Mea Kākau: John Stephens
Lā O Ka Hana: 22 Ianuali 2021
HōʻAno Hou I Ka Lā: 17 Aukake 2025
Anonim
The EXCRUCIATING Anatomy of Bowel Obstructions
Wikiō: The EXCRUCIATING Anatomy of Bowel Obstructions

Anter

Loaʻa nā kānaka i ka peʻa no nā kumu he nui, he moʻomeheu paha, pilikino, a i ʻole no ka mea makemake lākou i ka hoʻolālā. Ke lilo nei nā peʻa i mea nui nui, me nā peʻa maka ke ulu nei i ka kaulana.

E like me ka nui o nā kumu e kiʻi ai ka poʻe i ka peʻa, nui nā kumu e makemake ai ka poʻe e hemo iā lākou.

ʻOiai kūmau nā peʻa, aia wale nō kēia i kahi pae. Hiki iā lākou ke hemo inā hoʻoholo ʻoe ʻaʻole ʻoe makemake hou iā lākou.

E nānā mākou i nā ala e hiki ai iā ʻoe ke hemo i ka peʻa, me ke kumukūʻai, pehea ka lōʻihi, a me nā mea hou aʻe.

ʻO nā moho maikaʻi loa no ka hemo ʻana o ka peʻa

ʻOi aku ka maʻalahi o nā kāhuna kahiko a me nā kāmeʻa amatir ("koʻokoʻo a poke") ma mua o nā mea hou.

ʻOi aku ka maʻalahi o kekahi mau kala e hemo ma mua o kekahi. Pākuʻi ʻia kēia mau mea:

  • eleʻele
  • palaunu
  • uliuli polū
  • ōmaʻomaʻo

ʻO nā peʻa nui, ʻeleʻele, nui aku nā kala iʻoi aku ka lōʻihi o ka manawa a me ke kumukūʻai e hemo ai ma mua o nā kiʻi liʻiliʻi, māmā, a me nā liʻiliʻi o ke kala.


Ma muli o ka makaʻu o nā hopena ʻaoʻao, ʻoi aku ka paʻakikī o ka hemo ʻana i nā peʻa inā loaʻa iā ʻoe:

  • ʻili ʻeleʻele
  • kahi ʻano ʻili preexisting, e like me ka eczema
  • kahi kūlana olakino e hoʻopili i ka ʻili, e like me herpes

Eia naʻe, ʻaʻole kēia manaʻo ʻaʻole hiki iā ʻoe ke hemo i kāu peʻa inā pili kēia iā ʻoe. Pono ia e pono ʻoe e lawe i kahi manawa hou aʻe e ʻike i kahi koho hemo maikaʻi loa nāu.

Hiki i kāu mea mālama ola ke kōkua iā ʻoe inā he olakino kou. ʻO kahi laʻana, hiki iā lākou ke kuhikuhi i nā lāʻau antiviral e pale aku i kahi kaʻina hana hemo mai ka hoʻoulu ʻana i kahi herpes flare-up. Hiki iā lākou ke kuhikuhi iā ʻoe i kahi dermatologist no ke alakaʻi hou aku.

Pehea e hana ai ka hoʻoneʻe laser?

Manaʻo ka hapanui o ka poʻe loea i ka hemo ʻana o ka laser i ke ala kūleʻa a me ke kumu kūʻai kūpono loa e hemo ai nā kāhuna.

I kēia lā, hemo ka hapa nui o nā kāmeʻa me kahi laser Q-switch. Hoʻouna ia i ka ikehu i hoʻokahi pulse ikaika. Hoʻomaʻamaʻa kēia paila o ka ikehu i ka inika i kou ʻili e hoʻoheheʻe iā ia.


Pono ʻoe e loaʻa i kekahi mau ʻano hana laser i mau pule he nui a ʻoi aku paha ka lōʻihi e hemo ai kāu peʻa.

ʻO ka manawa pinepine, ʻaʻole nā ​​kukuna loa hemo i kahi peʻa. Ma kahi o lākou e hoʻomālamalama ai e mae iā ia no laila ʻaʻole ia e ʻike ʻia.

ʻO wai ka mea e hemo ai ka laser?

