Ke haʻi aku ke kauka iā ʻoe a i ʻole kekahi āu i ʻike ai he maʻi kanesa, ʻo ka nīnau mua e hiki mai ana i ka noʻonoʻo, "Hiki ke wehe ʻia kēia ma o ke ʻoki kino?" I ka hapanui o nā hihia, ʻo ke ʻoki kino ka hopena maikaʻi loa. Eia nō naʻe, aia kekahi mau manawa ʻaʻole hiki ke ʻoki kino i nā manawa a pau. I kekahi manawa, hiki ke pilikia ke ʻoki kino ma muli o kahi o ke kanesa a i ʻole nā kūlana olakino ʻē aʻe o ka mea maʻi. I ia mau hihia, ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau kūikawā a nā kauka e ʻōlelo ai e luku i nā hunaola kanesa. ʻO ia ka Cryoablation.
I ka ʻōlelo maʻalahi, he aha ka Cryoablation?
He lāʻau lapaʻau ka Cryoablation e hoʻohana ana i ke anu nui e hoʻopaʻa i nā ʻāpana ʻē, ʻoi aku hoʻi nā ʻāpana kanesa. E noʻonoʻo i kēia ʻano, e like me ka hoʻopaʻa ʻana i ka wai, hoʻopaʻa kēia ʻano hana i ka wai i loko o nā ʻāpana kanesa.
Hana ʻia kēia me ka hoʻohana ʻana i kahi mea hana kūikawā e like me ke nila (he `cryoprobe`). Loaʻa i kēia mea hana kahi kinoea anuanu loa (e like me ka naikokene wai a i ʻole ke kinoea argon). Ke hoʻopā ke kauka i ka puʻupuʻu kanesa me kēia mea hana, paʻa a make nā hunaola kanesa ma muli o ke anu nui. I ka hala ʻana o ka manawa, wehe ʻia nā hunaola make mai ke kino a emi iho ka puʻupuʻu kanesa. I kekahi manawa ua kapa ʻia kēia lāʻau lapaʻau ʻo `cryosurgery`.
I nā hihia hea e ʻōlelo ai ke kauka i kēia lāʻau lapaʻau?
ʻO ke ʻoki kino ka koho mua inā hiki. Eia nō naʻe, i ka wā hiki ʻole ke ʻoki kino a kūpono paha, he koho waiwai nui ka cryoablation. Eia kekahi o nā kūlana nui e hiki ai i ke kauka ke ʻōlelo aku i kēia lāʻau lapaʻau.
| Kūlana | He wehewehe maʻalahi |
|---|---|
| Ka maʻi kanesa liʻiliʻi a mua paha | Hoʻohana ʻia kēia ʻano hana no nā puʻupuʻu maʻi ʻaʻai hiki ke hiki me ka ʻole o kahi ʻoki nui, ma ka hana ʻana i kahi lua liʻiliʻi ma ka ʻili o ka ʻili. |
| Wehe ʻoki kino i ka maʻi ʻaʻai weliweli | Inā aia ke kanesa ma kahi ʻāpana koʻikoʻi loa, no ka laʻana, kokoke loa i kahi ʻōkana koʻikoʻi, hiki i ke ʻoki kino ke hōʻino i kēlā ʻōkana. I ia mau hihia, palekana kēia ʻano hana. |
| Ka maʻi ʻaʻai metastatic | Inā ua pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino a ke kumu nei i ka ʻeha a i ʻole ka ʻoluʻolu ʻole ʻē aʻe, hiki ke hoʻohana ʻia kēia lāʻau lapaʻau e kāohi i kēlā ʻeha. Ua kapa ʻia ʻo ia he Palliative Cryoablation. |
Nā ʻano maʻi kanesa i mālama ʻia me kēia ʻano hana
Hoʻohana ʻia ka Cryoablation e mālama i nā ʻano maʻi like ʻole, e like me:
- 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
- ʻO Sarcomas (nā maʻi ʻaʻai o nā ʻiʻo pili)
- Ka maʻi ʻaʻai thyroid
Pehea ʻoe e hoʻomākaukau ai ma mua o ka mālama ʻana?
Inā hoʻoholo ʻoe e loaʻa i kēia lāʻau lapaʻau, e hāʻawi kāu kauka a me ka hui lapaʻau iā ʻoe i nā kuhikuhi maopopo e pili ana i ka mea e manaʻo ai. Inā ʻoe ma lalo o ka anesthesia laulā, e noi ʻia ʻoe e hoʻokē ʻai no kekahi mau hola. ʻO kēia nā mea maʻamau āu e pono ai e hoʻomākaukau.
- E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home: ʻAʻole paha ʻoe e hiki ke hoʻokele iā ʻoe iho ma hope o ka lāʻau lapaʻau.
- Ke hoʻōki ʻana i kekahi mau lāʻau lapaʻau: E noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana i nā lāʻau hoʻokahe koko, aspirin, a me NSAID (nā lāʻau hoʻomaha ʻeha) no kekahi mau lā. ʻO kēia ke hōʻemi i ka pilikia o ke kahe ʻana o ke koko i ka wā o ka mālama ʻana.
- Ke lawe ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka: Hiki ke kuhikuhi ʻia iā ʻoe ka lāʻau lapaʻau e hoʻomaka koke e pale aku i ka ʻeha a i ʻole ka maʻi.
ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, ʻoiai nā huaora, ma mua o ka mālama ʻana.
He aha ka mea e hana maoli ana i ka wā o ka mālama ʻana?
