He mea maʻamau ka makaʻu a me ka haʻalulu ke haʻi aku kāu kauka iā ʻoe a i ʻole kekahi o kou ʻohana he maʻi ʻaʻai puʻupaʻa. Akā me ka holomua o ka lāʻau lapaʻau hou, aia nā lāʻau lapaʻau i ʻoi aku ka maikaʻi ma mua o ke ʻoki ʻana a ʻaʻole i loaʻa ka hopena i ke kino. ʻO kekahi o ia ʻano lāʻau lapaʻau i kapa ʻia ʻo 'ablation', ʻo ia hoʻi kahi lāʻau lapaʻau kūikawā i hoʻohana ʻia e luku i nā hunaola maʻi ʻaʻai puʻupaʻa. E kamaʻilio kākou e pili ana i kēia ma nā ʻōlelo maʻalahi i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka ablation?
ʻO ka Ablation kahi koho ʻē aʻe i ke ʻoki kino no ka mālama ʻana i ka maʻi kanesa puʻupaʻa. Ma kēia kaʻina hana, hoʻokomo kāu kauka i kahi mea lahilahi e like me ke nila (probe) ma o kou ʻili i loko o kahi i loaʻa ai ke kanesa. A laila, hāʻawi ka mea hana i ka wela nui a i ʻole ke anu i nā hunaola kanesa. E noʻonoʻo e like me ka pana pololei, pepehi wale kēia lāʻau i nā hunaola kanesa. ʻO ka pōmaikaʻi nui o kēia, ʻo ia
ka waiho ʻana i nā ʻiʻo puʻupaʻa olakino a puni ke kanesa kokoke ʻole i hoʻopā ʻia . ʻO ia hoʻi, ua hoʻopakele ʻia ka ʻāpana olakino o ka puʻupaʻa.
No wai kēia lāʻau lapaʻau kūpono loa?
ʻAʻole kūpono kēia lāʻau lapaʻau no nā kānaka a pau. E nānā kāu kauka i kou kūlana a hoʻoholo inā kūpono ia nou. ʻO ka maʻamau, paipai ʻia kēia lāʻau lapaʻau i nā hihia aʻe:
- No ka poʻe hiki ʻole a makemake ʻole paha e hana i ke ʻoki kino: No kekahi poʻe, ma muli o ka makahiki a i ʻole nā kūlana olakino ʻē aʻe e like me ka maʻi puʻuwai a i ʻole ka maʻi diabetes , hiki ke pilikia ke ʻoki kino nui (nephrectomy). A ʻaʻole makemake kekahi poʻe e hana i ke ʻoki kino. He koho maikaʻi kēia no ia poʻe.
- Inā liʻiliʻi ka maʻi ʻaʻai : ʻOi aku ka maikaʻi o kēia ʻano hana no nā puʻupuʻu maʻi ʻaʻai i liʻiliʻi ma mua o 3-4 kenimika (ma kahi o 1.5 ʻīniha) .
- No ka poʻe me nā puʻupuʻu liʻiliʻi he nui i loko o hoʻokahi puʻupaʻa a i ʻole nā puʻupuʻu liʻiliʻi ma nā puʻupaʻa ʻelua: Ma kahi o ka wehe ʻana i ka puʻupaʻa holoʻokoʻa ma o ke ʻoki ʻana, hiki i kēia ʻano hana ke hoʻopau wale i nā puʻupuʻu a mālama i ka puʻupaʻa.
ʻO ke ʻoki kuʻuna e pili ana i ka wehe ʻana i ka puʻupuʻu me kahi ʻāpana o nā ʻiʻo olakino a puni ia (nephrectomy hapa) a i ʻole ka puʻupaʻa holoʻokoʻa (radical nephrectomy). Hoʻemi ka ablation i kēlā pōʻino.
He aha nā ʻano nui o ka mālama ʻana i ka ablation?
Hana ʻia kēia lāʻau lapaʻau ma nā ʻano ʻelua: e like me ka ikehu i hoʻohana ʻia e luku ai i nā hunaola kanesa.
| ʻAno lapaʻau | He mea maʻalahi ka mea e hana ʻia. |
|---|
| Ka hoʻopaʻa ʻana i ka waimaka | Ua kapa ʻia hoʻi kēia he cryotherapy. Pili kēia i ka hoʻohana ʻana i ka ea anuanu loa e hoʻopaʻahau i nā hunaola kanesa. A laila ʻae ʻia nā hunaola e hoʻoheheʻe. Hoʻopau kēia kaʻina hana i ke koko a me ka oxygen i nā hunaola kanesa, e make ai lākou. |
| Ka Hoʻopau ʻana i ke Alapine Leka (RFA) | Pili kēia i ka hoʻohana ʻana i nā nalu lekiō (ikehu uila) e hana i nā pae wela kiʻekiʻe a puhi i nā hunaola kanesa. ʻO ka ablation microwave a me ka ablation laser nā ʻano hana ʻē aʻe e hoʻohana ana i kēia ʻano wela. |
Pehea e hoʻomākaukau ai ma mua o ka mālama ʻana?
E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i kēia. ʻO ka maʻamau,
- Ua aʻo ʻia ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola ma mua o ka lāʻau lapaʻau.
- Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau (ʻoiai nā lāʻau hoʻokahe koko ), nā wikamina , a i ʻole nā lāʻau lapaʻau Ayurvedic no kekahi manawa.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
ʻElua ala nui e hana ai i kēia lāʻau lapaʻau. 1.
Laparoscopically: Hana ʻia kēia e kahi urologist. E hāʻawi ʻia ʻoe i ka anesthesia laulā. A laila, hana ʻia kekahi mau ʻoki liʻiliʻi loa i loko o ka ʻōpū, hoʻokomo ʻia kahi kāmela (laparoscope) ma o kekahi o nā ʻoki, a hoʻokomo ʻia ka mea ablation ma o nā ʻoki ʻē aʻe. ʻOiai he hana ʻoki kino nō hoʻi kēia, hoʻōla koke ia no ka mea he liʻiliʻi loa nā ʻoki. 2.
Percutaneous:Hana ʻia kēia e kahi radiologist interventional. Pili kēia i ka hoʻomāʻū ʻana i ka wahi e mālama ʻia (anesthesia kūloko) a me ke komo ʻana i kahi nila ma o ka ʻili i loko o ka puʻupuʻu i ka wā e nānā ana i kahi scan (CT a i ʻole ultrasound). Hiki ke hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e kōkua iā ʻoe e hiamoe.
ʻO nā hana maʻamau i ka wā o ka mālama ʻana:- Ka hoʻomāʻū ʻana a i ʻole ka hoʻomālielie ʻana i ka ʻili.
- Hiki ke kau ʻia kahi ʻōmole manawa pōkole (ureteral stent) e hoʻomaʻalahi i ke kahe ʻana o ka mimi .
- Lawe ʻia kahi ʻāpana liʻiliʻi o ka puʻupuʻu kanesa no ka hoʻāʻo ʻana (biopsy). Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ke ʻano kikoʻī o ke kanesa.
- ʻOiai e nānā ana i ka pale scan, hoʻokomo ʻia ka hāmeʻa ablation i loko o ka puʻupuʻu, hoʻāla ʻia, a ua luku ʻia nā hunaola kanesa.
Hiki i kēia kaʻina hana holoʻokoʻa ke lawe ma kahi o
hoʻokahi a ʻekolu mau hola .
He aha ka mea e manaʻo ai ma hope o ka mālama ʻana?
Ma hope o ka lāʻau lapaʻau,
- Hiki paha iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi, a i ʻole pono ʻoe e noho i ka haukapila no hoʻokahi lā .
- E manaʻo paha ʻoe i ka luhi, ka ʻeha, a me ke ʻano ʻūlū ma kahi i hana ʻia ai ka lāʻau lapaʻau .
- E ʻike paha ʻoe i ke kahe ʻana o ke koko a i ʻole ka palapū. He mea maʻamau kēia.
He aha nā pōmaikaʻi o kēia lāʻau lapaʻau?
He nui nā pono o kēia lāʻau lapaʻau i hoʻohālikelike ʻia me ke ʻoki kino nui.
- Hoʻōla wikiwiki: Hiki iā ʻoe ke hoʻōla koke ma muli o ka emi ʻana o ka ʻeha a me ke kahe ʻana o ke koko.
- ʻEha liʻiliʻi loa: Ma muli o ka hana ʻia ʻana ma o nā ʻoki liʻiliʻi loa, ʻaʻole ia e waiho i kekahi mau ʻeha nui.
- Ka pōʻino iki i nā puʻupaʻa olakino: ʻO kēia ka pōmaikaʻi nui loa.
- ʻAʻole pono ka hoʻokipa ʻana i ka haukapila: hiki iā ʻoe ke hoʻi pinepine i ka home i loko o hoʻokahi lā.
- Haʻahaʻa ka pilikia: ʻOi aku ka haʻahaʻa o ka pilikia o nā pilikia ma mua o ke ʻoki kino nui.
ʻAʻohe pilikia a laila?
E like me nā hana lapaʻau a pau, aia kekahi mau pilikia liʻiliʻi, akā ʻoi aku ka liʻiliʻi o ka hiki ke hana ʻia ma mua o ke ʻoki kino nui.
- Ke kahe koko a i ʻole nā pā koko
- Nā maʻi
- ʻEha a ʻeha paha ma kahi i mālama ʻia
- Aia kahi manawa liʻiliʻi o ka hōʻino ʻana i nā kīʻaha koko kokoke, nā aʻalolo, a i ʻole nā ʻōpū ʻē aʻe.
- Nā mea pale i ka ureter
E wehewehe pono ana kāu kauka i kēia mau pilikia iā ʻoe.
Āhea wau e kāhea aku ai i ke kauka?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o kāu lāʻau lapaʻau, pono ʻoe
e kāhea koke i kāu kauka . A i ʻole e hele i ka haukapila kokoke loa.
E hele i ka ʻĀpana Lapaʻau Pōpilikia (ETU).- ʻEha hiki ʻole ke hoʻomanawanui a i ʻole ke kahe nui ʻana o ke koko.
- Ka luaʻi mau ʻana .
- Ke paʻakikī nei i ka mimi ʻana a i ʻole ke koko i loko o ka mimi.
- Nā hōʻailona o ka maʻi, e like me ke kuni .
Hiki iā ʻoe ke hoʻi hou i nā hana maʻamau e like me ka hele wāwae a me ka hoʻokele ʻana i loko o hoʻokahi a ʻelua paha lā. Eia nō naʻe, pono ʻoe e kūkākūkā me kāu kauka ma mua o ka hoʻomaka ʻana i kekahi mea e like me ka hāpai kaumaha a i ʻole ka hoʻoikaika kino ikaika. Hiki ke hana ʻia kēia lāʻau lapaʻau ma mua o hoʻokahi manawa? ʻAe. Inā ʻaʻole i nalowale loa ke kanesa, inā hoʻi mai, a inā paha e ulu hou mai nā puʻupuʻu hou, hiki ke hana hou ʻia kēia lāʻau lapaʻau.
Leka Lawe-Home
- He koho lapaʻau kūpono ka ablation no ke kanesa puʻupaʻa i emi iki ka hopena i ke kino, ma ke ʻano he koho ʻē aʻe i ke ʻoki ʻana.
- He kūpono loa kēia no ka poʻe me nā puʻupuʻu liʻiliʻi (ʻoi aku ka liʻiliʻi ma mua o 3-4 cm) a me ka poʻe hiki ʻole ke uku i ke ʻoki kino nui.
- Hoʻohana kēia i ke anu nui (cryoablation) a i ʻole ka wela nui (RFA) e kuhikuhi a luku wale i nā hunaola kanesa.
- Ua emi ka ʻeha, ua wikiwiki ka ho'ōla ʻana, ua pōkole ka noho ʻana ma ka haukapila, a ua emi ka hōʻino ʻana i nā ʻiʻo puʻupaʻa olakino.
- E like me nā lāʻau lapaʻau a pau, aia nā pilikia liʻiliʻi, akā ʻoi aku ka liʻiliʻi o ia mau mea ma mua o ke ʻoki kino nui. ʻO ke ala maikaʻi loa e hoʻoholo ai inā kūpono kēia lāʻau lapaʻau iā ʻoe, ʻo ia ke kamaʻilio me kāu kauka.
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