Ua haʻi aku anei kāu kauka iā ʻoe e pono ʻoe e wehe i kahi puʻupuʻu liʻiliʻi, kahi ʻeha, a i ʻole nā pūnaewele ʻē aʻe i loko o kou ʻōpū mimi me ka hoʻohana ʻana i ka uila? Ua makaʻu iki paha ʻoe i kou lohe ʻana i kēia i kapa ʻia ʻo 'Fulguration'. ʻO wai ka mea e makaʻu ʻole i ka wā e ʻōlelo ai lākou "electrically burning", ʻeā? Akā, ʻaʻohe mea e makaʻu ai kēia. He lāʻau lapaʻau holomua kēia i hana ʻia ma ke ʻano i kāohi ʻia a palekana me ka ʻole o ka hana ʻana i kahi ʻoki nui e like me ke ʻoki ʻana. No laila e kamaʻilio pololei kākou e pili ana i kēia, maʻalahi, a e hoʻoponopono i nā nīnau āpau āu e noʻonoʻo nei.
I ka ʻōlelo maʻalahi, he aha ka Fulguration?
E noʻonoʻo e pili ana i ke ʻano o ka uila e pā ana i ka lewa, e hana ana i ka mālamalama a me ka wela. Loaʻa ka huaʻōlelo fulguration mai kahi huaʻōlelo Latina ʻo ia hoʻi "e pā me ka uila." Akā, ʻaʻole kēia he mea weliweli e like me ka uila.
I ka ʻōlelo maʻalahi, pili kēia ʻano hana i kahi urologist e hoʻohana ana i kahi mea hana kūikawā e hana i kahi huna uila liʻiliʻi loa i kāohi ʻia. ʻAʻole pili pololei kēia mea hana i kou ʻili. Akā, hele ka huna uila ma ka ea ma waena o ka mea hana a me ka ʻiʻo e mālama ʻia ana, e luku ana i nā ʻāpana ʻē. I nā huaʻōlelo ʻē aʻe, puhi ia, haki, a wehe i kēlā mau ʻāpana.
ʻO ka wela i hana ʻia ma kēia ʻano hana e hoʻopilikia wale i nā papa o luna o ka ʻili a i ʻole ka paia o ka ʻōpū mimi. No laila, ʻaʻohe hōʻino i nā ʻōpū koʻikoʻi a i ʻole nā ʻiʻo hohonu i loko. Eia kekahi, hiki i kēia ʻano hana ke hoʻōki i ke kahe ʻana o ke koko.
Ma keʻano laulā, inā ua ʻōlelo kāu kauka i kēia lāʻau lapaʻau nou, he mea pono ia no ke olakino. Ma kahi haukapila aupuni, ʻaʻohe uku hou aʻe. Ma kahi haukapila pilikino, e uhi kāu ʻinikua i kēia. E hoʻomaopopo kāu kauka a me nā limahana o ka haukapila iā ʻoe e pili ana i kēia.
No ke aha ʻoe e makemake ai e hana i kēia lapaʻau Fulguration?
Hoʻohana ʻia kēia lāʻau lapaʻau e mālama i nā ʻano maʻi ʻōpū mimi like ʻole. He ala kūpono loa ia e luku ai i nā hunaola kanesa, nā hunaola precancerous, a me nā puʻupuʻu benign.
| Kūlana olakino | Pehea e kōkua ai ʻo Fulguration? |
|---|---|
| Ka maʻi ʻōpū | Hana ʻia ke ʻoki kino i kapa ʻia ʻo TURBT (Transurethral Resection of Bladder Tumor) no ka ʻike ʻana a me ka mālama ʻana i ke kanesa i pālahalaha ʻole i ka papa ʻiʻo o ka ʻōpū mimi. Hoʻohana ʻia ka Fulguration e wehe i nā hunaola kanesa a hoʻōki i ke kahe ʻana o ke koko. |
| ʻO ka Cystitis Interstitial | ʻO kēia ke kumu o ka pehu ʻana o nā paia o ka ʻōpū mimi a lilo i mea ʻeha. Hiki iā ʻoe ke ʻike i ke koko i loko o kou mimi. Kōkua kēia kaʻina hana i ka hōʻemi ʻana i nā hōʻailona ma ka wehe ʻana i nā ʻiʻo ʻeha a me nā ʻōpū e hana ʻia ma muli o kēia kūlana. |
| Nā Polyps o ka ʻōpū mimi | He mau puʻupuʻu liʻiliʻi kēia, ʻaʻole ia he maʻi kanesa. Hiki iā lākou ke hōʻeha a me ka pono e mimi pinepine. Hiki i ka Fulguration ke wehe maʻalahi i kēia mau puʻupuʻu. |
| Nā UTI e hana hou ʻia ana | Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau e hōʻemi i ka pilikia o ka maʻi, ʻoiai hoʻi i nā wahine i loaʻa i nā maʻi mimi mau loa ʻaʻole hiki ke kāohi ʻia me nā antibiotics, ʻoiai ma hope o ka menopause. |
| ʻO ka Diverticula o ka ʻōpū | He mau ʻeke liʻiliʻi kēia e hana ʻia ana ma ka paia o ka ʻōpū mimi. Hiki i kēia mau mea ke paʻakikī i ka hoʻokuʻu piha ʻana i ka ʻōpū mimi a hoʻoulu i ka ʻoluʻolu ʻole. Hoʻohana ʻia hoʻi ka Fulguration e wehe i kēia mau ʻeke. |
He aha ka mea e hana ʻia ma mua a i ka wā o ka mālama ʻana?
