Ke haʻi aku kāu kauka iā ʻoe e pili ana i kahi lāʻau i kapa ʻia ʻo 'Fulguration', manaʻo paha ʻoe i kahi mea ʻē, a makaʻu paha, ʻeā? ʻO wai ka mea e makaʻu ʻole i ka wā e ʻōlelo ai lākou he 'electrical shock'? Akā, ʻaʻole ia he mea weliweli e like me kā mākou e manaʻo nei. He ʻano lapaʻau palekana a maikaʻi hoʻi ia i hoʻohana ʻia no nā maʻi he nui. I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka Fulguration a me nā mea e hana pū me ia.
I ka ʻōlelo maʻalahi, he aha ka Fulguration?
E noʻonoʻo ʻoe ma kahi o ka ʻoki ʻana i ka ʻili me ka pahi ʻokiʻoki, hoʻohana mākou i ka uila e wehe i nā ʻāpana makemake ʻole o ke kino. ʻO ia ka mea e hana ʻia ma ʻaneʻi. ʻO ka Fulguration kahi ʻano lapaʻau i kapa ʻia ʻo electrosurgery. Hoʻohana ia i kahi au uila kiʻekiʻe e hoʻomehana a luku i nā ʻāpana makemake ʻole ʻia a i ʻole nā mea ʻē aʻe i loko o ko mākou kino.
Hoʻohana ke kauka i kahi mea hana liʻiliʻi e like me ka probe. Loaʻa iā ia kahi electrode ma ka hopena. Ke kuhikuhi kēia mea hana i ka ikehu uila i kahi i loaʻa ai nā cell, hana ʻia kahi huna ahi liʻiliʻi. ʻO ka wela nui i hana ʻia e kēlā huna ahi e luku i kēlā mau cell i makemake ʻole ʻia. I kekahi manawa he loop uea liʻiliʻi paha kēia mea hana ma ka hopena. Hoʻouna ʻia ke au uila ma o ia mea. E ʻokoʻa ka mea hana i hoʻohana ʻia ma muli o ke ʻano o ka lāʻau āu e loaʻa nei.
I ka ʻōlelo maʻalahi, he ʻano hana kēia no ka wehe ʻana i nā hunaola ʻano ʻē me ka hoʻohana ʻana i ka wela uila, me ka ʻole o ka hana ʻana i kahi ʻoki me ka pahi ʻokiʻoki.
He aha nā kūlana e hoʻohana ʻia ai ka Fulguration therapy?
Hoʻohana ʻia kēia lāʻau lapaʻau ma nā wahi he nui no nā ʻano maʻi like ʻole. He mea kūpono loa ia i ka luku ʻana i nā puʻupuʻu benign, nā cell precancerous, a me kekahi mau cell cancer. Hoʻohana ʻia hoʻi i kekahi manawa e hoʻōki i ke kahe ʻana o ke koko ma hope o ke ʻoki maʻamau.
| Kahua lapaʻau | Nā kūlana i mālama ʻia |
|---|---|
| Nā maʻi o ke ala mimi a me ka ʻōpū mimi | No ka mālama ʻana i ke kanesa ʻōpū i ka wā mua a no ka hoʻōki ʻana i ke kahe ʻana o ke koko ma hope o kahi biopsy. |
| Nā maʻi gynecological (nā maʻi wahine) | E hoʻopau i nā ulu e hoʻoulu ai i ka endometriosis. E pale i ka maʻi ʻaʻai cervical, e hoʻopau i nā cell pre-cancerous e like me ka cervical dysplasia. |
| ʻO ka ʻili (nā maʻi ʻili) | No ka wehe ʻana i nā hōʻailona ʻili ʻino ʻole, nā warts genital, a pēlā aku. No ka mālama ʻana i nā kūlana pre-cancerous e like me ka actinic keratosis (inā ʻaʻole mālama ʻia, hiki ke lilo i ka maʻi ʻili (Squamous Cell Carcinoma). |
Pehea e hoʻomākaukau ai ma mua o kēia lāʻau lapaʻau?
ʻOkoʻa ke ʻano o kou hoʻomākaukau ʻana no kēia ma muli o ka lāʻau lapaʻau āu e loaʻa nei. No laila , ʻo ka mea nui loa, ʻo ia ka hahai pololei i nā ʻōlelo a kāu kauka. ʻO ka maʻamau, e haʻi aku ʻo ia iā ʻoe e pili ana i kēia mau mea:
- ʻO ka hoʻokē ʻai: Pono anei wau e hoʻōki i ka ʻai ʻana a me ka inu ʻana ma mua o ka mālama ʻana, a inā pēlā, pehea ka lōʻihi?
- Lāʻau lapaʻau: Pono ʻoe e hoʻōki i ka lawe ʻana i nā lāʻau lapaʻau āu e lawe mau ai no kekahi manawa?
- Ke hoʻi nei i ka home: Hiki iaʻu ke hoʻi i ka home i ka lā hoʻokahi me ka mālama ʻana, a i ʻole pono wau e noho i ka haukapila?
- Ke hoʻokele nei: Inā pono ʻoe i kekahi e hoʻokele iā ʻoe i ka home (e pili ana kēia i ke ʻano o ka anesthesia i hāʻawi ʻia iā ʻoe).
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
ʻOiai ʻokoʻa iki ka mea e hana ʻia ma muli o ka lāʻau lapaʻau, eia nā ʻanuʻu maʻamau.
1. Ke hoʻomākaukau ʻana iā ʻoe: E kau ke kauka iā ʻoe ma luna o kahi papa hoʻokolokolo a hoʻomaʻemaʻe a hoʻomākaukau i ka wahi e mālama ʻia.
2. Anesthesia: E hāʻawi ʻia ʻoe i ka anesthesia kūloko, ʻāpana, a i ʻole ka anesthesia laulā i ʻole ʻoe e ʻeha.
3. Ka wehe ʻana i nā pūnaewele: A laila, hoʻā ke kauka i kahi mīkini i kapa ʻia he mea hana electrosurgical. ʻO kēia ka mea e hoʻopuka ai i kahi au uila alapine kiʻekiʻe. A laila, me ka hoʻohana ʻana i ka probe a mākou i kamaʻilio ai ma mua, kuhikuhi ʻo ia i kahi hunaahi i nā pūnaewele i manaʻo ʻia, e puhi ana a luku ana i kēlā ʻiʻo pūnaewele.
ʻO Fulguration (TURBT) no ka maʻi ʻaʻai mimi
I ka wā o ke ʻoki ʻana no ke kanesa ʻōpū, hoʻohana nā kauka i kēia ʻano hana:Ma ke ʻano he ʻāpana o ke kaʻina hana i kapa ʻia ʻo Transurethral Resection of Bladder Tumor (TURBT), ʻoki ʻia a wehe ʻia ka puʻupuʻu i loko o ka ʻōpū mimi me ka hoʻohana ʻana i kahi mea i kapa ʻia he resectoscope. A laila hoʻohana ʻia ka Fulguration e luku loa i nā hunaola kanesa i koe a hoʻōki i ke kahe ʻana o ke koko.
ʻO Fulguration (LEEP) no nā pilikia cervical
Hoʻohana ʻia ka Fulguration e mālama i nā kūlana e like me ka cervical dysplasia i ka wā o ke kaʻina hana i kapa ʻia ʻo Loop Electrosurgical Excision Procedure (LEEP) . Ma kēia kaʻina hana, hoʻokomo ʻia kahi speculum i loko o ka vagina e nānā i ka cervix. Ma hope o ka mae ʻana o ka cervix, ua hoʻouna ʻia kahi loop liʻiliʻi, conductive uila ma luna o ka ʻili o ka cervix, e ʻoki ana i kahi papa lahilahi o nā cell ʻano ʻē.
