ʻO nā mea āpau e pili ana i ka Nephroscopy, kahi lāʻau maʻalahi no nā puʻupaʻa

Ke makaʻu nei hoʻi ʻoe i ka pono e hana i kahi hana nui e wehe ai i nā pōhaku puʻupaʻa? Ua ʻike anei ʻoe ma kahi o ka pono e hana i nā hana nui e like me nā mea i koi ʻia ai nā ʻoki nui, hiki iā ʻoe ke wehe i nā pōhaku puʻupaʻa me ka hoʻohana ʻana i kahi kāmela i hoʻokomo ʻia ma o kahi ʻoki liʻiliʻi? ʻO ia ka mea a mākou e kapa nei he ʻano lapaʻau hou i kapa ʻia ʻo 'Nephroscopy.' I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi loa.

He aha ka Nephroscopy?

I ka ʻōlelo maʻalahi, he hana kēia e hoʻohana ʻia e nānā i loko o kou mau puʻupaʻa a mālama i kekahi mau maʻi. ʻAʻole ia e pili ana i ka ʻoki nui e like me ka wā ma mua.

Hana ʻia kēia me ka hoʻohana ʻana i kahi mea hana kūikawā a lahilahi i kapa ʻia he nephroscope. He ʻōmole lōʻihi ia, ʻoi aku ka mānoanoa ma mua o ka penikala. Hana ʻia kahi ʻoki liʻiliʻi loa ma ka ʻili ma kou kua, a hoʻokomo ʻia kēia ʻōmole i loko o ka puʻupaʻa. Aia i loko o kēia ʻōmole he kukui, he kāmela (e like me ke kelepona), a me kahi ʻōnaehana hoʻoinu wai e holoi i kahi e hana ʻia ai ke ʻoki kino. Hana ke kauka i ka lāʻau lapaʻau ma ka nānā ʻana i nā kiʻi mai kēia kāmela ma kahi pale nui.

E noʻonoʻo e pono ʻoe e wehe i kahi pōhaku puʻupaʻa. Hiki iā ʻoe ke hoʻohana i ka ultrasound a i ʻole ke kukui laser e wāwahi i ka pōhaku ma o kēia nephroscope. Ma hope o ka wāwahi ʻana, huki ʻia nā ʻāpana ma o kēia paipu. ʻO ka pōmaikaʻi nui o kēia, ʻaʻole pono ʻoe e hana i kahi ʻoki kino nui e like me kāu i hana ai ma mua. No laila hiki iā ʻoe ke ho'ōla wikiwiki.

He aha nā hoʻohana ʻana o ka Nephroscopy?

Hoʻohana nui ʻia kēia ʻano lapaʻau no kekahi mau kūlana. E nānā kākou i ke ʻano o lākou.

Pehea e hoʻomākaukau ai no kēia ʻoki kino?

Aia kekahi mau mea e pono ai ʻoe e hoʻomākaukau ma mua o ka hana ʻana i kēia ʻano lapaʻau.

• Nā hoʻāʻo: E hana ʻia kahi hoʻāʻo mimi e nānā i kahi maʻi i loko o kāu mimi. Inā he maʻi, pono ʻoe e lawe i nā lāʻau antibiotic.
• ʻIke Lāʻau Lapaʻau: Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko e like me ka aspirin a i ʻole warfarin (Coumadin®), pono ʻoe e haʻi aku i kāu kauka. E aʻo aku ʻo ia iā ʻoe e hoʻōki i ka lawe ʻana i kēia mau lāʻau lapaʻau ma kahi o hoʻokahi pule ma mua o ke ʻoki ʻana.
• ʻAi a me ka Mea Inu: ʻAʻole hiki iā ʻoe ke ʻai a inu paha i kekahi mea no 8 mau hola ma mua o ke ʻoki ʻana.
• ʻŌlelo aʻoaʻo lapaʻau: ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu kauka e pili ana i kēia mau mea a pau a hahai pololei i kāna mau kuhikuhi.

Pehea e hana ʻia ai ke ʻoki kino?

ʻAe, e nānā kākou i nā ʻanuʻu no kēia lāʻau lapaʻau.

ʻO ka mea mua, e nānā pono kāu kauka i nā scan āu i loaʻa ai (e like me ka CT scan a i ʻole urogram) a hoʻolālā i kāu ʻoki kino. E hāʻawi ʻia ʻoe i ka anesthesia laulā, no laila ʻaʻole ʻoe e ʻeha, me he mea lā e hiamoe ana ʻoe.

