Lawe ka laparoscopic spleen i nā mākua - hoʻokuʻu

Ua ʻoki ʻia ʻoe e wehe i kāu lūlū. Kapa ʻia kēia hana ʻo splenectomy. 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 ke hoʻōla ʻoe

ʻO ke ʻano o kāu ʻoki ʻana i kapa ʻia ʻo laparoscopic splenectomy. Ua hana ke kaukōkō i 3 a 4 mau ʻoki liʻiliʻi (ʻokiʻoki) i loko o kou ʻōpū. Hoʻokomo ʻia ka laparoscope a me nā mea olakino ʻē aʻe ma o kēia mau ʻoki ʻana. Hoʻowai ʻia kahi kinoea kolohe ʻole i loko o kou ʻōpū e hoʻonui i kahi e kōkua ai i kāu kauka.

ʻO ka hoʻōla hou ʻana mai ke kahakaha pinepine ʻia i mau pule. Loaʻa paha iā ʻoe kekahi o kēia mau ʻōuli ke ola hou ʻoe:

• ʻEha a puni nā ʻokiʻoki. Ke hele mua ʻoe i ka home, ʻeha paha ʻoe i ka ʻeha o hoʻokahi a i ʻole ʻelua mau poʻohiwi. ʻO kēia ʻeha mai kahi gas i waiho ʻia i loko o kou ʻōpū ma hope o ke kahakaha ʻana. E hele aku i kahi mau lā a i kahi pule.
• ʻO kahi puʻu ʻehaʻeha mai ka pūhaka hanu i kōkua iā ʻoe e hanu i ka wā o ke kaha. Hōʻoluʻolu hoʻi ka hānai ʻana i nā ʻāpana hau a i ʻole ka pale ʻana.
• Nusea, a ke hoʻolei nei paha i luna. Hiki i kāu kauka lāʻau ke kuhikuhi i ka lāʻau nausea inā pono ʻoe.
• ʻO ka palapū a ʻulaʻula paha e pili ana i kāu mau ʻeha. E hele wale aku nō kēia.
• Pilikia i ka hanu ʻana.

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 ʻike pono hiki iā ʻoe ke hoʻohana me ka palekana i kou ʻauʻau a i ʻole kou paita wai. E noho kekahi me ʻoe no kekahi mau lā a hiki i kou wā ke hele maikaʻi ma mua o kāu iho.

Hoʻomaka e hele wāwae ma hope koke o ke kaha ʻana. E hoʻomaka i kāu hana i kēlā me kēia lā ke noʻonoʻo ʻoe i ia. Neʻe a puni ka hale, ʻauʻau, a hoʻohana i ke alapiʻi ma ka home i ka pule mua. Inā ʻeha ke hana ʻoe i kekahi mea, e hoʻōki i ka hana i kēlā hana.

Hiki paha iā ʻoe ke hoʻokele ma hope o 7 a 10 mau lā inā ʻaʻole ʻoe e lawe i nā lāʻau ʻeha narcotic. MAI hana i kekahi hāpai hāpai kaumaha a i ʻole ke kanikau no ka mua 1 a i 2 mau pule ma hope o ke kahakaha ʻana. Inā hāpai ʻoe a hoʻokaumaha a ʻike i kekahi ʻeha a huki paha i nā ʻokiʻoki, e hōʻalo i kēlā hana.

Hiki paha iā ʻoe ke hoʻi i kahi hana pākaukau i loko o kekahi mau pule. Hiki iā 6 a 8 mau wiki ke hoʻi i kāu pae ikehu maʻamau.

E kauoha aku kāu kauka i nā lāʻau ʻeha no ʻoe e hoʻohana ai ma ka home. Inā ʻoe e inu i nā pila ʻehaʻeha 3 a 4 mau manawa i ka lā, hoʻāʻo e lawe iā lākou i nā manawa like i kēlā me kēia lā no 3 a 4 mau lā. Hana maikaʻi paha lākou i kēia ala. E noi i kāu kauka e pili ana i ka lawe ʻana i ka acetaminophen (Tylenol) a i ʻole ibuprofen no ka ʻeha ma kahi o ka lāʻau narcotic pain.

E hoʻāʻo e ala aʻe a neʻe a puni inā ʻoe e ʻeha ana i kou ʻōpū. E hoʻomāmā paha kēia i kou ʻeha.

