E kamaʻilio anei kākou e pili ana i ka transurethral resection o ke kanesa ʻōpū (TURBT)?

Ua haʻi aku anei kāu kauka iā ʻoe a i ʻole kekahi āu i ʻike ai he maʻi ʻaʻai ʻōpū kou? A laila he nui paha kāu mau nīnau e pili ana i ke ʻoki ʻana o ka ʻōpū TURBT. Mai makaʻu e noʻonoʻo e pili ana i ia mea. He lāʻau lapaʻau maʻamau a holomua hoʻi ia. I kēia lā, e kamaʻilio pōkole mākou e pili ana i ke ʻano o ka TURBT, pehea e hana ʻia ai, a me nā mea āu e pono ai e ʻike ma mua a ma hope o ka hana ʻana.

I ka ʻōlelo maʻalahi, he aha ka TURBT?

ʻO ka inoa piha o TURBT ʻo Transurethral Resection of Bladder Tumor . ʻOiai ke kani paʻakikī paha ka inoa, he mea maʻalahi loa ia. He hana ia e ʻike ai a mālama ai i ka maʻi i hoʻokahi hana.

E noʻonoʻo ʻoe he puʻupuʻu liʻiliʻi kou i loko o kou ʻōpū mimi. I kēia manawa makemake ke kauka e ʻike pono inā he maʻi ʻaʻai ia, inā pēlā, pehea ka hohonu o kona ulu ʻana i loko o ka paia o ka ʻōpū mimi (kahua), a pehea ka ʻokoʻa o kona mau cell mai nā cell maʻamau (pae). ʻO ia ke kumu e hana ʻia ai ke ʻoki TURBT.

ʻO kēia ke komo ʻana i kahi mea lōʻihi a lahilahi me kahi kāmela i hoʻopili ʻia (i kapa ʻia he cystoscope) ma o kou urethra i loko o kou ʻōpū mimi, e ʻimi ana i ka puʻupuʻu, a ʻokiʻoki iā ia. ʻAʻole pili kēia i nā ʻoki nui ma waho o kou kino . Hana ʻia nā mea āpau ma o kou urethra. A laila hoʻouna ʻia ka puʻupuʻu i wehe ʻia i kahi lab e nānā ʻia e kahi pathologist.

Pehea e hoʻomākaukau ai ma mua o ke ʻoki ʻana o TURBT?

E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi maopopo e pili ana i ka mea e hana ai ma mua o ke ʻoki ʻana. ʻO ka hahai pono ʻana i kēia mau kuhikuhi hiki ke hōʻemi nui i ka pilikia o nā pilikia i makemake ʻole ʻia.

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

Ma mua o ke ʻoki ʻana, e nānā ke kauka anesthesiologist iā ʻoe a hoʻoholo inā e hāʻawi iā ʻoe i ka anesthesia laulā, ka mea e hoʻohiamoe loa iā ʻoe, a i ʻole ka anesthesia spinal, ka mea e hoʻomānoʻo wale i kou kua i lalo. ʻO ka hapa nui, e hāʻawi ʻia ʻoe i ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki ʻana.

I kekahi mau hihia, hiki i ke kauka ke hoʻokomo i kahi wai kūikawā (dye) i loko o kou ʻōpū mimi ma o kahi paipu (catheter) ma kahi o hoʻokahi hola ma mua o ke kaʻina hana e kōkua i ka ʻike maopopo ʻana i ka puʻupuʻu. Hoʻomālamalama kēia wai ke hoʻohana ʻia kahi kukui kūikawā i ka wā o ke kaʻina hana, e ʻae ana i ke kauka e ʻike pono i kahi o ka puʻupuʻu.

Nā ʻanuʻu o ke ʻoki kino

1. Hoʻokomo ʻana o ka mea kani: Hoʻokomo pono ke kauka i ka cystoscope ma o kou urethra a i loko o kou ʻōpū mimi.

2. Ka wehe ʻana i ka cyst: Loaʻa ka cyst i loko o ka ʻōpū mimi a ʻokiʻoki ʻia i mau ʻāpana me ka hoʻohana ʻana i kahi mea ʻoki liʻiliʻi.

