Hoʻomaopopo i ke kumu e weliweli ai ke ʻoki lula

Anter

• 7 pilikia nui o ka ʻoki lula
• 1. Nā kiko ulana a poni
• 2. Ke hōʻuluʻulu wai ʻana
• 3. Wehe i nā humuhumu
• 4. maʻi maʻi maʻi
• 5. Thrombosis
• 6. scars hana hewa
• 7. Hoʻoemi i ka ʻike
• Nā hopena nui o ka anesthesia
• Nā pilikia o ka anesthesia ākea
• Nā pilikia o ka anesthesia epidural a i ʻole anesthesia spinal
• Nā pilikia o ka maʻi anesthesia kūloko
• ʻO wai ka mea e hoʻomohala i nā pilikia?
• Pehea e hōʻemi ai i nā makaʻi o ka ʻoki lula

Hiki ke weliweli ke kīkō lika no ka mea hiki i kekahi mau pilikia ke ala aʻe, e like me ka maʻi, thrombosis a i ʻole haki nā kuʻi. Akā pinepine pinepine kēia mau pilikia i nā poʻe i loaʻa i nā maʻi mau, anemia a i ʻole lawe i nā anticoagulants e like me Warfarin a me Aspirin, no ka laʻana.

Eia kekahi, ʻoi aku ka manawa kūpono o nā kūpikipiki ke ʻoi aku ka lōʻihi o ke kīkē ma mua o 2 mau hola, i ka hihia o ka anesthesia ākea a i ʻole ke hoʻokō ʻia o kahi ʻoki nui, e like me ka abdominoplasty e ukali ʻia e ka umauma prostesis a me ka hoʻopili gluteal, no ka laʻana.

ʻO ke ala ʻoi loa e hōʻemi ai i ka pilikia o nā pilikia ma muli o ke kaha ʻana i ka plastic.

7 pilikia nui o ka ʻoki lula

ʻO kekahi o nā pilikia nui o ka ʻoki lula me:

1. Nā kiko ulana a poni

ʻO ka hoʻomohala ʻana o kahi hematoma ka hoʻopiʻi pinepine ʻana o ka ʻoki ea, i loaʻa ma muli o ka hōʻiliʻili ʻana o ke koko i ka wahi i hana ʻia, e hoʻoulu ana i ka ʻeha a me ka ʻeha. Eia hou, hiki ke ʻike ʻia nā kiko poni, no ka mea, haki nā kīʻaha koko i ka wā o ke ʻoki.

Hiki ke ʻike ʻia kēia mau pilikia i nā ʻoki lula āpau, ke hana pinepine ʻia i nā ʻoki ʻana e hoʻoponopono i nā lihilihi, e like me ka blepharoplasty, ke alo a i ʻole ka liposuction.

ʻOiai ʻo ia nā pilikia maʻamau a me ka haʻahaʻa haʻahaʻa, aia lākou i ka hapanui o nā hihia i maʻalahi e mālama ʻia me ka hoʻohana ʻana o ka hau a me ka noi ʻana o nā hamo e like me Trombofob a i ʻole Hirudoid, no ka laʻana a, nalo mālie lākou a hiki i 2 mau pule ma hope o ke ʻoki. Eia kekahi ʻōlelo aʻoaʻo maʻalahi no ka palapū.

2. Ke hōʻuluʻulu wai ʻana

Ke pehu, ʻili ʻulaʻula, ʻeha a me kahi ʻano fluctuation ma kahi pae scar, e ulu ana paha kahi komplication i kapa ʻia seroma.

I mea e hōʻalo ai i kēia pilikia, pono ia e hoʻohana i kahi kapa, hoʻopaʻa a i ʻole kaomi compressive i ka manawa postoperative, hoʻomaha a hoʻohana i kahi kahe e hoʻoneʻe i ka wai nui. I kekahi mau hihia, pono paha i kahi kahu hānai e huki i ka wai me kahi syringe e kōkua ai i ka hoʻōla.

3. Wehe i nā humuhumu

Hiki i ka wehe ʻana o nā humuhumu a i ʻole staples ke kumu o ka dehiscence, kahi e hoʻokaʻawale ʻia ai nā kihi o nā mea i hoʻohui ʻia a ʻoi aku ka nui o ka hopena o ka maʻi a hoʻonui ka manawa hoʻōla.

