Ke lohe kākou i ka huaʻōlelo kanesa, ʻo ka mea mua e hiki mai ana i ka noʻonoʻo, ʻo ia ka hana ʻana i kahi ʻoki e wehe ai i ka puʻupuʻu, ʻeā? ʻO ka ʻoiaʻiʻo, i ka hapa nui o nā hihia, ʻo ia ka hopena maikaʻi loa a holomua loa. Eia nō naʻe, aia kekahi mau manawa ʻaʻole hiki ke hana mau ʻia ke ʻoki ʻana. Ma muli o ka wahi o ke kanesa a i ʻole kou kūlana olakino, hiki ke pilikia ke ʻoki ʻana. I ia mau hihia, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano lapaʻau holomua a kūikawā hoʻi a nā kauka e hoʻohana ai. Ua kapa ʻia kēia ʻo Cryoablation .
I ka ʻōlelo maʻalahi, he aha ka Cryoablation?
He mea paʻakikī paha ke kani ʻana o ka inoa, akā he mea maʻalahi loa ka mea e hana ʻia. ʻO ka Cryoablation kahi lāʻau lapaʻau e hoʻohana ana i ke anu nui, e like me ka hau, e 'hoʻopaʻahau' a luku i nā ʻiʻo maʻamau ʻole i loko o ko mākou kino, e like me nā hunaola kanesa.
E noʻonoʻo e hoʻohana ana kekahi kauka i kahi mea hana kūikawā, e like me ke kui, a kuhikuhi i kahi kinoea anuanu loa i loko o ia mea i ka puʻupuʻu kanesa. Hoʻopaʻahau kēia anu nui i nā hunaola kanesa, e lilo ai kā lākou hana a make i ka hopena. I kekahi manawa ua kapa ʻia kēia ʻano hana he "cryosurgery" a i ʻole "percutaneous cryotherapy".
ʻO ke ʻoki ʻana e wehe i kahi puʻupuʻu kanesa ka mea maʻamau ke koho mua. Eia nō naʻe, inā ʻaʻole hiki kēlā, hiki i kāu kauka ke ʻōlelo i kēia lāʻau lapaʻau inā manaʻo ʻo ia ʻo ia ke koho maikaʻi loa a palekana loa nāu.
I nā hihia hea e ʻōlelo ai ke kauka i kēia lāʻau lapaʻau?
Aia kekahi mau manawa e hiki ai i kāu kauka ke haʻi iā ʻoe e pili ana i kēia ʻano lapaʻau.
- Inā aia ke kanesa i nā pae mua: Hoʻohana ʻia kēia ʻano hana inā he liʻiliʻi nō ke kanesa, ʻo ia hoʻi, i nā pae mua, a hiki ke hiki i ka puʻupuʻu me ka ʻole o ka hana ʻana i kahi ʻoki nui.
- Nā pilikia o ka wehe ʻana i ke ʻoki kino: I kekahi manawa aia paha ka puʻupuʻu ma kahi maʻalahi loa. ʻO ke ʻano kēia he mea weliweli loa paha ke wehe ʻana iā ia ma ke ʻoki kino me ka ʻole o ka hōʻino ʻana i nā kino koʻikoʻi a puni. He mea pono loa kēia ʻano hana i ia mau hihia.
- Inā ua pālahalaha ke kanesa ma ke kino holoʻokoʻa: I kekahi manawa hiki i ke kanesa ke pālahalaha i nā ʻōpū ʻē aʻe (kane metastatic). I ia mau hihia, hoʻohana ʻia kēia lāʻau lapaʻau e hōʻemi i ka ʻeha i hoʻokumu ʻia e ka laha ʻana o nā puʻupuʻu a e hoʻemi i ka nui o nā puʻupuʻu. Ua kapa ʻia kēia he palliative cryoablation . ʻO ia hoʻi, ua hana ʻia ia e kōkua i ka kaohi ʻana i nā hōʻailona a me ka ʻeha, ma mua o ka hoʻōla piha ʻana i ka maʻi.
He aha nā ʻano maʻi kanesa e mālama ʻia me kēia ʻano hana?
