I ka wā o ka mālama ʻana i kekahi mau maʻi ʻaʻai, ʻo ka hemo ʻana o kahi membrane e laina ana i ka ʻōpū kekahi o nā kuhiakau. Hiki i ka Omentectomy i ka maʻi ʻaʻai ke pale i nā maʻi akā hoʻolōʻihi hoʻi i ke ola. Ma nā hihia hea i kuhikuhi ʻia ai? He aha nā pono? E mālama i kēia kaʻina.

Hiki ke ʻoki kino i ʻāpana o ka mālama ʻana no ka maʻi ʻaʻai. Kūkākūkā ʻia ke ʻano a me ka laulā o ke kaha ʻana me kahi hui multidisciplinary: nā kauka, oncologists a me nā radiologists. Hana pū lākou, hana like pū e hoʻoholo i ka manawa kūpono no ke kaha ʻana, kaukaʻi ʻia i ka maʻi a me nā lāʻau ʻē aʻe. 

ʻO Omentectomy kahi hana e hemo ai nā mea āpau a ʻāpana paha o ka paia ʻōpū. ʻO ke kiko e pono ke hemo ʻia i kapa ʻia ʻo ka omentum. Hana ʻia kēia mea momona i ka peritoneum ma lalo o ka ʻōpū e uhi ana i ka ʻāpana o ke kolona. Hoʻohana ʻia kēia kaʻina hana e nānā no ke alo o nā hunaola maʻi ʻaʻai. Ua kapa ʻia kēia wahi ʻo "omentum nui", no laila hāʻawi ʻia ka inoa omentectomy i kēia hana.

ʻO ka omentum ʻoi aku ka nui o kahi momona momona e uhi i nā mea i loaʻa i loko o ka ʻōpū, ka peritoneum. 

ʻIke mākou:

• ʻO ka omentum liʻiliʻi, mai ka ʻōpū a i ke akepaʻa;
• ʻO ka omentum ʻoi aku, aia ma waena o ka ʻōpū a me ke koloka transverse.

ʻ saidlelo ʻia ʻo Omentectomy he hapa ke lawe ʻia hoʻokahi wale nō ʻāpana o ka omentum, huina ke lawe a pau loa ke kauka iā ia. ʻAʻohe hopena kikoʻī o ka hoʻopau ʻana.

Hiki i kēia ke hana i ka wā o ke kaukaho maʻi ʻaʻai.

Hōʻike ʻia kēia hana i nā mea maʻi me ka maʻi ʻaʻai gynecological o ka ovary a i ʻole ka uterus a me ka maʻi ʻaʻai digestive e pili ana i ka ʻōpū. 

Hoʻopuni ʻia e ka peritoneum, pale ka omentum i nā mea o ka ʻōpū. Hana ʻia ia i nā mea momona, nā kīʻaha koko, a me nā hunaola pale. 

Pono paha ka hemo ʻana o ka omentum:

• I ke ʻano o ka hoʻouka kaua ʻana e nā hunaola maʻi ʻea i nā ovaries, ka ʻōpū a i ʻole ka ʻōpū.
• Ma ke ʻano he makaʻala: i ka poʻe me ka maʻi ʻaʻai i loko o kahi lālā e waiho kokoke ana i ka omentum, hana ʻia ka omentectomy e pale aku ai i ka hoʻolaha ʻana ma laila;
• I nā hihia maʻamau, i ka hihia o ka mumū o ka peritoneum (peritonitis);
• I ke ʻano o ka maʻi diabetes 2: ma o ka hōʻemi ʻana i ka nui o nā mea momona ma kahi kokoke o ka ʻōpū, hiki ke loaʻa hou ka maikaʻi o ka insulin.

Hiki ke hana i ka Omentectomy i nā ala ʻelua:

• aiʻole kahi laparoscopy: 4 mau kaha liʻiliʻi ma ka ʻōpū e ʻae i kahi kāmela a me nā mea kani e hele ma waena. Pono ia i ka haukapila ʻo 2-3 mau lā wale nō;
•  a i ʻole kahi laparotomy: kahi wili waena waena nui ma waena o ka thorax a me ka pubis e ʻae i ka ʻōpū e wehe. ʻO ka haukapila ma kahi o 7-10 mau lā, kaukaʻi ʻia i nā hana i hana ʻia i ke kaʻina hana.

Hoʻopili ʻia nā kīʻaha koko e holo ana i ka omentum (i mea e hoʻokū a pale aku ai i ke kahe ʻana o ke kahe). A laila, hoʻokaʻawale pono ʻia ka omentum mai ka peritoneum ma mua o ka hemo ʻana.

Hana ʻia ʻo Omentectomy ma lalo o ka anesthesia ākea i ka manawa like me nā ʻoki ʻē aʻe. Inā loaʻa i ka maʻi ʻaʻai maʻi gynecological, lawe ʻia nā ovaries, nā ʻōpū uterine, a i ʻole ka uterus e manaʻo ʻia. I kēia hihia, he hale maʻi nui ia e koi ana e noho i kekahi mau lā i ka home.

I ka maʻi ʻaʻai, ʻo ka wānana ma hope o ka hemo ʻana o omentum ma muli o ke kahua o ka maʻi. ʻO ka maʻamau, aia ke kanesa i kahi pae holomua. ʻAe ka hana ʻoki:

• E hoʻemi i nā pilikia e like me ka hōʻiliʻili ʻana o ka wai i loko o ka ʻōpū (ascites);
• E hoʻolōʻihi i ke ola no kekahi mau mahina. 

I ka wā lōʻihi, maopopo ʻole nā ​​hopena o ka lawe ʻana i ka omentum, no ka mea ʻaʻole i maopopo ʻole ke pili ʻana o kēia kiko.

Ma hope o ka hoʻopili ʻana, ʻike ʻia ke kanaka a mālama ʻia i loko o ka hale mālama nui. ʻO ka maʻamau, hiki ke hoʻolilo i ka poʻe i kekahi lā aʻe i ka anakahi lā. 

ʻO ka mālama ʻana a me ka mālama ʻana e kaukaʻi ʻia i ka ʻano a me ke kahua o ke ʻano maʻi ʻaʻai. Ke hana ʻia ke kaʻina hana i ke kanaka me ka maʻi ʻaʻai, hiki ke ukali ʻia e nā kau chemotherapy e hoʻonui ai i nā manawa o ke ola hou ʻana. 

Pili nā pilikia e pili ana i kēia hana:

• Me ka anesthesia: pilikia o ka hopena maʻi ʻaʻai i ka huahana i hoʻohana ʻia;
• He maʻi ʻeha; 
• I nā hihia kakaʻikahi loa, e hoʻokumu i kahi maʻi palustic ileus, ʻo ia hoʻi, ka hopu ʻana i ka hele ʻana o ka ʻōpū;
• Exceptionally, hiki i ka hana ke hoʻopōʻino i kahi hanana puni: ka perforation o ka duodenum no ka laʻana, ka hapa mua o ka ʻōpū liʻiliʻi.