Puʻupuʻu puʻuwai? E aʻo kākou e pili ana i ke ʻoki kino wehe ʻana i nā puʻupuʻu puʻuwai.

Ke haʻi aku kāu kauka iā ʻoe a i ʻole kekahi āu i ʻike ai he puʻupuʻu puʻuwai ko lākou, e manaʻo paha ʻoe i ka makaʻu nui a me ka haʻalulu. He mea maʻamau ka loaʻa ʻana o nā nīnau he tausani e holo ana i loko o kou manaʻo, e like me, 'Auē kuʻu Akua, he puʻupuʻu puʻuwai? He maʻi ʻaʻai anei ia? He aha kaʻu e hana ai i kēia manawa?' Akā, mai hopohopo. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā. E nānā maʻalahi kākou i ke ʻano maoli o ka puʻupuʻu puʻuwai, ke ʻano o ke ʻoki ʻana, a me nā mea āpau e pono ai ʻoe e ʻike e pili ana i ia mea.

He aha maoli ka puʻuwai puʻuwai?

I ka ʻōlelo maʻalahi, ʻo ka puʻupuʻu puʻuwai he ulu ʻano ʻē o nā ʻāpana e hana ʻia ana i loko o ka puʻuwai a i ʻole ma ka paia o ka puʻuwai. Hiki ke hoʻokaʻawale ʻia kēia mau mea i ʻelua ʻano nui. ʻO kekahi he puʻupuʻu e hoʻomaka ana i loko o ka puʻuwai ponoʻī, a mākou e kapa nei he mau puʻupuʻu mua. ʻO kekahi ʻano he puʻupuʻu e hana ʻia ana ma kahi ʻē aʻe o ke kino (no ka laʻana, i loko o nā māmā ) a pālahalaha i ka puʻuwai.

Akā, ʻo ka nūhou maikaʻi ma ʻaneʻi, ʻoi aku ma mua o 90% o nā puʻupuʻu e hoʻomaka ana ma ka puʻuwai ʻaʻole ia he maʻi kanesa. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia mau mea he 'benign'. ʻO ke ʻano kēia, ʻaʻole e laha kēia mau puʻupuʻu i nā ʻāpana ʻē aʻe o ke kino (metastasis). Ke wehe ʻia lākou ma ke ʻoki ʻana, ʻaʻohe hopena i ka manaʻolana ola o ka mea maʻi.

ʻO ka hapa pinepine, ʻike ʻia nā puʻupuʻu ʻaʻole kanesa e like me ka myxoma a i ʻole ka papillary fibroelastoma . ʻOiai ʻaʻole kēia he kanesa , hiki iā lākou ke hana i nā pilikia.

• Hiki iā lākou ke hoʻopilikia i ka hana o nā valves o ka puʻuwai.
• Eia kekahi, inā haki nā ʻāpana liʻiliʻi o kēia mau puʻupuʻu a hele ma nā kīʻaha koko , e hana ana i kahi ʻūpā koko a ālai i kahi kīʻaha koko i loko o ka lolo, hiki ke hana ʻia kahi maʻi koʻikoʻi e like me ka hahau ʻana .

Ma muli o kēia pilikia, ʻōlelo nā kauka i ka wehe ʻana i kēia mau puʻupuʻu me ke ʻoki kino. He mea kākaʻikahi loa nā sarcomas o ka puʻuwai, a ʻaʻole hana pinepine ʻia ke ʻoki kino no lākou.

ʻO wai ka makemake e hana i kēia ʻoki kino?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Pono maoli anei au i kēia ʻoki kino?" E ʻōlelo wale aku kāu hui lapaʻau i ke ʻoki kino inā maopopo iā lākou ʻoi aku ka maikaʻi o nā pono o ke ʻoki kino ma mua o nā pilikia o ka ʻole o ke ʻoki kino. Manaʻo pinepine ʻia ke ʻoki kino ma nā hihia aʻe:

• Inā ʻoe e ʻike nei i nā hōʻailona e like me ka paʻakikī o ka hanu ʻana a me ka ʻeha o ka umauma ma muli o ka puʻupuʻu .
• Ma muli o ka puʻupuʻuInā ua hoʻopilikia ʻia ka hana maʻamau o ka puʻuwai .
• E like me ka mea i ʻōlelo ʻia ma luna, aia kahi pilikia kiʻekiʻe o nā pilikia koʻikoʻi e like me ke koko ʻana (embolism) a i ʻole ka hahau ʻana .
• Inā ulu wikiwiki ka puʻupuʻu , e like me ka mea i ʻike ʻia ma nā hoʻokolohua lapaʻau.

