Ke olakino nei iā ʻoe iho ma mua o ke kaha ʻana

ʻOiai inā ua hele aku ʻoe i nā kauka he nui, ʻike hou ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino ma mua o kekahi. Pili kāu mau mea mālama ola iā ʻoe e haʻi iā lākou i nā mea e pono ai lākou e ʻike.

Ma ke olakino no ke ʻoki e kōkua ai i ka holo pono o ka hana a me ke ola ʻana. Ma lalo nā ʻōlelo aʻoaʻo a me nā hoʻomanaʻo.

E haʻi i nā kauka e pili pū me kāu ʻoki ʻana e pili ana i:

• ʻO nā hopena a me nā maʻi āpau āu i loaʻa ai i nā lāʻau, nā meaʻai, nā ʻili ʻili, ka mea hoʻopili, iodine a i ʻole nā ​​hopena hoʻomaʻemaʻe ʻili, a i ʻole ka hopena.
• ʻO kāu hoʻohana ʻana i ka waiʻona (inu i nā mea inu ma mua o 1 a 2 paha i kēlā me kēia lā)
• Nā pilikia i loaʻa iā ʻoe ma mua me ke ʻoki a me ka anesthesia
• Hoʻopili ke koko a i ʻole nā ​​pilikia kahe i loaʻa iā ʻoe
• Nā pilikia niho, e like me nā maʻi a me nā ʻoki niho
• ʻO kāu hoʻohana ʻana i ka pika a i ʻole ka paka

Inā loaʻa ʻoe i ke anu, ka maʻi palū, ke kuni, ka maʻi herpes a i ʻole kekahi maʻi ʻē aʻe i nā lā i hala ma mua o ke ʻoki ʻana, e kāhea koke aku i kāu kauka. Pono e hoʻoponopono hou ʻia kāu ʻoki.

Ma mua o kou ʻoki kino ʻana, pono ʻoe e loaʻa kahi hōʻike kino.

• Hana ʻia kēia e kāu kauka lāʻau a i ʻole kāu kauka mālama mua.
• Pono paha ʻoe e kipa aku i kahi loea nāna e mālama i nā pilikia e like me ka maʻi kō, ka maʻi ʻaʻa, a i ʻole nā ​​maʻi puʻuwai.
• E hoʻāʻo e loaʻa i kēia māka ʻana ma ka liʻiliʻi he 2 a he 3 mau pule ma mua o kou ʻoki kino I kēlā ala, hiki i kāu kauka ke mālama i nā pilikia olakino āu e loaʻa ai ma mua o kāu ʻoki.

E kipa pū aku kekahi mau haukapila iā ʻoe me kahi mea hāʻawi anesthesia ma ka haukapila a i ʻole he kelepona kāhea mai ke kahu maʻi anesthesia ma mua o ka ʻoki ʻana.

• E nīnau ʻia ʻoe i nā nīnau he nui e pili ana i kāu moʻolelo olakino.
• Loaʻa paha iā ʻoe ka umauma x-ray, nā hoʻokolohua lab, a i ʻole electrocardiogram (ECG) i kauoha ʻia e ka mea hāʻawi anesthesia, kāu kauka, a i ʻole kāu mea mālama mua ma mua o ke ʻoki.

Lawe i kahi papa inoa o nā lāʻau āu e lawe nei me ʻoe i kēlā me kēia manawa ke ʻike ʻoe i kahi mea hoʻolako. Hoʻopili kēia i nā lāʻau āu i kūʻai ai me ka ʻole o ka lāʻau a me nā lāʻau āu e lawe ʻole ai i kēlā me kēia lā. Hoʻopili i ka ʻike ma ka mahele lāʻau a me nā manawa e lawe ai i kāu mau lāʻau.

E haʻi aku i kāu poʻe hoʻolako e pili ana i nā wikamina, nā mea hoʻopili, nā minelala, a i ʻole nā ​​lāʻau kūlohelohe āu e lawe nei.

ʻElua mau pule ma mua o ke kahakaha ʻana, pono paha ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau e waiho ai iā ʻoe i ka makaʻu i ke kahe i ka wā o ke ʻoki. Loaʻa i nā lāʻau:

• Nā NSAID e like me aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve)
• ʻO nā mea lahilahi e like me warfarin (Coumadin), dabigatran (Pradaxa), rivaroxaban (Xarelto), apixaban (Eliquis), clopidogrel (Plavix)
• ʻO Wikamina E

E noi i kāu kauka i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.

Inā loaʻa ʻoe i ka maʻi diabetes, maʻi maʻi puʻuwai, a i ʻole nā ​​pilikia olakino ʻē aʻe, ʻike paha kāu kauka iā ʻoe i nā kauka nāna ʻoe e mālama i kēia mau pilikia. E hoʻemi ʻia kou makaʻu no nā pilikia ma hope o ke kahakaha ʻana inā kaohi ʻia kāu maʻi diabetes a me nā ʻano olakino ʻē aʻe ma mua o ke kaʻoki ʻana.

ʻAʻole hiki iā ʻoe ke loaʻa kahi hana niho no 3 mau mahina ma hope o kekahi mau ʻoki ʻana (hoʻololi pani a ʻokiʻoki puʻuwai puʻuwai). No laila, e hoʻopaʻa i kāu hana niho ma mua o kou ʻoki ʻana. E nīnau i kāu kaukukō e pili ana i ka wā e loaʻa ai ka hana niho ma mua o ke ʻoki.

Inā puhi ʻoe, pono ʻoe e hoʻokū. E noi i kāu mea hāʻawi mai i kōkua. E hoʻolohi ka puhipaka i kou hoʻōla ma hope o ke kahakaha ʻana.

E haʻi i kāu poʻe lawelawe i kāu ʻoki ʻana. Hōʻike paha lākou i kahi loli i kāu mau lāʻau i mua o kāu hana.

Mālama mua - ke olakino

Neumayer L, Ghalyaie N. Nā loina o ke ʻoki mua a me ka hana. 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 10.

ʻO Smith SF, Duell DJ, Martin BC, Aebersold M, ʻo Gonzalez L. 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.

• ʻOki kino