Kaomi i kahi uluna ma luna o kāu ʻokiʻoki ke hana ʻoe i ka puʻu a i ʻole ka ʻū ʻana e hōʻoluʻolu ai i ka hōʻoluʻolu a pale i kāu ʻokiʻoki.

Inā hoʻohana ʻia nā kuʻi, nā staples, a i ʻole ke kāpili e pani ai i kou ʻili, hiki iā ʻoe ke hemo i nā lole (bandages) a ʻauʻau i ka lā ma hope o ke kaha ʻana

Inā hoʻohana ʻia nā ʻāpana o ka lepe e hoʻopaʻa i kou ʻili, uhi i nā ʻokiʻoki me ka wahī ʻili ma mua o ka holoi ʻana no ka pule mua. Mai hoʻāʻo e holoi i ka lepe. E hāʻule lākou ma kahi o hoʻokahi pule.

MAI huʻu i loko o kahi pahu wai a i ʻole pahu wai wela a hele aku i ka ʻauʻau a hiki i ka haʻi ʻana o kāu kauka iā ʻoe ua maikaʻi (maʻamau 1 pule).

Noho ka hapa nui o ka poʻe i kahi ola maʻamau me ka ʻole o ka spleen. Akā aia ka makaʻu mau o ka loaʻa ʻana i kahi maʻi. ʻO kēia no ka mea ʻo ka spleen kahi ʻāpana o ka pale o ke kino, e kōkua ana i ke kaua ʻana i nā maʻi.

Ma hope o ka hemo ʻana o kāu maʻi lōkō, e loaʻa paha iā ʻoe nā maʻi:

• No ka pule mua ma hope o ke kaha ʻana, e nānā i kāu mahana i kēlā me kēia lā.
• E haʻi koke aku i ke kauka inā loaʻa ʻoe i ke kuni, ʻeha ka ʻāʻī, ʻeha poʻo, ʻeha o ka ʻōpū, a i ʻole ka pīhoihoi e haki i kou ʻili.

He mea nui ka mālama ʻana i kēia lā i kāu pale ʻana. E noi i kāu kauka inā loaʻa iā ʻoe kēia mau lāʻau lapaʻau:

• Pulumonia
• Meningococcal
• Haemophilus
• Flu shot (i kēlā me kēia makahiki)

Nā mea hiki iā ʻoe ke hana e pale aku i nā maʻi:

• ʻAi i nā meaʻai olakino e ikaika ai kāu ʻōnaehana pale.
• Hōʻalo i ka lehulehu i nā pule he 2 ma hope o kou hoʻi ʻana i ka home.
• E holoi pinepine i kou mau lima me ke kopa a me ka wai. E noi i nā lālā o ka ʻohana e hana like.
• E mālama koke ʻia no nā nahu, kanaka a holoholona paha.
• Palekana i kou ʻili ke hoʻomoana ʻoe a i ʻole ka holoholo a hana ʻana i nā hana waho ʻē aʻe. E komo i nā pūlima lōʻihi a me nā pālule.
• E haʻi i kāu kauka inā ʻoe e hoʻolālā e hele i waho o ka ʻāina.
• E haʻi i kāu poʻe mālama mālama ola āpau (kauka niho, nā kauka, nā kahu hānai, a i ʻole nā ​​mea lawelawe kahu maʻi) ʻaʻohe ou ʻāpala.
• Kūʻai mai a komo i kahi kūpeʻe lima e hōʻike ana ʻaʻohe ou lola.

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

• Mahana o 101 ° F (38.3 ° C), a i ʻole ke kiʻekiʻe
• Ke koko nei ka ʻokiʻoki, ʻulaʻula a mehana paha i ka hoʻopā ʻana, a i ʻole ka loaʻa ʻana o ka wai mānoanoa, melemele, ʻōmaʻomaʻo, a me ka pus-like
• ʻAʻole holo kāu mau lāʻau ʻeha
• Paʻa ka hanu
• Mele hele ʻole
• ʻAʻole hiki ke inu a ʻai ʻole
• E hoʻomohala i kahi ʻili a ʻeha hoʻi

Splenectomy - microscopic - hoʻokuʻu; Laparoscopic splenectomy - hoʻokuʻu

ʻO Mier F, ʻo Hunter JG. Laparoscopic splenectomy. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 12th ed. Piladelapia, PA: Elsevier; 2017: 1505-1509.

Poulose BK, Holzman MD. ʻO ka ʻōpala. 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 56.

• Wehe ʻeleʻele

• Mālama ʻeha ʻeha - wehe

• Nā Maʻi Spleen