Laparotomy Exploratory: No ke aha e hana ai, he aha ka mea e manaʻo ai

Anter

• He aha ka laparotomy ʻimi?
• Āhea a no ke aha e hana ʻia ai kahi ʻūhā exploratory?
• He aha ka mea e kali ai i ke kaʻina hana
• He aha ka mea e manaʻo ai e pili ana i ke kaʻina hana
• Nā pilikia o kahi laparotomy ʻimi
• Kāhea aku i kāu kauka inā ʻike ʻoe i kēia mau ʻōuli
• Aia kekahi mau ʻano o ke kuhi e hiki ai ke lawe i kahi o ka laparotomy mākaʻikaʻi.
• Nā lawe lawe kī

ʻO ka laparotomy exploratory kahi ʻano o ka ʻoki ʻana i ka ʻōpū. ʻAʻole hoʻohana pinepine ʻia e like me ka manawa ma mua, akā pono nō naʻe i kekahi mau ʻano.

E nānā pono kākou i ka laparotomy exploratory a no ke aha ʻo ia i kekahi manawa ke koho ʻoi loa no nā ʻōpū o ka ʻōpū.

He aha ka laparotomy ʻimi?

Ke loaʻa ʻoe i kahi ʻōpū ʻōpū, maʻa mau no kahi kumu kikoʻī. Pono paha ʻoe e kāpae i kāu pāʻālua a i ʻole henia hernia, e laʻa me. Hana ka mea lapaʻau i ka ʻoki kūpono kūpono a hele e hana i kēlā pilikia.

I kekahi manawa, ʻaʻole maopopo ke kumu o ka ʻeha o ka ʻōpū a i ʻole nā ​​ʻōpū ʻōpū ʻē aʻe. Kūpono paha kēia ma ke ʻano o ka hoʻāʻo ʻana ʻana a i ʻole, i kahi hanana pilikia, no ka mea ʻaʻohe manawa no nā hoʻāʻo. ʻO ia ka manawa e makemake ai ke kauka e hana i ka laparotomy exploratory.

ʻO ke kumu o kēia ʻoki ʻana e ʻimi i ka ʻōpū o ka ʻōpū āpau e ʻike i ke kumu o ka pilikia. Inā hiki i ka lōkōkō ke hoʻomaopopo i ka pilikia, hiki koke i nā lāʻau lapaʻau ʻokiʻoki koke ʻia.

Āhea a no ke aha e hana ʻia ai kahi ʻūhā exploratory?

Hiki ke hoʻohana i ka laparotomy exploratory ke:

• loaʻa i nā ʻōpū ʻōpū koʻikoʻi a lōʻihi paha e hōʻole i ka ʻike.
• ua loaʻa i ka ʻeha o ka ʻōpū nui a ʻaʻohe manawa no ka hoʻokolohua ʻē aʻe.
• ʻaʻole moho maikaʻi no ke kahakaha laparoscopic.

Hiki ke hoʻohana i kēia ʻoki e mākaʻikaʻi:

Ma waho aʻe o ka nānā ʻana i ka ʻike, hiki i ke kaukipō ke:

• e lawe i kahi laʻana o nāʻaʻaʻa e hoʻāʻo ai i ka maʻi ʻaʻai (biopsy).
• hana i nā hana ʻoki kūpono.
• maʻi ʻaʻai pae.

ʻAʻole pono ka nui no ka laparotomy exploratory e like me ka wā ma mua. Loaʻa kēia i nā holomua i ke ʻenehana kiʻi. Eia kekahi, ke hiki, laparoscopy kahi ala invasive e nānā i ka ʻōpū.

He aha ka mea e kali ai i ke kaʻina hana

ʻO ka laparotomy exploratory kahi keʻoki nui. I ka haukapila, e nānā ʻia kou puʻuwai a me kou mau māmā e hōʻoia i ka palekana o ka hoʻohana ʻana i ka anesthesia laulā. E hoʻokomo ʻia kahi laina intravenous (IV) i loko o kou lima a lima paha. E nānā ʻia kāu mau hōʻailona koʻikoʻi. Pono paha ʻoe i kahi pahu hanu a i ʻole kahi catheter.

I ka wā o ke kaʻina hana, e hiamoe ʻoe, no laila ʻaʻole ʻoe e ʻike i kekahi mea.

I ka wā e disinfected kou ʻili, e hana ʻia i kahi ʻoki lōʻihi lōʻihi i kou ʻōpū. E nānā ke kaukōpō i kou ʻōpū no ka hōʻino a maʻi paha. Inā loaʻa kahi kānana kānalua, hiki ke lawe ʻia kahi laʻana no ka biopsy. Inā hiki ke hoʻoholo i ke kumu o ka pilikia, hiki ke mālama ʻia i ka ʻokiʻoki i kēia manawa.

E pani ʻia ka ʻokiʻoki me nā kuʻi a i ʻole staples. E waiho ʻia paha ʻoe me kahi kahawai kūlohelohe e hoʻokuʻu i nā wai i kahe i waho.

E hoʻolōʻihi paha ʻoe i mau lā i ka haukapila.

He aha ka mea e manaʻo ai e pili ana i ke kaʻina hana

Ma hope o ke kahakaha ʻana, hoʻoneʻe ʻia ʻoe i kahi e ola ai. Ma laila, e nānā pono ʻia ʻoe a hiki i kou makaʻala piha. E hoʻomau ka IV i ka hāʻawi ʻana i nā wai. Hiki ke hoʻohana ʻia no nā lāʻau e pale ai i ka maʻi a hōʻoluʻolu i ka ʻeha.

