Laparoscopy

Anter

• No ke aha e hana ai i ka laparoscopy?
• He aha nā pilikia o ka laparoscopy?
• Pehea wau e hoʻomākaukau ai no ka laparoscopy?
• Pehea e hana ai i ka laparoscopy?
• Pehea ka lōʻihi o ke ola ʻana mai ka laparoscopy?
• Nā hopena o ka laparoscopy

He aha ka laparoscopy?

ʻO Laparoscopy, i ʻike ʻia ʻo ka laparoscopy diagnostic, kahi hana diagnostic surgical diagnostical i hoʻohana ʻia e nānā i nā ʻōpū o loko o ka ʻōpū. He hana hoʻoweliweli haʻahaʻa, hoʻoweliweli liʻiliʻi e koi ai i nā ʻoki liʻiliʻi wale nō.

Hoʻohana ʻo Laparoscopy i kahi mea kani i kapa ʻia he laparoscope e nānā i nā ʻōpū o ka ʻōpū. ʻO kahi laparoscope kahi lōʻihi lōʻihi a lahilahi me kahi kukui uila kiʻekiʻe a me kahi kāmela hoʻonā kiʻekiʻe ma mua. Hoʻokomo ʻia ka mea kani ma o kahi ʻoki i ka paia o ka ʻōpū. Ke neʻe nei, hoʻouna ka kāmela i nā kiʻi i kahi nānā wikiō.

ʻAe ʻo Laparoscopy i kāu kauka e ʻike i loko o kou kino i ka manawa maoli, me ka wehe ʻole o ke kaha. Hiki i kāu kauka ke loaʻa nā laʻana biopsy i kēia kaʻina hana.

No ke aha e hana ai i ka laparoscopy?

Hoʻohana pinepine ʻia ʻo Laparoscopy e ʻike a kuhikuhi i ke kumu o ka ʻeha pelvic a i ʻole ka ʻeha. Hana maʻamau ia ke hiki ʻole i nā ʻano hana noninvasive ke kōkua me ke kuhi.

I nā manawa he nui, hiki ke ʻike ʻia nā pilikia ʻōpū me nā ʻenehana kiʻi e like me:

• ultrasound, e hoʻohana nei i nā nalu kani kani pinepine e hana i nā kiʻi o ke kino
• ʻO CT scan, kahi mahele o nā kukuna X kūikawā e lawe i nā kiʻi ʻāpana o ke kino
• MRI scan, hoʻohana i nā mākēneki a me nā nalu lekiō e hana i nā kiʻi o ke kino

Hana ʻia ʻo Laparoscopy ke hāʻawi ʻole kēia mau hoʻāʻo i ka lawa o ka ʻike a i ʻole ka ʻike no kahi kuhi. Hiki ke hoʻohana ʻia ke kaʻina hana e lawe i kahi biopsy, a i ʻole kahi laʻana o nā kiko, mai kahi mea kikoʻī i loko o ka ʻōpū.

Hiki i kāu kauka ke koi aku i ka laparoscopy e nānā i nā ʻano aʻe:

• pakui
• ʻūpā
• ake
• pākaʻa
• ʻōpū liʻiliʻi a me ka ʻōpū nui (kolona)
• ʻāpala
• ʻōpū
• pelvic a i ʻole nā ​​mea hoʻohua hānau

Ma ka nānā ʻana i kēia mau wahi me kahi laparoscope, hiki i kāu kauka ke hoʻomaopopo:

• kahi ʻōpū a i ʻole tumo
• wai i loko o ka lua o ka ʻōpū
• maʻi maʻi ate
• ka maikaʻi o kekahi mau ʻano hana
• ke kekelē i holomua ai kahi maʻi ʻaʻai

Pēlā nō, hiki i kāu kauka ke hana i kahi hoʻopili e mālama i kou ʻano ma hope koke o ka ʻike.

He aha nā pilikia o ka laparoscopy?

ʻO nā makaʻi maʻamau e pili ana i ka laparoscopy ke kahe ʻana o ke kahe, ka maʻi, a me ka poino o nā ʻōpū i kou ʻōpū. Eia nō naʻe, he hanana laha ʻole kēia.

