He aha ka Splenectomy? Ke Kumu, ke Kaʻina Hana & Hoʻōla

ʻO ka splenectomy ka wehe ʻana i kāu spleen ma ke ʻoki ʻana, he ʻōkana i loko o kou ʻōpū hema luna e kōkua ana i ka hakakā ʻana i nā maʻi a me ka kānana ʻana i kou koko. ʻOiai he mea weliweli paha ka nalowale ʻana o kāu spleen, nui ka poʻe e ola ana i ke ola piha a olakino ma hope o kēia kaʻina hana ke pono i ka lāʻau lapaʻau.

Hana kāu spleen e like me ka kānana kūikawā a me ke kōkua immune, akā i kekahi manawa pono e wehe ʻia ma muli o ka ʻeha, ka maʻi, a i ʻole nā ​​maʻi ʻē aʻe. ʻO ka lono maikaʻi, hiki i nā ʻāpana ʻē aʻe o kāu ʻōnaehana immune ke lawe i ka hapa nui o kāna mau hana, ʻoiai pono ʻoe e hana i kekahi mau hana hou e noho olakino.

He aha ka splenectomy?

ʻO ka splenectomy kahi kaʻina hana ʻoki kahi e wehe loa ai nā kauka i kāu spleen. ʻO kāu spleen he ʻōkana nui e like me ka lima e noho ana ma hope o kou iwi ʻaoʻao ma ka ʻaoʻao hema o kou kino, ma lalo pono o kou diaphragm.

Hoʻomaʻemaʻe maʻamau kēia ʻōkana i nā ʻulaʻula koko kahiko mai kou kahe koko a kōkua i kāu ʻōnaehana immune e hakakā i kekahi mau ʻano bacteria. Ke pōʻino ka spleen, maʻi, a i ʻole e hoʻonui ʻia ma mua o ka palekana, lilo ka wehe ʻana i ka koho lapaʻau maikaʻi loa.

Hiki ke hana ʻia ke ʻoki ma o ka ʻoki maʻamau a i ʻole nā ​​ʻenehana laparoscopic liʻiliʻi. Nui ka poʻe e ola maikaʻi mai kēia kaʻina hana, ʻoiai pono ʻoe e hana i nā hana hou e pale iā ʻoe iho mai nā maʻi ma hope.

No ke aha e hana ʻia ai ka splenectomy?

Paipai nā kauka i ka splenectomy ke hana nei kāu spleen i ka pōʻino ma mua o ka maikaʻi i kou olakino. Hana maʻamau kēia ke pōʻino nui ka ʻōkana, maʻi, a i ʻole e hoʻomaka ana e luku i nā cell koko olakino.

E nānā kākou i nā kumu maʻamau e pono ai ʻoe i kēia ʻoki, me ka noʻonoʻo ʻana e hoʻāʻo mau kāu kauka i nā lāʻau lapaʻau ʻē aʻe i ka wā hiki.

ʻEha weliweli: ʻO ka ʻeha nui o ka ʻōpū mai nā ulia kaʻa, nā ʻeha haʻuki, a i ʻole nā hāʻule ʻana hiki ke haehae i kou ʻāpana, e hoʻoulu ana i ke kahe koko i loko e hoʻoweliweli ana i ke ola. Ke nui loa ka pōʻino e hoʻoponopono ai, mālama ka wehe ʻana i ka pilikia i kou ola.

Nā maʻi koko: ʻO nā kūlana e like me ka idiopathic thrombocytopenic purpura (ITP) e hoʻoulu ai i kou ʻāpana e luku i nā platelets olakino, e alakaʻi ana i nā pilikia kahe koko weliweli. ʻO ka spherocytosis hoʻoilina e hana ai i kou ʻāpana e wāwahi i nā ʻulaʻula koko i ka wikiwiki loa, e hoʻoulu ana i ka anemia nui.

ʻĀpana nui (splenomegaly): Ke ulu nui kou ʻāpana ma muli o nā kūlana e like me ka portal hypertension a i ʻole kekahi mau maʻi maʻi, hiki iā ia ke kaomi i nā ʻōkana ʻē aʻe a hoʻoulu i ka ʻeha a i ʻole nā pilikia.

