He mea maʻamau ka manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi aku ke kauka iā ʻoe a i ʻole kekahi āu i ʻike ai e pono ana ʻoe i ke ʻoki puʻupaʻa. ʻAʻole ia he mea kupanaha, ʻoiai he ʻano koʻikoʻi nā puʻupaʻa i loko o ko kākou kino. Akā, maopopo i kāu kauka kou mau manaʻo. No laila e wehewehe lākou i ke ʻoki ʻana, nā hopena i manaʻo ʻia, a me ka manawa hoʻōla iā ʻoe.
I ka ʻōlelo maʻalahi, he aha ka Heminephectomy?
ʻO ka Heminephrectomy (hemi-nephrec-to-me) kahi hana ʻoki e wehe wale i ka ʻāpana hana pono ʻole o kou puʻupaʻa. ʻAʻole wehe ʻia ka puʻupaʻa holoʻokoʻa, ʻo ka ʻāpana hana pono ʻole wale nō.
Hana pinepine ʻia kēia ʻoki kino ma luna o ka poʻe me ke ʻano i kapa ʻia ʻo Duplex Kidney . I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ia mea.
E noʻonoʻo, he ʻelua puʻupaʻa ko kākou a pau i loko o ko kākou kino. ʻO ka maʻamau, hoʻokahi wale nō ureter e lawe i ka mimi mai kekahi puʻupaʻa i ka ʻōpū mimi. Akā, ua hānau ʻia kekahi poʻe me ʻelua ureters i loko o hoʻokahi puʻupaʻa ma muli o kahi maʻi hānau ʻia. ʻO ia ke kumu i kapa ʻia ai he "Duplex Kidney".
Akā, ʻaʻole nā kānaka a pau me ka "Duplex Kidney" e loaʻa nā pilikia. Noho kekahi poʻe me ka ʻike ʻole he maʻi ko lākou. Akā i kekahi manawa hiki ke hana i kekahi mau pilikia.
He aha nā pilikia e hiki mai ana ma muli o kahi Duplex Kidney?
ʻEkolu mau pilikia nui e hiki ke kū mai ma muli o kahi 'Duplex Kidney'. E nānā kākou i ke ʻano o lākou.
| Pilikia (Kūlana) | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ka Reflux Vesicoureteral (VUR) | ʻO kēia ke kumu o ka mimi i loko o ka ʻōpū mimi e kahe hou i luna i loko o nā puʻupaʻa. I ka wā lōʻihi, hiki i kēia ke hōʻino i nā puʻupaʻa. |
| ʻUreter Ectopic | ʻO ka mea e hana ʻia ma ʻaneʻi, ʻaʻole pili ka urethra keu i ka ʻōpū mimi, akā i kahi ʻano ʻē aʻe kokoke. Hiki i kēia ke hōʻino i kēlā ʻano. |
| ʻUreterocele | ʻO ka urethra, kahi e komo ai i loko o ka ʻōpū mimi, pehu e like me ka pōpō, e ālai ana i ke kahe o ka mimi. Hiki i kēia ke hoʻonui i ke kaomi i loko o ka puʻupaʻa a hōʻino. |
ʻOiai me kēia mau pilikia, i ka hapa nui o ka manawa, e nānā wale kāu kauka iā ʻoe. Eia nō naʻe, inā loaʻa pinepine iā ʻoe nā maʻi ʻōpū mimi , a inā ua nalowale loa ka hana o kekahi hapa o kou puʻupaʻa ma muli o nā kumu i ʻōlelo ʻia ma luna, hiki i kāu kauka ke paipai i kahi heminephrectomy.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
Ma mua o ke ʻoki ʻana, e wehewehe pono kāu kauka ʻoki (urologist) i ke ʻano o ke ʻoki ʻana iā ʻoe a loaʻa iā ʻoe kou ʻae. Eia kekahi, e hana lākou i kekahi mau hoʻokolohua e hōʻoia i kou olakino no ke ʻoki ʻana. E nīnau maoli lākou iā ʻoe e pili ana i kēia mau mea:
- Kou mōʻaukala olakino piha .
- Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe ai. Hoʻokomo pū kēia i nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka, nā huahana lāʻau lapaʻau, a me nā huaora. Hiki i kekahi mau lāʻau lapaʻau, e like me nā mea hoʻokahe koko, ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko i ka wā o ke ʻoki ʻana.
- E pili ana i kekahi mau maʻi allergies āu e loaʻa ai.
I kekahi mau lā ma mua o ke ʻoki kino, e aʻo ʻia ʻoe i nā lāʻau lapaʻau, inā he, āu e lawe ai a me ka wā e hoʻōki ai i ka lawe ʻana iā lākou. E haʻi ʻia aku hoʻi iā ʻoe i ka manawa kūpono e hoʻōki ai i ka ʻai ʻana a me ka inu ʻana (hoʻokē ʻai) ma mua o ke ʻoki kino.
Pehea e hana ʻia ai ke ʻoki kino?
Hiki ke hana ʻia kēia ʻoki kino ma nā ʻano nui ʻekolu: ʻoki kino hāmama, ʻoki kino laparoscopic, a me ke ʻoki kino robotic.
| ʻAno o ke ʻoki kino | Pehea e hana ai a me nā pōmaikaʻi |
|---|---|
| ʻO ka Heminephectomy hāmama | E hana ke kauka i kahi ʻoki he 12-'īniha ma kou ʻōpū, ma waena o kou mau iwi ʻaoʻao a me kou ʻūhā. E ʻae kēia i ke kauka e ʻike maikaʻi i ka puʻupaʻa. Hiki ke wehe lima ʻia ka ʻāpana hana ʻole. |
| ʻO ke ʻoki kino Laparoscopic | ʻO kēia ke kumu o ka hana ʻana i kekahi mau ʻoki liʻiliʻi ma ka ʻōpū ma kahi o hoʻokahi ʻoki nui. Hoʻokomo ʻia kahi mea hana lahilahi me kahi kāmela (laparoscope) ma o hoʻokahi ʻoki e nānā i ka puʻupaʻa. Hoʻokomo ʻia nā mea hana ʻoki ma o nā ʻoki ʻē aʻe e wehe i ka ʻāpana hana ʻole. ʻO ka pōmaikaʻi o kēia, ʻoi aku ka liʻiliʻi o ka ʻeha a ʻoi aku ka wikiwiki o ka ho'ōla ʻana. |
| ʻO ke ʻoki kino robotic | Ua like kēia me ke ʻoki laparoscopic, akā ma ʻaneʻi ke kāohi nei ke kauka i nā mea hana ʻoki me ka hoʻohana ʻana i nā lima o kahi mīkini robotic. ʻAe kēia i ka ʻoki kino akahai loa a pololei hoʻi. |
Ma mua o ka hoʻomaka ʻana o ke ʻoki ʻana, e hāʻawi ke kauka anesthesiologist iā ʻoe i ka anesthesia laulā ('General Anesthesia'). No laila, ʻaʻole ʻoe e ʻeha, e hiamoe ana ʻoe. A laila e hoʻokomo ʻia kahi catheter Foley e hoʻokahe i kou ʻōpū mimi. Hiki i ke ʻoki ʻana ke hala ma kahi o ʻelua a ʻekolu hola .
He aha ka mea e hana ʻia ma hope o ke ʻoki kino? A pehea ka lōʻihi e hoʻōla ai?
Ma hope o ke ʻoki ʻana, e nānā ʻia ʻoe ma kahi lumi hoʻōla a hiki i kou ala ʻana a kūpaʻa kou olakino. E hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e kāohi i kou ʻeha.
E loli ana ka manawa ho'ōla ma muli o ke ʻano o ke ʻoki kino i hana ʻia ai ʻoe.
