Ke makaʻu nei ʻoe i kahi ʻoki puʻupaʻa (nephrectomy)? E kamaʻilio maʻalahi kākou e pili ana i ia mea.

He mea maʻamau ka manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi aku kāu kauka iā ʻoe a i ʻole kekahi āu i ʻike ai e pono lākou e hana i kahi ʻoki wehe puʻupaʻa. Ke lohe ʻoe i ka huaʻōlelo 'nephrectomy', nui nā nīnau e hiki mai ana i ka noʻonoʻo. "Hiki iā ʻoe ke ola me hoʻokahi puʻupaʻa?", "He ʻoki nui anei kēia?", "Pehea ka lōʻihi e hoʻōla ai?"... No laila i kēia lā, e kamaʻilio mākou e pili ana i ka Nephrectomy, ke ʻoki e wehe i kahi puʻupaʻa, ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.

He aha ka Nephrectomy?

I ka ʻōlelo maʻalahi, ʻo ka Nephrectomy kahi hana ʻoki e wehe ai i kahi hapa a i ʻole kekahi o kou mau puʻupaʻa. Ua hānau ʻia mākou a pau me ʻelua mau puʻupaʻa. Akā hiki iā ʻoe ke ola i kahi ola olakino me hoʻokahi wale nō puʻupaʻa. Eia nō naʻe, pono e hana pono ka puʻupaʻa i koe.

ʻElua ʻano nui o ke ʻoki nephrectomy:

• ʻO ka nephrectomy hapa: Ma kēia kaʻina hana, wehe wale ke kauka lapaʻau i ka ʻāpana maʻi a hōʻino paha o kou puʻupaʻa. ʻAʻole wehe ʻia ka puʻupaʻa holoʻokoʻa.
• ʻO ka nephrectomy radical: Pili kēia i ka wehe ʻana i ka puʻupaʻa holoʻokoʻa. I kekahi manawa, hiki i ke kauka ke wehe i ka ureter—ka ʻōmole e lawe ana i ka mimi mai ka puʻupaʻa a i ka ʻōpū mimi—ma ka ʻaoʻao like. Inā pono, hiki ke wehe ʻia ka adrenal gland a me nā lymph nodes a puni.

No ke aha ʻoe e pono ai e wehe i kahi puʻupaʻa?

ʻO ke kumu nui no ka wehe ʻana i kahi puʻupaʻa he puʻupuʻu e ulu ana i loko o ka puʻupaʻa. Hiki i kēia puʻupuʻu ke maʻi kanesa (malignant) a i ʻole ʻaʻole maʻi kanesa (benign).

Eia kekahi, hiki i kāu kauka ke ʻōlelo aku i kahi nephrectomy i nā hihia aʻe:

• Inā loaʻa iā ʻoe nā maʻi puʻupaʻa e hoʻi hou ana (pyelonephritis) .
• Inā pau ka hana ʻana o kekahi o kou mau puʻupaʻa a ke loaʻa nei iā ʻoe nā pilikia ʻē aʻe. (Eia naʻe, inā ʻaʻohe pilikia, hiki iā ʻoe ke mālama i ka puʻupaʻa hana ʻole i loko o kou kino).
• Ma ke ʻano he lāʻau lapaʻau no nā maʻi puʻupaʻa ʻē aʻe (e like me ka maʻi puʻupaʻa polycystic ).
• Inā ʻoe e hāʻawi i kahi puʻupaʻa olakino i kekahi .

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

Ma mua o ke ʻoki kino, e nānā ke kauka i kou olakino holoʻokoʻa. E nānā lākou i kou mahana, ka pulse, a me ke koko. E hana pū lākou i kahi hoʻāʻo koko e ʻike ai i ke ʻano o kou koko. ʻO kēia no ka mea pono lākou e mākaukau inā pono ʻoe e hāʻawi koko i ka wā o ke ʻoki kino.

