Sphincterotomy

Anter

• Hōʻike Overview
• Pahuhopu
• Ke Kaʻina Hana
• Hoʻoiho
• Nā hopena a me nā pilikia kūpono o ka sphincterotomy
• Outlook

Hōʻike Overview

ʻO kahi sphincterotomy kūloko kahi hana maʻalahi i ka manawa e ʻoki ai a kīhaʻi ʻia ai ka sphincter. ʻO ka sphincter ka pūʻulu puni o nā mākala e hoʻopuni ana i ka anus ke kuleana no ka kaohi ʻana i nā ʻōpū o ke ʻōpū.

Pahuhopu

ʻO kēia ʻano sphincterotomy kahi lapaʻau no ka poʻe i ʻeha i nā ʻāpana anal. Wāwahi a wāwahi paha nā ʻāpana anal i ka ʻili o ka canal anal. Hoʻohana ʻia kahi sphincterotomy ma ke ʻano he hopena hope loa no kēia ʻano, a paipai pinepine ʻia ka poʻe ʻike i nā ʻāpana anal e hoʻāʻo i kahi papaʻai fiber kiʻekiʻe, nā palupalu palu, a me Botox mua paha. Inā koʻikoʻi nā hōʻailona a mai pane paha i kēia mau ʻano hana, e hāʻawi ʻia paha kahi sphincterotomy.

Nui a hewahewa nā kaʻina hana e hana pinepine ʻia ma ka ʻaoʻao o kahi sphincterotomy. Hoʻopili kēia i kahi hemorrhoidectomy, a fissurectomy, a me kahi fistulotomy. E nānā pono ʻoe me kāu kauka e ʻike pono i nā kaʻina hana e hana ʻia ai a no ke aha.

Ke Kaʻina Hana

I ka wā o ke kaʻina hana, hana ka mea lapaʻau i kahi ʻoki liʻiliʻi i loko o ka sphincter anal o loko. ʻO ka pahuhopu o kēia ʻokiʻoki e hoʻokuʻu i ka haunaele o ka sphincter. Ke kiʻekiʻe loa ke kaomi, ʻaʻole hiki i nā māwae anal ke hoʻōla.

Hiki ke hana ʻia kahi sphincterotomy ma lalo o ke anesthetic kūloko a i ʻole ka laulā maʻamau, a ʻae ʻia ʻoe e hoʻi i ka home i ka lā like e like me ka ʻoki ʻana.

Hoʻoiho

Ma kahi o ʻeono mau pule e hoʻomaʻemaʻe piha ai kou anus, akā hiki i ka hapanui o nā kānaka ke hoʻomaka hou i kā lākou hana maʻamau e like me ka hana ʻana i loko o hoʻokahi a ʻelua pule paha ma hope o ke kaha ʻana.

ʻO ka hapanui o ka poʻe ʻike i ka ʻeha a lākou e loaʻa nei mai kā lākou anal fissure ma mua o ke ʻoki ʻana ua nalowale i loko o kekahi mau lā o ka loaʻa ʻana o kā lākou sphincterotomy. Hopohopo ka nui o ka poʻe no ka neʻe ʻana o ko lākou ʻōpū ma hope o ke kaha ʻana, a ʻoiai maʻamau ka ʻike ʻana i kekahi ʻeha i ka neʻe ʻana o ka ʻōpū i ka wā mua, ʻoi aku ka liʻiliʻi o ka ʻeha ma mua o ka hana. He mea maʻamau nō hoʻi ke nānā i kekahi koko ma ka pepa holoi ma hope o ka neʻe ʻana o ka ʻōpū no kekahi mau pule mua.

Nui nā mea hiki iā ʻoe ke hana e kōkua i ke kōkua ʻana i kāu ola ʻana:

• E hoʻomaha nui.
• E hoʻāʻo e hele wāwae iki i kēlā me kēia lā.
• E hāhai i nā ʻōlelo aʻoaʻo a kāu kauka no ka wā hiki iā ʻoe ke kaʻa hou.
• ʻO kaʻauʻau a ʻauʻau paha e like me ka maʻamau, akā e hoʻomaloʻo i kou wahi anal ma hope.
• E inu nui i nā wai.
• ʻAi i ka papaʻai kiʻekiʻe-fiber.
• Inā ʻoe e hakakā nei me ka constipation, e nīnau i kāu kauka e pili ana i ka lawe ʻana i ka laxative mālie a i ʻole ka palupalu palupalu.
• Lawe i kāu mau lāʻau ʻeha e like me ka mea i wehewehe ʻia.
• Noho ma kahi o 10 mau kenimika o ka wai mehana (sitz bath) ʻekolu mau manawa i kēlā me kēia lā a me ka ukali ʻana i ka ʻōpū a hiki i ka emi ʻana o ka ʻeha ma kāu ʻāpana.
• Ke hoʻāʻo nei e neʻe i kou ʻōpū, e hoʻohana i kahi ʻanuʻu liʻiliʻi e kākoʻo i kou mau wāwae. E loli kēia i kou pūhaka a kau i kou pelvis i kahi kūlana squatting, hiki ke kōkua iā ʻoe e hana maʻalahi i kahi pahu
• ʻO ka hoʻohana ʻana i nā holoi pēpē ma kahi o ka pepa ʻauʻau ka mea e ʻoluʻolu pinepine a ʻaʻole hoʻonāukiuki i ke anus.
• Hōʻalo i ka hoʻohana ʻana i nā kopa ala.

Nā hopena a me nā pilikia kūpono o ka sphincterotomy

ʻO kahi sphincterotomy kūloko kahi hana maʻalahi a hana ākea a maikaʻi loa i ka mālama ʻana i nā māwae anal.ʻAʻole maʻamau no ka loaʻa ʻana o nā hopena ʻē aʻe ma hope o ke kahakaha ʻana, akā aia lākou i loko o kahi hanana kakaʻikahi loa.

He mea maʻamau ia no ka poʻe e ʻike i ka incontinence fecal liʻiliʻi a me ka paʻakikī e kaohi ʻana i ka palahalaha i nā pule koke ma hope o ke kaha Hoʻoholo maʻamau kēia hopena ʻaoʻao iā ia iho e like me ka hoʻōla ʻana o kou anus, akā aia kekahi mau hihia kahi e kū mau ai.

Hiki iā ʻoe ke hemorrhage i ka wā o ka hana a koi pinepine kēia i nā humuhumu.

Hiki nō hoʻi iā ʻoe ke hoʻomohala i kahi abscess perianal, akā pili pinepine ʻia kēia me kahi fistula anal.

Outlook

ʻO kahi sphincterotomy kūloko kahi hana maʻalahi i hōʻike ʻia e kūleʻa nui i ka mālama ʻana i nā māwae anal. Paipai ʻia ʻoe e hoʻāʻo i nā ʻano hana ʻē aʻe ma mua o ke kaha ʻana, akā inā ʻaʻole maikaʻi kēia mau mea, e hāʻawi ʻia ʻoe i kēia kaʻina hana. Pono ʻoe e hoʻōla wikiwiki mai kahi sphincterotomy a nui nā hōʻoluʻolu hiki iā ʻoe ke hoʻohana ʻoiai ʻoe e hoʻōla nei. ʻAno loa ka hopena a hiki ke mālama ʻia inā kū lākou.