Ileostomy

Hoʻohana ʻia kahi ileostomy e hoʻoneʻe i nā ʻōpala i waho o ke kino. Hana ʻia kēia ʻoki ke hana ʻole ke kolone a pololei paha.

ʻO ka huaʻōlelo "ileostomy" mai nā huaʻōlelo "ileum" a me "stoma." ʻO kāu ileum ka hapa haʻahaʻa o kou ʻōpū liʻiliʻi. "Stoma" ʻo ia hoʻi "wehe." I mea e hana ai i kahi ileostomy, hana ka mea lapaʻau i kahi wehe i loko o kou paia ʻōpū a lawe mai i ka hopena o ka ileum ma o ka wehe. Hoʻopili ʻia ka ileum i ka ʻili.

Ma mua o kāu ʻoki ʻana e hana i kahi ileostomy, loaʻa paha iā ʻoe kahi ʻoki e wehe ai i kāu kolone a me kou āpau, a i ʻole kahi ʻāpana o kou ʻōpū liʻiliʻi.

Loaʻa kēia mau ʻoki ʻana:

• Hoʻokiʻi ʻōpū liʻiliʻi
• Huina nui o ka ʻōpū colectomy
• Huina nui o ka proctocolectomy

Hiki ke hoʻohana ʻia kahi ileostomy no kahi manawa pōkole a lōʻihi paha.

Ke kūleʻa ʻole kāu ileostomy, ʻo ia ka mea pinepine i lawe ʻia i kou ʻōpū nui. Eia nō naʻe, loaʻa iā ʻoe kahi hapa o kou kiko. Inā loaʻa iā ʻoe kahi ʻoki ma kahi ʻāpana o kou ʻōpū nui, makemake paha kāu mea mālama ola i ke koena o kou ʻōpū e hoʻomaha no kekahi manawa. E hoʻohana ʻoe i ka ileostomy i kou wā e ola hou ai mai kēia ʻoki. Inā ʻaʻole ʻoe e pono hou ia, e ʻoki hou ʻoe i kahi ʻoki hou. E hana ʻia kēia ʻoki e hoʻopili hou i nā wēlau o ka ʻōpū liʻiliʻi. ʻAʻole ʻoe e pono hou i ka ileostomy ma hope o kēia.

Pono ʻoe e hoʻohana i ka wā lōʻihi inā ua hoʻoneʻe ʻia kāu ʻōpū nui a me kou āpau.

No ka hoʻokumu ʻana i ka ileostomy, hana ka mea ʻokiʻoki i kahi ʻoki ʻoki liʻiliʻi i ka paia o kou ʻōpū. Lawe ʻia kahi ʻāpana o kou ʻōpū liʻiliʻi i mamao loa mai kou ʻōpū a hoʻohana ʻia e hana i kahi hāmama. Kapa ʻia kēia he stoma. Ke nānā ʻoe i kāu stoma, ke nānā maoli nei ʻoe i ka uhi o kou ʻōpū. He ʻano like ia me ka loko o kou pāpālina.

I kekahi manawa, hana ʻia kahi ileostomy ma ke ʻano he ʻanuʻu mua i ka hana ʻana i kahi loko wai ileal (i kapa ʻia he J-ʻeke).

Hana ʻia ka Ileostomy ke hiki ke mālama ʻia nā pilikia me kou ʻōpū nui me ke kaha.

Nui nā pilikia e alakaʻi i ka pono o kēia ʻoki. ʻO kekahi:

• ʻO ka maʻi maʻi ʻōpū (ulcerative colitis a i ʻole Crohn maʻi). ʻO kēia ke kumu maʻamau o kēia ʻoki.
• Ka maʻi ʻaʻai kolona a i ʻole rectal cancer
• Polyposis ʻohana
• Nā kīnā hānau e pili ana i kou ʻōpū
• ʻO kahi ulia e hoʻopōʻino ai i kou ʻōpū a i ʻole kahi pilikia ʻōpū hou

E kamaʻilio me kāu mea hoʻolako e pili ana i kēia mau pilikia a me nā pilikia.

