ʻOki kino ʻo Diverticulitis

Anter

• No ke aha e loaʻa ai iaʻu kahi ʻoki diverticulitis?
• He aha nā ʻano o ke ʻoki diverticulitis?
• He aha nā pilikia e pili ana i kēia ʻoki?
• Pehea wau e hoʻomākaukau ai no kēia ʻoki?
• Pehea e hana ai kēia ʻoki?
• Aia kekahi pilikia e pili ana i kēia ʻoki?
• Pehea ka lōʻihi o ke ola ʻana mai kēia ʻoki ʻana?
• He aha ka manaʻo no kēia ʻoki kino?

He aha ka diverticulitis?

Hana ʻia ʻo Diverticulitis ke loaʻa nā pūpū liʻiliʻi i kāu wahi digestive, i ʻike ʻia ʻo diverticula. Hoʻomaʻa pinepine ʻo Diverticula ke hele a maʻi lākou.

Loaʻa pinepine ʻo Diverticula i kāu kolona, ​​ka ʻāpana nui loa o kou ʻōpū nui. ʻAʻole lākou ʻino i kāu ʻōnaehana digestive. Akā ke huhū lākou, hiki iā lākou ke hōʻeha i ka ʻeha a me nā hōʻailona ʻē aʻe i hiki ke hoʻopōʻino i kou ola i kēlā me kēia lā.

E heluhelu e ʻike hou aʻe e pili ana i ke ʻano o ke ʻoki divertikulitis, ke koho pono ʻoe i kēia ʻoki ʻana, a me nā mea hou aʻe.

No ke aha e loaʻa ai iaʻu kahi ʻoki diverticulitis?

Hana pinepine ʻia ke kahakaha diverticulitis inā koʻikoʻi a i ʻole hoʻoweliweli ʻino kāu diverticulitis. Hiki iā ʻoe ke mālama maʻamau i kāu diverticulitis ma ka hana ʻana i kēia:

• lawe 'ana i nā antibiotic i kuhikuhi' ia
• e hoʻohana ana i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), e like me ka ibuprofen (Advil)
• inu wai a pale i ka meaʻai paʻa a hiki i ka hala ʻana o kāu hōʻailona

Koi paha kāu kauka i ke ʻoki inā loaʻa iā ʻoe:

• nā ʻāpana koʻikoʻi he nui o ka diverticulitis i kāohi ʻole ʻia e nā lāʻau a me nā loli nohona
• e kahe ana ke kō mai kou pololei
• ʻeha nui i kou ʻōpū no kekahi mau lā a ʻoi
• constipation, diarrhea, a i ʻole ka luaʻi e ʻoi aku ka lōʻihi ma mua o kekahi mau lā
• poloka i loko o kou kolone e mālama ana iā ʻoe mai ka hala ʻōpala (ālai ʻōpū)
• he lua i loko o kou kolona (perforation)
• nā hōʻailona a me nā ʻōuli o ka sepsis

He aha nā ʻano o ke ʻoki diverticulitis?

ʻO nā ʻano ʻelua o ke ʻoki ʻana no:

• ʻO ka bowel resection me ka anastomosis mua: I kēia kaʻina hana, lawe aku kāu kauka lāʻau i nā kolone maʻi (i ʻike ʻia ma ke ʻano he colectomy) a humuhumu pū i nā wēlau ʻoki o nā ʻāpana olakino ʻelua mai kēlā ʻaoʻao a me kēia ʻāpana i loaʻa mua i ka maʻi.
• ʻO ka ʻōpū me ka colostomy: No kēia kaʻina hana, hana kāu kauka lāʻau i kahi colectomy a hoʻohui i kou ʻōpū ma o ka wehe ʻana i loko o kou ʻōpū (colostomy). Kapa ʻia kēia wehe he stoma. Hiki paha i kāu kauka lāʻau ke hana i ka colostomy inā he nui loa ka mumū kolona. Ke kaukaʻi ʻia nei pehea ka maikaʻi o kou ola ʻana i nā mahina e hiki mai ana, no ka manawa pōkole a paʻa paha ka colostomy.

