ʻO ka ʻōpū nui o ka ʻōpū

ʻO ke kīloi o ka ʻōpū nui kahi ʻoki e wehe i nā mea āpau a ʻāpana paha o kou ʻōpū nui. Kapa ʻia kēia ʻōpala ʻo colectomy. Kapa ʻia ka ʻōpū nui ʻo ka ʻōpū nui a i ʻole kolone.

• ʻO ka hemo ʻana o ke kolona holoʻokoʻa a kapa ʻia ka rectum he proctocolectomy.
• ʻO ka hemo ʻana o nā kolona āpau akā ʻaʻole i kapa ʻia ka kiko ke koloka subtotal.
• ʻO ka hemo ʻana i kahi ʻāpana o ke kolona akā ʻaʻole i kapa ʻia ka kiko ʻo kolectomy hapa.

Hoʻopili ke ʻōpū nui i ka ʻōpū liʻiliʻi i ka anus. ʻO ka maʻamau, hele ka pahu ma waena o ka ʻōpū nui ma mua o ka haʻalele ʻana i ke kino ma o ka anus.

E loaʻa iā ʻoe ka anesthesia laulā i ka manawa o kāu ʻoki. Mālama kēia iā ʻoe i ka hiamoe a me ka ʻole o ka ʻeha.

Hiki ke hana i ke ʻoki laparoscopically a i ʻole me ke kaha ākea. Kaukaʻi ʻia i kāu ʻokiʻoki, e ʻokiʻoki ke kauka lāʻau i hoʻokahi a ʻoi paha ʻoki (ʻokiʻoki) i loko o kou ʻōpū.

Inā loaʻa iā ʻoe kahi ʻoki laparoscopic:

• Hana ke kaukoki iā 3 a 5 mau ʻoki liʻiliʻi (ʻokiʻoki) i loko o kou ʻōpū. Hoʻokomo ʻia kahi mea lapaʻau i kapa ʻia he laparoscope ma o kekahi o nā ʻoki. ʻO ka laulā kahi ʻōmole lahilahi, uila me ka pahu paʻi kiʻi ma ka hopena. Hōʻike ia i ke kaukipō ʻike i loko o kou ʻōpū. Hoʻokomo ʻia nā mea olakino ʻē aʻe ma o nā ʻoki ʻē aʻe.
• Hiki paha ke ʻoki ʻia ma kahi o 2 a 3 ʻīniha (5 a 7.6 centimetera) inā pono i kāu kauka hana e hoʻokau i ko lākou lima i loko o kou ʻōpū e haha ​​a wehe i ka ʻōpū maʻi.
• Hoʻopiha kou ʻōpū me kahi kinoea ʻino ʻole e hoʻonui ia. Māmā kēia i ka wahi e ʻike a hana ai.
• Nānā ke kauka lāʻau i nā ʻōpū i loko o kou ʻōpū e ʻike inā he pilikia kekahi.
• Aia ka hapa maʻi o kou ʻōpū nui a hemo. Hiki ke hoʻoneʻe ʻia kekahi mau lymph node.

Inā he ʻoki ākea kāu:

• ʻO kaʻokiʻoki kahi ʻoki o 6 a 8 ʻīniha (15.2 a 20.3 centimetres) i kou ʻōpū o lalo.
• Nānā ʻia nā ʻokena i loko o kou ʻōpū e ʻike inā aia kekahi pilikia.
• Aia ka hapa maʻi o kou ʻōpū nui a hemo. Hiki ke hoʻoneʻe ʻia kekahi mau lymph node.