Hiki ke hoʻohana ʻia ka lāʻau Cryoablation no nā ʻano maʻi kanesa like ʻole. E hāʻawi ka papa ma lalo nei iā ʻoe i kahi manaʻo maikaʻi o ka mea hiki iā ia ke hana.
| ʻElua mau ʻano maʻi kanesa e hiki ke mālama ʻia |
|---|
| Ka maʻi ʻaʻai umauma |
| Ka maʻi ʻaʻai o ka ʻōpū |
| Ka maʻi ʻaʻai puʻupaʻa |
| Ka maʻi ʻaʻai ate |
| Ka maʻi ʻaʻai māmā |
| Ka maʻi ʻaʻai prostate |
| Nā maʻi ʻaʻai palupalu (sarcomas) |
| Ka maʻi ʻaʻai thyroid |
Pehea e hana ai kēia lāʻau lapaʻau?
ʻO kēia kahi e hana ʻia ai kekahi mea hoihoi loa. Hana ke kauka i kahi lua liʻiliʻi i loko o kou ʻili. A laila hoʻokomo ʻo ia i kahi mea hana kūikawā e like me ke nila i kapa ʻia he cryoprobe ma o kēlā lua a kuhikuhi iā ia i kahi i loaʻa ai ke kanesa.
Aia i loko o kēia `cryoprobe` kahi kinoea anuanu loa. No ka laʻana, hiki ke hoʻohana ʻia kekahi mea e like me `liquid nitrogen`, `liquid nitrous oxide`, a i ʻole `compressed argon gas`.
Ke hoʻopili ke kauka i ka piko o kēia 'cryoprobe' i ka puʻupuʻu, ʻo ka ea anuanu loa ke kumu o ka hana ʻana o nā pahu hau i loko o nā hunaola puʻupuʻu. E like me ka wai e paʻa ai ke waiho ʻoe i loko o ka pahu hau. A laila, ke wehe ʻia ke anu, hoʻomaka ka ʻiʻo e heheʻe. ʻO kēia kaʻina hana 'freeze-thaw' e hōʻino i nā hunaola puʻupuʻu a make lākou. Ma kēia ʻano, emi mālie ka puʻupuʻu a nalowale i ka hopena.
Pehea e hoʻomākaukau ai ma mua o ka mālama ʻana?
Aia kekahi hoʻomākaukau e pono ai ma mua o kekahi kaʻina hana lapaʻau e like me kēia. E hāʻawi kāu kauka a me ka hui lapaʻau iā ʻoe i nā kuhikuhi maopopo e pili ana i ka mea e hana ai. Akā, aia kekahi mau mea maʻamau e hoʻomākaukau ai:
- E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home: ʻAʻole paha ʻoe e hiki ke hoʻokele ma hope o ka lāʻau lapaʻau, no laila he mea nui e hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home ma mua.
- Pono paha ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau: Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau, e like me ka aspirin, nā lāʻau hoʻomaha ʻeha (NSAID), a me nā lāʻau hoʻokahe koko, e noi paha kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o kāu mālama ʻana.
- Lāʻau lapaʻau e hōʻoluʻolu i ka ʻeha a pale aku paha i ka maʻi: Hiki i kāu kauka ke ʻōlelo aku e lawe i kekahi mau lāʻau lapaʻau e hōʻemi i ka ʻeha a pale aku paha i ka maʻi ma mua o ka mālama ʻana.
- ʻO ka hoʻokē ʻai: Inā hāʻawi ʻia ʻoe i ka anesthesia laulā, ʻo ia hoʻi ua hoʻohiamoe loa ʻia ʻoe, e haʻi ʻia iā ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola ma mua o ka mālama ʻana.
He aha ka mea e hana maoli ana i ka wā o ka mālama ʻana?
E nānā kākou pehea e hana ai kēia kaʻina hana i kēlā me kēia ʻanuʻu.
1. Anesthesia: ʻO ka mea mua, e hāʻawi ke kauka anesthesiologist iā ʻoe i kahi lāʻau hoʻomāʻū i ʻole ʻoe e ʻeha. He anesthesia kūloko paha kēia, a i ʻole e hoʻomoe loa ʻia ʻoe (anesthesia laulā).
