Ke haʻi aku kāu kauka iā ʻoe e pono ʻoe e wehe loa i kekahi o kou mau puʻupaʻa, e manaʻo paha ʻoe i ka makaʻu nui a me ka haʻalulu. "He aha ka mea e hiki mai ana iaʻu inā loaʻa iaʻu ʻelua mau puʻupaʻa a wehe ʻia kekahi?" "He hana nui anei kēia?" He nui paha kāu mau nīnau i loko o kou manaʻo. He mea maʻamau loa ia. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia hana ʻoki kino i kapa ʻia ʻo Radical Nephrectomy, a e ʻimi i nā pane i nā nīnau āpau āu e noʻonoʻo nei.
He aha ka Nephrectomy Radical?
I ka ʻōlelo maʻalahi, he ʻoki kino kēia e wehe loa ai i kekahi o kou mau puʻupaʻa. Ma nā huaʻōlelo lapaʻau, ʻo "nephro" ke ʻano o "puʻupaʻa." ʻO "ectomy" ke ʻano o "ka wehe ʻana." No laila, ʻo ka nephrectomy ka wehe ʻana i kahi puʻupaʻa.
Ma kēia hana, wehe ke kauka lapaʻau i kou puʻupaʻa holoʻokoʻa, me nā ʻiʻo momona e hoʻopuni ana iā ia. I kekahi manawa, pono paha e wehe ʻia ka ʻōpū adrenal ma luna o ka puʻupaʻa a me nā lymph node a puni ka puʻupaʻa.
Akā e hoʻomanaʻo i kēia: ʻOiai he ʻelua ko kākou mau puʻupaʻa, hiki iā kākou ke ola i ke ola maʻamau me ka ʻole o nā pilikia me hoʻokahi puʻupaʻa olakino. Lawe ka puʻupaʻa ʻē aʻe i ka hana a ka puʻupaʻa i wehe ʻia a lilo i mea nui iki a hana ikaika.
No ke aha ʻoe e pono ai e hana i kēia ʻano ʻoki kino?
ʻO ke kumu nui o kēia ʻoki kino ʻana, ʻo ia ka wehe pinepine ʻana i kahi puʻupuʻu puʻupaʻa maʻi kanesa. Eia nō naʻe, hiki i kāu kauka ke ʻōlelo aku i kēia ʻoki kino no kekahi mau kumu ʻē aʻe.
- Loaʻa i ka maʻi ʻaʻai puʻupaʻa: ʻOi loa aku inā nui loa ke kanesa a i ʻole aia kahi pilikia o ka laha ʻana ma waho o ka puʻupaʻa.
- Nā maʻi puʻupaʻa pinepine: Inā ua hōʻino ʻia nā puʻupaʻa ma muli o nā maʻi hoʻomau i hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau.
- Ka hāʻule ʻana o ka puʻupaʻa: Inā ua kīnā loa kekahi puʻupaʻa ma muli o kahi ulia, maʻi, a i ʻole kekahi kumu ʻē aʻe.
- Hāʻawi ʻana i ka puʻupaʻa: Inā ʻoe e hāʻawi ana i kahi puʻupaʻa i kahi mea aloha.
He hana maʻamau kēia a hana pinepine ʻia, no laila, mai makaʻu pono ʻole iā ia.
Pehea e hoʻomākaukau ai no ke ʻoki kino?
ʻOiai he hana ʻoki kino nui kēia, e hoʻomākaukau pono ʻia ʻoe ma mua.
1. Nā hoʻokolohua lapaʻau:E hana mua kāu kauka i kekahi mau hoʻokolohua koko. E kōkua kēia i ka hoʻoholo ʻana i kāu hana kumu o nā puʻupaʻa a me kou ʻano koko. E kōkua kēia i ka loaʻa ʻana o kahi manaʻo pehea ka maikaʻi o ka hana ʻana o kou puʻupaʻa i koe ma hope o ke ʻoki ʻana. He mea nui hoʻi e ʻike i kou ʻano koko inā pono ʻoe e hāʻawi i ke koko, ʻoiai inā he pilikia ia. E nānā pū lākou i kou olakino holoʻokoʻa, e like me kou mahana, ka helu o ka pulse, a me ke koko.
2. Ke hoʻomaopopo ʻana i ke kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei: He mea nui e hoʻomaopopo i ke kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, inā paha i kuhikuhi ʻia e ke kauka , nā lāʻau hōʻoluʻolu ʻeha ma luna o ke kauka (e like me NSAID), nā mea hoʻokahe koko (e like me nā anticoagulants), nā huaora, nā lāʻau Ayurvedic a i ʻole nā lāʻau lapaʻau lāʻau. Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko i ka wā o ke ʻoki ʻana.
