E aʻo kākou e pili ana i ka Partial Nephrectomy ma nā ʻōlelo maʻalahi!

Ua haʻi aku anei kāu kauka iā ʻoe e pono ʻoe e hana i ke ʻoki kino e wehe i kahi hapa o kou puʻupaʻa? He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kekahi mea e like me ia. "He aha ka mea e hiki mai ana i koʻu puʻupaʻa? E hiki anei iaʻu ke ola e like me ka wā ma mua?" Nui nā nīnau e hiki mai ana i ka noʻonoʻo. Akā i kou ʻike pono ʻana i ke ʻano o kēia, no ke aha e hana ʻia ai, a pehea e hana ʻia ai, e nalowale loa kēlā makaʻu i loko o kou noʻonoʻo. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia ʻoki kino i kapa ʻia ʻo 'Partial Nephrectomy', ma ke ʻano maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha ka Partial Nephrectomy?

ʻO ka Nephrectomy hapa kahi hana ʻoki e wehe wale i ka ʻāpana o kou puʻupaʻa i maʻi, hōʻino ʻia, a i ʻole kanesa, me ka mālama ʻana i ke koena olakino. ʻAʻole kēia e wehe i ka puʻupaʻa holoʻokoʻa. Ua like ia me ka ʻoki ʻana i ka ʻāpana maikaʻi ʻole o kahi hua pala a waiho i ka ʻāpana maikaʻi.

ʻO ka pahuhopu nui o kā mākou mau kauka lapaʻau, ʻo ia ke waiho i ka nui o kou ʻiʻo puʻupaʻa olakino e like me ka hiki i loko o ke kino. No ka mea, e like me kou ʻike, ʻo nā puʻupaʻa nā kānana nui ʻelua i loko o ko mākou kino. Kānana a hoʻokaʻawale nā ​​puʻupaʻa i nā huahana ʻōpala i loko o ke kino a hoʻokuʻu iā lākou ma ke ʻano he mimi. No laila, he mea nui nā puʻupaʻa no ke ola. Inā hiki iā mākou ke mālama i ka hana maikaʻi ʻana o nā puʻupaʻa ʻelua, he mea nui loa ia no ko mākou olakino holoʻokoʻa.

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

ʻEkolu mau ʻano hana nui no ka hana ʻana i kēia ʻoki kino. Na kāu kauka e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe ma muli o kou kūlana, ka nui o ka ʻāpana i hōʻino ʻia o kou puʻupaʻa, a me kona wahi.

He hana ʻoki kino koʻikoʻi anei kēia? ʻO wai ka mea makemake e hana i kēia?

ʻAe, he ʻoki kino nui ka Nephrectomy hapa. No ka mea, pili ia i ka mālama ʻana a me ka hoʻihoʻi ʻana i ka puʻupaʻa, kahi ʻōkana o loko o ke kino. Akā mahalo i nā ʻano hana e like me ka robotics, a mākou i kūkākūkā ai ma mua, ʻoi aku ka palekana o kēia ʻoki kino ma mua o ka wā ma mua, a ʻoi aku ka pōkole o ka manawa hoʻōla. E wehewehe pono kāu kauka iā ʻoe i ke ʻano hana maikaʻi loa iā ʻoe a no ke aha.

Aia kekahi mau hihia kahi e ʻōlelo pinepine ʻia ai kēia ʻoki kino:

• Ka maʻi ʻaʻai puʻupaʻa: Hana pinepine ʻia kēia ʻoki ʻana e wehe i nā ʻōpū kanesa i loko o nā puʻupaʻa.
• Ka maʻi: Ke hōʻino ʻia kekahi ʻāpana o ka puʻupaʻa ma muli o kekahi mau maʻi koʻikoʻi, pono paha e wehe ʻia kēlā ʻāpana.
• Poino mai nā pōhaku puʻupaʻa: Inā ua hōʻino ʻia ka puʻupaʻa e nā pōhaku puʻupaʻa nui.
• ʻEha: Ke ʻeha ka puʻupaʻa ma muli o kahi ulia.
• Nā kīnā hānau: Inā he kīnā puʻupaʻa i ka wā hānau.
• Ke koko kiʻekiʻe: Hana ʻia kēia ʻokiʻoki i kekahi manawa e kāohi i ke koko kiʻekiʻe i hoʻokumu ʻia e kahi pilikia me nā kīʻaha koko e hoʻolako i ke koko i nā puʻupaʻa.

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

Ma hope o ka hoʻonohonoho ʻana i kāu hana ʻoki kino, pono ʻoe e ʻike i ke kauka. E nānā ʻia kou olakino holoʻokoʻa. E ana ʻia nā mea e like me ke koko, ka pulse, a me ka mahana.

A he kuleana koʻikoʻi loa kāu.

• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei . ʻAʻole wale kēia i nā lāʻau lapaʻau i kuhikuhi ʻia, akā, ʻo nā lāʻau lapaʻau ma luna o ke kauka (OTC), nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā lāʻau lapaʻau Ayurvedic. He mea nui loa kēia inā ʻoe e lawe ana i ka aspirin a i ʻole nā ​​​​lāʻau hoʻokahe koko, no ka mea, hiki i kēia mau lāʻau ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko i ka wā o ke ʻoki ʻana.
• E haʻi mai iā mākou e pili ana i kekahi mau maʻi ʻaleka āu e loaʻa nei. Hoʻokomo pū kēia i nā maʻi ʻaleka i kekahi mau lāʻau lapaʻau, nā mea hoʻomaʻemaʻe ʻili e like me ka iodine, latex, a i ʻole nā ​​​​meaʻai.
• E hāʻawi kāu kauka iā ʻoe i kekahi mau ʻōlelo kūikawā e pili ana i ka mea e ʻai ai a inu ai i ka lā ma mua o kou ʻoki ʻana. Ma ke ʻano laulā, ʻoi aku ka maikaʻi o ka ʻai ʻole a inu paha i kekahi mea ma hope o ke aumoe o ka pō ma mua o kou ʻoki ʻana . Inā pono ʻoe e lawe i kekahi lāʻau lapaʻau koʻikoʻi, e nīnau i kāu kauka inā hiki iā ʻoe ke lawe me kahi ʻuʻuku wai.

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

Hana ʻia kēia ʻoki kino e kahi hui o nā kauka loea a me nā kahu maʻi. ʻO ka maʻamau, aia i loko o kēia hui kahi urologist, kahi anesthesiologist, a me nā kahu maʻi.

ʻO ka mea mua, e hoʻokomo ke kauka anesthesiologist iā ʻoe ma lalo o ka anesthesia laulā . ʻO ke ʻano kēia e hiamoe loa ʻoe. ʻAʻole ʻoe e ʻeha a ʻaʻole hoʻi e ʻike i ka wā o ke ʻoki ʻana. Ma hope o kou ʻike ʻole ʻana, e hoʻokomo ʻia kahi ʻōmole liʻiliʻi (urinary catheter) e hoʻokahe i kou mimi.

E loli ana ka mea e hana ʻia ma hope o kēlā ma muli o ke kaʻina hana ʻoki āu e koho ai.

Ma ke ʻoki kino hāmama (nephrectomy hapa hāmama)

E hana ke kauka i kahi ʻoki nui ma kou ʻaoʻao, ma waena o kou mau iwi ʻaoʻao a me kou ʻūhā, e hōʻike i kou puʻupaʻa. A laila, ua pani ʻia nā kīʻaha koko e lawe mai ana i ke koko i a mai ka puʻupaʻa me kahi ʻūmiʻi. A laila ua uhi ʻia ka puʻupaʻa me ka hau. Hana ʻia kēia e hoʻemi i ka mahana o ka puʻupaʻa a hoʻemi i ka pōʻino o nā ʻiʻo ke pau ke kahe ʻana o ke koko. A laila wehe ʻia ka ʻāpana maʻi a hoʻoponopono ʻia ka puʻupaʻa.

I ka wā o ke ʻoki ʻana i ka robotic (Robotic partial nephrectomy)

Maanei, hana ke kauka i kekahi mau ʻoki liʻiliʻi loa i loko o kou ʻōpū. A laila, hoʻokomo ʻia kahi kāmela a me nā mea hana robotic ma o kēlā mau lua. A laila, hoʻopiha ʻia kou lua ʻōpū me kahi kinoea kalapona dioxide liʻiliʻi. Hoʻokumu kēia i kahi ākea i loko o ka ʻōpū, e maʻalahi ai i ke kauka ke ʻike maikaʻi i ka puʻupaʻa a hana i ke ʻoki. A laila, me ka hoʻohana ʻana i nā lima robotic, hoʻōki ʻia ke kahe ʻana o ke koko, wehe ʻia ka ʻāpana maʻi, a hoʻoponopono ʻia ka puʻupaʻa.

I ka pau ʻana o ke ʻoki ʻana, ua pani ʻia nā ʻoki me nā humuhumu a i ʻole nā ​​staples. I kekahi manawa, hiki ke kau ʻia nā ʻōmole hoʻokahe silicone liʻiliʻi e hoʻokahe i kekahi koko a wai paha e hōʻiliʻili ana i loko o ka ʻeha. Hoʻoneʻe ʻia kēia mau mea ma hope o kekahi mau lā. ʻO ka maʻamau, ʻo ke ʻoki ʻana holoʻokoʻa he 3-4 mau hola .

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

Ma hope o ke ʻoki kino, e lawe ʻia ʻoe i kahi lumi hoʻōla. I ka pau ʻana o nā hopena o ka anesthesia, e hoʻi mālie ʻoe i ka ʻike. Eia nō naʻe, he mea maʻamau ke manaʻo iki i ka poʻo māmā a me ka hiamoe i ka wā mua.

Ma hope o kou ala ʻana, e hāʻawi nā kahu maʻi iā ʻoe i ka lāʻau ʻeha. ʻOi aku ka ʻeha o ke ʻoki ʻana i ka robot ma mua o ke ʻoki hāmama, akā pono nō ʻoe i ka lāʻau lapaʻau e kāohi i ka ʻeha. Hiki i ka anesthesia ke hoʻoulu i ka nausea. Inā hana ʻia kēia, e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau no kēlā.

• ʻAi: E hāʻawi wale ʻia ʻoe i kahi meaʻai wai no hoʻokahi a ʻelua paha lā ma hope o ke ʻoki ʻana. E hāʻawi kēia i kou kino i ka manawa e hoʻōla ai. Ma hope o kēlā, hiki iā ʻoe ke ʻai mālie i nā meaʻai maʻamau.
• Ka hele wāwae: Mai ka lā ma hope o ke ʻoki ʻana, e paipai ʻia ʻoe e nā kahu maʻi e ala aʻe mai kahi moe a hele wāwae iki . He mea nui loa kēia. Hoʻomaikaʻi ka hele wāwae i ke kahe koko, kōkua i ka ho'ōla wikiwiki ʻana o nā ʻeha, a pale i nā pilikia e like me ke koko i loko o nā wāwae a me ka maʻi pneumonia.
• Noho ma ka haukapila: Inā loaʻa iā ʻoe ke ʻoki robotic, e noho mau ʻoe ma ka haukapila no 1-2 mau lā . Inā loaʻa iā ʻoe ke ʻoki hāmama, e noho ʻoe no kahi o 3-4 mau lā .

Ke hoʻoholo nā kauka ua maikaʻi ʻoe, hiki iā ʻoe ke hoʻi i ka home. Akā, ʻaʻole hiki iā ʻoe ke hoʻokele kaʻa hoʻokahi. Pono ʻoe e kiʻi i kahi lālā o ka ʻohana a i ʻole hoaaloha e kiʻi iā ʻoe. He manaʻo maikaʻi nō hoʻi e loaʻa kekahi e mālama iā ʻoe no kekahi mau lā ma hope o kou hoʻi ʻana i ka home.

ʻEhia ka lōʻihi e ola ai? Āhea wau e hoʻi ai i ka hana?

E loli ana kou manawa ho'ōla ma muli o ke ʻano o ke ʻoki kino āu i hana ai a me kou olakino laulā.

• He 8-12 mau pule e hoʻi hou ai i nā hana maʻamau ma hope o ke ʻoki kino hāmama .
• He wikiwiki ka ho'ōla ʻana ma hope o ke ʻoki robotic , me ka hoʻi ʻana o nā mea maʻi i ka maʻamau i loko o 4-6 mau pule .

Inā he hana ma ke keʻena kāu a ʻaʻole koi nui ke kino, hiki paha iā ʻoe ke hoʻi i ka hana i loko o 4 mau pule. Eia nō naʻe, inā he hana koi kino kāu hana a pili i ka hāpai ʻana i nā mea kaumaha, ʻoi aku ka maikaʻi o ka noho ʻana ma ka home a hoʻomaha no kekahi manawa. E kamaʻilio me kāu kauka e pili ana i kēia a hoʻoholo pono.

He aha nā hōʻailona e pono iaʻu e makaʻala ma hope o ke ʻoki ʻana?

Ma hope o kou hoʻi ʻana i ka home, pono ʻoe e hele i ke keʻena lapaʻau i nā lā a ke kauka e haʻi aku ai iā ʻoe. E nānā lākou i kou mau ʻeha 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.

Eia kekahi, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, pono ʻoe e kāhea koke i kāu kauka.