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.
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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.
| Manaʻo | No ke aha he mea nui kēlā? |
|---|---|
| Ka nui o ka pōhaku | ʻOi aku ka maikaʻi o ka mālama ʻana i ka ESWL no nā pōhaku liʻiliʻi. Pono paha nā lāʻau ʻē aʻe i nā pōhaku nui. |
| Ma hea kahi i loaʻa ai ka pōhaku | Ma muli o kahi o ka pōhaku, ua hoʻoholo ʻia inā hiki ke kuhikuhi ʻia nā nalu haʻalulu a ʻaʻole paha. |
| ʻO kāu mau kūlana olakino ʻē aʻe a me nā lāʻau lapaʻau | Hiki ke pilikia kēia lāʻau lapaʻau inā loaʻa iā ʻoe kekahi mau kūlana olakino a i ʻole e lawe ana i nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e.g., warfarin ). |
| ʻO ke ʻano o kou kino | Inā momona ʻoe, ʻaʻole paha e holomua iki ka lāʻau lapaʻau no ka mea ʻoi aku ka lōʻihi o ka mamao o nā hawewe haʻalulu e hele ai i ka pōhaku. |
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Check Availability →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.
Mai makaʻu. ʻAʻole kēia he hana ʻoki e pili ana i ka ʻoki ʻana i ke kino. A e hana ke kime lapaʻau i nā mea āpau e pono ai e hōʻoia ʻaʻole ʻoe e ʻeha.
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.
| Nā Hōʻailona Pōpilikia! | |
|---|---|
| 🚨 | ʻEha koke a hiki ʻole ke hoʻomanawanui i ka ʻōpū a i ʻole ke kua. |
| 🚨 | Ka luaʻi mau ʻana a i ʻole ka luaʻi ʻana. |
| 🚨 | Kuni a me ke anu. |
| 🚨 | Inā e ʻoi aku ka ʻeha ma hope o ka lawe ʻana i nā mea hoʻomaha ʻeha. |
| 🚨 | Inā he mau ʻūpā koko i loko o ka mimi. |
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.
Leka Lawe-Home
- He ʻano lapaʻau palekana ka ESWL e hoʻohana ana i nā nalu haʻalulu mai waho o ke kino e wāwahi i nā pōhaku puʻupaʻa me ka ʻole o ke ʻoki ʻana.
- ʻAʻole kūpono kēia lāʻau lapaʻau no nā kānaka a pau. E paipai kāu kauka iā ia ma muli o ka nui o ka pōhaku, kona wahi, a me kou kūlana olakino.
- Ma hope o ka mālama ʻana, hiki iā ʻoe ke ʻeha ke hele nā pōhaku ma o kou mimi. He mea nui loa ka inu ʻana i ka wai he nui.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha hiki ʻole ke hoʻomanawanui, ke kuni, a i ʻole nā ʻūpū koko i loko o kou mimi, e hele koke i ka ETU o ka haukapila .
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu.
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