Malia paha ua ʻōlelo ʻia ʻoe e "hālāwai me ke kauka lapaʻau" ke loaʻa iā ʻoe ka ʻeha o ka ʻōpū a i ʻole kahi puʻupuʻu ma kekahi wahi o kou kino. Ke lohe ʻoe i kēlā, manaʻo iki ʻoe i ka makaʻu a me ka hopohopo, ʻeā? Ke lohe mākou i ka huaʻōlelo 'kauka lapaʻau', hiki mai nā mea e like me ke keʻena hana a me ke ʻoki kino nui i ka noʻonoʻo. No laila, ʻo wai ke kauka lapaʻau maoli a i ʻole he 'Kauka Lapaʻau Nui'? Hana wale nō ʻo ia i nā hana? E kamaʻilio kākou e pili ana i kēia e hoʻopau wale i ka makaʻu a me ke kānalua e pili ana i kēia.
ʻO wai kēia Kauka Lapaʻau?
I ka ʻōlelo maʻalahi, he kauka lapaʻau laulā he kauka i loaʻa i ka hoʻomaʻamaʻa kūikawā e hana i nā ʻoki kino. Hiki ke hoʻohālikelike ʻia lākou me ke kauka ʻohana hiki ke hana i nā ʻoki kino. Hiki iā ia ke ʻike i kou kūlana mai ka hoʻomaka ʻana, hoʻoholo i ka lāʻau e pono ai, a hana i ke ʻoki kino inā pono.
ʻO ka mea nui loa, ʻo ia ke hele pū me ʻoe ke kauka lapaʻau ʻaʻole wale i ka wā o ke ʻoki ʻana.
- Mālama ma mua o ke ʻoki ʻana: E nānā ʻo ia iā ʻoe, hana i nā hoʻokolohua e pono ai, a hoʻomākaukau iā ʻoe no ke ʻoki ʻana.
- I ka wā o ke ʻoki kino (Mālama ʻoki kino): Hana ʻia ke ʻoki kino me ka palekana a me ka holomua.
- Mālama ma hope o ke ʻoki ʻana: E nānā ʻo ia i kou olakino a hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo a me nā lāʻau lapaʻau e pono ai ma hope o ke ʻoki ʻana a hiki i kou hoʻōla ʻana.
ʻO ia hoʻi, he kauka lapaʻau ke kauka nāna e noho pū me ʻoe mai ka hoʻomaka a hiki i ka hopena e pili ana i kou kūlana olakino a mālama iā ʻoe.
He aha nā kūlana maʻamau a nā kauka lapaʻau e mālama ai?
ʻAʻole i kaupalena ʻia ke kauka lapaʻau i hoʻokahi ʻāpana o ke kino. Mālama lākou i nā ʻano maʻi like ʻole. E nānā kākou i kekahi o nā mea maʻamau.
| Kūlana/Manawa | He wehewehe maʻalahi |
|---|---|
| ʻEhaeha | Nā mea e like me nā ʻeha koʻikoʻi mai kahi ulia, ke kahe ʻana o ke koko i loko, a pēlā aku. |
| Nā maʻi e pili ana i ka ʻōpū | Nā kūlana e like me ka appendicitis, hernia, gallstones, a me ka perforation ʻōpū. |
| Nā maʻi umauma | ʻO ka ʻike ʻana a me ka wehe ʻana i nā puʻupuʻu (maʻi ʻaʻai a me nā mea ʻaʻole maʻi ʻaʻai) ma ka umauma. |
| Nā maʻi o ka ʻili a me nā ʻiʻo palupalu | ʻO nā ʻoki liʻiliʻi no nā puʻupuʻu ʻili, eczema, a me nā pilikia ʻili ʻē aʻe. |
| Nā kūlana endocrine | ʻO ke ʻoki kino no nā pilikia me nā kelepa thyroid a i ʻole nā kelepona adrenal. |
| ʻO ke ʻoki ʻana i ke kanesa (Oncology ʻoki) | Ke wehe ʻana i nā puʻupuʻu kanesa i loko o ka esophagus, ka umauma, a i ʻole nā kino ʻē aʻe. |
Akā e hoʻomanaʻo, inā ʻike ke kauka lapaʻau i kahi maʻi paʻakikī loa e paʻakikī iā ia ke mālama, e kuhikuhi paha ʻo ia iā ʻoe i kekahi kauka ʻē aʻe i loaʻa ka ʻike loea e mālama ai. E hōʻoia kēia e loaʻa iā ʻoe ka lāʻau lapaʻau maikaʻi loa.
ʻEhia ka lōʻihi o ke aʻo ʻana e lilo i kauka lapaʻau?
ʻAʻole kēia he huakaʻi maʻalahi e like me kou manaʻo. He kanaka ke kauka lapaʻau me ke kiʻekiʻe o ke aʻo ʻana a me ka hoʻolaʻa ʻana.
1. ʻO ka mea mua, pono ʻoe e lilo i kauka: Pono ʻoe e aʻo ma ke kula lapaʻau no 5-6 mau makahiki a loaʻa i ke kēkelē MBBS.
2. A laila hoʻomaʻamaʻa ʻoki kino: Ma hope o kēlā, pono lākou e hele i kahi papahana noho ʻoki kino no nā makahiki he 5 a ʻoi. I loko o kēia manawa, hana lākou ma lalo o nā kauka ʻoki kino akamai a loaʻa ka ʻike e hana ana i nā tausani o nā ʻoki kino like ʻole.
3. Pono e hala i nā hoʻokolohua kūikawā: Ma hope o kēia hoʻomaʻamaʻa ʻana, ua kūpono lākou e hana ma ke ʻano he kauka lapaʻau ma hope o ka hala ʻana i kekahi mau hoʻokolohua kākau a waha koʻikoʻi loa.