Ma hope o kāu kaʻina hana, he mea nui e nānā i nā hōʻailona o ka maʻi. Kāhea aku i kāu kauka inā ʻike ʻoe:

• fiva a haʻalulu paha
• ʻeha o ka ʻōpū e lilo i mea ikaika i ka manawa
• ʻulaʻula, pehu, kahe ʻana o ke kahe, a i ʻole ka hoʻokahe ʻana i ka wai i nā wahi ʻokiʻoki
• nausea mau a i ʻole ka luaʻi
• ʻū mau
• pokole o ka hanu
• hiki ʻole ke mimī
• ʻālohilohi

Aia kekahi wahi liʻiliʻi o ka hōʻino ʻana i nā ʻokena e nānā ʻia i ka wā laparoscopy. E kulu paha ke koko a me nā wai ʻē aʻe i loko o kou kino inā pahu ʻia kahi meaola. I kēia hihia, pono ʻoe i kahi ʻokiʻoki ʻē aʻe e hoʻoponopono i ka pohō.

ʻO nā pilikia liʻiliʻi e hoʻopili ʻia:

• nā pilikia mai ka anesthesia ākea
• pehu o ka paia ʻōpū
• kahi kīʻaha koko, hiki ke hele i kāu pelvis, nā wāwae, a i ʻole nā ​​ake māmā

I kekahi mau kūlana, manaʻo paha kāu kauka lāʻau he kiʻekiʻe loa ka makaʻu o ka laparoscopy diagnostic e hōʻoia i nā pono o ka hoʻohana ʻana i kahi hana hoʻohaʻahaʻa minimally. Kū pinepine kēia hanana no ka poʻe i loaʻa i nā ʻōpū o ka ʻōpū ma mua, kahi e hoʻonui ai i ka makaʻu o ka hoʻopili ʻana ma waena o nā hale i loko o ka ʻōpū. ʻO ka hana ʻana i ka laparoscopy i ke alo o nā adhesions e ʻoi aku ka lōʻihi a hoʻonui i ka makaʻu o nā ʻeha ʻeha.

Pehea wau e hoʻomākaukau ai no ka laparoscopy?

Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a i ʻole nā ​​mea kūʻai aku mai loko mai o ka counter āu e lawe nei. E haʻi aku kāu kauka iā ʻoe pehea e hoʻohana ʻia ai ma mua a ma hope o ke kaʻina hana.

Hiki i kāu kauka ke hoʻololi i ka mahele o nā lāʻau i hiki ke hoʻopili i ka hopena o ka laparoscopy. Hoʻopili kēia mau lāʻau:

• anticoagulants, e like me ka lahilahi o ke koko
• nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), me aspirin (Bufferin) a i ʻole ibuprofen (Advil, Motrin IB)
• nā lāʻau ʻē aʻe e hoʻopili i ke kāpili ʻana o ke koko
• lāʻau hoʻohi a lāʻau a papaʻai paha
• huaʻai K

Pono ʻoe e haʻi i kāu kauka inā hāpai ʻoe a manaʻo paha ʻoe ua hāpai. E hoʻēmi kēia i ka makaʻu o ka hōʻeha i kāu pēpē e ulu ana.

Ma mua o ka laparoscopy, hiki i kāu kauka ke kauoha i nā hoʻokolohua koko, urinalysis, electrocardiogram (EKG a i ʻole ECG), a me ka pahu X-ray. Hana paha kāu kauka i kekahi mau hoʻokolohua kiʻi, me kahi ultrasound, CT scan, a scan MRI paha.

Hiki i kēia mau hoʻāʻo ke kōkua i kāu kauka e hoʻomaopopo pono i ka maikaʻi ʻole e nānā ʻia ana i ka wā laparoscopy. Hāʻawi nā hopena i kāu kauka i alakaʻi alakaʻi i loko o kou ʻōpū. Hiki i kēia ke hoʻomaikaʻi i ka pono o ka laparoscopy.

E hōʻalo paha ʻoe i ka ʻai ʻana a me ka inu ʻana no ʻewalu mau hola ma mua o ka laparoscopy. Pono ʻoe e hoʻonohonoho no kahi ʻohana a i ʻole hoaaloha e hoʻokele iā ʻoe i ka home ma hope o ke kaʻina hana. Hana pinepine ʻia ʻo Laparoscopy me ka hoʻohana ʻana i ka anesthesia laulā, hiki iā ʻoe ke hiamoe a ʻaʻole hiki ke hoʻokele no kekahi mau hola ma hope o ke kaha ʻana.