A laila e kau ʻia ʻoe ma ka papa hana me kou ʻōpū e kū pono ana i lalo. ʻO ka mea mua, e hoʻokomo ʻia kahi paipu liʻiliʻi (catheter) ma o kou urethra i loko o kou puʻupaʻa. E hoʻokomo ʻia kahi kala kūikawā ma o ka paipu a e lawe ʻia kahi X-ray e ʻike maopopo i loko o kou puʻupaʻa.

A laila, e like me ka hoʻolālā ʻana, hoʻokomo ʻia kahi nila ma o ka ʻili ma kou kua i loko o ka puʻupaʻa. Hoʻonui iki ʻia ka ʻāpana, a hoʻokomo ʻia kahi paipu (ʻūpā). Hana ʻia kēia ma o kahi ʻoki liʻiliʻi e like me ka nui o kahi dime. I kēia manawa, ma o kēia paipu, hiki ke hoʻokomo pololei ʻia ka nephroscope a me nā mea hana ʻoki ʻē aʻe i loko o ka puʻupaʻa.

I kēia manawa, nānā ke kauka ma o ke kāmela a wāwahi i kahi pōhaku puʻupaʻa, a inā he mea ālai ia, wehe iā ia, a lawe i waho i nā ʻāpana ma o ka nephroscope.

ʻO ka mea hope loa, ua hoʻokomo ʻia kahi mea i kapa ʻia he ureteral stent i loko o ka ʻōmole e holo ana mai ka puʻupaʻa a i ka ʻōpū mimi (ureter). He ʻōmole palaki hakahaka kēia ma kahi o 10-12 ʻīniha ka lōʻihi. Kōkua kēia i ke kahe ʻana o ka mimi me ka maʻalahi a kōkua i ka ho'ōla wikiwiki ʻana o ka puʻupaʻa. Hoʻoneʻe pinepine ʻia ka stent ke ʻike ʻoe i kāu kauka ma kahi o hoʻokahi pule.

He aha nā mea e pono ai ʻoe e mālama ma hope o ka hoʻi ʻana i ka home?

Ma hope o ke ʻoki kino, e lawe ʻia ʻoe i kahi lumi hoʻōla. Ke hōʻoia ʻia ua maikaʻi nā mea āpau, hiki iā ʻoe ke hoʻi i ka home i ka lā aʻe. E mālama pono i kēia mau mea ma hope o kou hoʻi ʻana i ka home.

• Inā loaʻa iā ʻoe ke kuni, manaʻo i ke anu a me ka haʻalulu, a i ʻole he ʻeha nui i hiki ʻole ke kāohi ʻia e nā lāʻau hoʻomaha ʻeha i kauoha ʻia e kāu kauka, e kāhea koke aku i kāu kauka.
• He mea maʻamau ke loaʻa ke koko liʻiliʻi i loko o kou mimi ma hope o ke ʻoki kino. Akā...

• Inā ʻaʻole ke aʻo ʻia e kāu kauka, e pale i ka hāpai ʻana i nā mea kaupaona a i ʻole ka hana ʻana i ka hoʻoikaika kino no ʻelua a ʻehā pule.

He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?

ʻO ka pōmaikaʻi nui o kēia, he ʻano palekana loa ia a ʻaʻole pono ke ʻoki kino nui (ʻoki kino kuʻuna). No laila, ʻoi aku ka pōkole o ka manawa hoʻōla a ʻoi aku ka haʻahaʻa o ka pilikia o ka maʻi.

Eia nō naʻe, e like me nā ʻoki kino āpau, aia paha kekahi mau pilikia liʻiliʻi.

• Ke kahe ʻana o ke koko i ka wā a ma hope paha o ke ʻoki ʻana (pono paha ke hoʻoili koko i ia mau manawa).
• Ka hōʻiliʻili ʻana o ka wai i loko o nā māmā.
• He maʻi koʻikoʻi e like me ka sepsis.
• Ka maʻi ʻōpū mimi.
• Ka hōʻino ʻana i ka puʻupaʻa a i ʻole ke ala mimi.

He mea kākaʻikahi loa kēia mau pilikia. E wehewehe pono kāu kauka i kēia mau mea āpau iā ʻoe ma mua o ke ʻoki ʻana, no laila ʻaʻohe mea e hopohopo ai.