I ka wā i haʻi aku ai kāu kauka iā ʻoe ua loaʻa iā ʻoe ka maʻi kanesa, ua haʻi aku anei ʻo ia iā ʻoe e pili ana i ke ʻoki kino RPLND? Ua manaʻo paha ʻoe i kahi makaʻu iki a me ka hopohopo e ka inoa. Akā, mai hopohopo. He ʻoki kino koʻikoʻi loa kēia i hana ʻia e hoʻōki i ka laha ʻana o nā hunaola kanesa i loko o kou kino. No laila, e kamaʻilio maʻalahi kākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
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He aha ke ʻano o ke ʻoki kino RPLND?
I ka ʻōlelo maʻalahi, ʻo RPLND (Retroperitoneal Lymph Node Dissection) kahi hana ʻoki e wehe ai i nā lymph node mai kahi kikoʻī o kou kino. Ua kapa ʻia kēia wahi ʻo ka 'retroperitoneal'.
E noʻonoʻo i kēia ʻano: ka hakahaka i loko o kou ʻōpū ma hope o kou mau ʻōpū nui, e like me kou akepaʻa a me nā ʻōpū. ʻO ia wahi ka mea a mākou e kapa nei ʻo ka ʻāpana retroperitoneal.
I kēia manawa, e nānā kākou i ke ʻano o kēia mau lymph nodes. He mau ʻōkana liʻiliʻi loa kēia e kōkua ai i ka mālama ʻana i ke olakino o ka ʻōnaehana pale o ko kākou kino. Ua like lākou me nā kiaʻi o ko kākou kino. He mau haneli o lākou i hoʻopuehu ʻia ma ko kākou kino.
No laila, ma hope o ka wehe ʻana o kāu kauka ʻoki (oncologist ʻoki) i nā lymph nodes i ka wā o kēia ʻoki ʻana, hoʻouna lākou iā lākou i kahi pathologist no ka hoʻokolokolo ʻana. Ma laila, nānā lākou i nā lymph nodes ma lalo o kahi microscope e ʻike inā he mau cell cancer. I kekahi manawa kapa nā kauka i kēia ʻoki ʻana he 'retroperitoneal lymphadenectomy'.
No ke aha e pono ai iaʻu ke hana i kēia ʻoki RPLND?
Aia kekahi mau kumu e ʻōlelo aku ai kāu kauka i kēia ʻoki kino. E nānā kākou i nā pono o kēia ʻoki kino.
| Kumu nui | I ka ʻōlelo maʻalahi... |
|---|---|
| E hoʻoholo i ke kahua o ke kanesa | ʻO ka wehe ʻana a me ka nānā ʻana i nā lymph nodes hiki ke kōkua i ka hoʻoholo pololei ʻana i ka mamao o ka laha ʻana o ke kanesa i loko o ke kino. Ua kapa ʻia kēia ʻo ka hoʻoholo ʻana i ke kahua o ke kanesa. |
| Hoʻōki i ka laha ʻana o ke kanesa | Inā komo nā hunaola kanesa i loko o nā lymph nodes, hiki iā lākou ke hele ma o nā kīʻaha lymph i nā ʻāpana ʻē aʻe o ke kino. Ua kapa ʻia kēia he metastasis. No laila, ʻo ka wehe ʻana i kēia mau lymph nodes hiki ke kōkua i ka hoʻōki ʻana i ka laha ʻana. |
| E hōʻemi i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa | ʻO ka wehe ʻana i nā lymph node i loaʻa nā hunaola kanesa hiki ke hōʻemi nui i ka pilikia o ka hoʻi hou ʻana o ke kanesa i ka wā e hiki mai ana. |
| Ma ke ʻano he lāʻau lapaʻau inā hoʻi mai ke kanesa | I kekahi manawa, inā hoʻi mai ke kanesa ma hope o ka mālama ʻana, hana ʻia kēia ʻoki kino e wehe i nā lymph nodes i loaʻa nā hunaola kanesa. |
ʻO ke ʻano kūikawā, hana ʻia ʻo RPLND i kekahi manawa no ke kahua a me ka mālama ʻana i ke kanesa testicular . Hana ʻia nō hoʻi no nā ʻano kanesa ʻē aʻe, e like me ke kanesa puʻupaʻa, kekahi mau kanesa o ka ʻōnaehana hānau wahine, a me kekahi mau ʻano sarcomas.
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Check Availability →Pehea e ʻike ai nā kauka inā makemake au i kahi RPLND?
Inā hōʻike kāu mau hoʻokolohua kiʻi ua pehu nā lymph nodes ma hope o kou ʻōpū, e haʻi aku paha kāu kauka iā ʻoe e pili ana i kēia ʻoki kino. ʻO kēia mau ʻano scans:
- Nānā CT
- Nānā MRI
- Nānā PET
Hiki i kāu kauka ke ʻōlelo aku i kēia ʻoki kino ma kahi ʻē aʻe o kāu huakaʻi mālama maʻi kanesa. ʻO kāu kauka ke kanaka kūpono loa e wehewehe i ke kumu e pono ai ʻoe i kēia ʻoki kino. ʻO ia ka mea ʻike maikaʻi loa i kou kūlana. No laila, mai kānalua e nīnau iā ia i nā nīnau āu e loaʻa ai.