2. Ke hana ʻana i kahi lua liʻiliʻi: Hana ke kauka i kahi lua liʻiliʻi loa i loko o ka ʻili ma kahi i mālama ʻia.
3. Ke hoʻokomo ʻana i ka cryoprobe: ʻO ka mea aʻe, hoʻokomo ʻia ka cryoprobe e loaʻa ana ke kinoea anuanu loa ma o kēlā lua.
4. Ke hoʻopaʻahau ʻana i ke kanesa: Hoʻopā ke kauka i ka piko o ka `cryoprobe` i ke kanesa no kekahi mau kekona a i ʻole mau minuke. Hoʻopaʻahau ke anu nui i nā hunaola kanesa a luku iā lākou.
5. Nānā ma o ka Scan: ʻAʻole hana ʻia kēia mau mea a pau no ka mea ʻole. Hoʻohana ke kauka i kahi ʻenehana e like me Ultrasound, MRI (Magnetic Resonance Imaging) a i ʻole CT (Computed Tomography) scan a nānā i kahi pale e ʻike inā e hoʻokokoke pololei ana ka cryoprobe i ka puʻupuʻu a inā e paʻa pono ana ka puʻupuʻu.
6. E hana hou: I kekahi manawa pono e hana hou ʻia kēia kaʻina hana pōhaku i nā manawa he nui e hoʻopau ai i ka hua holoʻokoʻa.
7. Ka wehe ʻana i ka hāmeʻa: Ma hope o ka luku ʻia ʻana o nā hunaola kanesa i ka nui i makemake ʻia, wehe ʻia ka cryoprobe a hoʻopili ʻia kekahi mea e like me ka plaster i ka lua liʻiliʻi.
Hiki i kēia kaʻina hana holoʻokoʻa ke hala i kekahi mau hola, ma muli o kou kūlana.
Hiki ke hana ʻia kēia ma ke ʻano he ʻoki laparoscopic?
ʻAe, hiki nō. ʻO ke ʻoki kino LaparoscopicHe hana ʻoki kino kēia e hoʻohana ana i kahi kāmela a me nā lako kūikawā e hana i ke ʻoki kino ma o kekahi mau ʻoki liʻiliʻi ma kahi o hoʻokahi ʻoki nui. Hiki ke hana ʻia ka mālama ʻana i ka cryoablation ma kēia ʻano. ʻAe kēia i nā cryoprobes he nui e hoʻohana ʻia i ka manawa like e luku ai i nā hunaola kanesa.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau a he aha nā pōmaikaʻi?
Inā ua hāʻawi ʻia ʻoe i ka anesthesia laulā, e lawe ʻia ʻoe i kahi lumi hoʻōla kahi e nānā ai ke kime lapaʻau i nā mea e like me kou helu puʻuwai a me ke koko.
Hiki i ka hapa nui o ka poʻe ke hoʻi i ka home i ka lā hoʻokahi ma hope o ka mālama ʻana. Eia nō naʻe, i kekahi mau hihia, pono paha ʻoe e noho i ka haukapila i ka pō inā pono e nānā hou ʻia kou kūlana.
Nā pono o ka mālama ʻana i ka cryoablation:
- Hiki ke hana me ka ʻole o kahi ʻoki nui.
- He mea kākaʻikahi loa nā hopena ʻaoʻao a me nā ʻeha.
- Kakaikahi ka pōʻino i nā ʻiʻo olakino a puni ke kanesa.
He aha nā pilikia a me nā pilikia o kēia?
ʻO ka cryoablation ma ke ʻano laulā he lāʻau palekana loa ia, akā e like me nā kaʻina hana e pili ana i ke komo ʻana i kahi mea hana ma o ka ʻili, aia kekahi mau pilikia.
| Pōpilikia | Wehewehena |
|---|---|
| ʻO ka ʻili e wela ana | Hiki i ke anu nui ke hoʻoulu i nā kuni liʻiliʻi i ka ʻili. |
| Nā pilikia ma muli o ka anesthesia | Hiki ke loaʻa ka luaʻi a me ka nausea. |
| Ka hōʻino ʻana i nā ʻiʻo a puni | Inā pā ka cryoprobe i nā ʻōkana olakino a i ʻole nā ʻiʻo kokoke, ua hōʻino ʻia paha lākou. |
| Maʻi | Aia kahi pilikia liʻiliʻi o ke komo ʻana o nā germs i kahi i hoʻokomo ʻia ai ka hāmeʻa. |
| Ka pōʻino o ke aʻalolo | Inā hōʻino ʻia nā aʻalolo kokoke i kahi i mālama ʻia, hiki ke loaʻa ka maneʻo a nāwaliwali paha. |
ʻEhia ka lōʻihi e ho'ōla ai?
