Nā Kāne: E aʻo e pili ana i ka mālama laser hou no ka prostate i hoʻonui ʻia (HoLEP)!

I ko kākou ʻelemakule ʻana, ʻoiai ma hope o ka makahiki 50-60, he pilikia olakino maʻamau akā hoʻonāukiuki iki i kū i ka nui o kā kākou mau kāne, ʻo ia ka pono e mimi pinepine. ʻAʻole wale i ke ao, akā i ka pō hoʻi, pono mākou e ala i ʻelua a ʻekolu paha manawa me ka hiamoe ʻole. I kekahi manawa ke hele mākou e mimi, he paʻakikī ke hoʻomaka, lohi ke kahe ʻana, a ma hope o ka pau ʻana, manaʻo mākou he nui aʻe. Ua kamaʻāina anei kēia mau hōʻailona iā ʻoe? A laila ʻo ke kumu nui o kēia, ʻo ia paha ka hoʻonui iki ʻia ʻana o kou gland prostate a i ʻole ka gland `(Prostate)`. Ua kapa ʻia kēia ʻo `(Benign Prostatic Hyperplasia)` a i ʻole `(BPH)` no ka pōkole ma ka ʻepekema lapaʻau. No laila, ma kēia ʻatikala, ke kamaʻilio nei mākou e pili ana i kahi ʻoki laser holomua loa a hou i loaʻa i kēia manawa no kēia ʻano hoʻonāukiuki.

I ka ʻōlelo maʻalahi, he aha ʻo HoLEP?

ʻO ke ʻano piha o HoLEP ʻo ia ka `(Holmium Laser Enucleation of the Prostate)`. ʻOiai he paʻakikī iki ka inoa, he maʻalahi loa ka mea e hana ʻia ma kēia. E noʻonoʻo ʻoe aia ka gland prostate a puni ka ʻōmole (`(Urethra)`) e puka mai ana ka mimi mai kou ʻōpū mimi. I ke ʻano o BPH, ulu mālie kēia gland a ālai i kēlā urethra. Ua like ia me kekahi e ʻomi ana i kahi paipu wai. ʻO ia ka manawa e paʻakikī ai ka mimi e puka mai.

No laila , he ʻoki kino ʻo HoLEP e hoʻohana ana i kahi kukuna laser ʻenehana kiʻekiʻe e wehe mālie i nā ʻiʻo prostate keu e ālai ana i ka urethra. ʻO ka hiʻohiʻona nui o kēia, ʻo ia ka ʻoki kino "minimally invasive". ʻO ia hoʻi, hana ʻia kēia ʻoki kino ma ke komo ʻana i kahi mea hana palupalu ma o ka urethra, me ka ʻole o ka hana ʻana i kahi ʻoki nui ma ka ʻōpū. No laila, he liʻiliʻi ke kaumaha ma ke kino, a he wikiwiki loa ka manawa hoʻōla.

ʻO wai ka mea e pono ai ke ʻoki kino HoLEP?

ʻAʻole pono nā kānaka a pau me ka prostate i hoʻonui ʻia i ke ʻoki kino. Hiki i nā kānaka he nui ke hoʻokele i ko lākou mau hōʻailona me ka lāʻau lapaʻau. Eia nō naʻe, i kekahi mau hihia, ʻoi aku ka maikaʻi o ke ʻoki kino. Eia kekahi mau kūlana kahi e ʻōlelo ai kāu kauka i ke ʻoki kino:

• Inā ʻaʻole e hōʻoluʻolu ʻia kāu mau hōʻailona e ka lāʻau lapaʻau.
• Inā hoʻopilikia nui nā hōʻailona i ke ola o kēlā me kēia lā.
• Inā loaʻa pinepine iā ʻoe nā maʻi ʻōpū mimi (UTI).
• Inā kū mai nā pōhaku mimi.
• Inā pilikia nā puʻupaʻa ma muli o ka mimi pono ʻole.

Aia ma lalo iho kekahi o nā hōʻailona i hoʻokumu pinepine ʻia e ka BPH.

He aha kāu e hana ai ma mua o ke ʻoki kino?

Inā hoʻoholo ʻoe e hana i ke ʻoki HoLEP, e nānā pono kāu kauka iā ʻoe. ʻO ka maʻamau, e komo pū kēia me kēia mau mea:

• Mōʻaukala lapaʻau: E nīnau ke kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau āu e lawe nei.
• Hoʻokolokolo kino: Hana ʻia kahi hoʻokolokolo kūikawā e loaʻa ai kahi manaʻo o ka nui o ka ʻōpū prostate.
• Nā hoʻāʻo lab: Hiki ke hana ʻia kahi hoʻāʻo koko e nānā i ka pae o ka PSA (Prostate-Specific Antigen) i loko o ke koko a me kahi hoʻāʻo mimi (Urinalysis) e nānā i nā maʻi ʻōpū urinary.
• Nā hoʻokolohua kūikawā ʻē aʻe: I kekahi manawa pono paha e hana ʻia nā hoʻokolohua ma lalo nei.