He lāʻau lapaʻau minimally invasive kēia, no laila ʻaʻohe mea e hopohopo ai.
E ʻike i kēia mau mea ma mua o ka mālama ʻana
E hāʻawi aku kāu kauka iā ʻoe i ka ʻōlelo aʻoaʻo āu e pono ai, akā hiki iā ʻoe ke nīnau a wehewehe i kēia mau mea:
- Aia kekahi manawa e pono ai iaʻu e hoʻōki i ka ʻai ʻana a me ka inu ʻana ma mua o ka lāʻau lapaʻau ?
- Pono anei iaʻu e hoʻōki i ka lawe ʻana i nā lāʻau lapaʻau aʻu e lawe mau ai?
- Hiki iaʻu ke hoʻi i ka home i ka lā hoʻokahi ma hope o ka lāʻau lapaʻau, a i ʻole e noho anei au i ka haukapila?
- Hāʻawi iaʻuHe aha ke ʻano o ka anesthesia i hoʻohana ʻia? (Hoʻopau paha i ke kino holoʻokoʻa, a i ʻole kahi wale nō?)
- Pono ʻoe i kekahi e lawe iā ʻoe i ka home?
I ka wā o ka mālama ʻana
E hana ʻia kēia kaʻina hana i loko o kahi lumi hana. Inā hāʻawi ʻia ʻoe i ka anesthesia laulā, ʻaʻole ʻoe e manaʻo i kekahi mea, e hiamoe ana ʻoe. I kekahi manawa hiki ke hāʻawi ʻia iā ʻoe kahi anesthetic kūloko e hoʻomāno wale i ka wahi.
1. ʻO ka mea mua, hoʻokomo ke kauka i kahi mea i kapa ʻia he cystoscope ma o kou urethra. He ʻōmole lōʻihi a lahilahi kēia me kahi kāmela a me ke kukui. Hiki iā ʻoe ke ʻike i loko o kou ʻōpū mimi.
2. A laila, ʻike ʻia nā wahi i loaʻa ai nā ʻiʻo ʻē, nā puʻupuʻu, a i ʻole nā ʻeha.
3. I kēia manawa, hoʻohana ʻia kekahi mea hana ʻē aʻe i kapa ʻia he resectoscope . ʻO kēia kahi e hoʻouna ʻia ai ke au uila i kāohi ʻia ma o kahi loop uea liʻiliʻi.
4. Hoʻopau kēia hunaahi uila i nā ʻiʻo ʻē. Hoʻopaʻa pū ia i nā kīʻaha koko palupalu ma ia wahi, e hoʻōki ana i ke kahe ʻana o ke koko.
ʻO ka manawa e pono ai no kēia kaʻina hana holoʻokoʻa e pili ana i ka nui o nā ʻiʻo e wehe ʻia. ʻOiai he 5 mau minuke wale nō paha e luku ai i kahi puʻupuʻu liʻiliʻi, hiki ke hala ma waena o 15 a 90 mau minuke inā hana ʻia me ke kaʻina hana ʻoki e like me TURBT.
Ka manawa ho'ōla a me nā hopena ʻaoʻao ma hope o ka mālama ʻana
ʻOkoʻa ka manawa hoʻōla ma muli o ke ʻano o kou kino a me ka lōʻihi o ka lāʻau lapaʻau.
Nā hopena ʻaoʻao hiki ke loaʻa
Hiki paha i kekahi a i ʻole kēia mau mea āpau, akā nalo pinepine lākou i loko o kekahi mau lā.
- He koko liʻiliʻi i loko o kou mimi: Hiki i kou mimi ke lilo i poni a ʻulaʻula paha no kekahi mau lā. He mea maʻamau kēia.
- ʻEha a ʻā paha i ka wā e mimi ai: E emi iho nō hoʻi kēia i loko o kekahi mau lā. E kuhikuhi ke kauka i ka lāʻau lapaʻau e pono ai no kēia.
- Ka mimi pinepine ʻana: Hiki ke hana ʻia kēia no ka mea ua lilo ka ʻōpū mimi i mea ʻano palupalu iki. E nalo nō hoʻi kēia ma hope o kekahi mau lā.
- ʻO nā ʻōpū mimi: He manawa pōkole nō hoʻi kēia.
- ʻO ka maʻi ʻaʻai mimi (UTI): ʻO ke kuni, ka wela i ka wā e mimi ai, a me ka mimi pilau a ʻeleʻele paha he mau hōʻailona ia o kahi maʻi. I kēlā hihia, e hoʻomaopopo koke i kāu kauka.
ʻEhia ka lōʻihi e ho'ōla ai?
He hana like kēia me ke ʻano o ka ho'ōla ʻana o ko kākou kino ke puhi ʻia kākou i kekahi wahi. E like me ka hana ʻana o kahi ʻōpala ma luna o ka mea i puhi ʻia, e hemo ana ia a ulu mai ka ʻili hou, e ho'ōla ana ke ʻano o loko o ka ʻōpū mimi ma ke ʻano like.
ʻOi aku ka lōʻihi o ka ho'ōla ʻana o kahi ʻeha i loko o ke kino a i kahi ʻano pulu ma mua o kahi ʻeha hāmama. Hiki ke hala i 5-7 mau lā a i ʻole ʻelua pule e ho'ōla piha ai.
I loko o kēia manawaHe mea nui loa ka loaʻa ʻana o ka nui o ka hoʻomaha. E pale i ka hāpai kaumaha a me ka hoʻoikaika kino. E hāʻawi kēia i ka ʻōpū mimi i ka manawa e ho'ōla ai a hōʻemi i ka pilikia o ke kahe ʻana o ke koko ma hope.
E hoʻolohe i kēia mau hōʻailona!
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, hiki ke lilo i hōʻailona o kahi maʻi a i ʻole kekahi pilikia ʻē aʻe. E kāhea koke i kāu kauka, a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa iā ʻoe.
- Kuni (ma luna o 101°F / 38.3°C)
- Ke kahe koko nui ʻaʻole hiki ke hoʻōki (inā he ʻulaʻula ʻeleʻele ka mimi a he mau clots)
- ʻEha nui o ka ʻōpū
Aia kekahi mau pilikia i kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi loa. Eia nō naʻe, no ka mea ua hoʻomaʻamaʻa ʻia kāu loea e hōʻemi i kēia mau pilikia, he kakaikahi loa nā hopena ʻaoʻao koʻikoʻi.
- Nā hopena i ka anesthesia: Hiki i kekahi poʻe ke loaʻa i ka nausea a me ka luaʻi ma muli o ka anesthesia.
- Ka hōʻino ʻana i nā ʻiʻo: I kekahi manawa pinepine, hiki i ka hāmeʻa ke hōʻeha iki i ka ʻōpū mimi a i ʻole ka urethra.
- ʻO ka puka ʻana o ka ʻōpū mimi: He mea kākaʻikahi loa kēia. Inā hana ia, pono paha ʻoe i kahi ʻoki kino ʻē aʻe e hoʻoponopono ai.
- Ka maʻi: He haʻahaʻa loa kēia pilikia no ka mea ua lawe ʻia nā hana āpau e pono ai e pale aku i ka maʻi i loko o ka lumi hana.
Na kāu kauka e mālama i kēia mau mea a pau a e hōʻoia i kou palekana loa. No laila, mai makaʻu pono ʻole ʻoe no kēia.
Leka Lawe-Home
- He lāʻau palekana a maikaʻi hoʻi ka Bladder Fulguration e hoʻohana ana i kahi hunaahi uila e wehe i nā ʻiʻo kūpono ʻole, nā puʻupuʻu, a i ʻole nā lesions i loko o ka ʻōpū mimi.
- Hana ʻia kēia me ka ʻole o kahi ʻoki nui, no laila he pōkole ka manawa ho'ōla.
- Hoʻohana ʻia kēia lāʻau lapaʻau no kekahi mau maʻi, e like me ke kanesa o ka ʻōpū mimi, ka cystitis interstitial, a me nā maʻi ʻōnaehana mimi e kū hou ana.
- He mea maʻamau ke ʻike ʻia kekahi kahe koko a me ka wela ma hope o ka mālama ʻana. E nalo aku kēia i loko o kekahi mau lā.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe ke kuni nui, ke kahe koko nui, a i ʻole ka ʻeha nui.
- He mea nui ka hahai ʻana i nā ʻōlelo a ke kauka ma hope o ka lāʻau lapaʻau a me ka loaʻa ʻana o ka nui o ka hoʻomaha no ka hoʻōla koke ʻana.











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