Hiki iā ʻoe ke wehe i kou ʻōpū mimi a hana i mea hou? E kamaʻilio kākou e pili ana i ke ʻoki ʻana o ka Neobladder (Neobladder Reconstruction)

I kekahi manawa, ma muli o ke kanesa a i ʻole nā ​​​​​​kūlana olakino koʻikoʻi ʻē aʻe, pono e wehe ʻia ka ʻōpū holoʻokoʻa o ke kanaka. Makaʻu ka poʻe he nui, "Pehea wau e mimi ai i kēia manawa?" Akā, mai makaʻu, me ka holomua o ka ʻepekema lapaʻau, aia kahi hopena maikaʻi no kēia. ʻO ia hoʻi, me ka hoʻohana ʻana i kahi ʻāpana o kou ʻōpū ponoʻī, hana ʻia kahi ʻōpū hou i loko o ke kino. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia ʻoki kino kupaianaha, i kapa ʻia ʻo ke ʻoki kino Neobladder.

He aha ka maʻalahi o ke ʻoki ʻana o ka 'Neobladder'?

I ka ʻōlelo maʻalahi, he ʻoki kino kēia e hana i kahi ʻōpū mimi hou e pani i kāu ʻōpū mimi maʻi a hana ʻole. Ma kēia, wehe mua nā kauka i kāu ʻōpū mimi mua ma o ke ʻoki kino. Ua kapa ʻia kēia he cystectomy . A laila, lawe lākou i kahi ʻāpana liʻiliʻi o kou ʻōpū liʻiliʻi ponoʻī a hoʻohana iā ia e hana i kahi ʻōpū mimi hou (neobladder) i ke ʻano o ka pōpō.

Hoʻokomo ʻia kēia ʻōpū mimi hou ma kahi like me kou ʻōpū mimi kahiko. ʻO ia ke kumu i kapa ʻia ai i kekahi manawa he 'orthotopic' neobladder. ʻO ke ʻano o 'Orthotopic' "ma kahi like." ʻO kēia ka mea a mākou e kapa nei he neobladder reconstruction, kahi e hana ai i kahi ʻōnaehana hou e mālama a hoʻokuʻu i ka mimi.

Akā, ʻaʻole no nā kānaka a pau kēia ʻoki kino. E hoʻoholo nā kauka inā kūpono ʻoe no kēia ma muli o kekahi mau kumu, e like me ke olakino o kou mau puʻupaʻa a me ke akepaʻa a inā he maʻi ʻaʻai mimi kou.

I nā hihia hea e pono ai kēia ʻoki kino?

Hiki i ke kauka ke ʻōlelo aku i kēia ʻoki kino no nā ʻano kūlana like ʻole e hoʻopilikia ai i ke olakino a i ʻole ka hana o kou ʻōpū mimi. E nānā kākou i ke ʻano o lākou.

Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?

Ma mua o ke ʻoki kino, e hālāwai ʻoe me kahi urologist. E wehewehe ʻo ia i nā pono a me nā pōʻino o ke ʻoki kino, a me nā koho ʻē aʻe, a e nānā hou i kāu mōʻaukala olakino a hana i kahi hoʻokolohua kino e loiloi i kou olakino holoʻokoʻa.

Eia kekahi, e nīnau ʻia ʻoe e pili ana i kēia mau mea:

• Nā lāʻau lapaʻau āu e lawe ai: Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei (ʻo ke kauka a me ke kauka kūʻai ʻole). Hiki i kekahi mau lāʻau hoʻomaha ʻeha (NSAID) a me nā lāʻau hoʻokahe koko (anticoagulants) ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko i ka wā o ke ʻoki ʻana. Akā e hoʻomanaʻo, mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ka nīnau mua ʻana i kāu kauka.
• Kou mau maʻi ʻaleka: E hōʻoia e haʻi mai iā mākou e pili ana i kekahi mau maʻi ʻaleka āu e loaʻa ai i nā lāʻau lapaʻau, nā mea hoʻomaʻemaʻe ʻili (e like me ka iodine), latex, a i ʻole nā ​​​​meaʻai.
• ʻAi a me ka Mea Inu: E aʻo ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea ma hope o ke aumoe o ka pō ma mua o ke ʻoki kino. Inā loaʻa iā ʻoe kekahi lāʻau lapaʻau koʻikoʻi, hiki iā ʻoe ke lawe me kahi ʻōmole wai.

