E aʻo kākou e pili ana i ka Robotic Cystectomy?

Ke haʻi aku kāu kauka iā ʻoe a i ʻole kekahi o kou ʻohana he maʻi ʻaʻai mimi, hiki iā ʻoe ke manaʻo i kahi manaʻo nui o ka makaʻu a me ka haʻalulu. A i ka wā e haʻi ʻia ai iā ʻoe e pono ʻoe e hana i ke ʻoki ʻana e wehe i ka mimi holoʻokoʻa, hiki ke pāpālua ʻia kēlā makaʻu. He mea maʻamau loa ia. Akā, mai makaʻu. Me nā holomua o ka lāʻau lapaʻau i kēia lā, aia nā ala e hana ai i nā ʻoki nui e like me kēia me ka palekana, me ka emi ʻana o ka ʻeha, a me ka hoʻōla wikiwiki ʻana ma mua o ka wā ma mua. I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻenehana holomua loa i hoʻohana ʻia i ia mau hihia, i kapa ʻia ʻo "Robotic Cystectomy."

I ka ʻōlelo maʻalahi, he aha ka Robotic Cystectomy?

He ʻoki kino nō hoʻi kēia e wehe ai i ka ʻōpū mimi. Akā, ʻaʻole ia e hana ʻia ma o kahi ʻoki nui ma ka ʻōpū e like me ma mua. He hana hoʻopilikia iki loa kēia. I ka ʻōlelo maʻalahi, hana ke kauka ʻoki kino i kekahi mau lua liʻiliʻi loa i loko o kou ʻōpū a hoʻokomo i kahi lima robotic a me ke kāmela i loko o kou kino ma o lākou. A laila nānā ke kauka i kahi pale kamepiula a hoʻomalu i ka lima robotic me kahi console kūikawā e hana i ke ʻoki kino me ka pololei loa.

Hana ʻia kēia hana ma nā ʻano nui ʻelua:

• ʻO ka Cystectomy hapa robotic: Ma kēia, ʻo ka ʻāpana wale nō o ka ʻōpū mimi e loaʻa ana ke kanesa e wehe ʻia.
• ʻO Robotic Radical Cystectomy: Pili kēia i ka wehe ʻana i ka ʻōpū mimi holoʻokoʻa. Hana pinepine ʻia kēia ʻoki no ka maʻi ʻaʻai ʻōpū mimi.

E wehewehe ke kauka iā ʻoe i ke ʻano o ke ʻoki kino kūpono loa iā ʻoe ma muli o kou kūlana.

I nā hihia hea e hana ʻia ai kēia ʻoki kino?

ʻO ke kumu nui o kēia ʻoki kino, ʻo ia ka maʻi ʻōpū mimi . Eia nō naʻe, ua ʻōlelo ʻia hoʻi i kekahi manawa e mālama i nā ʻano maʻi mimi hānau.

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

ʻO ka mea mua, e wehe ʻia kou ʻōpū mimi a me nā lymph node a puni. Eia kekahi, ma muli o ka mamao o ka laha ʻana o ke kanesa, pono paha e wehe ʻia kekahi o nā ʻōpū a puni e pili ana i ka ʻōnaehana hānau keiki i nā kāne a me nā wahine. Hana ʻia kēia e wehe loa i ke kanesa a hōʻemi i ka pilikia o kona hoʻi hou ʻana mai.

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

Ma mua o ke ʻoki kino, e hālāwai ʻoe me ke kauka. E wehewehe ʻo ia i nā kikoʻī āpau e pili ana i ke ʻoki kino iā ʻoe, e kiʻi i kāu ʻae, a e hana i kahi hoʻokolokolo kino e ʻike ai inā ua lawa kou olakino e hana i ke ʻoki kino.

