Ua hoʻonui ʻia kou ʻōpū prostate a paʻakikī ke mimi? E aʻo kākou e pili ana i ke ʻoki laser HoLEP! (Holmium Laser Enucleation of the Prostate - HoLEP)

I ka wā e ʻelemakule ai nā kāne, lilo ia i mea paʻakikī iki ka mimi ʻana , ʻeā? Lilo ka urethra i nāwaliwali, aia kahi pono pinepine e mimi, a i ʻole manaʻo ʻia ʻaʻole hiki ke hoʻopau ʻia. ʻO ke kumu nui o kēia, ʻo ia ka nui iki o ka prostate gland . Kāhea mākou i kēia maʻi ʻo BPH ( Benign Prostatic Hyperplasia ). No laila i kēia lā ke kamaʻilio nei mākou e pili ana i ka lāʻau lapaʻau hou loa, holomua loa a palekana loa no kēia.

I ka ʻōlelo maʻalahi, he aha ke ʻoki kino HoLEP?

ʻO HoLEP (i kapa ʻia ʻo 'ho-lep') kahi hana laser kūikawā e mālama ai i nā mea ālai ʻia o ka mimi i hoʻokumu ʻia e ka prostate i hoʻonui ʻia. E noʻonoʻo i kou prostate e like me ke kaula laholio e hoʻopuni ana i kahi paipu wai. I kou wā ʻelemakule, pehu a hoʻonui ʻia ka gland, e kau ana i ke kaomi ma luna o kēlā paipu wai (kou urethra). ʻO kēia ka mea e paʻakikī ai ka mimi.

ʻO ke ʻoki ʻana ʻo HoLEP e pili ana i ke kau ʻana i kahi kukuna laser ma ke urethra me kahi kāmela liʻiliʻi, me ka ʻole o nā ʻoki ʻia, e wehe pono i nā ʻiʻo keu i loko o ka prostate e ālai ana i ke kahe o ka mimi. ʻOiai ʻaʻohe ʻoki i ka ʻili , he pōkole loa ka manawa hoʻōla.

He aha nā hōʻailona maʻamau o ka BPH?

E nānā e ʻike inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea, he mea nui loa ia e kamaʻilio me kāu kauka.

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

Inā hoʻoholo kāu kauka he kūpono ʻoe no ke ʻoki ʻana iā HoLEP, pono ʻoe e hana i kekahi mau hoʻokolohua ma mua o ke ʻoki ʻana. Hana ʻia kēia mau mea e loiloi pololei i kou kūlana.

• Kūkākūkā lapaʻau: E nīnau ke kauka e pili ana i kou mōʻaukala lapaʻau a nānā i kou prostate.
• Nā hoʻāʻo koko a me ka mimi: Ma waho aʻe o nā hoʻāʻo koko maʻamau, hiki ke hana ʻia kahi hoʻāʻo PSA (Prostate-Specific Antigen).
• Nā hoʻāʻo kahe mimi: Nā hoʻāʻo e ana i ka wikiwiki a me ka nui o kāu kahe mimi.
• Nā Scan : Hiki i kahi ultrasound a i ʻole CT scan ke hoʻoholo pololei i ka nui o ka gland prostate.
• Cystoscopy: Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi ma o ka urethra e nānā i loko o ka prostate a me ka ʻōpū mimi.
• Hoʻāʻo Urodynamics: He hoʻāʻo kūikawā e nānā i ka hana ʻana o kāu ʻōpū mimi.

E noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau hoʻokahe koko (e laʻa me Aspirin, Clopidogrel) ma kahi o 10 mau lā ma mua o ke ʻoki kino. Pono hoʻi ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana ma hope o ke aumoe o ka pō ma mua o ke ʻoki kino. E wehewehe pono kāu kauka i kēia mau mea āpau iā ʻoe.

Pehea e hana ʻia ai ke ʻoki kino HoLEP?

Mai hopohopo i kēia. ʻAʻole ʻoe e manaʻo i kekahi mea. Hana ʻia ke ʻoki holoʻokoʻa ma lalo o ka anesthesia laulā, ʻo ia hoʻi ua hiamoe loa ʻoe. A i ʻole hiki iā ʻoe ke hana me kahi anesthetic spinal e hoʻomānoʻonoʻo wale i ka ʻāpana ma lalo o kou pūhaka.

1. Ma hope o kou hoʻomaʻamaʻa ʻia ʻana, e hoʻokomo ke kauka i kahi mea lahilahi i kapa ʻia he `resectoscope` i lalo o kou urethra. He kāmela kēia ma luna i hiki ke ʻike maopopo ʻia ka ʻōpū prostate.

2. A laila, hoʻouna ʻia kahi kukuna laser ma o ka hāmeʻa, kahi e ʻoki maikaʻi loa ai i nā ʻiʻo keu i loko o ka prostate gland e ālai ana i ke kahe o ka mimi. I ka manawa like, ua sila ʻia nā kīʻaha koko e lawe ana i ke koko me kēia laser.

3. A laila wehe ʻia ka laser, a hoʻokomo ʻia kekahi mea i kapa ʻia ʻo `morcellator`, nāna e omo i nā ʻāpana ʻiʻo i ʻoki ʻia a wehe iā lākou mai ke kino.

4. He mea nui loa: ʻO ka ʻiʻo i wehe ʻia ma kēia ʻano e hoʻouna ʻia no kahi hoʻokolohua hoʻokolohua (biopsy) e ʻike ai inā he mea ʻē aʻe, e like me nā hunaola kanesa.

5. ʻO ka hope loa, ua wehe ʻia nā mea hana a pau a ua hoʻokomo ʻia kahi catheter urinary.

ʻO ka maʻamau, ma waena o 1 a me 3 mau hola kēia hana.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Pehea ka manawa hoʻōla?

I ka hapa nui o ka manawa, hiki iā ʻoe ke hoʻi i ka home i ke ahiahi hoʻokahi me ke ʻoki kino. I kekahi manawa, pono paha ʻoe e noho i ka haukapila no hoʻokahi lā.

• Catheter: ʻO ka catheter i kau ʻia ma hope o ke ʻoki ʻana e wehe pinepine ʻia i ka lā aʻe. Ke wehe ʻia ka catheter, hiki iā ʻoe ke hoʻi i ka home inā hiki iā ʻoe ke mimi maikaʻi. He mea maʻamau ke ʻike mua i kekahi ʻā, ʻeha, a me ka mimi pinepine.
• Koko i loko o kou mimi: He mea maʻamau loa ia no kou mimi ke ʻulaʻula me ke koko liʻiliʻi no kekahi mau pule . Mai hopohopo no ia mea. ʻO ka nui o ka wai āu e inu ai, ʻoi aku ka maopopo o kāu mimi.
• Kaohi: I ka wā mua, he mea paʻakikī paha ke kaohi i ka mimi. ʻO ke ʻano kēia, hiki ke kahe iki ka mimi ke ʻakaʻaka ʻoe a i ʻole ke kunu. E like me ka ʻōlelo a ke kauka, hiki i ka hana ʻana i nā `Kegel exercises` (nā hoʻomaʻamaʻa e hoʻopaʻa ai i nā ʻiʻo o ka ʻōpū haʻahaʻa) ke kōkua nui. E aneane e hoʻomaikaʻi loa kēia kūlana i loko o kekahi mau pule.
• Hoʻomaha: Hiki iā ʻoe ke hele wāwae a hoʻokele i ka lā ma hope o ke ʻoki kino. Eia nō naʻe, e pale i nā hana ikaika e like me ka hāpai ʻana i nā mea kaumaha a i ʻole ka holo ʻana no ʻelua pule . E pale i ka holo paikikala a i ʻole nā ​​​​mokokaikala no ʻeono pule .

Nā pono, nā hopena ʻaoʻao, a me nā pilikia o ke ʻoki ʻana ʻo HoLEP

Ke hoʻohālikelike ʻia me nā ʻoki kino ʻē aʻe, he nui nā pono o HoLEP. Eia nō naʻe, e like me nā ʻoki kino āpau, aia kekahi mau pilikia liʻiliʻi a me nā hopena ʻaoʻao.

I ka manawa e ʻike koke ai i ke kauka

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) ma ka haukapila kokoke loa iā ʻoe.

• Inā he ʻulaʻula ʻeleʻele kou mimi, e like me ka mea ʻala kamato, a he mau ʻūpā koko.
• Kuni (ma luna o 38 Celsius / 101 Fahrenheit).
• Inā loaʻa iā ʻoe ka ʻeha nui ʻaʻole ia e emi ma hope o ka lawe ʻana i ka lāʻau lapaʻau.
• Inā ʻaʻole hiki iā ʻoe ke mimi iki.