Malia paha ua haʻi ʻia ʻoe a i ʻole kekahi o kou ʻohana e ke kauka e pili ana i ka orchiectomy. He mea maʻamau ka manaʻo makaʻu iki, ka hopohopo, a me ka nui o nā nīnau ke lohe ʻoe i kahi mea e like me kēia. "No ke aha ʻoe e hana nei i kēia?", "He aha ka mea e hana ʻia ma hope o kēia?" Ke noʻonoʻo nei paha ʻoe. Akā, ʻaʻole kēia he mea weliweli e like me kā mākou e manaʻo nei. I kēia lā, e kamaʻilio mākou e pili ana i kēia ʻoki kino i kapa ʻia ʻo 'Orchiectomy', ʻo ia hoʻi ka wehe ʻana i nā testicles, ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Orchiectomy?
ʻO Orchiectomy ka wehe ʻoki ʻana i kekahi a i ʻole nā testicles ʻelua . E like me kou ʻike, ʻo nā testicles ʻelua mau ʻōkana liʻiliʻi i loaʻa i loko o kahi ʻeke ʻili (scrotum) ma lalo o ka penis o ke kāne. Loaʻa iā lākou ʻelua mau hana nui. ʻO kekahi e hana i ka sperm , a ʻo kekahi e hana i nā hormones kāne e like me ka testosterone . Hana pinepine ʻia kēia ʻoki ma ka haukapila, akā i ka hapa nui o nā hihia he hana outpatient kahi e hiki ai iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.
No ke aha e hana ʻia ai kēia ʻoki kino? He aha nā kumu nui?
Aia kekahi mau kumu nui e hana ai nā kauka i kēia ʻoki kino. E nānā kākou iā lākou.
1. Ma ke ʻano he lāʻau lapaʻau no nā maʻi kanesa
- ʻO ke Kanesa Testicular: ʻO kēia ke kumu nui. Inā he kānalua no ka maʻi kanesa testicular, hana ʻia kēia ʻoki kino e ʻike pono a mālama iā ia . Hoʻouna ʻia ka ʻiʻo i lawe ʻia i ka wā o ke ʻoki kino i kahi keʻena hoʻokolohua (pathologist) e hōʻoia inā he mau hunaola kanesa.
- ʻO ke Kanesa Prostate a me ke Kanesa Umauma Kāne: E kahaha paha ʻoe, akā ua mālama ʻia kēia mau ʻano kanesa ʻelua me kēia ʻoki kino. ʻO ke kumu, ʻo nā hormones kāne (androgens) e like me ka testosterone e kōkua i kekahi mau hunaola kanesa e ulu. E noʻonoʻo i kēia mau hormones he 'meaʻai' no kekahi mau hunaola kanesa. Ke wehe mākou i nā testicles, e emi ana nā pae o kēia mau hormones i ke kino. A laila ua nele nā hunaola kanesa i ka 'meaʻai', hoʻomaka lākou e emi a hoʻōki i ka laha ʻana.
2. No ka wehe ʻana i nā testicles i hōʻino ʻia
E noʻonoʻo ʻoe ua pā ʻia ʻoe e kahi pōpō i ka wā e pāʻani ana i ka cricket, loaʻa i kahi ulia paikikala, a i ʻole he ʻeha nui i kahi testicle. Inā ʻaʻole hiki i nā kauka ke hoʻoponopono iā ia, pono lākou e wehe i ka ʻāpana i hōʻino ʻia a humuhumu i nā ʻiʻo a puni. Eia kekahi, i kekahi manawa ma hope o ka wili ʻana o ka testicle (testicular torsion), inā ua ʻoki ʻia ke kahe koko i laila a ua hōʻino ʻia ka testicle, pono e wehe ʻia.
Pehea e hana ʻia ai ke ʻoki kino?
Hana ʻia kēia ʻoki ma lalo o ka anesthesia laulā, ʻo ia hoʻi ke hiamoe nei ʻoe a ʻaʻole ʻoe i ʻike i kekahi mea. No laila, ʻaʻole ʻoe e ʻeha i ka wā o ke ʻoki ʻana. E hana ke kauka i kahi ʻoki liʻiliʻi ma ka ʻili e hana ai i ke ʻoki. E ʻokoʻa iki ke ʻano o ke ʻoki ʻana ma muli o kahi i hana ʻia ai ka ʻoki.
| ʻAno o ke ʻoki kino | Wehewehe wale nō |
|---|---|
| ʻO ka Orchiectomy Unilateral | Ka wehe ʻana i hoʻokahi wale nō testicle. |
| ʻO ka Orchiectomy Bilateral | Ka wehe ʻana i nā testicles ʻelua. |
| ʻO ka Orchiectomy Inguinal Radical | He mea nui ka wehe ʻana i ke kaula spermatic me ka testicle e pale ai i ka laha ʻana o ka maʻi ʻaʻai. |
Inā ʻoluʻolu ʻole kekahi poʻe i ko lākou helehelena ma hope o ke ʻoki ʻana, hiki iā lākou ke hoʻokomo ʻia kahi testicle prosthetic . He saline wale nō kēia i loko. Aia wale nō iā ʻoe kēia. I ka pau ʻana o ke ʻoki ʻana, e humuhumu ke kauka i ka ʻoki i pani ʻia. ʻO ka maʻamau, he 30 a 60 mau minuke wale nō ka lōʻihi o ke ʻoki ʻana.
Nā mea e makaʻala ai i ka wā e hoʻōla ai ma hope o ke ʻoki kino
Ma hope o ke ʻoki ʻana, pono ʻoe e noho i loko o kahi lumi hoʻōla no kekahi manawa ma mua o kou hoʻi ʻana i ka home. ʻAʻole kūpono ke kalaiwa i ke ala e hoʻi ai i ka home, no laila he mea nui e loaʻa i kekahi e kalaiwa iā ʻoe i ka home. E hala kekahi mau pule e hoʻōla piha ai. E mālama i kēia mau mea i loko o kēia manawa.