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Pehea ʻoe e wehe ai i kahi puʻupuʻu puʻuwai? He aha nā ʻano hana ʻoki kino?

Ma muli o ka paʻakikī o nā ʻoki ʻana i ka puʻuwai, hana pinepine ʻia lākou ma nā haukapila nui a lako pono e nā hui o nā kauka ʻoki i loaʻa ka ʻike kūikawā a me ka ʻike ma kēia kahua. E nānā lākou i kou kūlana a hoʻoholo i ke kaʻina hana ʻoki kūpono loa iā ʻoe. ʻElua mau kaʻina hana ʻoki nui.

ʻO ke ʻano hana hoʻokiʻekiʻe iki ka hopena o ka emi ʻana o ka ʻeha, nā ʻeha liʻiliʻi, a me ka hoʻōla wikiwiki ʻana a me ka hoʻi wikiwiki ʻana i ke ola maʻamau.

He aha ka mea e hana ʻia ma mua a ma hope o ke ʻoki kino?

Hoʻomākaukau ma mua o ke ʻoki kino

E hoʻomākaukau pono kāu hui lapaʻau iā ʻoe ma mua o ke ʻoki kino. He mea nui loa ia e hahai pololei ʻoe i kā lākou mau kuhikuhi.

• Nā lāʻau lapaʻau: E noi ʻia paha ʻoe e hoʻōki i kekahi o nā lāʻau lapaʻau āu e lawe nei (ʻoi aku hoʻi nā lāʻau hoʻokahe koko) i kekahi mau lā ma mua o ke ʻoki ʻana.
• Hoʻokē ʻai: E noi ʻia ʻoe e hoʻōki loa i ka ʻai ʻana a me ka inu ʻana mai ke aumoe o ka pō ma mua o ke ʻoki kino (hoʻokē ʻai).
• Puhipaka: Inā he mea puhipaka ʻoe, pono ʻoe e haʻalele i ka puhipaka i kekahi mau pule ma mua o ke ʻoki ʻana e hōʻemi i nā pilikia.

Eia kekahi, hiki ke hana ʻia kekahi mau hoʻokolohua e like me ka CT scan, Echocardiogram (echo test), a me MRI scan e loaʻa ai kahi kiʻi maopopo o ka puʻuwai a me ka puʻuwai.

Ma hope o ke ʻoki kino

Ma hope o ke ʻoki kino, e mālama ʻia ʻoe i loko o ka ʻāpana mālama koʻikoʻi (ICU) no hoʻokahi lā a ʻoi aku paha no ka nānā pono ʻana. A laila e hoʻoneʻe ʻia ʻoe i kahi keʻena maʻamau. E loli ka helu o nā lā āu e noho ai i ka haukapila ma muli o kou wikiwiki o ka hoʻōla ʻana a me ke ʻano o ke ʻoki kino āu i hana ai.

He aha nā pono a me nā pilikia?

E like me nā ʻoki kino āpau, loaʻa i kēia ʻoki kino nā pono a me nā pilikia.

ʻO ka mea nui loa, hiki i nā ʻano hana ʻoki kino minimally invasive ke hōʻemi i nā pilikia he nui. E kamaʻilio me kāu kauka e pili ana i nā pilikia kikoʻī e pili ana i kāu ʻoki kino.

I ka manawa e kāhea koke aku ai i ke kauka

He mea maʻamau ka loaʻa ʻana o kekahi ʻoluʻolu ʻole a me ka ʻeha ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana. Akā inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka ʻoki kino a i ʻole ka haukapila .

• ʻEha umauma e mau ana i ka hala ʻana o ka manawa a hoʻonui i ka ikaika.
• Kuni.
• Ka luaʻi mau ʻana a me ka luaʻi ʻana.
• Paʻakikī ka hanu ʻana.
• Inā ʻulaʻula ka ʻoki ʻoki, pehu, a i ʻole he pus e kahe ana (he mau hōʻailona kēia o ka maʻi).
• Inā ʻoe e hōʻike ana i nā hōʻailona o ka hahau ʻana, e like me ka ʻōlelo slurred a i ʻole ke kūlou ʻana o kekahi ʻaoʻao o kou maka, e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa .