ʻOki kino - hoʻokuʻu

He ʻoki kino kāu e mālama ai i kahi maʻi hanu. 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.

Ua hoʻohana paha ʻoe i ka manawa ma ka lumi mālama nui (ICU) ma mua o ka hele ʻana i kahi lumi hōkele maʻamau. ʻO kahi pahu pahu e hoʻokahe i ka wai mai loko o kou umauma ma kahi ʻāpana a i ʻole i nā manawa āpau āu i ka haukapila. Loaʻa paha iā ʻoe ke hoʻi ʻoe i ka home.

He 6 a 8 paha mau pule e hoʻihoʻi i kou ikehu. Loaʻa paha iā ʻoe ka ʻeha ke neʻe ʻoe i kou lima, wili i kou kino luna, a ke hanu nui ʻoe.

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 ke kaumaha ma mua o 10 paona, a i ʻole 4.5 kilokilo (e pili ana i ke galani, a i ʻole 4 liters o ka waiū) no 2 mau pule ma hope o ke kōkua ʻana o ka wikiō iā thoracoscopic a me 6 a 8 mau pule ma hope o ka hāmama ʻana.

Hele wāwae paha ʻoe i 2 a i ʻole 3 mau manawa i ka lā. E hoʻomaka me kahi mamao loa a hoʻonui lohi i kou hele wāwae. Inā he alapiʻi kou i kou home, e piʻi mālie a iho i lalo. E hana i kekahi ʻanuʻu i kēlā me kēia manawa. E hoʻonohonoho i kou home i ʻole ʻoe e piʻi piʻi pinepine i nā alapiʻi.

E hoʻomanaʻo pono ʻoe i kahi manawa keu e hoʻomaha ai ma hope o ka hana ʻana. Inā ʻeha ke hana ʻoe i kekahi mea, e hoʻōki i ka hana i kēlā hana.

• Mai hana i ka hana i ka pā no 4 a 8 mau pule ma hope o ke kahakaha ʻana. Mai hoʻohana i kahi mīkini kuʻi no 8 mau pule. E noi i kāu kaukukō a i ʻole kahu wahine ke hiki iā ʻoe ke hoʻomaka e hana hou i kēia mau mea.
• Hiki iā ʻoe ke hoʻomaka e hana i ka hana māmā ma ka hale ma hope o ʻelua pule.

He maikaʻi paha e hoʻomaka i ka moekolohe ke hiki iā ʻoe ke piʻi i 2 mau lele o ke alapiʻi me ka ʻole o ka hanu. E hōʻoia me kāu kauka.

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. E noho palekana i loko o ka lua, e hoʻouka i nā kī kī e kōkua iā ʻoe e komo a i waho o ka pā a me ka ʻauʻau.

No nā pule he 6 ma hope o ke kaha ʻana, e akahele pehea ʻoe e hoʻohana ai i kou mau lima a me ke kino kiʻekiʻe ke neʻe ʻoe. Kaomi i kahi uluna ma luna o kāu ʻokiʻoki ke pono ʻoe e kao a hiʻu paha.

E noi i kāu kaukana ke maikaʻi inā hoʻomaka ʻoe e kalaiwa hou. Mai kalaiwa inā ʻoe e lawe i ka lāʻau narcotic pain. Kipaku wale aku i kahi mamao. Mai kalaiwa ke kaumaha ke kaʻa.

He mea maʻamau ka lawe ʻana i 4 a 8 mau pule ma hope o ka hana ma hope o ke kahakaha ʻana o ka māmā. E noi i kāu kaukipoki ke hiki iā ʻoe ke hoʻi i ka hana. Pono paha ʻoe e hoʻoponopono i kāu mau hana hana ke hoʻi mua ʻoe, a hana manawa hapa wale paha no kekahi manawa.

E hāʻawi kāu lāʻau lapaʻau iā ʻoe i kauka 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 e lawe iā ia e ʻae ai ka ʻeha e ʻoi aku ka maikaʻi ma mua o ka mea.

E hoʻohana ʻoe i kahi hāmeʻa hanu e kōkua iā ʻoe e kūkulu i ka ikaika i kou māmā. Hana ʻia kēia i ke kōkua ʻana iā ʻoe e hanu nui. E hoʻohana iā 4 a 6 mau manawa i ka lā no nā pule 2 mua ma hope o ke kaha ʻana.

Inā puhi ʻoe, e noi i kāu mea mālama ola no ke kōkua ʻana e haʻalele. Mai ʻae i nā mea ʻā e puhi i loko o kou hale.

Inā he paipu umauma kou:

• Aia paha kekahi ʻeha ʻeha a puni ka paipu.
• E hoʻomaʻemaʻe a puni ka pahu i hoʻokahi manawa i ka lā.
• Inā puka ka pahu, e uhi i ka lua me kahi lole maʻemaʻe a kāhea koke aku i kāu kauka.
• E mālama i ke kapa (bandage) ma ka ʻeha no 1 a 2 mau lā ma hope o ka hemo ʻana o ka paipu.

Hoʻololi i ka lole ma luna o kāu mau ʻokiʻoki i kēlā me kēia lā a i ʻole i nā manawa a pau i kauoha ʻia. E haʻi ʻia ʻoe inā ʻaʻole ʻoe e pono e mālama hou i ka lole ma luna o kāu mau ʻokiʻoki. E holoi i ka wahi ʻeha me ke kopa me ka wai.

Hiki paha iā ʻoe ke ʻauʻau i ka wā i wehe ʻia ai kāu mau lole āpau.

• Mai hoʻāʻo e holoi a holoi i nā ʻope o ka leki a i ʻole ka paʻa. E hāʻule ʻo ia iho ma kahi o hoʻokahi pule.
• MAI huʻu i loko o kahi pahu wai, wai ʻauʻau, a wai ʻauʻau a hiki i ka haʻi ʻana a kāu kauka iā ʻoe ua maikaʻi.

Wehe ʻia nā Suture (stitches) ma hope o 7 mau lā. Lawe pinepine ʻia nā staples ma hope o 7 a 14 mau lā. Inā loaʻa iā ʻoe kahi ʻano o nā sute i loko o kou umauma, e ʻānai ʻoe i kou kino a ʻaʻole pono ʻoe e hemo iā lākou.

Kāhea i kāu kaukukō a kahu maʻi paha inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Fiva o 101 ° F (38.3 ° C), a ʻoi aku paha
• Ke kahe nei nā ʻokiʻoki, ʻulaʻula, mahana i ka pā, a i ʻole ka mānoanoa, melemele, ʻōmaʻomaʻo, a me ka wai wai waiū e hele mai ana mai
• ʻAʻole hōʻoluʻolu nā lāʻau ʻeha i kou ʻeha
• Paʻa ka hanu
• Mele hele ʻole, a ke ʻūlū nei ʻoe i ka mucus melemele a ʻōmaʻomaʻo paha, a i ʻole he koko i loko
• ʻAʻole hiki ke inu a ʻai ʻole
• Pahu kou wāwae a ʻehaʻeha kou wāwae
• Pahu kou umauma, ʻāʻī, a me kou helehelena
• Wāwahi a puka paha i ka pahu umauma, a i ʻole puka i waho ka paipu
• ʻApu koko

Thoracotomy - hoʻokuʻu; Wehe i nā ʻaʻa puʻu - hoʻokuʻu; Pneumonectomy - hoʻokuʻu; Lobectomy - hoʻokuʻu; ʻO ka biopsy lung - hoʻokuʻu; Thoracoscopy - hoʻokuʻu; ʻOki kino wikiō i kōkua ʻia - hoʻokuʻu; VATS - hoʻokuʻu

ʻO Dexter EU. Mālama wā kūpono o ka mea maʻi ʻoki lāʻau. I: Selke FW, del Nido PJ, Swanson SJ, eds. ʻO Sabiston lāua ʻo Spencer Surgery o ka umauma. 9th ed. Piladelapia, PA: Elsevier; 2016: chap 4.

Putnam JB. Lū, pā umauma, pleura, a me mediastinum. 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 57.

• ʻO Bronchiectasis
• ʻO ka maʻi pulmonary obstructive maʻi (COPD)
• Kanesa maʻi ʻaʻai
• Kanesa maʻi ʻaʻai - liʻiliʻi liʻiliʻi
• ʻOki kino o ka puʻu
• Kanesa maʻi ʻaʻai liʻiliʻi liʻiliʻi
• Nā ʻōlelo aʻoaʻo pehea e haʻalele ai i ka puhipaka

• Ka palekana i ka lumipaku no nā mākua
• Pehea e hanu ai inā pōkole ʻoe o ka hanu
• Ka palekana o oxygen
• Pāleʻa ka pale ʻana
• ʻO ka huakaʻi me nā pilikia hanu
• Ke hoʻohana nei i ka oxygen ma ka home

• COPD
• Emphysema
• Kanesa Maʻi Lung
• Nā Maʻi Lung
• Nā maʻi Pleural