Ua loaʻa anei iā ʻoe kahi ʻeha koke a hiki ʻole ke hoʻomanawanui e hoʻomaka ana ma ka ʻaoʻao o kou kua a iho i lalo i kou ʻōpū? I kekahi manawa hele pū kēia ʻeha me ka nausea a me ke koko i loko o kou mimi. ʻO ka mea i ʻike i kēia, ʻike lākou i kona paʻakikī. ʻO ka hapa nui o ka manawa, ua hoʻokumu ʻia kēia ʻeha nui e nā pōhaku puʻupaʻa a i ʻole nā pōhaku i loko o ke ala mimi. I ka wā ma mua, ua pono nā ʻoki kino nui e wehe i kēia mau pōhaku. Akā i kēia manawa, ua holomua ka ʻepekema lapaʻau. I kēia lā, e kamaʻilio mākou e pili ana i ka Ureteroscopy, kahi ʻano hana maikaʻi loa a maʻalahi hoʻi i hoʻohana ʻia e wehe i kēlā mau pōhaku.
He aha maoli ka Ureteroscopy?
I ka ʻōlelo maʻalahi, ʻo Ureteroscopy kahi hana e hoʻohana ana i kahi ʻōmole lahilahi loa, lōʻihi, a palupalu me kahi kāmela (ureteroscope) e iho i lalo i kou urethra a wehe a nānā paha i nā pōhaku i loko o kou mau ureters a me nā puʻupaʻa. ʻAʻole ia e hana i kekahi ʻoki i kou kino, no laila e ho'ōla koke ʻoe.
E noʻonoʻo, he ʻelua mau ʻōmole lahilahi loa kāu e lawe ana i ka mimi mai kou mau puʻupaʻa a i kou ʻōpū mimi. Kāhea mākou i kēia mau mea he mau ureter. I kekahi manawa, ke neʻe nā pōhaku puʻupaʻa i lalo o kēia mau ʻōmole, hiki mai kēlā ʻeha weliweli. He ala kūpono loa ka Ureteroscopy e wehe ai i kēia mau pōhaku i paʻa. He hana maʻi outpatient pinepine kēia e hiki ke hana ʻia i ka lā hoʻokahi, me ka ʻole o ka noho ʻana i ka haukapila.
ʻO kēia ke komo ʻana i kahi kāmela lahilahi ma o kahi puka kūlohelohe i loko o kou kino (ka urethra). No laila, ʻaʻohe ʻoki ʻia ma waho.
Pehea e hana ʻia ai kēia lāʻau lapaʻau?
E nalowale loa ʻoe i ka ʻike (anesthetized) i kēia kaʻina hana. No laila, ʻaʻole ʻoe e ʻeha. E hoʻokomo ke kauka i kahi ʻōmole lahilahi i kapa ʻia he ureteroscope ma o kou urethra, ma o kou ʻōpū mimi, a i luna i ka urethra kahi i loaʻa ai ka pōhaku. Hana ʻia kēia ma ka nānā ʻana i nā kiʻi mai ke kāmela ma ka ʻōmole ma kahi monitor.
Ke hoʻoholo ʻia kahi kikoʻī o ka pōhaku, pili ke ʻano o ka wehe ʻana i ka pōhaku i kona nui. ʻElua mau ʻano nui.
| Ka nui o ka pōhaku | ʻAno lapaʻau |
|---|---|
| Nā Pōhaku Liʻiliʻi | Inā liʻiliʻi ka pōhaku, e hoʻokomo ke kauka i kahi uea lahilahi ʻē aʻe ma o ka ureteroscope. He hīnaʻi liʻiliʻi ko ka uea ma ka hopena. A laila e wehe mālie ʻia ka pōhaku mai ka hīnaʻi. |
| Nā Pōhaku Nui | Inā nui ka pōhaku, he paʻakikī ke wehe iā ia mai ka ureter. I kēlā mau hihia, hoʻokomo ʻia kahi olonā lahilahi ma o ka ureteroscope a kuhikuhi ʻia kahi kukuna laser i ka pōhaku. ʻO ka mana o kēia kukuna laser e wāwahi i ka pōhaku nui i mau ʻāpana liʻiliʻi (e like me nā hua one). A laila holoi maʻalahi ʻia nā ʻāpana i kuʻi ʻia me ka mimi. |
E hoʻoholo kāu kauka i ke ala kūpono loa nāu ma muli o ka wahi, ka nui, a me ke ʻano o kou pōhaku.
ʻO wai ka mea e pono ai ka mālama ʻana i ka ureteroscopy?
Hiki i ke kauka ke ʻōlelo pinepine i kēia lāʻau lapaʻau i nā hihia aʻe:
- Koko i loko o ka mimi: Hiki i ke koko i loko o ka mimi ke hōʻike i kahi ʻeha, maʻi, a i ʻole kekahi pilikia ʻē aʻe ma kekahi wahi o ka ʻōnaehana mimi. Hiki i kēia ʻano hana ke kōkua i ke kuhikuhi ʻana i ke kumu.
- Ka paʻa ʻana o ka ureter a i ʻole ka puʻupaʻa: Hiki i nā pōhaku a i ʻole nā puʻupuʻu ʻē aʻe ke ālai i ke kahe o ka mimi. Hiki i kēia ke hana i ka pehu ʻana i loko o ka puʻupaʻa, e hōʻeha nui ai, a hiki i ka hōʻino ʻana o ka puʻupaʻa. Hoʻohana ʻia ka Ureteroscopy e ʻike i ke kumu o kēia paʻa a wehe iā ia.
ʻO wai ka mea kūpono loa no kēia?
ʻO kēia ka lāʻau lapaʻau kūpono loa no nā pōhaku ma ke ala mimi haʻahaʻa, ʻoi aku hoʻi ma kahi kokoke i ka ʻōpū mimi. He koho maikaʻi nō hoʻi ia no ka poʻe i kūpono ʻole no nā lāʻau lapaʻau ʻē aʻe. Eia kekahi laʻana:
- No nā makuahine hāpai
- No ka poʻe momona (momona)
- No ka poʻe me nā maʻi koko koko
Ma muli o ke kiʻekiʻe o ka pilikia o ke ʻoki kino hāmama no kēia poʻe, ʻoi aku ka palekana o ke ʻano hana e like me kēia me ka ʻoki ʻole ʻia.
Pehea e hoʻomākaukau ai ma mua o ke ʻoki kino?
ʻAʻole pono kēia i ka hoʻomākaukau nui ʻana, akā he mea nui loa ia e hahai i nā ʻōlelo a kāu kauka.
- Ka hoʻokē ʻai ʻana: No ka mea e noho ana ʻoe ma lalo o ka anesthesia, e haʻi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no 6-8 mau hola ma mua o ke ʻoki ʻana.
- Hāʻina mimi: E noi ʻia paha ʻoe e hāʻawi i kahi hāʻina mimi e nānā i kahi maʻi ʻaʻai mimi ma mua o ke ʻoki ʻana. No laila e mākaukau e kali i hoʻokahi hola a i ʻole ma mua o kou hele ʻana i ka haukapila.
- E haʻi mai iaʻu e pili ana i ka lāʻau lapaʻau āu e lawe nei: Ke lawe nei ʻoe i nā lāʻau hoʻokahe koko?Inā ʻoe e lawe nei i kekahi mau lāʻau lapaʻau kūikawā, e like me nā lāʻau hoʻokahe koko, e hōʻoia e haʻi mua i kāu kauka. Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o ke ʻoki kino.
He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?
Ma hope o ke ʻoki kino, e nānā ʻia ʻoe no kekahi mau hola, a inā ʻaʻohe pilikia nui, e ʻae ʻia ʻoe e hoʻi i ka home i ka lā hoʻokahi.
- Ke hoʻi nei i ka home: No kou ʻike ʻole ʻana, ʻaʻole hiki iā ʻoe ke hoʻokele kaʻa a holo kaʻa paha hoʻokahi. No laila e hōʻoia e lawe mai i kekahi e lawe iā ʻoe i ka home.
- Ke Kāohi ʻana i ka Maʻi: E hāʻawi ʻia ʻoe i kahi lāʻau antibiotic e lawe no ʻelua a ʻekolu mau lā e pale aku ai i ka maʻi. Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ke anu, a i ʻole ka ʻeha nui, he mau hōʻailona paha kēia o kahi maʻi. Inā hana ʻia kēia , e kelepona koke i kāu kauka.
- ʻEha: He mea maʻamau ka loaʻa ʻana o kekahi ʻeha no kekahi mau lā ma hope o ke ʻoki ʻana. Hiki paha iā ʻoe ke manaʻo i kahi ʻano ʻūlū ma kou ʻōpū haʻahaʻa a me ka ʻūhā. E hāʻawi kāu kauka iā ʻoe i nā lāʻau ʻeha e kōkua i ka kaohi ʻana i kēia ʻeha.
Hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka pilikia ʻole ma ka home:
- E inu i ka wai nui: I nā hola ʻelua mua ma hope o ke ʻoki ʻana, e inu i ʻelua kīʻaha wai i kēlā me kēia hola. ʻO ka inu ʻana i ka wai nui e kōkua i ka hoʻokahe ʻana i nā ʻāpana pōhaku a me ke koko me ka wikiwiki.
- ʻAuʻau wai wela: Me ka ʻae ʻana o kāu kauka, hiki i ka ʻauʻau wai wela ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka ʻoʻoleʻa.
- Nā ʻūmiʻi mehana: ʻO ke kau ʻana i kahi lole maʻemaʻe i hoʻoluʻu ʻia i ka wai mehana i ka urethra hiki ke kōkua i ka hōʻemi ʻana i ka mumū. ʻO ke kau ʻana i kahi ʻeke wai wela i kahi i loaʻa ai nā puʻupaʻa hiki ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha.
- Waihoʻoluʻu mimi: He mea maʻamau ka poni a ʻulaʻula paha o kou mimi i nā lā mua. ʻO ia hoʻi, pono ʻoe e inu i kahi wai hou aʻe.
He aha inā ua hoʻokomo ʻia kahi stent?
I kekahi manawa, ma hope o ka wehe ʻia ʻana o ka pōhaku, hiki i ka urethra ke pehu. Inā hana ʻia kēia, hiki ke pani hou ʻia ke ala no ka mimi. No ka pale ʻana i kēia a kōkua i ka ho'ōla wikiwiki ʻana o ka urethra, hiki i ke kauka ke kau i kahi ʻōmole lahilahi a palupalu i kapa ʻia he stent i loko o ka urethra.
ʻAʻole pono ʻoe e makaʻu i ka stent. He mea manawa pōkole ia. Ma hope o hoʻokahi a ʻelua paha pule, e wehe hou ʻia ia ma kahi hana liʻiliʻi. ʻOiai e kau ana ia, hiki iā ʻoe ke manaʻo iki i ka ʻoluʻolu ʻole a me ka pono e mimi pinepine.
He aha nā pilikia o kēia lāʻau lapaʻau?
E like me nā kaʻina hana lapaʻau a pau, he liʻiliʻi ka pilikia o ka Ureteroscopy, akā he haʻahaʻa loa ka likelika o kēia mau mea.
- Maʻi
- Ke kahe ʻana o ke koko
- ʻEha i ka ureter
He mea kākaʻikahi loa (ma kahi o 1 i loko o 1,000 mau ʻokiʻoki), hiki i ka urethra ke hōʻino nui ʻia. Inā hana ʻia kēia, pono paha ʻoe i kahi ʻokiʻoki ʻē aʻe e hoʻoponopono ai. Akā e hoʻomanaʻo he mau hihia kākaʻikahi loa kēia. E hana kāu kauka i nā hana āpau e pono ai e hōʻemi i kēia mau pilikia.
Leka Lawe-Home
- He ʻano lapaʻau palekana a maikaʻi hoʻi ka Ureteroscopy i kēia manawa ʻaʻole ia e pili ana i kekahi ʻoki ʻana i ke kino a hoʻohana ʻia e wehe i nā pōhaku mai nā puʻupaʻa a me nā ureters.
- Hana ʻia kēia ma ka ʻike ʻole loa ʻana, no laila ʻaʻole ʻoe e ʻeha i ka wā o ka mālama ʻana.
- ʻO ka ʻeha a me ka ʻoluʻolu ʻole e kū mai ana ma hope o ke ʻoki ʻana e nalo pinepine i loko o kekahi mau lā. E hoʻohana i ka lāʻau lapaʻau e like me ke kauoha.
- He mea nui loa ka inu ʻana i ka wai he nui ma hope o ke ʻoki ʻana no ka hoʻōla koke ʻana.
- Inā loaʻa iā ʻoe ke kuni nui, ka ʻeha hiki ʻole ke kāohi, a i ʻole nā hōʻailona ʻē aʻe, e hoʻomaopopo koke i kāu kauka.
- Ma kahi o ka ʻeha ʻana i nā pōhaku puʻupaʻa ma muli o ka makaʻu, e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau hou e like me kēia a loaʻa iā ʻoe ka hopena kūpono.











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