Malia paha ua pono ʻoe a i ʻole kekahi āu i ʻike ai e wehe ʻia ko lākou ʻōpū mimi ma ke ʻoki ʻana ma muli o kahi maʻi. A laila, hiki mai kahi nīnau nui i ka noʻonoʻo: pehea e hoʻokuʻu ai i ka mimi e hōʻiliʻili ana i loko o ke kino? ʻĀ, ʻo kekahi hopena hou ʻo ia ka 'Indiana Pouch'. ʻOiai he kumuhana paʻakikī kēia, e kamaʻilio kākou e pili ana i ia mea me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha kēia ʻeke Indiana?
He waihona liʻiliʻi kahi ʻeke Indiana i hana ʻia e ke ʻoki kino i loko o kou kino i hoʻohana ʻia e mālama a wehe i ka mimi mai kou kino. E noʻonoʻo e like me kou ʻōpū mimi, ua like ia me kahi pahu liʻiliʻi e hōʻiliʻili a mālama i ka mimi. Ke wehe ʻia kou ʻōpū mimi no kekahi kumu (ua kapa ʻia kēia ʻoki he cystectomy), pono e hana ʻia kahi 'ʻeke mimi' hou ma kona wahi.
Hana ʻia kēia ʻeke Indiana mai kou mau ʻāpana kino ponoʻī. ʻO ia hoʻi, hana ʻia ia mai kahi ʻāpana o kou ʻōpū. ʻO ka mea kūikawā e pili ana i kēia, ʻaʻole like me kekahi mau ʻoki kino ʻē aʻe i hana ʻia ma hope o ka wehe ʻia ʻana o ka ʻōpū mimi, hiki ke hōʻiliʻili ʻia ka mimi a mālama ʻia i loko o kēia ʻeke. E like me ka mea e hana ʻia me ka ʻōpū mimi.
A laila, i kekahi mau manawa i ka lā, hiki iā ʻoe ke hoʻokomo i kahi ʻōmole liʻiliʻi (kahi catheter) ma o kahi puka liʻiliʻi i loko o kou ʻōpū (kapa mākou i kēia he 'stoma') e hoʻokahe i ka mimi i hōʻiliʻili ʻia. Ke pau ka mimi, hiki iā ʻoe ke wehe i ka ʻōmole.
ʻO ka mea nui, ʻaʻole kūpono kēia ʻano hana no nā kānaka a pau. E noʻonoʻo kāu hui lapaʻau i kekahi mau kumu e hoʻoholo ai inā hiki iā ʻoe ke hana i kēia.
He aha nā ʻano kūlana e hana ʻia ai kēia ʻoki kino?
Aia kekahi mau kumu nui e wehe pinepine ʻia ai ka ʻōpū mimi. Manaʻo ʻia kahi ʻeke Indiana i nā hihia aʻe:
- ʻO ke kanesa ʻōpū: ʻO kēia ke kumu maʻamau no ke ʻoki ʻana.
- Ka hana pono ʻole o nā ʻiʻo o ka ʻōpū mimi: I kekahi manawa, ma muli o ka radiation therapy a i ʻole ka hōʻino ʻia ʻana o nā aʻalolo i loko o ka lolo a me ke kaula spinal (neurogenic bladder), ʻaʻole hiki i nā ʻiʻo o ka ʻōpū mimi ke ʻaelike pono a ʻaʻole hiki ke hoʻokuʻu ʻia ka mimi.
- Nā ʻano kīnā o ka ʻōpū hānau (Bladder exstrophy): Hiki ke hānau ʻia kekahi mau keiki me kekahi mau pilikia ʻōpū i ka wā hānau.
- ʻO ka maʻi ʻeha interstitial cystitis/bladder pain syndrome: He kūlana e hele pū me ka ʻeha hiki ʻole ke hoʻomanawanui.
- Ke hōʻino ʻia ka ʻōpū mimi ma muli o nā pilikia olakino koʻikoʻi ʻē aʻe.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
Ma mua o kēia ʻoki kino, e kamaʻilio pono kāu kauka me ʻoe. E wehewehe ʻo ia i ke kaʻina hana Indiana Pouch iā ʻoe a me nā koho ʻē aʻe i loaʻa. E nānā ʻo ia i kou olakino holoʻokoʻa, ke koko, a me nā mea ʻē aʻe.
Aia kekahi mau mea āu e haʻi aku ai i kāu kauka i kēia manawa:
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. Hoʻokomo pū kēia i nā lāʻau lapaʻau i kuhikuhi ʻia, nā lāʻau lapaʻau ma luna o ke kauka, nā mea hoʻohui lāʻau lapaʻau, a me nā huaora. Hiki i kekahi mau lāʻau lapaʻau (e like me ka aspirin a me nā mea hoʻokahe koko) ke hoʻonui i ke kahe koko i ka wā o ke ʻoki ʻana. Mai ho'ōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ka nīnau mua ʻana i kāu kauka.
- E haʻi mai iā mākou e pili ana i nā maʻi ʻaleka āu e loaʻa nei. ʻO ia hoʻi kekahi mea mai nā maʻi ʻaleka i nā lāʻau lapaʻau, kekahi mau meaʻai, i ka latex, a pēlā aku.
- Ke aʻo aku nei ke kauka iā ʻoe ʻaʻole e ʻai a inu paha i kekahi mea ma hope o ke aumoe o ka pō ma mua o ke ʻoki kino. Pono ʻoe e hahai pololei i kēlā mau kuhikuhi. Inā pono ʻoe e lawe i kahi lāʻau lapaʻau koʻikoʻi, hiki paha iā ʻoe ke lawe me kahi ʻuʻuku wai. E nīnau pū i kāu kauka e pili ana i kēlā.
Pehea e hana ʻia ai ke ʻoki kino
He hana ʻoki kino nui kēia e lawe ana ma waena o 6 a me 8 mau hola. E pili ana i kahi urologist, kahi anesthesiologist, a me kahi limahana kahu maʻi.
1. Anesthesia: ʻO ka mea mua, e hoʻomoe loa ke kauka anesthesiologist iā ʻoe ('general anesthesia`). No laila, ʻaʻole ʻoe e ʻeha i ka wā o ke ʻoki ʻana.
2. Ka wehe ʻana i ka ʻōpū mimi: ʻO ka mea aʻe, e wehe ke kauka ʻoki i kou ʻōpū mimi holoʻokoʻa. Hiki ke hana ʻia kēia ma ke ʻano he `ʻoki hāmama`, ʻo ia hoʻi ka hana ʻana i kahi ʻoki lōʻihi i loko o kou ʻōpū, a i ʻole ma ke ʻano he `laparoscopic a i ʻole robotic surgery`, ʻo ia hoʻi ka hana ʻana i kekahi mau ʻoki liʻiliʻi.
3. Ke hana ʻana i ka ʻeke Indiana: Ma hope o ka wehe ʻana i ka ʻōpū mimi, e ʻokiʻoki ke kauka i nā ʻāpana o kou ʻōpū nui a me ka ʻōpū liʻiliʻi a humuhumu i kahi ʻeke mimi hou (ʻeke) i loko o kahi ʻano poepoe.
4. Pili: ʻO ka mea aʻe, ua hoʻopili ʻia nā ʻōmole ʻelua e lawe ana i ka mimi mai nā puʻupaʻa (`ureters`) i kēia ʻeke hou. Hana ʻia kahi puka liʻiliʻi (`stoma`) i loko o ka ʻōpū, e ʻae ana iā ia e puka i waho ma luna o ka ʻili. Hoʻopili hou ʻia nā ʻāpana ʻoki o ka ʻōpū, no laila ʻaʻole e hoʻopilikia ʻia kāu kaʻina hana ʻai.
5. Ke humuhumu ʻana i nā ʻoki: ʻO ka hope loa, ua pani ʻia nā ʻoki i hana ʻia i ka wā o ke ʻoki ʻana me nā humuhumu.
Ma hope o ke ʻoki ʻana, e lawe ʻia ʻoe i kahi lumi hoʻōla no kekahi manawa pōkole. Ke hoʻi hou ʻoe i ka ʻike, e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e kāohi i ka ʻeha. Pono ʻoe e noho ma ka haukapila no kekahi mau lā. I loko o kēia manawa, e aʻo aku nā limahana kahu maʻi iā ʻoe pehea e mālama ai a hoʻomaʻemaʻe i kāu ʻeke Indiana hou.
