Ua ālai ʻia ka ureter o kou puʻupaʻa? E kamaʻilio kākou e pili ana i kēia ʻoki Pyeloplasty!

E noʻonoʻo paha ʻoe i kekahi manawa pehea ka maʻalahi o ka hana ʻana o nā ʻōnaehana o ko mākou kino me ka ʻike ʻole ʻia. Akā e noʻonoʻo i ka mea e hana ʻia inā ua ālai ʻia ka ʻōmole maikaʻi e hana ana i ka mimi mai nā puʻupaʻa, e iho ana i ka ʻōpū mimi, ma kekahi wahi? ʻO ia ke ʻano o ka ālai ʻana e hoʻoulu pinepine ai i ka ʻeha a me ka pehu ʻana o nā puʻupaʻa. ʻO kahi lāʻau lapaʻau no kēia he ʻoki kino i kapa ʻia ʻo 'Pyeloplasty'. Mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau me ka maʻalahi a me ka maopopo.

I ka ʻōlelo maʻalahi, he aha ka Pyeloplasty?

I mea e hoʻomaopopo ai i kēia, e nānā mua kākou i ke ʻano o ka hana ʻana o kā mākou ʻōnaehana mimi. Hana ʻia ka mimi e nā puʻupaʻa ʻelua i loko o ko kākou kino. ʻO ka mimi i hana ʻia ma kēia ʻano e hōʻiliʻili i loko o kahi ʻāpana e like me ka funnel i loko o ka puʻupaʻa. Kāhea mākou i kēia ʻo `(Renal Pelvis)`. A laila, hele kēia mimi i lalo i kahi ʻōmole lahilahi a hōʻiliʻili i loko o ka ʻōpū mimi. Ua kapa ʻia kēia ʻōmole ʻo `(Ureter)`.

I kēia manawa, e noʻonoʻo ʻoe aia kahi ālai a i ʻole kahi mea e ālai ai ma kahi e pili ai ka funnel o ka puʻupaʻa (`Renal Pelvis`) a me ka ʻōmole e hoʻomaka ana mai ia mea (`Ureter`), ʻo ia hoʻi, ma ka `(Ureteropelvic Junction - UPJ)`. He aha ka mea e hana ʻia a laila? ʻAʻole hiki i ka mimi ke iho i lalo a hoʻomaka e hoʻopiha i loko o ka puʻupaʻa. E like me ka wā e paʻa ai kahi paipu wai i waenakonu, e hoʻopiha ka wai i hope. ʻO kēia ke kumu o ka pehu ʻana o ka puʻupaʻa , kahi a nā kauka i kapa ai he `(Hydronephrosis)`. Eia kekahi , hiki ke loaʻa ka ʻeha ma ke kua, nā maʻi pinepine o ke ala mimi, a i ka hala ʻana o ka manawa, hiki ke hōʻino ʻia ka puʻupaʻa .

ʻO wai ka mea e pono ai kēia ʻoki kino?

ʻO kēia kūlana, i kapa ʻia ʻo "UPJ" obstruction, he mea hānau mai i kekahi manawa. Ma ka awelika, hoʻokahi i loko o 1,500 mau keiki i hānau ʻia me kēia kūlana. Eia nō naʻe, i ka hapa nui o nā hihia, hoʻopau ia iā ia iho i ka wā e piha ai ke keiki i 18 mau mahina. Inā hoʻomau ia, e like me ka hoʻomau ʻana o ka pehu ʻana o ka puʻupaʻa a i ʻole ka maʻi ʻana, hiki i nā kauka ke ʻōlelo aku i ke ʻoki kino.

Eia kekahi, hiki ke ʻike ʻia kēia ʻano ma hope aku i nā keiki makua, nā ʻōpio, a me nā mākua. Inā ʻike kāu kauka ua pehu kou puʻupaʻa (Hydronephrosis) ma kahi ultrasound a i ʻole CT scan, manaʻo paha lākou he mea paʻa ke kumu i ka UPJ. Pono paha kēia ʻoki kino.

Pehea e hana ʻia ai kēia ʻoki kino? Hana ʻoe i kahi ʻoki nui?

ʻAʻole. Me ka ʻenehana holomua o kēia wā, hana pinepine ʻia kēia me nā ʻoki liʻiliʻi loa . Akā aia kekahi mau ʻano hana. E nānā kākou i ke ʻano o lākou.

He aha kāu e hana ai ma mua o ke ʻoki kino?

Na kāu kauka e hāʻawi iā ʻoe i nā kuhikuhi no ke ʻano o ka hoʻomākaukau ʻana no kāu ʻoki ʻana, a he mea nui loa ia e hahai pololei iā lākou.