Hiki ke hana i kēlā me kēia kaʻina hana ma ke ʻano he ʻoki hāmama a laparoscopically paha:

• Wehe: ʻOkiʻoki kāu kauka iā ʻoe i ʻeono a ʻewalu iniha i loko o kou ʻōpū e wehe i kou wahi ʻōpū e nānā.
• Laparoscopic: ʻOki liʻiliʻi wale kāu kauka. Hoʻokō ʻia ke kahakaha ma ke kau ʻana i nā kāmela liʻiliʻi a me nā mea kani i kou kino ma o nā paipu liʻiliʻi (trocars) i emi ma lalo o hoʻokahi kenimika ka nui.

He aha nā pilikia e pili ana i kēia ʻoki?

E like me kēlā me kēia ʻoki ʻana, hoʻonui ʻia kou makaʻu i nā pilikia inā ʻoe:

• ua momona
• ma luna o 60 mau makahiki
• he kūlana olakino koʻikoʻi ʻē aʻe e like me ka maʻi kō a i ʻole ke kiʻekiʻe o ke koko
• ua loaʻa i kahi ʻoki diverticulitis a i ʻole ʻoki ʻōpū ʻē aʻe ma mua
• i ke olakino olakino āpau a i ʻole ka lawa ʻole o ka meaʻai
• ke ʻoki kino ʻana

Pehea wau e hoʻomākaukau ai no kēia ʻoki?

I kekahi mau pule ma mua o kou ʻoki ʻana, e noi paha kāu kauka iā ʻoe e hana i kēia mau mea:

• E hōʻoki i ka lawe ʻana i nā lāʻau i hiki ke lahilahi i kou koko, e like me ka ibuprofen (Advil) a i ʻole ka aspirin.
• Kāohi i ka puhipihi ʻana no ka manawa pōkole (a i ʻole mau loa inā ʻoe mākaukau e haʻalele). Hiki i ka puhihihi ke paʻakikī i kou kino e hoʻōla ma hope o ke kahakaha ʻana.
• E kakali no ka maʻi kō, ke kuni, a me ke anu e haki.
• Hoʻololi i ka hapa nui o kāu papaʻai me nā wai a lawe i nā laxatives e ninini i kou ʻōpū.

I nā hola 24 ma mua o kou ʻoki ʻana, pono paha ʻoe e:

• E inu wale i ka wai a i ʻole nā ​​wai ʻino ʻē aʻe, e like me ke kai a me ka wai.
• Mai ʻai a inu paha i kekahi mea no kekahi mau hola (a hiki i ka 12) ma mua o ke kaha ʻana.
• E lawe i nā lāʻau a kāu kauka lāʻau e hāʻawi ai iā ʻoe ma mua pono o ke kahakaha ʻana.

E mālama pono i kahi manawa hoʻomaha a hana paha i nā kuleana ʻē aʻe no ʻelua mau pule e hoʻi hou ai i ka haukapila a ma ka home. E hoʻomākaukau kekahi e lawe iā ʻoe i ka home ke hoʻokuʻu ʻia ʻoe mai ka haukapila.

Pehea e hana ai kēia ʻoki?

E hana i kahi ʻōpū o ke ʻōpū me ka anastomosis mua, e:

1. ʻOki ʻekolu a ʻelima mau puka liʻiliʻi i loko o kou ʻōpū (no ka laparoscopy) a i ʻole he ʻeono a ʻewalu paha ʻīniha e wehe ai e ʻike i kou ʻōpū a me nā mea ʻē aʻe (no ka ʻoki ākea).
2. Hoʻokomo i kahi laparoscope a me nā mea hana ʻoka ʻē aʻe ma o nā ʻoki (no ka laparoscopy).
3. Hoʻopiha i kou wahi ʻōpū me ka gas e ʻae i kahi lumi hou e hana ai i ke ʻoki (no ka laparoscopy).
4. E nānā i kāu mau ʻōmaka e hōʻoia ʻaʻohe pilikia ʻē aʻe.
5. E ʻike i ka ʻāpana i hoʻopili ʻia o kou kolona, ​​ʻokiʻoki iā ia mai ke koena o kou kolon, a lawe i waho.
6. E humuhumu i nā wēlau ʻelua i koe o kou kolone i hope (anastomosis mua) a i ʻole wehe i kahi puka i loko o kou ʻōpū a hoʻopili i ke kolon i ka lua (colostomy).
7. Humuhumu i kāu mau ʻokiʻoki a hoʻomaʻemaʻe i nā wahi a puni lākou.

