E kamaʻilio kākou e pili ana i ke ʻoki hoʻonui ʻana i ka ʻōpū mimi (Augmentation Cystoplasty)?

Pono anei ʻoe e mimi pinepine? A i ʻole e hoʻomaʻū ʻoe i kou mau lole i ka wā āu e manaʻo ʻole ai? I kekahi manawa, hiki iā ʻoe ke manaʻo ʻoluʻolu ʻole ma muli o nā mea e like me ka kaohi ʻana i ka ʻōpū mimi a me ka ʻeha ma ia wahi. ʻO ke kumu o ia mau pilikia he ʻōpū mimi liʻiliʻi a i ʻole ka piʻi ʻana o ke kaomi i loko. I ia mau hihia, ke kamaʻilio nei mākou e pili ana i kahi ʻoki kūikawā a nā kauka e ʻōlelo nei i kēia lā.

He aha ka Augmentation Cystoplasty?

I ka ʻōlelo maʻalahi, he ʻoki kino kēia e hoʻonui ai i kou ʻōpū mimi, ke kino e mālama i ka mimi i loko o ko kākou kino. E noʻonoʻo e like me ka hoʻohui ʻana i kahi ʻiʻo liʻiliʻi i kahi pōpō wai liʻiliʻi a hoʻonui iā ia. Ma kēia ʻoki kino, lawe ke kauka ʻoki i kahi ʻāpana liʻiliʻi o kou ʻōpū liʻiliʻi a i ʻole ka ʻōpū nui a hoʻohana iā ia e hoʻonui i kou ʻōpū mimi. Ua kapa ʻia kēia ʻo `(Augmentation Cystoplasty)`.

No ke aha ʻoe e pono ai e hana i kēia ʻano ʻoki kino?

Hiki i kekahi mau kūlana olakino ke hoʻopilikia i ka hana o ka ʻōpū mimi. No ka laʻana, ʻo nā ʻeha o ke kaula kuamoʻo, nā maʻi aʻalolo hānau ʻia, a i ʻole nā ​​maʻi e like me ka sclerosis maha hiki ke hana i nā pilikia o ka ʻōpū mimi.

Eia kekahi o nā kumu nui e pono ai kēia ʻoki kino:

• Leakage: Ka nalowale ʻana o kahi liʻiliʻi o ka mimi me ka ʻike ʻole ʻia.
• Ka spasticity o ka ʻōpū mimi: ʻO ke ʻano kēia, lilo nā ʻiʻo o ka ʻōpū mimi i mea makemake ʻole ʻia a paʻa, e hoʻoulu ai i ka makemake koke a ikaika e mimi, ka liki ʻana o ka mimi i kāohi ʻole ʻia, a i ʻole ka ʻeha i loko a puni paha o ka ʻōpū mimi.
• Hoʻemi ʻia ka mana o ka ʻōpū mimi: ʻAʻole hiki ke paʻa i ka nui o ka mimi e like me ma mua. Pono e mimi i ka wā e hōʻiliʻili iki ai.
• Hoʻonui ʻia ke kaomi i loko o ka ʻōpū mimi: He ʻano weliweli iki kēia. ʻAʻole hoʻonui pono ka ʻōpū mimi, ʻo ia ke kumu e hoʻonui nui ai ke kaomi i loko. Hiki i kēia kaomi kiʻekiʻe ke hoʻoulu i ka mimi e kahe i hope i loko o nā puʻupaʻa , e alakaʻi ana i nā maʻi puʻupaʻa a me ka hōʻino ʻana o nā puʻupaʻa i ka hala ʻana o ka manawa.

ʻO ka pinepine, ʻo ka poʻe i hoʻokomo ʻia kahi catheter no ka manawa lōʻihi ( self-catheterization)) ʻo ia ke kumu e ʻōlelo ai nā kauka i kēia ʻoki kino.

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

Ma mua o ka hoʻoholo ʻana e hana i ke ʻoki kino, e nānā pono kāu kauka iā ʻoe. Hiki iā ia ke hana i kekahi mau hoʻokolohua e hōʻoia i kūpono kēia ʻoki kino iā ʻoe.

Pono ʻoe e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei i kēia manawa, me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka, nā huaora, a me nā lāʻau lapaʻau kuʻuna. Hiki i kekahi mau lāʻau lapaʻau, e like me ka aspirin, ke hoʻonui i ke kahe koko i ka wā o ke ʻoki ʻana.

E kamaʻilio kākou e pili ana i ke ʻano o ka hana ʻana o ke ʻoki kino.

Ma kahi o ʻelua a ʻeono hola kēia hana ʻoki kino. Hiki i ke kauka ke hana i kahi ʻoki ma kou ʻōpū (ʻoki kino hāmama), a hoʻohana paha i ke ʻoki kino robotic (Hana ʻia kēia ma o kekahi mau ʻoki liʻiliʻi me ka hoʻohana ʻana i ke ʻoki robotic .