Ma hope o ka haʻalele ʻana i kahi e hoʻōla ai, koi ʻia ʻoe e ala aʻe a neʻe e kōkua i ka pale ʻana i ke koko. ʻAʻole ʻoe e hāʻawi ʻia i ka meaʻai maʻamau a hiki i ka hana maʻamau ʻana o kou ʻōpū. E hoʻoneʻe ʻia ka catheter a me ka ʻōpū o ka ʻōpū i loko o kekahi mau lā.

E wehewehe kāu kauka i nā hopena o ka ʻoki a pehea nā kaʻina e hiki mai ana. Ke mākaukau ʻoe e hoʻi i ka home, hāʻawi ʻia ʻoe i nā ʻōkuhi hoʻokuʻu e komo pū paha me:

• Mai hāpai ma mua o ʻelima mau paona no nā pule ʻeono mua.
• Mai ʻauʻau a ʻauʻau a hiki i ka loaʻa ʻana o ka hele i mua o kāu kauka. E mālama i ka ʻoki a hoʻomaʻemaʻe.
• E makaʻala i nā hōʻailona o ka maʻi. Hoʻopili pū kēia me ke kuni, a me ka ʻulaʻula a i ʻole ka hoʻokahe melemele mai ka ʻokiʻoki.

ʻO ka manawa hoʻōla ma kahi o ʻeono pule, akā ʻokoʻa kēia mai kēlā me kēia kanaka. E hāʻawi kāu kauka iā ʻoe i kahi manaʻo i ka mea e manaʻo ai.

Nā pilikia o kahi laparotomy ʻimi

ʻO kekahi mau pilikia kūpono o ka ʻohana exploratory:

• hopena maikaʻi ʻole i ka anesthesia
• kahe ana ke koko
• maʻi maʻi
• ʻokiʻoki ʻaʻole hoʻōla maikaʻi
• ʻeha i ka ʻōpū a i ʻole nā ​​mea ʻē aʻe
• hernia incisional

ʻAʻole i loaʻa mau ke kumu o ka pilikia i ka wā o ke ʻoki. Inā kū kēlā, e kamaʻilio kāu kauka iā ʻoe e pili ana i ka mea e hiki mai ana ma hope.

Kāhea aku i kāu kauka inā ʻike ʻoe i kēia mau ʻōuli

Ke hoʻi ʻoe i ka home, e kāhea i kāu kauka inā loaʻa iā ʻoe:

• fiva o 100.4 ° F (38.0 ° C) a ʻoi aku paha
• hoʻonui i kaʻeha e paneʻole i ka lāʻau
• ʻulaʻula, pehu, kahe ʻana o ke kahe, a i ʻole ke kahe melemele ma ka wahi incision
• ʻōpū ʻōpū
• koko a ʻeleʻele paha, noho aliʻi
• diarrhea a i ʻole ka constipation e ʻoi aku ana ma mua o ʻelua mau lā
• ʻeha me ka mimiki
• ʻeha ka umauma
• pokole o ka hanu
• ʻū mau
• nausea, luaʻi
• paupauaho, maule
• ʻeha wāwae a ʻōhū paha

Hiki i kēia mau hōʻailona ke hōʻike i nā pilikia koʻikoʻi. Kāhea koke i kāu kauka inā ʻike ʻoe i kekahi o lākou.

Aia kekahi mau ʻano o ke kuhi e hiki ai ke lawe i kahi o ka laparotomy mākaʻikaʻi.

ʻO ka laparoscopy exploratory kahi hana hoʻohaunaele minimally e hiki ke hana pinepine ʻia ma kahi o ka laparotomy. Kāhea ʻia ʻo ia i kekahi manawa ʻo ke kī ʻana ʻo "keyhole".

I kēia kaʻina hana, ua hoʻokomo ʻia kahi paipu liʻiliʻi i kapa ʻia he laparoscope ma o ka ʻili. Hoʻopili kahi kukui a me ka kāmela i ka paipu. Hiki i ka mea kani ke hoʻouna i nā kiʻi mai loko o ka ʻōpū i kahi pale.

ʻO kēia ka mea i hiki i ke kauka ke ʻimi i ka ʻōpū ma o kekahi mau ʻoki liʻiliʻi ma mua o kahi nui. Ke hiki, hiki ke hoʻokō ʻia i ke kaʻina hana ma ka manawa like.

Koi ʻia kēia i ka anesthesia laulā. Akā hana mau ia no ka noho ʻana o ka haukapila pōkole, hoʻoliʻiliʻi liʻiliʻi, a me ka hoʻōla wikiwiki.

Hiki ke hoʻohana ʻia ka laparoscopy exploratory e lawe i kahi mea kiko no ka biopsy. Hoʻohana ʻia nō hoʻi e diagnose i kahi ākea o nā kūlana. ʻAʻole hiki ke hana Laparoscopy inā:

• he ʻōpū ʻōlohelohe kou
• ʻike ʻia ka pā o ka ʻōpū
• he nui nā ʻōpala ʻōpū ma mua iā ʻoe
• he laparotomy kāu i loko o nā lā he 30 i hala
• he pilikia weliweli loa kēia

Nā lawe lawe kī

ʻO ka laparotomy exploratory kahi hana e wehe ʻia ai ka ʻōpū no nā hana exploratory. Hana ʻia kēia i nā pilikia olakino a i ʻole ke hiki ʻole i nā hoʻokolohua diagnostics ke wehewehe i nā hōʻailona.

He mea pono ia no ke kuhi ʻana i nā ʻano he nui e pili ana i ka ʻōpū a me nā pelvis. Ke loaʻa ka pilikia, hiki ke hana i ka lāʻau ʻokiʻoki i ka manawa like, a hoʻopau paha i ka pono o ke kaha ʻelua.