3. E haʻi mai iā mākou e pili ana i kāu mau maʻi ʻaleka: Inā he mau maʻi ʻaleka kou i kekahi mau lāʻau lapaʻau, latex, a iodine paha i hoʻohana ʻia e hoʻomaʻemaʻe i kou ʻili, pono ʻoe e haʻi mai iā mākou e pili ana iā lākou.
4. Meaʻai a me ka Mea Inu: E hāʻawi ʻia iā ʻoe nā kuhikuhi maopopo e pili ana i ka nui o nā hola e pono ai ʻoe e hoʻokē ʻai ma mua o ke ʻoki ʻana a me ka wā e pono ai ʻoe e hoʻōki i ka inu wai. Inā he meaʻai kāu i loko o kou ʻōpū i kou wā ma lalo o ka anesthesia, hiki iā ʻoe ke luaʻi a hiki i ka meaʻai ke komo i loko o kou mau māmā. He mea weliweli kēia. No laila e hahai pololei i nā kuhikuhi.
He aha nā ʻano hana e hana ai i kēia ʻoki kino?
ʻEkolu mau ʻano hana nui no ka hana ʻana i kahi nephrectomy radical. Na kāu kauka lapaʻau e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe ma muli o kou kūlana.
| ʻAno hana ʻoki kino | Wehewehena |
|---|---|
| Nephrectomy Radical Hāmama | Ma kēia kaʻina hana, hana ke kauka i hoʻokahi ʻoki nui ma kahi o 12 ʻīniha ka lōʻihi a hana i ke ʻoki ʻana. Hoʻohana ʻia kēia ʻano hana inā nui loa ke kanesa o ka puʻupaʻa a i ʻole inā pono e wehe ʻia kahi helu nui o nā lymph node a puni. |
| ʻO ka Nephrectomy Radical Laparoscopic | Ma kēia, ma kahi o hoʻokahi ʻoki nui, ua hana ʻia kekahi mau ʻoki liʻiliʻi, ma kahi o 1 kenimika ka nui. Hoʻokomo ʻia kahi mea hana lahilahi me kahi kāmela (laparoscope) ma o hoʻokahi ʻoki, nānā ʻia ma kahi monitor, a hoʻokomo ʻia nā mea hana maikaʻi ma o nā ʻoki ʻē aʻe e wehe i ka puʻupaʻa. ʻO kēia ke ʻano i hoʻohana nui ʻia i kēia manawa. |
| ʻO ka Nephrectomy Radical Robotic | Ua like kēia me ke ʻoki laparoscopic, akā ma ʻaneʻi ua hoʻoponopono ʻia nā mea hana ʻoki e nā lima robotic i kāohi ʻia e ke kauka. ʻAe kēia i ka hana ʻoki me ka akahele a me ka pololei. |
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
Ma hope o kou lawe ʻia ʻana i ka lumi hana, e hāʻawi ke kauka anesthesiologist iā ʻoe i ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole ʻoe e ʻeha a e hiamoe maikaʻi a hiki i ka pau ʻana o ke ʻoki ʻana.
Ma hope o kēlā,
- E hāʻawi ʻia iā ʻoe kahi catheter urinary e hoʻokahe i kou ʻōpū mimi.
- I ke ʻano o ke ʻoki laparoscopic a i ʻole ke ʻoki robotic, hana ʻia kekahi mau ʻoki liʻiliʻi a hoʻopiha ʻia ka ʻōpū me kahi liʻiliʻi o ke kinoea carbon dioxide e hana i kahi ākea ma waena o nā ʻōpū.
- Hoʻokiʻoki pono ke kauka i nā kīʻaha koko e pili ana i ka puʻupaʻa a wehe i ka puʻupaʻa, nā ʻiʻo a puni ia, a me nā ʻāpana ʻē aʻe inā pono.
- Ma hope o ke ʻoki ʻana, hiki ke kau ʻia kahi ʻōmole liʻiliʻi (ʻauwaha ʻokiʻoki) e hoʻokahe i ka wai keu a me ke koko.
- ʻO ka hope loa, ua pani ʻia nā ʻoki me nā humuhumu a i ʻole nā staples.
Hiki i kēia kaʻina hana holoʻokoʻa ke hala i 3 mau hola a ʻoi aku paha.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ke pau ke ʻoki ʻana, e hoʻoneʻe ʻia ʻoe i kahi lumi hoʻōla. E mālama pono ke kime lapaʻau iā ʻoe a hiki i kou hoʻi hou ʻana i ka ʻike a paʻa kou kūlana.
- Kaohi ʻeha: Ke manaʻo ʻoe i ka ʻeha, hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e pono ai.