Pehea e hana ʻia ai ke ʻoki ʻana i kēlā me kēia ʻanuʻu

Hana pinepine ʻia ke ʻoki ʻana o HoLEP ma lalo o ka anesthesia laulā, ʻo ia hoʻi ua hiamoe loa ʻoe. ʻO ia hoʻi, ʻaʻole ʻoe e manaʻo i kekahi mea. No kekahi poʻe, hiki ke hana ʻia me kahi anesthetic spinal e hoʻomāno wale i ke kua haʻahaʻa.

Eia nā ʻanuʻu nui o ke ʻoki kino:

1. Anesthesia: Ma hope o kou hiamoe loa ʻana, e hoʻonoho ʻia ʻoe i kahi kūlana kūpono i loko o ka lumi hana.

2. Hoʻokomo ʻana i ka mea hana: Hoʻokomo ke kauka lapaʻau i kahi mea hana lahilahi i kapa ʻia he resectoscope, nona kahi kāmela ma ka hopena, ma o kou urethra. ʻAe kēia kāmela i ka ʻike maopopo ʻia o ka prostate gland ma kahi pale.

3. Ka hoʻohana ʻana i ka laser: ʻO ka mea aʻe, hoʻouna ʻia kahi kukuna laser ma o ka hāmeʻa. Hoʻohana ʻia kēia laser e ʻoki maikaʻi i ka ʻiʻo keu o ka prostate gland e ālai ana i ka urethra a hoʻokaʻawale iā ia mai ka gland nui. Ua kapa ʻia kēia ʻo `(Enucleation)`. ʻO kahi pōmaikaʻi o ka laser, ʻo ia ka sila ʻana i nā kīʻaha koko e lawe ana i ke koko i ka wā e ʻoki ana i ka ʻiʻo. No laila, he liʻiliʻi loa ke kahe ʻana o ke koko.

4. Ka wehe ʻana i nā ʻiʻo: Hoʻokomo ʻia nā ʻāpana ʻiʻo i ʻoki ʻia i loko o ka ʻōpū mimi, a laila hoʻohana ʻia kekahi mea hana i kapa ʻia ʻo "Morcellator" e ʻokiʻoki i nā ʻāpana i mau ʻāpana liʻiliʻi a kāhili iā lākou.

5.Ka nānā ʻana i nā ʻiʻo: Hoʻouna ʻia nā hāpana ʻiʻo i lawe ʻia no ka hoʻāʻo ʻana i ka hale hana e ʻike ai inā he mau mea ʻē aʻe, e like me nā hunaola kanesa.

6. Catheterization: ʻO ka hope loa, wehe ʻia nā mea hana ʻoki āpau a kau ʻia kahi catheter urinary e kōkua i ka hoʻokahe pono ʻana o ka mimi.

ʻO ka maʻamau, hoʻokahi a ʻekolu mau hola ka lōʻihi o kēia hana ʻoki, hiki ke loli ma muli o ka nui o kou prostate.

He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?

Ma hope o ke ʻoki kino, e noho ʻoe i loko o ka lumi hoʻōla no kekahi mau hola a hiki ke hoʻi i ka home i ka lā hoʻokahi a i ʻole ka lā aʻe. Pono ʻoe e noho i ka haukapila no hoʻokahi a ʻelua paha lā inā he kahe koko.

He mea maʻamau kēia mau mea ma hope o ke ʻoki kino:

