Hoʻokiʻi ʻōpū liʻiliʻi

ʻO ke kīloi ʻōpū liʻiliʻi kahi ʻoki e wehe i kahi ʻāpana o kou ʻōpū liʻiliʻi. Hana ʻia ia ke ālai ʻia a maʻi ʻia paha kahi ʻāpana o kou ʻōpū.

ʻO ka ʻōpū liʻiliʻi, kapa ʻia ka ʻōpū liʻiliʻi. ʻO ka hapa nui o ka digestion (wāwahi ʻana a me ka omo ʻana i nā meaʻai) o nā meaʻai āu e ʻai ai i loko o ka ʻōpū liʻiliʻi.

E loaʻa iā ʻoe ka anesthesia laulā i ka manawa o kou ʻoki ʻana. 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.

Inā loaʻa iā ʻoe kahi ʻoki laparoscopic:

• Hana ke kaukoki iā 3 a 5 mau ʻoki liʻiliʻi (ʻokiʻoki) i kou ʻōpū o lalo. 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 ke hana ʻia kahi ʻoki ma kahi o 2 a 3 ʻīniha (5 a 7.6 centimika) inā pono kau kau kauka e hoʻokau i ko lākou lima i loko o kou ʻōpū e haha ​​i ka ʻōpū a hemo i ka mahele maʻi.
• Hoʻopiha kou ʻōpū me kahi kinoea ʻino ʻole e hoʻonui ia. He mea maʻalahi kēia no ke kaukipō ʻike a hana.
• Loaʻa ka wahi maʻi o kou ʻōpū liʻiliʻi a hemo.

Inā he ʻoki ākea kāu:

• ʻO kaʻokiʻoki e ʻokiʻoki i 6 a 8 ʻīniha (15.2 a 20.3 kenimika) i kou ʻōpū waena.
• Aia ka ʻaoʻao maʻi o kou ʻōpū liʻiliʻi a hemo.

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

• Inā he nui ka ʻōpū liʻiliʻi 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 liʻiliʻi olakino e hoʻopili hou ai, hana i kāu kauka lapaʻau kahi wehe i kapa ʻia he stoma ma o ka ʻili o kou ʻōpū. Hoʻopili ka ʻōpū liʻiliʻi 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 ileostomy. ʻO ka ileostomy paha he wā pōkole a paʻa paha.

Lawe ʻo ka ʻōpū liʻiliʻi i 1 a 4 mau hola.

Hoʻohana ʻia ka mimiki liʻiliʻi e mālama ai:

• Hoʻopili ʻia kahi ʻōpū i loko o ka ʻōpū e nā ʻōpala scar a i ʻole congenital (mai ka hānau ʻana) deformities
• ʻO ke kahe ʻana, ka maʻi, a i ʻole nā ​​ulcer i hoʻokumu ʻia e ka mumū o ka ʻōpū liʻiliʻi mai nā ʻano e like me ka maʻi Crohn
• Kanesa
• Tumo Carcinoid
• Nā ʻeha i ka ʻōpū liʻiliʻi
• ʻO Meckel diverticulum (kahi ʻeke ma ka paia o ka ʻaoʻao haʻahaʻa o ka ʻōpū e kū nei i ka wā hānau)
• Nā Tumors Noncancerous (benign)
• Nā polyps precancerous

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 pōʻino no kēia ʻoki ʻana:

• Hoʻopulu i nā mea ma o ka incision, i kapa ʻia he hernia incisional
• Poino i nā mea pili kokoke i ke kino
• Pohā
• Nā pilikia me kāu ileostomy
• ʻO nāʻiʻo scar i hana ʻia i loko o kou ʻōpū a lilo i wahi o kou ʻōpū
• Pōkole bowel syndrome (ke pono e hemo i kahi nui o ka ʻōpū liʻiliʻi), i hiki ai i nā pilikia ke komo i nā mea nui a me nā wikamina.
• Anemia lōʻihi
• ʻO nā wēlau o kou ʻōpū i humuhumu pū ʻia (hele a kaʻawale (anastomotic leak, kahi e hoʻoweliweli nei i ke ola)
• Wahi hāmama
• Ka maʻi hōʻeha

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 kāu 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 ulia pōpilikia kāu ʻoki.

Pono paha ʻoe e noho lōʻihi inā ua lawe ʻia kahi nui nui o kāu ʻōpū liʻiliʻi 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.

Inā hemo kahi nui o kāu ʻōpū liʻiliʻi, pono paha ʻoe e loaʻa i ka meaʻai wai i loko o kahi aa (IV) no kekahi manawa. E hoʻokomo ʻia kahi IV kūikawā i kou ʻāʻī a i ʻole ka umauma o luna e hāʻawi i ka meaʻai.

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 liʻiliʻi e hoʻōla hou. ʻOiai me kahi ileostomy, 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 piʻi wāwae, a me nā hana waho ʻē aʻe, a me ka nui o nā ʻano o ka hana.

Inā hemo kahi hapa o kou ʻōpū liʻiliʻi, loaʻa paha iā ʻoe nā pilikia me nā pahu kuewa a loaʻa ka lawa o nā mea momona mai ka meaʻai āu e ʻai ai.

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

ʻOki ʻōpū liʻiliʻi; ʻŌpū ʻōpū - ʻōpū liʻiliʻi; ʻIke i kahi ʻāpana o ka ʻōpū liʻiliʻi; ʻO Enterectomy

• Ka palekana i ka lumipaku no nā mākua
• Papaʻai Bland
• Maʻi Crohn - hoʻokuʻu
• 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
• ʻAiʻai haʻahaʻa
• Pāleʻa ka pale ʻana
• Hoʻokiʻi liʻiliʻi o ka ʻōpū - hoʻokuʻu
• Mālama ʻeha ʻeha - wehe
• Nā ʻano o ka ileostomy
• Ulcerative colitis - hoʻokuʻu
• Ke loaʻa ka nausea a me ka luaʻi

• ʻO ka ʻōpū liʻiliʻi liʻiliʻi - moʻo

ʻO Albers BJ, ʻo Lamon DJ. Hoʻoponopono / hoʻoponopono hou ʻana o ka ʻōpū. I: Baggish MS, Karram MM, eds. Nā Atlas o ka Pelvic Anatomy a me nā ʻōpala Gynecologic. ʻEhā ed. Piladelapia, PA: Elsevier; 2016: chap 95.

DiBrito SR, Duncan M. Hoʻokele o ka ʻōpū liʻiliʻi. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 12th ed. Piladelapia, PA: Elsevier; 2017: 109-113.

Harris JW, Evers BM. ʻŌpū liʻiliʻi. 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 49.