ʻO ka mea e pono ai ʻoe e ʻike e pili ana i ka cystectomy

Malia paha ua haʻi ʻia aku iā ʻoe a i ʻole kekahi o kou ʻohana e ke kauka e pono ʻoe e wehe ʻia kou ʻōpū mimi ma ke ʻoki ʻana, ma muli paha o ke kanesa ʻōpū mimi a i ʻole kekahi maʻi lōʻihi ʻē aʻe. He mea maʻamau ka manaʻo nui i ka makaʻu a me ka hopohopo ke lohe ʻoe i ka huaʻōlelo 'Cystectomy'. Akā i kēia lā, e ʻike pono kākou i kēia. He aha kēia ʻoki ʻana? No ke aha e hana ʻia ai? He aha ka mea e hana ʻia ma hope? E kamaʻilio kākou e pili ana i kēia mau mea a pau me ka maʻalahi.

He aha ke ʻano o ke ʻoki ʻana he cystectomy?

I ka ʻōlelo maʻalahi, ʻo ka cystectomy kahi hana ʻoki e wehe i kahi hapa a i ʻole kou ʻōpū mimi holoʻokoʻa. E like me kou ʻike, ʻo ka ʻōpū mimi he ʻano poepoe e hōʻiliʻili a mālama i ka mimi (pee) i hana ʻia e ko mākou mau puʻupaʻa. Hana pinepine ʻia kēia ʻoki ma ke ʻano he lāʻau lapaʻau no ka maʻi ʻaʻai ʻōpū mimi. Eia nō naʻe, i kekahi manawa hoʻoholo nā kauka e hana i kēia ʻoki no nā kūlana ʻē aʻe ʻaʻole maʻi ʻaʻai (benign). ʻAʻole kēia he ʻoki liʻiliʻi, akā he ʻoki nui . No ka mea, wehe ia i kahi ʻano koʻikoʻi i loko o ko mākou kino, ʻo ia ka ʻōpū mimi.

Hiki ke ola me ka ʻole o ka mimi?

ʻAe, hiki iā ʻoe. E kahaha paha ʻoe i ka lohe ʻana i kēia, akā hiki ke ola me ka ʻole o ka ʻōpū mimi. Akā a laila pono ʻoe e ʻimi i kahi ala hou e hoʻokuʻu ai i ka mimi i hana ʻia e ko mākou mau puʻupaʻa. Inā wehe ke kauka i ka ʻōpū mimi holoʻokoʻa, e lōʻihi ka manawa no ʻoe e maʻa ai i ka ʻōnaehana hou. Akā, mai hopohopo, hiki iā ʻoe ke hana i ka hapa nui o nā mea āu i hana ai ma mua o ke ʻoki ʻana, ʻoiai ma hope o ke ʻoki ʻana.

He aha kāu e pono ai e ʻike ma mua o kou hana ʻana i ka cystectomy?

Ma mua o ke ʻoki kino, e nānā kāu kauka iā ʻoe a nānā i kou olakino holoʻokoʻa. E wehewehe pū ʻo ia iā ʻoe i ke ʻano o ke ʻoki kino āna e hana ai. Nui nā ʻano o kēia ʻoki kino.

• ʻO ka Cystectomy hapa: ʻO kēia ka wehe ʻana i ka ʻāpana maʻi o kou ʻōpū mimi. Inā hana ʻia kēia ma muli o ke kanesa, e wehe ʻia nā kikowaena lymph a puni a nānā ʻia e ʻike inā ua pālahalaha ke kanesa . A laila e humuhumu ʻia ke koena o kou ʻōpū mimi e hoʻihoʻi i ka hana maʻamau.
• ʻO ka Cystectomy maʻalahi (ka wehe ʻana i ka ʻōpū mimi wale nō): ʻO kēia ka wehe ʻana i ka ʻōpū mimi wale nō me ka ʻole o ka hōʻino ʻana i nā ʻōpū a puni. Hana pinepine ʻia kēia no nā kūlana ʻaʻole maʻi kanesa . No ka laʻana, nā pilikia mimi i hoʻokumu ʻia e ka hōʻino ʻana o ke aʻalolo ( ʻōpū mimi neurogenic ), radiationʻO nā kūlana e like me ka radiation cystitis a me ka urinary fistula i hoʻokumu ʻia e ka lāʻau lapaʻau.
• ʻO Radical Cystectomy (ka wehe ʻana i ka ʻōpū mimi a me nā ʻōpū a puni): Ma kēia, ua wehe loa ʻia ka ʻōpū mimi, a me nā lymph nodes a puni.
• I ke ʻano o ke kāne, ʻoki pinepine ʻia nā vas deferens, a wehe ʻia ka prostate a me nā vesicles seminal.
• I nā wahine, wehe pinepine ʻia ka ʻōpū, nā ʻōpū fallopian, nā ovaries, a me ka cervix. I kekahi manawa, hiki ke wehe ʻia kekahi ʻāpana o ka paia o ka vagina.

Pehea e hana ʻia ai ke ʻoki kino?

Hana ʻia kēia ʻoki kino e kahi hui o nā kauka i alakaʻi ʻia e kahi urologist. E hāʻawi ʻia ʻoe i ka anesthesia laulā, no laila ʻaʻole ʻoe e ʻeha a e hiamoe ana. ʻElua mau ʻano nui o ka hana ʻana i ke ʻoki kino: 1. Open Cystectomy: Ma kēia, hana ʻia kahi ʻoki ʻia he 6-7 ʻīniha ma waena o ka piko a me ka perineum, kahi e hana ai ke kauka i ke ʻoki kino. 2. Minimally Invasive Cystectomy: Hiki ke hana ʻia kēia ma ke ʻano laparoscopically a i ʻole robotically. Pili kēia i ka hana ʻana i 5-6 mau ʻoki liʻiliʻi loa i loko o ka ʻōpū, kahi e hoʻokomo ʻia ai kahi kāmela a me nā mea hana palupalu. ʻO ka pōmaikaʻi o kēia, ʻo ia ka emi ʻana o ka ʻeha a ʻoi aku ka pōkole o ka manawa ho'ōla.

Pehea e hana ai i kahi ala hou e mimi ai

Ma hope o ka wehe ʻia ʻana o ka ʻōpū mimi holoʻokoʻa, pono e hana ʻia kahi ala hou no ka mimi e puka aku ai i ke kino. Ua kapa ʻia kēia ʻo 'reconstructive surgery.' ʻEkolu mau ʻano hana nui no kēia. E kūkākūkā kāu kauka me ʻoe a hoʻoholo i ke ʻano hana kūpono loa iā ʻoe.

He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?

Ma hope o ke ʻoki ʻana, e hoʻoneʻe ʻia ʻoe i ka lumi mālama. E kāʻei ʻia nā ʻoki. E hāʻawi ʻia ʻoe i ka lāʻau ʻeha. ʻOkoʻa ka lōʻihi o kou noho ʻana ma ka haukapila ma muli o ke ʻano o ke ʻoki ʻana āu i hana ai. No kahi ʻoki liʻiliʻi, e noho ʻoe ma ka haukapila no hoʻokahi a ʻelua paha lā, a no kahi ʻoki hāmama, e noho ʻoe ma ka haukapila no hoʻokahi pule. I loko o kēia manawa, e mālama pono nā limahana kahu maʻi iā ʻoe. Inā he ʻeke ostomy kāu, e aʻo ʻia ʻoe pehea e hoʻohana ai, e hoʻokahe, a hoʻololi iā ia. Hiki ke hala i kekahi mau pule a i kekahi mau mahina e hoʻōla piha ai.

He aha nā pilikia o kēia ʻoki kino?

E like me nā ʻoki kino nui a pau, he mau pilikia ko kēia.

• Ke kahe ʻana o ke koko
• Ke kāpili ʻana o ke koko
• Nā maʻi
• Nā pilikia ʻōpū (constipation, diarrhea)
• Ka pale ʻana o ka mimi ma muli o ka ʻiʻo palapū
• Ka hōʻino ʻana i nā ʻōpū ʻē aʻe
• Ka hōʻiliʻili ʻana o ka wai ma nā wahi ʻoki (seroma)

Loaʻa paha i kekahi mau kāne nā pilikia me ke kūkulu ʻana. Loaʻa paha i nā wāhine ka pilikia me ka moekolohe inā wehe ʻia kekahi ʻāpana o ka ʻōpū. Mai makaʻu e kamaʻilio me kāu kauka e pili ana i kēia mau pilikia moekolohe.

Āhea ʻoe e ʻike koke ai i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o kāu ʻoki ʻana, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa. Cystectomy, wehe ʻana i ka ʻōpū mimi, maʻi ʻaʻai ʻōpū mimi, urostomy, ʻeke ostomy, neobladder, ʻoki kino, urology, mimi