Ke noʻonoʻo kākou i ke ʻoki kino, noʻonoʻo kākou i kahi ʻoki nui, kekahi mau lā ma ka haukapila, a me ka nui o ka ʻeha, ʻeā? He mea kūpono kēlā makaʻu. Akā i kēia manawa ua holomua nui ka lāʻau lapaʻau. ʻOi loa aku i ka mālama ʻana i nā maʻi e pili ana i ka ʻōnaehana mimi, aia nā ʻano ʻoki kino i hana pinepine ʻia me ka ʻole o ka hana ʻana i nā ʻoki nui, akā ma o nā lua liʻiliʻi. ʻO kēia nā mea a mākou e kapa nei he ʻoki kino minimally invasive. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia kumuhana he mea nui i nā poʻe he nui.
I ka ʻōlelo maʻalahi, he aha ke ʻano o ke ʻoki kino minimally invasive?
ʻO kēia e like me ka inoa e hōʻike nei. Ma kahi o kahi ʻoki nui, hoʻohana mākou i kēia inoa e pili ana i kahi ʻoki i hana ʻia ma o hoʻokahi a ʻoi aku paha mau ʻoki liʻiliʻi loa, ʻo ka nui o kahi dime, e pololei. Ma kēia ʻano hana, he liʻiliʻi loa ka hōʻino ʻana i nā ʻiʻo olakino, a he haʻahaʻa loa hoʻi ka nui o ke koko i nalowale i ka wā o ke ʻoki.
Me kēia mau ʻoki kino, hiki i nā loea ke mālama i nā maʻi he nui e pili ana i kāu ʻōnaehana mimi (nā puʻupaʻa, ka ʻōpū mimi, ka urethra), ka ʻōnaehana hānau wahine, a me ka ʻōnaehana hānau kāne.
He aha nā ʻano hana like ʻole no ka hana ʻana i kēia ʻoki kino?
Aia kekahi mau ʻano hana nui no ka hana ʻana i kēia ʻoki kino minimally invasive. E koho kāu kauka i ke ʻano hana kūpono loa ma muli o kou kūlana.
Nā ʻoki laparoskopi
He ʻano hana kaulana loa kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻokomo ʻia ʻana o kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia iā ia (laparoscope) ma o kahi ʻoki liʻiliʻi i loko o ke kino. Hiki ke hoʻonui ʻia nā kiʻi mai kēia kāmela a ʻike maopopo ʻia ma kahi pale. A laila, hana ʻia hoʻokahi a ʻelua paha mau ʻoki liʻiliʻi a hoʻokomo ʻia nā mea hana palupalu e pono ai no ke ʻoki ʻana ma o lākou e hana i ke ʻoki ʻana. I mea e pololei ai, hana ke kauka i ke ʻoki ʻana i loko o kou kino me ka nānā ʻana i kahi pale nui.
ʻO ke ʻoki kino robotic
ʻO kēia kekahi ʻano hana holomua. Maanei, ʻaʻole hoʻohana pololei ke kauka i nā mea hana ʻoki kino. Akā, noho ʻo ia ma kahi ʻōnaehana hoʻokele kamepiula (Surgical Console) a hoʻokele i kekahi mau lima robotic. Hiki i nā mea hana ʻoki kino liʻiliʻi i hoʻopili ʻia i kēia mau lima robotic ke neʻe pololei a ma luna o kahi ākea ākea ma mua o ka lima kanaka. Eia kekahi, ʻoiai ʻo ke kāmela kūikawā i hoʻohana ʻia no kēia e hāʻawi i nā kiʻi ʻekolu-dimensional (3D) i loko o ke kino, hiki i ke kauka a me ka hui ʻoki kino ke ʻike maopopo i nā mea āpau. ʻAe kēia i nā ʻoki kino palupalu a paʻakikī loa e hana me ka pololei loa.
ʻO ke ʻoki kino hoʻokahi-awa
Ma kēia ʻano hana, hana ʻia ke ʻoki ʻana ma o kahi ʻoki liʻiliʻi hoʻokahi ma ka ʻōpū a i ʻole ka ʻūhā. ʻO ka mea mua, hoʻokomo ʻia kahi liʻiliʻi o ke kinoea kalapona ʻokikene i loko o ka ʻōpū e hoʻopiha iā ia. ʻAe kēia i kahi ʻike maikaʻi o nā ʻōpū o loko a hiki ke hoʻohana ʻia nā mea hana ʻoki. A laila, hoʻokomo ʻia kahi kāmela a me nā mea hana ʻē aʻe e pono ai ma o kēlā ʻoki hoʻokahi a hana ʻia ke ʻoki.
