ka ʻauʻau.

E hāʻawi aku kāu kauka iā ʻoe i ka palapala no ka lāʻau ʻeha. Hoʻopiha ia i kou hoʻi ʻana i ka home mai ka haukapila no laila loaʻa iā ʻoe ke pono ia. E lawe i ka lāʻau i ka wā e hoʻomaka ai ka ʻeha. Ke kali lōʻihi loa e ʻae i kou ʻeha e ʻoi aku ka maikaʻi ma mua o ka mea e pono ai.

Hoʻololi i kou ʻaʻahu (bandages) i kēlā me kēia lā a hiki i kāu kauka lapaʻau ʻōlelo ʻaʻole pono ʻoe e mālama i nā ʻokiʻoki.

E hāhai i nā ʻōkuhi no ka hiki ke hoʻomaka e ʻauʻau. ʻ saylelo paha kāu mea kauka he mea maikaʻi e hemo i nā lole ʻeha a hele i kahi ʻauʻau inā hoʻohana ʻia nā sutures (stitches), staples, a glue paha e pani i kou ʻili. Mai hoʻāʻo e holoi i nā ʻāpana lahilahi o ka lipine a i ʻole ke kāpili. E hele mai lākou i kahi o hoʻokahi pule.

MAI palu i loko o ka pahu wai, wai wela, a ʻauʻau paha a hiki i ka haʻi ʻana o kāu kauka iā ʻoe ua maikaʻi.

Inā he nui kou mau ʻokiʻoki, pono paha ʻoe e kaomi i kahi uluna ma luna o lākou ke hemo ʻoe a heʻe paha. Mālama kēia i ka ʻeha.

Ke hoʻohana nei paha ʻoe i kahi paipu hānai ma hope o kou hoʻi ʻana i ka home. E hoʻohana wale paha ʻoe ia mea ma ka pō wale nō. ʻAʻole hoʻopōpō ka paipu hānai i kāu hana maʻamau i ke ao. E hāhai i nā ʻōlelo aʻoaʻo a kāu kauka no ka ʻai a me ka ʻai ʻana.

E hāhai i nā ʻōkuhi no ka hana ʻana i nā hana hohonu hanu ma hope o kou hoʻi ʻana i ka home.

Inā ʻoe he puhipaka a loaʻa iā ʻoe ka pilikia e haʻalele, e kamaʻilio me kāu kauka e pili ana i nā lāʻau i hiki iā ʻoe ke kōkua iā ʻoe e haʻalele i ka puhipaka.ʻO ke komo pū ʻana i kahi polokalamu puhipaka hōʻoki hiki ke kōkua pū kekahi.

Loaʻa paha iā ʻoe ka ʻeha o ka ʻili a puni kāu pahu wai hānai. E hāhai i nā ʻōkuhi pehea e mālama ai i ka ʻōmole a me ka ʻili e pili ana.

Ma hope o ke kahakaha ʻana, pono ʻoe i ka ukali pili pono:

• E ʻike ʻoe i kāu kaukukō 2 a i ʻole 3 mau pule ma hope o kou hoʻi ʻana i ka home. E nānā kāu kaukoki i kou mau ʻeha a ʻike pehea ʻoe e hana nei me kāu papaʻai.
• He x-ray kāu e hōʻoia ai i ka pilina hou ma waena o kāu esophagus a me kou ʻōpū.
• E hui ʻoe me kahi mea hānai e hele i kāu hānai Tube a me kāu papaʻai.
• E ʻike ʻoe i kāu oncologist, ke kauka nāna e mālama i kou maʻi ʻaʻai.

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

• Fiva o 101 ° F (38.3 ° C) a ʻoi aku paha
• ʻO ke kīkaha ke kahe ʻana, ʻulaʻula, mehana i ka pā ʻana, a i ʻole ka paheʻe, melemele, ʻōmaʻomaʻo, a me ka wai wai waiū
• ʻAʻole kōkua kāu mau lāʻau ʻeha i ka ʻoluʻolu i kou ʻeha
• Paʻa ka hanu
• Mele hele ʻole
• ʻAʻole hiki ke inu a ʻai ʻole
• E melemele ka ʻili a i ʻole ka hapa keʻokeʻo o kou mau maka
• Loose a pehu paha nā noho hakahaka
• ʻO ka luaʻi ma hope o ka ʻai ʻana.
• ʻEha nui a pehu paha i kou mau wāwae
• ʻO ka wela i kou puʻu ke hiamoe ʻoe a moe i lalo

Trans-hiatal esophagectomy - hoʻokuʻu; Trans-thoracic esophagectomy - hoʻokuʻu; ʻO ka esophagectomy hōʻemi liʻiliʻi - hoʻokuʻu; En bloc esophagectomy - hoʻokuʻu; ʻO ka hemo ʻana o ka esophagus - hoʻokuʻu

ʻO Donahue J, Carr SR. ʻO ka esophagectomy hōʻemi liʻiliʻi. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 12th ed. Piladelapia, PA: Elsevier; 2017: 1530-1534.

ʻO Spicer JD, Dhupar R, Kim JY, Sepesi B, Hofstetter W. Esophagus. I: Townsend CM, 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 41.

• Maʻi ʻaʻai Esophageal
• Esophagectomy - hoʻohaunaele minimally
• Esophagectomy - wehe
• Nā ʻōlelo aʻoaʻo pehea e haʻalele ai i ka puhipaka

• Meaʻai wai maopopo
• ʻO kaʻai a me ka ʻai ʻana ma hope o ka esophagectomy
• Tube hānai Gastrostomy - bolus
• Paipu hānai Jejunostomy

• Ka maʻi ʻaʻai Esophageal
• Nā maʻi Esophagus