E aʻo kākou e pili ana i ke ʻoki kino robotic transoral (TORS) ma ke ala maʻalahi!

Makaʻu iki nā kānaka a pau ke lohe lākou e pili ana i ke ʻoki ʻana ma nā wahi e like me ka puʻu, ke kua o ka waha, a i ʻole ke kumu o ke alelo, ʻeā? Akā i kēia manawa ua holomua nui ka ʻenehana. Aia kekahi ala e hana ai i kēia ʻano ʻoki ma loko o ka waha, me ka ʻole o ka hana ʻana i nā ʻoki nui ma ka ʻāʻī a me ka ʻāwae e like me ma mua. ʻO kēia ʻano hana hou loa, i hana ʻia me ke kōkua o kahi robot, ua kapa ʻia ʻo TORS, ʻo ia hoʻi ʻo Transoral Robotic Surgery. I kēia lā, e kamaʻilio mākou e pili ana i kēia ma nā ʻōlelo maʻalahi.

I ka ʻōlelo maʻalahi, he aha ʻo TORS?

He kaʻina hana ʻo TORS kahi e hoʻohana ai ke kauka ʻoki i kahi ʻōnaehana kamepiula e kāohi i nā lima robotic. E noʻonoʻo e hoʻokomo ʻia kahi kāmela liʻiliʻi a me nā mea hana ʻoki ma kou waha a i lalo o kou puʻu. Hoʻokele ke kauka i nā lima robotic mai kahi console kamepiula ʻoiai e nānā ana i ka hiʻohiʻona 3D maopopo mai ke kāmela.

Ua like kēia mau lima robotic me ka hoʻolōʻihi ʻana o nā lima o ke kauka. Akā ua hoʻolālā ʻia lākou e ʻoi aku ka palupalu, paʻa, a palupalu ma mua o ka lima kanaka. ʻAe kēia iā lākou e wehe i nā puʻupuʻu kanesa i loko o ka waha, e like me nā mea i loko o ka puʻu a me ke kumu o ke alelo, kahi mea paʻakikī ke hiki aku, me ka ʻole o ka hana ʻana i kekahi ʻoki ma waho. ʻO ka ʻenehana i hoʻohana pinepine ʻia no kēia ʻo ia ka "da Vinci® Surgical System".

He aha nā kūlana i mālama ʻia me ke ʻoki TORS?

ʻOiai ke hoʻohana nui ʻia nei ke ʻoki TORS no nā maʻi ʻaʻai poʻo a me ka ʻāʻī, ua hoʻohana nui ʻia i kēia manawa no nā kūlana ʻaʻole maʻi ʻaʻai.

ʻO wai ka mea kūpono no kēia ʻoki kino?

ʻAʻole no nā kānaka āpau ke ʻoki ʻana iā TORS. Na kāu kauka e hoʻoholo inā he moho kūpono ʻoe no ia. E noʻonoʻo lākou i nā kumu he nui, me kou olakino holoʻokoʻa, ke ʻano o kou poʻo a me kou ʻāʻī, a me ka nui o ke kanesa .

ʻAʻole i ʻōlelo ʻia kēia ʻoki no nā poʻe me nā kūlana penei:

• Inā ua pālahalaha ke kanesa a hiki i kahi i hiki ʻole ai ke wehe ʻia me ke ʻoki ʻana.
• Inā he mea pilikia ka anesthesia ma muli o nā pilikia hanu.
• Inā paʻakikī ke hoʻokomo i nā mea kani ma muli o ka liʻiliʻi o ka waha a i ʻole no kekahi kumu ʻē aʻe.
• Inā he pilikia o ke kahe nui ʻana o ke koko i ka wā o ke ʻoki ʻana.

E paipai wale ke kauka nāna ʻoe e nānā iā TORS inā ua hilinaʻi ʻo ia ʻo ia ka lāʻau lapaʻau palekana a maikaʻi loa nāu, ma hope o ka noʻonoʻo ʻana i kēia mau mea āpau.

Pehea e hana ʻia ai ke ʻoki kino a me ka manawa hoʻōla

Hoʻomākaukau ma mua o ke ʻoki kino

E kauoha aku kāu kauka i nā hoʻokolohua e like me nā scan e hoʻolālā i kāu ʻoki kino. Pono paha ʻoe e ʻike i kahi pathologist ʻōlelo e kōkua iā ʻoe e hoʻokele i nā pilikia ale ma hope o ke ʻoki kino. E hāʻawi pū kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo no ka ʻai ʻole ʻana a inu ʻana paha ma hope o ke aumoe o ka pō ma mua o ke ʻoki kino a me ka hoʻōki ʻana i kekahi mau lāʻau lapaʻau, e like me nā mea hoʻokahe koko.

