I ka wā i haʻi aku ai ke kauka iā ʻoe ua loaʻa iā ʻoe kahi hernia, ua hopohopo iki paha ʻoe no ka pono e hana ʻia kahi ʻoki, ʻeā? Manaʻo ka poʻe he nui ke ʻōlelo lākou he ʻoki hernia, ʻo ia hoʻi kahi mea i hana ʻia ma o kahi ʻoki nui ma ka ʻōpū. Akā i kēia manawa ua holomua nui ka lāʻau lapaʻau . Aia nā ʻano hana ʻoki hou a palekana loa e hoʻohana ana i ka ʻenehana robotic me ka ʻole o nā ʻoki nui i hiki ke hana ʻia ma mua.
He aha ke ʻano o ke ʻoki hernia robotic?
I ka ʻōlelo maʻalahi, he ʻōkana ka hernia i loko o ko kākou kino, no ka laʻana he ʻāpana o ka ʻōpū, e puka ana ma waena o nā ʻiʻo ma kahi e pono ai. I ke ʻokiʻoki robotic, ua hoʻihoʻi ʻia ke ʻōkana i puka i waho i kona wahi, a ua hoʻoikaika ʻia a pani ʻia ka wahi nāwaliwali ma waena o kēlā mau ʻiʻo.
Akā ʻo ka mea kūikawā e pili ana i kēia, ʻaʻole hoʻopā pololei ke kauka i kou kino. Aia ʻo ia ma kahi ʻōnaehana kamepiula (Console) ma ka ʻaoʻao o kou wahi moe. Nānā ʻo ia i ka pale a hoʻokele i nā lima robotic kiʻekiʻe (Robotic Arms) e hana i kēia ʻoki kino. He ʻokoʻa loa kēia ʻano hana mai ke ʻoki kino hāmama . I ke ʻoki kino hāmama, hoʻokahi ʻoki nui i hana ʻia. Akā i ke ʻoki kino robotic (i kekahi manawa i kapa ʻia ʻo laparoscopy ) , ʻekolu a ʻehā paha mau lua liʻiliʻi loa i hana ʻia.
He kāmela liʻiliʻi kēia (laparoscope) i hoʻokomo ʻia ma loko o hoʻokahi puka, e ʻae ana i nā ʻōpū i loko o ke kino e ʻike maopopo ʻia a hoʻonui ʻia i ʻekolu mau ana (3D). ʻAe kēia i ke kauka e hana i ke ʻoki me ka pololei a me ka pololei . No ka mea he liʻiliʻi nā ʻoki, ua emi ke kahe ʻana o ke koko, emi ka ʻeha, a wikiwiki ka ho'ōla ʻana.
He aha nā ʻano hernias e hiki ke mālama ʻia me ke ʻoki robotic?
Hiki ke hoʻohana ʻia kēia ʻenehana hou e mālama i nā mea āpau mai nā hernias liʻiliʻi a hiki i nā ʻokiʻoki nui e hana hou i ka paia ʻōpū holoʻokoʻa. ʻO nā ʻano hernias i mālama pinepine ʻia me kēia ʻano hana ua helu ʻia ma ka papa ma lalo nei.
| ʻAno Hernia | He wehewehe maʻalahi |
|---|---|
| ʻO ka Hernia Inguinal | He ʻāpana o ka ʻōpū a i ʻole ka momona e puka mai ana mai ka ʻāpana groin. |
| ʻO ka Hernia Femoral | He ʻāpana o ka ʻiʻo o ka ʻōpū e puka mai ana mai ka ʻūhā, ma lalo pono o ka ʻūhā. |
| ʻO ka Hernia Hiatal | Hoʻokomo ʻia ka ʻaoʻao o luna o ka ʻōpū i loko o ka lua o ka umauma ma o ka diaphragm. |
| ʻO ka Hernia ʻokiʻoki | Ka puka ʻana mai o kahi ʻōkana ma loko o kahi ʻōpala mai kahi ʻoki kino ma mua. |
| ʻO ka Hernia Umbilical | He ʻāpana o ka ʻōpū e puka mai ana mai ka anus. |
Pehea e hoʻomākaukau ai no kēia ʻoki kino?