Ke komo ʻoe i loko o ka lumi lapaʻau, e hāʻawi mua ʻia ʻoe i ka anesthesia. He anesthesia kūloko paha kēia, ka mea e hoʻomānoʻonoʻo wale i ka wahi e mālama ʻia ana, a i ʻole ka anesthesia laulā, ka mea e hoʻomoe loa iā ʻoe. A laila, eia ka mea e hana ʻia i kēlā me kēia ʻanuʻu:
1. Hana wale ke kauka i kahi lua liʻiliʻi loa (`puncture`) i loko o ka ʻili kahi e hana ʻia ai ka lāʻau lapaʻau.
2. Ma o kēlā lua, ua hoʻokomo ʻia kahi nila kūikawā, i kapa ʻia ʻo `cryoprobe`, i loko o kahi i loaʻa ai ke kanesa.
3. ʻAʻole kēia he kuhi wale nō. Hoʻonoho pololei ʻia ka cryoprobe ma ka nānā ʻana i kahi o ka puʻupuʻu ma kahi pale me ka hoʻohana ʻana i ka ʻenehana e like me ka ultrasound, MRI, a i ʻole CT scan .
4. A laila, ua hoʻopili ʻia ke anu nui o ka `cryoprobe` i ke kanesa no kekahi mau kekona a i ʻole mau minuke. Hoʻopaʻa nā ʻāpana o ia wahi, e lilo ana e like me ka pōpō hau.
5. Ma hope o kekahi manawa, ʻae ʻia ka pōpō hau e heheʻe ma hope o ka pau ʻana o ka hau ʻana. ʻO kēia kaʻina hana o ka hau ʻana a me ka heheʻe ʻana ka mea e luku ai i nā hunaola kanesa.
6. I kekahi manawa pono ʻoe e hana i kēia kaʻina hana i nā manawa he nui e luku ai i ka puʻupuʻu holoʻokoʻa.
7. ʻO ka hope loa, wehe ʻia ka cryoprobe a hoʻopili ʻia kekahi mea e like me ka plaster liʻiliʻi i kēlā lua liʻiliʻi.
I kekahi mau hihia, ʻoi aku hoʻi no nā maʻi ʻaʻai ʻōpū, hana ʻia kēia me ka hoʻohana ʻana i ke ʻano `laparoscopic surgery` (keyhole surgery). A laila, hana ʻia kekahi mau ʻoki liʻiliʻi a hoʻokomo ʻia kekahi mau `cryoprobes` e hana i ka lāʻau.
He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau a pau, loaʻa i kēia lāʻau nā pono a me nā pōʻino liʻiliʻi.
| Nā Pōmaikaʻi | Nā Pōʻino |
|---|---|
| Ua emi ka ʻeha no ka mea ʻaʻohe ʻoki nui. | Nā ʻā ʻili liʻiliʻi ma kahi i mālama ʻia. |
| He pōkole ka manawa ho'ōla, a hiki iā ʻoe ke hoʻi koke i ke ola maʻamau. | Ka maʻi (kākaʻikahi loa). |
| ʻAʻohe ʻeha nui e loaʻa. | He pōʻino iki i nā ʻiʻo olakino a i ʻole nā aʻalolo a puni. |
| Nā hopena ʻaoʻao emi. | Nā pilikia e pili ana i ka anesthesia (e.g. nausea). |
He haʻahaʻa loa ka pilikia o kēia. E wehewehe ke kauka i nā mea āpau iā ʻoe.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
Hiki i ka hapa nui o ka poʻe ke hoʻi i ka home i ka lā hoʻokahi o ka mālama ʻana. Pono paha ʻoe e noho i ka haukapila i ka pō. Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i loko o ʻelua mau lā a i hoʻokahi pule . Eia nō naʻe, hiki ke loli kēia ma muli o kou kūlana, no laila he mea nui e hahai pono i nā ʻōlelo a kāu kauka .
Ma hope o ka mālama ʻana, ua "hoʻomaʻemaʻe mālie ʻia" nā hunaola kanesa i luku ʻia a hoʻopau ʻia e ka ʻōnaehana pale ponoʻī o ko mākou kino. ʻO ka hopena, ua emi mālie ke kanesa.
Āhea wau e ʻike hou ai i ke kauka?
E noi ʻia ʻoe e hoʻi mai no kahi hoʻokolokolo ma hope o kekahi mau pule ma hope o ka mālama ʻana. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, pono ʻoe e hoʻokaʻaʻike koke aku i kāu kauka:
- ʻO ka pehu nui ma ka wahi i mālama ʻia.
- Kuni (ma luna o 38.4°C / 101°F).
- Ke kahe nei kekahi mea e like me ka pus mai loko mai o ka lua.
- ʻUlaʻula a ʻulaʻula paha o ka ʻili a puni ka wahi i mālama ʻia.
Leka Lawe-Home
- He lāʻau lapaʻau minimally invasive ka Cryoablation e hoʻopau ana i nā hunaola kanesa ma ka hoʻopaʻahau ʻana iā lākou me ke anu nui.
- He koho maikaʻi loa kēia i nā hihia kahi i hiki ʻole ai ke hana ʻoki kino nui a i ʻole he mea pilikia.
- ʻO ka hopena, ʻoi aku ka liʻiliʻi o ka ʻeha, ka ʻeha, a me ka manawa ho'ōla ma mua o ke ʻoki kino maʻamau.
- Ma hope o ka mālama ʻana, hoʻopau ʻia nā hunaola kanesa make e nā kaʻina hana kūlohelohe o ke kino.
- ʻAʻole kēia he lāʻau lapaʻau i kūpono no nā maʻi kanesa āpau a i ʻole nā kūlana āpau. ʻO kāu kauka ke kanaka maikaʻi loa e hoʻoholo inā kūpono kēia iā ʻoe. No laila e kamaʻilio ākea me kāu kauka e pili ana i kēia.











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