He mea maʻamau loa ke hopohopo a hopohopo paha ke ʻōlelo aku ke kauka i ke ʻoki ʻana i nā puʻupaʻa nou a i ʻole kahi mea aloha. No ka mea, he mau ʻōkana koʻikoʻi nā puʻupaʻa, he mea maopopo loa ia mau hopohopo. E ʻoluʻolu e hōʻoiaʻiʻo ua maopopo i kāu hui lapaʻau kou mau manaʻo a eia nō lākou e kākoʻo iā ʻoe. E wehewehe lākou i ke kaʻina hana, nā hopena i manaʻo ʻia, a me ke kaʻina hana hoʻōla me ka kikoʻī e hoʻomaha ai kou manaʻo.
He aha ke ʻano o ka Heminephrectomy?
He hana ʻoki kino ka heminephrectomy kahi e wehe wale ʻia ai ka ʻāpana hana ʻole o ka puʻupaʻa. ʻAʻole e wehe kāu kauka i ke kino holoʻokoʻa, akā, ʻo ka ʻāpana wale nō i hana pono ʻole.
Hana maʻamau ʻia kēia kaʻina hana i nā hihia o kahi Duplex Kidney . Ke noʻonoʻo nei paha ʻoe i ke ʻano o ia mea.
ʻO ka maʻamau, loaʻa i kēlā me kēia o kākou ʻelua mau puʻupaʻa. ʻO ka maʻamau, loaʻa i kēlā me kēia puʻupaʻa hoʻokahi ureter (ka ʻōmole e lawe ai i ka mimi i ka ʻōpū mimi). Eia nō naʻe, loaʻa i kekahi poʻe kahi maʻi hānau kahi e pili ai kekahi puʻupaʻa me ʻelua mau ureter; ua ʻike ʻia kēia he Duplex Kidney .
E ʻoluʻolu e hoʻomaopopo ʻaʻole nā kānaka a pau me ka Duplex Kidney e ʻike i nā pilikia. He nui ka poʻe e ola nei i ko lākou ola holoʻokoʻa me ka ʻike ʻole he maʻi ko lākou. Eia nō naʻe, hiki i kekahi manawa ke alakaʻi i kekahi mau pilikia e pono ai ke kōkua lapaʻau.
He aha nā pilikia e hiki ke hana ʻia e kahi Duplex Kidney?
Hiki i kahi Duplex Kidney ke alakaʻi i ʻekolu mau pilikia nui. E nānā kākou i ke ʻano o lākou.
| Kūlana | Ma nā ʻōlelo maʻalahi… |
|---|---|
| ʻO ka Reflux Vesicoureteral (VUR) | Hana ʻia kēia ke kahe hope ka mimi mai ka ʻōpū mimi i nā puʻupaʻa. I ka hala ʻana o ka manawa, hiki i kēia ke alakaʻi i ka hōʻino mau loa ʻana o nā puʻupaʻa. |
| ʻUreter Ectopic | Hana ʻia kēia ke pili kahi ureter i kahi ʻano ʻē aʻe ma mua o ka ʻōpū mimi. Hiki i kēia pilina hewa ke hōʻino i kēlā ʻano e hoʻopuni ana. |
| ʻUreterocele | Pehu ka ʻaoʻao haʻahaʻa o ka ureter e like me ka pōpō i loko o ka ʻōpū mimi, e ālai ana i ke kahe maʻamau o ka mimi. Hoʻonui kēia i ke kaomi, a hiki ke hōʻino i ka puʻupaʻa. |
ʻOiai ke ola nei kēia mau kūlana, e hoʻomaka pinepine kāu loea Nirogi Lanka ma ka nānā ʻana i kāu holomua. Eia nō naʻe, inā loaʻa iā ʻoe nā maʻi ʻōpū mimi pinepine a inā paha ua lilo loa ka hana o kekahi hapa o kou puʻupaʻa i nā pilikia i ʻōlelo ʻia ma luna, hiki i kāu kauka ke ʻōlelo aku i kahi heminephrectomy.
Pehea ʻoe e hoʻomākaukau ai no ke ʻoki kino?