Pehea e hoʻokomo ai i ka catheter a hoʻoinu i kahi ʻeke Indiana
ʻO kēia ka mea nui loa āu e hana ai i kēlā me kēia lā. Hiki ke manaʻo ʻia he paʻakikī iki i ka wā mua, akā ma hope o kekahi mau lā o ka hana ʻana, e lilo ia i mea maʻamau.
| Kaʻina Hana | Pehea e hana ai (maʻalahi) |
|---|---|
| Ka hoʻokomo ʻana i ka catheter |
Pono ʻoe e hana i kēia ma kahi o 6 mau manawa i ka lā. Inā ʻoe e inu nui i ka wai, pono paha ʻoe e hana pinepine. |
| Ka holoi ʻana i ka ʻeke (Irrigation) | No ka mea, ua hana ʻia ka stoma mai kahi ʻāpana o ka ʻōpū, hoʻopuka mau ia i kahi mea e like me ka mucus. Holoi ʻia ka ʻeke e wehe i kēia mucus. Pale pū kēia i nā maʻi a me ke kūkulu ʻia ʻana o nā pōhaku.
ʻO ka maʻamau, ʻo ka holoi ʻana i kēia ʻano i hoʻokahi a ʻelua paha i ka lā ua lawa ia. |
He aha nā pōmaikaʻi a me nā pōʻino o kēia ʻano hana?
E like me kekahi kaʻina hana olakino, loaʻa i kēia kekahi nā pono, nā hemahema, a me nā pilikia.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Pōʻino |
|---|---|
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Hoʻōla hou a me ka wā e ʻike ai i ke kauka
He mau mahina paha e ho'ōla piha ai mai kēia ʻoki kino. E lōʻihi nō hoʻi ka manawa no kou kino e hoʻomaʻamaʻa ai i nā loli. Akā e kōkua kāu hui lapaʻau iā ʻoe ma o kēia. Pono ʻoe e hiki ke hoʻi i ka hana a i ke kula paha a hana i nā hana māmā i loko o kekahi mau pule.
Eia nō naʻe, inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i kāu kauka:
- Nā hōʻailona o ka maʻi: kuni, anuanu, mimi ʻeleʻele.
- Inā paʻakikī ke hoʻokomo i ke catheter a holoi paha i ka ʻeke.
- Inā he koko i loko o ka mimi (hematuria) .
- Inā loaʻa iā ʻoe ka ʻeha nui ma ka ʻōpū a i ʻole ka wahi ma waena o nā iwi ʻaoʻao a me nā pūhaka.
He mau helu hou aʻe
No ke aha i kapa ʻia ai kēia ʻeke ʻo 'Indiana'?
Ua hoʻomohala mua ʻia kēia ʻano hana ʻoki kino i nā makahiki 1980 e kahi hui o nā kauka ma ke Kulanui ʻo Indiana ma ʻAmelika Hui Pū ʻIa. ʻO ia ke kumu i loaʻa ai kona inoa.
Ua like anei kēia me ka Neobladder?
ʻOiai like lāua, ʻaʻole like lāua. Hana ʻia kahi neobladder mai nā ʻāpana like o kou ʻōpū. Akā ua pili ia i kou urethra. No laila, kahe ka mimi i waho e like me ia ma mua o ke ʻoki ʻana. Akā me kahi ʻeke Indiana, hoʻokomo ʻia kahi catheter ma o kahi stoma i loko o kou ʻōpū e hoʻokahe i ka mimi.
E loli nui kou ola ma hope o ke ʻoki ʻana i ka ʻeke Indiana. Pono ʻoe e hoʻomaʻamaʻa i nā ʻano hou. Akā me kēia mau hoʻololi, e loaʻa iā ʻoe ka manawa kūpono e ola ai i kahi ola ʻoluʻolu a maikaʻi hoʻi. E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu.
Leka Lawe-Home
- ʻO kahi ʻeke Indiana kahi mea mālama mimi i hana ʻia i loko o ke kino mai nā ʻāpana o kou ʻōpū ponoʻī ma hope o ka wehe ʻia ʻana o kou ʻōpū mimi.
- Pono ʻoe e hoʻokomo i kahi catheter a hoʻokahe iā ia i nā manawa he nui i ka lā.
- He mea nui e hoʻoinu pinepine i kēia ʻeke me ka wai saline e pale ai i ka maʻi.
- ʻOiai he loli nui kēia i ke ola, he ala maikaʻi loa ia e kāohi ai i ka mimi me ka ʻole o kahi ʻeke ma waho o ke kino.
- Inā loaʻa kekahi pilikia, nā hōʻailona e like me ke kuni a me ka ʻeha, e hoʻomaopopo koke i kāu kauka.
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