Pehea e hana ʻia ai ke ʻoki ʻana i kēlā me kēia ʻanuʻu

He hana ʻoki kino nui kēia e mau ana ma kahi o ʻelua a ʻeono hola. E nānā kākou i kēlā me kēia ʻanuʻu i nā mea e hana ʻia ana i kēia manawa.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Pehea ka lōʻihi e hoʻōla ai?

Ma hope o ke ʻoki kino, pono ʻoe e noho ma ka haukapila no kekahi mau lā. E luhi iki ʻoe ma hope o kou hoʻi hou ʻana i ka ʻike. Ma ka haukapila, e hāʻawi ke kime lapaʻau iā ʻoe i nā lāʻau lapaʻau e kāohi i kou ʻeha a nānā i kou olakino.

I ka wā e ho'ōla hou ai, e a'o 'ia 'oe e pili ana i:

• Hoʻoikaika kino papahele pelvic (nā hoʻomaʻamaʻa Kegel): He mea nui loa kēia. Hoʻoikaika kēia mau hoʻomaʻamaʻa i nā ʻiʻo e kaohi ana i kou ʻōpū mimi. No laila, kōkua nui kēia i ka pale ʻana i ka hoʻōki ʻana o ka mimi.
• ʻO ke kāpili ʻana iā ʻoe iho: ʻAʻole pono nā kānaka a pau, akā ma kahi o 15% o ka poʻe e pono e hoʻohana i kēia ʻano hana e hoʻokahe loa i ko lākou ʻōpū mimi i ka wā mua. Mai hopohopo, e hōʻike mākou iā ʻoe pehea e hana ai.

Hiki ke hala kekahi mau mahina e hoʻōla piha ai. He manawa ka manawa e hoʻomaʻamaʻa ai i kāu ʻōpū mimi hou, e aʻo pehea e hoʻokahe ai, a hoʻoikaika i kou mau ʻiʻo. E kōkua kāu kauka a me nā limahana kahu maʻi iā ʻoe me kēia mau mea āpau.

He aha nā pōmaikaʻi a me nā pōʻino o kahi Neobladder?

Akā e like me nā mea āpau, aia kekahi mau pilikia a me nā hemahema i kēia.

• Kaohi ʻana i ka ʻōpū mimi: Hiki ke paʻakikī ke kaohi i kou ʻōpū mimi i ka wā mua, ʻoiai i ka pō. Eia nō naʻe, i ka hala ʻana o ka manawa, ʻoiai me nā hoʻomaʻamaʻa Kegel, ma kahi o 90% o ka poʻe e loaʻa ka kaohi maikaʻi i ke ao.
• ʻO ka huʻa i loko o ka mimi: ʻOiai ua hana ʻia ka ʻōpū mimi hou mai kahi ʻāpana o ka ʻōpū, hoʻopuka ia i kahi mea huna e like me ka huʻa. No laila, i mea e pale ai i ka maʻi, pono i kekahi manawa ke hoʻokomo i kahi catheter a hoʻoinu i ka ʻōpū mimi.
• ʻO nā pilikia ʻē aʻe: Ke kahe koko, nā ʻūpā koko, nā maʻi bacteria, nā maʻi ʻaʻai mimi (UTI), ka paʻa ʻana o ka mimi, a me nā mea ʻē aʻe. I kekahi manawa, hiki ke loaʻa nā hemahema electrolyte.

Hiki ke ola i kahi ola maʻamau me kahi neobladder?

ʻAe, ʻoiaʻiʻo nō! Hiki i ka hapa nui o ka poʻe me ka neobladder ke hoʻomau i kā lākou mau hana maʻamau a me nā hana.

I ka wā mua, pono ʻoe e mimi i kēlā me kēia ʻelua hola. Akā i ka hala ʻana o ka manawa, i ka wā e ʻō aku ai kou ʻōpū mimi hou a ikaika aʻe, hiki iā ʻoe ke paʻa i kāu mimi no kahi o 4-6 mau hola. I loko o kekahi mau pule, hiki iā ʻoe ke hana i nā hana māmā a hele i ka hana. ʻAʻohe kapu meaʻai kūikawā, a hiki iā ʻoe ke huakaʻi me ka ʻole o nā kapu.

Nā manawa kūpono e makemake ai ʻoe e ʻike i ke kauka

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka. Inā koʻikoʻi nā hōʻailona, ​​e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

• Nā hōʻailona o ka maʻi e like me ke kuni, ke anu, a me ka mimi noe.
• He paʻakikī ke hoʻokomo wale i ka catheter.
• Ke koko i loko o ka mimi (hematuria) .
• ʻEha nui ma ka ʻōpū a i ʻole ma waena o nā iwi ʻaoʻao a me nā pūhaka.