Mea Kākau: Louise Ward
Lā O Ka Hana: 12 Pepeluali 2021
HōʻAno Hou I Ka Lā: 18 Mei 2024
Anonim
The EXCRUCIATING Anatomy of Bowel Obstructions
Wikiō: The EXCRUCIATING Anatomy of Bowel Obstructions

Anter

He aha ka adhesiolysis ʻōpū?

ʻO nā adhesions he mau puʻupuʻu o nā ʻili maka e kū i loko o kou kino. ʻO nā ʻoki ʻana ma mua ke kumu ma kahi o 90 pākēneka o ka hoʻopili ʻōpū. Hiki iā lākou ke hoʻomohala mai nā maʻi ʻeha, nā maʻi, a i ʻole nā ​​kūlana e kumu i ka hoʻā.

Hiki ke hana i nā adhesions ma nā meaola a hoʻopili i nā mea e pili pū. ʻAʻole ʻike ka poʻe he nui me nā adhesions i kekahi ʻōuli, akā loaʻa paha i kekahi poʻe ka ʻoluʻolu a me nā pilikia digestive.

ʻO ka adhesiolysis ʻōpū kahi ʻano o ke ʻoki e lawe i kēia mau adhesions mai kou ʻōpū.

ʻAʻole hōʻike ʻia nā adhesions ma nā hōʻike kiʻi maʻamau. Akā, ʻike pinepine nā kauka iā lākou i ka wā o ke kaha diagnostics ke hoʻokolokolo i nā hōʻailona a i ʻole ke mālama ʻana i kahi kūlana ʻē aʻe. Inā loaʻa i ke kauka nā adhesions, hiki ke hana ʻia ka adhesiolysis.

I kēia ʻatikala, e nānā ana mākou i ka mea e pōmaikaʻi ai i ka ʻōpū adhesiolysis ʻōpū. E nānā pū mākou i ke kaʻina hana a he aha nā kūlana kikoʻī e hoʻohana ʻia ai e mālama.

I ka manawa hea e hana ai i ka adhesiolysis laparoscopic?

ʻAʻole pinepine nā hoʻopili ʻōpū i nā ʻōuli i ʻike ʻia. Hele pinepine ʻole ʻia nā adhesions ma muli o ka ʻike ʻole ʻia me nā ʻano kiʻi o kēia manawa.


Eia nō naʻe, no kekahi poʻe, hiki iā lākou ke hōʻeha i ka ʻeha mau a me ka neʻe ʻana o ka ʻōpū.

Inā pilikia kāu adhesions, hiki i ka laparoscopic adhesiolysis ke kāpae iā lākou. He hana hoʻouka minimally. Me ke kahakaha laparoscopic, e hana ai kāu mea lapaʻau i kahi ʻoki liʻiliʻi i loko o kou ʻōpū a hoʻohana i kahi laparoscope e ʻimi ai i ka adhesion.

ʻO kahi laparoscope kahi ʻōmole lahilahi lōʻihi i loaʻa ka pahu paʻi kiʻi a me nā kukui. Hoʻokomo ʻia ia i loko o ka ʻokiʻoki a kōkua i kāu kaukiko e ʻike i nā adhesions e hemo iā lākou.

Hoʻohana ʻia ka laparoscopic adhesiolysis e mālama ai i kēia mau ʻano:

Nā poloka ʻōpū

Hiki i nā adhesions ke kumu i nā pilikia me ka digestion a hiki i ke ālai ʻana i nā ʻōpū. Hiki i nā adhesions ke ʻoki i kahi o nā ʻōpū a hana i kahi kahakaha o ka ʻōpū. Hiki i ka ālai ke:

  • nausea
  • ka luaʻi
  • kahi hiki ʻole ke hele i ke kinoea a i ʻole ka noho

Hoʻoipoipo ʻole

Hiki i nā adhesions ke hana i nā pilikia hānau wahine ma o ka pale ʻana i nā ovaries a i ʻole nā ​​paipu fallopian.