I nā ʻano ʻoki ʻelua, ʻo nā kaʻina hou aʻe:

• Inā lawa ka ʻōpū nui olakino i koe, humuhumu ʻia a hoʻopaʻa ʻia nā wēlau. Kapa ʻia kēia he anastomosis. ʻO ka hapa nui o nā mea maʻi i hana i kēia.
• Inā ʻaʻole lawa ka ʻōpū nui olakino e hoʻopili hou ai, hana ka mea lapaʻau i kahi wehe i kapa ʻia he stoma ma o ka ʻili o kou ʻōpū. Hoʻopili ke kolona i ka paia o waho o kou ʻōpū. E hele ka Stool i loko o ka stoma i loko o kahi ʻeke hoʻokahe ma waho o kou kino. Kapa ʻia kēia he colostomy. ʻO ka colostomy he manawa pōkole a paʻa paha.

Lawe ka Colectomy ma waena o 1 a me 4 mau hola.

Hoʻohana ʻia ka hoʻoponopono ʻōpū nui e mālama i nā ʻano he nui, e like me:

• A blockage i loko o ka ʻōpū ma muli o ka maʻiʻaʻaʻaʻaʻa
• Maʻi ʻaʻai Kolona
• ʻO ka maʻi diverticular (maʻi o ka ʻōpū nui)

ʻO nā kumu ʻē aʻe no ka hoʻopaʻa ʻana o ka ʻōpū:

• ʻO ka polyposis ʻohana (ʻo nā polyps ka ulu ʻana ma ka pale o ke kolona a i ʻole ka polū)
• Nā hōʻeha e hōʻino ai i ka ʻōpū nui
• Intussusception (ke kiki kekahi ʻaoʻao o ka ʻōpū i kahi ʻē aʻe)
• Nā polyps precancerous
• Kahe nui ka gastrointestinal
• Wili o ka ʻōpū (volvulus)
• Ulcerative colitis
• Kahe mai ka ʻōpū nui
• Ka nele o ka nerve hana i ka ʻōpū nui

Nā pilikia no ka anesthesia a me ke kahakaha ʻana ma:

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

ʻO nā pilikia no kēia ʻoki kino penei:

• Kahe i loko o kou ʻōpū
• ʻO ke kīpiʻi ma o keʻoki ʻoki, i kapa ʻia he hernia incisional
• Poino i nā mea pili kokoke i ke kino
• Ka hōʻino i ka ureter a i ʻole ka maha
• Nā pilikia me ka colostomy
• ʻO nāʻiʻo scar i hana ʻia i loko o ka ʻōpū a hiki i ke kahakaha o nā ʻōpū
• ʻO nā kihi o kou ʻōpū i humuhumu pū ʻia e hāmama (anastomotic leak, kahi e hoʻoweliweli nei i ke ola)
• Wahi hāmama
• Ka maʻi hōʻeha
• Peritonitis
  

E haʻi aku i kāu kauka lāʻau a kahu hānai paha i nā lāʻau āu e lawe nei, a ʻo nā lāʻau, nā mea hoʻopiha, a i ʻole nā ​​mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau.

E kamaʻilio me kāu kaukukō a kahu hānai paha e pili ana i ka hopena o ke kaha ʻana:

• Ka pilina a me ka moekolohe
• Hapai keiki
• Pāʻani
• Hana

I loko o 2 mau pule ma mua o kou ʻoki kino:

• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā lāʻau ʻoi aku ke koko. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), a me nā mea ʻē aʻe.
• E nīnau i ke kaukipala i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.
• Inā puhi ʻoe, hoʻāʻo e kū. Hoʻonui ka puhi paka ʻana i ka pilikia no nā pilikia e like me ka hoʻōla lohi. E noi i kāu kauka a kahu hānai paha no ke kōkua ʻana e haʻalele.
• E haʻi koke aku i ke kauka inā loaʻa ʻoe i ke anu, flu, fever, breakout herpes, a i ʻole nā ​​maʻi ʻē aʻe ma mua o kou ʻoki ʻana.
• E noi ʻia ʻoe e hele i loko o kahi hoʻomākaukau o ka ʻōpū e hoʻomaʻemaʻe i kou ʻōpū o nā pahu holoʻokoʻa. Pili paha kēia i ka noho ʻana i ka papaʻai wai no kekahi mau lā a me ka hoʻohana ʻana i nā laxatives.

ʻO ka lā ma mua o ke kaha ʻana:

• E noi ʻia ʻoe e inu i nā wai wale nō e like me ka broth, wai momona, a me ka wai.
• E hāhai i nā ʻōkuhi e pili ana i ka wā e hōʻoki ai i ka ʻai a me ka inu ʻana.

I ka lā o ke kaha ʻana:

• E lawe i nā lāʻau a kāu kauka lāʻau i kauoha ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hōʻea i ka haukapila i ka manawa.

Ma ka haukapila ʻoe no 3 a 7 mau lā. Hiki paha iā ʻoe ke noho lōʻihi inā he hana pōpilikia ka colectomy.

Pono paha ʻoe e noho lōʻihi inā ua lawe ʻia kahi nui nui o kāu ʻōpū nui a ulu paha ʻoe i nā pilikia.

I ka lā ʻelua a ʻekolu paha, hiki paha iā ʻoe ke inu i nā wai maopopo. Pākuʻi ʻia nā wai a mānoanoa a laila hoʻohui ʻia nā meaʻai palupalu i ka hoʻomaka ʻana o kou ʻōpū e hana hou.

Ma hope o kou hoʻi ʻana i ka home, e hāhai i nā ʻōkuhi pehea e mālama ai iā ʻoe iho i kou wā e hoʻōla ai.

ʻO ka hapa nui o ka poʻe i loaʻa i kahi ʻōpū nui e hoʻōla hou. ʻOiai me kahi colostomy, hiki i ka hapa nui o ka poʻe ke hana i nā hana a lākou e hana nei ma mua o kā lākou ʻoki ʻana. Hoʻopili kēia i ka hapa nui o nā haʻuki, ka huakaʻi, ka māla, ka hele wāwae, nā hana waho ʻē aʻe, a me ka hapa nui o nā ʻano hana.

Inā loaʻa iā ʻoe kahi kūlana lōʻihi (mau), e like me ka maʻi ʻaʻai, maʻi Crohn, a i ʻole colcer ulcerative, pono ʻoe i ka lāʻau lapaʻau mau.

Ke piʻi nei i ka colectomy; E iho ana i ka colectomy; Transect colectomy; Hemicolectomy ʻākau; Hemicolectomy hema; Hoʻonohonoho haʻahaʻa haʻahaʻa; ʻO ka colectomy Sigmoid; Subtotal colectomy; Proctocolectomy; Noho hou ʻana o Kolona; ʻO ka colectomy Laparoscopic; Colectomy - hapa; ʻO ka hoʻololi hou ʻana o ka ʻōpū

• Ka palekana i ka lumipaku no nā mākua
• Papaʻai Bland
• Ke hoʻololi nei i kāu ʻeke ostomy
• ʻO Ileostomy a me kāu keiki
• Ileostomy a me kāu papaʻai
• Ileostomy - mālama i kāu stoma
• Ileostomy - ke hoʻololi nei i kāu ʻeke
• Ileostomy - hoʻokuʻu
• Ileostomy - he aha e nīnau aku ai i kāu kauka
• ʻO ka ʻōpū nui o ka ʻōpū - hoʻokuʻu
• ʻAiʻai haʻahaʻa
• Pāleʻa ka pale ʻana
• Mālama ʻeha ʻeha - wehe
• Nā ʻano o ka ileostomy
• Ke loaʻa ka nausea a me ka luaʻi

• ʻO ka ʻōpū nui
• Colostomy - Pūnaewele
• ʻO ka ʻōpū nui o ka ʻōpū - Series

Brady JT, Althans AR, Delaney CP. ʻO ke koloka Laparoscopic a me ke kahakaha pololei. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 12th ed. Piladelapia, PA: Elsevier; 2017: 1520-1530.

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Kolona a me ka pololei. 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 51.