Nā cysts splenic a i ʻole nā ʻōpū: ʻO nā cysts nui a i ʻole nā ʻōpū maikaʻi a me nā ʻōpū ʻino i loko o ka ʻāpana e koi ʻia ka wehe ʻana, ʻoiai inā e hoʻoulu ana lākou i nā hōʻailona a i ʻole e hōʻike ana i nā pilikia maʻi maʻi.

Nā maʻi maʻi: Pono nā maʻi maʻi koko e like me ka lymphoma a i ʻole leukemia i ka wehe ʻana i ka ʻāpana ma ke ʻano he māhele o ka mālama ʻana. Kōkua kēia i nā kauka e hoʻonohonoho i ka maʻi maʻi a i ʻole e wehe i kahi kumu o ka hana ʻana o nā cell abnormal.

ʻO nā kumu maʻamau ʻole e komo pū ana me nā abscesses splenic ʻaʻole i pane i nā antibiotics, kekahi mau kūlana autoimmune, a i ʻole nā pilikia mai nā kaʻina hana lapaʻau ʻē aʻe.

He aha ke kaʻina hana no ka splenectomy?

Hiki ke hana ʻia ke kaʻina hana splenectomy me ka hoʻohana ʻana i nā ala nui ʻelua, a e koho kāu kauka lapaʻau i ke ʻano maikaʻi loa e pili ana i kou kūlana kikoʻī. He palekana a maikaʻi nā ʻenehana ʻelua ke hana ʻia e nā kauka lapaʻau i ʻike ʻia.

E lawe maʻamau kāu ʻoki ʻana i 1-3 mau hola, ma muli o ke paʻakikī o kāu hihia a me ke ʻano hana ʻoki e hoʻohana ai kāu kauka.

Laparoscopic splenectomy: Ke hoʻohana nei kēia hana liʻiliʻi i kekahi mau ʻoki liʻiliʻi (e pili ana i ka hapalua ʻīniha kēlā me kēia) i loko o kou ʻōpū. Hoʻokomo kāu kauka lapaʻau i kahi kamera liʻiliʻi a me nā mea hana kūikawā ma o kēia mau puka liʻiliʻi e wehe pono i kou spleen.

ʻO ke ʻano laparoscopic ka mea maʻamau i ka liʻiliʻi o ka ʻeha, nā ʻōpala liʻiliʻi, a me nā manawa hoʻōla wikiwiki. Hiki i ka hapa nui o nā kānaka ke hele i ka home i loko o 1-2 mau lā a hoʻi i nā hana maʻamau ma mua o ke ʻoki ʻana.

Open splenectomy: Pono kēia hana kuʻuna i kahi ʻoki nui ma kou ʻōpū hema luna. Wehe kāu kauka lapaʻau i ka lua o ka ʻōpū e komo pololei a wehe i kou spleen.

Pono paha ke ʻoki ʻana inā nui loa kou spleen, inā he ʻiʻo ʻōpala kāu mai nā ʻoki mua, a i ʻole i nā kūlana pilikia. ʻOi aku ka lōʻihi o ka hoʻōla ʻana, me ka noho ʻana o ka haukapila o 3-5 mau lā.

I ka wā o kekahi hana, e hoʻokaʻawale pono kāu kauka lapaʻau i kou spleen mai nā kīʻaha koko a me nā ʻōpū a puni ma mua o ka wehe ʻana. E nānā pū lākou i nā spleens mea kōkua (nā ʻāpana liʻiliʻi o ka ʻiʻo spleen) e pono ai ke wehe.

Pehea e hoʻomākaukau ai no kāu splenectomy?

ʻO ka hoʻomākaukau ʻana no ka splenectomy e pili ana i kekahi mau hana nui e hōʻoia i ka hopena maikaʻi loa a e hōʻemi i kou pilikia o nā pilikia. E alakaʻi kāu hui lapaʻau iā ʻoe ma kēlā me kēia ʻanuʻu hoʻomākaukau.

ʻO ka hoʻomākaukau nui e pili ana i ka pale ʻana iā ʻoe iho mai nā maʻi, no ka mea, kōkua maʻamau kāu spleen i ka hakakā ʻana i kekahi mau bacteria.

Papa hana hoʻopaʻa ʻana: Pono ʻoe i nā lāʻau lapaʻau kikoʻī ma ka liʻiliʻi he 2-3 mau pule ma mua o ke ʻoki ʻana ke hiki. Aia kēia mau mea i ka pneumococcal, meningococcal, a me Haemophilus influenzae type b vaccines e pale aku i nā bacteria e hakakā maʻamau ai kou spleen.