3. Ke hoʻōki ʻana i ke kahe ʻana o ke koko: Inā puka mai ke kahe ʻana o ke koko mai kahi i wehe ʻia ai ka puʻupuʻu, e puhi i ka ʻāpana me kahi mea uila liʻiliʻi e hoʻōki ai.

4. Catheterization: Ma hope o ke ʻoki ʻana, inā pono, kau ʻia kahi catheter e hoʻokahe i ka mimi a me ke koko mai ka ʻōpū mimi. Kōkua pū kēia i ka pale ʻana i nā ʻūpā koko. I kekahi manawa, hoʻokomo ʻia ka saline ma o kēia ʻōmole e hoʻomaʻemaʻe i ka ʻōpū mimi. ʻAʻole pono nā kānaka a pau i kahi catheter.

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

ʻAʻole ʻoe e ʻike i kekahi ʻeha i ka wā o ke ʻoki kino. Eia nō naʻe, ma hope o ke ʻoki kino, hiki iā ʻoe ke ʻike i kahi ʻeha iki a i ʻole ka wela no hoʻokahi a ʻelua paha pule, ʻoiai i ka wā e mimi ai. He mea maʻamau kēia. Hiki iā ʻoe ke loaʻa i kahi koko liʻiliʻi i loko o kou mimi. E emi iho nō hoʻi kēia i loko o kekahi mau lā.

Pono anei au i ka chemo ma hope o TURBT?

Pono kekahi poʻe i ka chemotherapy ma hope o ka TURBT. Inā ʻaʻole i pālahalaha ke kanesa ma waho o ka ʻōpū mimi, hiki i kāu kauka ke ʻōlelo aku i ka chemotherapy intravesical, kahi i hāʻawi pololei ʻia i loko o ka ʻōpū mimi ma o kahi paipu. Hiki ke hāʻawi ʻia ka mahele mua i ka manawa like me ke ʻoki ʻana. Inā ua pālahalaha ke kanesa (metastasized) i nā ʻāpana ʻē aʻe o ke kino, pono paha ʻoe i ka chemotherapy e hāʻawi ʻia ma o kahi vein. E hoʻoholo ʻia kēia mau mea a pau ma muli o kāu mau hopena biopsy.

Pono ʻoe e noho i loko o ka haukapila?

E mālama ʻia ʻoe i loko o ka haukapila no ka nānā ʻana no kekahi mau hola ma hope o ke ʻoki ʻana. E wehe ʻia ke catheter ma mua o kou hoʻouna ʻia ʻana i ka home. Eia nō naʻe, inā nui ka puʻupuʻu a inā he nui ke kahe ʻana o ke koko, e hoʻouna ʻia paha ʻoe i ka home me ke catheter no kekahi mau lā.

Ma hope o ka hoʻi ʻana i ka home:

• E inu i ka wai he nui e like me ka ʻōlelo a ke kauka.
• Hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau.
• E hoʻōki i ka hāpai ʻana i nā mea kaumaha a me ka hana ʻana i ka hana luhi no kekahi mau pule.
• E kāhea aku ke kauka iā ʻoe ke hiki mai kāu hōʻike biopsy. E nīnau mua i ka manawa a pehea e loaʻa ai iā ʻoe.

I ka manawa hea e kamaʻilio ai me ke kauka

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

• Kuni .
• Ke kahe ʻana o ke koko he nui a i ʻole nā ​​ʻōpū koko nui i loko o ka mimi.
• He ʻala pilau a he ʻono pilau paha ko ka mimi.
• ʻEha koke, ʻeha i manaʻo ʻole ʻia.
• Paʻakikī i ka mimi ʻana.

I kekahi manawa, 4-6 mau pule ma hope o ke ʻoki kino mua, pono paha ʻoe e hana hou i ke ʻoki kino (kahi `second-look TURBT`) e hōʻoia ua wehe loa ʻia ka puʻupuʻu. E wehewehe kāu kauka i kēia mau mea āpau iā ʻoe.