He nīnau koʻikoʻi loa kēia. ʻAʻole kūpono ke ʻoki ʻana i nā mea āpau ma o ka robotic surgery. Inā kūpono kēia ʻoki ʻana iā ʻoe a i ʻole, e hoʻoholo ʻia ia e kahi kūkākūkā akahele me kāu kauka. E noʻonoʻo pono ʻo ia i nā mea aʻe:
- ʻO ka nui o kou hernia.
- Pehea ka paʻakikī o ke ʻoki kino.
- ʻO kēia kāu ʻoki hernia mua, a he hana hou paha ka mea ma mua?
- Pehea ka hopena o ka anesthesia laulā iā ʻoe.
- Inā paha he mea pono e wehe i nā mea ʻē aʻe e like me nā ʻōpala me ke ʻoki ʻana.
I kekahi manawa, hiki i ke kauka ke ʻike i kahi hernia liʻiliʻi a hūnā ʻia (hernia huna) i ka wā o ke ʻoki kino i ʻike ʻole ʻia ma nā scans. He manaʻo maikaʻi e kūkākūkā me ke kauka ma mua i ka mea e hana ai inā loaʻa kekahi mea e like me kēia.
Pehea e hana ʻia ai ke ʻoki kino?
Mai makaʻu i ke ʻoki kino. Ke ʻike ʻoe i nā ʻanuʻu e pili ana, e nalo aku kou makaʻu.
1. Anesthesia: ʻO ka mea mua, e hāʻawi ʻia ʻoe i ka anesthesia laulā, ka mea e hoʻohiamoe loa iā ʻoe i ʻole ʻoe e ʻeha.
2. Nā ʻokiʻoki: A laila e hana ke kauka i 3 a 4 mau ʻoki liʻiliʻi loa ma ka ʻōpū.
3. Hoʻokomo ʻana o ke kāmela: Hoʻokomo ʻia kahi kāmela liʻiliʻi i kapa ʻia he laparoscope ma o kekahi o nā ʻoki. ʻAe kēia i nā ʻōpū i loko e ʻike maopopo ʻia ma 3D ma kahi monitor.
4. Ka hoʻopiha ʻana o ka ʻōpū: A laila, ua hoʻokomo ʻia kahi liʻiliʻi o ke kinoea kalapona ʻokikene ʻino ʻole i loko o ka ʻōpū e hoʻopiha iā ia. Hoʻokumu kēia i kahi ākea i loko, e maʻalahi ai ka hana ʻana i ke ʻoki.
5. ʻOki kino: Ke hoʻohana nei ke kauka i kahi lima robotic i kāohi ʻia e ka kamepiula e hoʻoponopono i ka hernia. Hiki i kēia ke pili i nā humuhumu a i ʻole ka hoʻohana ʻana i kahi ʻupena kūikawā e hoʻoikaika i ka wahi.
6. Pani ʻana: Ke pau ka hana, e pani ʻia nā ʻoki liʻiliʻi me nā humuhumu hiki ke hoʻoheheʻe ʻia a i ʻole nā humuhumu maʻamau.
ʻOkoʻa ka manawa e pono ai no kēia ʻoki kino ma muli o ke ʻano o ka hernia. ʻOiai hiki ke hala ma kahi o 30 mau minuke kahi ʻoki kino maʻalahi, hiki ke hala i kekahi mau hola kahi ʻoki kino paʻakikī.
He aha nā pōmaikaʻi o ke ʻoki kino robotic?
He nui nā pono o kēia ʻano hana i hoʻohālikelike ʻia me ke ʻoki kino hāmama.
- ʻIke maopopo: Hiki i ke kauka ke ʻike i loko ma 3D, ʻoi aku ka maopopo ma mua o nā kiʻi 2D o kahi ʻoki laparoscopic maʻamau. ʻO kēia ka mea e pololei loa ai ke ʻoki ʻana.Hiki ke hana ʻia.
- Pololei: Hiki i nā lima robotic ke neʻe me ka manuahi, me ke akahele, a me ka ʻole o ka huki ʻana ma mua o ka lima kanaka.
- Nā ʻōpala liʻiliʻi: Ma kahi o kahi ʻōpala ʻoki nui, he kakaikahi wale nō nā ʻōpala liʻiliʻi.
- ʻEha iki: ʻOi aku ka liʻiliʻi o ka ʻeha ma hope o ke ʻoki ʻana ma mua o ke ʻoki hāmama.
