Ua haʻi aku anei kāu kauka iā ʻoe e pono ʻoe e hana i ke ʻoki ʻana e wehe i kou kelepa adrenal ma muli o kahi pilikia? He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēia nūhou. Hopohopo iki mākou a pau ke lohe mākou i ka huaʻōlelo "ʻoki ʻana." Akā, ʻaʻole ia he mea weliweli e like me kā mākou e manaʻo nei. I ka hapanui o nā hihia, he hana holomua a maʻalahi hoʻi ia. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke kaʻina hana adrenalectomy, pehea e hoʻomākaukau ai no ia, a pehea e hoʻōla koke ai ma hope o ke kaʻina hana.
I ka ʻōlelo maʻalahi, he aha ka Adrenalectomy?
ʻAe, e nānā mua kākou i ke ʻano o nā kelepa adrenal. He ʻelua mau kelepa liʻiliʻi kēia e kau ana ma luna o ko kākou mau puʻupaʻa, e like me ʻelua mau pāpale. Hoʻopuka lākou i kekahi mau hormones e pono ai no ko kākou kino.
Akā i kekahi manawa hiki i kēia mau kelepa ke loaʻa nā pilikia. Eia kekahi laʻana:
- Kanesa: Hiki i kēia mau kelepa ke hoʻomohala i nā ʻōpū maʻi kanesa a hiki ke lilo i kanesa.
- Ka hana nui ʻana o nā hormones: I kekahi manawa hoʻomaka kēia mau glands e hana i nā hormones he nui loa. Hiki i kēia ke alakaʻi i nā kūlana e like me ka "Hyperaldosteronism" a i ʻole ka "maʻi Cushing."
No kēia kumu, hoʻoholo nā kauka e wehe i kekahi a i ʻole nā ʻelua o kēia mau kelepa ma ke ʻoki kino. Inā hoʻokahi wale nō kelepa e wehe ʻia, ua kapa ʻia ʻo ia he "Unilateral adrenalectomy", a inā e wehe ʻia nā kelepa ʻelua, ua kapa ʻia ʻo ia he "Bilateral adrenalectomy". Ua kapa ʻia kēia ʻoki kino ʻo Adrenalectomy.
Pehea e hoʻomākaukau ai ma mua o ke ʻoki kino?
Pono ʻoe e hana i kekahi hoʻomākaukau ma mua o ka lā o kou ʻoki kino. E hāʻawi aku kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i kēia.
- E noi ʻia paha ʻoe e hana i nā mea e like me nā scan hou aʻe.
- I kekahi manawa, hiki ke kuhikuhi ʻia nā lāʻau lapaʻau kūikawā e lawe ʻia i nā lā ma mua o ke ʻoki ʻana.
- Malia paha hiki ke hāʻawi ʻia nā ʻōlelo aʻoaʻo kūikawā e pili ana i ka meaʻai a me ka mea inu.
ʻO ka mea nui loa, ʻo ia ka hana ʻia ʻana o kēia ʻoki kino ma lalo o ka anesthesia piha, ʻo ia hoʻi ua hiamoe loa ʻoe. No laila, he mea nui e loaʻa iā ʻoe kekahi e lawe iā ʻoe i ka home ma hope o ke ʻoki kino. ʻAʻole loa ʻoe e hoʻokele kaʻa hoʻokahi.
He aha nā ʻano hana o ke ʻoki kino?
ʻEkolu mau ʻano nui no ka wehe ʻana i ke kelepa adrenal. Ma muli o kou kūlana, e hoʻoholo kāu kauka ʻoki i ke ʻano hana kūpono loa iā ʻoe.
| ʻAno hana ʻoki kino | Pehea e hana ai |
|---|---|
| ʻO ka hoʻokaʻawale adrenal laparoskopika | ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia. Wehe ʻia ke gland ma o 1-4 mau ʻoki liʻiliʻi loa ma ka ʻōpū, kahi e hoʻokomo ʻia ai kahi kāmela a me nā mea hana ʻokiʻoki palupalu. He liʻiliʻi loa nā ʻoki, no laila wikiwiki ka ho'ōla ʻana a ʻaʻohe ʻeha nui. |
| ʻO ka hoʻopaʻa ʻana o ka adrenaline robotic | Ua like kēia me ke ʻano hana ma luna. Eia naʻe, ʻaʻole ka mea lapaʻau e hoʻomalu pololei i nā lako me ka lima, akā me ke kōkua o kahi ʻōnaehana kamepiula a me kahi kāmela 3D. ʻAe kēia i ka hana ʻoki kino e hana ʻia me ke akahele a me ka pololei. |
| Ka wehe ʻana o ka adrenalectomy | ʻO kēia ke ʻano kuʻuna. Hana ʻia ke ʻoki ʻana ma o hoʻokahi ʻoki ma ka ʻōpū. Koho ʻia kēia ʻano hana inā nui loa ka puʻupuʻu ma ke gland a inā he ʻano maʻi kanesa kikoʻī, e like me ka "Adrenocortical carcinoma". |
ʻO ka maʻamau, ʻelua a ʻekolu paha hola ka lōʻihi o kēia hana ʻoki kino.
Pehea e mālama ai iā ʻoe iho ma hope o ke ʻoki kino ma ka home?
Inā loaʻa iā ʻoe ke ʻoki laparoscopic, hiki paha iā ʻoe ke hoʻi i ka home i ke ahiahi like a i ʻole ka lā aʻe. Eia nō naʻe, inā loaʻa iā ʻoe ke ʻoki wehe, pono ʻoe e noho i ka haukapila no kekahi mau lā. E hōʻoia e hahai i kēia mau ʻanuʻu e hoʻōla koke ma hope o kou hoʻi ʻana i ka home.
- E hoʻomaha nui: E hāʻawi i kou kino i ka manawa e ho'ōla ai. E pale i ka hoʻoikaika kino nui no ka pule mua.
- E lawe i kāu lāʻau lapaʻau e like me ke kauoha: E lawe i nā lāʻau ʻeha a me nā lāʻau lapaʻau ʻē aʻe i kauoha ʻia e kāu kauka i ka manawa kūpono a me ka nui kūpono.
- E inu i ka wai nui: He mea nui e inu i ka liʻiliʻi he 8 mau aniani wai i ka lā.
- ʻAi a me ka Mea Inu: E ʻai i kāu mau meaʻai maʻamau ke ʻole ʻoe e ʻeha ka ʻōpū. Inā manaʻo ʻoe ua ʻeha kou ʻōpū, e hoʻomaka me kahi mea māmā e like me nā mea kanu mahu a i ʻole ka porridge laiki a neʻe mālie i nā meaʻai maʻamau.
- ʻUmiʻumi a me ka hanu hohonu: I ke ʻumiʻumi ʻana, ka hanu nui ʻana, a i ʻole ka ʻakaʻaka ʻana, e kau i kahi uluna ma luna o ka ʻoki a kaomi i lalo. E hōʻemi nui kēia i ka ʻeha.
- Ka mālama ʻana i nā ʻeha: E mālama i ka ʻeha i maʻemaʻe a hoʻomaʻemaʻe ʻia e like me ke kauoha a kāu kauka.
- Ke hele ʻana i ka lua: He mea maʻamau ka manaʻo ʻana i ka luaʻi. Inā pilikia ʻoe, mai kānalua e kamaʻilio me kāu kauka e pili ana i ia mea.
ʻEhia ka lōʻihi e ho'ōla ai?
Pono ʻoe e hoʻi i ka maʻamau i loko o hoʻokahi a ʻelua paha pule. Hiki ke lōʻihi iki ka hana ʻoki hāmama. He mea maʻamau ka loaʻa ʻana o kekahi ʻeha a puni nā ʻoki. Hiki ke hoʻomalu ʻia kēia ʻeha me nā lāʻau anti-inflammatory nonsteroidal (NSAID) e like me ibuprofen.
ʻO ka mea maikaʻi loa, ʻo ia ka nalo koke ʻana o nā hōʻailona i loaʻa iā ʻoe ma mua o ke ʻoki ʻana (e like me ke koko kiʻekiʻe, ka luhi) ma hope o ke ʻoki ʻana.
I kēlā hihia, e ʻimi koke i ke kōkua lapaʻau.
Inā ʻike ʻoe i kekahi mea e like me kēia ma ka home ma hope o ke ʻoki ʻana, mai hoʻowahāwahā iā ia.
| Kūlana | He aha e hana ai |
|---|---|
| E kamaʻilio me kāu kauka. | |
| ʻEha | Inā ʻaʻole e emi ka ʻeha ma hope o ka lawe ʻana i ka lāʻau lapaʻau. |
| ʻEha | Inā wehe ʻia nā humuhumu a hāmama ke ʻano o ka ʻoki. |
| Nā hōʻailona o ka maʻi | Inā ʻulaʻula ka ʻeha, pehu, wela, kahe ka pus a kahe ke koko paha, a i ʻole ke ʻeha nui nei. |
| kuni | Inā he kuni kou. |
| E hele koke i ka Halemai Pilikia (ETU) kokoke loa. | |
| Nalowale o ka ʻike | Inā nalowale koke kou ʻike. |
| Paʻakikī ka hanu ʻana | Inā ʻoe e manaʻo nei he pilikia nui ka hanu ʻana. |
| ʻEha umauma | Inā loaʻa iā ʻoe ka ʻeha nui o ka umauma a i ʻole ke koko. |
He mea maʻamau ka makaʻu i ka wā e haʻi ʻia aku ai he pono ʻoe e hana i ke ʻoki kino. Akā no kekahi me ke kanesa adrenal a i ʻole kahi maʻi e pili ana i ka hormone, ʻo kēia ʻoki kino ke ala maikaʻi loa e ho'ōla ai. Inā ua ʻōlelo mai kāu kauka i kēia ʻoki kino nou, mai makaʻu e kamaʻilio me ia e pili ana i kāu mau nīnau a me nā makaʻu a pau.
Leka Lawe-Home
- He ʻoki holomua ʻo Adrenalectomy a hana pinepine ʻia no ke kanesa kelepa adrenal a i ʻole nā pilikia hormonal.
- Hana pinepine ʻia kēia ʻoki ma o nā ʻoki liʻiliʻi (laparoscopically), ʻo ia hoʻi ka manawa hoʻōla liʻiliʻi a me ka ʻeha liʻiliʻi.
- E kamaʻilio ākea me kāu kauka e pili ana i nā makaʻu a hopohopo paha āu e loaʻa ai ma mua o ke ʻoki ʻana.
- He mea nui ka hahai pono ʻana i nā ʻōlelo lapaʻau ma hope pono o ke ʻoki ʻana no ka hoʻōla wikiwiki a me ka holomua.
- Inā ʻike ʻoe i kekahi o nā hōʻailona pilikia i ʻōlelo ʻia ma luna, mai kānalua e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
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