ʻOi aku ka liʻiliʻi o ka ʻōpū

Anter

• No ke aha wau e pono ai i kahi liʻiliʻi o ka ʻōpū?
• He aha nā makaʻina o kahi ʻōpū liʻiliʻi?
• Pehea wau e hoʻomākaukau ai no kahi kukuna liʻiliʻi?
• Pehea e hana ai i kahi ʻōpū liʻiliʻi?
• ʻOki kino wehe
• ʻOki kino Laparoscopic
• Ke hoʻopau nei i ke kaha
• Loaʻa hou ma hope o ke kaha ʻana
• He aha ka manaʻo lōʻihi?

He aha ka liʻiliʻi o ka ʻōpū?

Pono nui kou ʻōpū no ka mālama ʻana i ke olakino digestive maikaʻi. Kāhea ʻia hoʻi ka ʻōpū liʻiliʻi, omo lākou i nā meaola a me nā wai e ʻai ai ʻoe a inu ai hoʻi. Hāʻawi lākou i nā huahana neoneo i ka ʻōpū nui.

Hiki i nā pilikia me ka hana ke hoʻokau i kou olakino. Pono ʻoe i ke ʻoki e wehe i kahi ʻāpana i hōʻino ʻia o kou ʻōpū liʻiliʻi inā loaʻa ʻoe i nā maʻi kōpū a i ʻole nā ​​maʻi ʻōpū ʻē aʻe. Kapa ʻia kēia ʻoki kino me kahi ʻōpū liʻiliʻi.

No ke aha wau e pono ai i kahi liʻiliʻi o ka ʻōpū?

Hiki i nā ʻano ʻokoʻa ke hoʻopōʻino i kou ʻōpū. I kekahi mau hihia, hiki i kāu kauka ke koi aku e hemo i kahi o kou ʻōpū liʻiliʻi. I nā hihia ʻē aʻe, e hemo paha kahi ʻāpana o kou ʻōpū e hōʻoia a hōʻole paha i kahi maʻi ke koi ʻia kahi "diagnose tissue".

Nā kūlana e koi ai i ke kahakaha:

• kahe, ka maʻi, a i ʻole nā ​​maʻi ʻeha nui i loko o ka ʻōpū liʻiliʻi
• blockage i loko o nā ʻōpū, hānau hānau paha (aia ma ka hānau ʻana) a i ʻole mai nā ʻili maka
• ʻōpū noncancerous
• polyps precancerous
• maʻi ʻaʻai
• ʻeha i ka ʻōpū liʻiliʻi
• ʻO kā Meckel divertikulum (kahi ʻeke o ka ʻōpū i kēia manawa i ka wā hānau)

ʻO nā maʻi i kumu i ka palahū i loko o nā ʻōpū e koi paha i ke ʻoki. ʻO nā ʻano e like me:

• Maʻi ʻo Crohn
• ileitis āpana
• enteritis āpana

He aha nā makaʻina o kahi ʻōpū liʻiliʻi?

Loaʻa nā pilikia i kēlā me kēia ʻoki kino, e like me:

• ke koko i nā wāwae
• paʻakikī i ka hanu ʻana
• pulumonia
• nā hopena i ka anesthesia
• kahe ana ke koko
• maʻi maʻi
• maʻi hohola
• hahau
• poino i nā hale e pili ana

E hana ikaika kāu kauka a me kāu hui mālama i mea e pale aku ai i kēia mau pilikia.

Nā pilikia e pili ana i ke kaha ʻōpū liʻiliʻi:

• pākī pinepine
• kahe ana o ka ʻōpū i loko o ka ʻōpū
• ʻohiʻohi i ka ʻōpū, i ʻike ʻia me kahi abscess intra-ʻōpū (kahi e koi ai i ka hoʻoiho wai)
• ʻōpū e hoʻokuke nei i loko o ka ʻoki i loko o kou ʻōpū (hernia incisional)
• nāʻiʻo ʻōniʻoniʻo e hana i kahi poli o ka ʻōpū e koi ana i kahi ʻoki hou aʻe
• pōkole bowel syndrome (nā pilikia e omo ana i nā wikamina a me nā meaola)
• kulu i kahi e hoʻohui hou ʻia ai ka ʻōpū liʻiliʻi (anastomosis)
• nā pilikia me stoma
• haki ʻoki ʻana (dehiscence)
• maʻi o ka ʻokiʻoki

Pehea wau e hoʻomākaukau ai no kahi kukuna liʻiliʻi?

Ma mua o ke kaʻina hana, loaʻa iā ʻoe kahi hōʻike kino holoʻokoʻa. E hōʻoia kāu kauka ke loaʻa nei ʻoe i ka lāʻau lapaʻau maikaʻi no nā ʻano olakino ʻē aʻe, e like me ke koko kiʻekiʻe a me ka maʻi kō. Inā puhi ʻoe, pono ʻoe e hoʻāʻo e kū i mau mau pule ma mua o ke kahakaha ʻana.

E haʻi i kāu kauka inā lawe ʻoe i nā lāʻau a me nā wikamina. E ʻōlelo pono i nā lāʻau e lahilahi i kou koko. Hiki i kēia ke kumu i nā pilikia a me ke kahe nui ʻana i ka wā o ke ʻoki. ʻO nā laʻana o nā lāʻau lapaʻau hōʻemi koko e like me:

• Warfarin (Coumadin)
• clopidogrel (Plavix)
• aspirin (Bufferin)
• ibuprofen (Motrin IB, Advil)
• naproxen (Aleve)
• wikamina E

E hoʻomaopopo i kāu kauka inā ua hele koke ʻoe i ka haukapila, e ʻike i ka maʻi, a i ʻole he kuni ka maʻi ma mua pono o ke kaha ʻana. Pono ʻoe e hoʻolohi i ke kaʻina hana e pale ai i kou olakino.

ʻAi i kahi papaʻai maikaʻi o nā meaʻai fiber kiʻekiʻe a inu i ka wai he nui i nā pule ma mua o ke kahakaha ʻana. Ma mua pono o ke kaha ʻana, pono ʻoe e pili i ka papa wai i nā wai piha (broth, wai momona, wai). Pono paha ʻoe e lawe i ka laxative e hoʻomaʻemaʻe i kou ʻōpū.

Mai ʻai a inu paha ma mua o ke kaha ʻana (e hoʻomaka ana ma ke aumoe i ka pō ma mua). Hiki i ka meaʻai ke hana i nā pilikia me kāu anesthesia. Lōʻihi paha kēia i kou noho ʻana i ka haukapila.

Pehea e hana ai i kahi ʻōpū liʻiliʻi?

Pono ka anesthesia ākea no kēia ʻoki kino. E hiamoe ʻoe a ʻaʻohe ʻeha i ka wā o ka hana. Kaukaʻi ʻia i ke kumu o ke kaha ʻana, hiki ke kaʻina hana ma waena o hoʻokahi a me ʻewalu mau hola.

Aia he ʻano nui ʻelua o ka liʻiliʻi o ka ʻōpū: hāmama ākea a i ʻole ʻoki laparoscopic.

ʻOki kino wehe

Pono kahi ʻoki ākea i kahi kauka e hana i kahi ʻoki i loko o ka ʻōpū. Aia ka wahi a me ka lōʻihi o ka ʻoki i nā ʻano like ʻole e like me ka wahi kikoʻī o kou pilikia a kūkulu i kou kino.

ʻIke kāu kauka lapaʻau i ka ʻāpana i hoʻopili ʻia o kou ʻōpū liʻiliʻi, hoʻopaʻa iā ia, a lawe aku iā ia.

ʻOki kino Laparoscopic

Hoʻohana ka laparoscopic a i ʻole robotic ʻekolu a i ʻelima mau liʻiliʻi liʻiliʻi. Hoʻomaʻu mua kāu kauka lapaʻau i ka gas i loko o kou ʻōpū e hoʻoulu. Māmā kēia i ka ʻike.

Hoʻohana lākou i nā kukui liʻiliʻi, nā kāmera, a me nā pono hana liʻiliʻi e ʻike i ka wahi maʻi, kāwili ʻia, a hemo. I kekahi manawa kōkua ka lopako i kēia ʻano ʻoki.

Ke hoʻopau nei i ke kaha

I kēlā me kēia ʻano o ke kaha ʻana, kamaʻilio ka mea lapaʻau i nā wēlau hāmama o ka ʻōpū. Inā lawa ka maikaʻi o ka ʻōpū maikaʻi, e humuhumu ʻia a hoʻopaʻa ʻia paha nā ʻoki ʻoki ʻelua. Kapa ʻia kēia he anastomosis. ʻO ia keʻoki maʻamau.

I kekahi manawa ʻaʻole hiki ke hoʻohui hou ʻia ka ʻōpū. Inā kēia ka hihia, hana kāu kauka lāʻau i kahi wehe kūikawā i loko o kou ʻōpū i kapa ʻia he stoma.

Hoʻopili lākou i ka hopena o ka ʻōpū kokoke i kou ʻōpū i ka paia o kou ʻōpū. E kahe aku kou ʻōpū ma o ka stoma i loko o kahi ʻeke i hoʻopaʻa ʻia a i ʻole ʻeke hoʻokaʻawale. ʻIke ʻia kēia hana ma ke ʻano he ileostomy.

Noho ʻino paha ka ileostomy e ʻae hou i ka ʻōpū i lalo o ka ʻōnaehana e hoʻōla loa, a i ʻole he paʻa mau paha ia.

Loaʻa hou ma hope o ke kaha ʻana

Pono ʻoe e noho i ka haukapila no ʻelima a ʻehiku mau lā ma hope o ke kaha ʻana. I kou wā e noho ai, e loaʻa iā ʻoe kahi catheter i loko o kāu ʻōpū. E hoʻopau ka catheter i ka mimi i loko o kahi ʻeke.

E loaʻa pū kekahi paipu nasogastric iā ʻoe. Hele kēia paipu mai kou ihu i loko o kou ʻōpū. Hiki iā ia ke kahe i kāu ʻōpū inā pono. Hiki iā ia ke hāʻawi pololei i ka meaʻai i kou ʻōpū.

Hiki paha iā ʻoe ke inu i nā wai maopopo i ʻelua a ʻehiku lā paha ma hope o ke kaha ʻana.

Inā ua hoʻoneʻe kāu kauka lāʻau i ka nui o ka ʻōpū a i ʻole he ʻoki pōpilikia kēia, hiki paha iā ʻoe ke noho lōʻihi ma mua o hoʻokahi pule i ka haukapila.

Pono paha ʻoe e ʻai i ka meaʻai IV no kekahi manawa inā wehe kāu kauka lāʻau i kahi ʻāpana nui o ka ʻōpū liʻiliʻi.

He aha ka manaʻo lōʻihi?

Ola ka hapa nui o ka poʻe mai kēia ʻoki. ʻOiai inā he ileostomy kāu a pono ʻoe e ʻaʻa i kahi ʻeke hoʻokahe wai, hiki iā ʻoe ke hoʻomaka hou i ka hapa nui o kāu mau hana maʻamau.

Loaʻa paha ka palaho inā ua hemo kahi ʻāpana nui o kou ʻōpū. Hiki paha iā ʻoe ke loaʻa i kahi pilikia ke omo i nā mea momona mai nā meaʻai āu e ʻai ai.

ʻO nā maʻi hōʻeha e like me ka maʻi o Crohn a i ʻole ka maʻi ʻaʻai liʻiliʻi e koi hou aku i ka lāʻau lapaʻau ma mua o kēia ʻoki.