Ua haʻi ʻia anei ʻoe a i ʻole kekahi āu i ʻike ai e kāu kauka e pono ʻoe e hana i ke ʻoki kino e wehe i kahi puʻupuʻu ma kou ʻūhā? Ua makaʻu iki paha ʻoe i kou lohe ʻana i ka inoa. Akā, mai hopohopo, hiki i kēia ke lilo i kahi hana koʻikoʻi loa i ka mālama ʻana i ka maʻi kanesa. I kēia lā, e kamaʻilio mākou e pili ana i kēia ʻoki kino i kapa ʻia ʻo 'Inguinal Lymph Node Dissection', ʻo ia hoʻi e pili ana i ka wehe ʻana i nā puʻupuʻu ma kou ʻūhā.
ʻO ka mea mua, e nānā kākou i ka mea a kēia kolohe e ʻōlelo nei.
ʻAe, i ka ʻōlelo maʻalahi, he mau ʻano liʻiliʻi nā lymph node, he ʻano pīni i loaʻa ma ko mākou kino holoʻokoʻa. He ʻāpana lākou o ka ʻōnaehana pale o ko mākou kino, ʻo ia hoʻi ka ʻōnaehana pale . Ke hele kahi wai e hele ana ma o ka ʻōnaehana lymphatic o ko mākou kino ma o kēia mau node, hana ia e like me ke kānana. Hoʻopaʻa kēia mau node i nā mea ʻino e like me nā germs a me nā cell cancer.
No laila, ʻo nā kikowaena lymph inguinal nā kikowaena ma ka ʻāpana groin, kahi e hui ai kou mau wāwae me kou ʻōpū lalo. Aia ma kahi o 10 mau kikowaena ma luna, ma lalo pono o ka ʻili. ʻO ke kahe i hoʻomaʻemaʻe ʻia mai kēia mau kikowaena e hele i kekahi mau kikowaena hohonu. Mai laila mai, hele ia i nā ʻāpana ʻē aʻe o ke kino.
No ke aha ʻoe e pono ai i kēia hana?
He mea nui loa kēia e hoʻomaopopo. ʻO kēia ʻōnaehana vascular kahi ala nui e hoʻohana ai nā hunaola kanesa e hele ai mai kekahi wahi a i kekahi. ʻO ia hoʻi, hiki i nā hunaola kanesa ke hele ma o kēia mau kīʻaha koko i kekahi ʻāpana o ke kino.
E noʻonoʻo, i ka wā e ulu ai ke kanesa ma kekahi wahi o ko kākou kino, e hele mua kēlā mau hunaola kanesa i nā ʻiʻo kokoke loa iā ia. No ka laʻana, ʻo nā kanesa e ulu ana ma nā wahi e like me nā ʻōpū (penis, vaginal opening), rectum, a me ka ʻili ma nā wāwae e hoʻāʻo mua e laha i nā ʻiʻo ma ka ʻūhā.
Lawe mua nā kauka i kahi hāpana liʻiliʻi mai ke kikowaena lymph mua kokoke loa i ke kanesa, i kapa ʻia ʻo ka sentinel lymph node , a hoʻāʻo iā ia (he `sentinel lymph node biopsy`). Ua like ia me kahi checkpoint. Inā ʻaʻohe mau hunaola kanesa ma kēia kikowaena mua, ʻaʻole paha he mau hunaola kanesa ma nā kikowaena aʻe.
Eia nō naʻe, inā hōʻoia ka hoʻokolohua he mau hunaola kanesa i loko o nā node, e wehe loa ʻia nā node ma o ke ʻoki kino. ʻO kēia ka mea a mākou e kapa nei he 'inguinal lymph node dissection'.
Hiki i kēia ke pale aku i ka laha hou ʻana o ke kanesa. Eia kekahi, ʻo ka ʻike ʻana inā ua laha ke kanesa i kou mau lymph nodes e kōkua i kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.
He aha nā pahuhopu nui o kēia ʻoki kino?
Aia kekahi mau kumu nui no ka hana ʻana i kēia hana. E hoʻomaopopo pono kākou iā lākou.
| Kumu | Ua wehewehe maʻalahi ʻia |
|---|---|
| Ke nānā nei i ka laha ʻana o ke kanesa | E hōʻoia i ka laha ʻana o ke kanesa mai nā wahi ʻē aʻe o ke kino i ka ʻāpana ʻāʻī. |
| Ke wehe ʻana i nā hunaola kanesa | E wehe loa i nā puʻupuʻu i loaʻa a i ʻole paha i loaʻa nā hunaola kanesa a kāohi i ka laha hou ʻana o ke kanesa. |
| Ka hōʻemi ʻana i ka pilikia o ka wā e hiki mai ana | E hōʻemi i ka pilikia o ka hoʻi hou ʻana o ke kanesa ma ia wahi i ka wā e hiki mai ana. |
| Hoʻolālā lapaʻau | Ma muli o ka ʻike i loaʻa, e hoʻoholo i nā lāʻau lapaʻau e hiki mai ana (e like me ka chemotherapy, radiotherapy) e kūpono loa iā ʻoe. |
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki ʻana?
E wehewehe pono kāu kauka i kēia iā ʻoe. ʻO ka maʻamau ma mua o ke ʻoki ʻana,
- E noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā lāʻau hoʻokahe koko) no kekahi manawa.
- E haʻi ʻia iā ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no kekahi mau hola ma mua o ke kaʻina hana.
- E haʻi mua ʻia aku iā ʻoe i ka nui o nā lā e pono ai ʻoe e noho i ka haukapila a pehea kou manaʻo ma hope o kou hoʻi ʻana i ka home.
ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā ʻōlelo a ke kauka.
Pehea e hana ʻia ai ka hana?
ʻO kēia nā ʻanuʻu e hana pinepine ʻia.
1. ʻO ka mea mua, e hoʻomaʻamaʻa kahi kauka anesthesiologist iā ʻoe. ʻO ke ʻano kēia e hiamoe loa ʻoe. ʻAʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki ʻana, a ʻaʻohe ou hoʻomanaʻo ma hope.
2. A laila hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi ma ka ʻili o ka ʻūhā a wehe pono i nā testicles e nānā ʻia a me kekahi o nā ʻiʻo momona e hoʻopuni ana.
3. Ma hope o ke ʻoki ʻana , hoʻokomo ʻia kahi ʻōmole liʻiliʻi (hoʻokahe wai) e wehe i kekahi wai keu (koko, wai, a me nā mea ʻē aʻe) e hōʻiliʻili paha ma ia wahi.
4. A laila pani ʻia ka ʻoki me nā humuhumu .
5. Hoʻopili ʻia kahi ʻeke ma ka ʻaoʻao o waho o ka paipu e hōʻiliʻili i ke wai . Hiki ke waiho ʻia kēia ma kahi no kekahi mau lā a i ʻole mau pule.
6. Hoʻouna ʻia nā ʻiʻo a me nā pūnaewele i wehe ʻia i kahi pathologist , ʻo ia hoʻi, kahi lab, e nānā i nā pūnaewele kanesa.
I kēia manawa, ke hana nei kekahi mau haukapila i kēia hana me ka hoʻohana ʻana i ka ʻenehana robotic ('robotic surgery'). He haʻahaʻa ka nui o nā pilikia e kū mai ana mai ia mea.
He aha ka mea e hana ʻia ma hope o ke ʻoki ʻana? Pehea ka lōʻihi e ola ai?
E noho ana ʻoe ma ka haukapila no ʻelua a ʻehā paha lā. Malia paha he lōʻihi iki aʻe. He manaʻo maikaʻi e hoʻomaka e hele wāwae i ka wā e ʻōlelo ai kāu kauka hiki iā ʻoe. Hiki i kēia ke kōkua i ka pale ʻana i nā mea e like me ke koko ʻana.
Ke emi ka nui o ka wai e puka mai ana mai loko mai o ka ʻōmole, e wehe ke kauka iā ia. Hiki ke hala kekahi mau pule e ho'ōla piha ai. I loko o ia manawa, ʻo ia hoʻi ma kahi o 4 a 6 mau pule, pono ʻoe e pale i nā mea e like me ka hoʻokele kaʻa a i ʻole ka hāpai ʻana i nā mea kaumaha. E haʻi pololei kāu kauka iā ʻoe i ka mea hiki iā ʻoe ke hana a me ka mea hiki ʻole iā ʻoe ke hana.
He aha nā pilikia a me nā hopena ʻaoʻao o kēia?
E like me nā ʻoki kino āpau, aia kekahi mau pilikia. ʻO kēia nā pilikia a me nā hopena ʻaoʻao maʻamau.
| Ka pilikia/hopena ʻaoʻao | He aha ke ʻano o kēia? |
|---|---|
| Maʻi | ʻO ka maʻi ma muli o nā germs a puni ka ʻoki. |
| Ka hōʻiliʻili ʻana o ka wai a me ka pehu ʻana | Hoʻākoakoa ka wai a pehu ma kahi i ʻoki ʻia. |
| Ka pehu ʻana o nā wāwae (Lymphedema) | Ma muli o ka wehe ʻia ʻana o nā humuhumu, ua hoʻopilikia ʻia ke kahe ʻana o ka wai vas deferens, e hoʻoulu ai i ka pehu ʻana o nā wāwae. I kekahi manawa hiki i kēia ke lōʻihi. |
| ʻO ke koko koko (DVT) | Nā ʻūpā koko, ʻoi aku hoʻi ma nā aa koko o nā wāwae. |
| Hoʻopaneʻe ka ho'ōla ʻana o ka ʻeha | Ke lōʻihi nei ka manawa e ho'ōla ai ka ʻoki ma mua o ka maʻamau. |
| Māmā ka ʻūhā | I ka wā o ke ʻoki ʻana, hiki ke hōʻino ʻia kekahi o nā aʻalolo ma ia wahi, e hopena ai i ka ʻūlū ma ka ʻūhā luna. He mea mau kēia. |
He aha kā mākou e aʻo ai mai ka hōʻike lab?
He mea nui loa ka hōʻike e loaʻa mai ana mai ka hoʻāʻo ʻana i nā swabs i hoʻouna ʻia i ka lab. Hiki iā ia ke hōʻike i nā mea e like me kēia.
- Inā paha he mau hunaola kanesa ka ʻiʻo i wehe ʻia. Inā loaʻa nā hunaola kanesa, ua kapa ʻia lākou he "maikaʻi" a "maikaʻi ʻole."
- He aha ke ʻano o ke kanesa ?
- Ke ʻano o ke kanesa . Pili kēia i ke ʻano like a ʻokoʻa paha o nā hunaola kanesa mai nā hunaola olakino maʻamau.
- He aha ka wikiwiki o ka mahele ʻana o ke kelepona (ka wikiwiki mitotic)?
- Nā Kaʻe . Inā paha he mau hunaola kanesa ma nā kihi o ka ʻiʻo i wehe ʻia. Inā he mau hunaola kanesa ma nā kihi, ua kapa ʻia ia he 'kaʻe maikaʻi', a i ʻole he 'kaʻe maikaʻi ʻole' a i ʻole 'kaʻe maopopo'.
Hiki ke hala kekahi mau lā a i ʻole hoʻokahi pule no ka hōʻea ʻana mai o kēia hōʻike. Ke hiki mai, e wehewehe kāu kauka i nā mea i loko a me nā mea e pono e hana ʻia ma hope.
Āhea wau e ʻike koke ai i ke kauka?
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, pono ʻoe e kāhea koke i kāu kauka . He mau hōʻailona paha kēia o kahi maʻi.
- Inā loaʻa iā ʻoe ke kuni
- Inā e piʻi ana ka ʻeha o ke ala e hoʻōla ai
- Inā ʻulaʻula ka ʻoki, pehu, a kahe ka wai e like me ka pus
Mai hoʻokaʻulua i nā manawa e like me kēia. He mea nui loa ka ʻimi koke ʻana i ke kōkua lapaʻau.
Leka Lawe-Home
- Hana ʻia ke ʻoki kino e wehe i kahi puʻupuʻu ma ka ʻūhā e ʻike ai inā ua laha ka maʻi kanesa a e kāohi i ka laha hou ʻana o ke kanesa.
- ʻO ka ʻike i loaʻa mai kēia ʻoki kino e kōkua nui i kāu kauka e hoʻolālā i ka lāʻau lapaʻau maikaʻi loa nāu.
- E hala ana kekahi mau pule e ho'ōla ai, no laila e hoʻomaha nui. Mai wikiwiki.
- E hahai pono i nā ʻōlelo a kāu kauka e pili ana i ka mea maikaʻi a me ka mea maikaʻi ʻole e hana ai i kou wā e hoʻōla ai.
- Inā ʻike ʻoe i nā hōʻailona o ka maʻi, e like me ke kuni, ka ʻeha nui, ka ʻulaʻula o ka ʻoki ʻia, a i ʻole ka pus, e hoʻomaopopo koke i kāu kauka.
- Mai makaʻu e kamaʻilio me ke kauka e pili ana i nā nīnau, nā makaʻu, a i ʻole nā kānalua āu e pili ana i kēia.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo