ʻImi ʻōpū

ʻO ka ʻimi ʻana i ka ʻōpū kahi ʻoki e nānā i nā meaola a me nā hanana i loko o kou ʻōpū. Hoʻopili kēia i kāu:

• Pākuʻi
• ʻAdmiʻi
• Pākuʻi
• Nā Mīkini
• Nā hakuʻala a me nā ureter
• Akepaʻa
• ʻO Pancreas
• ʻLepala
• ʻŌpū
• Uterus, fallopian tubes, a me nā ovaries (i nā wahine)

ʻO ke kaha e wehe i ka ʻōpū i kapa ʻia he laparotomy.

Hana ʻia ʻo laparotomy exploratory ʻoiai ʻoe ma lalo o ka anesthesia ākea. ʻO kēia ke ʻano hiamoe ʻoe a ʻaʻohe ʻeha.

ʻO kaʻokiʻoki e ʻokiʻoki i loko o ka ʻōpū a nānā i nā ʻōpū o ka ʻōpū. ʻO ka nui a me kahi o ka ʻokiʻoki e pili ai i ka hopohopo olakino olakino.

Hiki ke lawe ʻia kahi biopsy i ke kaʻina hana.

Hōʻike ʻo Laparoscopy i kahi hana e hana ʻia me kahi kāmela liʻiliʻi i kau ʻia i loko o ka ʻōpū. Inā hiki, e hana ʻia ka laparoscopy ma kahi o ka laparotomy.

Hiki i kāu kauka olakino ke koi aku i kahi laparotomy inā ʻaʻole hōʻike nā hōʻike kiʻi o ka ʻōpū, e like me nā x-ray a me nā scan CT, i kahi hōʻoia pololei.

Hiki ke hoʻohana ʻia ka laparotomy exploratory e kōkua i ke kuhi a mālama ʻana i nā kūlana olakino he nui, e like me:

• Ka maʻi ʻaʻai o ka ovary, kolona, ​​pancreas, ate
• Endometriosis
• Nā Pohaku
• Hole i loko o ka ʻōpū (ʻōpū puka)
• Ka hoʻohaunaele o ka pākuʻi (appendicitis huʻi)
• ʻO ka hoʻohaunaele o kahi ʻeke ʻōpū (diverticulitis)
• ʻO ka hoʻohaunaele o ka pancreas (pancreatitis ākea a mau paha)
• Holo ke ake
• Nā ʻeke o ka maʻi (abscess retroperitoneal, abscess ʻōpū, abscess pelvic)
• Hapai ma waho o ka kōpū (ectopic hāpai keiki)
• Pākuʻi scar i loko o ka ʻōpū (hoʻopili)

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

• Nā hopena i nā lāʻau, nā pilikia hanu
• Kahe ʻana o ke kahe, ke koko, maʻi

ʻO nā pōʻino o kēia ʻoki ʻana:

• Hernia incisional
• Hoʻopōʻino i nā ʻōpū i loko o ka ʻōpū

E kipa aku ʻoe me kāu mea hoʻolako a hana i nā hoʻokolohua olakino ma mua o kāu ʻoki ʻana. E hāʻawi kāu mea hoʻolako:

• Hana i kahi hōʻike kino piha.
• E ʻike pono i nā kūlana olakino ʻē aʻe i loaʻa iā ʻoe, e like me ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ka pilikia o ka puʻuwai a i ʻole nā ​​māmā i kaohi
• Hana i nā hoʻokolohua e ʻike pono hiki iā ʻoe ke hoʻomanawanui i ke ʻoki.
• Inā ʻoe he puhipaka, pono ʻoe e haʻalele i ka puhipaka ʻana i mau pule ma mua o kou ʻoki ʻana. E noi i kāu mea hāʻawi mai i kōkua.

E haʻi i kāu mea hāʻawi:

• He aha nā lāʻau, nā wikamina, nā mea kanu, a me nā mea hoʻopili ʻē aʻe āu e lawe nei, ʻo nā mea āu i kūʻai ai me ka ʻole o ka lāʻau.
• Inā inu nui ʻoe i ka waiʻona, ʻoi aku ma mua o 1 a 2 paha inu i ka lā
• Inā hāpai ʻoe

I loko o ka pule ma mua o kou ʻoki kino:

• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā mea lahilahi o ke koko. ʻO kekahi o kēia mau aspirin, ibuprofen (Advil, Motrin), wikamina E, warfarin (Coumadin), clopidogrel (Plavix), a i ʻole ticlopidine (Ticlid).
• E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai e lawe i ka lā o kou ʻoki ʻana.
• E hoʻomākaukau i kou home no kāu hoʻi mai ka haukapila.

I ka lā o kou ʻoki kino:

• E hāhai i nā ʻōlelo aʻoaʻo a kāu mea hoʻolako e pili ana i ka manawa e hōʻoki ai i ka ʻai ʻana a me ka inu ʻana.
• E lawe i nā lāʻau i haʻi aku ai kāu mea lawelawe iā ʻoe e lawe me kahi wahi wai liʻiliʻi.
• E hōʻea i ka haukapila i ka manawa.

Hiki iā ʻoe ke hoʻomaka e ʻai a me ka inu maʻamau ma kahi o 2 a 3 mau lā ma hope o ke kaha. Pehea kou lōʻihi e noho ai i ka haukapila e pili ana i ka nui o ka pilikia. ʻO ka hoʻōla piha piha ma kahi o 4 mau pule.

ʻOki kino exploratory; Laparotomy; Laparotomy ʻimi

• ʻŌnaehana Digestive
• Pākuʻi pelvic
• ʻImi ʻōpū - moʻo

Sham JG, Reames BN, He J. Hoʻokele o ka maʻi ʻaʻai periampullary. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 545-552.

Nā Squires RA, Carter SN, Postier RG. ʻŌpū huehue. 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 45.