ʻOi aku ka paʻakikī o ka hemo ʻana i nā kūpeʻe me nā waihoʻoluʻu he nui. Koi paha lākou i ka mālama ʻana me nā laser a me nā nalu ʻokoʻa e maikaʻi.

ʻO nā moho maikaʻi loa no ka hemo ʻana o ka laser kuʻuna ka poʻe me ka ʻili māmā. ʻO kēia no ka mea hiki i ka mālama ʻana i ka laser ke hoʻololi i ke kala o ka ʻili ʻeleʻele.

Inā loaʻa iā ʻoe ka ʻili ʻeleʻele, ʻo kāu koho laser maikaʻi ʻo Q-Switched Nd: YAG kukuna lapaʻau. Hiki ke hoʻololi iki i ke kala o ka ʻili ʻeleʻele.

Hoʻomau ka make o nā peʻa kahiko me ka hoʻomaʻamaʻa laser. ʻOi aku ka paʻakikī o ka wehe ʻana i nā kāmeʻa hou.

Ehia na kumukuai?

ʻO ke kumukūʻai o ka hemo ʻana o ka peʻa laser ma muli o ka nui, kala, a me nā makahiki o kou peʻa.

Wahi a ka American Society for Aesthetic Plastic Surgery, ʻo ke kumukūʻai awelika no ka hemo ʻana o ka laser he $ 463.


ʻAʻole uhi ʻia ka hemo ʻana o ka peʻa e ka hapa nui o nā ʻoihana inikua no ka mea ua manaʻo ʻia ia he hana hoʻonani.

He aha ke ʻano o ka hemo ʻana o ka laser?

Hiki iā ʻoe ke kiʻi i ka hemo ʻana o ka laser ma kahi keʻena hoʻokalakupua. E hoʻomaʻamaʻa kahi ʻenehana laser i ka ʻili tattoo me kahi anesthetic kūloko. A laila, hoʻopili lākou i ka laser i ka ʻili. Hele kahe ka ʻili, palu, a pehu ma hope o kēlā me kēia kaʻina hana.

Hoʻomaʻa hou ʻia kēia hana i nā kau he nui a hiki i kou hauʻoli me ka nui o kāu peʻa i mae.

Hoʻololi ka papa maʻamau o ka mālama ʻana i kēlā me kēia kanaka. Ma ka laulā, ʻeono a ʻewalu paha mau kau e hemo ai i kahi peʻa me ka mālama ʻana i ka laser. E kali ʻoe i ʻeono a ʻewalu mau pule ma waena o nā kau no nā hopena maikaʻi loa.

Mālama hope

E hāʻawi aku kāu mea loea iā ʻoe i nā kuhikuhi ma hope o ka mālama ʻana.

Ma ka laulā, hoʻopili i ka hamo antibacterial i kou ʻili no kekahi mau lā ma hope o kēlā me kēia kaʻina hana. E kōkua ka mea hamo i ka hoʻōla ʻana i kou ʻili a hoʻemi i ka hopena o ka maʻi. Hoʻololi i ka lole ʻeha i kēlā me kēia manawa a kau i ka hamo.

No ka liʻiliʻi o ʻelua mau pule aʻe:

  • E mālama i ka wahi i hoʻomaʻemaʻe a maloʻo.
  • Hōʻalo i nā kapa paʻa.
  • Hōʻalo i ka hōʻike ʻana i kahi i mālama ʻia e kuhikuhi pono i ka lā.
  • Mai koho i nā ʻōpala a i ʻole nā ​​palapū i kēia ʻano.

Scarring a me nā pilikia ʻē aʻe

ʻIke kekahi poʻe i ka scarring. I mea e hōʻemi ai i kou makaʻu no ka scarring, mai koho i kahi e hoʻōla ai. Eia kekahi, e mālama pono i nā ʻōlelo aʻoaʻo a me nā ʻōlelo aʻoaʻo a kāu mea hāʻawi.

Pehea e hiki ai i ka hoʻoneʻe ʻoki ʻana ke kōkua?

ʻO ka hemo ʻana, kahi i kapa ʻia he excision tattoo tattoo, e pili ana i ka ʻoki ʻana i ka ʻili kuʻi a me ka humuhumu pū ʻana o nā ʻili i koe.

ʻO ka hemo ʻana i ke ʻoki loa ke ʻano ʻoi loa o ka hemo ʻana o ka mika. Eia nō naʻe, ʻo ia wale nō kahi hana surefire o ka hemo loa ʻana o kahi peʻa.

ʻO wai ka mea pono e hemo i kahi ʻoki?

ʻO ka hemo ʻana he hana maikaʻi loa ia no ka hemo ʻana i kahi peʻa i makemake ʻole ʻia. ʻOi aku ka liʻiliʻi o ke kumukūʻai ma mua o kekahi o nā koho ʻē aʻe. Eia nō naʻe, e waiho kahi wehe ʻana i kahi ʻili, no laila ʻoi aku ka makemake ʻia no nā peʻa liʻiliʻi.

Ehia na kumukuai?

ʻO ke kumukūʻai o ka hemo ʻana o ka peʻa ʻoki kino e ʻoi aku ka haʻahaʻa ma mua o ka wehe ʻana o ka laser a me dermabrasion.

Kaukaʻi ʻia i ka nui o ka peʻa, hiki ke lawe ʻia i ka hana ʻoki kino ma waena o $ 150 a $ 350, e like me ka St. Joseph's Plastic Surgery Center.

Ma muli o ka hemo ʻana o ka peʻa i manaʻo ʻia he hana cosmetic, ʻaʻole uhi pinepine ka ʻinikua iā ia.

He aha ke ʻano o ka hemo ʻana o ka ʻoki kino?

Hiki ke hana i ke kaʻina hana i kahi keʻena ʻoki lula. I ka wā o ke kaʻina hana, e hoʻopili kahi lāʻau lapaʻau i kou ʻili me kahi anesthetic kūloko i ʻole ʻoe e ʻeha.

E hoʻohana lākou i kahi mea ʻoiʻoi, kniflike i kapa ʻia he scalpel e ʻoki i ka ʻili peʻa. A laila, e humuhumu pū lākou i ka ʻili i koe.

ʻO ke kaha ʻana e hemo i ka peʻa e lawe i hoʻokahi a i mau mau hola, ke kaukaʻi ʻia i ka nui o ka peʻa a me ke ʻano o ka hoʻoponopono o ke kauka. Lawe pinepine ia i mau pule no ka pūnaewele o kāu hemo ʻana e hoʻōla.

Mālama hope

E hāʻawi aku kāu kauka lāʻau iā ʻoe i nā kuhikuhi ma hope o ka mālama ʻana.

Ma ka laulā, hoʻopili i ka hamo i kuhikuhi ʻia a i ʻole i ʻōlelo ʻia no kekahi mau lā ma hope o ke kaʻina hana e kōkua ai e hōʻola i kou ʻili a pale i ka maʻi. E hoʻomaʻemaʻe i ka pūnaewele a ma waho o ka lā no ʻelua mau pule paha.

Scarring a me nā pilikia ʻē aʻe

ʻO kēlā me kēia mea e koho i ka hemo ʻana o ka lāʻau ʻoki kino i ka scarring. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i ka makaʻu o ka scarring koʻikoʻi.

E mālama pono i nā ʻōlelo aʻo a kāu kauka lapaʻau no nā hopena maikaʻi loa. Mai koho ma ka pūnaewele, a pale i nā hana ikaika e hoʻokau i ka pīhoihoi ma ia wahi ma hope koke o ke kaha ʻana.

Pehea e hiki ai i dermabrasion ke kōkua?

Hoʻopili ka Dermabrasion i ka hoʻohana ʻana i kahi mea hana sanding e wehe i nā ʻili o ka ʻili e ʻae i ka inika e hemo.

ʻO Dermabrasion kahi koho wehe tattoo liʻiliʻi. Hoʻololi ka hopena o ka hopena mai kekahi kanaka a kanaka. Hiki iā ia ke hemo i ka hapa nui o ka peʻa e kū nei.

ʻO wai ka mea e loaʻa dermabrasion?

ʻAʻole koi ʻia ʻo Dermabrasion no ka poʻe me ka ʻili koʻikoʻi a i ʻole nā ​​ʻili e like me ka eczema.

Hiki i nā mea lahilahi ke hoʻokau iā ʻoe i ka makaʻu no ke kahe ʻana o ke koko, ʻeha a me nā loli i kou kala ʻili inā loaʻa ʻoe i ka dermabrasion.

ʻOi aku ka makaʻu o ka poʻe nona ka ʻili ʻeleʻele no ka loli ʻana o ka ʻili o ka ʻili.

Ehia na kumukuai?

ʻOkoʻa ke kumukūʻai o dermabrasion i ka nui a me ka pena o kāu peʻa.

Wahi a ka American Society for Dermatologic Surgery, hiki ke hōʻemi ʻia ke kumukūʻai no dermabrasion mai nā haneli a i nā tausani kālā. E hoʻomanaʻo i kēia helu e pili ana i nā mālama āpau e pono ai e hemo loa i ka peʻa.

He aha ke dermabrasion?

I loko o kahi kau dermabrasion maʻamau, e hoʻomaʻalili a namu paha kahi mea kauka i kou ʻili me kahi anesthetic kūloko e hōʻemi ai i kahi ʻeha. E hoʻohana lākou i kahi mea hana abrasive rotating wikiwiki i ke one i luna o nā papa o ka ʻili e hoʻokuʻu i ka ʻīnika tattoo.

Hana pinepine ʻia ka Dermabrasion i ka manawa o ke kaʻina hana ma ke keʻena o ka cosmetic surgeon. Aia ka lōʻihi o ke kaʻina hana i ka nui a me ke kala o kāu peʻa.

ʻO nā peʻa nui me nā kala he nui ma mua o hoʻokahi hola e mālama.

Mālama hope

Hiki paha i kāu kauka ke noi i ka noi ʻana i kahi kalima antibacterial i ka pūnaewele i mālama ʻia ke hoʻōla ia e hōʻalo i ka maʻi a hoʻemi i ka scarring.

E ʻeha a maka maka paha ka wahi i mālama ʻia no kekahi mau lā ma hope o ke kaʻina hana. ʻIke ʻulaʻula a ʻulaʻula paha kou ʻili i kēia wā.

Hiki ke hoʻolōʻihi piha i ʻelua a ʻekolu mau pule. ʻO ka ʻulaʻula o ka wahi i mālama ʻia e mae wale ma 8 a 12 mau pule.

E ʻōlelo paha kāu kauka iā ʻoe e:

  • Hōʻalo i ka lā pololei no ʻekolu a ʻeono mau mahina ma hope o ke kaʻina hana.
  • E noi i ka sunscreen i ka pūnaewele i kēlā me kēia manawa ma waho ʻoe.
  • Hōʻalo i ka hoʻokomo ʻana i ka lole paʻa ma ka pūnaewele a hiki i kona wā e hoʻōla ai.
  • Hōʻalo i ka pulu ʻana i ka pūnaewele i ka wai ke hoʻōla ia.

Scarring a me nā pilikia ʻē aʻe

ʻIke kekahi poʻe i ka scarring mai nā mālama dermabrasion. Hiki iā ʻoe ke hōʻemi i ka scarring e:

  • me ka hoʻohana ʻana i nā hamo i kuhikuhi ʻia
  • kau lole pale lā
  • pale ʻana i ka lā
  • me ka hoʻohana ʻana i nā aila anti-scarring a me nā kalima, ma hope o ka hoʻōla piha ʻana o ka pūnaewele

Ma hope o ka lapaʻau, dermabrasion ke kumu:

  • nā loli i ka waihoʻoluʻu o ka ʻili, e like me ka hoʻomālamalama, pouli, a me ka blotchiness
  • maʻi maʻi
  • ʻulaʻula, pehu, a kahe ʻana ke kahe
  • scarring mai ka hana maikaʻi ʻole dermabrasion

I mea e pale aku ai i kēia mau pilikia, e mālama pono i nā ʻōkuhi mālama hope a kāu kauka. E hōʻoia i ka laikini pono ʻana i ka laikini kūpono a me nā loiloi maikaʻi pū kekahi.

