E aʻo kākou e pili ana i ka lāʻau APC (Argon Plasma Coagulation), ka mea e hoʻōki ai i ke kahe ʻana o ke koko i loko o ke kino.

Ua loaʻa anei iā ʻoe kahi endoscopy? Malia paha ua noi kāu kauka iā ʻoe e hana i kēia hoʻāʻo no ka ʻōpū ʻōpū a i ʻole kekahi ʻeha ʻē aʻe. I ka hana ʻana i kēia hoʻāʻo, i kekahi manawa ʻike ke kauka i ke kahe ʻana mai kahi ʻeha liʻiliʻi i loko o kou ʻōpū a i ʻole nā ​​​​​​naʻau, a i ʻole nā ​​​​​​mea ulu liʻiliʻi (polyps) i hana ʻia. I ka wā ma mua, pono kēia i ke ʻoki liʻiliʻi, akā me ka ʻenehana holomua o kēia wā, aia nā ala e mālama ai i kēia mau mea me ka ʻole o ka hana ʻana i kahi ʻoki. ʻO ia kekahi o nā lāʻau lapaʻau holomua a mākou e kamaʻilio nei i kēia lā. Ua kapa ʻia ʻo Argon Plasma Coagulation, a i ʻole APC no ka pōkole.

I ka ʻōlelo maʻalahi, he aha ka APC (Argon Plasma Coagulation)?

ʻAe, he mea paʻakikī paha kēia inoa, akā he mea maʻalahi loa ka mea e hana ʻia ma kēia. E noʻonoʻo he lua liʻiliʻi i loko o kahi paipu i loko o ko kākou kino (e like me ke ala ʻai) e kahe ana ke koko. Ma kēia ʻano hana i kapa ʻia ʻo APC, hoʻouna ke kauka i kahi paipu lahilahi ʻē aʻe ma o ka paipu endoscope (scope), a hoʻokomo ʻia kahi kinoea kūikawā i kapa ʻia ʻo 'Argon' ma o ia mea. A laila, hoʻohana ʻia kahi au uila liʻiliʻi loa e hoʻā i ke kinoea. ʻO ka wela kiʻekiʻe i hana ʻia e kēia e puhi i ka wahi kahe koko a hoʻōki i ke kahe koko. Eia kekahi, inā he mau ulu liʻiliʻi i makemake ʻole ʻia (polyps), hiki i kēia ʻano hana ke hoʻopau loa iā lākou.

Ua like kēia me ka hoʻoponopono ʻana i kahi pilikia i loko o ke kino, me ka ʻoki ʻole ʻana i ke kino, akā me ke akahele loa mai waho. ʻO ia hoʻi, ʻaʻohe pono e hele i kahi ʻoki kino nui. ʻO ia ka mea a mākou e kapa nei he 'minimally invasive' i ka lāʻau lapaʻau.

Hana ʻia kēia ʻano hana e kahi gastroenterologist a i ʻole pulmonologist.

I nā hihia hea e pono ai kēia lāʻau lapaʻau?

Hoʻohana ʻia ka lāʻau lapaʻau APC no nā kumu like ʻole. E nānā kākou i kāna hana nui.

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Pehea e hana ai kēia lāʻau lapaʻau?

Aia kahi hoʻomākaukau liʻiliʻi e pono ai ʻoe e hana ma mua o kēia lāʻau lapaʻau. Aia ia i ke ʻano o kou makemake e hana ai.

• ʻO ka Endoscopy Kiʻekiʻe: Pili kēia i ke komo ʻana i kahi ʻōmole ma o ka waha e nānā i ka ʻōpū a me ka esophagus.
• Colonoscopy: ʻO ke komo ʻana i kahi ʻōmole ma o ka rectum e nānā i ka ʻōpū nui.
• Bronchoscopy: ʻO kēia ke komo ʻana i kahi ʻōmole ma o ka ihu a i ʻole ka waha e nānā i nā māmā.

Ma mua o kēia, e noi aku kāu kauka iā ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola . Me ka colonoscopy, e hāʻawi ʻia ʻoe i kahi hoʻomākaukau ʻōpū e kōkua i ka hoʻomaʻemaʻe ʻana i kou kolona. Eia kekahi, inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko e like me ka aspirin, e noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana iā lākou no kekahi mau lā.

I ka wā o ka mālama ʻana...

