Ua ʻōlelo anei ʻoe he wehe ʻoki kino ʻana o kahi puʻupaʻa a me ka ureter? E kamaʻilio maʻalahi kākou e pili ana i kēia (Nephroureterectomy)

Ke haʻi aku 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', e makaʻu iki paha ʻoe a hopohopo i ka lohe ʻana i ka inoa. He huaʻōlelo nui a paʻakikī hoʻi. ʻOiaʻiʻo, hiki i kekahi ke makaʻu iki i ka lohe ʻana i kēia inoa. Akā, mai makaʻu. I kēia lā, e kamaʻilio kākou e pili ana i kēia ma ke ʻano maʻalahi, me he mea lā e kamaʻilio ana ʻoe me kahi hoaaloha. E kamaʻilio kākou e pili ana i ke ʻano o ia mea, no ke aha i hana ʻia ai, a pehea e hana ʻia ai.

He aha ka Nephroureterectomy?

He ʻano lōʻihi kēia huaʻōlelo, no laila e wehewehe mua kākou a e hoʻomaopopo iā ia.

• Nephro-: Mai ka huaʻōlelo Helene mai kēia. ʻO ia hoʻi "puʻupaʻa."
• Ureter: ʻO kēia ka ʻōmole e lawe i ka mimi i hana ʻia i loko o ko kākou mau puʻupaʻa i ka ʻōpū mimi.
• Ectomy (-ectomy): ʻO ke ʻano kēia "e wehe i ke ʻoki ʻana" .

I ka ʻōlelo maʻalahi, he hana ʻoki kino ka nephroureterectomy e wehe ai i kekahi mau ʻāpana o kou kino. Eia nā ʻāpana i wehe ʻia:

• Hoʻokahi puʻupaʻa piha.
• Ua pili ka ureter holoʻokoʻa i kēlā puʻupaʻa.
• ʻO kahi ʻāpana liʻiliʻi o ka ʻiʻo kahi e pili ai ka urethra i ka ʻōpū mimi ua kapa ʻia ʻo ka bladder cuff.

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

E ʻōlelo pinepine ke kauka i kēia ʻoki kino inā loaʻa iā ʻoe ka maʻi kanesa ma kou ala mimi luna, ʻo ia hoʻi, kou mau puʻupaʻa a i ʻole ka urethra (maʻi kanesa urothelial a i ʻole ka maʻi kanesa cell transitional). Manaʻo pinepine ʻia kēia he ʻoki kino "radical" .

He aha ke ʻano o ka hana "radical"? ʻO ia hoʻi, ʻaʻole wale ke kauka e wehe i ke kanesa, akā, i nā ʻiʻo a i ʻole nā ​​​​​​ʻōpū a puni kahi i laha ai ke kanesa. No ka laʻana, inā ua laha ke kanesa i nā lymph node kokoke, hiki ke wehe ʻia ke puʻupaʻa a me ka ureter me kēlā mau lymph node. ʻO ka pahuhopu nui o kēia, ʻo ia ka wehe loa ʻana i ke kanesa mai ke kino a hoʻēmi i ka pilikia o kona hoʻi hou ʻana mai.

Pehea e hoʻomākaukau ai ma mua o ke ʻoki kino?

Ma mua o ke ʻoki kino, e hālāwai ʻoe me kāu kauka. E kūkākūkā ʻo ia i kou mōʻaukala olakino a e nānā i kou kiʻekiʻe, ke kaumaha, a me ke koko e ʻike ai inā ua mākaukau ʻoe no ke ʻoki kino. He manawa koʻikoʻi kēia nou. E kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.

Aia kekahi mau mea āu e haʻi aku ai i kāu kauka:

• ʻO nā lāʻau lapaʻau a pau āu e lawe ai:He mea nui e kamaʻilio e pili ana i nā lāʻau lapaʻau i kuhikuhi ʻia e ke kauka, a me nā lāʻau lapaʻau ma luna o ke kauka kūʻai (OTC), nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā lāʻau Ayurvedic. He mea nui loa ia e kamaʻilio e pili ana i nā lāʻau hoʻokahe koko e like me ka aspirin.
• Nā maʻi ʻaleka: E hōʻoia e haʻi i kāu kauka inā he maʻi ʻaleka kou i kekahi mau lāʻau lapaʻau, nā mea hoʻomaʻemaʻe ʻili e like me ka iodine, nā meaʻai, a i ʻole ka latex.