Pono ʻoe e hoʻomanaʻo e haʻi i ke kauka i kēia mau mea:

• ʻO nā lāʻau lapaʻau āpau āu e lawe ai. ʻO ia hoʻi nā mea i kuhikuhi ʻia e nā kauka, nā lāʻau lapaʻau over-the-counter (OTC), nā lāʻau lapaʻau Sinhala kuʻuna, nā huaora, nā lāʻau lapaʻau Ayurvedic, nā mea āpau. No ka mea, hiki i nā mea hoʻokahe koko e like me ka aspirin ke hoʻonui i ke kahe ʻana o ke koko i ka wā o ke ʻoki kino.
• E hōʻoia e haʻi mai iā mākou e pili ana i nā maʻi ʻaleka āu e loaʻa nei. Nā maʻi ʻaleka i kekahi mau lāʻau lapaʻau, nā mea hoʻomaʻemaʻe ʻili (iodine), latex, a me kekahi mau meaʻai.

E hāʻawi ke kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i ka wā e hoʻōki ai i ka ʻai ʻana a me ka inu ʻana ma mua o ke ʻoki ʻana, a inā paha e hoʻōki i ka lawe ʻana i nā lāʻau lapaʻau.

Hana maoli ʻia ke ʻoki ʻana i ka robot e kahi robot?

ʻAʻole. ʻO kēia kahi i kuhihewa ai ka poʻe he nui. ʻAʻole hana ʻia kēia ʻoki e kahi robot.

I kēia hihia, aia i kahi kauka lapaʻau i aʻo nui ʻia (Urologist) ka mana piha o ke ʻoki kino. He mea hana akamai loa ka robot a ke kauka e hoʻohana ai. E noʻonoʻo e like me kahi mea pena akamai e hoʻohana ana i kahi palaki palupalu loa e pena i kahi kiʻi nani. Hāʻawi ka robot i ke kauka i kēia mau pono:

• Hiki ke ʻike maopopo ʻia ka ʻāpana ʻoki kino ma 3D , wehewehe kiʻekiʻe, a hoʻonui ʻia.
• Hiki iā ia ke hana i nā neʻe palupalu, pololei, a kūpaʻa ʻole hiki i ka lima kanaka ke hana.

No laila, na ke kauka ponoʻī e hana i ke ʻoki ʻana, a hana wale ka lopako ma ke ʻano he hoʻolōʻihi o kona mau lima.

Pehea e hana ʻia ai ke ʻoki kino a me nā ʻano hana hou no ka hoʻokahe ʻana o ka mimi

Ma hope o ka wehe loa ʻia ʻana o kou ʻōpū mimi, pono ʻoe e hana i kahi ala hou no ka mimi e puka ai i waho o kou kino. Ua kapa ʻia kēia he "Urinary Diversion". E hoʻohana ke kauka i kahi ʻāpana o kou ʻōpū ponoʻī e hana i kēia ala hou. ʻEkolu mau ʻano nui.

1. Ke kahawai ʻo Ileal:

• He aha ka ʻokoʻa: Lawe ʻia kahi ʻāpana o kou ʻōpū liʻiliʻi ponoʻī a hana ʻia i loko o kahi ʻōmole. Hoʻopili ʻia nā ureters mai nā puʻupaʻa iā ia. Hana ʻia kekahi ʻaoʻao e puka mai ma o ka ʻili o ka ʻōpū. Ua kapa ʻia kēia he ``(Stoma)``.
• Hōʻiliʻili ka mimi: Hoʻopili ʻia kahi ʻeke ostomy i waho o kēia stoma e hōʻiliʻili i ka mimi. Pono e hoʻokahe mau ʻia kēia ʻeke.

2. Hoʻohuli ʻili o ka ʻāina nui:

• He aha ka ʻokoʻa: Maanei hoʻi, hoʻohana ʻia nā ʻāpana o ka ʻōpū e hana i kahi ʻeke liʻiliʻi (reservoir) e hōʻiliʻili i ka mimi mai loko mai o ke kino. Hoʻopili ʻia hoʻi ia i ka ʻili o ka ʻōpū ma o kahi `stoma`.
• Hōʻiliʻili ka mimi: Akā, ʻaʻole pono ʻoe i kahi ʻeke waho. Hiki iā ʻoe ke hoʻokahe i ka ʻeke i loko ma ke hoʻokomo ʻana i kahi ʻōmole liʻiliʻi (catheter) i nā manawa he nui i ka lā.

3. Ke kūkulu hou ʻana o ka ʻōpū hanu:

• He aha ka ʻokoʻa: Ma kēia kaʻina hana, lawe ʻia kekahi ʻāpana lōʻihi o ka ʻōpū a hana ʻia kahi ʻano hou e like me ka ʻōpū mimi i kapa ʻia ʻo "Neobladder" mai ia mea. Hoʻopili pololei ʻia ia i kou urethra.
• Ka mimi ʻana: ʻO ke ʻano kēia e hiki iā ʻoe ke mimi maʻamau, e like me kāu i hana ai ma mua o ke ʻoki kino. Eia nō naʻe, i ka wā mua, pono ʻoe e hoʻomaʻamaʻa i nā mea e like me ka hoʻopaʻa ʻana i kou mau ʻiʻo ʻōpū e mimi ai.

E kōkua kāu kauka iā ʻoe e koho i ke ʻano hana e kūpono loa iā ʻoe mai kēia mau ʻano hana ʻekolu.

He aha nā pōmaikaʻi o ke ʻoki kino robotic?

He nui nā pono o ke ʻoki kino robotic ma mua o ke ʻoki kino hāmama kuʻuna.

Aia kekahi mau pilikia i kēia ʻoki kino?

E like me nā hana ʻoki kino nui a pau, aia kekahi mau pilikia e pili ana, akā hiki i ka ʻenehana holomua ke hōʻemi i kēia mau pilikia.

• Nā pilikia laulā: ke kahe ʻana o ke koko, nā ʻūpā koko, ka maʻi, nā hopena i ka anesthesia (luaʻi, ʻeha poʻo).
• Nā pilikia kikoʻī:
• Nā loli i ka mimi ʻana: E loli ke ʻano o kou mimi ʻana ma hope o ke ʻoki kino. He manawa ka manawa e maʻa ai iā ia.
• Nā hopena ʻaoʻao moekolohe:
• No nā kāne: Inā wehe ʻia ka prostate gland a me nā seminal vesicles, ʻaʻole e puka mai ka ejaculation. Hiki i kekahi mau kāne ke loaʻa ka erectile dysfunction.
• No nā wāhine: Inā wehe ʻia kekahi ʻāpana o ka ʻōpū, paʻakikī paha ka moekolohe. Hiki ke hoʻopilikia ʻia nā aʻalolo e pili ana i ka hoʻāla ʻana i ka moekolohe a me ka ejaculation.

ʻEhia ka lōʻihi e ho'ōla ai a āhea wau e ʻike ai i ke kauka?

Hiki ke hala i nā pule a i nā mahina e hoʻōla piha ai. He ʻoki kino nui kēia, no laila e hāʻawi i kou kino i ka manawa e hoʻōla ai. He mea maʻamau ka nalowale o ka makemake a me nā loli i nā ʻano hana ʻōpū (diarrhea, constipation) ma hope o ke ʻoki kino.

Eia nō naʻe, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila.**

• Nā hōʻailona o ka maʻi, e like me ke kuni, ka ʻūlū, a me ka haʻalulu .
• ʻAʻole hiki ke hoʻōki ʻiaLuaʻi .
• Ke kahe koko nui mai nā wahi ʻoki.
• Inā ʻoi aku ka nui o ka ʻeha, ka pehu ʻana, a i ʻole ke kala ʻana o ke kala (ʻulaʻula, ʻeleʻele, ʻeleʻele) a puni ka ʻoki.
• ʻOi loa ka ʻeha a hiki ʻole i ka lāʻau lapaʻau i hāʻawi ʻia e ke kauka ke kāohi .
• Inā paʻakikī ke mimi a inā paha ua emi ke kahe ʻana o ka mimi ma muli o ke ala hou.