E aʻo kākou e pili ana i ka Nephroureterectomy, kahi ʻoki kino e wehe ai i ka puʻupaʻa a me ka ureter.

Ua haʻi aku anei kāu kauka iā ʻoe a i ʻole kekahi āu i ʻike ai e pono ʻoe e hana i kahi ʻoki kino i kapa ʻia ʻo "Nephroureterectomy"? I kou lohe ʻana i kēlā inoa, ua makaʻu iki ʻoe, ʻaʻole hiki iā ʻoe ke noʻonoʻo i ke ʻano o ia mea, ʻeā? He mea maʻamau loa ia. Ke lohe mākou i nā huaʻōlelo e like me kēia, he nui kā mākou mau nīnau. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia ʻoki kino, ma ke ʻano maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo, me he mea lā e kamaʻilio ana ʻoe me kahi hoaaloha.

ʻO ka mea mua, he aha ka Nephroureterectomy?

ʻAe, he huaʻōlelo lōʻihi a ʻano ʻē kēia, ʻeā? E wehewehe kākou? A laila e maʻalahi loa ke hoʻomaopopo.

• Nephro- (nephros): Mai ka huaʻōlelo Helene kēia "nephros." ʻO kona manaʻo maʻalahi loa ʻo "kiʻi" a i ʻole kekahi mea e pili ana i nā puʻupaʻa.
• Ureter: ʻO kēia kā mākou "ureter." ʻO ka pololei, ʻo ia ka ʻōmole lahilahi e lawe ana i ka mimi i hana ʻia i loko o nā puʻupaʻa i ka ʻōpū mimi.
• -ectomy (-ektomi): He huaʻōlelo Helene nō hoʻi kēia. ʻO ia hoʻi , "e ʻoki." ʻO ia hoʻi, e wehe ma o ke ʻoki ʻana.

I kēia manawa, e nānā kākou i ke ʻano o ia mea āpau. ʻO ka Nephroureterectomy kahi hana ʻoki e wehe ai i ka puʻupaʻa a me ka ureter holoʻokoʻa. Hoʻoneʻe ʻia kekahi mea i ka wā o kēia ʻoki. ʻO ia ka ʻāpana liʻiliʻi o ka ʻiʻo kahi e pili ai ka ureter i ka ʻōpū mimi. Ua kapa ʻia ʻo ia ʻo ka bladder cuff .

I ka ʻōlelo maʻalahi, wehe kēia ʻoki kino i ʻekolu mau ʻāpana o kou kino:

1. Hoʻokahi puʻupaʻa

2. ʻO ke ala mimi holoʻokoʻa i pili i kēlā puʻupaʻa

3. ʻO ke kuʻe lima o ka ʻōpū, kahi ʻāpana liʻiliʻi o ka ʻiʻo kahi e hui ai ka urethra me ka ʻōpū

No ke aha ʻoe e pono ai e hana i kēia ʻano ʻoki kino?

ʻO ka hapa pinepine, e ʻōlelo ke kauka i kēia ʻoki kino inā loaʻa iā ʻoe ke kanesa cell transitional, i ʻike ʻia hoʻi he kanesa urothelial .

Hoʻomohala kēia maʻi ʻaʻai i loko o nā ʻiʻo e uhi ana i loko o kā mākou ʻōnaehana mimi. ʻO ia hoʻi, hiki ke ulu i loko o nā puʻupaʻa, nā ureters, a me ka ʻōpū mimi. ʻOi loa aku inā ulu kēia maʻi ʻaʻai ma ka ʻaoʻao o luna o ka ʻōnaehana mimi, ʻo ia hoʻi, i loko o nā puʻupaʻa a i ʻole nā ​​ureters, aia kahi manawa kiʻekiʻe e pālahalaha nā hunaola maʻi ʻaʻai i lalo i loko o ka ʻōpū mimi.

