Ke ola ma hope o ka wehe ʻana i ka ʻōpū mimi... E kamaʻilio kākou e pili ana i ka ʻeke Indiana

E noʻonoʻo ʻoe ma muli o kekahi kūlana olakino, malia paha he maʻi kanesa, pono e wehe ʻia kou ʻōpū mimi holoʻokoʻa ma ke ʻoki ʻana. Ke hana ʻia kēlā, e noʻonoʻo paha ʻoe, 'Auē kuʻu Akua, pehea lā wau e mimi ai i kēia manawa?' He nīnau hopohopo ia. Akā, mai hopohopo. Nui nā hopena maikaʻi no kēlā i ka lāʻau lapaʻau hou i kēia lā. I kēia lā, e kamaʻilio mākou e pili ana i hoʻokahi hopena kūikawā. Ua kapa ʻia ʻo 'Indiana Pouch.'

I ka ʻōlelo maʻalahi, he aha kēia ʻeke Indiana?

He ʻeke liʻiliʻi ka ʻeke Indiana i loko o kou kino e mālama a hoʻokuʻu i ka mimi. I nā huaʻōlelo ʻē aʻe, he ʻeke mimi hana ia e pani ana i kāu ʻeke mimi. He ʻōkana liʻiliʻi kou ʻeke mimi e hōʻiliʻili a mālama i ka mimi. Ke wehe ʻia no kekahi kumu, e lawe ka ʻeke Indiana.

ʻO kēia ke ʻoki ʻana i kou ʻōpū mimi (he `cystectomy`) a hana i kēia ʻeke ma kona wahi. ʻO ka mea kūikawā e pili ana i kēia ʻano hana, ʻaʻole ia e hoʻokahe mau i ka mimi e like me kekahi mau ʻano hana mimi ʻē aʻe. E like me kāu ʻōpū mimi kahiko, hōʻiliʻili pū kēia ʻeke i ka mimi. Ke pono ʻoe, hiki iā ʻoe ke hoʻokomo i kahi paipu (he `catheter`) ma o kahi puka liʻiliʻi (he `stoma`) i hana ʻia i loko o kou ʻōpū e hoʻokahe i ka mimi i hōʻiliʻili ʻia. Ke hakahaka ka ʻeke, hiki iā ʻoe ke wehe i ka paipu.

I nā hihia hea e pono ai kēia ʻoki kino?

E ʻōlelo pinepine ke kauka e wehe i kāu ʻōpū mimi a hana i kahi ʻeke Indiana i nā hihia aʻe:

• Ka maʻi ʻōpū: Hana pinepine ʻia kēia ʻoki ʻana ma ke ʻano he lāʻau lapaʻau no ka maʻi ʻōpū.
• 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 maʻi hānau ʻia: Ma nā kūlana hānau kakaikahi e like me ka `Bladder exstrophy`.
• Nā kūlana olakino koʻikoʻi ʻē aʻe: Ma nā kūlana e hoʻopilikia nui ai i ka ʻōpū mimi, e like me ka interstitial cystitis, a ʻaʻole i pane i nā lāʻau ʻē aʻe.

He aha ka mea i hana ʻia ai kēia ʻeke?

Ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia mea i hana ʻia ai. Mai kahaha, ua hana ʻia kēia ʻeke me ka hoʻohana ʻana i kahi ʻāpana o kou kino ponoʻī. ʻO ia hoʻi, kahi ʻāpana o kou ʻōpū nui.ʻO kēia ka mea e hana ai i kēia ʻeke mimi. Eia kekahi, ʻo ka puka liʻiliʻi (`stoma`) kahi e hoʻokomo ʻia ai ka urethra ua hana ʻia mai kahi ʻāpana o kou ʻōpū liʻiliʻi .

Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?