Hiki ke kōkua i nā kalima hoʻoneʻe?

ʻO nā kāmeka hoʻoneʻe kele ka loaʻa ākea a me ka koho liʻiliʻi loa. Aia kekahi kumu no ke aha: ʻAʻohe hōʻike paʻa e hana nei lākou.

Wahi a nā poʻe loea a me nā hōʻike anecdotal, ʻo ka mea ʻoi loa o kēia mau kalima e hoʻopau a hoʻomālamalama paha i ka peʻa.

Ma muli o ka makaʻu nui o ka huhū o ka ʻili a me ka hopena o ka maʻi āpau, ʻaʻole koi ka poʻe loea i ka hoʻohana ʻana i nā kalima hoʻoneʻe DIY e kāpae i kāu peʻa.

He aha e pili ana i ka uhi ʻana?

ʻO kahi koho ʻē aʻe e uhi i ka peʻa i makemake ʻole ʻia me kahi peʻa ʻē aʻe. ʻIke ʻia kēia ma ke ʻano uhi.

ʻAe, pili ia i ka hoʻohui ʻana i ka inika paʻa mau i kou ʻili, akā hiki ke hoʻohana ʻia e uhi i kahi peʻa āu e makemake ʻole ai.

ʻO wai e hoʻohana i ka hana uhi?

Hiki i kahi uhi ke lilo i kumu kūʻai kūpono, koho wikiwiki no ka huna ʻana i ka peʻa āu i loaʻa. He koho maikaʻi kēia hana inā ʻaʻole ʻoe makemake i ka hoʻolālā o kāu peʻa akā ʻaʻole ʻoe e noʻonoʻo i kahi peʻa ʻē aʻe.

Ehia na kumukuai?

Inā he mau kāka kou, ua kamaʻāina paha ʻoe me nā uku o nā mea pena kiʻi o kāu wahi.

Wahi a nā mea pena kiʻi ʻo Healthline i kamaʻilio pū me, hiki i kahi peʻa liʻiliʻi ke hoʻomaka ma kahi o $ 80. Hiki i nā ʻāpana nui keu aku ke holo i loko o nā kaukani.

Ma muli o ka hana ʻana o nā peʻe uhi i nā hoʻolālā hou a me ka manawa e kaʻi ai i kou ʻili, ʻoi aku paha ke kumukūʻai ma mua o kāu peʻa kumu.

He aha ke ʻano o ka uhi ʻana?

Ke noi aku ʻoe i kahi mea pena kiʻi e hana i kahi uhi, e hana pū lākou me ʻoe e hoʻolālā i kahi peʻa i hiki ke hoʻohana ʻia e hūnā i kāu mea i loaʻa.

Pili paha kēia i ka hoʻolālā ʻana i nā hoʻolālā me nā laina kaupaona, ʻoi aku ka malu, a i ʻole nā ​​ʻano ʻokoʻa. He mākaukau loa ka hapanui o nā mea pena kiʻi i ka hana ʻana i nā hoʻolālā hou e hūnā i nā kāmeʻa makemake ʻole ʻia.

Ma hope o kou ʻae ʻana i kahi hoʻolālā, e hoʻopili kāu mea pena kiʻi i ka uhi e like me kā lākou i hana ai i kāu peʻa kumu.

Hiki i nā peʻa ke lawe i mau minuke i mau hola i mau lā e hoʻopau ai, kaukaʻi ʻia i ka nui a me ke kikoʻī.

Mālama hope

E hāʻawi aku kāu mea pena kiʻi iā ʻoe i nā ʻōkuhi no ka mālama ʻana i kāu peʻa hou. E haʻi pū lākou iā ʻoe i ka lōʻihi e kali ai ma mua o ka hemo ʻana o ka bandage.

Ma ka laulā, holoi mālie ʻoe i ka peʻa me ke kopa ʻaʻala ʻole, akahai ʻekolu manawa i ka lā - me ka ʻole o ka pulu - no nā lā mua ʻekolu ma hope o kou hemo ʻana i ke kaula. Ma hope o ka holoi ʻana, hoʻomaloʻo i kou honu.

Ma hope o kēlā mau lā, hiki iā ʻoe ke holoi i kou peʻa i hoʻokahi manawa i ka lā a kau i ka wai ʻona ʻaʻala ʻole i ka mika i ʻelua mau lā i ka lā.

ʻOi aku ka maʻalahi ma mua o ka hana ʻana, akā pale aku i ka ʻohi ʻana a i ʻole ka ʻānai ʻana i nā ʻili o ka ʻili ma kāu peʻa hoʻōla. Inā hele a maloʻo a ʻeha hoʻi ka peʻa, e hoʻopili i kahi ʻāpana lahilahi o ka wai ʻona ʻaʻala ʻole e loaʻa ai kahi hoʻomaha.

Hōʻalo i ka ʻauʻau ʻana, ka puka ʻana o ka lā, a me nā lole paʻa, i paʻa paha i kāu uhi. I loko o kekahi mau pule, pono e hoʻōla piha ʻia kāu peʻa.

Scarring a me nā pilikia ʻē aʻe

He mea nui e kiʻi i kou uhi a me kēlā me kēia peʻa mai kahi mea pena kiʻi laikini i laikini ʻia i loko o kahi hale kūʻai maʻemaʻe me ka sterile ʻaʻohe ona moʻolelo o nā hana olakino.

E hōʻoia i ka hoʻokomo ʻana o kāu mea pena kiʻi i nā mīkina lima a me ka hoʻohana ʻana i nā pono hana sterilized. Heluhelu i nā loiloi ma mua o ka hoʻopaʻa ʻana i kāu koho. Inā he hopohopo a nīnau paha kāu, mai kānalua e nīnau i kāu mea pena kiʻi.

ʻAʻole ʻike ka hapa nui o ka poʻe i nā pilikia ʻē aʻe ma mua o ka ʻeha a me ka ʻulaʻula ma hope o ka peʻa. He mea maʻamau nō hoʻi ke ʻike i kekahi ʻūlū i ka wā o ka hoʻōla.

Eia nō naʻe, hele mai kēlā me kēia peʻa me nā pilikia. Pākuʻi ʻia kēia mau mea:

  • Nā hopena āpau. Hoʻopilikia kekahi poʻe i kekahi mau kala kala - ma kahi kikoʻī, ʻōmaʻomaʻo, melemele, a me nā kala polū. Hiki paha kēia mau hopena i mau makahiki ma hope o ka loaʻa ʻana o ka peʻa.
  • Nā maʻi lawe ʻia i ke koko. Lawe paha ka pono ʻoihana unsterilized tattoo i ka Methicillin-resistant Staphylococcus aureus (MRSA) a i ʻole he hepatitis. ʻOiai ʻaʻohe maʻamau i nā hale kūʻai peʻa o kēia wā, he mea nō naʻe e hoʻomaopopo.
  • Nā pilikia MRI. Inā noi kāu kauka i kahi MRI e kuhikuhi i kahi ʻano olakino, ʻike paha ʻoe i ka ʻeha ma ka kahua peʻa, a i ʻole keakea ʻia ka peʻa me ke ʻano o ke kiʻi MRI.
  • Scarring a me ka mumū. Hiki ke paʻa mau kēia. Malia paha ka scarring inā hoʻohana kāu mea pena kiʻi i kahi hana maikaʻi ʻole. ʻO kaʻiʻo makaʻu i hoʻāla ʻia, i kapa ʻia he keloid, hiki paha ke hana ma ke kahua paʻa.
  • Nā maʻi ʻili. Kū pinepine kēia mau mea me ka mālama maikaʻi ʻole ma hope. E makaʻala i kēia mau hōʻailona.

Ma mua a ma hope o nā kiʻi

Laina lalo

ʻO ka peʻa he mea hoʻonaninani kino mau. No ka poʻe makemake ʻole i ka peʻa, aia nā ala like ʻole e hemo ai.

Hoʻololi nā ʻano hana hemo i ka uku, ka pono, a me ka manawa hoʻōla. Hiki i ka ʻike ʻana i kāu mau koho ke kōkua iā ʻoe e hoʻoholo e pili ana i ka hemo ʻana o ka peʻa e kūpono iā ʻoe a me kāu waihona kālā.

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