He hana ʻoki kino "radical" kēia.Hoʻomaʻamaʻa ʻia ia e like me ia. ʻO ke ʻoki kino radical e pili ana i ka wehe ʻana ʻaʻole wale i ke kanesa akā i nā ʻiʻo a i ʻole nā ​​​​​​ʻōpū a puni kahi i manaʻo ʻia ua pālahalaha ke kanesa. No ka laʻana, inā ua pālahalaha ke kanesa i nā lymph nodes kokoke, e wehe ke kauka i nā lymph nodes me ka puʻupaʻa a me ka ureter. Ua kapa ʻia kēia he metastasis .

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

ʻAe, i kēia manawa e ʻōlelo kākou ua haʻi aku ke kauka iā ʻoe e pono ʻoe e hana i kēia ʻoki kino. He aha kāu e hana ai? Mai hopohopo, e wehewehe ke kime lapaʻau i nā mea āpau iā ʻoe. Akā he mea nui loa iā ʻoe e ʻike i kēia mau mea.

Ma mua o ke ʻoki kino, pono ʻoe e ʻike i kāu kauka. E lawe ʻo ia i kāu mōʻaukala olakino piha a nānā i kou kiʻekiʻe, ke kaumaha, ke koko, a me ka mahana e hōʻoia i kou olakino kūpono e hana i ke ʻoki kino.

Aia kekahi mau mea nui e pono ai ʻoe e ʻike a haʻi i kāu kauka .

He aha nā ʻano hana e hana ai i kēia ʻoki kino?

ʻElua mau ʻano nui e hana ai i kēia ʻoki kino.

1. Nephroureterectomy hāmama

2. ʻO ka nephroureterectomy laparoscopic i kōkua ʻia e ka robotic

ʻO ke ʻoki kino hāmama

ʻO kēia ke ʻano hana kuʻuna. Maanei, hana ke kauka lapaʻau i hoʻokahi a ʻelua paha ʻoki nui i loko o kou ʻōpū. Hiki i kēia ʻoki ke ma kahi o 8-12 ʻīniha ka lōʻihi. I kekahi manawa pono paha e wehe ʻia kahi iwi ʻaoʻao. Hiki ke hoʻohana ʻia kēia ʻano hana inā nui loa ke kanesa a ua pālahalaha hohonu paha i loko.

ʻO ke ʻoki kino Laparoscopic i kōkua ʻia e Robotic

ʻO kēia ke ʻano hana minimally invasive i hoʻohana nui ʻia i kēia lā. Eia ka mea e hana ʻia:

E hana ke kauka i 3 a i ʻole 5 mau ʻoki liʻiliʻi, ma kahi o ka hapalua ʻīniha ka lōʻihi, ma kou ʻōpū lalo. A laila, ma o kekahi o nā ʻoki, e hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia ( he laparoscope ). Hana ʻia ke ʻoki ʻana i ka wā e nānā ana i nā kiʻi i hoʻonui ʻia mai kēia kāmela ma kahi pale kamepiula.

Hoʻokomo ʻia nā mea hana ʻoki ma o nā ʻoki liʻiliʻi ʻē aʻe. Hoʻohana ʻia kēia mau mea hana e kahi lopako ʻoki . Akā, mai hopohopo, ʻaʻole hana ka lopako i kekahi mea nona iho. Noho ke kauka ʻoki ma kahi console a hoʻomalu piha i ka lopako. Ma kēia ʻano hana, hiki ke hiki i nā ʻāpana hohonu loa o ke kino me ka pololei loa, me ka ʻole o nā hewa. Me he mea lā e lilo ana nā lima o ke kauka i mea palupalu a pololei.

He aha ka mea e hana ʻia i ka lā o ke ʻoki kino?

E hele mua mai kahi anesthesiologist a hāʻawi iā ʻoe i ka anesthesia laulā . ʻO ia hoʻi, e hiamoe loa ʻoe a hiki i ka pau ʻana o ke ʻoki ʻana. ʻAʻole ʻoe e ʻeha a ʻaʻole hoʻi e hoʻomanaʻo i kekahi mea. A laila e hoʻopiha ʻia kou ʻōpū me ke kinoea kalapona ʻokikene e hana i kahi no ke kauka ʻoki e hana.

