Ke noʻonoʻo kākou i ke ʻoki kino, makaʻu ka hapa nui o kākou, ʻeā? Hiki mai i ka noʻonoʻo nā mea e like me kahi ʻoki nui, kahi noho lōʻihi ma ka haukapila, nā mahina o ka hoʻōla ʻana, a me kahi ʻeha nui. Eia nō naʻe, i kēia au o ka ʻepekema lapaʻau holomua, ʻaʻole pono nā ʻoki kino āpau i nā ʻoki nui. I kēia lā, e kamaʻilio kākou e pili ana i kahi hana ʻoki kino kūikawā hiki ke hana ʻia ma o kahi ʻoki liʻiliʻi a i ʻole ka lua a hiki ke hoʻōla koke.
He aha kēia 'ʻoki kino minimally invasive'?
I ka ʻōlelo maʻalahi, pili kēia i ka hana ʻoki ʻana ma o hoʻokahi a ʻoi aku paha mau ʻoki liʻiliʻi loa, ma mua o ka hana ʻana i kahi ʻoki nui. E noʻonoʻo, i kekahi manawa ʻaʻole like ka nui o kēia ʻoki me ka nui o kā mākou kālā ʻelima rupee. Ma muli o kēia, ua liʻiliʻi loa ka hōʻino ʻana i nā ʻiʻo olakino. Eia kekahi, ua liʻiliʻi loa ke kahe ʻana o ke koko i ka wā o ke ʻoki ʻana.
Hoʻohana kūikawā ʻia kēia mau kaʻina hana ʻoki no nā maʻi e pili ana i kā mākou ʻōnaehana mimi. ʻO ia hoʻi, no nā pilikia me nā ʻōpū e like me nā puʻupaʻa, nā ureters, a me ka ʻōpū mimi. ʻAʻole wale ia, hoʻohana ʻia kēia ʻano hana no kekahi mau maʻi o ka ʻōnaehana hānau o nā wahine a me nā kāne. Hana ʻia kēia mau mea e nā kauka loea i ka ʻōnaehana mimi a me ka hānau ʻana (Urologists).
He aha nā ʻano hana like ʻole no ka hana ʻana i kēia ʻoki kino?
Hoʻohana nā kauka i nā ʻano hana hou like ʻole e hana ai i kēia mau ʻoki kino. E nānā kākou i kekahi o lākou.
ʻAno hana Laparoscopic
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 nānā ʻia ma kahi pale. ʻAe kēia i ke kauka e ʻike maopopo i nā ʻōpū i loko o ke kino. Hoʻokomo ʻia nā mea hana palupalu e pono ai no ke ʻoki ʻana ma o nā ʻoki liʻiliʻi ʻē aʻe a hana ʻia ke ʻoki ʻana.
Ke hoʻohana nei i ka robotics
ʻO kēia kekahi ʻano hana holomua. Maanei, ma kahi o ke kauka e hana pololei ana i ke ʻoki kino, ua hoʻokele ʻia kahi lima robotic e kahi ʻōnaehana kamepiula. Hiki i kēia mau lima robotic ke neʻe mālie loa, ʻoi aku ka maikaʻi ma mua o ka lima kanaka. Eia kekahi, ʻo ke kāmela kūikawā ʻekolu-dimensional (3D) i hoʻohana ʻia no kēia e ʻae i ka ʻike maopopo ʻana o loko o ke kino. ʻAe kēia i nā ʻoki kino paʻakikī loa e hana pololei loa.
ʻAno hana endoscopic
ʻAʻole hana kēia ʻano hana i kekahi ʻoki i loko o ke kino. E noʻonoʻo, hiki ke hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu (endoscope) i lako me kahi kāmela a me nā mea hana ʻoki ma o kā mākou urethra i ka ʻōpū mimi, nā ureters, a me nā puʻupaʻa. Ma kēia ʻano, hiki ke wehe ʻia nā pōhaku a me nā puʻupuʻu liʻiliʻi me ka ʻole o ka ʻoki ʻana i ke kino.
Nā ʻano hana ʻē aʻe
I kekahi mau hihia, ʻoi aku hoʻi no nā pōhaku puʻupaʻa, ua kuhikuhi ʻia nā nalu haʻalulu ikehu kiʻekiʻe mai waho o ke kino e wāwahi i nā pōhaku. Ua kapa ʻia kēia ʻo `(Shock Wave Lithotripsy)`. Aia kekahi mau hihia kahi e hoʻohana ʻia ai nā lasers.
He aha nā kūlana i mālama ʻia me kēia mau ʻano?