Hiki i ka hapa nui o ka poʻe ke hoʻi i kā lākou hana maʻamau i loko o ʻelua a ʻehiku mau lā. Eia nō naʻe, ʻokoʻa paha kou kūlana, no laila e nīnau pono i kāu kauka i ka mea āu e hana ʻole ai a hiki i kou hoʻōla ʻana.
Āhea wau e kāhea aku ai i ke kauka?
E haʻi aku kāu kauka iā ʻoe i ka manawa e hoʻi ai ʻoe e ʻike i kāu kauka ma hope o kāu lāʻau lapaʻau. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, he mau hōʻailona paha ia o kahi maʻi, pono ʻoe e hoʻokaʻaʻike koke aku i kāu kauka.
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e haʻi koke aku i kāu kauka. | |
|---|---|
| Hōʻailona | Wehewehena |
| Pehu nui | Inā pehu ka ʻāpana i mālama ʻia me ke ʻano ʻē. |
| kuni | Inā ʻoi aku ka mahana o ke kino ma mua o 101°F (38.4°C). |
| Ka hoʻokuʻu ʻana o ka pus | Inā e kahe ana kahi wai e like me ka pus mai kahi i hoʻokomo ʻia ai. |
| ʻUlaʻula ʻili | Inā ʻulaʻula a ʻeleʻele ka ʻili a puni ka wahi. |
He aha ka mea e hana ʻia i ke kanesa ma hope o ka mālama ʻana?
He nīnau koʻikoʻi nō hoʻi kēia. Ke pau ka lāʻau lapaʻau, e heheʻe ana ka ʻiʻo kanesa paʻakikī a hoʻomaka mālie e emi. I ka hala ʻana o ka manawa, wehe ka ʻōnaehana hoʻomaʻemaʻe kūlohelohe o ko mākou kino i kēia mau hunaola make. E like me ka wā e ho'ōla ai kahi ʻeha, hoʻokahe ko mākou kino i ka ʻili make. Ma kēia ʻano, nalowale mālie ke kanesa.
ʻAʻole hiki ke hoʻohana ʻia ka Cryoablation no nā ʻano maʻi kanesa āpau, ma nā hihia āpau. Eia nō naʻe, he koho maikaʻi loa ia, palekana, a pono hoʻi e hiki ke noʻonoʻo ʻia ke hiki ʻole ke ʻoki kino.
Inā loaʻa iā ʻoe ka maʻi kanesa, e kamaʻilio me kāu kauka e pili ana i kēia koho lapaʻau. Hiki iā ia ke pane i kāu mau nīnau a pau a kōkua iā ʻoe e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.
Leka Lawe-Home
- ʻO ka Cryoablation kahi ʻano lapaʻau holomua e hoʻohana ana i ke anu nui e hoʻopaʻahau a luku i nā hunaola kanesa.
- He koho maikaʻi loa kēia i ka wā e paʻakikī ai ke ʻoki kino nui a i ʻole he mea weliweli.
- ʻOi aku ka ʻeha o kēia ma mua o ke ʻoki kino maʻamau, me ka emi ʻana o ka ʻeha a me ka manawa hoʻōla hou ʻole.
- E like me nā lāʻau lapaʻau āpau, aia kekahi mau pilikia, no laila he mea nui e kūkākūkā pono me kāu kauka ma mua o ka lāʻau lapaʻau.
- Ma hope o ka lāʻau lapaʻau, he mea nui ka hahai pololei ʻana i nā ʻōlelo a kāu kauka no ka hoʻōla wikiwiki ʻana. Inā ʻike ʻoe i kekahi mau hōʻailona ʻē, e hoʻomaopopo koke i kāu kauka.
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