Pehea e hana ai i ka laparoscopy?

Hana pinepine ʻia ʻo Laparoscopy ma ke ʻano he hana ma waho. ʻO kēia ka hiki iā ʻoe ke hoʻi i ka home i ka lā like me kāu ʻoki kino. Hana ʻia ia ma kahi haukapila a i ʻole kahi kikowaena o waho.

E hāʻawi ʻia paha ʻoe i ka anesthesia laulaha no kēia ʻano ʻoki. ʻO kēia ka mea e hiamoe ʻoe ma o ke kaʻina hana a ʻaʻole ʻoe e ʻike i kahi ʻeha. No ka hoʻokō ʻana i ka anesthesia laulā, hoʻokomo ʻia kahi laina intravenous (IV) i kekahi o kou mau uaua. Ma o ka IV, hiki i kāu anesthesiologist ke hāʻawi iā ʻoe i nā lāʻau lapaʻau kūikawā a hāʻawi pū i ka hydration me nā wai.

I kekahi mau hihia, hoʻohana ʻia kahi anesthesia kūloko. Hoʻomaʻamaʻa kahi anesthetic kūloko i ka wahi, no laila ʻoiai e ala ʻoe i ka wā o ke ʻoki ʻana, ʻaʻole ʻoe e ʻeha.

I ka wā o ka laparoscopy, hana ka mea hoʻopuka i kahi ʻokiʻoki ma lalo o kou pihi ʻōpū, a laila hoʻokomo i kahi paipu liʻiliʻi i kapa ʻia he cannula. Hoʻohana ʻia ka cannula i mea e hoʻonui ai i kou ʻōpū me ke kinoea kalapona. Hāʻawi kēia gas i kāu kauka e ʻike maopopo i kāu ʻōpū ʻōpū.

Ke hoʻonui ʻia kou ʻōpū, hoʻokomo ka mea lapaʻau i ka laparoscope ma o ka ʻokiʻoki. Hōʻike ka pahu paʻi kiʻi i ka laparoscope i nā kiʻi ma ka pakuhi, e ʻae ai i kāu mau kino ke ʻike ʻia i ka manawa maoli.

Aia ka helu a me ka nui o nā ʻoki i nā maʻi kikoʻī e hoʻāʻo nei kāu kauka. ʻO ka maʻamau, loaʻa ʻoe mai hoʻokahi a i ʻehā mau ʻoki i kēlā me kēia ma waena o 1 a 2 kenimika ka lōʻihi. ʻAe kēia mau ʻoki i nā mea hana ʻē aʻe e hoʻokomo ʻia. ʻO kahi laʻana, pono paha i kāu kauka lāʻau e hoʻohana i kahi mea hana ʻokiʻoki ʻē aʻe e hana i kahi biopsy. I ka wā o kahi biopsy, lawe lākou i kahi liʻiliʻi o nā kiko mai kahi meaola e loiloi ai.

Ma hope o ka hana ʻana, wehe ʻia nā mea kani. A laila pani ʻia kāu mau ʻokiʻoki me nā humuhumu a i ʻole ka lipina ʻoki. Hiki ke kau ʻia nā bandages ma luna o nā ʻokiʻoki.

Pehea ka lōʻihi o ke ola ʻana mai ka laparoscopy?

Ke pau ke ʻoki, e nānā ʻoe no kekahi mau hola ma mua o kou hoʻokuʻu ʻia ʻana mai ka haukapila. ʻO kāu mau hōʻailona koʻikoʻi, e like me kou hanu ʻana a me ka helu o kou puʻuwai, e nānā pono ʻia. E nānā pū nā limahana o ka haukapila no nā hopena maikaʻi ʻole i ka anesthesia a i ʻole ke kaʻina hana, a me ka nānā no ke kahe lōʻihi ʻana.

