E noʻonoʻo ua haki kou iwi pelvic ma muli o kahi ulia, malia paha he hāʻule ʻana mai kahi paikikala. A i ʻole ua mālama ʻia ʻoe no ke kanesa prostate. I kēlā mau hihia, i kekahi manawa hiki ke hōʻino ʻia a ʻūlū ʻia paha ka urethra i nā kāne. Ke paʻakikī ke mimi, ʻaʻole hiki ke wehewehe ʻia ka ʻeha a me ka ʻoluʻolu ʻole e hiki mai ana ke ālai ʻia. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻoki kino koʻikoʻi a kūikawā hoʻi e pono ai i kēlā mau manawa.
I ka ʻōlelo maʻalahi, he aha ka Posterior Urethral Reconstruction?
ʻAe, e hoʻomaka kākou ma ka wehewehe maʻalahi ʻana i kēia. ʻO ka mimi, ka mea e hōʻiliʻili i loko o kou ʻōpū mimi, puka mai ia mai kāu penis ma o kahi ʻōmole i kapa ʻia ʻo ka urethra. Ua like ia me kahi paipu e puka mai ana mai kahi pahu wai.
He mau ʻāpana ko kēia urethra. ʻO ka ʻāpana pōkole, ma kahi o hoʻokahi a ʻelua ʻīniha ka lōʻihi, e pili ana i ka ʻōpū mimi a hele ma waena o ka prostate gland, ua kapa ʻia ʻo 'Posterior Urethra'. ʻO kēia ka hoʻomaka ʻana o ka urethra.
ʻO ke kūkulu hou ʻana o ka Urethral hope kahi hana ʻoki e hoʻihoʻi i ka pono o ka urethra hope ma hope o ka hōʻino ʻia, ka haiki ʻana, a i ʻole ka haiki ʻana (urethral stricture). ʻO ke ʻano kēia ua hoʻoponopono ʻia ka ʻāpana i hōʻino ʻia a ua hoʻihoʻi ʻia ke kahe o ka mimi me ke keʻakeʻa ʻole.
No ke aha he mea pono ai kēia ʻoki kino?
ʻElua kumu nui no kēia ʻoki kino.
1. Nā ʻeha ulia pōpilikia: ʻOi aku hoʻi nā ulia nui e haki ai ka iwi pelvic. Ma ko mākou ʻāina, he mea maʻamau kēlā mau ʻeha ma muli o nā ulia kaʻa mokokaikala, hāʻule mai nā kiʻekiʻe, a me nā ʻeha i kuʻi ʻia. I loko o ia mau ulia pōpilikia, hiki ke haki kēia ʻāpana o ka urethra, ʻeha, a me nā ʻōpala. I ka hala ʻana o ka manawa, hiki i kēia mau ʻōpala ke hoʻoemi i ka urethra a hiki ʻole ke mimi.
2. Lapaʻau no ke Kanesa Prostate: Ma hope o ke ʻoki ʻana e wehe i ke kelepa prostate (radical prostatectomy) a i ʻole ka radiation therapy, hiki ke emi ka urethra ma muli o ka ʻeha e pili ana.
Ke emi ka urethra ma kēia ʻano, hiki ke lohi ke kahe o ka mimi, hiki i ka mimi ke kahe i waho me nā kulu liʻiliʻi, a i ʻole e ālai loa ʻia. He ʻano ʻeha a weliweli loa kēia.
Pehea e hoʻoholo ai ke kauka inā pono ʻoe i kēia ʻoki kino?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻo ka mea mua a kāu kauka e hana ai, ʻo ia ke holo i kekahi mau hoʻokolohua e hōʻoia i ke kūlana pololei. No ka hana ʻana i kēia, hiki iā lākou ke hana i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua:
- Urethrogram Retrograde: Hoʻohana kēia i kahi wai kūikawā (ʻano hoʻohālikelike) a me nā kukuna X e hoʻoholo ai i kahi a me ka lōʻihi o ke ālai ʻana i ka urethra.E mālama pono iā ia.
- ʻO Voiding Cystourethrogram: Hoʻohana pū kēia i ka dye contrast e nānā i ke kahe ʻana o ka mimi mai loko mai o ka ʻōpū mimi. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ka nui o ka paʻa ʻana.
- Cystoscopy: Ma kēia, ua hoʻoili ʻia kahi ʻōmole lahilahi i hoʻolako ʻia me ke kāmela (scope) i lalo o ka urethra e nānā pololei i loko o ka urethra a me ka ʻōpū mimi.
