Cystectomy: E kamaʻilio maʻalahi anei kākou e pili ana i kēia?

Ua haʻi ʻia anei ʻoe a i ʻole kekahi āu i ʻike ai e kāu kauka e pono ʻoe e hana i ke ʻoki ʻana e wehe i kou ʻōpū mimi? He mea maʻamau ka makaʻu a me ka hopohopo ke lohe ʻoe i kahi mea e like me ia. He nui paha kāu mau nīnau i loko o kou poʻo e pili ana i kēia ʻoki ʻana i kapa ʻia ʻo 'cystectomy'. Ke noʻonoʻo nei paha ʻoe i nā mea e like me, "He ʻoki nui anei kēia?", "E hiki anei iaʻu ke ola maʻamau ma hope?" Mai hopohopo. E kamaʻilio mākou e pili ana i kēia mau mea a pau ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.

ʻO ka mea mua, he aha ka cystectomy?

I ka ʻōlelo maʻalahi, he hana ʻoki kino ka cystectomy e wehe ai i kahi hapa a i ʻole kou ʻōpū mimi holoʻokoʻa. He ʻano ʻeke like ka ʻōpū mimi e mālama manawa pōkole i ka mimi i hana ʻia i loko o ko mākou kino.

ʻO ka maʻamau, manaʻo ʻia kēia he hana nui. ʻO ke kumu nui e hana ai nā kauka i kēia hana, ʻo ia ka mālama ʻana i ke kanesa o ka ʻōpū mimi. Akā, ʻaʻole wale ia, akā, inā ua hoʻopilikia ʻia ka ʻōpū mimi e nā kūlana ʻē aʻe ʻaʻole kanesa (benign), hiki ke hana ʻia kēia hana i kēlā manawa. No ka laʻana, hiki ke lilo i mea hoʻonā i kekahi mau pilikia hānau.

Pehea e hoʻomākaukau ai no ke ʻoki kino?

Ma mua o kēia ʻoki kino, pono ʻoe e ʻike i ke kauka. E nānā ʻia kou olakino laulā, ke kuni, ka helu o ka naʻau, a me ke koko.

Eia kekahi, e wehewehe ke kauka iā ʻoe i ke ʻano o ke ʻoki kino āu e hana ai. No ka mea, he nui nā ala e hana ai i kēia ʻoki kino. ʻO ke ʻano hana kūpono loa iā ʻoe e koho ʻia ma muli o kou kūlana.

Nā mea nui e haʻi aku i kāu kauka

• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei: ʻAʻole wale nā ​​​​mea i kuhikuhi ʻia e kāu kauka, akā, ʻo nā lāʻau lapaʻau over-the-counter (OTC), nā huaora, a me nā lāʻau lapaʻau lāʻau. Hiki i ka aspirin, kekahi mau mea hoʻomaha ʻeha, a me nā mea hoʻokahe koko ke hoʻonui i ke kahe koko i ka wā o ke ʻoki ʻana. Mai ho'ōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ke noi ʻana i kāu kauka.
• E haʻi mai iā mākou e pili ana i kāu mau maʻi ʻaleka: Inā he mau maʻi ʻaleka kou i nā lāʻau lapaʻau, ka latex, nā meaʻai, a i kekahi manawa ʻo ka iodine, kahi i hoʻohana ʻia e hoʻomaʻemaʻe i ka ʻili, e haʻi mai iā mākou e pili ana iā lākou ma mua.
• Nā ʻŌlelo Aʻo no ka Meaʻai a me ka Mea Inu: E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻo no ka mea e ʻai ai a inu ai ma mua o ke ʻoki ʻana. Ma ke ʻano laulā, ʻoi aku ka maikaʻi o ka ʻai ʻole ʻana a inu paha i kekahi mea ma hope o ke aumoe o ka pō ma mua o ke ʻoki ʻana. Inā pono ʻoe e lawe i kekahi lāʻau lapaʻau koʻikoʻi, hiki paha iā ʻoe ke lawe me kahi ʻuʻuku o ka wai. E nīnau pū i kāu kauka e pili ana i kēlā.

He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?

Hiki i kāu kauka lapaʻau ke hana i kēia ʻoki ma kekahi o nā ʻano ʻelua. ʻO kekahi he "ʻoki hāmama," ʻo ia hoʻi ka hana ʻana i kahi ʻoki nui aʻe i loko o kou ʻōpū. ʻO kekahi he "ʻoki minimally invasive," ʻo ia hoʻi ka hana ʻana i kekahi mau ʻoki liʻiliʻi a me ka hoʻohana ʻana i kahi kāmela a me ke ʻoki robotic.

Eia nā ʻanuʻu e hana pinepine ʻia:

1. Anesthesia: ʻO ka mea mua, e hoʻokomo ʻia ʻoe ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole ʻoe e manaʻo i kekahi mea a hiki i ka pau ʻana o ke ʻoki ʻana, a e hiamoe loa ʻoe.

2. ʻOki ʻana: No ke ʻoki hāmama, e hana ʻia kahi ʻoki kū pololei ma kahi o 6-7 ʻīniha ma waena o kou piko (pihi ʻōpū) a me ka ʻōpū lalo. No ke ʻoki kino minimally invasive, e hana ʻia he 5-6 mau ʻoki liʻiliʻi ma kahi o hoʻokahi kenimika ma ka ʻōpū.

