E hopohopo iki paha ʻoe ke haʻi aku kāu kauka iā ʻoe e pono ʻoe i kahi stent ureteral. Ke noʻonoʻo ka hapa nui o mākou i kahi stent, manaʻo mākou i kahi stent i kau ʻia i loko o ka puʻuwai. Akā he mea ʻokoʻa loa kēia. He mea liʻiliʻi ia e kōkua ai i kāu ʻōnaehana puʻupaʻa e hana pono. No laila, ʻaʻohe pono e makaʻu. I kēia lā, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka stent ureteral?
E noʻonoʻo i nā puʻupaʻa ʻelua i loko o ko kākou kino e like me nā kānana wai ʻelua. Loaʻa i kēia mau kānana ʻelua mau ʻōmole liʻiliʻi e lawe ana i ka mimi (pee) i hoʻomaʻemaʻe ʻia e kēia mau kānana ʻelua i ka ʻōpū mimi. ʻO kēia mau ʻōmole ʻelua ka mea a mākou e kapa nei he 'ureters' a i ʻole ke ala urinary.
He ʻōmole lahilahi a palupalu ka ureteral stent i hana ʻia me ka silicone a i ʻole polyurethane. Hoʻokomo ʻia ia i loko o ka ureter, ka ʻōmole e lawe ana i ka mimi, e kōkua i ka wehe ʻana a me ka wehe ʻole ʻana. Ua like ia me ke kau ʻana i kahi ʻōmole liʻiliʻi ma o kahi paipu wai i paʻa e kōkua i ka hoʻomaʻemaʻe ʻana i ke ala.
He 10-15 ʻīniha ka lōʻihi o kēia stent. Ua hoʻolālā ʻia i waiho ʻia kekahi ʻaoʻao o ia mea i loko o ka puʻupaʻa a ʻo kekahi ʻaoʻao i loko o ka ʻōpū mimi. Ua kapa ʻia hoʻi kēia he 'Double-J stent'.
No ke aha mākou e pono ai e hoʻokomo i kēia stent?
ʻO ke kumu nui, ua ālai ʻia ka ureter no kekahi kumu (ālai ʻia ka ureter). Ke hana ʻia kēia, ʻaʻole kahe ka mimi mai ka puʻupaʻa a i ka ʻōpū mimi. Hiki i kēia ke hōʻino i ka puʻupaʻa a alakaʻi i nā maʻi. Hana ka stent ma ke kāpae ʻana i ka ālai ʻana a me ka hana ʻana i kahi ala no ke kahe ʻana o ka mimi.
E nānā i ka papa ma lalo no nā kumu nui no ke kau ʻana i kēia stent.
| Kumu | Wehewehena |
|---|---|
| Nā Pōhaku Puʻupaʻa | ʻO kēia ke kumu maʻamau. Inā paʻa kahi pōhaku puʻupaʻa i loko o ka ureter a ke ālai nei i ke kahe ʻana o ka mimi, kau ʻia kahi stent e kāpae i ka pōhaku a hana i ala no ke kahe ʻana o ka mimi. Hoʻohana ʻia ia ma hope o ka mālama ʻia ʻana o ka pōhaku a e pale i ka pehu ʻana o ka ʻōmole. |
| Ma hope o ke ʻoki kino | Ma hope o ke ʻoki ʻana ma ka ʻōnaehana mimi, e pehu paha ka ʻāpana a ālai i ka urethra. Hoʻokomo ʻia kahi stent manawa pōkole e pale aku i kēia. |
| Nā puʻupuʻu | Inā puka i waho kahi puʻupuʻu maʻi ʻaʻai a i ʻole ʻaʻole maʻi ʻaʻai a ālai i ka urethra, pono kahi stent e wehe mau ai. |
| Nā kumu ʻē aʻe | Hoʻohana ʻia nō hoʻi lākou i nā hihia o nā ʻōpū koko, nā ʻeha i hoʻokumu ʻia e nā kūlana e like me ka endometriosis, a i ʻole ka nakinaki congenital o ka urethra. |
He hana ʻoki kino nui anei ke kau ʻana i ka stent? Pehea wau e hoʻomākaukau ai no ia?
ʻAʻole, ʻaʻole kēia he hana nui maʻamau . He hana minimally invasive kēia. ʻO ia hoʻi, hana ʻia ia ma o kahi puka kūlohelohe, me ka ʻole o ka hana ʻana i kahi ʻoki nui. I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Eia nō naʻe, no ka mea aia ʻoe ma lalo o ka anesthesia, pono ʻoe i kekahi e lawe iā ʻoe i ka home.