Hiki iā lākou ke hana i ka moekolohe ʻeha no kekahi poʻe. Inā kānalua kāu kauka i nā adhesions ke kumu nei i kāu pilikia hānau, hiki iā lākou ke ʻōlelo i ke ʻoki e wehe iā lākou.

ʻEha

Hiki i nā adhesions ke hōʻeha i ka ʻeha, keu hoʻi ke pale nei lākou i ka ʻōpū. Inā loaʻa iā ʻoe nā hoʻopili ʻōpū, ʻike paha ʻoe i kēia mau ʻōuli me kou ʻeha.

  • nausea a luaʻi paha
  • pehu a puni kou ʻōpū
  • hoʻomake wai
  • ʻūlū

He aha ka adhesiolysis hāmama?

ʻO ka adhesiolysis hāmama kahi ʻokoʻa i ka laparoscopic adhesiolysis. I ka wā o ka adhesiolysis hāmama, hana ʻia kahi ʻokiʻoki hoʻokahi ma waena o kou kino i hiki i kāu kauka ke wehe i nā adhesions mai kou ʻōpū. ʻOi aku ka nui o ka invasive ma mua o ka laparoscopic adhesiolysis.

He aha ke kumu o ka hoʻopili ʻana?

Hiki ke hoʻopili ʻia nā hoʻopili ʻōpū mai nā ʻano trauma i kou ʻōpū. Eia naʻe, ʻike pinepine lākou i nā hopena o ka ʻoki ʻana o ka ʻōpū.

ʻO nā adhesions i hoʻokumu ʻia e ke ʻoki ʻoi aku ka hopena o nā ʻōuli ma mua o nā ʻano adhesions ʻē aʻe. Inā ʻaʻole ʻoe e ʻike i nā ʻōuli, ʻaʻole pono lākou e mālama maʻamau.


ʻO nā maʻi a me nā kūlana e kumu i ka hoʻowahāwahā hiki ke hana i nā adhesions, e like me:

  • Maʻi ʻo Crohn
  • endometriosis
  • maʻi maʻi pelvic
  • peritonitis
  • maʻi diverticular

Kū pinepine nā adhesions ma ka pale o loko o ka ʻōpū. Hiki iā lākou ke hoʻomohala ma waena o:

  • nā ʻoka
  • ʻōpū
  • paia ʻōpū
  • paipu fallopian

Ke kaʻina hana

Ma mua o ke kaʻina hana, e hana paha kāu kauka i kahi hoʻokolohua kino. E kauoha paha lākou i kahi hōʻoia koko a mimi paha a noi i ke kiʻi e kōkua ai i ka pale ʻana i nā kūlana me nā ʻano like.

Ma mua o ke kaha ʻana

E hoʻomākaukau no kāu ʻoki ʻana ma ka hoʻonohonoho ʻana i kahi kaʻa i kou home mai ka haukapila e pili ana i kāu kaʻina hana. E aʻo ʻia paha ʻoe e hōʻalo i ka ʻai ʻana a i ʻole ka inu ʻana i ka lā o kou ʻoki kino. Pono paha ʻoe e haʻalele i ka lawe ʻana i kekahi mau lāʻau.

Ma ke ʻoki kino

Hāʻawi ʻia ʻoe i ka anesthesia laulā no laila ʻaʻole ʻoe e ʻeha.

E hana kahi mea lapaʻau i kahi ʻoki liʻiliʻi i loko o kou ʻōpū a hoʻohana i kahi laparoscope e ʻimi ai i ka adhesion. E hoʻolālā ka laparoscope i nā kiʻi ma luna o ka pakuhi i hiki i kāu kauka lāʻau ke loaʻa a ʻokiʻoki i nā mea hoʻopili.

I ka hōʻuluʻulu, e lawe ʻia ke kaha ma waena o 1 a me 3 mau hola.

Nā pilikia

He hōʻemi iki ke ʻoki, akā aia nō kekahi mau pilikia i hiki, me:

  • ʻeha i nā ʻokana
  • worsening of adhesions
  • hernia
  • nā maʻi maʻi
  • kahe ana ke koko

Nā ʻano ʻē aʻe o ka adhesiolysis

Hiki ke hoʻohana ʻia ke kaha ʻana ʻo Adhesiolysis e wehe i nā adhesions mai nā ʻāpana ʻē aʻe o kou kino.