E hāʻawi pū kāu kauka iā ʻoe i nā kuhikuhi no ka mea e ʻai ai a inu ai i ka lā ma mua o ke ʻoki kino. E haʻi pinepine lākou iā ʻoe e ʻai wale i nā wai moakaka no 24 mau hola ma mua o ke ʻoki kino, a mai ʻai a inu paha i kekahi mea no kahi o 8 mau hola ma mua o ke ʻoki kino. He mea nui loa ia no kou palekana e hahai pololei i kēia mau kuhikuhi.

He aha nā ʻano hana nui no ka hana ʻana i kēia ʻoki kino?

ʻElua mau ʻano hana nui no ka hana ʻana i ka nephroureterectomy. 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?

ʻO ka maʻamau, ʻelua a ʻehā hola ka lōʻihi o ke ʻoki kino. Ma hope o kēlā, e lawe ʻia ʻoe i ka lumi hoʻōla. E mālama pono nā kauka a me nā kahu maʻi iā ʻoe a hiki i kou hoʻi hou ʻana i ka ʻike.

• ʻEha: He mea maʻamau ke ʻeha iki ma hope o ke ʻoki ʻana. E hāʻawi ʻia ʻoe i nā lāʻau ʻeha e kōkua i kēia.
• Nausea: Hiki i kekahi poʻe ke loaʻa ka nausea ma muli o ka anesthesia. Aia nā lāʻau lapaʻau no kēlā.
• ʻAi: Hāʻawi ʻia ka meaʻai wai no hoʻokahi a ʻelua paha lā mua. A laila, e hoʻolauna mālie i ka meaʻai maʻamau.
• Ka hele wāwae ʻana: E paipai ʻia ʻoe e hele wāwae mai ka lā ma hope o ke ʻoki ʻana. ʻOiai he mea paʻakikī paha, he mea nui loa kēia. Hiki i ka hele wāwae ke kōkua i ka pale ʻana i nā ʻūpā koko ma nā wāwae a me ka maʻi pneumonia.

I ka maʻamau, hiki iā ʻoe ke hoʻi i ka home i loko o kekahi mau lā, akā pono ʻoe e loaʻa i kahi lālā o ka ʻohana a i ʻole he hoaaloha e lawe iā ʻoe i ka home.

Pehea ka manawa hoʻōla ma hope o ka hoʻi ʻana i ka home?

Ma hope o kou hoʻi ʻana i ka home, pono ʻoe e hoʻomaha nui. Pono ʻoe e hāʻawi iā ʻoe iho i ka manawa e hoʻōla piha ai, ʻo ia hoʻi ma kahi o ʻeono pule .

• Ke hoʻokele nei: E pale i ka hoʻokele ʻana no ʻelua pule ma ka liʻiliʻi.
• Ka hāpai kaumaha: E hōʻalo i nā hana ikaika e like me ka hāpai ʻana ma mua o 20 paona (ma kahi o 9 kilokani) a i ʻole ka holo ʻana no kahi o 6 mau pule. Hiki i kēia ke hōʻino i nā humuhumu a hoʻoulu i nā kūlana e like me ka hernias.
• Ka hele wāwae: He ala maikaʻi ka hele wāwae e hoʻoikaika kino ai.

Hiki i kou kino ke ho'ōla ma ke ʻano ʻokoʻa ma mua o nā mea ʻē aʻe. No laila, e hoʻolohe i kou kino. Inā paʻakikī, e hoʻomaha.

Āhea ʻoe e ʻike koke ai i ke kauka?

E hāʻawi ʻia ʻoe i kahi manawa hoʻopaʻa, ʻo ia hoʻi, kahi lā e ʻike hou ai i ke kauka. E hōʻoia e hele i kēlā mau lā. A laila e nānā ʻia nā humuhumu a, inā pono, e ʻoki a wehe ʻia. Eia nō naʻe, inā ʻike ʻia kekahi o kēia mau hōʻailona, ​​e kelepona koke i kāu kauka a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila.

He mea maʻamau ka makaʻu, ka hopohopo, a me ka kānalua ma mua o ke ʻoki ʻana. "E holomua anei ke ʻoki ʻana?", "Pehea inā ua pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino?", "E paʻakikī anei ka ho'ōla ʻana?", a pēlā aku. Mai hoʻopaʻa i kēia mau manaʻo. E kamaʻilio me kāu kauka a me kou ʻohana e pili ana i ia mea. ʻO ka nui o kou ʻike e pili ana i kēia ʻoki ʻana, ʻo ka emi ʻana o kou makaʻu.