Ka loiloi olakino: E hana kāu kauka i nā hoʻokolohua koko, nā kiʻi kiʻi, a me kahi hoʻokolohua kino piha. E nānā pū lākou i kāu mau lāʻau lapaʻau a pau a hiki ke hoʻololi a hoʻōki paha i kekahi mau mea ma mua o ke ʻoki.

Nā ʻōlelo aʻo ma mua o ke ʻoki: Pono ʻoe e hooki i ka ʻai a me ka inu ʻana no 8-12 mau hola ma mua o ke ʻoki. E hāʻawi kāu hui lapaʻau iā ʻoe i ka manawa kikoʻī e pili ana i kāu papa hana ʻoki.

Hoʻokele lāʻau lapaʻau: E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a pau, nā mea hoʻohui, a me nā lāʻau lapaʻau āu e lawe ai. Pono paha e hoʻōki ʻia kekahi mau mea lahilahi koko a i ʻole nā lāʻau lapaʻau ʻē aʻe i kekahi mau lā ma mua o ke ʻoki.

Hoʻolālā no ka hoʻōla: E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home a kōkua iā ʻoe i nā lā mua ma hope o ke ʻoki. Pono ʻoe i ke kōkua me nā hana i kēlā me kēia lā i kou wā e hoʻōla ai.

Inā e hana ʻia ana kāu ʻoki pilikia ma muli o ka trauma, pono paha e hoʻopōkole ʻia a i ʻole e lele ʻia kekahi o kēia mau ʻanuʻu hoʻomākaukau, akā e hāʻawi mua kāu hui lapaʻau i kou palekana.

Pehea e heluhelu ai i kāu hopena splenectomy?

Ma hope o ka splenectomy, ʻaʻole loaʻa iā ʻoe nā

Nā loli helu koko: He mea maʻamau ka piʻi ʻana o ka helu o kou mau keʻena koko keʻokeʻo ma hope o ka splenectomy, i kekahi manawa e mau ana ka piʻi ʻana. Hiki nō hoʻi ke piʻi ka helu o kou mau platelet, e nānā ana kāu kauka e pale i nā pilikia o ka hoʻopaʻa ʻana.

Nānā ʻana i ka maʻi: Mai ka wā i kōkua ai kou spleen i ka hakakā ʻana i nā maʻi, e nānā pono kāu hui lapaʻau i nā hōʻailona o ka maʻi. E aʻo ʻoe e ʻike i nā hōʻailona e koi ai i ka lāʻau lapaʻau koke.

Nānā lōʻihi: Pono ʻoe i nā nānā maʻamau e nānā i kou olakino holoʻokoʻa a e hōʻoia i ka hana maikaʻi ʻana o kou mau ʻōkana ʻē aʻe no ka nele o kou spleen.

E nānā pū kāu kauka lapaʻau i nā wahi ʻoki i ka wā o nā kipa e hōʻoia i ka hoʻōla pono ʻana me ka ʻole o nā hōʻailona o ka maʻi a i ʻole nā pilikia ʻē aʻe.

Pehea e mālama ai i ke ola ma hope o ka splenectomy?

ʻO ka noho ʻana me ka ʻole o ka spleen e koi i kekahi mau hoʻololi, akā hoʻololi maikaʻi ka hapa nui o nā kānaka a mālama i ke ola maikaʻi loa. ʻO ke kī, ʻo ia ka hoʻomaopopo ʻana i ka pehea e pale ai iā ʻoe iho mai nā maʻi i ka wā e noho ikaika a olakino.

E hoʻololi kou ʻōnaehana pale i ka manawa, me kou ate a me nā lymph node e lawe ana i ka nui o nā hana a kou spleen, akā pono ʻoe e akahele i kekahi mau maʻi.

Ka pale ʻana i ka maʻi: E lawe i nā lāʻau antibiotic pale i kauoha ʻia e like me ke kuhikuhi ʻia. Pono kekahi poʻe i nā lāʻau antibiotic i kēlā me kēia lā no ke ola, a ʻo nā mea ʻē aʻe e pono ai lākou i ka wā maʻi a i ʻole ma mua o nā kaʻina hana niho.

Papa hana lāʻau lapaʻau: E noho i kēia manawa me nā lāʻau lapaʻau flu makahiki a me nā lāʻau lapaʻau ʻē aʻe i ʻōlelo ʻia. Hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau hou a i ʻole nā mea hoʻoikaika i hoʻohālikelike ʻia me nā poʻe me nā spleen.

ʻIke i nā hōʻailona hōʻailona: E aʻo e ʻike i nā hōʻailona mua o ka maʻi koʻikoʻi, me ke kuni, nā anu, ka luhi nui, a i ʻole nā ​​hōʻailona e like me ka flu e hiki koke mai ana. Pono kēia mau mea i ka lāʻau lapaʻau koke.

Nā hana e mālama ai i ka huakaʻi: I ka wā e hele ai, ʻoi loa i nā wahi i ʻoi aku ka nui o ka pilikia o ka maʻi, e kūkākūkā i nā hana hou me kāu kauka. Pono paha ʻoe i nā lāʻau lapaʻau hou a i ʻole nā lāʻau pale.

ʻIke makaʻala olakino: E ʻaʻahu i ke kūpeʻe lima makaʻala olakino a i ʻole e lawe i kahi kāleka e hōʻike ana ua loaʻa iā ʻoe ka splenectomy. Kōkua kēia i nā mea pane ulia pōpilikia e hāʻawi i ka mālama kūpono inā maʻi ʻoe.

Hoʻi ka hapa nui o nā kānaka i kā lākou hana maʻamau i loko o 4-6 pule ma hope o ke ʻoki ʻana, akā pono ʻoe e pale i ka hāpai ʻana i nā mea kaumaha a me nā haʻuki pili i ka wā o ka hoʻōla mua.

He aha nā mea pilikia no nā pilikia splenectomy?

ʻOiai palekana ka splenectomy, hiki i kekahi mau mea ke hoʻonui i kou pilikia o nā pilikia i ka wā a ma hope paha o ke ʻoki ʻana. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua i kāu hui lapaʻau e hoʻolālā i ke ala palekana loa no kāu kūlana.

ʻO kou olakino holoʻokoʻa, ka makahiki, a me ke kumu o kāu splenectomy e pāʻani i nā hana nui i ka hoʻoholo ʻana i kou pae pilikia.

Nā mea pili i ka makahiki: Hiki i nā keiki ʻōpio loa a me nā mākua kahiko ke kū i nā pilikia kiʻekiʻe. ʻAʻole i hoʻomohala ʻia nā ʻōnaehana pale o nā keiki ma lalo o 5 mau makahiki, ʻoiai paha he mau maʻi olakino ʻē aʻe nā mākua kahiko e hoʻopilikia i ka hoʻōla.

Nā maʻi olakino ma lalo: Hiki i nā maʻi e like me ka maʻi diabetes, ka maʻi puʻuwai, a i ʻole nā ʻōnaehana pale i hoʻopilikia ʻia ke hoʻonui i nā pilikia o ke ʻoki ʻana a hoʻolohi i ka hoʻōla. Hiki i nā maʻi koko i alakaʻi i kāu splenectomy ke hoʻopilikia i ka hoʻōla.

ʻOki ulia pōpilikia: Ke pono ka splenectomy me ka wikiwiki ma muli o ka trauma, ʻoi aku ka nui o nā pilikia ma mua o ke ʻoki i hoʻolālā ʻia. ʻAʻole ʻae nā kūlana ulia pōpilikia i ka manawa hoʻomākaukau maikaʻi.

Ka nui a me ke kūlana o ka spleen: Hiki i nā spleens nui loa a i ʻole nā spleens maʻi nui ke hana i ke ʻoki ʻana i mea paʻakikī a hoʻonui i nā pilikia. Hoʻohui pū ka ʻiʻo ʻeha nui mai nā ʻoki i hala i ka paʻakikī.

Ke ala ʻoki: ʻOiai he palekana nā ʻoki laparoscopic a me nā ʻoki hāmama, ʻoi aku ka nui o nā pilikia o ka maʻi, ke kahe ʻana o ke koko, a me ka lōʻihi o ka manawa hoʻōla i nā ʻoki hāmama.

E kūkākūkā kāu kauka lapaʻau i kāu mau mea pilikia kikoʻī a pehea lākou e hoʻolālā ai e hōʻemi i nā pilikia e pili ana i kou kūlana.

He aha nā pilikia e hiki ke loaʻa i ka splenectomy?

E like me nā ʻoki ʻē aʻe, loaʻa i ka splenectomy kekahi mau pilikia, ʻoiai ʻaʻole maʻamau nā pilikia koʻikoʻi ke hana ʻia e nā kauka lapaʻau i ʻike ʻia. ʻO ka hoʻomaopopo ʻana i nā pilikia e hiki ke kōkua iā ʻoe e hana i nā hoʻoholo i ʻike ʻia a ʻike i nā pilikia i ka wā mua.

Hoʻōla ka hapa nui o nā kānaka mai ka splenectomy me ka ʻole o nā pilikia nui, akā ʻo ka ʻike ʻana i ka mea e nānā ai e hōʻoiaʻiʻo e loaʻa iā ʻoe ka lāʻau lapaʻau wikiwiki inā kū mai nā pilikia.

Nā pilikia ʻoki koke: Hiki ke kahe ʻana o ke koko, ka maʻi ma nā wahi ʻoki, a me nā hopena i ka anesthesia me nā ʻoki āpau. Nānā pono kāu hui lapaʻau i kēia mau pilikia i kou noho ʻana ma ka haukapila.

ʻEha o nā ʻōkana: I nā hihia kakaʻikahi, hiki i ke ʻoki ke hōʻeha i nā ʻōkana kokoke e like me ka ʻōpū, ka colon, a i ʻole ka pancreas. ʻOi aku ka maikaʻi o kēia ke nui loa ka spleen a i ʻole ke loaʻa ka ʻiʻo ʻeha nui.

Hoʻokumu ʻia ke koko: Hiki ke hoʻonui ʻia kou pilikia o ka hoʻomohala ʻana i nā koko koko i kou mau wāwae a i ʻole nā ​​māmā ma hope o ke ʻoki, ʻoiai inā he palena kou neʻe ʻana i ka wā hoʻōla.

Maʻi post-splenectomy nui (OPSI): Hiki i kēia pilikia kakaʻikahi akā koʻikoʻi ke hana i nā mahina a i ʻole nā ​​makahiki ma hope o ke ʻoki. Hiki i kekahi mau bacteria ke hana i nā maʻi koʻikoʻi, e holomua wikiwiki ana e koi ana i ka lāʻau lapaʻau koke.

Nā mea ʻino o ke koko: Hoʻomohala kekahi poʻe i nā helu platelet kiʻekiʻe ma hope o ka splenectomy, hiki ke hoʻonui i nā pilikia o ka clotting. Hiki i nā mea ʻē aʻe ke ʻike i nā loli i nā helu keʻokeʻo koko.

Nā pilikia o ka maʻi lōʻihi: Me ka ʻole o kou ʻāpana, ʻoi aku kou maʻalahi i nā maʻi mai nā bacteria i hoʻopaʻa ʻia e like me ka pneumococcus a me ka meningococcus i kou ola.

ʻO ka lono maikaʻi, hiki ke pale ʻia a mālama ʻia ka hapa nui o nā pilikia ke hopu ʻia i ka wā mua, ʻo ia ke kumu he mea nui ka hahai ʻana i nā ʻōlelo aʻoaʻo a kāu kauka ma hope o ke ʻoki ʻana.

I ka manawa hea wau e ʻike ai i ke kauka ma hope o ka splenectomy?

ʻO ka ʻike ʻana i ka manawa e ʻimi ai i ka lāʻau lapaʻau ma hope o ka splenectomy hiki ke hoʻopakele i ke ola, no ka mea, ʻoi aku ka maʻalahi o ka poʻe me ka ʻole o ka spleen i kekahi mau ʻano maʻi. E aʻo kāu hui lapaʻau iā ʻoe e ʻike i nā hōʻailona hōʻailona e koi ai i ka mālama koke.

ʻOiai ʻo ka hapa nui o nā hōʻailona ma hope o ke ʻoki ʻana he mau ʻāpana maʻamau o ka hoʻōla ʻana, hōʻike kekahi mau hōʻailona i nā pilikia koʻikoʻi e pono ai ka mālama koke.

Nā hōʻailona pilikia e koi ana i ka mālama koke: ʻO ke kuni ma luna o 101°F (38.3°C), nā anu nui, ka puʻuwai wikiwiki, ka pilikia o ka hanu ʻana, a i ʻole ka manaʻo ʻana ʻaʻole maikaʻi loa i ka wikiwiki. Hiki i kēia mau mea ke hōʻike i ka maʻi koʻikoʻi.