Ma mua o kēia ʻoki kino, pono ʻoe e hālāwai me kāu kauka i nā manawa he nui. E wehewehe ʻo ia i ke kaʻina hana iā ʻoe a me kāu mau koho ʻē aʻe. E nānā ʻo ia i kou olakino holoʻokoʻa, e kūkākūkā i ke kaʻina hana, a e pane i nā nīnau āu e loaʻa ai.

• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei: Inā ʻoe e lawe ana i kahi lāʻau lapaʻau i kauoha ʻia a i ʻole nā ​​​​lāʻau lapaʻau ma luna o ke kūʻai aku, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. Hiki paha iā ʻoe ke haʻi i kāu kauka e pili ana i nā huahana lāʻau a i ʻole Ayurvedic āu e lawe nei. ʻO nā mea e like me ka aspirin, nā mea hoʻomaha ʻeha, a me nā mea hoʻokahe koko hiki ke hoʻonui i kou pilikia o ke kahe ʻana o ke koko. 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 kāu mau maʻi ʻaleka: E haʻi mai iā mākou e pili ana i nā maʻi ʻaleka āu e loaʻa ai. Hoʻokomo pū kēia i nā maʻi ʻaleka i nā lāʻau lapaʻau, nā mea hoʻomaʻemaʻe ʻili e like me ka iodine, latex, a me nā meaʻai.
• Nā kuhikuhi e pili ana i ka meaʻai a me ka mea inu: E aʻo ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea ma hope o ke aumoe o ka pō ma mua o ke ʻoki kino. Inā pono ʻoe e lawe i kekahi lāʻau lapaʻau, e aʻo ʻia ʻoe e lawe me kahi ʻōmole wai. He mea nui loa e hahai pololei i kēia mau kuhikuhi.

E aʻo kākou e pili ana i ke ʻano o ka hana ʻana o ke ʻoki kino.

Ma muli o ke ʻano paʻakikī o kēia hana ʻoki kino, hana ʻia e kahi hui o nā loea. ʻO ka maʻamau, aia i loko o kēia hui kahi urologist, kahi anesthesiologist, a me kahi limahana kahu maʻi.

ʻO ka mea mua, e hoʻokomo ke kauka anesthesiologist iā ʻoe ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia e hoʻokomo ʻia ʻoe i loko o kahi hiamoe hohonu i ʻole ʻoe e ʻeha. A laila, e wehe ke kauka loea i kou ʻōpū mimi. Hiki ke hana ʻia kēia ma ke ʻano he 'ʻoki wehe', ʻo ia hoʻi ka hana ʻana i kahi ʻoki lōʻihi i loko o kou ʻōpū, a i ʻole he 'laparoscopic' a i ʻole 'ʻoki robotic', ʻo ia hoʻi ka hana ʻana i kekahi mau ʻoki liʻiliʻi.

Ma hope o ka wehe ʻana i kou ʻōpū mimi, e lawe kāu kauka i nā ʻāpana o kou ʻōpū a hoʻohana iā lākou e hana i kahi ʻeke mimi hou, ʻano poepoe. A laila, e hoʻopili ʻia nā ureters ʻelua mai kou mau puʻupaʻa i kēia ʻeke hou. I kēia manawa, e kahe pololei ka mimi mai kou mau puʻupaʻa i loko o kēia ʻeke. E hoʻopili hou lākou i nā ʻāpana ʻelua o kou ʻōpū i ʻoki ʻia. E hōʻoia kēia ʻaʻole e hoʻopilikia ʻia kāu kaʻina hana ʻai .

ʻO ka maʻamau, ma waena o 6 a me 8 mau hola ka lōʻihi o kēia hana holoʻokoʻa.

Pehea e hoʻohana ai a mālama i ka ʻeke Indiana?

ʻO kēia ka ʻāpana koʻikoʻi loa o kou nohona hou. He mea ʻē iki paha ia i ka wā mua, akā ma hope o kekahi manawa e maʻa ʻoe iā ia.

ʻO ke ala kūpono e hoʻokomo i ka mimi mai loko mai o kahi ʻeke

1. ʻO ka mea mua, e holoi pono i kou mau lima me ke kopa.

2. Wehe i ka plaster a i ʻole ka gauze a puni kou stoma (wehe).

3. E holoi i kekahi wai a i ʻole ka mucus a puni ka stoma me kahi kāwele pepa maʻemaʻe.

4. E hoʻopili i kahi nui o ka jelly lubricating i ka catheter i hāʻawi ʻia iā ʻoe. Hiki iā ʻoe ke hoʻohana i kahi ʻano i ʻōlelo ʻia e kāu kauka a i ʻole kekahi mea e like me Vaseline™.

5. I kēia manawa, e hoʻokomo mālie i ka ʻōmole i loko o ka stoma. I kekahi manawa e paʻa iki paha. Inā hana ʻia kēia, e hanu hohonu, e hoʻomaha iki i kou mau ʻiʻo, e huki iki i ka ʻōmole i waho, a e hoʻāʻo hou e hoʻokomo iā ia ma kahi kihi ʻē aʻe.

6. Ke hoʻokomo ʻia ka ʻōmole i loko o ka ʻeke, e hoʻomaka ka mimi e puka i waho. E ʻae i ka mimi e hōʻiliʻili i loko o ka lua a i ʻole ka ipu. E kali a hiki i ka pau ʻana o ka ʻeke.

7. Ke pau ke kahe ʻana o ka mimi, e wehe mālie i ka ʻōmole. Inā ʻoe e huki koke i waho, e ninini paha kekahi mimi i waho.

8. E hoʻolei i ka ʻōmole i hoʻohana ʻia.

9. E hoʻomaʻemaʻe a puni ka stoma a kau i kahi ʻāpana gauze a i ʻole bandage hou e pale aku ai i ka maʻi.

10. E holoi hou i kou mau lima me ka maikaʻi.

Pono ka hapa nui o ka poʻe e mimi ma kahi o 6 mau manawa i ka lā. Inā inu ʻoe i ka nui o nā wai, e like me ka wai, pono ʻoe e mimi pinepine. Pono paha ʻoe e ala aʻe i ka pō e mimi.

Pehea ʻoe e hoʻoinu ai i ka ʻeke Indiana?

No ka mea, ua hana ʻia ka stoma mai kahi ʻāpana o ka ʻōpū, hana maoli ia i ka mucus. Ke hōʻiliʻili ʻia kēia mucus, hiki iā ia ke ālai i ka ʻōmole, hana i nā maʻi, a hana i nā pōhaku puʻupaʻa. No laila, pono ʻoe e holoi i ka ʻeke me ka wai saline i hoʻokahi a ʻelua paha i ka lā. E hōʻike ka haukapila iā ʻoe pehea e hana ai i kēia.

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻano hana?

E like me kekahi kaʻina hana olakino, loaʻa i kēia kaʻina hana nā pono a me nā pilikia.

Hoʻōla hou a me ka wā e ʻimi ai i ke aʻo lapaʻau

He mau mahina paha e hoʻōla piha ai a hoʻomaʻamaʻa i kou nohona hou ma hope o kēia ʻoki kino. I loko o ia manawa, e hāʻawi kāu hui lapaʻau iā ʻoe i ke kākoʻo āpau āu e pono ai. Ma hope o kekahi mau pule, hiki iā ʻoe ke hoʻi i ka hana a hana i nā hana māmā.

Ua like anei ʻo Indiana Pouch a me Neobladder?

ʻAʻole. He mau pani ʻōpū mimi nā mea ʻelua, akā ʻokoʻa kā lāua hana. Hoʻopili pololei ʻia kahi neobladder i kou urethra, no laila hiki iā ʻoe ke mimi e like me kāu hana maʻamau ma mua o ke ʻoki ʻana. Eia nō naʻe, me ka Indiana Pouch, pono ʻoe e hoʻokahe i ka mimi ma o kahi ʻōmole i kau ʻia ma o kahi stoma i loko o kou ʻōpū.