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

Hana ʻia ke ʻoki ʻana i ka wā e hoʻomoe piha ʻia ai ʻoe. No laila, ʻaʻole ʻoe e ʻeha. E hoʻokomo ke kauka i kahi kāmela robotic a me nā mea hana i loko o kou waha a nānā ma ka pale kamepiula e wehe loa i ke kanesa. I kekahi manawa, hiki ke hana ʻia kahi ʻoki liʻiliʻi ma ka ʻāʻī e ʻike ai inā ua pālahalaha ke kanesa i nā lymph nodes ma ka ʻāʻī a hiki ke hana ʻia kahi "neck dissection" e wehe i kekahi mau lymph nodes .

ʻO ke kaʻina hana ponoʻī ma kahi o 1.5 - 2 mau hola, a hiki i ke kaʻina hana holoʻokoʻa ke lawe ma kahi o 4-5 mau hola.

ʻEhia ka lōʻihi e ho'ōla ai?

ʻO kēia kekahi o nā pono nui o TORS. Hiki iā ʻoe ke hoʻi i ka home ma hope o 2-3 mau lā ma ka haukapila. Hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau i loko o kekahi mau pule.

• Aia paha he ʻeha ka ʻāʻī a me ka pilikia i ka moni ʻana no kahi o 2-3 mau pule ma hope o ke ʻoki ʻana.
• I loko o kēia manawa, pono paha e hāʻawi ʻia ʻoe i ka meaʻai āu e pono ai, a pono paha ʻoe e hoʻokomo ʻia kahi ʻōmole hānai manawa pōkole ma kou ihu.
• He ʻokoʻa ka ho'ōla ʻana no kēlā me kēia kanaka, no laila he mea nui e hoʻolohe i kou kino a hoʻolōʻihi i kou manawa e ho'ōla ai.

He aha nā pōmaikaʻi nui o ke ʻoki ʻana o TORS?

Nui nā pono o TORS i hoʻohālikelike ʻia me ke ʻoki kino hāmama kuʻuna.

• Kiʻekiʻe ke kikoʻī: Ma muli o ka palupalu o ka lima robotic, hiki iā ia ke wehe i nā hunaola kanesa me ka pololei loa, e hōʻemi ana i ka hōʻino ʻana i nā ʻiʻo olakino a puni.
• ʻO ka ho'ōla wikiwiki a me ka noho pōkole ʻana ma ka haukapila: ʻOiai ua pono ʻoe e noho i ka haukapila no 1-2 mau pule, i kēia manawa hiki iā ʻoe ke hoʻi i ka home i loko o 2-3 mau lā.
• ʻAʻohe ʻeha i ʻike ʻia: ʻOiai ua hana ʻia ke ʻoki ʻana i loko o ka waha, ʻaʻohe ʻeha nui ma ka ʻāʻī a i ʻole ka maka.
• Hoʻemi ʻia nā hopena ʻaoʻao: ʻO ka pilikia o ke kahe koko nui, nā pilikia lōʻihi me ka ʻōlelo ʻana a me ke ale ʻana he haʻahaʻa loa.
• Hoʻemi ʻia ka pono no nā lāʻau lapaʻau hou: Hiki i kēia ke hōʻemi a hoʻopau loa paha i ka nui o ka radiation a i ʻole chemotherapy e pono ai ma hope o ke ʻoki ʻana.

Nā pilikia a me ka wā e ʻike ai i ke kauka

E like me nā ʻoki kino āpau, loaʻa iā TORS kekahi mau pilikia. Eia nō naʻe, ʻoi aku ka haʻahaʻa o kēia mau mea ma mua o ke ʻoki kino hāmama. Aia kekahi mau pilikia, e like me ke kahe nui ʻana o ke koko (hemorrhage), ka hanu ʻana o ka meaʻai a i ʻole nā ​​​​wai i loko o nā māmā, a me ka paʻakikī o ka hanu ʻana. Hoʻemi hou ʻia kēia mau pilikia e kahi kauka ʻoki kino akamai.

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o kāu ʻoki ʻana, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

• Nā hōʻailona o ka maʻi e like me ke kuni.
• Nā hōʻailona o ka make wai e like me ka waha maloʻo a me ka mimi ʻeleʻele.
• Ke kahe ʻana o ke koko mai ka wahi ʻoki.
• Paʻakikī nui ka hanu ʻana a i ʻole ke ale ʻana.
• Ka luaʻi a me ka luaʻi.
• Pehu ʻano ʻē.