E loli ka manawa o kou hoʻokuʻu ʻia. Aia ia i:

• kou kūlana kino holoʻokoʻa
• ke ʻano o ka anesthesia i hoʻohana ʻia
• ka hopena o kou kino i ke ʻoki kino

I kekahi mau hihia, pono paha ʻoe e noho i ka haukapila i ka pō.

Pono kahi lālā o kou ʻohana a hoaaloha paha e hoʻokele iā ʻoe i ka home inā loaʻa iā ʻoe ka anesthesia ākea. Lawe pinepine nā hopena o ka anesthesia ākea i mau hola e luhi, no laila hiki ke palekana ʻole ke hoʻokele ma hope o ke kaʻina hana.

I nā lā ma hope o ka laparoscopy, ʻike paha ʻoe i ka ʻeha kaulike a me ka ʻū ʻana i nā wahi i hana ʻia ai nā ʻokiʻoki. Pono e hoʻomaikaʻi ʻia kahi ʻeha a hōʻoluʻolu paha i loko o kekahi mau lā. Kau kauka paha i kau kauka e hoʻopakele i ka ʻeha.

ʻO ka mea maʻamau ka ʻeha o ka poʻohiwi ma hope o kāu kaʻina hana. ʻO ka ʻeha ka hopena o ke kinoea carbon dioxide i hoʻohana ʻia e hoʻonui i kou ʻōpū e hana i kahi hana no nā mea ʻoki lāʻau. Hiki i ke kinoea ke hoʻonāukiuki i kāu diaphragm, ka mea e kaʻana like i nā aʻalolo me kou poʻohiwi. Hoʻokumu pū paha ia i kahi ʻōpū. Pono e hele i ka hōʻoluʻolu i loko o nā lā ʻelua.

Hiki iā ʻoe ke hoʻomau hou i nā hana maʻamau āpau i loko o hoʻokahi pule. Pono ʻoe e hele i kahi manawa e ukali ai me kāu kauka ma kahi o ʻelua mau pule ma hope o ka laparoscopy.

Eia kekahi mau mea hiki iā ʻoe ke hana e hōʻoia i ka hoʻōla hou.

• E hoʻomaka i ka hana māmā i ka wā e hiki ai iā ʻoe, i mea e hōʻemi ai i kou makaʻi i ke koko koko.
• E kiʻi i ka hiamoe hou aʻe ma mua o kāu maʻamau.
• E hoʻohana i nā lozenges o ka puʻu e hoʻomāmā ai i ka ʻeha o ka ʻāʻī ʻeha.
• E ʻaʻahu i nā lole lole lino.

Nā hopena o ka laparoscopy

Inā lawe ʻia kahi biopsy, e nānā ka pathologist iā ia. ʻO kahi pathologist kahi kauka e loea i ka hoʻopili kikoʻī. E hoʻouna ʻia kahi hōʻike e hōʻike ana i nā hopena i kāu kauka.

Hōʻike nā hopena maʻamau mai ka laparoscopy i ka loaʻa ʻole o ka kahe ʻana o ka ʻōpū, hernias, a me nā wahi ʻōpū. ʻO lākou ka manaʻo he olakino kāu mau mea āpau.

Hōʻike nā hopena maʻamau ʻole mai ka laparoscopy i kekahi mau ʻano, e like me:

• adhesions a ʻoki kino scars
• hernias
• ʻōpala, kahi ʻōpala o nā ʻōpū
• fibroids, a i ʻole ulu ulu ʻole i ka kōpū
• cysts a i ʻole nā ​​tumors
• maʻi ʻaʻai
• cholecystitis, kahi hoʻāhu o ke au o ke au
• endometriosis, kahi maʻi kahi e ulu ai nā mea i hana i ka uhi o ka kōpū ma waho o ka kōpū
• ʻeha a hōʻeha paha i kekahi meaola
• maʻi pelvic inflammatory, kahi maʻi o nā ʻohana hānau

E hoʻonohonoho kāu kauka i kahi manawa me ʻoe e hele i nā hopena. Inā loaʻa kahi maʻi olakino koʻikoʻi, e kūkākūkā kāu kauka i nā koho lapaʻau kūpono me ʻoe a hana pū me ʻoe e noʻonoʻo me kahi hoʻolālā no ka hoʻoponopono ʻana i kēlā ʻano.