He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, loaʻa i kēia kekahi mau pono a me kekahi mau pilikia.
Nā Pōmaikaʻi
- He ʻano lapaʻau minimally invasive kēia ʻaʻole pono ia i nā ʻoki nui.
- Hiki ke wehe pinepine ʻia nā ʻōpū ʻili a me nā warts.
- No ka poʻe i ʻeha pinepine i nā maʻi ʻōpū mimi a i ʻole endometriosis, hiki iā ia ke hāʻawi i ka hōʻoluʻolu ma ka luku ʻana i nā ʻiʻo e hoʻoulu ai i nā hōʻailona.
- Hiki ke ho'ōla ʻia nā pae mua o ke kanesa ʻōpū. (Eia naʻe, i kekahi manawa hiki i nā puʻupuʻu ke hoʻi hou mai.)
Nā Pōʻino
He mea nui e hoʻomanaʻo he mea kakaikahi loa kēia mau pilikia a ua aʻo ʻia nā kauka e pale aku iā lākou.
- Ke kahe koko lohi: Inā hoʻomaka ka ʻeha o ka ʻili e kahe ke koko, hiki i kāu kauka ke ʻōlelo e kau i ke kaomi no kahi o 20 mau minuke. He mea maʻamau ke loaʻa kekahi koko i loko o kou mimi ma hope o ka mālama ʻana i ka ʻōpū mimi a me kekahi kahe koko ma ka ʻōpū ma hope o ka mālama ʻana i ka ʻāʻī.
- Ka haʻalulu uila a i ʻole ke ahi: Aia kēia pilikia inā pili ka hāmeʻa me kahi mea lapalapa. Hopohopo nui nā kauka no kēia.
- Nā kuni: E hōʻoia ka limahana lapaʻau ʻaʻole e pili kou kino me kekahi mea hao i ka wā o ka mālama ʻana.
- Nā maʻi: Aia kahi pilikia o ka hoʻolaha ʻana i nā germs ma o ka uahi ʻoki kino. Eia nō naʻe, hiki ke pale ʻia kēia ma ka hoʻohana ʻana i nā ʻōnaehana hoʻoneʻe uahi, nā pale maka, a me nā pale maka.
Āhea ʻoe e ʻike ai i ke kauka?
Inā ʻike ʻoe i kekahi o nā hōʻailona ma hope o ka mālama ʻana, e kāhea koke aku i kāu kauka a i ʻole, inā pono, e hele i ka haukapila kokoke loa i ka Emergency Department (ETU) .
- He kuni ma luna o 101 degere Fahrenheit (38.3 Celsius).
- Ke kahe koko nui a ʻano ʻē paha mai ka wahi i mālama ʻia.
- ʻEha nui o ka ʻōpū.
Leka Lawe-Home
- He lāʻau lapaʻau palekana loa ka Fulguration a hoʻohana nui ʻia e hoʻohana ana i ka uila e luku i nā pūnaewele ʻē.
- Hoʻohana ʻia ia no nā mea he nui, e like me nā maʻi ʻili (nā ʻūlū), nā pilikia ʻōpū mimi, a me nā kūlana pre-cancerous o ka cervix.
- He hana hoʻopilikia iki kēia e hiki ai ke hoʻōla koke. Hiki iā ʻoe ke hoʻi pinepine i ka home i ka lā hoʻokahi me kāu mālama ʻana.
- Ma mua o ka mālama ʻana, e kamaʻilio me kāu kauka e pili ana i nā pono, nā pilikia, a pehea e hoʻomākaukau ai.
- Inā loaʻa iā ʻoe ke kuni, ke kahe koko nui, a i ʻole ka ʻeha nui ma hope o ka lāʻau lapaʻau, e ʻimi koke i ke kōkua lapaʻau.











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