E aʻo kākou e pili ana i ke ʻoki kino RPLND (Retroperitoneal Lymph Node Dissection), ka mea e hoʻōki ai i ka laha ʻana o nā hunaola kanesa.

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.

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.

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.

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.

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.

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.

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.