Pelēhika adhesiolysis

Hiki i nā pelvic adhesions ke lilo i kumu no ka ʻeha pelvic mau. Hoʻokumu pinepine ke keʻoki iā lākou, akā hiki iā lākou ke hoʻomohala mai kahi maʻi a i ʻole endometriosis.

Hysteroscopic adhesiolysis

Hysteroscopic adhesiolysis kahi ʻoki e hemo ai nā adhesions mai loko o ka kōpū. Hiki i nā adhesions ke hōʻeha i ka ʻeha a me nā pilikia me ka hāpai keiki. ʻO ka adhesions i loko o ka kōpū i kapa ʻia ʻo Asherman Syndrome.

Epidural adhesiolysis

Ma hope o ke kuamoʻo o ka iwi kuamoʻo, loaʻa ka momona ma waena o ka papa waho o ka iwi kuamoʻo a me ka vertebrae me nā adhesions i hana ʻia e hiki ai ke hoʻonāukiuki i kou mau ʻalolo.

Kōkua ka adhesiolysis Epidural i kēia mau adhesions. ʻO ka adhesiolysis Epidural kahi i ʻike ʻia ma ke ʻano he ʻano catheter Racz.

Peritoneal adhesiolysis

hana ma waena o ka papa o loko o ka paia ʻōpū a me nā mea ʻē aʻe. ʻIke ʻia paha kēia mau mea hoʻopili e like me nā ʻāpana lahilahi o nā mea hoʻopili i hoʻopili ʻia me nā aʻa a me nā kīʻaha koko.

Hoʻopaʻa ka Peritoneal adhesiolysis e wehe i kēia mau hoʻopili a hoʻomaikaʻi i nā ʻōuli.

Adnexal adhesiolysis

ʻO kahi nui adnexal kahi ulu kokoke i ka uterus a i ʻole nā ​​ovaries. He benign pinepine lākou, akā i kekahi mau manawa, maʻi maʻi maʻi paha lākou. ʻO Adnexal adhesiolysis kahi hana ʻoki e wehe i kēia mau ulu.

Adhesiolysis manawa hoʻōla

Hiki paha iā ʻoe ke hōʻoluʻolu a puni kou ʻōpū ma kahi o 2 mau pule. Hiki iā ʻoe ke hoʻi i nā hana maʻamau i 2 a 4 mau pule. Hiki paha iā ia ke hala i mau hebedoma no kou neʻe ʻana o kou ʻōpū e lilo i mea maʻamau.

I mea e hoʻomaikaʻi ai i kou ola ʻana mai ka ʻōpū adhesiolysis ʻōpū, hiki iā ʻoe:

  • E hoʻomaha nui.
  • Hōʻalo i ka hoʻoikaika kino ikaika.
  • E kamaʻilio me kāu kauka e pili ana i nā meaʻai āu e hōʻalo ai.
  • E holoi i ka ʻehaʻeha i kēlā me kēia lā me ka wai kopa.
  • Kāhea koke i kāu kauka a kauō inā he hōʻailona kou o ka maʻi, e like me ke kuni a me ka ʻulaʻula a me ka pehu ʻana ma ka wahi incision.

Lawe aku

ʻAʻole ʻike ka poʻe he nui me nā hoʻopili ʻōpū i nā ʻōuli a ʻaʻole koi i ka lāʻau.

Eia nō naʻe, inā ke ʻeha nei kāu mau hoʻopili ʻōpū a i ʻole nā ​​pilikia digestive, hiki i kāu kauka ke koi aku i ka adhesiolysis ʻōpū e lawe iā lākou.

ʻO ka loaʻa ʻana o kahi hōʻailona kūpono ke ala maikaʻi loa e ʻike ai ke kumu o kāu hōʻoluʻolu e nā adhesions a i ʻole kahi kūlana ʻē aʻe.

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