- MRI (Magnetic Resonance Imaging) Scan: I kekahi mau hihia kūikawā, hiki ke hana ʻia kahi scan MRI inā pono ka ʻike hohonu hou aku.
ʻO ka mea nui loa, inā i hana ʻia kēia maʻi e kahi ulia, e kali nā kauka a hiki i ka ho'ōla ʻana o nā ʻeha koʻikoʻi ʻē aʻe i kou kino. I loko o ia manawa, hiki ke hoʻokomo ʻia kahi paipu mai ka ʻōpū pololei i loko o ka ʻōpū mimi e hoʻokahe i ka mimi. Kāhea mākou iā ia he Suprapubic Catheter .
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
Ma mua o ke ʻoki ʻana, pono ʻoe e hoʻomākaukau. He mea nui loa ka hahai pono ʻana i kēia mau ʻanuʻu no ka holomua o ke ʻoki ʻana.
| He aha e hoʻomākaukau ai | He aha e hana ai |
|---|---|
| Nā mea hoʻokahe koko | Inā ʻoe e lawe nei i kēia ʻano lāʻau lapaʻau, pono ʻoe e kamaʻilio me kāu hui lapaʻau a hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o ke ʻoki ʻana, e like me kā lākou ʻōlelo aʻo. |
| ʻAi a me ka mea inu ma mua o ke ʻoki kino | Mai ʻai a inu paha i kekahi mea ma hope o ke aumoe i ka lā o ke ʻoki kino. |
| Nā lāʻau lapaʻau kakahiaka | ʻAe wale ke kauka iā ʻoe e lawe i ka lāʻau lapaʻau i ʻae ʻia e ia i ke kakahiaka me kahi ʻōmole wai. |
| Nā lāʻau lapaʻau | I mea e pale ai i ka maʻi, hiki i ke kauka ke kuhikuhi i nā lāʻau antibiotic e hoʻomaka i hoʻokahi lā ma mua o ke ʻoki ʻana. |
Pehea lā e hana maoli ʻia ai ke ʻoki kino?
Hana ʻia kēia ʻoki kino ma lalo o ka anesthesia laulā, ʻo ia hoʻi, ʻaʻole ʻoe e manaʻo i kekahi mea, e hiamoe ana ʻoe.
ʻO ke ʻano hana a nā kauka lapaʻau e hoʻohana pinepine ai ua kapa ʻia ʻo Anastomotic Urethroplasty . He hana maʻalahi loa kēia.
Ua ʻoki ʻia a wehe ʻia ka ʻāpana i ʻeha, ʻeha, a i ʻole ka ʻāpana i haiki ʻia o ka urethra, a ua humuhumu ʻia nā wēlau olakino ʻelua. Ua like ia me ka wehe ʻana i kahi ʻāpana paipu i haki a hoʻopili hou i nā ʻāpana maikaʻi ʻelua i koe.
Akā, e noʻonoʻo ʻoe ma hope o ka wehe ʻana i ka ʻiʻo ʻeha, ua nui iki ka hakahaka ma waena o nā wēlau olakino ʻelua i koe, e paʻakikī ai ke humuhumu iā lākou. He aha kāu e hana ai inā hana ʻia kēlā?
I ia mau hihia, lawe ke kauka lapaʻau i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi ʻāpana ʻē aʻe o kou kino a hoʻohana iā ia e hoʻopiha i ka hakahaka. ʻO ka hapa pinepine, ʻo ia ka ʻiʻo i loko o kou papālina (buccal mucosa) . ʻAʻole ʻeha loa ka lawe ʻana i kahi ʻāpana liʻiliʻi mai loko mai o kou waha. Ua like ia me ka ʻeha iki ke loaʻa iā ʻoe kahi ʻoki ma kou papālina. Eia kekahi, hoʻōla koke nā ʻeha i loko o kou waha, maʻamau i loko o hoʻokahi pule.
He aha ka mea e hana ma hope o ke ʻoki ʻana a he aha nā pilikia?
Ma hope o ke ʻoki kino, e nānā ʻia ʻoe ma ka haukapila no kahi o 24 mau hola. E hoʻokomo ʻia kahi catheter liʻiliʻi a palupalu ma o kāu penis i loko o kou ʻōpū mimi a hiki i ka wā e ola ai nā humuhumu, a e hala ana ma kahi o 3-4 mau pule. He mea ʻoluʻolu ʻole kēia, akā he mea nui ia no ka hoʻoponopono ʻana e ola pono ai. Ma hope o 3-4 mau pule, e lawe ʻia kahi X-ray e nānā inā ua ola ka hoʻoponopono ʻana, a e wehe ʻia ke catheter.