I ka ʻōlelo maʻalahi, eia ka mea e hana ʻia:

1. ʻO ka mea mua, ua ʻoki ʻia ka ʻaoʻao o luna o ka ʻōpū mimi.

2. A laila, ʻoki ʻia a hoʻokaʻawale ʻia kahi ʻāpana kūpono o kou ʻōpū liʻiliʻi a i ʻole ka ʻōpū nui.

3. Ua pelu ʻia kēia ʻāpana o ka naʻau i waenakonu, e hana ana i kahi ʻili pālahalaha.

4. ʻO ka hope loa, ua hoʻokomo ʻia kēia ʻāpana o ka naʻau i loko o ka puka o ka ʻōpū mimi i ʻoki ʻia ma mua a humuhumu maikaʻi ʻia.

Ke ala ʻoe, e loaʻa iā ʻoe ʻelua a ʻekolu paha mau ʻōmole i loko o kou ʻōpū a me ka ʻōpū mimi. Mai hopohopo, aia kēia mau mea e hoʻokahe i ka mimi a hoʻomaʻemaʻe i loko a hiki i ka wā e ho'ōla ai kou ʻōpū mimi.

He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?

Pono ʻoe e noho ma ka haukapila no kahi o ʻelima a ʻehiku mau lā ma hope o ke ʻoki ʻana. ʻAʻole ʻoe e ʻae ʻia e ʻai a inu paha no nā lā mua. ʻO kēia no ka mea ma hope o ke ʻoki ʻana o ka ʻōpū, lilo nā ʻōpū i mea hana ʻole no kekahi manawa. Ua kapa ʻia kēia ʻo 'ileus' . I loko o kēia manawa, hiki ke hoʻokomo ʻia kahi paipu ma o ka ihu e hoʻokahe i nā wai e hōʻiliʻili ana i loko o ka ʻōpū. Ke hoʻomaka hou ka hana ʻana o nā ʻōpū, e hāʻawi mua ʻia ʻoe i nā meaʻai wai (e like me ka wai sopa) a hoʻolauna mālie ʻia i nā meaʻai maʻamau.

Inā ʻaʻole hana pono ʻia kēia, hiki i kēia mucus ke hōʻiliʻili a hana i nā pōhaku mimi ʻōpū , nā maʻi ʻaʻai mimi (UTIs) , a hiki ke ālai i ka urethra. E aʻo aku nā kahu maʻi a me nā kauka iā ʻoe pehea e hana ai i kēia ʻoiai ʻoe ma ka haukapila.

Ma hope o ʻekolu pule, e hana ʻia kahi scan e ʻike ai inā ua ho'ōla maikaʻi ʻia ka ʻōpū mimi a ʻaʻole e liki ana. Inā maikaʻi nā mea a pau, e wehe ke kauka i ka ʻōmole a aʻo iā ʻoe pehea e hoʻokomo ai i kahi ʻōmole a mimi iā ʻoe iho (self-catheterization).

He aha nā pono a me nā pilikia?

E like me nā ʻoki kino āpau, loaʻa i kēia kekahi mau pōmaikaʻi a me kekahi mau pōʻino.

ʻEhia ka lōʻihi e ho'ōla ai?

Ma hope o ʻeono pule, e ʻike ʻoe ma kahi o 90% ʻoi aku ka maikaʻi. Akā hiki ke hala ma kahi o ʻekolu mahina e hoʻōla piha ai. I loko o kēia manawa, pono ʻoe e hoʻōki i ka hāpai ʻana i nā mea kaumaha, ka holo ʻana, ka pāʻani ʻana i nā haʻuki, a me ka moekolohe . No ka mea, inā he kaomi ma ka ʻōpū, hiki ke loaʻa kahi maʻi e like me ka hernia.

He mea nui e hahai pono i nā kuhikuhi a kāu kauka. Pono ʻoe e hoʻi i ka hana a i ke kula ma hope o ʻeono pule, akā pili kēlā i ke ʻano o kāu hana a me ka wikiwiki o kou hoʻōla ʻana.

Āhea wau e ʻike ai i ke kauka?

E hāʻawi aku kāu kauka iā ʻoe i kekahi mau lā e hoʻi mai ai, akā inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, pono ʻoe e kāhea koke aku i kāu kauka .

• Ke kahe nui ʻana o ke koko mai ka ʻoki.
• Kuni (ma luna o 38°C Celsius a i ʻole 100°F Fahrenheit).
• Ka maʻi, ka ʻeha, a i ʻole ka piʻi ʻana o ka pehu ma kahi i ʻoki ʻia.
• Inā ʻoe i loko o ka ʻeha nui a i ʻole he mau hōʻailona ʻē aʻe ʻē aʻe.