Ua haʻi ʻia anei ʻoe a i ʻole kekahi āu i ʻike ai e ke kauka e pono e wehe loa ʻia kahi puʻupaʻa? He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēlā mau ʻōlelo. ʻO nā nīnau e like me "Pehea wau e ola ai me ka ʻole o kahi puʻupaʻa?" e hiki mai ana paha i ka noʻonoʻo. Akā, mai hopohopo. E kamaʻilio kākou e pili ana i kēia ʻoki kino, i kapa ʻia ʻo 'Radical Nephrectomy', ma nā ʻōlelo maʻalahi a loaʻa nā pane i nā nīnau āpau āu e noʻonoʻo nei.
He aha ka Nephrectomy Radical?
I ka ʻōlelo maʻalahi, he ʻoki kino kēia. Ma kēia, ua wehe ʻia kou puʻupaʻa holoʻokoʻa. Ma nā huaʻōlelo lapaʻau, ʻo "nephro" ke ʻano o "puʻupaʻa" a ʻo "ectomy" ke ʻano o "e wehe." No laila ke kuhikuhi nei ka inoa iā ia, ʻeā?
ʻAʻole wale ka puʻupaʻa e wehe ʻia e kēia ʻoki kino akā ʻo ka ʻiʻo momona e hoʻopuni ana iā ia. I kekahi manawa, pono paha e wehe ʻia ka ʻōpū adrenal a me nā lymph node e hoʻopuni ana.
ʻOiai he nui ka poʻe he ʻelua puʻupaʻa, hiki iā lākou ke ola maikaʻi me hoʻokahi puʻupaʻa olakino me ka ʻole o nā pilikia. I ka hala ʻana o ka manawa, e ulu iki aʻe a ikaika hoʻi ke koena o ka puʻupaʻa, a hoʻomaka e hana i ka hana o nā puʻupaʻa ʻelua.
No ke aha ʻoe e pono ai i kēia ʻoki kino?
ʻO ka hapa nui, ʻo ke kumu nui o 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 nā kumu ʻē aʻe.
- Nā maʻi puʻupaʻa pinepine: Loaʻa i kekahi poʻe nā maʻi puʻupaʻa e hana hou ana.
- Ka hāʻule ʻana o ka puʻupaʻa: Ke pau loa ka hana ʻana o ka puʻupaʻa ma muli o kahi maʻi a i ʻole kahi ulia.
- Nā maʻi puʻupaʻa ʻē aʻe a i ʻole nā pōʻino: Ma muli o nā kūlana olakino ʻē aʻe i hiki ʻole ke kaohi.
- Hāʻawi ʻana i nā puʻupaʻa: Hana ʻia kēia ʻoki kino ke hāʻawi aku kekahi kanaka i ko lākou puʻupaʻa olakino i kekahi kanaka ʻē aʻe.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
ʻOiai he hana ʻoki kino nui kēia, e hoʻomākaukau pono ʻia ʻoe ma mua.
- Nā hoʻāʻo lapaʻau: E hana ʻia nā hoʻāʻo koko a me ka mimi e nānā i kāu hana puʻupaʻa o kēia manawa. E nānā ʻia hoʻi kou ʻano koko inā pono ʻoe e hāʻawi koko i ka wā o ke ʻoki ʻana. E nānā ʻia hoʻi kou olakino laulā, e like me ke kuni, ka pulse, a me ke koko.
- ʻIke Lāʻau Lapaʻau: He mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia a kūʻai ʻia ma luna o ke kauka), me nā huaora a me nā mea hoʻohui lāʻau lapaʻau . Hiki i kekahi mau lāʻau hoʻomaha ʻeha (NSAID) a me nā mea hoʻokahe koko (anticoagulants) ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko i ka wā o ke ʻoki ʻana.
- Nā maʻi ʻaleka: E haʻi mai iā mākou e pili ana i nā maʻi ʻaleka āu e loaʻa ai. Eia kekahi laʻana, nā maʻi ʻaleka i kekahi mau lāʻau lapaʻau, latex, a i ʻole iodine i hoʻohana ʻia e hoʻomaʻemaʻe i ka ʻili.
- Mai ʻai a inu paha: ʻAʻole ʻoe e ʻae ʻia e ʻai a inu paha i kekahi mea no kekahi mau hola ma mua o ke ʻoki kino. ʻO kēia no ka mea inā he meaʻai kāu i loko o kou ʻōpū i kou wā ma lalo o ka anesthesia, aia kahi pilikia e luaʻi ʻoe a komo i loko o kou mau māmā. Hiki ke lilo kēia i mea weliweli.
He aha nā ʻano hana ʻoki kino?
