Pākuʻi

ʻO kahi appendectomy kahi ʻoki e wehe i ka pākuʻi.

ʻO ka pākuʻi kahi lālā liʻiliʻi, manamana lima e kū i nā lālā mai ka ʻāpana mua o ka ʻōpū nui. Ke hele a pehu (wela) a maʻi paha, kapa ʻia ke ʻano he appendicitis. Ke loaʻa ʻoe i ka appendicitis, pono e hemo i kāu ʻaoʻao. Hiki i kahi hoʻopili i loaʻa kahi puka i loko o ia mea ke kahe a hoʻopili i ka wahi o ka ʻōpū āpau. Hiki i kēia ke hoʻoweliweli i ke ola.

Hana ʻia ka Appendectomy me ka hoʻohana ʻana i kekahi:

• Anesthesia iwi kuamoʻo - Hoʻokomo ʻia ka lāʻau i loko o kou kua e hoʻonuanu ai ʻoe ma lalo o kou pūhaka. E kiʻi ʻoe i ka lāʻau e hiamoe ai ʻoe.
• General anesthesia - E hiamoe ʻoe a ʻaʻole ʻike i kahi ʻeha i ka wā o ke ʻoki.

ʻOi ka ʻokiʻoki i kahi ʻoki liʻiliʻi ma ka ʻaoʻao ʻākau o lalo o kou ʻōpū a hemo i ka pākuʻi.

Hiki ke hoʻoneʻe ʻia ka pākuʻi me ka hoʻohana ʻana i nā ʻoki liʻiliʻi a me kahi kāmela. Kapa ʻia kēia he apendectomy laparoscopic.

Inā ua hāmama ka appendix a i ʻole he ʻeke o ka maʻi (abscess) i hoʻokumu ʻia, e holoi ʻia kou ʻōpū i ka wā o ke ʻoki. E waiho ʻia kahi ʻōmole liʻiliʻi i loko o ka ʻōpū e kōkua i ka hoʻoheheʻe ʻana i nā wai a i ʻole ka pā.

Hana ʻia kahi appendectomy no ka appendicitis. Hiki ke paʻakikī ke ʻano i ke kuhi, keu hoʻi i nā keiki, nā poʻe ʻelemākule, a me nā wahine o ka wā hānau keiki.

ʻO ka pinepine, ʻo ka hōʻailona mua he ʻeha a puni kou ʻōpū pihi:

• Māmā ka ʻeha i ka mua, akā ua ʻoi a paʻakikī hoʻi.
• Hele pinepine ka ʻeha i loko o kou ʻōpū ma lalo ʻākau a lilo i mea nui i kēia wahi.

ʻO nā ʻōuli ʻē aʻe e like me:

• Pohā a paʻa paʻa paha
• Fever (maʻamau ʻaʻole kiʻekiʻe loa)
• ʻO Nusea a me ka luaʻi
• Hoʻoemi i ka makemake

Inā loaʻa iā ʻoe nā ʻōuli o ka appendicitis, e ʻimi koke i ke kōkua lapaʻau. Mai hoʻohana i nā pale pumehana, enemas, laxatives, a i ʻole nā ​​mālama home ʻana e hoʻāʻo e hōʻoluʻolu i nā ʻōuli.

E nānā kāu mea mālama ola i kou ʻōpū a me kou pelu. E hana ʻia nā hoʻokolohua ʻē aʻe:

• Hiki ke hana ʻia nā hoʻokolohua koko, me kahi helu ʻulaʻula keʻokeʻo (WBC) e nānā ai i ka maʻi.
• Ke maopopo ʻole ke kuhi, kauoha paha ka mea hāʻawi i kahi CT scan a i ʻole ultrasound e hōʻoia i ka hoʻopili ʻia ke kumu o ka pilikia.

ʻAʻohe o nā hoʻokolohua maoli e hōʻoia ai he appendicitis kāu. Hiki i nā maʻi ʻē aʻe ke hana i nā hōʻailona like a like paha.

ʻO ka pahuhopu e wehe i kahi āpau i loaʻa i ka maʻi ma mua o ka hāmama ʻana (haki). Ma hope o ka loiloi ʻana i kāu mau ʻōuli a me nā hopena o ka hoʻāʻo kino a me nā hoʻokolohua olakino, e hoʻoholo kāu kaukōkō inā pono ʻoe i kahi ʻoki.

Nā pilikia o ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena i nā lāʻau
• Pilikia i ka hanu ʻana
• Kahe ʻana o ke kahe, ke koko koko, a i ʻole ka maʻi

Nā pilikia o ka appendectomy ma hope o ka appendix ruptured:

• Kūkulu o ka pus (abscess), kahi e pono ai ka ninini ʻana a me nā lāʻau ʻaloʻalo
• ʻO ka maʻi o ka ʻokiʻoki

Haʻalele ka hapanui i ka haukapila ma 1 a 2 mau lā ma hope o ke kaha ʻana. Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau ma waena o 2 a 4 mau pule ma hope o ka haʻalele ʻana i ka haukapila.

Inā he ʻoki laparoscopic kāu, e ola wikiwiki paha ʻoe. Lohi ʻoi aku ka hoʻōla a ʻoi aku ka paʻakikī inā ua haki kāu appendix a i ʻole ua hoʻokumu ʻia kahi abscess.

ʻO ka noho ʻana me ka ʻole o ka papa ʻaina ʻaʻohe kumu e ʻike ʻia ai nā pilikia olakino.

Wehe i ka papa kuhikuhi; ʻOki kino - appendectomy; Pākuʻi - appendectomy

• Nā palena ʻāina Anatomical - ʻike mua
• Appendectomy - moʻo
• ʻŌnaehana Digestive

CRG wikiwiki, Biers SM, Arulampalam THA. Pākuʻi I: CRG wikiwiki, Biers SM, Arulampalam THA. ʻOki koʻikoʻi: nā pilikia ʻikeʻike a me ka hoʻokele. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 26.

Richmond B. ʻO ka hoʻopili 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 50.

ʻO Rosenthal MD, Sarosi GS. Pākuʻi I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 120.