Ua pono anei ʻoe e loaʻa i kahi Ureteral Stent? E kamaʻilio maʻalahi kākou e pili ana i kēia! (Ureteral Stent)

Malia paha ua haʻi aku kāu kauka iā ʻoe he pōhaku puʻupaʻa kou. A i ʻole ke manaʻo nei ʻoe he ʻoluʻolu ʻole ma muli o kahi paʻa i loko o kou ala mimi. I ka manawa e like me kēia, he mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi aku kāu kauka iā ʻoe e pono ʻoe e hoʻokomo i kahi stent. Akā, mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o ka ureteral stent, kāna hana, a pehea kona manaʻo ke kau ʻia ma kahi.

He aha ka ureteral Stent?

I ka ʻōlelo maʻalahi, he ʻōmole lahilahi loa kēia a palupalu i hana ʻia me ka silicone a i ʻole ka plastic. Loaʻa i ko mākou kino ʻelua mau ʻōmole lahilahi e lawe ana i ka mimi mai nā puʻupaʻa a i ka ʻōpū mimi, a mākou e kapa nei he ureters. Hoʻohana ʻia kēia stent e mālama iā ia i ka wā e paʻa ai a i ʻole ke paʻa ʻana i kekahi o kēlā mau ureters.

E like me ka wā e paʻa ai ka paipu wai i ka lepo, e pau ke kahe ʻana o ka wai. Ke paʻa ka urethra, ʻaʻole hiki i ka mimi ke hele mai ka puʻupaʻa a i ka ʻōpū mimi. ʻO ka hana a kēia stent, ʻo ia ke hoʻokomo i kēia ʻōmole lahilahi i loko o ke ala i paʻa, e hana ana i ala no ka mimi e kahe me ke keakea ʻole.

He 10 a 15 ʻīniha ka lōʻihi o kēia stent. Hoʻokomo ke kauka iā ia i loko o ka puʻupaʻa ka wili ma ka ʻaoʻao luna a me ka wili ma ka ʻaoʻao lalo i loko o ka ʻōpū mimi. Mālama kēia mau wili ʻelua i ka stent ma kahi me ka neʻe ʻole. Kapa pū kekahi poʻe i kēia he 'Double-J stent.'

No ke aha ʻoe e pono ai e hoʻokomo i kēia stent?

ʻO ke kumu nui, ʻo ia ka pale ʻana i kekahi mea e ālai ana i ke kahe o ka mimi a me ka lawe ʻana i ka mimi i ka ʻōpū mimi me ka ʻole o ka hōʻino ʻana i nā puʻupaʻa. Nui nā kumu no kēia.

He aha nā hoʻomākaukau e pono e hana ʻia ma mua o ke kau ʻana i ka stent?

ʻOiai he hana ʻoki kino kēia, e hāʻawi aku kāu kauka iā ʻoe i kekahi mau kuhikuhi ma mua. He mea nui loa ia e hahai pololei i kēia mau kuhikuhi.

• Kou moʻolelo olakino piha: E haʻi i kāu kauka i nā mea a pau āu i loaʻa ai, me nā maʻi ʻē aʻe āu i loaʻa ai, a me nā ʻoki kino āu i hana ai ma mua.
• Nā lāʻau lapaʻau āu e lawe ai: He mea nui loa ia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora a me nā lāʻau lapaʻau lāʻau. Hiki i kekahi mau lāʻau lapaʻau (e like me nā mea hoʻokahe koko) ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko i ka wā o ke ʻoki kino.
• Nā Allergies: Inā loaʻa iā ʻoe kekahi mau allergies i kekahi lāʻau lapaʻau a meaʻai paha, e hoʻomaopopo e haʻi aku.
• Nā hoʻāʻo koko: E noi ʻia paha ʻoe e hana i kekahi mau hoʻāʻo koko, e like me eGFR, e ʻike ai inā e hana pono ana kou mau puʻupaʻa.
• Hoʻokē ʻai: E noi ʻia ʻoe e hoʻōki i ka ʻai ʻana a i ʻole ka inu ʻana no kahi o 8 mau hola ma mua o ke ʻoki ʻana. Eia nō naʻe, inā loaʻa iā ʻoe kekahi lāʻau lapaʻau koʻikoʻi, e nīnau i kāu kauka inā hiki ke lawe ʻia me kahi ʻōmole wai.

He hana nui anei kēia?

ʻAʻole, ʻo ka hapa nui o ka manawa he ʻoki maʻalahi kēia, me ka ʻole o nā ʻoki nui a ʻoki paha. Ua kapa ʻia e nā kauka he 'minimally invasive'. ʻO ia hoʻi, he liʻiliʻi ka pōʻino o ke kino. Hiki iā ʻoe ke hoʻi pinepine i ka home i ke ahiahi hoʻokahi. Akā no ka mea aia ʻoe ma lalo o ka anesthesia, he mea nui e hele mai kekahi e lawe iā ʻoe i ka home.

He aha ka mea e hana ʻia ke kau ʻia kahi stent?

Hana ʻia kēia ʻoki kino e ke kauka urologist. Hana ʻia ke kaʻina hana holoʻokoʻa ma lalo o ka anesthesia laulā, no laila ʻaʻole ʻoe e manaʻo i kekahi mea a e hiamoe maikaʻi ʻoe.

1. Scan: ʻO ka mea mua, hoʻohana ke kauka i kahi ʻano X-ray (fluoroscopy) a i ʻole ultrasound scan e ʻike pono i kahi o ka paʻa ʻana i loko o ka urethra.

2. Hoʻokomo ʻia ʻana o ka cystoscope: ʻO ka mea aʻe, ua hoʻokomo ʻia kahi ʻōmole lahilahi a lōʻihi me kahi kāmela i hoʻopili ʻia (kahi `cystoscope`) ma o kou urethra a i loko o kou ʻōpū mimi.

3. Hoʻokomo ʻana o ka stent: A laila, hoʻokomo ʻia kahi uea lahilahi loa (`guidewire`) ma o ka `cystoscope` i loko o ka urethra i paʻa. A laila alakaʻi ʻia ka stent ma kēlā uea i kahi kūpono.

4. Hoʻopau: Ke kau pono ʻia ka stent, e wehe ʻia ke kaula a me ka cystoscope. ʻO ka stent wale nō ke koe i loko.

ʻAʻole ma mua o 30 mau minuke ka lōʻihi o ke kaʻina hana holoʻokoʻa, akā pono ʻoe e noho i ka haukapila no kekahi mau hola, me ka manawa e hoʻomākaukau ai no ke ʻoki kino, e hoʻōla ma hope o ke ʻoki kino, a e hōʻoia i kou maikaʻi.

He aha kāu e manaʻo ai ma hope o ke kau ʻana o ka stent?

Ke ala ʻoe mai ka anesthesia, e manaʻo iki ʻoe i ka palaualelo a me ka hiamoe. E hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e kāohi i ka ʻeha.

• Koko i loko o ka mimi (hematuria): He mea maʻamau loa ka loaʻa ʻana o kahi koko liʻiliʻi i loko o ka mimi a me kahi ʻulaʻula no nā lā mua. Mai hopohopo no ia mea. E emi mālie ana ia i loko o kekahi mau lā. Eia nō naʻe, hiki nō iā ʻoe ke ʻike i kahi koko liʻiliʻi a hiki i ka wehe ʻia ʻana o ka stent.
• ʻOluʻolu ʻole a me ka ʻeha: Hiki iā ʻoe ke manaʻo i kahi wela iki a ʻeha paha (`dysuria`) i ka wā e mimi ai. Hiki paha iā ʻoe ke manaʻo i ka pono e mimi pinepine.
• E inu i ka wai nui: E haʻi aku kāu kauka iā ʻoe e inu i ka wai nui no kekahi mau lā. E kōkua kēia i ka hana o kou mau puʻupaʻa a me ka ʻōpū mimi.

Pehea ka lōʻihi e waiho ʻia ai ka stent ma kahi? Pehea e wehe ai?

