Lawe ka adrenal gland

ʻO ka hemo ʻana o ka adrenal adrenal kahi hana kahi e hemo ai kekahi o nā adrenal gland. ʻO nā adrenal glands kahi ʻāpana o ka ʻōnaehana endocrine a aia ma luna pono o nā puʻupaʻa.

E loaʻa iā ʻoe ka anesthesia laulā e ʻae iā ʻoe e hiamoe a ʻaʻohe ʻeha i ka wā o ke kaha.

Hiki ke hana i ka hemo ʻana o ka momona adrenal i ʻelua ala. Pili ke ʻano o kāu ʻoki ʻana i ka pilikia e mālama ʻia.

• Me kahi ʻoki ākea, hana ke kaukaʻi i kahi ʻoki nui nui (incision) e hemo ai ke gland.
• Me ka hana laparoscopic, hana ʻia kekahi mau ʻoki liʻiliʻi.

E kūkākūkā ke kaukōpō i ke ala hea e ʻoi aku ai ka maikaʻi iā ʻoe.

Ma hope o ka hemo ʻana o ke gland adrenal, hoʻouna ʻia i kahi pathologist no ka hoʻokolokolo ʻana ma lalo o kahi microscope.

Wehe ʻia ke glandula adrenal ke ʻike ʻia ka maʻi ʻaʻai a i ʻole ka ulu ʻana (nui) i maʻi ʻaʻai paha.

I kekahi manawa, hoʻoneʻe ʻia kahi nuipaʻa i ka momona adrenal no ka mea hoʻokuʻu ia i kahi hōmona e hiki ke hōʻeha i nā hopena ʻino.

• ʻO kekahi o nā tumors maʻamau he pheochromocytoma, kahi e hiki ai i ke kahe koko kiʻekiʻe loa
• ʻO nā maʻi ʻē aʻe e like me Cushing Syndrome, Conn Syndrome, a me kahi adrenal nuʻa o ke kumu i ʻike ʻole ʻia

Nā pōpilikia no ka anesthesia a me ke kahakaha ma nā ʻano āpau:

• Ka pane ʻana i nā lāʻau
• Nā pilikia hanu
• Kahe ʻana o ke kahe, ke koko koko, a i ʻole ka maʻi

ʻO nā pōʻino no kēia ʻoki ʻana:

• Poino i nā mea pili kokoke i ke kino
• ʻO ka hōʻeha e haki a wehe paha i nā mea ma o ka incision (incnia hernia)
• ʻO ka pilikia adrenal koʻikoʻi kahi lawa ʻole o ka cortisol, kahi hormone i hana ʻia e nā adrenal glands

E haʻi i kāu kaukipoki a kahu wahine paha

• Inā ʻoe a hāpai paha
• He aha nā lāʻau āu e lawe nei, a ʻo nā lāʻau paha, nā mea hoʻopili, a i ʻole nā ​​mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau

I nā lā ma mua o ke kaha ʻana:

• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā mea lahilahi o ke koko. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin, Jantoven), a me nā mea ʻē aʻe.
• E noi i kāu kaukipona i nā lāʻau e pono ai e lawe i ka lā o ke ʻoki.

Inā puhi ʻoe, hoʻāʻo e kū. Hoʻohiohi ʻo Smoking i ka hoʻōla a hoʻonui i ka makaʻi no nā pilikia. E noi i kāu mea mālama ola no ke kōkua ʻana e haʻalele.

I ka lā o ke kaha ʻana:

• E hāhai i nā ʻōkuhi e pili ana i ka wā e hōʻoki ai i ka ʻai a me ka inu ʻana.
• E lawe i nā lāʻau a kāu kauka i haʻi aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hōʻea i ka haukapila i ka manawa.

ʻOiai ma ka haukapila, hiki iā ʻoe ke:

• Noi ʻia e noho ma ka ʻaoʻao o ka moe a hele i ka lā like o kou ʻoki kino
• E loaʻa i kahi paipu, a i ʻole catheter, e hele mai ana mai kāu ʻōpū
• E loaʻa i kahi kahe e puka i waho ma o kāu ʻoki ʻoki
• ʻAʻole hiki ke ʻai i ka lā mua he 1 a i ka 3, a laila e hoʻomaka ʻoe me nā wai
• Hoʻoikaika e hana i nā hana hanu
• E komo i nā stockings kūikawā e pale ai i ke kahe o ke koko
• Loaʻa nā kī ʻana ma lalo o kou ʻili e pale aku ai i ke koko koko
• Loaʻa i ka lāʻau ʻeha
• Nānā ʻia kou kaomi koko a hoʻomau i ka loaʻa ʻana o ka lāʻau kahe koko

E hoʻokuʻu ʻia ʻoe i 1 a i ʻole 2 mau lā ma hope o ke kaha ʻana.

I ka home:

• E hāhai i nā ʻōkuhi pehea e mālama ai iā ʻoe iho i kou ola ʻana.
• Hiki iā ʻoe ke wehe i ke kapa komo a me ka ʻauʻau i ka lā ma hope o ke ʻoki ʻana, ke ʻole inā haʻi ʻē aʻe kāu kauka iā ʻoe.
• Loaʻa paha iā ʻoe kahi ʻeha a pono ʻoe e ʻai i ka lāʻau no ka ʻeha.
• Hiki iā ʻoe ke hoʻomaka e hana i kekahi mau hana māmā.

He ʻeha paha ke ola ʻana mai ka ʻoki hāmama ma muli o kahi o ka ʻoki ʻoki kahi. ʻO ka hoʻōla ma hope o ke kaʻina hana laparoscopic ʻoi aku ka wikiwiki.

ʻO ka poʻe i loaʻa i ka ʻoki laparoscopic ka hapa nui o ka loaʻa o ka wikiwiki ma mua o ka hāmama. Maikaʻi kāu hana ʻana ma hope o ke kaha ʻana i ka kumu o ke ʻoki ʻana.

• Inā ua ʻoki ʻia ʻoe no Conn Syndrome, pono ʻoe e noho ma nā lāʻau kahe koko.
• Inā ua ʻoki ʻoe iā Cushing Syndrome, makaʻu ʻoe i nā pilikia e pono e mālama ʻia. Hiki i kāu mea hāʻawi ke haʻi hou aku iā ʻoe e pili ana i kēia.
• Inā ua ʻoki ʻia ʻoe no pheochromocytoma, maikaʻi maikaʻi ka hopena.

Adrenalectomy; Ka wehe ʻana i nā ʻōpū adrenal

Lim SK, Rha KH. ʻOki kino o ke adrenal glands. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 66.

Smith PW, Hanks JB. ʻOki kino Adrenal. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 111.

ʻO Yeh MW, Livhits MJ, Duh QY. ʻO nā momona adrenal. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 39.