E aʻo kākou e pili ana i ke ʻano hana ʻoki ʻole no ka wāwahi ʻana i nā pōhaku puʻupaʻa (ESWL)?

Loaʻa iā ʻoe nā pōhaku puʻupaʻa a ʻaʻole hiki ke hoʻomanawanui i ka ʻeha? I kekahi manawa, ʻaʻole hiki ke hoʻomanawanui i ka ʻeha o kēia mau pōhaku e paʻa ana, ʻeā? No laila, ua lohe anei ʻoe i kahi lāʻau e hoʻohana ana i nā nalu haʻalulu ma waho o ke kino e wāwahi i kēia mau pōhaku me ka ʻole o ke ʻoki ʻana? I kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau i kapa ʻia ʻo ESWL, a i ʻole Extracorporeal Shock Wave Lithotripsy.

I ka ʻōlelo maʻalahi, he aha ka ESWL?

He lāʻau maʻamau loa ka ESWL, ʻaʻohe ʻoki kino. Hoʻohana ia i nā nalu haʻalulu ikehu kiʻekiʻe mai waho o ke kino e wāwahi i nā pōhaku i loko o kou mau puʻupaʻa a i ʻole nā ​​ureters i mau ʻāpana liʻiliʻi. Ua like ia me ke kuʻi ʻana i kahi pōhaku liʻiliʻi me ka hāmare. A laila e hoʻokuʻu maʻalahi ʻia nā ʻāpana pōhaku i haki ʻia mai kou kino aku i loko o kou mimi, e like me nā huna one.

Hoʻokumu ʻia nā pōhaku puʻupaʻa i ka wā e piʻi ai ka nui o kekahi mau mea, e like me ka calcium, i loko o kā mākou mimi. ʻOiai ke hoʻokumu mua ʻia nei lākou i loko o nā puʻupaʻa, i kekahi manawa e haki lākou a hele i lalo i nā ureters, nā ʻōmole e lawe ana i ka mimi i ka ʻōpū mimi. Hoʻopuka pinepine ʻia nā pōhaku liʻiliʻi me ka mimi. Akā, ʻoi aku ka nui o kekahi mau pōhaku. ʻAʻole hiki iā lākou ke puka maʻalahi i waho, paʻa lākou i loko o nā ʻōmole. ʻO ia ka manawa e loaʻa ai ka ʻeha hiki ʻole ke hoʻomanawanui. Hana ka mālama ʻana o ka ESWL ma ka wāwahi ʻana i nā pōhaku i paʻa a hana i ala no lākou e puka mai ai.

I nā hihia hea e pono ai ka mālama ʻana me ka ESWL?

Hoʻomaopopo pinepine nā kauka i ka mālama ʻana iā ESWL i nā hihia aʻe:

• Inā nui nā pōhaku: ʻO nā pōhaku i ʻoi aku ka nui ma mua o 5 millimeters (e like me ka nui o ka mea holoi penikala) he paʻakikī ke hele me ka mimi.
• Inā ālai ʻia ke kahe o ka mimi: Inā paʻa ka pōhaku a pau ke kahe o ka mimi, hiki ke hōʻino ʻia ka puʻupaʻa.
• Inā he ʻeha nui: Inā paʻakikī ke kaohi i ka ʻeha.

Ma mua o ka ʻōlelo ʻana i ka lāʻau lapaʻau nāu, e noʻonoʻo kāu kauka i kekahi mau kumu ʻē aʻe.

Pehea ʻoe e hoʻomākaukau ai ma mua o ka mālama ʻana?

E wehewehe kāu kauka iā ʻoe i nā mea e pono ai ʻoe e hana ma mua o kēia lāʻau lapaʻau. Hiki i kēia mau mea ke komo pū me:

• Nā hoʻāʻo koko a me ka mimi: Hiki ke noi ʻia ʻoe e hana i kekahi mau hoʻokolohua e nānā i ka hana o ka puʻupaʻa, ka helu koko, a me nā maʻi ʻōpū urinary (UTIs).
• ʻIke Lāʻau Lapaʻau: E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei . Inā ʻoe e lawe nei i nā lāʻau hoʻokahe koko, e noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o kāu mālama ʻana. Mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
• Hoʻokē ʻai: E noi ʻia ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana no kekahi mau hola ma mua o ka lāʻau lapaʻau.
• Kekahi e hoʻokele iā ʻoe i ka home: ʻOiai ʻaʻole hiki iā ʻoe ke hoʻokele ma hope o ka lāʻau lapaʻau, e lawe mai i kekahi e hoʻokele iā ʻoe i ka home.

