E kamaʻilio kākou e pili ana i ka Pelvic Exenteration, kekahi o nā ʻoki kino nui loa no ka maʻi kanesa, ma nā ʻōlelo maʻalahi.

Ua ʻike mākou i ka paʻakikī o ke kaua ʻana i ka maʻi kanesa. ʻAʻole hiki i nā huaʻōlelo ke wehewehe i ka ʻeha āu e manaʻo ai ke hoʻi hou mai ka maʻi kanesa ma hope o nā lāʻau lapaʻau a me nā ʻoki kino āpau. I kēlā kūlana, e kamaʻilio paha kāu kauka iā ʻoe e pili ana i kahi ʻoki kino nui i kapa ʻia ʻo "Pelvic Exenteration." He mea maʻamau ka makaʻu a me ka haʻalulu ke lohe ʻoe i kēia inoa. Akā, mai hopohopo. I kēia lā, e kamaʻilio maopopo a maʻalahi mākou e pili ana i ke ʻano maoli o kēia, no ke aha e hana ʻia ai, a me nā mea āu e kū ai ma hope.

I ka ʻōlelo maʻalahi, he aha ka Pelvic Exenteration?

He ʻoki kino nui a paʻakikī hoʻi ka hoʻokuʻu ʻana o ka pelvic e mālama ai i ka maʻi kanesa i loko o kou pelvis. Hana pinepine ʻia ia ma ke ʻano he koho hope loa ke hiki ʻole i nā lāʻau lapaʻau ʻē aʻe (e like me ka chemotherapy a me ka radiation therapy) ke kāohi i ke kanesa a i ʻole ke hoʻi hou mai ke kanesa.

ʻO ke ʻano nui o kēia ʻoki kino, ʻo ia ka wehe ʻana i nā ʻōpū hānau kahi i laha ai ke kanesa. ʻO ka hapa nui, hana ʻia kēia ʻoki kino ma nā wahine. Eia nō naʻe, i kekahi mau hihia, pono nō hoʻi nā kāne e hana i kēia ʻoki kino.

Hoʻokomo kēia i ka wehe ʻana i nā ʻōpū e like me kou vagina, uterus, a me ka cervix. Ma muli o ka mamao o ka laha ʻana o ke kanesa, pono paha e wehe ʻia nā ʻāpana o kou ala mimi a me ke ala ʻai, e like me kou ʻōpū mimi a me ka naʻau.

He aha nā ʻano nui o kēia ʻoki kino?

Hiki ke hoʻokaʻawale ʻia ke ʻoki ʻana o ka ʻōpū pelvic no nā wahine i ʻekolu ʻano nui: Anterior, Posterior, a me Total. Na kāu kauka e hoʻoholo i ke ʻano o ke ʻoki ʻana i kūpono loa iā ʻoe ma muli o kahi a me ka nui o kou maʻi ʻaʻai.

ʻOiai ke ʻano o ke ʻoki kino āu e hana ai, e wehe ʻia kou mau kino hānau. Hiki iā ʻoe ke loaʻa kahi manaʻo maopopo o kēia mai ka papa ma lalo nei.

He aha inā e hana ʻia kēia ʻoki kino ma luna o nā kāne?

Inā loaʻa i ke kāne kēia ʻoki no ka maʻi ʻaʻai pelvic e hoʻi hou ana (e like me ke kanesa urethral), wehe nā kauka ʻoki i ka ʻōpū mimi, rectum, anus, a me kahi hapa o ka colon. Eia kekahi, hiki ke wehe ʻia nā ʻāpana o ka ʻōnaehana hānau hou, e like me ka prostate gland a me nā seminal vesicles.

No ke aha i ʻōlelo ʻia ai kahi hana ʻoki kino nui?

No ka mea he hana ʻoki kino nui loa kēia, ʻōlelo wale nā ​​kauka he koho hope loa ia. ʻO nā kumu nui:

• Ke hiki ʻole i nā lāʻau ʻē aʻe (radiation, chemotherapy) ke ho'ōla i ke kanesa.
• ʻOiai inā e wehe ʻia kahi puʻupuʻu kanesa ma o ke ʻoki ʻana, hiki i ke kanesa ke hoʻi i ka wahi like a i ʻole e pālahalaha aku i nā ʻōpū kokoke.