Aia kekahi pilikia e pili ana i kēia ʻoki?

Hiki i nā pilikia o ke kahakaha diverticulitis ke:

• huʻi koko
• maʻi maʻi maʻi maʻi
• hemorrhage (kūloko kahe ana)
• sepsis (kahi maʻi i loko o kou kino)
• hōʻeha puʻuwai a i ʻole hahau
• hanu pono e koi ana i ka hoʻohana o ka ventilator no ka hanu
• puʻuwai puʻuwai
• hakuʻala ʻole
• hoʻoliʻiliʻi a blockage paha o kāu kolona mai ka maka makaʻu
• ke kūkulu ʻia ʻana o kahi abscess kokoke i ke kolone (koʻohune i loaʻa i nā koʻohune i loko o kahi ʻeha)
• kulu mai kahi o ka anastomosis
• nā kino kokoke e hōʻeha ʻia
• incontinence, a i ʻole hiki ʻole ke kaohi ke hala ʻoe i ka pahu

Pehea ka lōʻihi o ke ola ʻana mai kēia ʻoki ʻana?

E hoʻolimalima ʻoe ma kahi o ʻelua a ʻehiku lā paha i ka haukapila ma hope o kēia ʻokiʻoki ʻoiai ke nānā aku kāu mau kauka iā ʻoe a hōʻoia ʻoe hiki ke hele hou i kahi ʻōpala.

Ke hoʻi ʻoe i ka home, hana i kēia e kōkua iā ʻoe iho e ola hou:

• Mai hoʻoikaika kino, hāpai i kekahi mea kaumaha, a i ʻole moekolohe ma kahi o ʻelua mau pule ma hope o kou haʻalele ʻana i ka haukapila. Kaukaʻi ʻia i kāu kūlana ma mua o ka hana a pehea i hele ai kāu ʻoki, hiki i kāu kauka ke koi i kēia kapu no nā wā lōʻihi a pōkole paha o ka manawa.
• E loaʻa wale nā ​​wai aniani i ka mua. Hoʻoiho hou i nā meaʻai paʻa i loko o kāu papaʻai ke hoʻōla kāu kolona a i ʻole ke kauoha a kāu kauka iā ʻoe.
• E hāhai i nā ʻōkuhi i hāʻawi ʻia iā ʻoe no ka mālama ʻana i kahi ʻeke stoma a me colostomy.

He aha ka manaʻo no kēia ʻoki kino?

ʻO ka nānā no ke ʻoki diverticulitis maikaʻi, keu hoʻi inā hoʻopau ʻia ke ʻoki laparoscopically a ʻaʻole pono ʻoe i kahi stoma.

E ʻike koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau mea:

• e kahe ana ke kahe o kou mau ʻoki paʻa a i ʻole kāu mau ʻōpala
• ʻeha nui i kou ʻōpū
• ka paʻa paʻa a i ʻole ka diarrhea ma mua o kekahi mau lā
• nausea a luaʻi paha
• fiva

Hiki paha iā ʻoe ke pani ʻia kahi stoma pani ʻia i kekahi mau mahina ma hope o ke kaha ʻana inā hoʻōla maikaʻi kāu kolona. Inā ua hoʻoneʻe ʻia kahi ʻāpana nui o kāu kolone a inā nui ka makaʻu o ka hoʻopili hou ʻana, pono ʻoe e mālama i kahi stoma no nā makahiki he nui a mau paha.

ʻOiai ʻaʻole ʻike ʻia ke kumu o ka divertikulitis, hana ʻana i nā loli nohona olakino hiki ke kāohi iā ia mai ka hoʻomohala ʻana. ʻO ka ʻai ʻana i kahi papaʻai kiʻekiʻe-fiber kahi ala i koi ʻia e pale ai i ka diverticulitis.