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

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

ʻO nā pilikia o kēia ʻoki kino:

• Kahe i loko o kou ʻōpū
• Hoʻopōʻino i nā meaola kokoke
• Ka make wai (ʻaʻole lawa ka wai i kou kino) inā nui ka hoʻokahe wai mai kāu ileostomy
• Hoʻopau i ka paʻakikī e pono ai i nā meaʻai mai ka meaʻai
• ʻO ka maʻi, e komo pū ana me nā akemāmā, nā wahi mimi, a i ʻole ka ʻōpū
• ʻO ka hōʻeha maikaʻi ʻole o ka ʻeha i kāu perineum (inā ua lawe ʻia kāu kiko)
• ʻO nāʻiʻo ʻōpū i loko o kou ʻōpū e hiki ai ke ālai i ka ʻōpū liʻiliʻi
• Wahi hāmama

E haʻi mau i kāu mea hoʻolako i nā lāʻau āu e lawe nei, a me nā lāʻau, nā mea hoʻopili, a i ʻole nā ​​mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau.

Ma mua o kāu ʻoki ʻana, e kamaʻilio me kāu mea hoʻolako e pili ana i kēia mau mea:

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

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

• ʻElua mau pule ma mua o ke kahakaha ʻana, e noi paha ʻoe iā ʻoe e haʻalele i ka lawe ʻana i nā lāʻau e paʻakikī ai i kou koko ke kō. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), Naprosyn (Aleve, Naproxen), a me nā mea ʻē aʻe.
• E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai e lawe i ka lā o kou ʻoki ʻana.
• Inā puhi ʻoe, hoʻāʻo e kū. E noi i kāu mea hāʻawi mai i kōkua.
• E hoʻomaopopo mau i kāu mea hoʻolako e pili ana i kekahi anuanu, flu, fever, breakout herpes, a i ʻole nā ​​maʻi ʻē aʻe āu e loaʻa ai ma mua o kāu ʻoki.

ʻO ka lā ma mua o kou ʻoki ʻana:

• E noi ʻia ʻoe e inu i nā wai wale nō e like me ka broth, wai momona, a me ka wai ma hope o kekahi kiko.
• E haʻi aku kāu mea hāʻawi iā ʻoe i ka manawa e hōʻoki ai i ka ʻai ʻana a me ka inu ʻana.
• E noi paha kāu mea hāʻawi iā ʻoe e hoʻohana i ka enemas a i ʻole nā ​​laxatives e hoʻomaʻemaʻe i kou ʻōpū.

I ka lā o kou ʻoki kino:

• Lawe i nā lāʻau i kauoha ʻia iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E haʻi ʻia ʻoe i ka wā e hōʻea ai i ka haukapila.

Ma ka haukapila ʻoe no 3 a 7 mau lā. E noho lōʻihi paha ʻoe inā ʻo kāu ileostomy kahi hana ulia pōpilikia.

Hiki paha iā ʻoe ke omo i nā ʻāpana hau i ka lā like me kāu ʻoki ʻana e hōʻoluʻolu ai i kou make wai. I ka lā aʻe, ʻae ʻia paha ʻoe e inu i nā wai paʻa. E hoʻohui mālie ʻoe i nā wai a mānoanoa a laila nā meaʻai palupalu i kāu papaʻai ke hoʻomaka hou kāu ʻōpū e hana hou. E ʻai hou paha ʻoe i 2 mau lā ma hope o kou ʻoki ʻana.

ʻO ka hapa nui o ka poʻe i loaʻa kahi ileostomy hiki ke hana i ka hapa nui o 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 loaʻa ʻoe i kahi maʻi maʻi, e like me ka maʻi Crohn a i ʻole ke kolitis ulcerative, pono ʻoe i kahi lāʻau lapaʻau mau.

ʻO Enterostomy

• 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
• Noho me kāu ileostomy
• ʻAiʻai haʻahaʻa
• Huina colectomy a i ʻole proctocolectomy - hoʻokuʻu
• Nā ʻano o ka ileostomy
• Ulcerative colitis - hoʻokuʻu

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Kolona a me ka pololei. I: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 51.

Raza A, Araghizadeh F. Ileostomies, colostomies, pou, a me anastomoses. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 117.

Reddy VB, Longo WE. Ileostomy. I: Yeo CJ, hoʻoponopono. ʻO Shackelford's Surgery o ke Alimentary Tract. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 84.