E aʻo kākou e pili ana i ka Radical Nephrectomy, kahi ʻoki kino e wehe loa ai i kahi puʻupaʻa.

Malia paha ua haʻi ʻia aku iā ʻoe a i ʻole kekahi o kou ʻohana e kāu kauka he puʻupuʻu kou a pono e wehe loa ʻia. He mea maʻamau ka manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēlā. Akā i ka wā e ʻike ai ʻoe i ka ʻike kūpono e pili ana i kēia, e hoʻemi nui ʻia kēlā makaʻu. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻoki kino e wehe loa i kahi puʻupaʻa, i kapa ʻia ʻo 'radical nephrectomy.'

He aha ka Nephrectomy Radical?

I ka ʻōlelo maʻalahi, ʻo ka nephrectomy radical ka wehe ʻana i kekahi o kou mau puʻupaʻa. Pili kēia i ka wehe ʻana ʻaʻole wale i ka puʻupaʻa akā i nā ʻiʻo momona e hoʻopuni ana iā ia. I kekahi manawa, pono paha e wehe ʻia ka adrenal gland a me nā lymph nodes e hoʻopuni ana.

ʻO ke ʻano o "Nephro" ʻo ia hoʻi "puʻupaʻa." ʻO "Ectom" ʻo ia hoʻi "ka wehe ʻana." ʻOiai he ʻelua ko kākou mau puʻupaʻa, inā hana maikaʻi kekahi puʻupaʻa, hiki iā kākou ke ola me ka ʻole o nā pilikia.

No ke aha ʻoe e pono ai i kēia ʻoki kino?

ʻO ke kumu nui no nā poʻe he nui e hana ai i kēia ʻoki kino, ʻo ia ka wehe ʻana i kahi puʻupuʻu kanesa i loko o ka puʻupaʻa . Eia nō naʻe, hiki i kāu kauka ke ʻōlelo aku i kēia ʻoki kino no kekahi mau kumu ʻē aʻe.

• Inā loaʻa pinepine iā ʻoe nā maʻi puʻupaʻa.
• Inā ʻaʻole e hana hou ana kou mau puʻupaʻa (ka hāʻule ʻana o ka puʻupaʻa).
• Ma ke ʻano he lāʻau lapaʻau no nā maʻi puʻupaʻa ʻē aʻe a i ʻole ka hōʻino ʻana o ka puʻupaʻa.
• Inā ʻoe e hāʻawi i kahi puʻupaʻa i kekahi kanaka ʻē aʻe (hāʻawi puʻupaʻa).

He hana ʻoki kino nui anei kēia?

ʻAe, ʻo ka nephrectomy radical he ʻoki kino nui . Pono ʻoe e noho ma ka haukapila no hoʻokahi pō ma hope o ke ʻoki kino. Pono paha ʻoe e noho no kekahi mau lā. Akā i kēia manawa, hana pinepine nā kauka ʻoki kino i kēia ʻoki kino me ka hoʻohana ʻana i kahi ala minimally invasive . ʻO ia hoʻi, hana ʻia ia ma o kekahi mau ʻoki liʻiliʻi, ma mua o kahi ʻoki nui, i hiki iā ʻoe ke hoʻōla koke a hoʻi i ka home.

Pehea mākou e hoʻomākaukau ai ma mua o ke ʻoki kino?

Ma mua o ke ʻoki ʻana, e hana kāu kauka i kekahi mau hoʻokolohua e hoʻoholo ai i kou kūlana olakino pololei.

• Nā hoʻāʻo koko: He mea nui kēia e ʻike i ke ʻano o ka hana ʻana o kou mau puʻupaʻa a e ʻike i ke ʻano o kou koko. Hiki ke kōkua kēia inā pono ʻoe e hāʻawi i ke koko i ka wā o ke ʻoki ʻana (akā he mea kākaʻikahi loa kēia).
• Hoʻokolokolo kino: E nānā ʻia kou olakino laulā ma ka nānā ʻana i nā mea e like me kou mahana, ka pulse, a me ke koko.

Pono ʻoe e haʻi i kāu kauka e pili ana i kēia mau mea:

• E noi ʻia ʻoe e hoʻōki i ka lawe ʻana i nā lāʻau lapaʻau āu e lawe nei (me nā lāʻau lapaʻau a me nā lāʻau hoʻomaha ʻeha a me nā huaora i kūʻai ʻia ma ke kauka), ʻoiai nā lāʻau hoʻokahe koko, ma mua o ke ʻoki ʻana.
• E pili ana i kekahi mau maʻi ʻaleka āu e loaʻa ai. ʻO ia hoʻi, he maʻi ʻaleka i nā lāʻau lapaʻau, latex, iodine, a me nā mea ʻē aʻe, i hoʻohana ʻia e hoʻomaʻemaʻe i ka ʻili.

E loaʻa nō hoʻi iā ʻoe nā ʻōlelo kūikawā e pili ana i ka mea e ʻai ai a inu ai ma mua o ke ʻoki ʻana. ʻO ka maʻamau, ʻaʻole ʻoe e ʻae ʻia e ʻai a inu paha i kekahi mea no kekahi mau hola ma mua o ke ʻoki ʻana. ʻO kēia no ka mea inā he meaʻai kāu i loko o kou ʻōpū i kou wā ma lalo o ka anesthesia, hiki ke luaʻi ʻia a i loko o kou mau māmā.

He aha nā ʻano hana e hana ai i kēia ʻoki kino?

Hana ʻia ke ʻoki nephrectomy radical ma ʻekolu mau ʻano nui. Na kāu kauka lapaʻau e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe.

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

ʻAʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki kino. E hāʻawi ke kauka anesthesiologist iā ʻoe i ka anesthesia laulā, no laila e hiamoe maikaʻi ʻoe a hiki i ka pau ʻana o ke ʻoki kino. Ma hope o kou nalowale ʻana o ka ʻike, e hoʻokomo kahi kahu maʻi i kahi catheter urinary.

I ka wā o ke ʻoki laparoscopic a i ʻole ke ʻoki robotic, hoʻopiha kāu kauka i kou ʻōpū me ke kinoea kalapona dioxide. ʻOi aku ka maʻalahi o ka ʻike ʻana i nā ʻōpū i loko. Pani ʻia nā kīʻaha koko e pili ana i ka puʻupaʻa, a wehe pono ʻia ka puʻupaʻa a me nā ʻāpana pono ʻē aʻe. A laila pani ʻia nā ʻoki me nā humuhumu.

Hiki i ke ʻoki kino holoʻokoʻa ke hala i ʻekolu hola a ʻoi aku paha.

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

Ma hope o ke ʻoki ʻana, e lawe ʻia ʻoe i kahi lumi hoʻōla. I kou hoʻi hou ʻana i ka ʻike, e nānā pono ke kime lapaʻau i kou kūlana.

• E hāʻawi ʻia iā ʻoe nā lāʻau ʻeha e kāohi i ka ʻeha.
• No ka lā mua a ʻelua paha, ʻaʻole ʻoe e hāʻawi ʻia i kahi mea e ʻai ai. ʻO nā wai wale nō e hāʻawi ʻia. A laila, e hoʻolauna mālie ʻia ʻoe i ka meaʻai maʻamau.
• E paipai ʻia ʻoe e hele wāwae mai ka lā ma hope o ke ʻoki ʻana. Hoʻolalelale ka hele wāwae i ke kaʻina hana ho'ōla a hōʻemi i ka pilikia o nā pilikia e like me ke koko ʻana a me ka maʻi niumonia.
• Hoʻoneʻe pinepine ʻia ka catheter urinary ma kahi o hoʻokahi lā.

Ke hoʻoholo ʻia kou olakino e maikaʻi, e ʻae ʻia ʻoe e hoʻi i ka home. Pono ʻoe e hele pū me kahi lālā o ka ʻohana no ka mea ʻaʻole hiki iā ʻoe ke hoʻokele. He mea nui loa hoʻi ka loaʻa ʻana o kekahi e mālama iā ʻoe no kekahi mau lā ma hope o kou hoʻi ʻana i ka home.

Aia kekahi mau hopena ʻaoʻao a i ʻole nā ​​​​pilikia?

E like me nā ʻoki kino āpau, loaʻa i kēia kekahi mau pilikia.

• Maʻi
• Ke kahe ʻana o ke koko
• Nā ʻūpā koko
• Nā pilikia ma muli o ka anesthesia
• Ka ʻeha

I ka manawa kākaʻikahi loa, hiki i kou puʻupaʻa i koe ke lilo i mea hana ʻole a loaʻa paha kahi maʻi. E haʻi aku kāu kauka iā ʻoe i nā mea hou aʻe e pili ana i kēia.

ʻEhia ka lōʻihi e hoʻōla ai ma hope o ke ʻoki kino?

Aia ka manawa hoʻōla i ke ʻano o ke ʻoki kino āu i hana ai. E hoʻōla koke ʻoe ma hope o ke ʻoki laparoscopic ma mua o ke ʻoki kino hāmama.

Hiki iā ʻoe ke hoʻi i ka hana a i ʻole ke kula ma hope o 4 mau pule. Eia nō naʻe, pono paha ʻoe e kali ma kahi o 8 a 12 mau pule ma mua o ka hana ʻana i kekahi mea luhi, e like me ka hāpai ʻana i nā mea kaumaha. E aʻo aku kāu kauka iā ʻoe i ka manawa kūpono nou.

Āhea ʻoe e pono ai e kamaʻilio me ke kauka?

Ma hope o ke ʻoki kino, pono ʻoe e hele i ke keʻena lapaʻau i nā lā i hoʻonohonoho ʻia e ʻike i kāu kauka. Eia kekahi, inā ua hana ʻia ʻoe i ke ʻoki kino no ka maʻi ʻaʻai puʻupaʻa, pono ʻoe e loaʻa i nā hoʻokolohua hahai , e like me nā scan CT , e ʻike ai inā ua hoʻi mai ke kanesa.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona i kou wā ma ka home ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.

• Ke kahe koko nui mai nā ʻoki.
• Nā hōʻailona o ka maʻi (ʻala ʻino e puka mai ana mai ka ʻeha, ka pehu melemele/ʻōmaʻomaʻo e puka mai ana, ke kuni ).
• Ke koko i loko o ka mimi (hematuria).