A laila hana ke kauka ʻoki i nā ʻoki a hoʻomaka i ka hana.

• ʻO ke ʻoki hāmama e pili ana i ka hana ʻana i nā ʻoki nui a me ka wehe ʻana i nā ʻōpū i hoʻopilikia ʻia.
• ʻO ke ʻano laparoscopic e pili ana i ka hana ʻana i nā ʻoki liʻiliʻi a me ka wehe ʻana i ka puʻupaʻa a me ka ureter me ka hoʻohana ʻana i ka laparoscope a me nā lako robotic.

ʻO ka mea hope loa, pani ke kauka lapaʻau i nā ʻoki me nā humuhumu. I kekahi manawa hoʻohana ʻia nā ʻōmole hoʻokahe e hoʻokahe i ke koko a me ka wai mai nā ʻoki.Hiki iā ʻoe ke kau i kahi ʻōmole silicone liʻiliʻi i kapa ʻia ʻo ".

ʻO ka maʻamau, ma kahi o ʻelua a ʻehā hola ka lōʻihi o kēia hana ʻoki kino.

He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?

A pau ke ʻoki ʻana, e hoʻōki ke kauka anesthesiology i ka hāʻawi ʻana iā ʻoe i ka anesthesia. E hoʻomaka mālie ʻoe e ala. A laila e lawe ʻia ʻoe i ka lumi hoʻōla . Ma laila, e nānā pono nā limahana lapaʻau i kou olakino.

• ʻEha: Ke manaʻo ʻoe i ka ʻeha, hāʻawi ʻia ʻoe i ka lāʻau lapaʻau no ia mea.
• Luli: Manaʻo kekahi poʻe ua luli ma muli o ka anesthesia. Inā pēlā, hāʻawi ʻia ka lāʻau lapaʻau no kēlā.
• ʻAi: I ka lā mua a ʻelua paha, hāʻawi ʻia lākou i ka meaʻai wai. A laila hoʻolauna mālie ʻia lākou i ka meaʻai maʻamau.
• Ka hele wāwae ʻana: E noi ʻia ʻoe e ala aʻe mai kahi moe a hele wāwae iki mai ka lā ma hope o ke ʻoki ʻana. He mea nui loa kēia. Hoʻemi ka hele wāwae i ka pilikia o nā ʻōpū koko i nā wāwae a pale i nā maʻi e like me ka maʻi pneumonia.

Ke hoʻoholo ʻia kou kūlana ua paʻa, e ʻae ʻia ʻoe e hoʻi i ka home. Pono ʻoe e hele pū me kahi lālā o ka ʻohana a i ʻole hoaaloha i kou hoʻi ʻana i ka home. He mea maikaʻi loa nō hoʻi ka loaʻa ʻana o kekahi e mālama iā ʻoe no nā lā mua.

Nā pono a me nā pilikia maʻamau o ke ʻoki robotic

E nānā kākou i kēia mau mea ʻelua ma ke kaʻawale.

E like me nā ʻoki kino āpau, loaʻa i kēia kekahi mau pilikia.

• Nā pilikia e pili ana me ka anesthesia
• Nā pilikia ho'ōla ʻeha
• Malia paha he pono ke hāʻawi koko
• Nā maʻi bacteria
• ʻO ke koko paʻa (hematoma)
• ʻO ka hōʻiliʻili ʻana o ka wai kokoke i nā ʻoki (seroma)

Mai makaʻu i kēia mau pilikia. E hana kāu hui lapaʻau i nā mea āpau e hiki ai iā lākou ke pale aku iā lākou a, inā kū mai lākou, e hoʻokele iā lākou.

He aha kaʻu e makaʻala ai ma hope o koʻu hoʻi ʻana i ka home?