Ma mua o ke ʻoki ʻana, e haʻi aku ke kauka iā ʻoe i kēia mau mea:
- E haʻi mai iā mākou e pili ana i kou mōʻaukala olakino piha a me nā maʻi allergies āu e loaʻa ai.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora) . Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i ke kahe ʻana o ke koko.
- ʻŌlelo lākou e hana i kahi hoʻāʻo koko (eGFR) e nānā i ka hana o nā puʻupaʻa.
- E noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no kahi o 8 mau hola ma mua o ke ʻoki kino. Inā he lāʻau lapaʻau koʻikoʻi, e ʻae ʻia ʻoe e lawe me kahi ʻōmole wai.
Pehea ka hana o ke kaʻina hana o ka hoʻokomo ʻana o ka stent?
Hana pinepine ʻia kēia e ke kauka urologist. E hāʻawi ʻia ʻoe i ka anesthesia laulā, no laila ʻaʻole ʻoe e manaʻo i kekahi mea a e hiamoe ana ʻoe.
Ma hope o kou hiamoe ʻana, e hahai ke kauka i kēia mau hana:
1. ʻO ka mea mua, hoʻohana ʻia kahi scan (fluoroscopy a i ʻole ultrasound kidney) e ʻike ai i kahi kikoʻī o ka poloka.
2. A laila, hoʻokomo ʻia kahi mea lahilahi a lōʻihi me kahi kāmela i hoʻopili ʻia (kahi `cystoscope`) ma o kou urethra a i loko o kou ʻōpū mimi.
3. Ma o kēia `cystoscope`, ua hoʻokomo ʻia kahi mea lahilahi e like me ke kaula (`guidewire`) i loko o ka urethra i paʻa.
4. Hoʻokomo ʻia ka stent i kahi kūpono ma kēlā uea alakaʻi.
5. Ke kau ʻia ka stent, e wehe pono ʻia ke kaula alakaʻi a me ka cystoscope. Noho ka stent i loko o ke kino.
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 e hoʻomākaukau ai no ke ʻoki ʻana a nānā i kou kūlana ma hope.
He aha ka mea e hana ʻia ma hope o ke kau ʻia ʻana o ka stent? He aha ka mea e manaʻo ai?
Ma hope o ke ʻoki ʻana, e lohi iki ʻoe ke ala ʻoe. E hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e kāohi i ka ʻeha. E ʻōlelo ke kauka iā ʻoe e inu i ka wai he nui . E kōkua kēia i ka hoʻomaʻemaʻe ʻana i kou mau puʻupaʻa a me ka ʻōpū mimi.
He mea maʻamau kēia mau mea i nā lā mua:
- He koko liʻiliʻi i loko o ka mimi (hematuria): E emi mālie ana kēia.
- ʻO kahi ʻoluʻolu iki a i ʻole ke kuni ʻana i ka wā e mimi ai: E emi iho nō hoʻi kēia i loko o kekahi mau lā.
- Pono e mimi pinepine: Hiki ke hana kēia no ka mea hoʻoulu ka stent i ka ʻōpū.
- Ke manaʻo nei i kahi ʻeha iki ma kahi o nā puʻupaʻa (ma kēlā ʻaoʻao kēia ʻaoʻao o ke kua i lalo) i ka wā e mimi ai: Hiki ke hana kēia i kekahi poʻe.
Hiki ke loaʻa kēia mau ʻehaʻeha a emi mai paha inā e kau ana ke stent. Eia nō naʻe, inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui a i ʻole ke kahe koko nui , e hoʻomaopopo koke i kāu kauka.
ʻEhia ka lōʻihi e pono ai ke kau ʻia ʻana o ka stent?
Aia nō ia i kou kūlana. ʻO ka hapa nui o ka manawa, he manawa pōkole kēia. Hiki ke waiho ʻia no kekahi mau lā a i kekahi mau pule. E wehe kāu kauka iā lākou ke hoʻomaikaʻi kou kūlana.
Eia nō naʻe, pono kekahi poʻe (no ka laʻana, ka poʻe nona nā aʻa koko i ālai ʻia e kahi puʻupuʻu) e hoʻokomo i ka stent no ka manawa lōʻihi. I loko o ia poʻe, wehe ʻia ka stent kahiko a hoʻokomo ʻia kahi mea hou i kēlā me kēia 3-6 mahina e pale aku i ka maʻi.