Hana pinepine ʻia kēia ʻoki kino no nā maʻi ʻaʻai wahine. Eia kekahi laʻana:

• Ka maʻi ʻaʻai wahine
• Ka maʻi ʻōpū
• Ka maʻi ʻaʻai o ka ʻōpū
• Ka maʻi ʻaʻai Vulvar

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

Ma mua o kahi ʻoki kino nui e like me kēia, e nānā pono ʻia ʻoe. E kauoha paha kāu kauka i nā hoʻokolohua e like me ka MRI scan a i ʻole CT scan e kiʻi i nā kiʻi maopopo o kou mau kino pelvic. E kōkua kēia mau kiʻi iā lākou e hoʻolālā i ke ʻoki kino.

Eia kekahi, ke aʻo aku nei hoʻi iā ʻoe e hana i nā mea e like me:

• Pono paha e hoʻōki ʻia kekahi mau lāʻau lapaʻau, ʻoiai nā lāʻau hoʻokahe koko, i kekahi mau lā ma mua o ke ʻoki ʻana.
• Ke ʻōlelo nei lākou ʻaʻole ʻoe e ʻai a inu paha i kekahi mea i ka pō ma mua o ke ʻoki ʻana.
• E hāʻawi aku kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i kēia mau mea a pau.

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

Ma mua o ka hoʻomaka ʻana o ke ʻoki kino, e hāʻawi ʻia ʻoe i kahi anesthetic laulā (kahi lāʻau i hāʻawi ʻia ma ke ʻano intravenous i loko o kou lima). ʻO ke ʻano kēia e hiamoe ana ʻoe i ka wā o ke ʻoki kino, no laila ʻaʻole ʻoe e ʻeha.

E ʻokoʻa nā kikoʻī o ke ʻoki ʻana ma muli o ke ʻano o ke ʻoki ʻana āu e hana ai. E hana ke kauka ʻoki i kekahi mau ʻoki i loko o kou ʻōpū a wehe pono i nā ʻōpū hānau maʻi kanesa a, inā pono, nā ʻōpū ʻē aʻe. I kekahi manawa, hiki ke hana ʻia kahi hana minimally-invasive.

He ala hou e hoʻokuʻu ai i ka mimi a me nā feces

ʻO kēia ka ʻokoʻa nui loa ma kēia ʻoki kino.

• Inā wehe ʻia kou ʻōpū mimi: Pono ʻoe e hana i kahi ala hou no ka mimi e haʻalele ai i kou kino. I kekahi manawa lawe ʻia kahi ʻāpana o kou ʻōpū ponoʻī a hoʻohana ʻia e hana i kahi mea e like me ka ʻōpū mimi hou. A i ʻole, ua pili nā ʻōmole e alakaʻi ana mai kou mau puʻupaʻa i kahi puka liʻiliʻi ma ka ʻili o kou ʻōpū. Ua kapa ʻia kēia he urostomy . Hōʻiliʻili ʻia ka mimi i loko o kahi ʻeke i pili i kēia puka.
• Inā wehe ʻia kekahi ʻāpana o ka ʻōpū a me ka anus (Colon/Rectum/Anus): Hana ʻia kekahi ala hou no ka puka ʻana o ka ʻōpala ma ke ʻano like. Hoʻopili ʻia ke koena o ka ʻōpū i kahi lua i hana ʻia ma ka ʻili o ka ʻōpū. Ua kapa ʻia kēia he colostomy . ʻO kahi ʻeke i hoʻopili ʻia i kēia e hōʻiliʻili i ka ʻōpala.

ʻO ka maʻamau, hiki i kēia ʻoki kino holoʻokoʻa ke hala ma kahi o 12 mau hola .

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

Ma hope o ke ʻoki ʻana, pono ʻoe e noho ma ka haukapila no kekahi manawa lōʻihi. Pono kekahi poʻe e noho ma ka haukapila no kekahi mau pule. I loko o kēia manawa, e nānā pono nā kauka a me nā kahu maʻi i kou olakino a hāʻawi iā ʻoe i nā lāʻau lapaʻau e kāohi i ka ʻeha.

Koho kekahi mau wahine e hana i kahi hana hou ʻana o ka ʻōpū ( vaginoplasty ) ma hope o kēia ʻoki kino. Inā makemake ʻoe i kēia, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ia mea.

Ma hope o kou hoʻi ʻana i ka home, e hāʻawi ka haukapila iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka mālama ʻana i kāu mau ʻoki ʻoki a pehea e mālama ai iā lākou i ka maʻemaʻe inā he colostomy a urostomy paha kāu. He mea nui loa e hahai pono i nā ʻōlelo kuhikuhi i ʻole e pale aku i nā pilikia.

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?

Eia nō naʻe, e like me nā ʻoki kino nui a pau, aia kekahi mau pilikia. ʻO kēia mau mea:

• Ka pale ʻana o ka ʻōpū , ʻo ia hoʻi, ʻaʻole e neʻe pono ka meaʻai.
• Ka maʻi ʻana.
• Nā pilikia me nā puka hou (ostomies) i hana ʻia e ʻae i ka mimi a me ka ʻōpala e puka i waho.
• Ka laha ʻana o kahi maʻi i ke koko ( Sepsis ).
• Ke kahe koko nui a i ʻole nā ​​​​​​pā koko .
• Pehu, ʻulaʻula, a wehe hou paha nā ʻeha ʻoki.
• He lua ka fistula vaginal ma waena o ka vagina a me nā ʻōpū kūloko ʻē aʻe (e.g., ka ʻōpū mimi).
• ʻOiai he mea kakaikahi loa, aia kahi pilikia o ka make ma hope o kēia ʻoki kino. E kūkākūkā ākea kāu kauka i kēia me ʻoe.

ʻEhia ka lōʻihi e ho'ōla ai?

ʻO kēia ka ʻāpana paʻakikī loa. He lōʻihi a he paʻakikī hoʻi ka manawa hoʻōla.

• Pono ʻoe e hoʻomaha loa no kekahi mau pule ma hope o ke ʻoki kino. ʻAʻole ʻōlelo ʻia e hana i kekahi hana kino.
• A hiki i kou wā e ʻoluʻolu iki ai, pono ʻoe i ke kōkua mai kahi lālā o ka ʻohana me nā mea e like me ka ʻauʻau ʻana, ke komo ʻana, a me ka hele wāwae ʻana.
• Ma muli o ke ʻano o ke ʻoki kino i loaʻa iā ʻoe, ʻaʻole paha e hiki iā ʻoe ke noho no kahi o 8 mau pule. Hiki paha iā ʻoe ke kū a kūlou i lalo, akā e paʻakikī ke kū no ka manawa lōʻihi.
• He mea paʻakikī i kekahi poʻe ke noho pololei no nā mahina, a hiki i nā makahiki, ma hope o ke ʻoki ʻana. ʻO kēia no ka mea ua wehe ʻia ka nui o nā ʻōpū a me nā ʻiʻo i hāʻawi i ke kākoʻo kūkulu i kou ʻōpū a me kou pelvis.
• E nīnau i kāu kauka e pili ana i nā hoʻoikaika kino a me nā hana hoʻoikaika kino hiki iā ʻoe ke hana e hoʻoikaika i kou mau ʻiʻo ʻōpū a me ke kua.
• He mea nui loa hoʻi e noho ikaika ka noʻonoʻo i kēia manawa. ʻO ke aʻo ʻana a me ke kamaʻilio ʻana me nā hui kākoʻo me nā poʻe i hele i kēia ʻoki kino e like me ʻoe e lilo ia i kumu ikaika nui.

I nā kūlana hea e pono ai ʻoe e ʻike koke i ke kauka?

Ma hope o ke ʻoki ʻana, pono ʻoe e ʻike pinepine i kāu kauka no nā nānā ʻana. Eia nō naʻe, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e kāhea koke aku i kāu kauka.

• Ke kahe ʻana o ke koko a i ʻole ka pehu nui ʻana mai ka ʻōpū.
• Ke kuni, ka ʻulaʻula a me ka pehu a puni ka ʻeha ʻoki (he mau hōʻailona kēia o ka maʻi).
• ʻEha ʻōpū hiki ʻole ke hoʻomanawanui.
• Paʻakikī a hiki ʻole paha ke kāohi i ka mimi ʻana a i ʻole ka luaʻi ʻana.
• Ka luaʻi a me ka luaʻi.
• Ka paʻa ʻana o ka ʻōpū.

He ʻoki kino hoʻololi ola ka Pelvic Exenteration. Akā hiki iā ia ke lilo i koho hoʻōla ola a me ke ola. Ma mua o ka hoʻoholo ʻana i kēia hoʻoholo, he mea nui e kūkākūkā i kāu mau hopohopo a pau me kāu kauka a loaʻa kahi ʻike maopopo a maoli.