ʻOkoʻa ka manawa hoʻōla mai kēlā me kēia kanaka, akā ma ke ʻano laulā, pono ʻoe e hoʻomaha no kahi o ʻeono pule.

• Ke hoʻokele nei: Mai hoʻokele no ʻelua pule ma hope o ke ʻoki ʻana.
• Ka hāpai ʻana i nā mea kaumaha: Mai hāpai i nā mea kaumaha ma mua o 9-10 kg (ma kahi o 10 lita o ka wai). Mai hana i nā hoʻoikaika kino ikaika e like me ka holo ʻana. Hiki i kēia ke hōʻino i nā humuhumu a hoʻoulu i nā maʻi e like me ka hernia.
• Hele wāwae: He mea maikaʻi loa ka hele wāwae. Kōkua ia i ke kaʻina hana ho'ōla.
• Ke hoʻi ʻana i ka hana: Inā ʻaʻole koi nui kāu hana i ke kino, pono ʻoe e hoʻi i ka hana i loko o ʻehā pule. Eia nō naʻe, inā pili kāu hana i ka hāpai kaumaha a i ʻole ka hana luhi, ʻoi aku ka maikaʻi o ka lōʻihi iki.

Pono ʻoe e ʻike hou i ke kauka? He aha nā kūlana e pono ai ʻoe e kamaʻilio koke?

ʻAe, ʻoiaʻiʻo nō. E hāʻawi ke kauka iā ʻoe i kahi lā e hoʻi mai ai. I kēlā lā, e nānā ʻo ia i kāu mau ʻoki a me nā humuhumu. Inā he mau humuhumu i hoʻoheheʻe ʻole ʻia, e ʻoki ʻia a wehe ʻia i loko o hoʻokahi a ʻelua paha pule. Inā he mau ʻauwai, e wehe ʻia nō hoʻi.

Eia kekahi, e hana ʻia nā hoʻokolohua e hōʻoia i ka wehe loa ʻana o ke kanesa i ke ʻano o ke ʻoki kino. Inā ua pālahalaha ke kanesa a i ʻole he ʻano ʻoi aku ka ikaika, e wehewehe kāu kauka i kāu mau hana lapaʻau aʻe (e laʻa me ka chemotherapy).

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​mai hoʻokaʻulua, e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.

• Ke kahe nui ʻana o ke koko mai nā ʻoki
• Puka mai kahi wai ʻala ʻino, ʻano ʻawaʻawa, mai nā ʻoki mai
• Kuni (ma luna o 38 kekelē Celsius / 100 kekelē Fahrenheit)
• Ke hemo nei nā humuhumu
• Ke ʻoi aku nei ka ʻeha.

Inā ʻike ʻoe i kekahi mea e like me kēia, mai noho i ka home. E ʻimi koke i ke kōkua lapaʻau.

ʻO ka mea hope loa, he mea maʻamau ka loaʻa ʻana o nā makaʻu, nā hopohopo, a me nā kānalua ma mua o ke ʻoki ʻana e like me kēia. ʻO nā nīnau e like me "Pehea inā hewa ke ʻoki ʻana?", "E laha anei ke kanesa i nā ʻāpana ʻē aʻe o ke kino?", "E paʻakikī anei ka ho'ōla ʻana?" e hiki mai paha i ka noʻonoʻo.

He mea maʻamau ka loaʻa ʻana o kēlā mau manaʻo. Akā i ka manawa like, e noʻonoʻo i nā pono āu e loaʻa ai mai kēia ʻoki kino. Hiki iā ia ke hoʻopakele i kou ola, hiki iā ia ke hoʻomaikaʻi i kou ʻano ola. E kamaʻilio me kāu kauka a me ka hui lapaʻau e pili ana i kou mau hopohopo a me kou mau makaʻu. Eia lākou e kōkua iā ʻoe a ʻaʻole e waiho wale iā ʻoe ma kēia huakaʻi.