• ʻAi ʻole: E noi ʻia ʻoe e hōʻole i ka ʻai ʻana a i ʻole ka inu ʻana no kahi o 8 mau hola ma mua o ke ʻoki kino.
• Nā lāʻau lapaʻau: Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau ʻē aʻe, e nīnau i kāu kauka inā pono ʻoe e hoʻōki i ka lawe ʻana iā lākou a i ʻole inā hiki iā ʻoe ke lawe iā lākou me kahi wai. Mai hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.
• Kekahi e kōkua iā ʻoe: Pono ʻoe e noho i ka haukapila no hoʻokahi a ʻelua paha lā ma hope o ke ʻoki ʻana. E hoʻonohonoho mua no kekahi e hele pū me ʻoe i ka home.

He aha kāu e manaʻo ai ma hope o ke ʻoki kino?

ʻO ka maʻamau, pono ʻoe e noho i ka haukapila no hoʻokahi a ʻelua paha lā. I loko o kēia manawa:

• Hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau ma hope o ke ʻoki ʻana.
• Hiki iā ʻoe ke hele a puni iki, neʻe iki a puni. Akā, he mea nui e hoʻomaha, e like me ka ʻōlelo a ke kauka.
• Hāʻawi ʻia nā lāʻau antibiotic e pale aku i nā maʻi.
• Hiki ke kau ʻia kahi catheter Foley. E wehe ʻia ia ke hoʻi ʻoe i ka home.
• Hiki i ke ʻoki kino ke hoʻoulu i ka pehu ʻana o ka urethra, kahi e hiki ai ke hōʻeha a me nā ʻūmiʻi o ka ʻōpū mimi. E hāʻawi ke kauka i nā lāʻau hoʻomaha ʻeha e pono ai no kēia.

He aha ke ʻano o ke kau ʻana i kahi stent?

I ka manawa pinepine, i ka wā o kēia ʻoki kino, ua hoʻokomo ʻia kahi ʻōmole palaki lahilahi loa i loko o ka ureter i hoʻopili hou ʻia e hoʻopaʻa iā ia a hiki i ka wā e ola ai. Ua kapa ʻia kēia he `(Stent).` He mea kēia i kau ʻia no kekahi manawa. Hoʻoneʻe ʻia kēia `(Stent)` ma hope o ka ola ʻana o ka puʻupaʻa i loko o kekahi mau pule.

He aha nā pono a me nā pilikia?

E like me nā ʻoki kino āpau, aia nā pono a me nā pilikia e pili ana. E wehewehe pono kāu kauka i kēia mau mea iā ʻoe.

Ka manawa hoʻōla a pehea e mālama ai ma ka home

E hoʻomaka pinepine ʻoe e ʻoluʻolu i loko o hoʻokahi a ʻelua paha pule . A hiki i ka wehe ʻia ʻana o ka stent, hiki iā ʻoe ke ʻike i kekahi ʻeha i ka wā e mimi ai a me kahi koko liʻiliʻi i loko o kou mimi. He mea maʻamau kēia. E hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i loko o ʻekolu a ʻehā pule .

E mālama i kēia mau mea ma ka home:

• E inu i ka nui o ka wai. He mea maikaʻi loa ka inu ʻana ma ka liʻiliʻi he 2-3 lita o ka wai i ka lā.
• E lawe i nā lāʻau lapaʻau (nā painkillers, nā antibiotics) i kauoha ʻia e ke kauka i ka manawa kūpono.
• E wehe i ke kāʻei mai ka ʻoki ʻia e like me ke kuhikuhi a kāu kauka. E mālama iā ia maʻemaʻe a maloʻo.
• Mai ʻauʻau i loko o kahi poho holoi. Hiki iā ia ke hoʻoulu i nā maʻi. He mea maikaʻi ke ʻauʻau.
• E pale i ka hāpai ʻana i nā mea kaumaha a i ʻole ka hana ʻana i ka hana luhi no ʻehā a ʻeono pule.

Āhea ʻoe e ʻike koke ai i ke kauka?

• Ka luaʻi mau ʻana a i ʻole ka luaʻi ʻana .
• Nā hōʻailona o ka maʻi e like me ke kuni , ka ʻulaʻula a puni ka ʻoki, ka pehu ʻana, a me ka kahe ʻana o ka pus.
• ʻEha nui hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau.
• Inā he ʻulaʻula ʻeleʻele ka mimi a he nui ke kahe koko me nā ʻōpū koko.
• Inā loaʻa iā ʻoe ka ʻeha o ka umauma a i ʻole ka paʻakikī o ka hanu ʻana , e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.

Ua ʻoi aku ka holomua o kēia ʻoki kino ma mua o 95%, ʻo ia hoʻi he ʻeiwa mai loko mai o ka ʻumi o nā kānaka. No laila, ʻaʻohe pono e hopohopo no kēia. Akā inā ʻōlelo ke kauka e pono ana ʻoe a i ʻole kāu keiki i kēia ʻoki kino, e kamaʻilio me ia e pili ana i nā nīnau, nā makaʻu, a i ʻole nā ​​kānalua āu e pili ana i ia mea. Ma kēlā ʻano, e loaʻa iā ʻoe kahi ʻike maikaʻi a me ka maluhia o ka noʻonoʻo.