Pehea e wāwahi ai i nā pōhaku puʻupaʻa me nā kukuna laser - E kamaʻilio kākou e pili ana i ka Laser Lithotripsy!

Ua loaʻa anei iā ʻoe kahi pōhaku puʻupaʻa a ua ʻike ʻoe i ka ʻeha nui e hana ai? A i ʻole ua ʻike ʻoe i kahi lālā o ka ʻohana a i ʻole hoaaloha e ʻeha ana i kēia ʻeha? He ʻeha paʻakikī loa ia e hoʻomanawanui. No laila, i kēia lā, aia nā ʻano lapaʻau holomua loa e wehe i nā pōhaku i hana ʻia i loko o ka ʻōnaehana mimi. ʻO kekahi ʻano lapaʻau e kamaʻilio nei ka poʻe he nui, a he holomua loa, ʻo ia ka hoʻohana ʻana i nā kukuna laser e wāwahi a wehe i kēia mau pōhaku. E kamaʻilio kākou e pili ana i kēia i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka Laser Lithotripsy?

ʻO ka Laser Lithotripsy kahi hana lapaʻau e hoʻohana ana i kahi laser mana kiʻekiʻe e wāwahi a wehe i nā pōhaku i loko o kou ala mimi. Pili kēia i kou ala mimi holoʻokoʻa, ʻo ia hoʻi kou mau puʻupaʻa, nā ʻōmole e lawe ana i ka mimi mai nā puʻupaʻa a i ka ʻōpū mimi (ureters), ka ʻōpū mimi, a me ka ʻōmole e lawe ana i ka mimi mai ka ʻōpū mimi a i waho o ke kino (urethra) . Hiki i kēia kaʻina hana ke wehe i nā pōhaku ma nā wahi āpau ma ke ala.

E noʻonoʻo i kahi kukuna laser e hoʻouna ʻia ana ma o kahi ʻōmole lahilahi loa, ʻaʻole i ʻoi aku ka nui ma mua o ka lauoho, i kahi kūpono o ka pōhaku a wāwahi iā ia. Hana pinepine ʻia kēia e kahi urologist. Hoʻokomo ʻo ia i kahi ʻōmole lahilahi a palupalu (scope) me kahi kāmela i hoʻopili ʻia i loko, i lalo o kou urethra, a loaʻa ka pōhaku. A laila hoʻouna ʻo ia i kahi fiber laser ma o ka ʻōmole, hoʻomālamalama i ke kukuna laser ma luna o ka pōhaku, e wāwahi ana iā ia i mau ʻāpana liʻiliʻi, e like me nā hua one. ʻO ka hope, wehe ʻia ka pōhaku me kahi mea hana liʻiliʻi e like me ka hīnaʻi.

I kekahi manawa, no ka wehe ʻana i nā pōhaku puʻupaʻa nui loa, hana ʻia kahi ʻoki i kapa ʻia ʻo "percutaneous nephrolithotomy" ma o kahi ʻoki liʻiliʻi ma ke kua. ʻOiai i kēlā manawa, aia kekahi mau manawa e hoʻohana ʻia ai kēia ʻano hana laser e wāwahi i ka pōhaku ke hoʻokomo ʻia.

He hana nui anei kēia?

ʻAʻole. Manaʻo ʻia ka Laser Lithotripsy he hana minimally invasive . No laila, ʻaʻole mākou e manaʻo he hana nui a koʻikoʻi ia.

He aha ka ʻokoʻa ma waena o ka Laser Lithotripsy a me ka Shock Wave Lithotripsy?

Ua lohe paha ʻoe i kēia mau ʻano hana ʻelua. ʻOiai ʻo ka pahuhopu o nā mea ʻelua ka wāwahi ʻana i nā pōhaku, aia kahi ʻokoʻa nui i ke ʻano o kā lākou hana ʻana. No ka hoʻomaopopo ʻana i kēia ʻokoʻa, e nānā i ka papa ma lalo.

I ka ʻōlelo maʻalahi, ʻo Laser Lithotripsy ke ala kūpono loa no nā pōhaku nui loa, paʻakikī, a i ʻole ma kahi paʻakikī iki e hiki ke wāwahi ʻia e ka hawewe haʻalulu.

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

Hoʻomākaukau ma mua o ka mālama ʻana

E hāʻawi aku kāu kauka iā ʻoe i kahi hoʻonohonoho maopopo o nā kuhikuhi ma mua o kēia lāʻau lapaʻau. He mea nui loa e hahai pololei i kēia mau kuhikuhi e hōʻemi i nā pilikia.