E like me nā ʻoki kino āpau, he mau pilikia liʻiliʻi kēia.
- Ke kahe ʻana o ke koko
- Nā maʻi
- ʻO ke koʻikoʻi hou
He pilikia ka hiki ʻole ke hoʻopaʻa i ka mimi a he mea kakaikahi loa ia inā hana ʻia ke ʻoki kino. Eia nō naʻe, hiki ke hoʻonui iki ʻia ka pilikia inā hana ʻia ke ʻoki kino ma hope o ka mālama ʻana i ka maʻi kanesa.
ʻO kekahi pilikia koʻikoʻi, ʻo ia ka erectile dysfunction (ED) . Ua loaʻa paha i kekahi mau kāne kēia maʻi ma mua o kēia ʻoki kino, ma hope o ka haki ʻana o ka pelvic a i ʻole ka mālama ʻana i ka maʻi kanesa. ʻAʻole e ho'ōla kēia ʻoki kino i ka ED. Pono paha ia i nā lāʻau lapaʻau ʻē aʻe ma hope. E kamaʻilio me kāu kauka e pili ana i kēia me ka wehe.
Ka holomua o ke ʻoki kino a me ka ho'ōla hou ʻana
ʻO kēia ka nūhou maikaʻi loa. Ua kiʻekiʻe loa ka holomua o kēia ʻoki kino.He hana ʻoki kino ia i loaʻa nā hopena maikaʻi loa, ʻoiai ke hana ʻia e ke kauka ʻoki kino akamai.
- ʻO ka nui o ka holomua o ke ʻoki kino no nā ʻeha i loaʻa i kahi ulia ma waena o 92% - 97% .
- ʻO ka nui o ka holomua o ke ʻoki kino ma hope o ka mālama ʻana i ka maʻi kanesa ma waena o 70% - 85% .
Hoʻi i ke ola maʻamau...
- Ke hoʻokele nei: Hiki iā ʻoe ke hoʻomaka e hoʻokele inā ʻaʻole ʻoe e hoʻohana ana i nā mea ʻeha a ma hope o ka wehe ʻia ʻana o ka paipu catheter.
- Ke hoʻi nei i ka hana: Hoʻi ka hapa nui o ka poʻe i ka hana ma hope o ka wehe ʻia ʻana o ke catheter, akā ʻo ka hana māmā wale nō ka mea i ʻōlelo ʻia no 6-8 mau pule .
- Hoʻoikaika kino: He maikaʻi ka hele wāwae ma hope o ke ʻoki kino, akā e pale i nā hana ikaika e like me ka hāpai ʻana i nā mea kaumaha a i ʻole ka pāʻani kolepa no 6-8 mau pule .
- Hana moekolohe: Hiki iā ʻoe ke hoʻi hou i ka hana moekolohe 8 mau pule ma hope o ke ʻoki kino.
Leka Lawe-Home
- ʻO ka Posterior Urethral Reconstruction kahi hana ʻoki kūikawā i hana ʻia no nā kāne nona ka urethra i haiki ma muli o nā ʻeha pelvic a i ʻole ka mālama ʻana i ka maʻi prostate.
- ʻO ka pahuhopu o kēia ʻoki kino, ʻo ia ka hoʻoponopono ʻana i ka ʻāpana i hōʻino ʻia o ka urethra a hoʻihoʻi i ke kahe maʻamau o ka mimi.
- He hana ʻoki kino kēia i loaʻa pinepine ka nui o ka holomua, no laila ʻaʻohe pono e makaʻu.
- He mea nui loa e hahai pono i nā ʻōlelo a kāu kauka ma mua a ma hope o ke ʻoki ʻana, ʻoiai e pili ana i ka catheter a me nā kapu hana.
- Mai kānalua e kamaʻilio ākea a me ka ʻoiaʻiʻo me kāu kauka e pili ana i nā pilikia āu e ʻike nei, e like me ka incontinence urinary a i ʻole ka hana moekolohe. ʻO ka loaʻa ʻana o ka ʻike kūpono a me ke kākoʻo he ʻāpana koʻikoʻi ia o ke kaʻina hana ho'ōla.
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