Colostomy

ʻO Colostomy kahi hana ʻoki e lawe mai i hoʻokahi hopena o ka ʻōpū nui ma o ka wehe (stoma) i hana ʻia i ka paia o ka ʻōpū. Ke neʻe nei nā ʻōpū i loko o ka ʻōpū ma o ka stoma i loko o kahi ʻeke i pili i ka ʻōpū.

Hana ʻia nā kaʻina hana ma hope o:

• Hoʻokiʻi ʻōpū
• Hoʻopilikia i ka ʻōpū

He wā pōkole a paʻa mau paha ke colostomy.

Hana ʻia ʻo Colostomy ʻoiai ʻoe ma lalo o ka anesthesia āpau (hiamoe a ʻaʻohe ʻeha). Hiki paha ke hana ʻia me kahi ʻoki lāʻau nui i loko o ka ʻōpū a i ʻole me kahi kāmela liʻiliʻi a me nā ʻoki liʻiliʻi (laparoscopy).

Pili ke ʻano o ke hoʻokokoke ʻana i ka mea e pono ai nā kaʻina hana ʻē aʻe. Hana ʻia ka ʻokiʻoki ma waena o ka ʻōpū. Hana ʻia ka ʻōpū o ka ʻōpū e like me ka mea e pono ai.

No ka colostomy, lawe ʻia i hoʻokahi wēlau o ke kolona olakino ma o ka wehe ʻana i hana ʻia i ka paia o ka ʻōpū, ma ka ʻaoʻao hema mau. Hoʻopili ʻia nā kihi o ka ʻōpū i ka ʻili o ka wehe. Kapa ʻia kēia wehe he stoma. Hoʻokomo ʻia kahi ʻeke i kapa ʻia he stoma appliance a puni ka puka e ʻae ai i ka stool.

He wā pōkole paha kāu colostomy. Inā he ʻoki kou ma kahi ʻāpana o kou ʻōpū nui, ʻae kahi colostomy i ka ʻaoʻao ʻē aʻe o kou ʻōpū e hoʻomaha ke ola hou ʻoe. I ka manawa e ola pono ai kou kino mai ke kaukana mua, e loaʻa hou iā ʻoe kahi ʻoki hou e hoʻopili hou i nā wēlau o ka ʻōpū nui. Hana pinepine ʻia kēia ma hope o 12 mau pule.

Nā kumu e hana ʻia ai kahi colostomy:

• ʻO ka maʻi o ka ʻōpū, e like me ka diverticulitis perforated a i ʻole kahi abscess.
• Ka hōʻeha i ke kolona a i ʻole ke kiko kiko (e laʻa me kahi ʻeha pū).
• Paukū hapa a piha paha o ka ʻōpū nui (ʻōpū kōpū).
• Ka maʻi ʻaʻai Rectal a i ʻole kolone.
• ʻEha a i ʻole fistulas i ka perineum. ʻO ka wahi ma waena o ka anus a me ka vulva (wahine) a i ʻole ka anus a me ka scrotum (kāne).

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

Nā pilikia o ka colostomy:

• Kahe i loko o kou ʻōpū
• Hoʻopōʻino i nā meaola kokoke
• Ke hoʻomohala ʻana i kahi hernia ma ke kahua o keʻoki ʻoki
• Hoʻopuka ka bowel ma o ka stoma ma mua o ka pono (prolaps o ka colostomy)
• Hoʻopili a blockage paha o ka wehe ʻana o ka colostomy (stoma)
• Hoʻokumu ke kiko o ka ʻōpū i loko o ka ʻōpū a hiki i ke kīnā ʻana o ka ʻōpū
• Hoʻonāukiuki ʻili
• Wahi hāmama

Ma ka haukapila ʻoe no 3 a 7 mau lā. E noho lōʻihi paha ʻoe inā ua hana ʻia kāu colostomy ma ke ʻano he hana pilikia.

ʻAe ʻia ʻoe e hoʻi mālie i kāu papaʻai maʻamau:

• I ka lā like me kou ʻoki kino, hiki paha iā ʻoe ke omo i nā ʻikena hau e hoʻoliʻiliʻi i kou make wai.
• I ka lā aʻe, ʻae ʻia paha ʻoe e inu i nā wai paʻa.
• Pākuʻi ʻia nā wai a mānoanoa a laila hoʻohui ʻia nā meaʻai palupalu i ka hoʻomaka ʻana o kou ʻōpū e hana hou. E ʻai maʻamau paha ʻoe ma loko o 2 mau lā ma hope o ke kahakaha ʻana.

Hoʻopau ka colostomy i ka pahu (feces) mai ke kolona i loko o ka ʻeke colostomy. ʻOi aku ka palupalu o ka pahu Colostomy a ʻoi aku ka wai ma mua o ka pahu i holo maʻamau. Pili ke ʻano o ka stool i ka ʻāpana o ka ʻōpū i hoʻohana ʻia e hana i ka colostomy.

Ma mua o kou hoʻokuʻu ʻia ʻana mai ka haukapila, e aʻo aku kahi kahu ostomy iā ʻoe e pili ana i ka papaʻai a me ka mālama ʻana i kāu colostomy.

Wehe ʻōpū - hoʻokumu stoma; ʻOki puʻupuʻu - hoʻokumu colostomy; Colectomy - colostomy; Maʻi ʻaʻai Kolone - colostomy; Maʻi ʻaʻai Rectal - colostomy; Diverticulitis - colostomy

• ʻO ka ʻōpū nui o ka ʻōpū - hoʻokuʻu

• Colostomy - Pūnaewele

ʻO Albers BJ, ʻo Lamon DJ. Hoʻonohonoho kolone / hana colostomy. I: Baggish MS, Karram MM, eds. Nā Atlas o ka Pelvic Anatomy a me nā ʻōpala Gynecologic. ʻEhā ed. Piladelapia, PA: Elsevier; 2016: chap 99.

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.

ʻO Russ AJ, Delaney CP. Hoʻolaha kūpono. I: Fazio ka Late VW, Church JM, Delaney CP, Kiran RP, eds. ʻO ka Therapy i kēia manawa ma Kolona a me nā ʻoki pono ʻana. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2017: chap 22