Nā pilikia o ka pūnaewele ʻoki: ʻO ka ʻulaʻula nui, ka mahana, ka pehu ʻana, a i ʻole ka pus a puni kāu ʻoki ʻana e hōʻike ana i ka maʻi. Pono nā ʻoki e wehe hou a i ʻole ke kahe nui ʻana i ka lāʻau lapaʻau.

Nā pilikia o ka ʻōpū: ʻO ka ʻeha nui a i ʻole ka ʻeha o ka ʻōpū, ka nausea mau a me ka luaʻi ʻana, a i ʻole ka hiki ʻole ke ʻai a inu maʻamau paha e hōʻike ana i nā pilikia.

Nā hōʻailona o nā koko koko: ʻO ka pehu ʻana o ka wāwae, ka ʻeha, a i ʻole ka mahana, ʻoiai inā hui pū ʻia me ka pōkole o ka hanu a i ʻole ka ʻeha o ka umauma, hiki ke hōʻike i nā koko koko weliweli.

Ke kahe ʻana o ke koko maʻamau ʻole: ʻO ka maʻalahi o ka ʻeha, ka ihu, a i ʻole ke kahe ʻana o nā ʻāʻī e hōʻike ana i nā pilikia helu koko e pono ai ka loiloi.

ʻO nā hōʻailona maʻi: ʻOiai ʻo nā hōʻailona anu a i ʻole ka maʻi flu e pono ai ka lāʻau lapaʻau, no ka mea, hiki ke holomua wikiwiki nā maʻi me ka ʻole o ka spleen.

Mai kānalua e hoʻokaʻaʻike i kāu kauka me nā nīnau a i ʻole nā hopohopo. ʻOi aku ka maikaʻi o ka nānā ʻana me kāu hui lapaʻau ma mua o ka kali ʻana a me ka pilikia ʻana i nā pilikia koʻikoʻi.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka splenectomy

Q.1 He maikaʻi anei ka splenectomy no nā maʻi koko?

ʻAe, hiki i ka splenectomy ke maikaʻi loa no kekahi mau maʻi koko, ʻoiai ke luku nei kou spleen i nā keena koko olakino ʻoi aku ka wikiwiki ma mua o ka hiki ʻana o kou kino ke hana iā lākou. ʻO nā kūlana e like me ka idiopathic thrombocytopenic purpura (ITP) a me ka hereditary spherocytosis e hoʻomaikaʻi pinepine ʻia ma hope o ka wehe ʻana i ka spleen.

No ITP, hoʻonui ka splenectomy i nā helu platelet a hoʻemi i nā pilikia o ke koko ma kahi o 70-80% o nā maʻi. I ka hereditary spherocytosis, ʻo ka wehe ʻana i ka spleen e pale i ka luku ʻia ʻana o nā keena koko ʻulaʻula i hana hewa ʻia, e hoʻōla ana i ka anemia.

Eia naʻe, hoʻāʻo maʻamau nā kauka i nā lāʻau lapaʻau ʻē aʻe ma mua, no ka mea, ʻo ka noho ʻana me ka ʻole o ka spleen e koi i nā hana mālama ola e kūʻē i nā maʻi. Aia ka hoʻoholo i ke koʻikoʻi o kāu mau hōʻailona a me ka maikaʻi o kāu pane ʻana i nā lāʻau lapaʻau ʻē aʻe.

Q.2 Hoʻokumu anei ka splenectomy i ka loaʻa ʻana o ke kaumaha?

ʻAʻole hoʻokumu pololei ka splenectomy i ka loaʻa ʻana o ke kaumaha, akā hiki i kekahi poʻe ke ʻike i nā loli kaumaha i ka wā e ola ana no nā kumu like ʻole. ʻAʻole pili ka ʻoki i kāu metabolism a i ʻole nā pae hormone e mālama i ke kaumaha.

Loaʻa ke kaumaha o kekahi poʻe no ka manawa pōkole i ka wā e ola ana ma muli o ka emi ʻana o nā pae hana i ka wā e hoʻōla ana. Hiki i nā poʻe ʻē aʻe ke lilo i ke kaumaha i ka wā mua ma muli o ka emi ʻana o ka ʻai a i ʻole nā loli meaʻai ma hope o ke ʻoki.