- Hoʻōla koke: Hiki iā ʻoe ke hoʻōla koke a hoʻomaka i nā hana maʻamau.
Aia kekahi mau pilikia a i ʻole nā pilikia?
E like me nā ʻoki kino āpau, aia kekahi mau pilikia e pili ana. Eia nō naʻe, he hana palekana loa ia. ʻO kekahi o nā pilikia e hiki mai ana:
- Ke kahe ʻana o ke koko .
- Nā hopena i ka anesthesia.
- Ka hōʻiliʻili ʻana o ka wai (Seroma) a i ʻole ka hōʻiliʻili ʻana o ke koko (Hematoma) ma kahi ʻoki ʻana.
- Ka maʻi ʻeha.
- Ka hōʻino ʻana i nā ʻiʻo a i ʻole nā ʻōpū a puni (he mea kākaʻikahi loa kēia).
- Ka hoʻi hou ʻana o ka hernia.
He mea maʻamau ke loaʻa kekahi ʻeha no kekahi mau pule ma hope o ke ʻoki ʻana, akā inā hoʻomau ka ʻeha no nā mahina ʻekolu a ʻoi , pono ʻoe e haʻi i kāu kauka.
He aha kaʻu e manaʻo ai ma hope o ke ʻoki kino?
E hāʻawi aku kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo pololei no kou manawa hoʻōla.
- Hoʻokuʻu ʻia mai ka haukapila: I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Eia nō naʻe, inā loaʻa iā ʻoe kahi ʻoki paʻakikī, pono paha ʻoe e noho i ka haukapila no hoʻokahi lā. Mai kalaiwa i ke ala e hoʻi ai i ka home , a hele pū me kekahi.
- Ka manawa ho'ōla: ʻO ka maʻamau, e aʻo ʻia ʻoe e pale i ka hāpai kaumaha a i ʻole ka hana ikaika no ʻelua a ʻehā pule.
- Ke hoʻi nei i ka hana: Hiki iā ʻoe ke hoʻomaka hou i nā hana māmā, e like me ka hana keʻena, i loko o kekahi mau lā. Eia nō naʻe, hiki ke lōʻihi iki ka hāpai ʻana i nā mea kaumaha.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka:
- Inā loaʻa iā ʻoe ke kuni a me ke anu a ke haʻalulu nei.
- Inā ʻaʻole hiki iā ʻoe ke holo i ka ea a i ʻole e neʻe ka ʻōpū.
- Inā e kahe ana ka pus mai ka ʻeha.
- Inā ʻulaʻula ka ʻeha, pehu, wela, a ʻeha.
- Inā e kahe ana ke koko mai ka ʻeha ma luna o ke kāʻei.
He mea nui loa: Inā ʻike ʻoe i ka ʻeha, ka pehu koke ʻana, ka ʻulaʻula, a i ʻole ka mehana ma kou wāwae (ʻoi aku hoʻi ma hope o ke kuli) , he hōʻailona paha ia o ke koko i loko o kou wāwae ( Deep Vein Thrombosis – DVT ), e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU).
Leka Lawe-Home
- He hana hou a palekana hoʻi ke ʻoki hernia robotic i hana ʻia ma o kekahi mau ʻoki liʻiliʻi, me ka hoʻohana ʻana i kahi kāmela 3D a me kahi lima robotic.
- ʻOi aku ka ʻeha o kēia ʻano hana, ho'ōla wikiwiki, a ʻaʻole e waiho i nā ʻeha nui ma mua o ke ʻoki kino hāmama maʻamau.
- ʻAʻole hana ʻia ke ʻoki ʻana e kahi robot, akā e ke kauka akamai e kāohi ana i ka ʻenehana robotic. No laila, ʻaʻohe pono e makaʻu.
- E kamaʻilio pono me kāu kauka e pili ana i ke kūpono o kēia ʻoki kino iā ʻoe a e pili ana i nā ʻōlelo kuhikuhi e pono ai ʻoe e hahai ma hope o ke ʻoki kino.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē (ke kuni, ka ʻeha nui, ka pehu ʻana o ka ʻeha) ma hope o ke ʻoki ʻana, e ʻimi koke i ke kōkua lapaʻau.











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