- 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 hele iki mai ka lā ma hope o ke ʻoki ʻana. Hoʻomaikaʻi ka hele wāwae i ke kahe koko a kōkua i ka ho'ōla wikiwiki ʻana o nā ʻeha. He mea nui loa hoʻi e pale i nā pilikia e like me ke koko i loko o nā wāwae a me ka maʻi pneumonia.
- Ke hoʻi ʻana i ka home: Ke hoʻoholo ka hui lapaʻau ua maikaʻi ʻoe, e ʻae ʻia ʻoe e hoʻi i ka home. No ka mea ʻaʻole hiki iā ʻoe ke hoʻokele, e noi i kahi lālā o ka ʻohana a i ʻole hoaaloha e hele pū me ʻoe. He mea nui e loaʻa kekahi e mālama iā ʻoe no nā lā mua ma hope o kou hoʻi ʻana i ka home.
Pehea ka lōʻihi e hoʻōla ai? A hiki anei ke hoʻi hou?
ʻO ka manawa e pono ai no kou ho'ōla piha ʻana ma muli o ke ʻano o ke ʻoki kino āu i hana ai. ʻOiai ʻo ke ʻoki kino hāmama e lawe ana ma kahi o 8-12 mau pule, ʻoi aku ka wikiwiki o ka ho'ōla ʻana ma hope o ke ʻoki laparoscopic. Pono paha ʻoe e pale i ka hāpai kaumaha a me nā hana luhi no kekahi manawa.
Hiki iā ʻoe ke hoʻi i ka hana ma kahi o 4 mau pule. Eia nō naʻe, inā he hana koi kino kāu, pono paha ʻoe e hoʻomaha no ka manawa lōʻihi. E kamaʻilio me kāu kauka e pili ana i kēia a e kiʻi i ka ʻōlelo aʻoaʻo.
Inā loaʻa iā ʻoe ke ʻoki kino no ke kanesa puʻupaʻa, he mea kākaʻikahi loa ka hoʻi ʻana mai o ke kanesa ma kahi ʻē aʻe o ke kino a kokoke paha i kahi i ʻoki ʻia ai. No laila he mea nui loa ka loaʻa ʻana o nā kipa hoʻomaʻamaʻa mau ma hope o ke ʻoki kino.
I ka manawa hea e ʻike ai i ke kauka
Ma hope o ke ʻoki ʻana, e hoʻonohonoho ʻia ʻoe e nānā i kou mau ʻeha a wehe ʻia nā humuhumu. Inā ua hana ʻia ke ʻoki ʻana no ka maʻi kanesa, pono ʻoe e loaʻa i nā hoʻokolohua e like me nā scan CT , nā hoʻokolohua koko a me ka mimi i nā manawa maʻamau e nānā ai no ka hoʻi hou ʻana.
Eia kekahi, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila kokoke loa ʻo Emergency Department (ETU) .
| Nā hōʻailona hōʻike e makaʻala ai | |
|---|---|
| Ke kahe nui ʻana o ke koko mai ka ʻeha | Inā he kahe mau ke koko mai nā ʻoki. |
| Nā hōʻailona o ka maʻi | Ua pehu ka ʻeha, ʻulaʻula, e kahe ana kahi wai e like me ka pus ʻala pilau, a i ʻole he kuni ma luna o 37.8 Celsius (100 Fahrenheit). |
| Ke koko i loko o ka mimi (Hematuria) | Inā he koko kou i loko o kou mimi. |
| ʻEha nui | ʻEha nui a puni ka ʻeha a i ʻole i loko o ka ʻōpū hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau. |
Leka Lawe-Home
- He ʻoki kino nui ka nephrectomy radical e wehe loa ai i hoʻokahi puʻupaʻa. Hana pinepine ʻia ia no ka maʻi ʻaʻai puʻupaʻa.
- Inā hoʻokahi kou puʻupaʻa olakino i koe, hiki iā ʻoe ke ola i kahi ola maʻamau a piha me ia. E ikaika aʻe ana ke koena o ka puʻupaʻa i ka hala ʻana o ka manawa.
- Ma mua o ke ʻoki ʻana, he mea nui loa ia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei a me nā maʻi allergies āu e loaʻa nei.
- ʻOi aku ka wikiwiki o ka hoʻōla ʻana ma hope o ka laparoscopic a me nā ʻoki robotic.
- Inā ʻike ʻoe i kekahi mau hōʻailona ma hope o ke ʻoki ʻana, e like me ke kuni, ke kahe nui ʻana o ke koko, a i ʻole ka pus mai ka ʻeha, e ʻimi koke i ke kōkua lapaʻau.
- ʻO ka hahai ʻana i kahi nohona olakino a me ka hele ʻana i nā hoʻokolohua lapaʻau i hoʻonohonoho ʻia ma hope o ke ʻoki ʻana he mea nui ia no kou olakino lōʻihi.
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