No laila hiki iā ʻoe ke ʻike i ke ʻano o ka ʻike a me ka mākaukau o ke kauka lapaʻau e mālama nei iā ʻoe.
He aha nā ʻano hana ʻoki kino hou o kēia mau lā?
Ke noʻonoʻo mākou i ke 'ʻoki ʻana', manaʻo mākou i kahi mea e pili ana i ka hana ʻana i kahi ʻoki nui i ke kino, akā me ka ʻenehana o kēia wā, ua loli nui kēlā kūlana. I kēia manawa, hoʻohana nā kauka ʻoki i nā ʻano hana hou e hōʻino iki i ke kino (minimally invasive).
1. Ke ʻano hana Endoscopy
He hoʻokolokolo a ʻoki kino liʻiliʻi paha kēia e pili ana i ke hoʻokomo ʻana i kahi ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia ma o kahi puka kūlohelohe i loko o ke kino (no ka laʻana, ma o ka waha a i ʻole ka anus), me ka ʻole o ka ʻoki ʻana i ka ʻili.
- ʻO ka mea i hoʻokomo ʻia ma ka waha ua kapa ʻia ʻo Upper GI Endoscopy. Hiki i kēia ke nānā i nā wahi e like me ka esophagus a me ka ʻōpū.
- He hana kaʻina hana ʻo Colonoscopy ma o ka rectum. Hiki iā ʻoe ke nānā i ka ʻōpū nui.
- Hiki i kēia ʻano hana ke wehe i nā ulu liʻiliʻi (polyps) i loko o ka kolona a lawe i nā laʻana ʻiʻo liʻiliʻi (biopsies) no ka hoʻāʻo ʻana.
2. ʻO ke ʻoki kino Laparoscopic
ʻO kēia ka mea a ka poʻe he nui e kapa nei he 'keyhole surgery' a i ʻole 'laser operation.' Eia naʻe, ʻaʻohe kukuna laser i hoʻohana ʻia ma kēia.
ʻO ka mea e hana ʻia ma ʻaneʻi, ma kahi o ka hana ʻana i kahi ʻoki nui ma ka ʻōpū, ua hana ʻia kekahi mau lua liʻiliʻi loa (ma kahi o 1 kenimika), ua hoʻokomo ʻia kahi kāmela (laparoscope) ma o kekahi lua, ua hoʻokomo ʻia nā mea hana ʻoki ma o nā lua ʻē aʻe, a ua hana ʻia ke ʻoki ʻana i ka wā e nānā ana i kahi pale kīwī.
Nā pono o kēia ʻano hana:
- ʻAʻohe ʻoki nui a i ʻole nā palapala.
- Ua emi ka ʻeha.
- E ola koke a e hoʻi koke i ka home.
- Haʻahaʻa ka pilikia o ka maʻi.
I kēia mau lā, hana ʻia nā ʻoki he nui, e like me ka appendectomy a me ka cholecystectomy, me ka hoʻohana ʻana i kēia ʻano hana.
3. ʻO ke ʻoki kino robotic
ʻO kēia kekahi holomua hou i ke ʻoki laparoscopic. Maanei, ʻaʻole lawelawe pololei ʻia nā mea hana ʻoki e ke kauka ʻoki. Hana ʻia ke ʻoki me ka hoʻohana ʻana i nā lima robotic a ke kauka e hoʻomalu ai mai kahi console kamepiula. ʻAe kēia i nā ʻoki akahai a paʻakikī hoʻi e hana me ka pololei loa.
He aha ka ʻokoʻa ma waena o ke kauka laulā a me ke kauka ʻoki?
He nīnau kēia a nā kānaka he nui. He maʻalahi loa ka pane.
He kauka kēlā me kēia kauka lapaʻau, akā, ʻaʻole he kauka lapaʻau nā kauka āpau.
ʻO ia hoʻi, he kauka lapaʻau he kauka i hoʻopau i ke kēkelē MBBS a ua loaʻa iā ia ke aʻo kūikawā a me nā hōʻoia ma waho aʻe o ka hana ʻana i ke ʻoki kino. ʻOiai ʻo kāu kauka ʻohana maʻamau (General Practitioner - GP) e mālama ana i nā maʻi me ka lāʻau lapaʻau, loaʻa i ke kauka lapaʻau ka hiki a me ke aʻo ʻana e mālama i nā maʻi ʻaʻole wale me ka lāʻau lapaʻau, akā ma o ke ʻoki kino inā pono.
Leka Lawe-Home
- He loea ke Kauka Lapaʻau Laulā nona ka ʻike nui a me ke aʻo ʻana e mālama i kou mau kūlana olakino.
- Mai makaʻu i ka hoʻouna ʻia ʻana i kahi kauka ʻoki. ʻO ia hoʻi, e hana ʻia nā hana e hāʻawi iā ʻoe i ka lāʻau lapaʻau maikaʻi loa āu e pono ai.
- Ke lohe ʻoe i ka huaʻōlelo 'ʻoki', e kamaʻilio me kāu kauka e pili ana i nā makaʻu, nā kānalua, a i ʻole nā nīnau āu e loaʻa ai me ke kānalua ʻole. E wehewehe ʻo ia i nā mea āpau iā ʻoe.
- I kēia lā, hana ʻia ka hapa nui o nā ʻoki kino me ka hoʻohana ʻana i nā ʻano hana hou e hōʻemi iki ai i ka hōʻino ʻana i ke kino a ʻae i ka hoʻōla wikiwiki ʻana.
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