He mea nui hoʻi e haʻi mai iā mākou e pili ana i nā maʻi ʻaleka āu e loaʻa nei. Eia kekahi laʻana:

• No nā lāʻau lapaʻau
• Nā wai hoʻomaʻemaʻe ʻili (e like me chlorhexidine, iodine)
• No ka latex
• No kekahi mau meaʻai

E aʻo aku kāu kauka iā ʻoe ʻaʻole e ʻai a inu paha i kekahi mea i ka pō ma mua o kou ʻoki kino (hoʻokē ʻai). ʻO kēia no ka mea inā he meaʻai a wai paha kāu i loko o kou ʻōpū i ka wā o ke ʻoki kino, hiki ke luaʻi ʻia a komo i loko o kou mau māmā, kahi e alakaʻi ai i nā pilikia weliweli e like me ka maʻi pneumonia.

He aha nā ʻano hana ʻoki kino?

ʻElua mau ʻano nui o ka hana ʻana i kahi nephrectomy. E nānā kākou i nā ʻokoʻa ma waena o nā mea ʻelua.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino?

Ma hope o ke ʻoki kino, e mālama ʻia ʻoe ma ka Lumi Hoʻōla a e nānā pono ʻia a hiki i kou ala ʻana. Hiki iā ʻoe ke hiamoe a me ka luaʻi no kekahi manawa ma muli o ka anesthesia. He mea maʻamau kēia. E hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e kāohi i ka ʻeha.

ʻO ka maʻamau, ʻaʻole hāʻawi ʻia nā meaʻai paʻa no hoʻokahi a ʻelua paha lā. Hāʻawi ʻia nā wai. I ka lā ma hope o ke ʻoki ʻana, paipai ʻia ʻoe e ala i waho o kahi moe a hele wāwae iki. Hoʻomaikaʻi ka hele wāwae i ke kahe koko, kōkua iā ʻoe e ho'ōla wikiwiki, a pale i nā ʻōpū koko i kou mau wāwae (deep vein thrombosis).

ʻO ka maʻamau, pono ʻoe e noho ma ka haukapila no 1 a 5 mau lā. E loli kēia ma muli o ke ʻano o ke ʻoki kino āu i hana ai. ʻOiai ma hope o kou hoʻi ʻana i ka home, ʻaʻole ia e ʻōlelo ʻia e hana i kekahi mea kaumaha (e like me ka hāpai ʻana ma mua o 4.5 kg) no kahi o 6 mau pule.

Pehea ke ola me hoʻokahi puʻupaʻa?

ʻO kēia ka pilikia nui loa i loaʻa i nā poʻe he nui. Mai hopohopo. Hiki iā ʻoe ke ola i kahi ola maʻamau me hoʻokahi puʻupaʻa olakino.

Ma hope o ke ʻoki ʻana, e hoʻonui iki ʻia kou puʻupaʻa i koe i loko o kekahi mau lā a hoʻomaka e hana i ka hana pālua o kou kino. ʻO ke ʻano kēia, ke hoʻomaʻamaʻa nei kekahi puʻupaʻa e hana i ka hana a nā mea ʻelua.

Eia nō naʻe, pono ʻoe e pale i kou mau puʻupaʻa makamae. No laila, he mea naʻauao ke noho mamao aku mai nā haʻuki koʻikoʻi e like me ka hockey, rugby, a me ka wrestling. Eia kekahi, he mea nui e hana i nā hoʻokolohua hana puʻupaʻa maʻamau (e like me ka 'creatinine clearance', 'eGFR') e like me ke kuhikuhi a kāu kauka.

I ka manawa e ʻike koke ai i ke kauka

E hāʻawi aku kāu kauka iā ʻoe i nā lā hoʻomau. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka a i ʻole e hele i ka haukapila:

• Ka paʻakikī o ka hanu ʻana (dyspnea)
• Nā loli i ka mimi (mimi pinepine, loli ke kala)
• Ka pehu ʻana o nā wāwae, nā puʻupuʻu, a i ʻole ka maka (edema)
• ʻEha wāwae
• Ka piʻi koke ʻana o ke koko (hypertension)
• Ka luaʻi a i ʻole ka luaʻi
• Noe lolo

He mau hōʻailona paha kēia o kahi pilikia me ke koena o ka puʻupaʻa, no laila mai hoʻowahāwahā iā lākou.