Makemake ʻoe e wehe ʻia kekahi hapa o kou puʻupaʻa? (Partial Nephrectomy) - Mai makaʻu, e kamaʻilio kākou e pili ana i kēia.

Ua haʻi aku anei kāu kauka iā ʻoe e pono ʻoe e hana i kahi hoʻoili puʻupaʻa ma muli o kahi puʻupuʻu puʻupaʻa, kahi maʻi, a i ʻole kekahi pilikia ʻē aʻe? He mea maʻamau ka makaʻu iki a me ka hopohopo ke lohe ʻoe i kahi mea e like me kēia. Akā, mai hopohopo. I kēia au o ka ʻepekema lapaʻau holomua, hiki ke hana ʻia kēlā mau ʻoki kino me ka holomua loa. I kēia lā, e kamaʻilio mākou e pili ana i kēia mea i kapa ʻia ʻo 'Partial Nephrectomy', a i ʻole ke ʻoki kino e wehe i kahi ʻāpana o kahi puʻupaʻa, ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha ka Partial Nephrectomy?

ʻO ka Nephrectomy hapa kahi hana ʻoki kino kahi e wehe wale ʻia ai ka ʻāpana maʻi, hōʻino ʻia, a i ʻole kanesa paha o kekahi o kou mau puʻupaʻa, a hoʻihoʻi ʻia ke koena o ka puʻupaʻa.

E noʻonoʻo e pili ana i ia mea, ʻo nā puʻupaʻa ke kānana nui i loko o ko kākou kino. Kānana kēia mau puʻupaʻa ʻelua i nā mea ʻōpala mai ke kino a mālama iā kākou i ke olakino. No laila, ʻo ka pahuhopu nui o kēia ʻoki kino, ʻo ia ka wehe ʻana i ka ʻāpana maʻi wale nō, me ka ʻole o ka wehe ʻana i ka puʻupaʻa holoʻokoʻa, a e mālama i ka nui o nā ʻiʻo puʻupaʻa olakino e like me ka hiki. No ka mea, he mea nui ka hana ʻana o ka puʻupaʻa no ko kākou ola, he mea nui loa ia e pale i kona mau ʻāpana olakino.

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

Hiki i kāu kauka ke ʻōlelo aku i kēia ʻoki kino no kekahi mau kūlana like ʻole. ʻO nā kumu nui:

• Ka Maʻi ʻAʻai Puʻupaʻa: Hoʻohana pinepine ʻia kēia ʻano hana e wehe i nā puʻupuʻu maʻi liʻiliʻi, ʻoiai nā mea e ulu ana i loko o nā puʻupaʻa.
• Nā Maʻi Hoʻi Hou: Nā maʻi koʻikoʻi i kaupalena ʻia i hoʻokahi ʻāpana o ka puʻupaʻa a ʻaʻole hiki ke mālama ʻia me ka lāʻau lapaʻau.
• Ka pōʻino i hana ʻia e nā pōhaku puʻupaʻa: Inā ua lilo kahi ʻāpana o ka puʻupaʻa i hana pono ʻole a i ʻole ua hōʻino ʻia ma muli o nā pōhaku puʻupaʻa.
• ʻEha: Inā ua hōʻino ʻia kekahi ʻāpana o ka puʻupaʻa ma muli o kahi ulia.
• Nā Kīnā Hānau: Inā he kīnā ma kekahi ʻāpana o ka puʻupaʻa i ka wā hānau.
• Ke koko kiʻekiʻe: Pono paha kēia ʻoki ʻana i kekahi manawa e kāohi i ke koko kiʻekiʻe i hoʻokumu ʻia e ka pilikia me nā kīʻaha koko e hoʻolako koko i nā puʻupaʻa.

He aha nā ʻano hana ʻoki kino nui?

ʻElua mau ʻano hana nui no ka hana ʻana i kēia ʻoki kino. Ma muli o kou kūlana, na kāu kauka e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe.

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

Ma hope o ka hoʻonohonoho ʻana i kāu ʻoki kino, pono ʻoe e hālāwai me ke kauka.

• E nānā ʻia kou olakino holoʻokoʻa. E ana ʻia nā mea e like me ke koko a me ka pulse.
• He mea nui e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau (nā lāʻau lapaʻau i kauoha ʻia a me nā lāʻau lapaʻau ma luna o ke kūʻai aku), nā huaora, a me nā mea hoʻohui lāʻau lapaʻau āu e lawe nei. Pono paha e hoʻōki ʻia ka lawe ʻana i nā lāʻau hoʻokahe koko, e like me ka aspirin, ma mua o ke ʻoki ʻana. Eia nō naʻe, mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ke kamaʻilio mua ʻana me kāu kauka.
• E hoʻomaopopo e pili ana i kekahi mau maʻi ʻaleka āu e loaʻa ai (nā lāʻau lapaʻau, nā mea hoʻomaʻemaʻe ʻili, ka latex, ka meaʻai).
• E aʻo ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea ma hope o ke aumoe o ka pō ma mua o ke ʻoki kino. Inā pono ʻoe e lawe i kekahi lāʻau lapaʻau koʻikoʻi, hiki paha iā ʻoe ke lawe me kahi ʻuʻuku o ka wai. E haʻi aku nō hoʻi ke kauka iā ʻoe e pili ana i kēlā.

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

He hana hui kēia. ʻO ka maʻamau, aia i loko o kēia hui kahi kauka ʻoki puʻupaʻa (Urologist), kahi anesthesiologist, a me kahi limahana kahu maʻi.

ʻO ka mea mua, e hoʻokomo ke kauka anesthesiologist iā ʻoe ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole ʻoe e ʻeha i ka wā o ke ʻoki ʻana, a e hiamoe ana ʻoe. A laila, e hoʻokomo ʻia kahi catheter urinary.

A laila, hana ʻia ke ʻoki e like me ke ʻano i koho ʻia.

• I ke ʻoki kino hāmama: Hana ke kauka i kahi ʻoki nui a pani manawa pōkole i nā kīʻaha koko e lawe ana i ke koko i a mai ka puʻupaʻa me kahi ʻūmiʻi. A laila, kau ʻia ka hau ma luna o ka puʻupaʻa e hoʻēmi i ka mahana o ka puʻupaʻa. Hana ʻia kēia e hōʻemi i ka hōʻino ʻia o ka ʻiʻo puʻupaʻa i ka wā e oki ai ke kahe koko. A laila wehe ʻia ka ʻāpana maʻi a hoʻoponopono ʻia ka puʻupaʻa.
• ʻO ke ʻoki ʻana i ka robot: Hoʻokomo ʻia kahi kāmela a me nā mea hana ma o nā ʻoki liʻiliʻi, a ua hoʻopiha ʻia ka lua o ka ʻōpū me ke kinoea kalapona ʻokikene. Hoʻokumu kēia i kahi ākea i loko o ka ʻōpū, e hiki ai i ke kauka ke hiki maʻalahi i ka puʻupaʻa. A laila, me ka hoʻohana ʻana i nā lima robotic, wehe mālie 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 me/a i ʻole nā ​​staples. I kekahi manawa, hiki ke kau ʻia nā ʻōmole hoʻokahe silicone liʻiliʻi e hoʻokahe i kekahi wai a koko paha e hōʻiliʻili ana i loko. Hoʻoneʻe ʻia kēia mau mea ma hope o kekahi mau lā. ʻO ka maʻamau, he 3-4 mau hola ka lōʻihi o ke ʻoki ʻana.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? A pehea ka lōʻihi e hoʻōla ai?

Ma hope o ke ʻoki kino, e lawe ʻia ʻoe i kahi lumi hoʻōla. E ʻike pono ʻoe akā he lohi iki. E hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e kāohi i ka ʻeha. Hiki paha iā ʻoe ke manaʻo i ka luaʻi ma muli o ka anesthesia, a e hāʻawi ʻia nō hoʻi ka lāʻau lapaʻau no kēlā.

• ʻAi: E hāʻawi wale ʻia ʻoe i ka meaʻai wai no ka lā mua a ʻelua paha. A laila e hoʻolauna mālie ʻia ʻoe i ka meaʻai maʻamau.
• Ke hele wāwae nei: ʻO ka mea kupanaha, e paipai ʻia ʻoe e ala i waho o kahi moe a hele a puni ka lā ma hope o ke ʻoki ʻana. Hiki i ka hele wāwae ke kōkua i ka wikiwiki o ka hoʻōla ʻana, hoʻomaikaʻi i ke kahe koko, pale i nā ʻūpā koko, a pale i nā pilikia e like me ka maʻi pneumonia.
• Ka Hoʻokipa ʻana i ka Halemai: Ma hope o ke ʻoki robotic, pono ʻoe e noho ma ka haukapila no 1-2 mau lā . Ma hope o ke ʻoki hāmama, pono ʻoe e noho no kahi o 3-4 mau lā .
• Ka manawa hoʻōla: Hiki iā ʻoe ke hoʻi i nā hana maʻamau i loko o 4-6 mau pule ma hope o ke ʻoki ʻana i ka robot. Hiki ke hala ma kahi o 8-12 mau pule ma hope o ke ʻoki hāmama. Inā he hana koʻikoʻi kino kāu hana, he mea naʻauao ke lōʻihi iki ka manawa e hoʻōla ai.

Āhea ʻoe e kāhea koke aku ai i ke kauka?

Ma hope o kou hoʻi ʻana i ka home, pono ʻoe e ʻike i kāu kauka ma kāu mau manawa i hoʻonohonoho ʻia. Eia nō naʻe, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e kelepona koke aku i kāu kauka a i ʻole e hele i ka haukapila kokoke loa i ka Emergency Department (ETU).