Pehea ʻoe e wehe ai i ka stent? He ʻeha anei?
He maʻalahi loa ka wehe ʻana i ka stent.
- Stent me kahi kaula: Loaʻa i kekahi mau stents pōkole kahi kaula i ʻike ʻia e huki ai ke kauka e wehe i ka stent.
- Nā stent kaula ʻole: Hoʻoneʻe ʻia kēia mau mea me ka hoʻohana ʻana i kahi cystoscope i ko lākou hoʻokomo ʻia ʻana. Hoʻopili ʻia kahi gel numbing i ka wahi, no laila ʻaʻole ʻoe e ʻeha nui. Hiki paha iā ʻoe ke ʻoluʻolu iki.
Aia paha kekahi ʻā iki a ʻoluʻolu ʻole paha no hoʻokahi a ʻelua paha lā ma hope o ka wehe ʻana. He mea maʻamau kēia.
He aha nā pōmaikaʻi a me nā pilikia e hiki ke loaʻa?
E like me nā hana lapaʻau a pau, aia nā pono a me nā pōʻino/pilikia liʻiliʻi.
| ✅ Nā Pōmaikaʻi | ⚠️ Nā pilikia hiki ke loaʻa |
|---|---|
| Hoʻomaikaʻi i ke kahe ʻana o ka mimi. | Ka hoʻonāukiuki ʻana o ka ʻōpū mimi. |
| Pale i ka hōʻino ʻana o nā puʻupaʻa. | Pono pinepine e mimi. |
| Kōkua i ka hoʻomaʻemaʻe ʻana i ka mimi i loaʻa i ka maʻi. | ʻEha a wela paha i ka wā e mimi ai (dysuria). |
| ʻAe i ka ʻōmole e ho'ōla ma hope o ke ʻoki ʻana. | Nā maʻi ʻōpū mimi (UTI). |
| Kōkua i ka wehe ʻana i nā pōhaku puʻupaʻa. | He koko liʻiliʻi i loko o ka mimi. |
Pehea e hōʻemi ai i ka ʻeha i hoʻokumu ʻia e ka stent?
Hiki ke hoʻomalu ʻia kēia mau ʻeha me nā lāʻau ʻeha. Eia nō naʻe, mai lawe i kekahi mau lāʻau ʻeha (e like me nā `NSAID`) me ka ʻole o ke noi ʻana i kāu kauka. I kekahi manawa e kuhikuhi paha kāu kauka i kahi lāʻau kūikawā e like me `tamsulosin` e hōʻemi i kēia ʻeha.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka!
Inā loaʻa iā ʻoe kekahi o kēia mau mea i kou wā e hoʻokomo ai i ka stent, e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.
- Ke kuni nui a i ʻole ke anuanu (he hōʻailona paha ia o ka maʻi).
- ʻEha nui a hiki ʻole ke hoʻomanawanui ma ka ʻāpana puʻupaʻa, ka ʻōpū lalo, a i ʻole i ka wā e mimi ai.
- Koko ʻulaʻula ʻeleʻele a i ʻole nā ʻōpū koko i loko o ka mimi.
- ʻAʻole hiki ke mimi a i ʻole ka emi ʻana o ka mimi.
- Mimi ʻeleʻele ʻeleʻele, ʻala pilau .
- Ka luaʻi a me ka luaʻi .
Leka Lawe-Home
- He mea palekana a manawa pōkole ka stent ureteral i hoʻohana ʻia e hoʻomaha i kahi ālai ʻia i loko o kou ala mimi. He ʻokoʻa loa kēia mai kahi stent i kau ʻia i loko o kou puʻuwai.
- He mea maʻamau ke ʻike i kekahi kahe koko liʻiliʻi, ka ʻā ʻana, a me ka ʻoluʻolu ʻole me ka mimi ʻana ma hope o ke kau ʻia ʻana o ka stent. E emi iho kēia mau mea i loko o kekahi mau lā.
- E hahai pono i nā ʻōlelo a kāu kauka, ʻoiai hoʻi ka ʻōlelo aʻo e inu nui i ka wai.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka ʻeha hiki ʻole ke hoʻomanawanui, ke kuni, a i ʻole ke kahe nui ʻana o ke koko, mai kānalua e ʻimi koke i ke kōkua lapaʻau.
- Mai makaʻu! He lāʻau lapaʻau maʻamau a holomua kēia. E kamaʻilio ākea me kāu kauka e pili ana i kou hopohopo a me kou mau makaʻu.
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