Pehea e hana ʻia ai kēia ʻoki RPLND?
Ma mua o ka hoʻomaka ʻana o ke ʻoki ʻana, e hoʻomaʻemaʻe piha ʻia ʻoe. ʻO ia hoʻi, e hiamoe loa ʻoe. No laila, ʻaʻole ʻoe e ʻeha.
A laila hana ke kauka lapaʻau i kahi ʻoki ma kou ʻōpū a wehe pono i nā lymph node kokoke loa i ke kanesa.
ʻO ka pahuhopu nui o kēia ʻoki kino, ʻo ia ka wehe ʻana i nā lymph node āpau i loaʻa paha nā cell cancer a hoʻōki loa i ka laha ʻana o ke kanesa. No ka hoʻokō ʻana i kēia pahuhopu, i kekahi manawa pono e wehe ʻia nā mea ʻē aʻe ma waho aʻe o nā lymph node.
- Kekahi mau lymph node mai kekahi ʻāpana ʻē aʻe o ke kino.
- ʻO kekahi ʻōkana, e like me ka puʻupaʻa.
- ʻO nā puʻupuʻu a i ʻole nā ʻiʻo ʻē aʻe ma ia wahi.
I kēia mau lā, hana kekahi mau haukapila i kēia ʻoki kino ma ke ʻano he ʻoki laparoscopic, kahi i hana ʻia ma o kekahi mau ʻoki liʻiliʻi, a i ʻole me ka hoʻohana ʻana i ke ʻoki robotic. E wehewehe ana kāu kauka i ke ʻano hana kūpono iā ʻoe.
Hiki i kēia ʻoki RPLND ke lōʻihi ma waena o ʻekolu a ʻumi hola .
He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?
Pono ʻoe e noho ma ka haukapila no kahi o ʻehā a ʻehiku mau lā ma hope o ke ʻoki ʻana. He mea maʻamau ka loaʻa ʻana o kekahi ʻeha ma hope o ke ʻoki ʻana. E hāʻawi kāu kauka iā ʻoe i nā lāʻau hoʻomaha ʻeha e pono ai no kēlā. No laila, mai hopohopo e pili ana i ka ʻeha.
He aha nā pilikia o kēia ʻoki kino?
E like me nā ʻoki kino nui a pau, loaʻa i ke ʻoki kino RPLND kekahi mau pilikia. E wehewehe mua kāu kauka i kēia mau mea a pau iā ʻoe.
| Pōpilikia | Wehewehena |
|---|---|
| Ka pōʻino i nā kīʻaha koko | Ke hana nei ke kauka i ke ʻoki kino kokoke loa i nā kīʻaha koko nui o ke kino. No laila, i nā hihia kakaikahi, hiki ke hōʻino ʻia kēia mau kīʻaha koko a hiki ke kahe hou aku ke koko. |
| Ka hopena i ka hānau keiki | Hiki ke loaʻa nā pilikia ejaculation ma hope o ke ʻoki ʻana. ʻO kēia no ka mea ʻo nā aʻalolo e kāohi ana i ka ejaculation e holo ana ma kahi i hana ʻia ai ke ʻoki ʻana. ʻO ka hapa nui o ka manawa, pale nā kauka i kēia mau aʻalolo mai ka hōʻino ʻia. Eia nō naʻe, i kekahi manawa hiki ke loaʻa kahi kūlana i kapa ʻia ʻo anejaculation. |
| Ka hōʻiliʻili ʻana o ka wai lymphatic (Lymphocele) | Hiki i ka wai lymph ke hōʻiliʻili i loko o ka hakahaka i waiho ʻia e nā lymph nodes e wehe ʻia ana. No ka wehe ʻana i kēia wai keu, hiki i kāu kauka ke kau i kahi ʻōmole liʻiliʻi (drain) i loko o kou ʻōpū. |
| Nā pilikia ʻē aʻe | E like me nā ʻoki kino āpau, aia kahi pilikia liʻiliʻi o ka maʻi, nā pilikia hanu, ka hōʻino ʻana i nā kino ʻē aʻe, ka ʻeha o ka ʻōpū ma lalo, a me ka paʻa ʻana o ka ʻōpū. |
He aha ka mea i loko o ka hōʻike ma hope o ke ʻoki kino?
E wehewehe aku kāu kauka iā ʻoe i ka hōʻike pathology āu e loaʻa ai ma hope o ka nānā ʻana i kāu mau lymph nodes.
Hiki iā ʻoe ke hoʻohana i nā huaʻōlelo "maikaʻi" a i ʻole "maikaʻi ʻole" i loko.