Pehea e hana ʻia ai kēia lāʻau lapaʻau?

Ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau, e hāʻawi ʻia ʻoe i kahi lāʻau hoʻomālielie (`(Anesthesia)`) e pale aku iā ʻoe mai ka ʻeha. Hiki ke hoʻomoe loa ʻia ʻoe, a i ʻole e manaʻo ʻia ʻoe ua ʻona. I kekahi manawa, ʻo ka ʻāpana ma lalo o ka pūhaka wale nō ka mea e hoʻomālielie ʻia.

Eia ka mea e hana ʻia i ka wā o ka mālama ʻana:

1. E hoʻomoe ʻia ʻoe ma luna o kahi moena kūikawā me kahi uluna i piha i ka wai.

2. A laila, me ka hoʻohana ʻana i kahi X-ray a i ʻole ultrasound scan, ʻike lākou i kahi kikoʻī o ka pōhaku.

3. Ua hoʻoponopono ʻia ka mīkini a me kou kino i mea e pa pololei ai nā hawewe haʻalulu i ka pōhaku.

4. A laila, hoʻouna ka mīkini ESWL i nā nalu haʻalulu ikehu kiʻekiʻe ma o ke kino i ka pōhaku. Inā ʻoe e ʻike ana, lohe paha ʻoe i kahi leo "tick-tock" mai ka ʻaoʻao.

5. Ma kēia ʻano, ua kuhikuhi ʻia nā tausani o nā nalu haʻalulu a ua kuʻi ʻia ka pōhaku i mau ʻāpana liʻiliʻi.

ʻO ka maʻamau, hoʻokahi hola ka lōʻihi o ke kaʻina hana holoʻokoʻa, akā hiki ke loli kēia manawa ma muli o ka nui a me ka helu o kou mau pōhaku, a me kou olakino.

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?

ʻO ka maʻamau, he mālama maʻi outpatient ka ESWL, akā pono ʻoe e noho i loko o ka lumi hoʻōla no kekahi mau hola ma hope o ka mālama ʻana.

Hiki ke ʻike ʻia nā hōʻailona e like me kēia i kekahi mau lā ma hope o ka mālama ʻana:

• ʻEha kino: E manaʻo paha ʻoe i kahi palapū a me ka ʻeha ma ka wahi i mālama ʻia.
• Koko i loko o ka mimi: He mea maʻamau ka lilo ʻana o ka mimi i poni.
• ʻEha i ka wā e mimi ai: He mea maʻamau ke manaʻo i kahi ʻeha iki ke puka aku nā ʻāpana pōhaku i kuʻi ʻia.

ʻO ka maʻamau, e nalowale kēia mau hōʻailona i loko o kekahi mau lā.

ʻEhia ka lōʻihi o ka puka ʻana mai o nā pōhaku?

No kekahi mau lā a i ʻole mau pule ma hope o ka mālama ʻana, hiki iā ʻoe ke hoʻopuka i nā ʻāpana pōhaku i loko o kou mimi. Hiki ke like kēia me nā hua one a i ʻole nā ​​ʻāpana pōhaku liʻiliʻi. Hiki iā ʻoe ke ʻeha ke hala kēia mau ʻāpana. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:

• ʻO `Tamsulosin`: Hoʻomaha kēia i ka ʻōpū mimi a me ka urethra, e kōkua ana i nā pōhaku e hele maʻalahi.
• ʻKetorolac: He lāʻau hoʻopau ʻeha kēia.

He mea nui nō hoʻi e inu i ka wai nui e kōkua ai i ka hoʻokahe ʻana i nā pōhaku.

I ka manawa e ʻimi koke ai i ke aʻo lapaʻau

Inā loaʻa kekahi o kēia mau hōʻailona, ​​e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU) a i ʻole e hoʻomaopopo i kāu kauka.

ʻO wai ka mea kūpono ʻole no kēia lāʻau lapaʻau?

ʻAʻole kūpono ka lāʻau ESWL no kekahi poʻe. Eia kekahi laʻana:

• Nā wahine hāpai
• Nā kānaka me nā maʻi kahe koko
• ʻO ka poʻe hiki ʻole ke hoʻōki i ka lawe ʻana i nā lāʻau hoʻokahe koko
• ʻO nā kānaka me ke koko kiʻekiʻe i kāohi ʻole ʻia
• Nā kānaka me nā maʻi puʻupaʻa a i ʻole ke kanesa
• Nā kānaka me ka momona

ʻO kāu kauka ke kanaka kūpono loa e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe, no laila e ʻoluʻolu e kaʻana like i kāu ʻike olakino āpau me ia.