3. Ka wehe ʻana i ka ʻōpū mimi: Ma muli o kou kūlana, e wehe ʻia kekahi hapa a i ʻole kou ʻōpū mimi holoʻokoʻa.

4. Ke hana nei i kahi ala hou no ka mimi e puka aku ai: He hana koʻikoʻi loa kēia. Ke wehe loa ʻia ka ʻōpū mimi, e puka mai ka mimi mai nā puʻupaʻaPono e hana ʻia kahi ala hou e hoʻokuʻu ai i ka mimi mai ke kino aku. Aia kekahi mau ʻano hana no kēia. Eia kekahi laʻana, `(Ileal conduit/urostomy)`, `(Indiana pouch)` a i ʻole `(Neobladder)`. E kūkākūkā mua ke kauka ʻoki me ʻoe i ke ʻano hana kūpono loa iā ʻoe ma muli o kou mōʻaukala olakino a me nā pono.

5. Ke humuhumu ʻana i ka ʻoki: ʻO ka hope loa, ua pani ʻia nā ʻoki, ua humuhumu ʻia, a ua uhi ʻia me nā kāʻei.

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?

ʻO ka pōmaikaʻi nui o kēia ʻoki kino, hiki iā ia ke mālama pono i nā maʻi koʻikoʻi e like me ke kanesa o ka ʻōpū.

Eia nō naʻe, e like me kekahi ʻoki kino nui, aia kekahi mau pilikia e pili ana, a he mea nui e ʻike i kēia mau mea.

• Hiki ke kahe nui ke koko i ka wā a ma hope paha o ke ʻoki ʻana.
• Aia kahi pilikia o ke koko .
• Hiki ke loaʻa nā maʻi i nā ʻoki a i ʻole nā ​​​​​​pala.
• Hiki ke pilikia ka ʻōpū.
• I kekahi manawa hiki i nā ʻiʻo ʻōpala ke hana a ālai i ke kahe o ka mimi mai nā puʻupaʻa.
• Nā hopena maikaʻi ʻole i ka anesthesia.
• Nā pilikia me ka ho'ōla ʻana o nā ʻeha.

ʻAʻole loaʻa kēia mau pilikia i nā kānaka a pau. E hana kāu hui lapaʻau i kā lākou mea maikaʻi loa e hōʻemi iā lākou.

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

Ma hope o ke ʻoki ʻana, e lawe ʻia ʻoe i kahi lumi hoʻōla. Ma laila, e nānā pono ke kime lapaʻau i kou kūlana a hāʻawi iā ʻoe i nā lāʻau lapaʻau e kāohi i kekahi ʻeha āu e ʻike nei.

I kou wā e ho'ōla ai, hiki iā ʻoe ke ʻike i ka nalowale o ka makemake, nā loli i ka neʻe ʻana o ka ʻōpū, a me nā loli i ka mimi.

• Inā ua wehe ʻia kekahi ʻāpana o kou ʻōpū mimi (partial cystectomy): Ua ʻoi aku ka liʻiliʻi o kou ʻōpū mimi ma mua o ka wā ma mua, no laila pono paha ʻoe e mimi pinepine.
• Inā wehe loa ʻia: Pono ʻoe e mimi ma o ka ʻōnaehana i hana hou ʻia. Pēlā ka hana. He mea maʻamau nō hoʻi ka loaʻa ʻana o nā mea e like me ka mucus i loko o kou mimi i kēia manawa.

Hiki iā ia ke hoʻopili i ke ola moekolohe?

I kekahi manawa hiki i kēia ʻoki kino ke loaʻa kekahi mau hopena i kou ola moekolohe. Aia paha he mau pilikia me ka hoʻāla ʻana i ka moekolohe, a inā wehe ʻia kekahi ʻāpana o ka vagina, paʻakikī paha ka moekolohe. Mai hilahila e kamaʻilio ākea me kāu kauka e pili ana i kēia. Hiki iā ia ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo e pono ai.

ʻEhia ka lōʻihi e hoʻōla ai?

ʻO ka lōʻihi o kou noho ʻana ma ka haukapila e pili ana i ke ʻano o ke ʻoki kino e hana ʻia.

• Inā ua hana ʻia ʻoe i ke ʻoki kino minimally invasive , pono ʻoe e noho ma ka haukapila no hoʻokahi lā wale nō.
• Inā ua loaʻa iā ʻoe kahi cystectomy hāmama , pono paha ʻoe e noho i ka haukapila no hoʻokahi pule.

I kou noho ʻana ma ka haukapila, e nānā pono nā kauka a me nā kahu maʻi i kou olakino. Inā pono ʻoe e hoʻohana i kahi ʻeke ostomy, e aʻo lākou iā ʻoe pehea e hoʻokomo ai, hoʻokahe, a hoʻololi iā ia.

Hiki ke hala kekahi mau pule a i ʻole mau mahina e hoʻōla piha ai. I loko o kēia manawa, pono ʻoe e ʻike hou i kāu kauka (nā kipa hahai).

E hiki iā ʻoe ke hoʻi i ka hana a hana i nā hana māmā i loko o kekahi mau pule, akā pono ʻoe e kali ma ka liʻiliʻi he ʻeono pule ma mua o ka hana ʻana i kekahi mea luhi, e like me ka hāpai kaumaha a i ʻole ka hāpai ʻana i nā mea kaumaha.

Āhea ʻoe e kāhea aku ai i ke kauka?

Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, he mea nui e mālama i kou kino. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​mai hoʻonele i ka manawa a kāhea koke aku i kāu kauka.

He mea maʻamau ka loaʻa ʻana o nā manaʻo a me nā makaʻu he nui ke ʻike ʻoe e hana ʻia ana kahi ʻoki kino nui e like me kēia. Akā, ʻaʻole ʻoe hoʻokahi. E kōkua kāu mau kauka, nā kahu maʻi, a me kou ʻohana iā ʻoe ma kēia huakaʻi. E kamaʻilio me lākou e pili ana i nā nīnau a i ʻole nā ​​makaʻu āu e loaʻa nei. Hiki iā ia ke lilo i mea hōʻoluʻolu nui.