- ʻO ka hopena maikaʻi , ʻo ia hoʻi, ua wehe ʻia nā hunaola kanesa i loko o nā lymph node.
- ʻO ka hopena maikaʻi ʻole , ʻo ia hoʻi, ʻaʻohe pūnaeho maʻi kanesa.
Eia kekahi, ua hōʻike pū ka hōʻike i ka nui o ka huina o nā lymph nodes i wehe ʻia i loaʻa nā cell cancer. Eia kekahi,
- ʻAno maʻi ʻaʻai.
- Pehea ka ʻokoʻa o nā hunaola kanesa mai nā hunaola maʻamau (papa).
- ʻO ka wikiwiki o ka māhele ʻana o nā hunaola kanesa (ka wikiwiki mitotic).
Aia paha i loko o ka hōʻike nā ʻike koʻikoʻi ʻē aʻe, e like me:
He aha ka mea e hana ma hope o ka loaʻa ʻana o nā hopena?
Ma muli o nā hopena o kāu hōʻike, e hoʻoholo kāu hui lapaʻau i ka mea e hana ai ma hope. He mea like paha ia me kēia:
- Nānā / kiaʻi ʻana me ka ʻole o kekahi lāʻau lapaʻau
- Kemoterapia
- Hoʻōla radiation
I ka manawa hea e pono ai iaʻu ke kāhea aku i ke kauka?
Ke hoʻi ʻoe i ka home, pono ʻoe e mālama pono i kou hoʻōla ʻana. E makaʻala loa i ke ʻano o ka hoʻōla ʻana o kou ʻeha ʻoki. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e kāhea koke i kāu kauka.
| Nā hōʻailona ʻōlelo aʻo - e hoʻomaopopo koke i ke kauka | |
|---|---|
| Ka luaʻi a i ʻole ka luaʻi | Inā ʻoe e luaʻi nui ana a hiki ʻole iā ʻoe ke mālama i kahi wai liʻiliʻi i loko o kou ʻōpū. |
| ʻEha ʻōpū haʻahaʻa | Inā ʻoe e manaʻo i ka paʻa, ka ʻeha nui, a i ʻole ka ʻeha ke hoʻopā ʻoe i kou ʻōpū lalo. |
| ʻAʻohe pahū a i ʻole ka neʻe ʻana o ka ʻōpū | Inā ʻaʻole hiki iā ʻoe ke holo i ka ea a i ʻole ka ʻōpala. |
| Ke kahe nei ka pus mai ka ʻeha | Inā he wai e like me ka pus e puka mai ana mai loko mai o ka ʻoki ʻoki. |
| ʻEha nui | Inā loaʻa iā ʻoe ka ʻeha nui hiki ʻole ke kāohi ʻia ʻoiai me nā painkiller. |
He mea weliweli kekahi ʻoki kino, ʻoiai inā pili ia i ka maʻi kanesa. Akā e hoʻomanaʻo, he hana hoʻōla ola ʻo RPLND e hāʻawi ana i nā kauka i ka ʻike koʻikoʻi e pili ana i kou olakino a hiki ke hoʻōki i ka laha ʻana o ka maʻi kanesa.
Inā he kānalua a hopohopo paha kāu e pili ana i ka hana ʻana i ia ʻano ʻoki kino nui, ʻaʻohe hewa o ka ʻimi ʻana i kahi manaʻo ʻelua mai kekahi loea ʻē aʻe. Malia paha ʻo ke kamaʻilio ʻana me kekahi kauka ʻē aʻe e hāʻawi iā ʻoe i ka maluhia o ka noʻonoʻo a hāʻawi iā ʻoe i ka ikaika noʻonoʻo e pono ai ʻoe e kū i ke ʻoki kino.
He ʻanuʻu nui kēia i kou ola. Akā hiki iā ia ke hoʻopakele i kou ola. Eia kāu hui lapaʻau e kōkua iā ʻoe. No laila e kamaʻilio me lākou e pili ana i nā nīnau a i ʻole nā makaʻu āu e loaʻa ai.
Leka Lawe-Home
- He ʻoki kino nui ʻo RPLND e wehe ai i nā lymph node ma hope o nā ʻōpū.
- Hana ʻia kēia e ʻike ai inā ua laha ke kanesa, e hoʻōki i kona laha ʻana, a pale i ka hoʻi hou ʻana mai o ke kanesa.
- E like me nā ʻoki kino āpau, aia nā pilikia, e like me ke kahe ʻana o ke koko a me nā hopena i ka hānau keiki. E hoʻomaopopo kāu kauka iā ʻoe e pili ana i kēia mau mea.
- He manawa ka lōʻihi e hoʻōla ai ma hope o ke ʻoki ʻana. He mea nui loa ka makaʻala i nā hōʻailona o ka maʻi (ke kuni, ka pehu mai ka ʻeha, ka ʻeha nui).
- E wehe i kou mau makaʻu a me kou hopohopo me kāu hui lapaʻau. Mai kānalua e kiʻi i kahi manaʻo ʻelua inā pono.
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