Hana ʻia ke ʻoki ʻana o ka Radical Nephrectomy ma ʻekolu mau ʻano nui. Na kāu kauka e hoʻoholo i ke ʻano hana e kūpono loa i kou kūlana.
| ʻAno hana ʻoki kino | Wehewehena |
|---|---|
| Nephrectomy Radical Hāmama | Ma kēia kaʻina hana, hana ke kauka ʻoki i hoʻokahi ʻoki nui, ma kahi o 12 ʻīniha ka lōʻihi. Hoʻohana ʻia kēia ʻano hana inā nui loa ka puʻupuʻu i loko 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 | ʻO kēia ke ʻano hana i hoʻohana nui ʻia i kēia manawa. Ma kahi o hoʻokahi ʻoki nui, hana ʻia kekahi mau ʻoki liʻiliʻi (ma kahi o 1 kenimika) ma ka ʻōpū a i ʻole ka ʻūhā. Ma o kēia mau ʻoki, hoʻokomo ʻia kahi mea lahilahi me kahi kāmela (laparoscope) a me nā mea hana ʻoki ʻē aʻe a hana ʻia ke ʻoki. |
| ʻO ka Nephrectomy Radical Robotic | Ua like kēia me ke ʻano laparoscopic, akā ma ʻaneʻi ua hoʻoponopono ʻia nā mea hana ʻoki e kahi lima robotic i kāohi ʻia e ke kauka. ʻAe kēia i ka hana ʻoki kino akahai loa a pololei hoʻi. |
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
ʻEkolu hola a ʻoi aku paha ka lōʻihi o ke ʻoki ʻana. Ke pau ke ʻoki ʻana, e hoʻāla ke kauka anesthesiologist iā ʻoe. Akā e hiamoe ʻoe no kekahi manawa.
E lawe ʻia ʻoe i kahi lumi hoʻōla, kahi e nānā ʻia ai kou olakino a e hāʻawi ʻia iā ʻoe nā lāʻau lapaʻau e kāohi ai i ka ʻeha.
- ʻAi: ʻO ka meaʻai wai wale nō ka mea e hāʻawi ʻia i ka lā mua. Ma hope, hiki iā ʻoe ke ʻai mālie i ka meaʻai maʻamau.
- Ka hele wāwae: Paipai ʻia ʻoe e hele iki mai ka lā ma hope o ke ʻoki ʻana. Hoʻomaikaʻi ka hele wāwae i ke kahe koko, kōkua iā ʻoe e ho'ōla wikiwiki, a hiki ke kōkua i ka pale ʻana i nā pilikia e like me nā ʻōpū koko i kou mau wāwae.
- ʻO ke catheter urinary: ʻO ka catheter urinary i kau ʻia i ka wā o ke ʻoki ʻana e wehe pinepine ʻia i ke kakahiaka aʻe.
- Hoʻokuʻu ʻia mai ka haukapila: E ʻae ʻia ʻoe e hoʻi i ka home ke hoʻomaikaʻi kou kūlana. Inā ua hana ʻia ʻoe i ke ʻoki kino ākea, pono ʻoe e noho i ka haukapila no kekahi mau lā. Ma hope o ke ʻoki laparoscopic, hiki iā ʻoe ke hoʻi koke i ka home. He mea nui e hele pū kekahi me ʻoe i ka home.
ʻEhia ka lōʻihi e ho'ōla ai?
Aia ka manawa hoʻōla i ke ʻano o ke ʻoki kino āu i hana ai. ʻOi aku ka lōʻihi o ka hoʻōla ʻana no ke ʻoki kino hāmama. ʻO ka maʻamau, hiki ke hala ma waena o 8 a me 12 mau pule e hoʻōla piha ai a hoʻomaka hou i nā hana e like me ka hāpai kaumaha.
Hiki iā ʻoe ke hoʻi i ka hana māmā, e like me ke keʻena , ma kahi o 4 mau pule . Eia nō naʻe, inā he hana koi kino kāu, hiki ke lōʻihi. E kamaʻilio me kāu kauka e pili ana i kēia a loaʻa i ka ʻōlelo aʻoaʻo kūpono.
Nā kūlana i ka wā e pono ai ʻoe e ʻike koke i ke kauka
He mea nui loa ka nānā ʻana i kou kūlana ma hope o kou hoʻi ʻana i ka home. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila.
- Ke kahe nui ʻana o ke koko mai ka ʻeha ʻoki.
- ʻO ka pehu ʻana, ka ʻulaʻula, ka wai e like me ka pus ʻala pilau a puni ka ʻeha, a i ʻole ke kuni ma luna o 37.8 Celsius (100 Fahrenheit) he mau hōʻailona ia o ka maʻi.
- Ke koko i loko o ka mimi (hematuria).
Inā ua hana ʻia ʻoe i ke ʻoki kino no ke kanesa, e kauoha kāu kauka i nā hoʻokolohua e like me ka CT scan a me nā hoʻokolohua koko a me ka mimi i nā manawa maʻamau e nānā no ka hoʻi hou ʻana. He mea nui loa ia e hana mau i kēia mau hoʻokolohua me ka ʻole o ka haʻalele ʻana iā lākou.
Leka Lawe-Home
- ʻO ka nephrectomy radical kahi ʻoki kino nui e wehe loa ai i kahi puʻupaʻa.
- Hana nui ʻia kēia no ka mālama ʻana i nā maʻi koʻikoʻi e like me ke kanesa o ka puʻupaʻa.
- Hoʻohana nui ʻia ke ʻoki laparoscopic (ʻoki ʻana ma o nā ʻoki liʻiliʻi) i kēia manawa a hiki i ka hoʻōla wikiwiki ʻana.
- He hiki loa ke ola i kahi ola maʻamau a olakino me hoʻokahi puʻupaʻa olakino.
- E kamaʻilio ākea me kāu kauka e pili ana i nā makaʻu, nā kānalua, a i ʻole nā nīnau āu e pili ana i ke ʻoki kino. E hāʻawi kēia iā ʻoe i ka maluhia o ka noʻonoʻo.
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