• E noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no 8 mau hola ma mua o ke ʻoki kino (hoʻokē ʻai).
• ʻO kekahi mau lāʻau lapaʻau āu e lawe ai, ʻoiai nā lāʻau hoʻokahe kokoE haʻi aku lākou iā ʻoe e hoʻōki i ka lawe ʻana iā lākou no kekahi mau lā. Mai poina e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, ʻoiai nā huaora.
• Ma hope o ke ʻoki kino, e noi ʻia ʻoe e lawe mai i kekahi e lawe iā ʻoe i ka home no ka mea ʻaʻole hiki iā ʻoe ke hoʻokele ma muli o ka anesthesia.

I kekahi manawa, inā he haiki iki kou ureter, he mea paʻakikī paha ke hoʻokomo koke i nā mea kani. I kēlā mau hihia, e kau mua ke kauka i kahi paipu manawa pōkole (kahi `ureteral stent`) e hoʻonui i ka paipu, a laila e hoʻonohonoho i kahi lā no ka mālama ʻana i ka laser i ʻelua a ʻekolu mau pule ma hope.

He aha ka mea e hana ʻia i ka wā o ka mālama ʻana

• ʻO ka mea mua, e hoʻomaʻemaʻe piha ʻia ʻoe a hoʻomoe ʻia i ʻole ʻoe e ʻeha.
• ʻO ka mea aʻe, hoʻokomo ke kauka i kahi ʻōmole lahilahi (scope) me kahi kāmela i hoʻopili ʻia ma o ka urethra.
• Ma o kēlā ʻōmole, hoʻouna ʻia ke kaula laser a kokoke i ka pōhaku.
• Hoʻopau nā kukuna laser i ka pōhaku i mau ʻāpana liʻiliʻi.
• Ua hōʻiliʻili ʻia kēlā mau ʻāpana pōhaku i loko o kahi hīnaʻi palupalu a lawe ʻia i waho.
• ʻO ka mea hope loa, ua kau ʻia kahi ʻōmole manawa pōkole (kahi stent ureter) e ʻae i nā ʻāpana pōhaku i koe a me ka mimi e kahe maʻalahi i lalo o ka ureter. Hoʻoneʻe ʻia kēia e ke kauka ma ke keʻena ma hope o kekahi mau lā a i ʻole mau pule.
• A laila wehe ʻia ka ʻaoʻao i hoʻopili ʻia.

ʻO ka maʻamau, hoʻokahi a ʻelua paha hola o kēia kaʻina hana holoʻokoʻa.

He aha ka mea e hana ʻia ma hope o ka mālama ʻana? He aha nā pono a me nā pilikia?

Ma hope o ka lāʻau lapaʻau, e mālama ʻia ʻoe i loko o kahi keʻena nānā no kekahi manawa, a laila e ʻae ʻia e hoʻi i ka home ma hope o kou ala ʻana mai ka anesthesia. E hāʻawi ʻia ʻoe i nā lāʻau ʻeha, nā lāʻau no kekahi ʻeha i hoʻokumu ʻia e ka stent, a me nā antibiotics no kekahi mau lā e pale aku ai i ka maʻi.

ʻEhia ka lōʻihi e ho'ōla ai?

Hiki i ka hapa nui o ka poʻe ke hoʻi i kā lākou hana maʻamau ma hope o hoʻokahi pule . Eia nō naʻe, inā he stent kou, hiki iā ʻoe ke ʻeha i ka wā e hoʻoikaika kino ai ʻoe, hāpai i nā mea kaumaha, a i ʻole e kahe ana ke koko i loko o kou mimi. E nīnau i kāu kauka e pili ana i kēia.

Āhea ʻoe e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi mau hōʻailona kānalua ma hope o kou hoʻi ʻana i ka home mai ka lāʻau lapaʻau, e kāhea koke i kāu kauka. E makaʻala pono i kēia mau mea:

• Inā loaʻa iā ʻoe ke kuni kiʻekiʻe (ma luna o 101°F).
• Inā loaʻa iā ʻoe ka manaʻo wela i ka wā e mimi ai no nā lā ʻelua a ʻoi .
• Inā he koko ʻulaʻula ʻeleʻele kou i loko o kou mimi, a inā paha ua kahe ʻoe i ke koko ʻulaʻula no nā lā ʻelua a ʻekolu paha.
• Inā ʻoe e ʻeha nei i ka ʻeha hiki ʻole ke hoʻomanawanui.
• Inā manaʻo ʻoe ua paʻa ʻoe a ʻaʻole hiki ke mimi .

I kēlā kūlana, e kāhea koke aku i ke kauka nāna ʻoe i mālama. A i ʻole e hele i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa.