Ke lohe ʻoe e wehe ʻia ka ʻōpū mimi holoʻokoʻa ma ke ʻoki ʻana, makaʻu iki nā mea a pau, ʻeā? "Pehea lā wau e mimi ai?", "Hiki iaʻu ke ola me ka ʻole o ka ʻōpū mimi?" Nui nā nīnau e hiki mai ana i kou manaʻo. Akā, mai hopohopo. ʻAʻole kēia he mea weliweli e like me kou manaʻo. No ka mea, ua holomua ka ʻepekema lapaʻau, aia nā hopena no kēia mau mea a pau. E kamaʻilio kākou e pili ana i nā mea āpau me ka maʻalahi, i kēlā me kēia ʻanuʻu.
He aha ke ʻano o ka cystectomy?
I ka ʻōlelo maʻalahi, he hana ʻoki kino ka cystectomy e wehe ai i kou ʻōpū mimi. He ʻano palupalu kou ʻōpū mimi, e like me ke ʻeke, hiki ke paʻa i ʻelua kīʻaha (ma kahi o 500 milliliters) o ka mimi. Hana pinepine ʻia kēia ʻoki kino ma ke ʻano he lāʻau lapaʻau no ka maʻi ʻaʻai ʻōpū mimi. Eia nō naʻe, hiki iā ia ke lilo i hopena no nā maʻi ʻē aʻe o ka ʻōpū mimi.
ʻO ka nīnau nui loa āu e nīnau nei i kēia manawa, "Hiki iā ʻoe ke ola me ka ʻole o ka ʻōpū mimi?"
ʻO ka pane, ʻae, hiki iā ʻoe! Ma hope o ka wehe ʻana o kāu kauka ʻoki i kou ʻōpū mimi, e hana ʻo ia i ala hou no ka mimi e haʻalele i kou kino. Ua kapa ʻia kēia he 'Urinary Diversion'. Hana pinepine ʻia kēia ala hou mai kahi ʻāpana liʻiliʻi o kou ʻōpū liʻiliʻi a i ʻole ka ʻōpū nui. E lōʻihi ka manawa no ʻoe e maʻa ai i kēia ʻano ola hou ma hope o ke ʻoki ʻana. Akā ma hope o kekahi manawa, hoʻomaʻamaʻa kou kino iā ia, a hiki i ka hapa nui o ka poʻe ke hoʻi i ke ola maʻamau.
ʻO wai ka mea e pono ai kēia ʻoki kino?
Aia kekahi mau kumu nui no ka hana ʻana i kahi cystectomy. Hiki ke hana ʻia kēia ʻoki no nā maʻi kanesa a me nā maʻi ʻē aʻe ʻaʻole kanesa.
| Nā kumu kūpono no ke ʻoki ʻana i ka cystectomy | |
|---|---|
| Nā Kūlana Kanesa | |
| Ka maʻi ʻaʻai i pālahalaha i ka papa ʻiʻo o ka ʻōpū mimi | Inā ua pālahalaha hohonu ke kanesa i loko o ka paia o ka ʻōpū mimi. |
| Nā maʻi kanesa i hāʻule ʻole i nā lāʻau lapaʻau ʻē aʻe | Inā ʻaʻole holomua ka mālama ʻana no ka maʻi ʻaʻai ʻōpū ma luna o ka ʻili. |
| Ka maʻi ʻaʻai hou | Inā kiʻekiʻe ka pilikia o ka hoʻi hou ʻana o ka maʻi kanesa. |
| Ka pōʻino mai ka radiation therapy | Nā pilikia e like me ke kahe ʻana o ke koko i loko o ka mimi ma muli o ka mālama ʻana i ka radiation. |
| Nā Kūlana Maikaʻi/ʻAʻole Kanesa | |
| Nā maʻi ʻeha o ka ʻōpū mimi | Eia kekahi laʻana, nā kūlana e like me ka Interstitial Cystitis . |
| Nā pilikia o ka ʻōnaehana nerve | Ka nalowale ʻana o ke kaohi ʻana o ka mimi ma muli o ka hōʻino ʻia ʻana o ka ʻōnaehana nerve ( Neurogenic Bladder ). |
| ʻO ka mumū mau loa | Ke kahe pinepine ʻana o ke koko a me ka mumū ( Hemorrhagic Cystitis ). |
| Nā kumu ʻē aʻe | Nā maʻi pinepine, endometriosis , fistula bladder, a i ʻole nā pilikia hānau. |
He aha nā ʻano o nā ʻoki ʻana o ka cystectomy?
Ma muli o kou kūlana, hiki ke wehe ʻia kekahi hapa a i ʻole kou ʻōpū holoʻokoʻa. ʻEkolu mau ʻano nui o ke ʻoki kino.
ʻO ka Cystectomy hapa (ka wehe ʻana i kahi ʻāpana o ka ʻōpū mimi)
ʻO kēia ka wehe ʻana i ka ʻāpana maʻi o ka ʻōpū mimi. Hiki ke hoʻohana ʻia ke koena e hōʻiliʻili i ka mimi. Eia naʻe, ma hope o ke ʻoki ʻana, e liʻiliʻi ka ʻōpū mimi ma mua o ka wā ma mua. ʻAʻole kēia he ʻoki maʻamau.
ʻO ka cystectomy maʻalahi (ka wehe ʻana i ka ʻōpū mimi wale nō)
ʻO ka ʻōpū mimi wale nō ka mea e wehe ai kēia ʻoki kino, ʻaʻole nā kikowaena ʻē aʻe e hoʻopuni ana iā ia. Hana pinepine ʻia kēia ʻoki kino no nā kūlana ʻaʻole maʻi kanesa.
ʻO ka cystectomy radical (ka wehe ʻana i ka ʻōpū ʻōpū a me nā ʻōpū a puni)
ʻO kēia ke ʻano hana maʻamau, ʻoiai no ka maʻi ʻaʻai. Pili ia i ka wehe ʻana i ka ʻōpū mimi me nā ʻōpū a me nā ʻiʻo ʻē aʻe a puni. Hiki i kēia ke hōʻino i nā aʻalolo sensory e holo kokoke ana i ka ʻōpū mimi, hiki ke hoʻopilikia i ka hana moekolohe.
- Inā hana ʻia kēia ʻoki kino ma ke kāne , hiki i ke kauka ke wehe i nā ʻāpana e like me ka ʻōpū mimi, kahi ʻāpana o ka urethra, ka prostate gland, nā seminal vesicles, a me nā vas deferens.
- Inā loaʻa i kahi wahine kēia ʻoki kino, pono paha e wehe ʻia kāna ʻōpū mimi, urethra, ʻāpana o kona vagina, uterus, cervix, a me nā ovaries. Eia nō naʻe, hoʻāʻo nā kauka e mālama i ka vagina, uterus, a me nā ovaries i nā manawa hiki. He mea nui e kamaʻilio me kāu kauka e pili ana i ka mea maikaʻi loa no kou kūlana.
Pehea e hana ʻia ai ke ʻoki kino a me nā ʻano hana hou o ka mimi ʻana
He ʻoki kino nui ka Cystectomy e mau ana ma kahi o 3-6 mau hola. Hiki ke hana ʻia ma ke ʻano he ʻoki kino hāmama a i ʻole ma ke ʻano he ʻoki kino minimally invasive a robotic paha.
Ma hope o ke ʻoki kino, hana ʻia kahi ala hou (urinary diversion) no ka mimi e puka i waho o ke kino. Aia kekahi mau ʻano hana nui no kēia:
- ʻO ke kahawai ʻo Ileal: ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia. Ma kēia kaʻina hana, lawe ʻia kahi ʻāpana o ka ʻōpū liʻiliʻi, hoʻohālike ʻia i loko o kahi paipu, a hoʻopili ʻia nā ureters mai nā puʻupaʻa iā ia. A laila hoʻopili ʻia kekahi ʻaoʻao o ka paipu i kahi puka liʻiliʻi (stoma) i hana ʻia ma ka ʻili o ka ʻōpū. Puka mai ka mimi mai ka puka a hōʻiliʻili i loko o kahi ʻeke kūikawā (ʻeke urostomy) i hoʻopili ʻia iā ia.
- Hoʻohuli ʻili ʻāina: Maanei, hana ʻia kahi ʻeke i loko o ke kino mai kahi ʻāpana o ka ʻōpū e hōʻiliʻili ana i ka mimi. Hoʻopili ʻia kēia ʻeke i kahi puka (stoma) ma ka ʻili. Eia naʻe, ʻaʻole puka mai ka mimi ma kāna iho. I kēlā me kēia 4-6 hola, pono ʻoe e hoʻokomo i kahi catheter a hoʻokahe i ka ʻeke iā ʻoe iho.
- ʻO ka neobladder (ka hana ʻana i kahi ʻōpū mimi hou): Inā maikaʻi ke kūlana o kou urethra, hiki ke hana ʻia kahi ʻōpū mimi hou mai kahi ʻāpana o ka ʻōpū a hoʻoili ʻia i kahi like me ka ʻōpū mimi kahiko. A laila hoʻopili ʻia i ka urethra. A laila hiki iā ʻoe ke mimi ma ke ʻano maʻamau. Eia nō naʻe, i kekahi manawa pono ʻoe e hoʻohana i kahi catheter e hoʻokahe loa i kāu mimi.
Hoʻōla a me ka mālama ma hope o ke ʻoki kino
Pono ʻoe e noho ma ka haukapila no kahi o 5-7 mau lā ma hope o ke ʻoki kino. Hiki ke hala kekahi mau pule a i ʻole mau mahina e hoʻōla piha ai. Aia kekahi mau mea e pono ai ʻoe e makaʻala i kēia manawa.
- E inu i ka wai nui: E mālama i kou kino i ka wai. He manaʻo maikaʻi nō hoʻi e lawe i kahi mea inu e like me ORS me ka wai.
- E hele wāwae māmā: ʻO ka hele wāwae iki ʻana i kēlā me kēia lā ma hope o ke ʻoki ʻana he mea maikaʻi ia no ke kahe koko a kōkua iā ʻoe e ho'ōla wikiwiki.
- E hoʻomau i kou ʻōpū: Ma hope o ke ʻoki ʻana, e emi iki paha ka hana o kou ʻōpū (ileus). ʻO ka mea maikaʻi loa e hana ai no kēia, ʻo ia ka inu ʻana i nā wai a me ka hele wāwae.
- E hoʻohana i ka uluna i ka wā e ʻū ai: Inā ʻeha kou ʻeha ʻoki i ka wā e ʻū ai a ʻū paha, e kau mālie i kahi uluna ma luna o kou ʻōpū. E kōkua kēia i ka hōʻemi ʻana i ka ʻeha.
- Hiamoe maikaʻi: He mea nui ka hoʻomaha no ka ho'ōla koke ʻana.
- E kiʻi i ke kākoʻo noʻonoʻo: ʻO ke kamaʻilio ʻana me kahi mea i hele i kēia ʻano ʻoki kino hiki ke lilo i kumu ikaika nui. E noi i kāu kauka no ka ʻōlelo aʻo e pili ana i kēia.
Nā pilikia o ke ʻoki kino a me ka wā e ʻike ai i ke kauka
E like me nā ʻoki kino nui a pau, loaʻa i ka cystectomy kekahi mau pilikia. ʻO kēia mau mea ke kahe koko, ka maʻi, a me ka hōʻino ʻana i nā kino a puni. Aia kekahi mau pilikia e hiki mai ana, e like me nā maʻi urinary tract (UTIs), ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi diarrhea, nā pilikia o ka omo ʻana i nā meaʻai e like me ka huaora B12, a me nā loli i ka hana moekolohe.
| I ka manawa hea e ʻimi ai i ke aʻo lapaʻau | |
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| Inā loaʻa iā ʻoe kēia mau hōʻailona, e kamaʻilio me kāu kauka. | |
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| Inā loaʻa iā ʻoe kēia mau hōʻailona, e hele koke i ka haukapila (ETU). | |
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Leka Lawe-Home
- He ʻoki nui ka cystectomy e wehe ai i ka ʻōpū mimi. Hana pinepine ʻia ia no ke kanesa ʻōpū mimi.
- Hiki ke ola me ka ʻole o ka mimi ʻōpū. Hoʻokumu ke kauka lapaʻau i ala hou no ka mimi e puka aku ai.
- ʻOiai he manawa ka lōʻihi e hoʻōla piha ai ma hope o ke ʻoki ʻana, hiki i ka hapa nui o ka poʻe ke hoʻi i ke ola maʻamau.
- E like me nā ʻoki kino āpau, aia nā pilikia, a aia paha he mau lāʻau ʻē aʻe.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. A laila wale nō hiki iā ʻoe ke hana i ka hoʻoholo maikaʻi loa.
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