Nā ʻoki kino endoscopic
ʻAʻohe ʻoki ʻia i loko o ke kino. Akā, hana ʻia ke ʻoki ʻana ma o kahi puka kūlohelohe i loko o ke kino (e like me ka urethra). Hoʻokomo ʻia kahi ʻōmole lōʻihi, palupalu, a lahilahi (endoscope) me kahi kāmela a me nā mea hana ʻoki ma ka hopena ma o kēia puka e mālama i nā pilikia i loko o ka ʻōpū mimi, nā ureters, a i ʻole nā puʻupaʻa.
I kekahi mau hihia, hoʻohana ʻia nā nalu haʻalulu ikehu kiʻekiʻe a i ʻole nā laser ma kahi o ke ʻoki kino e mālama ai i kekahi mau kūlana (no ka laʻana, nā pōhaku puʻupaʻa).
Nā kūlana maʻamau i mālama ʻia me kēia mau ʻano
Nui nā maʻi e hiki ke mālama ʻia me ka hoʻohana ʻana i kēia mau ʻano hana ʻoki kino hou. E nānā kākou i kekahi o lākou.
| Kūlana | He wehewehe maʻalahi |
|---|---|
| Ka maʻi ʻōpū | Ka wehe ʻana i nā hunaola kanesa i loko o ka ʻōpū mimi a i ʻole ka wehe ʻana i ka ʻōpū mimi ponoʻī. |
| Ka maʻi ʻaʻai puʻupaʻa | Ka wehe ʻana i ka puʻupuʻu kanesa i loko o ka puʻupaʻa a i ʻole ka puʻupaʻa holoʻokoʻa. |
| Ka maʻi ʻaʻai prostate | Ka wehe ʻana i ke kelepa no ka maʻi kanesa prostate i ʻole e laha i nā ʻāpana ʻē aʻe o ke kino. |
| Nā Pōhaku Puʻupaʻa | Ke kuʻi ʻana i nā pōhaku me nā nalu haʻalulu a i ʻole ka wehe ʻana i nā pōhaku me ka endoscopy. |
| Nā Kista Pūpū | Ke wehe nei i nā cysts wai nui e hoʻoulu ai i ka ʻeha a i ʻole nā pilikia ʻē aʻe. |
| Ka Holoʻana o ke Kino Pelvic | Hoʻihoʻi hou ʻana o ka prolapse uterine a i ʻole ka vaginal i nā wahine. |
| Nā Testicles i iho ʻole | Ke kau ʻana i nā hua manu o nā keiki liʻiliʻi ma ko lākou wahi kūpono. |
| ʻO ka Benign Prostatic Hyperplasia (BPH) | Ka wehe ʻana i ka ʻāpana o loko o ke kelepa prostate i hoʻonui ʻia a ālai i ka mimi. |
He aha ka mea e manaʻo ai ma mua a ma hope o ke ʻoki kino?
Inā ʻōlelo ʻia ʻoe e hana i kēia ʻano ʻoki kino, e wehewehe ke kauka i nā mea āpau iā ʻoe.
- E nīnau ʻo ia e pili ana i kou kūlana olakino, nā lāʻau lapaʻau āu e lawe nei, a me nā maʻi allergies āu.
- E hoʻokolokolo ʻia ʻoe e ʻike inā aia ʻoe i ke kūlana kino kūpono no ke ʻoki kino.
- E aʻo pū lākou iā ʻoe i ka mea e ʻai ai a inu ai i ka lā ma mua o ke ʻoki kino.
Hoʻohana ʻia ka anesthesia i ka wā o kēia mau ʻoki kino. ʻO ka hapa nui o ka manawa, ua hoʻopau loa ʻia ʻoe i ka anesthesia, no laila ʻaʻole ʻoe e manaʻo i kekahi mea. Ma hope o ke ʻoki kino, e nānā ʻia kou olakino, e hāʻawi ʻia nā lāʻau ʻeha, a e hāʻawi ʻia iā ʻoe nā kuhikuhi no ka mea e hana ai e hoʻōla koke. Ke mākaukau ʻoe e hoʻi i ka home, e hoʻokuʻu ʻia ʻoe mai ka haukapila.
