Wehe i ka wehe 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 he ʻoki ākea. Ua ʻoki ke kahu lapaʻau i ka ʻokiʻoki (incision) ma waenakonu o kou ʻōpū a i ʻole ka ʻaoʻao hema o kou ʻōpū ma lalo pono o nā iwi ʻaoʻao. Inā mālama ʻia ʻoe no ka maʻi ʻaʻai, lawe paha ka mea lapaʻau i nā lymph node i loko o kou ʻōpū.

Loaʻa ka loaʻa mai ke ʻoki ʻana i 4 a 8 mau pule. Loaʻa paha iā ʻoe kekahi o kēia mau ʻōuli ke ola hou ʻoe:

• ʻEha a puni ka ʻoki o kekahi mau pule. E hōʻemi kēia ʻeha i ka hala o ka manawa.
• Ua ʻeha ka ʻāʻī mai ka pahu hanu i kōkua iā ʻoe e hanu i ka wā o ke kaha Hiki ke kōkua i ka hānai ʻana i nā ʻāpana hau a i ʻole ka pale ʻana e hōʻoluʻolu i kou puʻu.
• Nusea a e kīloi ana paha i luna. Hiki i kāu kauka lāʻau ke kuhikuhi i ka lāʻau nausea inā pono ʻoe.
• ʻO ka palapū a ʻulaʻula paha o ka ʻili a puni kou ʻeha. E hele wale aku nō kēia.
• Hoʻopilikia i ka hanu hohonu ʻana.

Inā hoʻoneʻe ʻia kou palu no kahi maʻi koko a i ʻole lymphoma, pono ʻoe i nā lāʻau hou aʻe. Aia kēia i kāu maʻi olakino.

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 i kou ʻauʻau a ʻauʻau paha me ka palekana. E noho kekahi me ʻoe no kekahi mau lā a hiki i kou hōʻoia ʻana hiki iā ʻoe ke mālama iā ʻoe iho.

Hiki iā ʻoe ke hana i kāu hana maʻamau i 4 a 8 mau pule. Ma mua o kēlā:

• Mai hāpai i kekahi mea kaumaha a ʻōlelo mai kāu kauka ua maikaʻi.
• Hōʻalo i nā hana ikaika a pau. Pākuʻi ʻia kēia i ka hoʻoikaika kino, ka hāpai kino, a me nā hana ʻē aʻe e hanu nui ai ʻoe, kānana, a i ʻole ʻeha a hōʻehaʻeha paha.
• Maikaʻi nā hele pōkole a me ka hoʻohana ʻana i nā ʻanuʻu.
• Maikaʻi ka hana māmā.
• MAI hoʻoikaika ikaika iā ʻoe iho. E hoʻonui iki i kāu hana.

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. E ʻoi aku paha ka maikaʻi o 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 ke ʻeha nei ʻoe 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.

Mālama i kāu lūlū e like me ke kauoha. Inā uhi ʻia ka ʻokiʻoki me ka paʻa o ka ʻili, hiki iā ʻoe ke holoi me ke kopa i ka lā ma hope o ke kaha ʻana. Pākuʻi i ka wahi maloʻo. Inā he ʻaʻahu kou, e hoʻololi ia i kēlā me kēia lā a ʻauʻau ke ʻōlelo mai kāu kauka lapaʻau ua maikaʻi.

Inā hoʻohana ʻia nā ʻāpana o ka lepe e hoʻopau i kāu ʻokiʻoki.

• Uhi i ka incision me ka wahī wahī ma mua o ka holoi ʻana no ka pule mua.
• Mai hoʻāʻo e holoi i ka lipine a i ʻole ke kāpili. E hāʻule ʻo ia iho 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.

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 - makua - hoʻokuʻu; Wehe ʻeleʻele - makua - hoʻokuʻu

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

• Ke hele nei i waho o kahi moe ma hope o ke kaha ʻana
• Mālama ʻeha ʻeha - wehe
• Hoʻololi nā lole komo pulu-i-maloʻo

• Nā Maʻi Spleen