Huina nui o ka ʻōpū colectomy

ʻO ka nui o ka colectomy o ka ʻōpū ka wehe ʻana o ka ʻōpū nui mai ka ʻaoʻao haʻahaʻa o ka ʻōpū liʻiliʻi (ileum) a i ke kiko. Ma hope o ka hemo ʻana, humuhumu ʻia ka hopena o ka ʻōpū liʻiliʻi i ka kiko.

E loaʻa iā ʻoe ka anesthesia laulā ma mua o kou ʻoki kino. ʻO kēia ka mea e hiamoe ai ʻoe me ka ʻeha ʻole.

Ma ke ʻoki kino:

• E ʻokiʻoki kāu kaukipō i kāu ʻōpū.
• E hoʻoneʻe ka mea lapaʻau i kou ʻōpū nui. E waiho ʻia kou kiko a me kou anus ma kahi.
• E humuhumu kāu kauka lāʻau i ka hopena o kou ʻōpū liʻiliʻi i kou poli.

I kēia lā, hana kekahi o nā kauka i kēia hana me ka hoʻohana ʻana i ka pahupaʻikiʻi. Hana ʻia ke kaha me kekahi mau ʻoki liʻiliʻi liʻiliʻi, a i kekahi manawa ʻoki ʻoi aku ka nui i lawa no ke kauka lāʻau e kōkua ai i ka hana. ʻO nā pōmaikaʻi o kēia ʻoki, i kapa ʻia ʻo laparoscopy, kahi wikiwiki wikiwiki, hoʻemi ʻia ka ʻeha, a he mau ʻoki liʻiliʻi wale nō.

Hana ʻia ke kaʻina hana no ka poʻe i loaʻa:

• ʻO ka maʻi ʻo Crohn ʻaʻole i pālahalaha aʻe i ke ākea a i ʻole ka anus
• ʻO kekahi mau tumer cancer cancer, ke pili ʻole ka pā lū
• Constipation nui loa, i kapa ʻia he inertia colonic

ʻOi aku ka palekana o ka colectomy āpau loa. Aia kou makaʻu i kou olakino laulā. E noi i kāu mea mālama ola e pili ana i kēia mau pilikia kūpono.

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 ʻana:

• Kahe i loko o kou ʻōpū.
• Poino i nā mea pili kokoke i ke kino.
• Hiki ke hana i nāʻiʻo scar i loko o ka ʻōpū a hiki i ke kahakaha ʻana o ka ʻōpū liʻiliʻi.
• Kaha o ka pahu mai ka pilina ma waena o ka ʻōpū liʻiliʻi a me ka pololei. Hiki i kēia ke kumu i kahi maʻi a i ʻole abscess.
• ʻO ka scarring o ka pilina ma waena o ka ʻōpū liʻiliʻi a me ka pololei. Hiki i kēia ke kumu o ka paʻa o ka ʻōpū.
• Wahi hāmama.
• Ka maʻi hōʻeha.

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. E nīnau i nā lāʻau āu e lawe ai i ka lā o kou ʻoki ʻana.

Ma mua o kou 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 ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā lāʻau e paʻakikī ai i ke kō ʻana o kou koko. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), Naprosyn (Aleve, Naproxen), a me nā mea ʻē aʻe.
• E nīnau i nā lāʻau āu e lawe ai 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 hāhai i nā ʻōlelo aʻoaʻo a kāu mea hāʻawi e pili ana i ka mea e ʻai ai a inu ai hoʻi. E noi ʻia ʻoe e inu wale i nā wai akā, e like me ka broth, wai momona, a me ka wai i kekahi manawa i ka lā.
• E haʻi ʻia ʻoe i ka manawa e haʻalele ai i ka ʻai ʻana a me ka inu ʻana. Nonoi ʻia paha ʻoe e haʻalele i ka ʻai ʻana i ka meaʻai paʻa ma hope o ke aumoe, akā hiki paha iā ʻoe ke loaʻa i nā wai piha a hiki i 2 mau hola ma mua o ke kaha ʻana.
• E noi paha kāu mea hāʻawi iā ʻoe e hoʻohana i ka enemas a i ʻole nā ​​laxatives e hoʻomaʻemaʻe i kou ʻōpū. E loaʻa iā ʻoe nā ʻōkuhi pehea e hoʻohana ai iā lākou.

I ka lā o kou ʻoki kino:

• E lawe i nā lāʻau i haʻi 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. I ka lā ʻelua, hiki paha iā ʻoe ke inu i nā wai ʻino. Hiki iā ʻoe ke hoʻohui mālie i nā wai a laila nā meaʻai palupalu i kāu papaʻai ke hoʻomaka hou kāu ʻōpū e hana hou.

Ma hope o kēia kaʻina hana, hiki iā ʻoe ke manaʻo e loaʻa iā 4 a 6 mau ʻōpū o ka ʻōpū i ka lā. Pono ʻoe i kahi ʻoki hou a me kahi ileostomy inā loaʻa iā ʻoe ka maʻi Crohn a pālahalaha ʻia i kāu kiko.

ʻO ka hapa nui o ka poʻe i loaʻa i kēia ʻoki Hiki iā lākou 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.

Ileorectal anastomosis; ʻO Colectomy Subtotal

• Papaʻai Bland
• 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 NM, 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.