Pehea e pono ai ka hoʻōla a me ka mālama ma hope o ka hemo ʻana o ka spleen

Anter

• Pehea e hoʻomākaukau ai no ke kaha ʻana
• Ke kuhikuhi ʻia ke ʻoki
• Pehea e hemo ai ka palolo
• Nā pilikia a me nā pilikia kūpono o ke kaha ʻana
• Mālama i ka poʻe nāna i hoʻoneʻe i ka lūlū

ʻO Splenectomy kahi ʻoki e hemo ai i nā ʻāpana āpau a i ʻole ʻāpana, ʻo ia kahi lālā i loko o ka hū o ka ʻōpū a he kuleana no ka hana ʻana, mālama ʻana a me ka hoʻopau ʻana i kekahi mau mea mai ke koko, i mea e hana ai i nā mea ʻino a mālama i ke kaulike o ke kino, pale i nā maʻi.

ʻO ka hōʻailona nui no ka splenectomy ke loaʻa kekahi mau hōʻino a haki paha o ka lima, akā naʻe, hiki ke koi ʻia kēia ʻokiʻoki i nā hihia o nā maʻi koko, kekahi mau ʻano maʻi ʻaʻai a i ʻole ma muli o ke kū ʻana o nā cist non-malignant a i ʻole nā ​​tumors. Hana pinepine ʻia ke kīʻaha e ka laparoscopy, kahi e hana ʻia ai nā puka liʻiliʻi i loko o ka ʻōpū e hemo ai ka meaola, kahi e liʻiliʻi ai ka ʻili a ʻoi aku ka wikiwiki o ka hoʻōla.

Pehea e hoʻomākaukau ai no ke kaha ʻana

Ma mua o ka splenectomy, paipai ke kauka i ka hana ʻana i nā hoʻokolohua koko a me ka ultrasound a i ʻole ka tomography i mea e loiloi ai i ke ʻano o ke kanaka a me ke kū ʻana o nā loli ʻē aʻe, e like me nā gallstones. Hoʻohui ʻia, koi ʻia paha ka lawelawe ʻana o nā lāʻau āpau a me nā lāʻau ʻino i mau pule ma mua o ke kaʻina hana, e hoʻēmi ai i ka maʻi o nā maʻi.

Ke kuhikuhi ʻia ke ʻoki

ʻO ka hōʻailona nui no ka hemo ʻana o ka pelepela ke hōʻoia ʻia kahi haki i kēia ʻōnaehana ma muli o ka ʻeha o ka ʻōpū. Eia nō naʻe, nā hōʻailona ʻē aʻe no ka splenectomy:

• Ka maʻi ʻaʻai i loko o ka māū;
• Haki ʻaʻano o ka pākana, i ka maʻi leukemia, ʻo ka hapanui;
• Spherositosis;
• Anemia maʻi maʻi maʻi;
• Idiopathic thrombocytopenic purpura;
• Abscess Splenic;
• Anemia hemolytic Congenital;
• Ke hoʻokumu nei i ko lyodoma Hodgkin.

Wahi a ke kekelē o ka loli o ka pākana a me ka makaʻu e hōʻike ai kēia hoʻololi i ke kanaka, hiki i ke kauka ke hōʻike i ka hapa a i ʻole ka hōʻoki ʻia ʻana o ka meaola.

Pehea e hemo ai ka palolo

I ka hapanui o nā hihia, hōʻike ʻia ka laparoscopy wikiō, me 3 mau puka liʻiliʻi i loko o ka ʻōpū, kahi e pono ai nā paipu a me nā mea pono no ka hemo ʻana o ka spleen pass, me ka ʻole o kahi ʻoki nui. Pono ka mea hoʻomanawanui i ka anesthesia ākea a he 3 mau hola ka lōʻihi o ke kahakaha ʻana, e hoʻomaha ʻia ana ma kahi o 2 a 5 mau lā.

ʻOi aku ka liʻiliʻi o kēia ʻokiʻoki a no laila, no laila e hōʻemi i ka ʻeha a ʻoi iki ka ʻili, e hoʻōla ana a hoʻi i nā hana o kēlā me kēia lā. Eia nō naʻe, i kekahi mau hihia, pono paha e wehe i kahi ʻoki ākea, me kahi ʻoki nui.

Nā pilikia a me nā pilikia kūpono o ke kaha ʻana

Ma hope o ke kaha ʻana e hemo i ka ʻōpala, he mea maʻamau ia no ka mea hoʻomanawanui e ʻike i ka ʻeha a me kahi palena e hana ai i nā hana o kēlā me kēia lā wale nō, e pono ai i ke kōkua mai kahi lālā o ka ʻohana e hana i ka mālama hoʻomaʻemaʻe, no ka laʻana. ʻO ke kahakaha Laparoscopy, ʻoiai i manaʻo ʻia he palekana, hiki ke alakaʻi i nā pilikia e like me ka hematoma, ke kahe ʻana o ke koko a i ʻole ka pleural effusion. Eia nō naʻe, hiki i ke kahakaha ākea ke lawe i nā makaʻi hou aku.

Mālama i ka poʻe nāna i hoʻoneʻe i ka lūlū

Ma hope o ka hemo ʻana o ka palu, ua hoʻemi ʻia ka hiki i ke kino e hakakā i nā maʻi a ʻo nā mea ʻē aʻe, keu hoʻi ke akepaʻa, hoʻonui i kona hiki ke hana i nā mea pale e hakakā i nā maʻi a pale i ke kino. No laila, ʻoi aku ka maʻalahi o ka ʻili e hoʻomohala i nā maʻi eʻO Pneumococcus, meningococcus a me Haemophilus influenzae, a no laila pono ia:

• E kiʻi i nā lāʻau āpau multipurpose kūʻē Pocococcus a me ka lāʻau hoʻōla conjugate no Haemophilus influenzaeʻano B a meningococcus ʻano C, ma waena o 2 mau pule ma mua a me 2 mau pule ma hope o ke kaha ʻana;
• E kiʻi i ka lāʻau āpau no pneumococci i kēlā me kēia 5 mau makahiki (a i ʻole i nā wā pōkole i ka hihia o ka maʻi anemia a me nā maʻi lymphoproliferative);
• Lawe ʻana i nā lāʻau ʻaloʻalo haʻahaʻa mahele lāʻau no ke ola a lawe i ka benzathine penicillin i kēlā me kēia 3 mau pule.

Eia hou, he mea nui ka ʻai ʻana i ke olakino, ka hōʻalo ʻana i nā meaʻai kiʻekiʻe i ke kō a me ka momona, hoʻoikaika kino mau, ka hōʻalo ʻana i nā loli koke o ka mahana no ka pale ʻana i ke anu a me ka maʻi palū, a me ka lawe ʻole ʻana i nā lāʻau me ka ʻōlelo aʻoaʻo ʻole a ka lāʻau.