Hiki i kēia pilikia ke ala i ka wā e hana ai ke kanaka i nā neʻe nui i ka wā postoperative, ʻaʻole e hoʻokō i nā koena i koi ʻia e ke kauka a ʻoi aku ka maʻamau i nā hana ʻokiʻoki i loko o ka ʻōpū, e like me ka abdominoplasty.

4. maʻi maʻi maʻi

ʻOi aku ka maʻamau o ka maʻi a puni ka ʻili, akā hiki i kahi maʻi kūloko ke kū aʻe, e hana ana i nā ʻōuli e like me ka pehu ʻana, ʻeha, kuni a me ka pā. Eia hou, i ke ʻano o nā ʻoki lāʻau kahi i noi ʻia ai nā prostheses silikone, e like me ka hoʻonui ʻana i ka umauma, hiki ke hōʻole ʻia ka prostesis, a laila e hopena ʻia i kahi maʻi e pono ai ke mālama ʻia me ka hoʻohana ʻana o nā lāʻau i hōʻike ʻia e ke kauka.

5. Thrombosis

Ke kū mai ka thrombus a i ʻole ka ʻōpala, he mea maʻamau ka ʻike ʻana i ka pehu a me ka ʻehaʻeha loa i nā wāwae, keu hoʻi i ka bipi keiki, a me ka ʻili hinuhinu a purplish a, inā ʻaʻole mālama koke ʻia, hiki i nā ʻōpala ke neʻe i nā akemāmā e hoʻoulu ai i ka pulmonary embolism, a kūlana koʻikoʻi, a he mea make ia.

I mea e hōʻalo ai i kēia pilikia, pono ia e lawe i nā lāʻau anticoagulant, e like me Enoxaparin a neʻe i kou mau wāwae a me kou mau wāwae ke moe ʻoe i lalo, i ka hoʻomaha. E ʻike i nā ala ʻē aʻe i hiki ke pale i ka thrombosis o nā wāwae.

6. scars hana hewa

Hiki ke ʻike ʻia nā maka o ka mānoanoa, deformed a me keloid ma hope o kekahi ʻoki lula akā ʻoi aku ka nui o ka ʻili. Hoʻohui ʻia, hiki i nā puʻupuʻu ke hoʻomohala ma lalo o ka ʻili i kumu ʻia e ka hoʻokumu ʻia ʻana o kahi mea paʻakikī i kahi, e huki ai i ka ʻili.

I kekahi mau hihia, hiki ke ʻike ʻia nā scars retractable, ʻo ia ka wā e huki ai ka ʻili i loko a hana i puka ma kahi i hana ʻia. ʻO nā ala ʻoi loa e mālama ai i nā scars deformed ma o nā kau ʻana o ka physiotherapy a i ʻole he ʻoki kino hou e hoʻoponopono ai i ka ʻili.

7. Hoʻoemi i ka ʻike

ʻO ka nalo ʻana o ka naʻau i ka ʻāina i hana ʻia a ma luna o ka ʻili, hiki ke hana ʻia ma muli o ka pehu o ka ʻāina, akā e emi ana kēia ʻano i ka holo ʻana o ka manawa.

Ma waho o kēia 7 mau pilikia o ke kaha ʻili, hiki pū kekahi i ka nekrosis, ʻo ia ka make ʻana o nā pūnaewele ma muli o ka nele o ke koko a me ka oxygen a me ka perforation o nā meaola, akā ʻoi aku ka laha ʻole o kēia mau pilikia a pili i ka ʻike ʻole o ka lāʻau palekiko.

Nā hopena nui o ka anesthesia

Hana ʻia nā ʻoki lula āpau ma lalo o ka anesthesia e ālai ai i ka ʻeha a ʻae i ke kauka e hana pololei i ke kaʻina hana. Akā hiki i ka anesthesia ke kumu i nā pilikia ʻē aʻe.

• Nā pilikia o ka anesthesia ākea

ʻO nā hopena nui i hoʻokumu ʻia e ka anesthesia ākea, ʻo ia ka wā e lawe ai ka mea maʻi i nā lāʻau e hiamoe maikaʻi a hanu me ke kōkua o nā hāmeʻa, e komo pū me ka nausea a me ka luaʻi, ka mimi, kahe koko haʻahaʻa, ka luhi, ka luhi, ka hiamoe nui, ka haʻalulu a me ka ʻeha poʻo. I nā hihia ʻoi loa, hanu pilikia, infarction a i ʻole make make paha, akā kākaʻikahi kēia.

I mea e hōʻoluʻolu ai i nā ʻōuli a ke anesthesia laulā e hiki ai, hāʻawi pinepine ka kahu i nā lāʻau e hōʻoluʻolu i ka luaʻi a hoʻēmi i ka ʻeha, e kau i kahi catheter bladder e kōkua ai i ka mimiki me ka ʻole o ka paʻakikī, akā he mea nui nō hoʻi ia e hiamoe a hoʻomaha.

• Nā pilikia o ka anesthesia epidural a i ʻole anesthesia spinal

Hoʻokomo ʻia ka anesthesia Epidural i ka iwi kuamoʻo e alakaʻi i ka nalo ʻana o ka sensation i kahi ʻāpana o ka ʻōpū, nā pūhaka a me nā wāwae e kiaʻi ana i ke kanaka. ʻO nā hopena e pili ana i ka hoʻemi ʻana i ka ʻike o nā wāwae no ka manawa nui, kahi e hoʻonui ai i ka maka o ka hāʻule a me ke ahi. Hoʻohui ʻia, hōʻemi ʻia ke kaomi a me ka ʻeha o ke kua i ke kahua o ka nahu.

• Nā pilikia o ka maʻi anesthesia kūloko

ʻO ka anesthesia kūloko kahi mea e hopena ai i nā hopena ʻuʻuku loa, akā naʻe, hiki iā ia ke kumu i ka pehu, hoʻemi i ka ʻike a me nā palapū kahi i hāʻawi ʻia ai ka ʻume.

ʻO wai ka mea e hoʻomohala i nā pilikia?

Hiki i nā kānaka āpau ke hoʻomohala i nā pilikia i ka wā a ma hope paha o ka ʻoki lula ʻana, akā ʻo nā mea maʻi e loaʻa paha nā pilikia me:

• Makahiki ma mua o 60 makahiki;
• Nā maʻi maʻi, e like me hypertension, diabetes a i ʻole ka sleep apnea;
• ʻŌnaehana pale nawaliwali, e like me HIV +, maʻi ʻaʻai a i ʻole hepatitis;
• ʻO ka poʻe e lawe i nā anticoagulants a i ʻole nā ​​pilikia e like me nā veins varicose, thrombosis, anemia a i ʻole ka paʻakikī i ka hoʻopili ʻana a i ʻole ka hoʻōla ʻana;
• ʻOi aku ka nui o ka BMI ma mua o 29 a kiʻekiʻe o ka momona o ka ʻōpū.

Hoʻohui ʻia, ʻoi aku ka nui o nā pilikia o ka poʻe puhipaka a mea hoʻohana lāʻau paha a, i ka wā i loaʻa iā lākou nā pilikia i nā hana ʻē aʻe, ʻoi aku ka nui o ka makaʻi.

Pehea e hōʻemi ai i nā makaʻi o ka ʻoki lula

I mea e hōʻalo ai i nā pilikia i ke kau ʻana a i ʻole ka wā postoperative he mea nui ia ma mua o ka hana ʻana i ke ʻoki.

• Hana i nā loiloi olakino e like me ka hōʻoia piha koko a me ka electrocardiogram. E ʻike i nā hoʻāʻo nui āu e lawe ai.
• E hoʻēmi i ka nui o nā paka ka mea puhipaka a hoʻopau paha i ka puhipaka ma ka liʻiliʻi ma mua o 1 mau mahina ma mua o ke kaha ʻana, e hōʻalo i ka embolism pulmonary;
• Hōʻalo i ka lawe ʻana i ka pila 1 mahina ma mua o ke kaha ʻana, keu hoʻi inā ʻoi aku ke ʻoki ma mua o 4 mau hola, ʻoi aku ka lōʻihi, e hoʻēmi i ka maka o ka thrombosis;
• Hoʻoki i ka lawe ʻana i kekahi mau lāʻau, e like me ka aspirin i ka ʻōlelo a ke kauka e hōʻalo ai i nā pilikia;
• Lawe ʻana i nā lāʻau ʻaloʻalo ma mua o ke kaha ʻana, ma ka lāʻau lapaʻau.

I mea e hōʻemi ai i kēia mau pilikia, pono i kēlā me kēia mea e koho mau i kahi kauka lula i aʻo ʻia a hilinaʻi hoʻi a koho i kahi haukapila a i ʻole kahi haukapila i ʻike maikaʻi ʻia.