Ke haʻi aku kāu kauka iā ʻoe e pono ʻoe e hana i ke ʻoki kino e wehe i kou kelepa prostate ma muli o ke kanesa a i ʻole kekahi pilikia ʻē aʻe, he mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo. "He ʻoki kino nui anei kēia?", "He aha ka mea e hiki mai ana iaʻu?", "Pehea lā koʻu ola ma hope o ke ʻoki kino?" Nui paha kāu mau nīnau e hiki mai ana i ka noʻonoʻo. No laila, i kēia lā, e kamaʻilio kākou e pili ana i ka prostatectomy, a i ʻole ke ʻoki kino wehe prostate, ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.
ʻO ka mea mua, e nānā kākou, he aha ke kelepa prostate?
I ka ʻōlelo maʻalahi, he ʻōpū liʻiliʻi ka prostate i loaʻa wale i nā kāne. He like ia me ka nui o ka walnut, e pololei. Aia ia ma lalo pono o kou ʻōpū mimi. ʻO ka urethra, ka ʻōmole e lawe ana i ka mimi a me ka semen mai kou kino aku, e holo ana ma waenakonu o kēia ʻōpū.
ʻO ka hana nui o kēia gland ka hoʻohui ʻana i kahi wai i ka ejaculate. Hānai kēia wai i ka sperm a kōkua iā lākou e hele palekana. No laila he ʻāpana koʻikoʻi kēia o ka ʻōnaehana hānau kāne.
He aha nā ʻano nui o ke ʻoki ʻana o ka prostatectomy?
Hiki ke hoʻokaʻawale ʻia kēia ʻoki kino i ʻelua ʻano nui. E koho ke kauka i ke ʻano hana kūpono loa nāu ma muli o kou kūlana olakino.
1. Hoʻopau ʻana i ka prostate maʻalahi
E noʻonoʻo e like me ka ʻalani. He ʻiʻo ko ka ʻalani i loko a he ʻili i waho. Ua like iki ke kelepa prostate me ia. He ʻāpana o loko a me kahi uhi o waho (capsule). ʻO ka maʻamau, e nui aʻe kēia ʻāpana o loko i kou wā ʻelemakule.
I loko o kahi prostatectomy maʻalahi, wehe wale ke kauka lapaʻau i ka ʻāpana o loko o ka prostate gland, e like me ka wehe ʻana i ke kikowaena o kahi ʻalani. Noho paʻa ka uhi o waho. Hana pinepine ʻia kēia ʻoki no nā kūlana ʻaʻole maʻi kanesa, e like me Benign Prostatic Hyperplasia (BPH), kahi e hoʻonui ʻia ai ka prostate gland a ālai i ka mimi.
2. Hoʻopau ʻana i ka prostate radical
Ma kēia, e like me ka inoa e hōʻike nei, ua wehe ʻia ka ʻōpū prostate holoʻokoʻa. Hiki ke wehe ʻia kekahi o nā ʻiʻo a puni, nā vesicles seminal, a i kekahi manawa nā lymph nodes. A laila, hoʻopili hou ke kauka lapaʻau i kou urethra i kou ʻōpū mimi. Hoʻohana pinepine ʻia kēia ʻoki no ka maʻi kanesa prostate .
ʻO ka mea nui, hiki ke hana ʻia kēia mau ʻoki ʻelua ma ke ʻano he "Open Surgery" a me ke ʻano hou, "Keyhole Surgery" (Laparoscopic/Robotic Surgery) .
| ʻAno hana ʻoki kino | Wehewehena |
|---|---|
| ʻO ke ʻoki kino hāmama | Hana ʻia ke ʻoki ʻana ma ka hana ʻana i kahi ʻoki kū pololei i kekahi mau ʻīniha ka lōʻihi ma ka ʻōpū lalo. Hiki i ke kauka ke ʻike maopopo i ke gland a me ka ʻāpana e hoʻopuni ana. |
| ʻO ke ʻoki kino Laparoscopic/Robotic | Hana ʻia ke ʻoki ʻana ma ka hana ʻana i kekahi mau ʻoki liʻiliʻi (e like me nā lua kī) ma ka ʻōpū, ma o kekahi o ia mau mea e hoʻokomo ʻia ai kahi kāmela (laparoscope) a me nā mea hana maikaʻi. Ke hoʻohana ʻia ka ʻenehana robotic, hoʻomalu ke kauka i ka lima robotic e hana i ke ʻoki me ka pololei a me ka pololei loa. He liʻiliʻi nā ʻoki, no laila ʻoi aku ka liʻiliʻi o ka ʻeha a me ka manawa hoʻōla liʻiliʻi. |
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
Ma hope o ka hoʻonohonoho ʻana i ka lā o ke ʻoki kino, pono ʻoe e ʻike i ke kauka. E nānā ʻia kou olakino.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (kauoha, kūʻai ʻia ma luna o ke kauka, Ayurvedic, lāʻau lapaʻau). Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i ka aspirin a me nā lāʻau hoʻokahe koko i kekahi mau lā ma mua o kou ʻoki kino. Mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ka nīnau mua ʻana i kāu kauka.
- E haʻi mai iā mākou e pili ana i kāu mau maʻi ʻaleka: E hōʻoia e haʻi mai iā mākou e pili ana i nā maʻi ʻaleka āu e loaʻa ai (nā lāʻau lapaʻau, iodine, plasters, nā meaʻai).
- Ka hoʻokē ʻai ʻana: 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 ka lāʻau lapaʻau, hiki paha iā ʻoe ke lawe me kahi ʻuʻuku wai.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
ʻO ka maʻamau, ʻelua a ʻehā hola ka lōʻihi o ke ʻoki ʻana. Ma hope o ke ʻoki ʻana, e lawe ʻia ʻoe i kahi lumi hoʻōla. E lohi iki ʻoe ma hope o kou hoʻi hou ʻana i ka ʻike.
- ʻEha: ʻOi aku ka ʻeha o ke ʻoki ʻana i ka robot ma mua o ke ʻoki hāmama. Eia nō naʻe, e hāʻawi ʻia iā ʻoe nā lāʻau ʻeha e kōkua i ka mālama ʻana i ka ʻeha.
- ʻO ke catheter urethral:Ma hope o ke ʻoki ʻana, kokoke i nā kānaka a pau ke hoʻokomo ʻia kahi catheter urinary. Kōkua kēia i ka hoʻokahe ʻana i ka mimi a hiki i ka ho'ōla ʻana o ka ʻōpū mimi. Hiki ke waiho ʻia kēia catheter ma kahi no 2-3 mau lā no kahi prostatectomy maʻalahi, a no 10-14 mau lā no kahi prostatectomy radical.
- ʻAi: Hāʻawi wale ʻia ka meaʻai wai no ka lā mua a ʻelua paha. A laila, e hoʻolauna mālie i ka meaʻai maʻamau.
- Ka hele wāwae: E paipai ʻia ʻoe e ala i waho o kahi moe a hele wāwae iki mai ka lā ma hope o ke ʻoki ʻana. Hoʻomaikaʻi ka hele wāwae i ke kahe koko a kōkua iā ʻoe e ho'ōla wikiwiki.
- Noho ma ka haukapila: Hoʻokahi a ʻelua paha lā no ke ʻoki robotic, ʻekolu a ʻehā paha lā no ke ʻoki hāmama.
Nā pilikia o ke ʻoki kino a me nā loli i ke ola
E like me nā ʻoki kino āpau, aia kekahi mau pilikia. Akā e hoʻomanaʻo, i ka wā e pili ana i kahi mea e like me ke kanesa prostate, ʻoi aku ka nui o nā pono o ke ʻoki kino ma mua o nā pilikia o ka loaʻa ʻole o ka lāʻau lapaʻau.
| Nā pilikia kūpono o ke ʻoki prostatectomy | |
|---|---|
| Nā pilikia o ke ʻoki kino laulā | |
| |
| Nā pilikia kūikawā i ke ʻoki ʻana o ka prostatectomy | |
| Ka hoʻōki ʻana o ka manaʻo | Ke kahe ʻana o ka mimi me ka manaʻo ʻole i ka wā e ʻū ana, e kihe ana, a i ʻole e hoʻoikaika kino ana. No ka hapa nui o nā kānaka, e hoʻi hou kēia i ka maʻamau i loko o kekahi mau pule a i ʻole mau mahina. |
| ʻO ka hana ʻino ʻana o ka erectile | Hiki i ke ʻoki kino ke hōʻino i nā aʻalolo e kāohi ana i ka hoʻoulu ʻana i ka moekolohe. Hiki ke hoʻomaikaʻi mālie kēia ʻano i loko o kekahi mau mahina. Aia nā lāʻau lapaʻau (e laʻa me nā lāʻau hoʻopaʻa PDE-5 - Viagra®, Cialis®) no kēia. |
| ʻOrgasm maloʻo | Ma hope o ka wehe ʻia ʻana o ke kelepaʻo prostate, ʻaʻole e puka mai ka ejaculation i ka wā o ka orgasm, akā e mau ana ka hiki ke hōʻea i ka orgasm a me ka manaʻo. |
E hoʻoweliweli paha kēia mau hopena ʻaoʻao iā ʻoe. Akā e hoʻomanaʻo, ʻaʻole lākou e hana i nā mea āpau. No ka hapa nui o nā kānaka, e hoʻomaikaʻi kēia mau kūlana i ka hala ʻana o ka manawa. A hiki i kāu kauka ke kamaʻilio me ʻoe e pili ana i nā lāʻau lapaʻau a me nā hoʻoikaika kino e hiki ke kōkua i kēia mau pilikia.
Āhea wau e ʻike hou ai i ke kauka?
E hāʻawi ʻia iā ʻoe nā lā hoʻomaʻamaʻa ma hope. E hōʻoia e hele i kēlā mau lā. Eia kekahi, inā ʻike ʻoe i nā hōʻailona ma lalo nei , e kelepona koke i kāu kauka a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila.
- Ke kahe nui nei ke koko a i ʻole ka wai ʻeleʻele e kahe ana mai ka ʻoki ʻia.
- He kuni o 38 Celsius (100 Fahrenheit) a ʻoi aku paha.
- Nā hōʻailona o ka maʻi a puni ka ʻoki (pehu ʻana, ʻulaʻula, ʻeha nui, ʻala ʻino).
- ʻEha hiki ʻole ke hoʻomanawanui.
Inā ua wehe ʻia ke kelepa prostate ma muli o ke kanesa, pono e hana ʻia kahi hoʻāʻo koko i kapa ʻia ʻo PSA (Prostate-specific antigen) i kēlā me kēia manawa e ʻike ai inā ua hoʻi mai ke kanesa.
Leka Lawe-Home
- He lāʻau lapaʻau maikaʻi ka Prostatectomy no nā kūlana e like me ke kanesa prostate a me ka BPH.
- ʻO nā ʻoki ʻana i hana ʻia me ka ʻenehana robotic hou e hopena i ka emi ʻana o ka ʻeha a me ka manawa hoʻōla pōkole.
- Hiki ke loaʻa nā pilikia me ka kaohi ʻana i ka mimi a me ka mimi ma hope o ke ʻoki ʻana, akā ʻo ka hapa nui o lākou e hoʻopau me ka manawa a i ʻole hiki ke mālama ʻia me ka lāʻau lapaʻau.
- Inā he mau nīnau kāu, makaʻu, a kānalua paha e pili ana i ke ʻoki kino, e ʻoluʻolu e kūkākūkā me kāu kauka. E wehewehe ʻo ia i nā mea āpau iā ʻoe.
- ʻAʻole ʻoe hoʻokahi. Aia nā kauka, nā limahana kahu maʻi, a me kou ʻohana me ʻoe e kākoʻo iā ʻoe ma kēia huakaʻi.
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