1. E hāʻawi ʻia ʻoe i ka anesthesia e hōʻoluʻolu ai ʻoe a ʻaʻole e ʻeha. ʻO kēia ke kau ʻana i kahi ʻōmole liʻiliʻi (laina IV) i loko o kahi aa koko ma kou lima a hāʻawi iā ʻoe i ka lāʻau lapaʻau ma o ia mea.

2. A laila e hoʻomoe ʻia ʻoe ma luna o ka moena lapaʻau.

3. Hoʻokomo ke kauka i kahi ʻōmole lahilahi a palupalu (scope) me kahi kāmela i hoʻopili ʻia i loko o ke kino e like me ke kūpono (ma o ka waha, ka ihu, a i ʻole ka anus).

4. I mea e pale ai i kekahi pōʻino i kou kino mai ke au uila, ua hoʻopili ʻia kahi papa pālahalaha (papa hoʻoheheʻe honua) i kou kino (ʻo kou ʻūhā maʻamau).

5. A laila, hoʻokomo ʻia ke catheter e loaʻa ana ka hāmeʻa APC ma o ka scope i kahi kūpono.

6. Hoʻokomo mua ʻia ke kinoea Argon, a laila hoʻohana ʻia ke au uila e hoʻā iā ia. A laila puhi ʻia ka ʻiʻo i manaʻo ʻia.

7. Hoʻopau ke kauka i ka lāʻau lapaʻau ma ka hoʻoneʻe ʻana i ka hāmeʻa e like me ka mea e pono ai, e kaohi ana i ka nui o ke kinoea a me ke au uila.

8. Ke pau ka hana, e wehe ʻia ke ana ʻike, ke catheter, a me ka pad grounding.

ʻO ka maʻamau, ʻo kēia kaʻina hana holoʻokoʻa he 15 mau minuke a hoʻokahi hola .

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau? Aia kekahi mau hopena ʻaoʻao?

Ma hope o ka lāʻau lapaʻau, e mālama ʻia ʻoe i loko o kahi lumi hoʻōla no kekahi manawa a e hoʻouna ʻia i ka home ma hope o ka pau ʻana o nā hopena o ka anesthesia. Hiki ke loaʻa kekahi ʻoluʻolu iki.

• Manaʻo ua piha kou ʻōpū.
• Ke kahe nei ke kinoea a me ka hopena o ka ʻeha iki o ka ʻōpū.
• Luhi iki, poniuniu iki.

He mea maʻamau kēia mau mea. ʻAʻohe mea e hopohopo ai. E nalo aku kēia mau ʻeha i loko o kekahi mau hola. ʻAʻole ʻoe e ʻeha i ka wā o ka mālama ʻana no ka mea e hāʻawi ʻia ʻoe i ka anesthesia.

He kaʻina hana palekana loa ka APC. He kākaʻikahi nā pilikia. Eia nō naʻe, e like me nā kaʻina hana lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi. ʻO ke kahe koko, nā pilikia me ka anesthesia, ka haiki ʻana o ka esophagus (stenosis), a i ʻole ka haki ʻana o nā ʻiʻo hiki ke hana kākaʻikahi loa. No laila he mea nui e hana ʻia kēia mau kaʻina hana e ke kauka akamai.

Nā hōʻailona e pono ai ke kōkua koke ʻana o ke kauka

Ma hope o ka hoʻi ʻana i ka home, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, pono ʻoe e hele koke i ka haukapila, ʻoiai ke Keʻena Pōpilikia (ETU). He mau hōʻailona paha kēia o kahi mea koʻikoʻi, no laila he mea nui e hana koke.

Ma hope o kou hoʻi ʻana i ka home, e hahai pono i nā ʻōlelo a ke kauka.

• Ma muli o nā hopena o ka lāʻau hoʻomāmā, mai hoʻokele a hoʻohana paha i nā mīkini kaumaha i ia lā.
• E lawe mai i kekahi e lawe iā ʻoe i ka home. ʻOi aku ka maikaʻi inā e noho kekahi me ʻoe no kekahi mau hola ma hope o kou hoʻi ʻana i ka home.
• E pale i ka inu ʻana i ka waiʻona.
• Na ke kauka e aʻo iā ʻoe i ka mea hiki iā ʻoe ke ʻai a me ka wā e hiki ai iā ʻoe ke hoʻomaka e ʻai maʻamau.