Hoʻōla kēia mau ʻano hana ʻokiʻoki hou i nā ʻano maʻi like ʻole. Eia kekahi laʻana:
- Nā pōhaku puʻupaʻa
- Ka maʻi ʻaʻai puʻupaʻa
- Ka maʻi ʻōpū
- Ka maʻi ʻaʻai prostate
- ʻO ka Benign Prostatic Hyperplasia (BPH)
- Nā cysts puʻupaʻa
- ʻO ka prolapse o ke kino pelvic i nā wahine
- Nā testicles i iho ʻole i nā keikikāne
- ʻO ka torsion testicular
- Maʻi puʻupaʻa mau loa
ʻO ka ʻokoʻa ma waena o ke ʻoki kino kuʻuna a me kēia ʻoki kino hou
E nānā i ka papa ma lalo nei e hoʻomaopopo i kēia ʻokoʻa.
| Hiʻona | ʻO ke ʻoki kino liʻiliʻi loa | ʻO ke ʻoki kino hāmama |
|---|---|---|
| Ka nui o ka ʻoki ʻana | He nui nā puka liʻiliʻi loa (ma kahi o 1-2 kenimika). | He ʻoki nui a lōʻihi (3-12 ʻīniha a ʻoi aku paha). |
| Ke kahe ʻana o ke koko | Haʻahaʻa loa. | Kiʻekiʻe iki. |
| Ka manawa i hoʻohana ʻia ma ka haukapila | He manawa pōkole (pinepine i 1-3 mau lā). | Ka lōʻihi o ka manawa (he mau lā a he mau pule paha). |
| Ka manawa ho'ōla | Wikiwiki (hoʻololi maʻamau i loko o 1-2 mau pule). | He manawa ka lōʻihi (6-8 mau pule a ʻoi aku paha). |
| ʻEha | Ua emi ka ʻeha ma hope o ke ʻoki ʻana. | Nui loa ke ʻeha ma hope o ke ʻoki kino. |
| Nā ʻōpala | He mau ʻeha liʻiliʻi loa, aneane ʻike ʻole ʻia. | He ʻōpala nui a ʻike maopopo ʻia. |
He aha nā pōmaikaʻi a me nā pilikia o kēia mau ʻoki kino?
I kēia manawa ua loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i nā pono, e nānā kākou iā lākou pākahi.
- Ka emi ʻana o ke kahe koko .
- Noho pōkole ma ka haukapila.
- Hoʻemi ʻia ka pilikia o ka maʻi.
- ʻEmi ka ʻeha a emi ka pono no nā mea hoʻomaha ʻeha i ka wā e hoʻōla ai.
- Ka hiki ke ho'ōla koke .
- He liʻiliʻi loa nā ʻōpala i waiho ʻia ma ke kino .
- Kiʻekiʻe ka holomua o nā ʻoki kino.
E like me nā ʻoki kino āpau, loaʻa i kēia mau kaʻina hana kekahi mau pilikia maʻamau, e like me nā pilikia mai ka anesthesia, ka maʻi, a me ka hōʻino ʻana i nā kino a puni. Eia nō naʻe, ʻoi aku ka haʻahaʻa o kēia mau mea ma mua o ke ʻoki kino hāmama.
He mea nui loa e hoʻomaopopo pono i nā pilikia e pili ana i ke ʻoki kino kikoʻī āu e hana ai mai kāu kauka .
I ka manawa e kamaʻilio ai me ke kauka ma hope o ke ʻoki kino
Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, pono ʻoe e hoʻomaopopo koke i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē. E makaʻala pono i kēia mau mea:
- Nā hōʻailona o ka maʻi, e like me ke kuni a i ʻole ke anu .
- Ka luaʻi mau ʻana a me ka luaʻi ʻana .
- Ke kahe koko nui mai nā ʻoki.
- Inā he nui ka pehu, ka ʻeha, a i ʻole ka pus a puni ka ʻeha.
- Inā loaʻa iā ʻoe ka ʻeha nui i hiki ʻole ke kāohi ʻia me nā lāʻau ʻeha i kauoha ʻia e ke kauka.
I loko o ia kūlana, he mea nui e ʻimi koke i ka lāʻau lapaʻau ma ka Emergency Treatment Unit (ETU) o ka haukapila.
Leka Lawe-Home
- ʻO ke ʻoki kino minimally invasive kahi hana ʻoki hou i hana ʻia ma o nā ʻoki liʻiliʻi, me ka ʻole o nā ʻoki nui.
- ʻO ka hopena, emi ka ʻeha, emi ka noho ʻana ma ka haukapila, wikiwiki ka ho'ōla ʻana, a emi mai ka ʻeha.
- He mea kūpono loa kēia ʻano hana no nā maʻi he nui o ka ʻōnaehana mimi, e like me nā pōhaku puʻupaʻa, ke kanesa, a me nā pilikia prostate.
- ʻO kāu loea wale nō ke hoʻoholo inā kūpono kēia hana ʻoki kino iā ʻoe.
- Inā ua hoʻonohonoho ʻia ʻoe no ke ʻoki kino, mai makaʻu e kamaʻilio me kāu kauka e pili ana i kēia mau kaʻina hana a nīnau i kāu mau nīnau.
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