• Catheter: E hoʻouna ʻia ʻoe i ka home me kahi catheter i kau ʻia. Hoʻoneʻe pinepine ʻia kēia catheter i ka lā aʻe. Inā hiki iā ʻoe ke mimi maikaʻi i ʻelua a ʻekolu paha manawa ma hope o ka wehe ʻia ʻana o ka catheter, ʻaʻohe pilikia. Inā ʻaʻole, pono paha ʻoe e hoʻokomo hou i kahi catheter i loko o kekahi mau lā.
• ʻEha a me ke kuni: He mea maʻamau ke manaʻo i kekahi ʻeha a me ke kuni i ka wā e mimi ai i nā lā mua. E kuhikuhi ke kauka i nā lāʻau ʻeha no kēia.
• Koko i loko o ka mimi: He mea maʻamau loa ka loaʻa ʻana o kahi koko liʻiliʻi i loko o kou mimi i hui pū ʻia me ka poni a ʻulaʻula paha no kekahi mau pule. Mai hopohopo no ia mea. Hiki ke loli kēia ma muli o ka nui o kāu hana a me ka nui o ka wai āu e inu nei.
• Inu wai: Ma hope o ka wehe ʻana i ke catheter urethral, ​​pono ʻoe e inu i ka wai he nui . E kōkua kēia i ke koko i loko o kou mimi e emi koke.
• Kaohi: He mea paʻakikī paha ke kaohi i kou mimi i ka wā mua. Hiki iā ʻoe ke hoʻokahe i kekahi mau kulu ke ʻakaʻaka ʻoe, ke kunu, a i ʻole ke hāpai i kahi mea kaumaha. E nalo ana kēia i loko o kekahi mau pule. Hiki i kāu kauka ke ʻōlelo aku e hana i nā hoʻomaʻamaʻa Kegel e kōkua i kēia.
• Nā Hōʻailona: ʻO nā hōʻailona e like me ka mimi pinepine a me ka wikiwiki e hala paha i kekahi mau mahina e hoʻomaikaʻi piha ai, ʻoiai ʻo ka ʻōpū mimi e lōʻihi ka manawa e hoʻomaʻamaʻa ai i kēia kūlana hou.

Nā pono, nā hopena ʻaoʻao, a me nā pilikia

E like me nā ʻoki kino āpau, loaʻa iā HoLEP nā pono a me nā pilikia liʻiliʻi a me nā hopena ʻaoʻao.

ʻEhia ka lōʻihi e ho'ōla ai?

He wikiwiki ka ho'ōla ʻana ma hope o ke ʻoki ʻana o HoLEP.

• Ka Hele Wae a me ka Hoʻokele: Hiki iā ʻoe ke hele wāwae i ka lā hoʻokahi ma hope o ke ʻoki kino. Hiki iā ʻoe ke hoʻomaka e hoʻokele i loko o kekahi mau lā.
• Ke hoʻi nei i ka hana: Inā he hana keʻena kāu, hiki iā ʻoe ke hoʻi i ka hana i loko o hoʻokahi a ʻelua paha pule. Inā he hana koi kino kāu, pono ʻoe e hoʻomaha no kekahi manawa.
• Hoʻoikaika kino a me ka hāpai kaumaha: E pale i ka hāpai ʻana i nā kaumaha ma luna o 5 kg no ka liʻiliʻi he ʻelua pule. E pale i ka hoʻoikaika kino ikaika e like me ka holo ʻana no ka liʻiliʻi he ʻelua pule.
• ʻŌlelo aʻo kūikawā: He mea nui e pale i nā hana e like me ke kaʻa paikikala a me ka holo mokokaikala no ka liʻiliʻi o ʻeono pule .

Āhea ʻoe e pono ai e kamaʻilio me ke kauka?

ʻOiai he mea maʻamau kekahi mau mea ma hope o ke ʻoki ʻana, pono ʻoe e hoʻokaʻaʻike koke aku i kāu kauka inā ʻike ʻoe i kekahi o kēia mau hōʻailona:

• Inā he nui nā ʻōpū koko i loko o kou mimi a inā paha e lilo kou mimi i ʻulaʻula ʻeleʻele e like me ka mea ʻala kamato .
• Inā ʻoi aku ke kuni ma mua o 101°F (38°C).
• Inā loaʻa iā ʻoe ka ʻeha nui hiki ʻole ke kāohi ʻia ʻoiai me nā painkiller.
• Inā ʻaʻole hiki iā ʻoe ke mimi .

He aha ka ʻokoʻa ma waena o HoLEP a me TURP?

Ua lohe paha ʻoe i kahi ʻoki kino i kapa ʻia ʻo TURP (Transurethral Resection of the Prostate). He ʻoki kino ʻē aʻe kēia e wehe ai i kahi prostate i hoʻonui ʻia. ʻO ka ʻokoʻa nui ke ʻano o ka wehe ʻana i nā ʻiʻo. Ma TURP, ma kahi o ka laser, ua ʻoki ʻia nā ʻāpana o nā ʻiʻo me ka hoʻohana ʻana i kahi uea uila.

ʻOi aku ka maikaʻi o ke ʻoki ʻana o HoLEP ma mua o TURP no ka mea he emi ke kahe ʻana o ke koko, he pōkole ka noho ʻana ma ka haukapila, a he emi ka pilikia o ka ulu ʻana o ka prostate a me ke koi ʻana i ke ʻoki ʻana. Eia nō naʻe, na kāu kauka e hoʻoholo i ke ʻoki ʻana i kūpono loa iā ʻoe.