ʻO ka hapa nui o ka manawa, he manawa pōkole ka stent. E wehe kāu kauka iā ia ma hope o ka hoʻopau ʻia ʻana o ka pilikia i loko o kou urethra (e.g., ua wehe ʻia ka pōhaku, ua emi ka pehu). ʻO ka maʻamau, waiho ʻia ia ma kahi no kekahi mau lā a i kekahi mau pule.

Akā no kekahi poʻe, no ka laʻana, inā ua ālai ʻia ka urethra e kahi puʻupuʻu, pono paha e waiho ʻia ma kahi no nā mahina, a i ʻole nā ​​makahiki. No kēlā poʻe, ua wehe ʻia ka stent kahiko a ua hoʻokomo ʻia kahi mea hou i kēlā me kēia 3-6 mahina e pale aku i nā maʻi (UTI).

He ʻeha anei ke wehe ʻia ka stent?

ʻElua mau ala e wehe ai i ka stent.

1. Stent me kahi kaula: ʻO kekahi mau stent pōkole he kaula liʻiliʻi ma ka hopena. Puka ia mai ka urethra. Huki mālie ke kauka i ke kaula a wehe i ka stent. He hana wikiwiki kēia.

2. Nā stent ʻole kaula: ʻO nā stent i hoʻokomo ʻia no kekahi mau pule a ʻoi aku paha, ʻaʻohe kaula. Hoʻoneʻe ʻia lākou ma kahi hana liʻiliʻi i hana ʻia ma ke keʻena o ke kauka. ʻO ka mea mua, hoʻopili ʻia kahi hopena hoʻomake ma kahi, hoʻokomo ʻia kahi cystoscope, a wehe ʻia ka stent me kahi forceps liʻiliʻi. ʻAʻole nui ka ʻeha o ka hoʻomake. Eia nō naʻe, aia paha kekahi ʻoluʻolu ʻole a me ka ʻeha no kekahi mau lā ma hope o ka nalowale ʻana o ka hoʻomake.

He aha nā mea e hiki ke hana ʻia e pili ana i nā pilikia a me ke ʻeha e kū mai ana i ka wā e loaʻa ai kahi stent?

ʻO ka mea pōʻino, ma kahi o 80% o ka poʻe me ka stent e ʻike i kahi ʻeha iki. ʻAʻole koʻikoʻi kēia mau mea.

• Ka huhū o ka ʻōpū mimi
• Pono pinepine e mimi
• ʻEha a wela paha i ka wā e mimi ai
• Ke koko iki i loko o ka mimi
• Hoʻonui ʻia ka pilikia o nā maʻi ʻaʻai urinary (UTIs)

No ke aha e ʻeha nui ai ke kau ʻia kahi stent?

ʻAʻole like kēia no nā kānaka a pau. Hiki i kekahi poʻe ke manaʻo iki i ka ʻoluʻolu ʻole, aʻo kekahi poʻe e ʻeha nui aʻe. ʻO ke kumu nui, ke mimi ʻoe, ʻūlū ka ʻōpū mimi. A laila hamo ka wili i loko o ka stent i ka paia o ka ʻōpū mimi. ʻO ia ke kumu e ʻeha ai kekahi poʻe.

He aha ka mea hiki ke hana ʻia e hōʻemi ai i ka ʻeha?

• Nā lāʻau hoʻopau ʻeha: Hiki iā ʻoe ke hoʻohana i ka paracetamol a i ʻole nā ​​​​lāʻau anti-inflammatory non-steroidal (NSAIDs) (e.g. ibuprofen). Akā, mai lawe i kekahi mau lāʻau hoʻopau ʻeha me ka ʻole o ke kūkākūkā ʻana me kāu kauka .
• Nā lāʻau lapaʻau kūikawā: I kekahi manawa e kuhikuhi kāu kauka i kahi lāʻau lapaʻau e like me ka tamsulosin. ʻOiai he mau lāʻau lapaʻau kēia i hāʻawi ʻia i nā kāne no nā pilikia prostate, hiki iā lākou ke kōkua nui me ka ʻeha a me ka ʻoluʻolu ʻole i hoʻokumu ʻia e ka stent.

Āhea ʻoe e kāhea aku ai i ke kauka?

ʻOiai he mea maʻamau ka ʻoluʻolu iki i ka wā e kau ʻia ai kahi stent, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.