- E hōʻalo i ka hana kino: E hoʻomaha no nā lā mua. Makemake paha ʻoe e hōʻalo i nā hana e like me ka hāpai ʻana i nā kaumaha, ka holo ʻana, a me ka moe kolohe no kekahi mau pule. E nīnau i kāu kauka e pili ana i ka manawa kūpono e hoʻomaka hou ai e hana i kēia mau mea.
- E mālama i ka ʻeha maʻemaʻe a maloʻo hoʻi:E mālama i ka wahi i maʻemaʻe a maloʻo. E mālama iā ia e like me ka ʻōlelo a kāu kauka iā ʻoe. E noi ʻia paha ʻoe e ʻaʻahu i kahi lole kākoʻo kūikawā no nā hola 48 mua e kōkua i ka hōʻemi ʻana i ka pehu.
- E mālama i ka ʻeha: He mea maʻamau ka loaʻa ʻana o kekahi ʻeha, ʻoluʻolu ʻole, a me ka palupalu ma hope o ke ʻoki ʻana. ʻO ke kau ʻana i kahi ʻeke hau no kahi o 20 mau minuke hiki ke kōkua i ka ʻeha. E kamaʻilio me kāu kauka e pili ana i ka lāʻau ʻeha.
- E inu i ka wai he nui a ʻai i nā meaʻai fibrous: ʻAʻole maikaʻi ke kānana i ka wā e hele ana i ka lua i kēia manawa. No laila, i mea e pale ai i ka paʻa ʻana o ka ʻōpū, e inu i ka wai he nui a ʻai i nā meaʻai fibrous e like me nā mea kanu a me nā huaʻai.
He aha nā pōmaikaʻi a me nā hopena ʻaoʻao e hiki mai ana o kēia ʻoki kino?
E like me nā ʻoki kino āpau, he mau pōmaikaʻi kēia a me nā pōʻino liʻiliʻi.
ʻO ka pōmaikaʻi, he lāʻau lapaʻau ola kēia no kekahi kanaka me ke kanesa. He ala kūpono loa nō hoʻi ia e kāohi ai i nā kanesa e pili ana i ka hormone.
I ka wā e pili ana i nā pilikia a me nā hopena ʻaoʻao, he mea maʻamau ke kahe ʻana o ke koko a me ka maʻi me kekahi ʻoki kino. Eia nō naʻe, aia kekahi mau hopena ʻaoʻao e pili pono ana i kēia ʻoki kino, ʻoiai ke wehe ʻia nā testicles ʻelua (Bilateral Orchiectomy) . ʻO kēia no ka mea e hāʻule koke ana nā pae testosterone o ke kino. Hiki i kēia ke hana i nā mea e like me:
- Haʻahaʻa ka makemake moe kolohe
- Manaʻo luhi loa (Fatigue)
- Nā ʻā wela
- Ua emi ka nui o nā ʻiʻo
- ʻOsteoporosis
- ʻO ka hana ʻino ʻana o ka erectile
- Kaumaha
ʻO ka mea nui loa: Inā e wehe ʻia nā testicles ʻelua, e nalowale ka hana ʻana o ka sperm. ʻO ke ʻano kēia , ʻaʻole hiki i ke kanaka ke hānau keiki (infertility) . He mea nui e kūkākūkā i kēia me ke kauka ma mua o ke ʻoki ʻana a hoʻomaopopo iā ia.
Eia kekahi, he mea maʻamau loa ka hopohopo a me ke kaumaha e pili ana iā ʻoe iho, kou helehelena, a me kou moekolohe ma hope o ke ʻoki kino e like me kēia. He mea nui loa e kamaʻilio e pili ana i kēia mau manaʻo me kāu kauka a i ʻole kekahi āu e hilinaʻi ai.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e kāhea koke aku i kāu kauka!
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana i ka home mai ke ʻoki ʻana, e kāhea koke aku i kāu kauka. A i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Ke kuni a i ʻole ka ʻeha hiki ʻole ke hoʻomanawanui.
- Paʻakikī ke ale ʻana.
- He wahi ʻulaʻula ʻulaʻula a poni paha (hematoma) e kū mai ana ma kahi o ka ʻeha a i ʻole ma ka scrotum.
- Inā e kahe ana ke koko a i ʻole ka pus mai ka ʻeha.
- I loko o ka scrotumManaʻo mae.
Leka Lawe-Home
- He hana ʻoki kino ka Orchiectomy e wehe ai i hoʻokahi a i ʻole nā testicles ʻelua. ʻAʻohe mea kēia e makaʻu ai.
- Hoʻohana nui ʻia kēia no ka mālama ʻana i nā maʻi kanesa a me ka wehe ʻana i nā testicles i hōʻino nui ʻia.
- He mea maʻamau ka ʻeha a me ka pehu ma hope o ke ʻoki ʻana. E hahai pono i nā ʻōlelo a ke kauka.
- ʻO ka wehe ʻana i nā testicles ʻelua hiki ke hana i nā hopena ʻaoʻao ma muli o ka emi ʻana o nā pae hormone. E kamaʻilio me kāu kauka e pili ana i kēia a loaʻa iā ʻoe ka lāʻau lapaʻau e pono ai.
- E hoʻomaopopo koke i kāu kauka e pili ana i nā hōʻailona ʻē aʻe e kū mai ana ma hope o ke ʻoki ʻana (ke kuni, ka ʻeha nui, ka pus e puka mai ana mai ka ʻeha).
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo