Ke noʻonoʻo mākou i kahi ʻoki a i ʻole ke ʻoki kino, noʻonoʻo mākou i kahi ʻoki nui, kekahi mau lā ma ka haukapila, a me ka ʻeha e hiki mai ana ma hope, ʻeā? Ua kūpono kēlā makaʻu. Akā me ka holomua o ka ʻepekema lapaʻau, ua loli nui kēia kūlana. E noʻonoʻo inā hiki iā ʻoe ke hana i hoʻokahi ʻoki liʻiliʻi i loko o kou ʻōpū, e hana i ke ʻoki holoʻokoʻa ma o ia mea, a hoʻi i ka home i hoʻokahi a ʻelua paha lā? ʻO ia ka ʻenehana hou loa a kupaianaha a mākou e kamaʻilio ai i kēia lā.
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He aha ke ʻoki kino puka hoʻokahi?
I ka ʻōlelo maʻalahi, he ʻoki kino minimally invasive kēia. Maanei, hana ke kauka ʻoki i hoʻokahi ʻoki liʻiliʻi wale nō i loko o kou kino, no ka laʻana ma ka ʻōpū. A laila, hoʻokomo ʻia kahi mea kūikawā i kapa ʻia ʻo 'port' ma o kēlā ʻoki. ʻO nā lako ʻē aʻe a pau e pono ai no ka hana , e like me ke kāmela a me nā forceps, ua hoʻokomo ʻia ma o kēlā lua liʻiliʻi. ʻO ke ʻano kēia, ʻaʻohe ʻeha nui i koe.
ʻOiai ua hoʻohana ʻia kēia ʻano hana no nā ʻano hana ʻoki like ʻole, hoʻohana pinepine ʻia ia i ka urology, ʻoiai no nā ʻoki ʻana ma nā ʻōpū e like me nā puʻupaʻa, ka ʻōpū mimi, a me ka prostate.
He lopako e kōkua? No laila he aha ia?
ʻAe, ua hoʻomohala hou ʻia kēia ʻenehana a i kēia manawa ua hoʻokomo pū ʻia ke kōkua o kahi lopako. Ua kapa ʻia ʻo Single-Port Robotic Surgery . ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ke kāohi ʻana o ke kauka lapaʻau i kahi lopako. Hoʻohana kēia lopako i nā mea hana i hoʻokomo ʻia ma o kēlā lua liʻiliʻi.
ʻO ka pōmaikaʻi o kēia, hiki i ka robot ke hana i nā neʻe ʻoi aku ka pololei a me ka paʻa ma mua o ka lima kanaka. Eia kekahi, hiki i ke kāmela i loko ke hoʻonui i nā ʻōpū a ʻike maopopo iā lākou. ʻAe kēia i nā ʻokiʻoki paʻakikī loa e hana pololei a palekana. ʻOiai he ʻenehana hou kēia i hoʻohana ʻia mai ka makahiki 2018, ua holomua loa nā hopena. Hoʻōla koke nā mea maʻi a kiʻekiʻe hoʻi ko lākou ʻoluʻolu.
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Check Availability →Pehea ka ʻokoʻa o kēia mai nā kaʻina hana ʻoki kino ʻē aʻe?
Aia kekahi mau ʻano hana ʻoki kino. ʻO ke ʻano hana maikaʻi loa iā ʻoe e hilinaʻi ia i kou kūlana, olakino, a me ka ʻike o ke kauka ʻoki kino. E nānā kākou i nā ʻokoʻa nui ma waena o nā ʻano hana.
| ʻAno hana ʻoki kino | Nā ʻoki a me nā palapū | ʻEha a me ka ho'ōla ʻana |
|---|---|---|
| ʻO ke ʻoki kino hāmama | Hana ia i kahi ʻoki nui. Nui ka pōʻino o ke kino. Waiho ia i kahi ʻeha nui. | Nui loa ka ʻeha. He lōʻihi ka manawa e ho'ōla ai. Pono ʻoe e noho i ka haukapila no kekahi mau lā. |
| ʻO ke ʻoki kino Laparoscopic/Robotic kuʻuna | Hana ʻia he 3-5 a ʻoi aku paha mau ʻoki liʻiliʻi. Ua waiho ʻia kekahi mau ʻeha liʻiliʻi. | ʻEmi ka ʻeha, wikiwiki ka ho'ōla ʻana. |
| ʻO ke ʻoki kino robotic hoʻokahi-awa | Hoʻokahi wale nō ʻoki liʻiliʻi (ma kahi o 2.5 kenimika). He liʻiliʻi loa ka ʻōpala, i kekahi manawa ʻike ʻole ʻia. | ʻAʻole nui ka ʻeha. He wikiwiki loa ka ho'ōla ʻana. Hiki iā ʻoe ke hoʻi pinepine i ka home i ka lā hoʻokahi a i ʻole ka lā aʻe. |
He aha nā ʻano hana ʻoki kino e hiki ke hana ʻia me kēia ʻano hana?
Hiki ke hoʻohana ʻia kēia ʻenehana e hana i nā ʻano hana ʻoki kino like ʻole e pili ana i nā ʻōnaehana kino like ʻole. Eia kekahi mau laʻana:
- Nā ʻoki kino e pili ana i ka puʻupaʻa: ka wehe ʻana i ka puʻupaʻa (nephrectomy), ka wehe ʻana i ka puʻupaʻa mai kahi kanaka olakino no ka hāʻawi ʻana (donor nephrectomy), ka hoʻoili puʻupaʻa, a me ka wehe ʻana i nā mea ālai ma waena o ka puʻupaʻa a me ka ureter (pyeloplasty).
- ʻO ke ʻoki ʻana i ka prostate: Prostatectectomy.
- ʻO ke ʻoki ʻana i ka mimi: cystectomy.
No wai kēia ʻoki kino kūpono loa?
Hiki i kēia kaʻina hana ʻoki hoʻokahi ke kūpono no kekahi mea i kūpono no ke ʻoki robotic. ʻO ka mea kūikawā, hiki ke lilo i koho maikaʻi no ka poʻe hiki ʻole ke hana i ke ʻoki robotic kuʻuna. Eia kekahi laʻana:
- No ka poʻe i loaʻa i kekahi mau ʻoki ʻōpū nui i ka wā ma mua.
- ʻO nā kānaka me ka maʻi puʻuwai koʻikoʻi a i ʻole ka maʻi māmā e paʻakikī ai ke noho ma kahi kūlana kikoʻī i ka wā o ke ʻoki ʻana.
Eia nō naʻe, na kāu kauka e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe, e noʻonoʻo ana i kou kūlana olakino holoʻokoʻa a me ke koʻikoʻi o kou kūlana.
Pehea e hoʻomākaukau ai ma mua o ke ʻoki kino?
Ma mua o ke ʻoki kino, e wehewehe pono kāu kauka i ke kaʻina hana iā ʻoe. Eia kekahi, pono ʻoe e hahai i kēia mau kuhikuhi:
1. Mai ʻai a inu paha: Mai ʻai a inu paha i kekahi mea (ʻoiai ka wai) no ka liʻiliʻi he 8 mau hola ma mua o ke ʻoki kino. Inā pono ʻoe e lawe i kekahi lāʻau lapaʻau koʻikoʻi, e lawe me kahi ʻuʻuku o ka wai.
2. Nā lole: E ʻeha paha kou ʻōpū a me ka ʻoluʻolu ʻole ma hope o ke ʻoki ʻana, no laila e ʻaʻahu i nā lole palupalu a ʻoluʻolu hoʻi ke hoʻi ʻoe i ka home.
3. Nā Kāmaʻa: Hiki paha iā ʻoe ke manaʻo iki i ka puni a i ʻole ka ʻoluʻolu ʻole i ka wā e hele ana ma hope o ka anesthesia, no laila e lawe mai i kahi kāmaʻa ʻoluʻolu, haʻahaʻa kuʻekuʻe wāwae.
4. Nā mea hoʻonani: Mai komo i kekahi mea hoʻonani. Hiki i nā mea hoʻonani ke loaʻa nā germs, e hoʻonui ana i ka pilikia o ka maʻi ma ka ʻoki.
5. Pena kui: Wehe i ka pena kui a i ʻole nā kui acrylic. Hiki i nā bacteria i paʻa ma lalo o ka pena kui ke hana i nā maʻi. Eia kekahi, hiki i ka pena kui ke hoʻopilikia i ka pulse oximeter, kahi e ana i kou pae oxygen koko i ka wā o ke ʻoki ʻana.
He aha nā pōmaikaʻi o kēia ʻoki kino?
ʻO kekahi o nā pono nui a hoihoi loa o kēia ʻano hana, ʻo ia ka ʻōpala. No ka mea, hoʻokahi wale nō ʻoki liʻiliʻi, ua liʻiliʻi loa ka ʻōpala, i kekahi manawa ʻike ʻole ʻia. He haʻahaʻa hoʻi kona pilikia o nā pilikia ma mua o ke ʻoki ʻana i wehe ʻia.
ʻO kekahi mau pono ʻē aʻe:
- He koho maikaʻi kēia no ka poʻe i kūpono ʻole no ke ʻoki laparoscopic kuʻuna.
- ʻO ka hiki ke hana i nā ʻokiʻoki he nui i ka manawa hoʻokahi ma o ka ʻoki like. No ka laʻana, hiki ke wehe ʻia ka prostate gland a me kahi ʻāpana o ka puʻupaʻa i hoʻokahi ʻokiʻoki.