Ma mua o kāu hana, e wehewehe pono kāu urologist i ke ʻoki kino a loaʻa iā ʻoe kāu ʻae ʻia. E hana pū ʻia ʻoe i ka hoʻāʻo mua ʻana e hōʻoia i kou olakino no ke kaʻina hana. E kūkākūkā kikoʻī kāu hui lapaʻau:
- Kou mōʻaukala lapaʻau piha .
- ʻO nā lāʻau lapaʻau āpau āu e lawe nei. Hoʻokomo pū kēia i nā lāʻau lapaʻau, nā lāʻau lapaʻau ma luna o ke kauka, nā mea hoʻohui lāʻau lapaʻau, a me nā huaora. Pono e hoʻōki ʻia kekahi mau lāʻau lapaʻau, ʻoiai nā lāʻau hoʻokahe koko, no ka mea e hoʻonui ai lākou i nā pilikia kahe koko.
- ʻO nā maʻi allergies i ʻike ʻia iā ʻoe.
E loaʻa iā ʻoe nā ʻōlelo aʻoaʻo maopopo i ka wā e hoʻōki ai i nā lāʻau lapaʻau kikoʻī a me ka wā e hoʻomaka ai i ka hoʻokē ʻai (e pale i ka meaʻai a me ka mea inu) ma mua o kāu ʻoki kino.
Pehea e hana ʻia ai ke ʻoki kino?
ʻEkolu mau ʻano hana nui: ke ʻoki hāmama, ke ʻoki laparoscopic, a me ke ʻoki kōkua robotic.
| ʻAno hana ʻoki kino | Ke ʻAno a me nā Pōmaikaʻi |
|---|---|
| Heminephectomy hāmama | Hana ke kauka ʻoki i kahi ʻoki ma kahi o 12 ʻīniha ma ka ʻaoʻao ma waena o nā iwi ʻaoʻao a me ka ʻūhā, e ʻae ana i ke komo pololei ʻana i ka puʻupaʻa e wehe i ka ʻāpana hana ʻole. |
| ʻO ke ʻoki kino Laparoscopic | Ma kahi o hoʻokahi ʻoki nui, hana ʻia kekahi mau punctures liʻiliʻi. Hoʻokomo ʻia kahi kāmela (laparoscope) a me nā mea hana kūikawā e hana i ka wehe ʻana. ʻO ka hopena kēia i nā ʻeha liʻiliʻi a me ka ho'ōla wikiwiki. |
| ʻO ke ʻoki kino robotic | Ua like ia me ka laparoscopy, akā ke kāohi nei kāu kauka lapaʻau i nā lima robotic me ka pololei kiʻekiʻe, e ʻae ana i ka pololei i ka wā o ke kaʻina hana. |
Ma mua o ka hoʻomaka ʻana o ke ʻoki ʻana, e hāʻawi ke kauka anesthesiologist i ka anesthesia laulā , e hōʻoiaʻiʻo ana ua hiamoe ʻoe a ʻaʻole ʻoe e ʻeha. E kau ʻia hoʻi kahi catheter urinary (Foley catheter) e hoʻokaʻawale i ka ʻōpū mimi. ʻO ka maʻamau, ʻelua a ʻekolu hola ka lōʻihi o ke kaʻina hana.
He aha ka mea e hana ʻia ma hope o ke ʻoki ʻana, a he aha ka manawa e hoʻōla ai?
E nānā ʻia ʻoe ma ka lumi hoʻōla a hiki i kou ala ʻana a paʻa kou ola kino. E hāʻawi ʻia nā lāʻau hoʻomalu ʻeha e like me ka mea e pono ai.
ʻO ka manawa hoʻōla e pili ana i ke ʻano o ke ʻoki ʻana:
- Ma hope o ke ʻoki laparoscopic a i ʻole ke ʻoki robotic , hiki iā ʻoe ke hoʻi i nā hana maʻamau i loko o 4-6 mau pule .
- Ma hope o ke ʻoki kino hāmama , hiki ke hala ka ho'ōla piha ʻana i 8-12 mau pule .
I ka wā e ho'ōla ai, e paipai kāu kauka i ka hele wāwae māmā e hoʻoikaika i ke kahe koko a pale i nā pilikia e like me nā ʻūpā koko a i ʻole ka maʻi pneumonia. Eia nō naʻe, pono ʻoe e pale i ka hāpai ʻana i kekahi mea kaumaha ma mua o 4.5kg (e like me ke kaumaha o ke kalani wai) .
Nā manaʻo no ka ʻai ʻana
ʻAe. No nā pule ʻehā mua, e hoʻāʻo e inu i 6-8 mau aniani wai i kēlā me kēia lā a e kālele i nā meaʻai palupalu a maʻalahi ke ʻai ʻia. E aʻo ʻia paha ʻoe e pale i kekahi mau meaʻai a hiki i ka hoʻi ʻana o kou neʻe ʻana o ka ʻōpū i ka maʻamau.
| Nā Meaʻai i Manaʻo ʻia | Nā Meaʻai e Pale aku ai |
|---|---|
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I ka manawa hea e hoʻokaʻaʻike koke aku ai i kāu kauka
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o kāu ʻoki ʻana, e ʻoluʻolu e kelepona koke aku i kāu kauka a i ʻole e kipa aku i ka ʻOihana Pilikia kokoke loa.
- Paʻakikī ka hanu ʻana
- Ke kahe nui ʻana o ke koko ma kahi i ʻoki ʻia
- Ka hoʻokaʻawale ʻana o nā kihi ʻeha
- Nā hōʻailona o ka maʻi: Hoʻokomo pū kēia me ka ʻulaʻula, ka pehu ʻana, ka loli ʻana o ke kala poni/ʻeleʻele/ʻeleʻele a puni ka wahi, ke kuni, a i ʻole ka kahe ʻana o ke koko me kahi ʻala pilau.
- ʻEha hiki ʻole ke hoʻomanawanui a ʻoi aku paha ka ʻeha
- ʻEha ma nā wāwae
- Koko i loko o kou mimi
He mea maʻamau loa ka hopohopo e pili ana i ke ʻoki kino. He mea maoli nā nīnau e like me, "E holomua anei ke ʻoki kino?" a i ʻole "Pehea inā e ʻoi aʻe ka ʻino o koʻu mau hōʻailona?". E ho'āʻo e kālele i ka hopena maikaʻi: "Pehea ka maikaʻi o koʻu ola ma hope o kēia?" a i ʻole "E hoʻopau hope anei kēia i kēlā mau maʻi e hoʻi hou mai ana?" ʻO ka hoʻololi ʻana i kou manaʻo e hiki ke kōkua iā ʻoe e ʻoluʻolu hou i kou wā e hoʻōla ai.
ʻO nā mea lawe nui mai Nirogi Lanka
- ʻO ka heminephrectomy kahi hana e wehe wale ai i ka ʻāpana hana ʻole o ka puʻupaʻa, e mālama ana i ka ʻāpana olakino.
- Hana pinepine ʻia kēia ʻoki kino no ka hoʻoponopono ʻana i nā pilikia e kū mai ana mai kahi maʻi hānau i ʻike ʻia ʻo Duplex Kidney.
- Ma muli o kāu hihia kikoʻī, hiki ke hana ʻia ke ʻoki ʻana ma ke ʻano he hana hāmama, laparoscopic, a i ʻole robotic. E loli ana kou manawa hoʻōla ma muli o ke ʻano i hoʻohana ʻia.
- E hahai pono i nā ʻōlelo aʻoaʻo a kāu kauka ma hope o ke ʻoki ʻana, ʻoiai e pili ana i kāu ʻai a me nā kapu i ka hāpai ʻana i nā mea kaumaha.
- E ʻimi i ka mālama olakino pilikia inā ʻike ʻoe i nā hōʻailona hōʻailona e like me nā pilikia hanu, ke kahe koko nui, a i ʻole nā hōʻailona o ka maʻi.
- E ʻoluʻolu e kamaʻilio ākea me kāu hui lapaʻau e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai; eia mākou e kākoʻo i kou ho'ōla hou ʻana.
Heminephectomy, ʻoki kino puʻupaʻa, puʻupaʻa Duplex, maʻi puʻupaʻa, nā kaʻina hana ʻoki kino, Vesicoureteral Reflux, Ureterocele