Inā ʻike ʻoe i nā loli kaumaha nui ma hope o ka splenectomy, e kūkākūkā me kāu kauka. Hiki iā lākou ke kōkua i ka hoʻoholo ʻana inā pili ia i kāu hoʻōla, nā lāʻau lapaʻau, a i ʻole nā mea ʻē aʻe e pono ai ka nānā.

Q.3 Hiki iā ʻoe ke ola i ke ola maʻamau ma hope o ka splenectomy?

ʻAe, ola ka hapa nui o nā kānaka i ke ola maʻamau, hana ma hope o ka splenectomy, akā pono ʻoe e mālama nui i nā maʻi. He nui ka poʻe e hoʻi i ka hana, hoʻoikaika kino mau, hele huakaʻi, a komo i nā hana maʻamau a pau.

ʻO ka ʻokoʻa nui, pono ʻoe e makaʻala i ka pale ʻana a me ka ʻike ʻana i nā maʻi. ʻO ia hoʻi ka noho ʻana i nā lā me nā lāʻau lapaʻau, ka lawe ʻana i nā lāʻau antibiotic pale ke ʻōlelo ʻia, a me ka ʻimi ʻana i ka mālama olakino me ka wikiwiki no nā hōʻailona o ka maʻi.

Hiki i nā mea pāʻani ke hoʻi i nā haʻuki, akā e ʻōlelo paha kāu kauka e pale i nā haʻuki pili i hiki ke hōʻeha i ka ʻōpū. ʻIke ka hapa nui o nā kānaka e lilo kēia mau hana i mea maʻamau a ʻaʻole e hoʻopilikia nui i ko lākou maikaʻi o ke ola.

Q.4 Pehea ka lōʻihi o ka hoʻōla ʻana ma hope o ka splenectomy?

He ʻokoʻa ka manawa hoʻōla ma muli o ka loaʻa ʻana o ka laparoscopic a i ʻole ka ʻoki ākea, akā ʻoi aku ka maikaʻi o ka hapa nui o nā kānaka i loko o 2-4 mau pule. ʻO ka ʻoki laparoscopic ka mea e wikiwiki ai ka hoʻōla ʻana, me ka nui o nā kānaka e hoʻi ana i nā hana māmā i loko o hoʻokahi pule.

E noho maʻamau ʻoe i ka haukapila 1-5 mau lā ma hope o ke ʻoki ʻana, ma muli o kou kūlana. He 6-8 mau pule ka hoʻōla piha ʻana o nā ʻiʻo o loko, i ka wā e pale ai ʻoe i ka hāpai ʻana i nā mea kaumaha a me nā hana ikaika.

Hiki i ka hapa nui o nā kānaka ke hoʻi i ka hana i loko o 1-3 mau pule inā he hana pākaukau kā lākou, akā pono paha ka poʻe me nā hana koi kino i 4-6 mau pule. E hāʻawi kāu kauka lapaʻau iā ʻoe i ka manawa kikoʻī e pili ana i kāu holomua hoʻōla a me ke ʻano o ka hana.

Q.5 He aha nā lāʻau lapaʻau e pono ai au ma hope o ka splenectomy?

Ma hope o ka splenectomy, pono ʻoe i kekahi mau lāʻau lapaʻau kikoʻī e pale aku i nā bacteria e kōkua maʻamau ai kou spleen i ka hakakā. He mea nui kēia mau lāʻau lapaʻau no ka pale ʻana i nā maʻi koʻikoʻi i kou ola a pau.

Pono ʻoe i nā lāʻau lapaʻau pneumococcal (PCV13 a me PPSV23), nā lāʻau lapaʻau meningococcal (e uhi ana i nā pūʻulu A, C, W, Y, a me B), a me ka lāʻau lapaʻau Haemophilus influenzae type b. Pono nō hoʻi ʻoe i nā lāʻau lapaʻau flu makahiki no ke ola.

He mea nui nō hoʻi ka manawa - ʻo ka mea kūpono, pono ʻoe e loaʻa kēia mau lāʻau lapaʻau ma ka liʻiliʻi he 2-3 pule ma mua o ke ʻoki ʻana inā hiki. Inā loaʻa iā ʻoe kahi ʻoki ulia pōpilikia, e loaʻa iā ʻoe ma mua o ka haʻalele ʻana i ka haukapila a i ʻole ma hope koke o ka hoʻokuʻu ʻia ʻana. E hāʻawi kāu kauka i kahi papa hana lāʻau lapaʻau i hoʻopilikino ʻia i kāu mau pono.