ʻO ka ʻokoʻa ma waena o ke ʻoki kino hāmama kuʻuna a me kēia ʻano hana hou
Ke hoʻomaopopo ʻoe i ka ʻokoʻa ma waena o kēia mau ʻano hana ʻelua, e hoʻomaopopo maikaʻi ʻoe i nā pono o ke ʻoki kino minimally invasive.
| ʻAno | ʻO ke ʻoki kino liʻiliʻi loa | ʻO ke ʻoki kino hāmama |
|---|---|---|
| Ka nui o ka ʻoki ʻana | He mau ʻoki liʻiliʻi loa (e like me ka nui o kahi dime). | Hoʻokahi ʻoki nui, 3 a 12 ʻīniha a ʻoi aku paha. |
| Ke kahe ʻana o ke koko | Haʻahaʻa loa. | Kiʻekiʻe iki. |
| Ka manawa ma ka haukapila | ʻO ka maʻamau he pōkole (1-3 mau lā). | Ka lōʻihi o ka manawa (he mau lā a he mau pule paha). |
| ʻEha | Emi ka ʻeha i ka wā e ho'ōla ai. Emi ka pono no nā mea hoʻomaha ʻeha. | Nui loa ka ʻeha i ka wā e hoʻōla ai. |
| Ka manawa e ho'ōla ai | Wikiwiki. Hiki iā ʻoe ke hoʻi koke i nā hana maʻamau. | Ke hoʻomaka nei ka pō. |
| Nā ʻōpala | He mau ʻeha liʻiliʻi loa, aneane ʻike ʻole ʻia. | Ua waiho ʻia kahi ʻōpala nui a ʻike maopopo ʻia. |
| Ka pilikia o ka maʻi | Emi. | Nui loa. |
E like me nā ʻoki kino āpau, aia kekahi mau pilikia me kēia?
ʻAe, aia kahi pilikia liʻiliʻi me kekahi ʻoki kino. Hiki i kēia mau ʻoki kino ke loaʻa kekahi mau pilikia maʻamau.
- Nā pilikia e pili ana i ka anesthesia.
- Ka maʻi ʻana.
- Ka hōʻino ʻana i nā ʻōpū ʻē aʻe a puni.
- E hōʻoki i nā pilikia ho'ōla.
Akā e hoʻomanaʻo, ʻoi aku ka liʻiliʻi o kēia mau pilikia me ke ʻoki kino hāmama. E kamaʻilio me kāu kauka e pili ana i nā pilikia ʻē aʻe e pili ana i ke ʻoki kino āu e hana nei.
I ka manawa e kamaʻilio ai me ke kauka ma hope o ke ʻoki kino
Ma hope o kou hoʻi ʻana i ka home ma hope o ke ʻoki ʻana, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona , e hoʻomaopopo koke i kāu kauka .
- Nā hōʻailona o ka maʻi, e like me ke kuni a me ke anu.
- Ka luaʻi mau ʻana a me ka luaʻi ʻana.
- Ke kahe nui ʻana o ke koko mai nā ʻoki.
- Inā nui ka pehu ʻana, ka ʻeha, ke kala ʻana o ke kala, a i ʻole ka pus a puni ka ʻoki.
- Ua nui loa ka ʻeha a ʻaʻole hiki i nā lāʻau hoʻomaha ʻeha i kuhikuhi ʻia e ke kauka ke kāohi.
Ua hōʻemi nui kēia ʻenehana hou i ka makaʻu i ke ʻoki kino. He ala hoʻōla maʻalahi a wikiwiki hoʻi ia no nā maʻi. Inā makemake ʻoe i ke ʻoki kino no ka pilikia o ke ala mimi, e kamaʻilio me kāu kauka e pili ana i kēia mau ʻano hana minimally invasive. E haʻi aku ʻo ia iā ʻoe e pili ana i ka lāʻau kūpono loa no kou kūlana.
Leka Lawe-Home
- ʻO ke ʻoki kino minimally invasive kahi ala hou a kūpono loa hoʻi no ka mālama ʻana i nā maʻi o ka ʻōnaehana mimi.
- Ma muli o ka hoʻohana ʻia ʻana o nā ʻoki liʻiliʻi ma kahi o nā ʻoki nui, ua emi ka ʻeha, emi ka noho ʻana ma ka haukapila, wikiwiki ka ho'ōla ʻana, a me ka liʻiliʻi o nā ʻōpala.
- Hana ʻia kēia mau ʻokiʻoki me ka hoʻohana ʻana i nā ʻano hana like ʻole e like me ka laparoscopy a me ka ʻenehana robotic.
- ʻAʻole paha kūpono kēia ʻano hana no kēlā me kēia kūlana. Na kāu kauka e hoʻoholo i ke ʻano hana ʻoki kino maikaʻi loa iā ʻoe.
- Inā ua hoʻonohonoho ʻia ʻoe no ke ʻoki ʻana, e kūkākūkā ākea i nā pono, nā pōʻino, a me nā pilikia me kāu kauka a hoʻoholo.
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