- He liʻiliʻi loa ka ʻeha ma hope o ke ʻoki ʻana.
- Hiki iā ʻoe ke hoʻi pinepine i ka home i ka lā hoʻokahi a i ʻole ka lā ma hope o ke ʻoki kino .
- He wikiwiki loa ka ho'ōla ʻana a hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i loko o kekahi mau lā.
Hiki ke hopohopo ke ʻoki kino. Akā mahalo i ka ʻenehana hou, ʻoi aku ka palekana o ke ʻoki kino i kēia manawa, ʻoi aku ka ʻeha, a ʻoi aku ka wikiwiki o ka hoʻōla ʻana. Mai makaʻu e kamaʻilio me kāu kauka e pili ana i ke koho maikaʻi loa nāu.
Aia kekahi mau hemahema a i ʻole nā pōʻino?
E like me nā ʻoki kino āpau, aia kekahi mau pilikia. Akā ʻo ka pilikia nui, ʻoiai ua lawelawe ʻia nā mea hana a pau ma o hoʻokahi ʻoki ʻana, pono ke kauka ʻoki kino e akamai loa a ʻike. No laila, inā e hana ʻoe i kēia ʻano ʻoki kino, he mea nui loa ke koho ʻana i kahi kauka ʻoki kino akamai a me ka haukapila e hana mau ana i kēia mau kaʻina hana.
Eia kekahi, aia kekahi mau pilikia maʻamau i nā ʻoki kino āpau:
- Nā pilikia e pili ana i ka anesthesia.
- Ka maʻi ʻana.
- Ka hōʻino ʻana i kahi ʻōkana kūloko.
- Nā pilikia ho'ōla ʻeha.
- Ka hōʻiliʻili ʻana o ka wai a puni ka ʻoki (seroma).
- Ke kahe koko nui.
E nīnau i kāu kauka inā he mau pilikia ʻē aʻe e pili ana i ke ʻoki kino āu e hana nei.
ʻEhia ka lōʻihi e ho'ōla ai?
Ma hope o ka hana ʻia ʻana o kēia ʻoki kino e kekahi kauka ʻoki kino akamai, hiki iā ʻoe ke hoʻi i kou ola maʻamau i loko o ʻelua a ʻehā pule . Hiki ke loli kēia ma muli o kāu hana. ʻOiai hiki i kekahi mea hana ma ke keʻena ke hoʻi i ka hana i loko o hoʻokahi pule, inā he hana koi kino kāu, ʻoi aku ka maikaʻi o ka hoʻomaha no ka liʻiliʻi o ʻehā pule.
He mea nui loa e kiʻi i ke kōkua mai kahi ʻohana a i ʻole hoaaloha me nā hana o ka hale a me ka māla ʻana i kou wā e hoʻōla ana.
| Inā ʻike ʻoe i kēia mau hōʻailona ma hope o ke ʻoki ʻana, e ʻike koke i ke kauka. | |
|---|---|
| Hōʻailona | Wehewehena |
| Nā loli i ka mimi ʻana | Ka mimi pinepine ʻana, ka loli ʻana o ke kala o ka mimi. |
| Pehu kino (edema) | Ka pehu ʻana o nā wāwae, ka ʻōpū, a i ʻole ka maka. |
| Nā hiʻohiʻona ʻē aʻe | Ke piʻi mau nei ke koko, ka nausea a i ʻole ka luaʻi ʻana, me ka manaʻo palaualelo. |
| I ka hihia o kahi pilikia: I ka hihia o ke kuni nui, ka ʻeha hiki ʻole ke hoʻomanawanui, ke kahe nui ʻana o ke koko, ka paʻakikī o ka hanu ʻana, a me nā mea ʻē aʻe, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa. | |
Leka Lawe-Home
- ʻO ke ʻoki kino Single-Port kahi ʻano hana ʻoki hou i hana ʻia ma o hoʻokahi ʻoki liʻiliʻi wale nō.
- Ma muli o ka hoʻohana ʻia ʻana o ka ʻenehana robotic, pololei loa a palekana hoʻi ke ʻoki ʻana. ʻEmi ka ʻeha, wikiwiki ka hoʻōla ʻana, a me nā ʻeha liʻiliʻi loa.
- He mea nui loa ke koho ʻana i kahi kauka ʻokiʻoki a me ka haukapila me ka ʻike nui no kēia ʻoki ʻana.
- Inā ua hoʻonohonoho ʻia ʻoe e hana i ke ʻoki kino, e kamaʻilio me kāu kauka e pili ana i ke kūpono o kēia ʻano hana iā ʻoe a e ʻike i nā kikoʻī āpau.
- He mea nui ka hahai pono ʻana i nā ʻōlelo lapaʻau ma hope o ke ʻoki ʻana no ka hoʻōla koke ʻana.
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