- 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 .
- Hiki ke hala ma kahi o 8-12 mau pule e ho'ōla piha ai ma hope o ke ʻoki kino hāmama .
E paipai kāu kauka iā ʻoe e hele wāwae iki i kou wā e hoʻōla ai. He maikaʻi ka hele wāwae no kou kino a hiki ke kōkua i ka pale ʻana i nā mea e like me ke koko ʻana a me ka maʻi pneumonia. Akā, pono ʻoe e pale i ka hāpai ʻana i kekahi mea kaumaha ma mua o 10 paona (e like me ke kaumaha o ke kalani wai).
Pono anei ʻoe e makaʻala i ka meaʻai a me ka mea inu?
ʻAe. No nā pule ʻehā mua ma hope o ke ʻoki kino, e aʻo ʻia ʻoe e inu i 6-8 mau aniani wai i ka lā a ʻai i kahi meaʻai palupalu a maʻalahi hoʻi e ʻai. E aʻo ʻia hoʻi ʻoe e pale i kekahi mau meaʻai a hiki i ka hoʻi ʻana o kou neʻe ʻana o ka ʻōpū i ka maʻamau.
| Nā mea maikaʻi e ʻai ai | Nā mea e pale aku ai |
|---|---|
|
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka!
Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei ma hope o ke ʻoki ʻana, pono ʻoe e kāhea koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Paʻakikī ka hanu ʻana
- Ke kahe nui ʻana o ke koko mai ka wahi suture
- Ka hoʻokaʻawale ʻana o ka ʻili ma o nā humuhumu
- Nā hōʻailona o kahi maʻi: Hoʻokomo pū kēia me ka ʻulaʻula, poni, ʻeleʻele, a ʻeleʻele paha ke kala a puni ka ʻeha, ke kuni, ka pehu e kahe ana mai ka ʻeha, a i ʻole kahi ʻala pilau.
- Ke hoʻonui nei i ka ʻeha hiki ʻole ke hoʻomanawanui
- ʻEha wāwae
- Koko i loko o ka mimi
He mea maʻamau ka makaʻu i ke ʻoki kino. He mea maʻamau ka loaʻa ʻana o nā nīnau e like me, "Pehea inā ʻaʻole holo pono ke ʻoki kino?" a i ʻole "Pehea inā e ʻoi aku ka ʻino o koʻu mau hōʻailona?" Akā e noʻonoʻo pū i nā mea maikaʻi. "Pehea ka maʻalahi o kēia ʻoki kino i koʻu ola?" a i ʻole "E hiki anei iaʻu ke hoʻopau i nā maʻi i loaʻa iaʻu?" ʻO ka noʻonoʻo ʻana i kēia ʻano hiki ke kōkua iā ʻoe e ʻoluʻolu loa.
Leka Lawe-Home
- He ʻoki kino ʻo Heminephrectomy e wehe wale i ka ʻāpana hana pono ʻole o ka puʻupaʻa. ʻAʻole wehe ʻia ka puʻupaʻa holoʻokoʻa.
- Hana pinepine ʻia kēia ʻoki kino no nā pilikia i hoʻokumu ʻia e kahi maʻi hānau i kapa ʻia ʻo Duplex Kidney.
- Hiki ke hana ʻia ke ʻoki ʻana ma ke ʻano hāmama, laparoscopically, a i ʻole robotically. Aia ka manawa hoʻōla i ke ʻano o ka hana.
- E hahai pono i nā ʻōlelo a kāu kauka ma hope o ke ʻoki ʻana, ʻoiai e pili ana i ka ʻai a me ka hāpai kaumaha.
- Inā ʻike ʻoe i nā hōʻailona hōʻailona e like me ka paʻakikī o ka hanu ʻana, ke kahe nui ʻana o ke koko, a i ʻole nā hōʻailona o ka maʻi, e ʻimi koke i ke kōkua lapaʻau.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu.
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