He pilikia olakino maʻamau nā pōhaku puʻupaʻa no nā kānaka he nui. Hiki i kēia ke hōʻeha nui i ke kua, ke koko i loko o ka mimi, a me nā maʻi ʻōpū mimi, e hoʻoluhi ai i nā kānaka he nui. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano lapaʻau e hiki ai ke wehe pono i nā pōhaku me ka ʻole o ka hana ʻana i kahi ʻoki nui. Ua kapa ʻia kēia ʻo 'Ureteroscopy'.
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I ka ʻōlelo maʻalahi, he aha ka Ureteroscopy?
He hana maʻalahi ka 'Ureteroscopy' i hana ʻia i loko o kahi lumi hana, akā hiki ke hana ʻia ma ke ʻano maʻi ma waho. Pili ia i ka hoʻokomo ʻana i kahi ʻōmole lahilahi a palupalu ma o kou urethra. He kāmela liʻiliʻi kēia ʻōmole a me ke kukui ma kekahi ʻaoʻao. Kāhea mākou i kēia mea hana he 'ureteroscope' .
Hoʻokomo ʻia kēia ureteroscope ma o ka urethra, hoʻokomo ʻia ma o ka ʻōpū mimi, a ma nā ureters, nā ʻōmole e hoʻopili ai i nā puʻupaʻa a me ka ʻōpū mimi, a hiki i nā puʻupaʻa. Ma ka nānā ʻana i nā kiʻi mai kēia kāmela ma kahi pale, hiki i ke kauka ke ʻike pono i nā pōhaku, nā mea i ālai ʻia, a i ʻole nā pilikia ʻē aʻe i loko o ka ʻōnaehana mimi. He hoʻāʻo a he lāʻau lapaʻau kēia.
Pehea e wehe ai i nā pōhaku puʻupaʻa me kēia lāʻau lapaʻau?
Aia ka lāʻau lapaʻau i ka nui o kou pōhaku puʻupaʻa. E nānā kākou pehea e hana ai.
| Ka nui o ka pōhaku | ʻAno o ka Lapaʻau |
|---|---|
| Nā Pōhaku Liʻiliʻi | Inā he liʻiliʻi ka pōhaku, e wehe pono ke kauka iā ia me ka hoʻohana ʻana i kahi hīnaʻi liʻiliʻi e like me ka uea i hoʻopaʻa ʻia i ka ureteroscope. |
| Nā Pōhaku Nui | Inā nui ka pōhaku, he paʻakikī ke wehe koke. I kēlā hihia, kuhikuhi ʻia kahi kukuna laser kūikawā i ka pōhaku ma o kahi olonā palupalu kūikawā i hoʻokomo ʻia ma o ka ureteroscope. ʻO ka mana o kēia kukuna laser e wāwahi i ka pōhaku i mau ʻāpana liʻiliʻi. A laila, hoʻokuʻu maʻalahi ʻia kēia mau ʻāpana i kuʻi ʻia mai ke kino me ka mimi. |
ʻO wai ka mea e pono ai kēia lāʻau lapaʻau?
Aia kekahi mau kūlana e hiki ai i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau:
- Koko i loko o ka mimi: Inā he koko kou i loko o ka mimi me ke kumu ʻole.
- Ka ālai ʻana o ke ala mimi: Inā ua ālai ʻia ke ala mimi e nā pōhaku puʻupaʻa a i ʻole nā maʻi ʻē aʻe paha.
ʻOiai inā he makuahine hāpai ʻoe, momona, a i ʻole he maʻi koko paʻa kou , ʻo kēia ʻano hana i kapa ʻia ʻo 'Ureteroscopy' he koho kūpono a palekana paha nāu ma mua o nā ʻano lapaʻau ʻē aʻe.
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ʻOiai he hana ʻoki kino kēia, e hāʻawi kāu kauka iā ʻoe i nā kuhikuhi maopopo no ka hoʻomākaukau ʻana no ia. Eia nā kuhikuhi laulā āu e loaʻa ai:
- Hoʻokē ʻai: E noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no kekahi mau hola ma mua o ke ʻoki kino. Hana ʻia kēia e pale aku i nā mea o loko o ka ʻōpū mai ka hoʻi ʻana mai i luna i loko o ka puʻu i kou wā ma lalo o ka anesthesia.
- Ke hāʻawi ʻana i kahi laʻana mimi: Hiki ke noi ʻia ʻoe e hāʻawi i kahi laʻana mimi ma mua o ka mālama ʻana e nānā i nā maʻi ʻōpū mimi.
He aha ka mea e hana ʻia i ka wā a ma hope o ka mālama ʻana?
ʻAʻohe kumu e makaʻu ai i kēia. Hana ʻia kēia lāʻau lapaʻau ma lalo o ka anesthesia piha, ʻo ia hoʻi ke hiamoe nei ʻoe. No laila, ʻaʻole ʻoe e ʻeha. E hoʻokomo ke kauka i ka ureteroscope ma ka urethra a hana i ka hoʻokolokolo a me ka lāʻau lapaʻau e pono ai.
Ke ala ʻoe ma hope o ka lāʻau lapaʻau, e noho ana ʻoe i loko o ka lumi maʻi. No ka mea ua hoʻomoe ʻia ʻoe i ka anesthesia, he mea nui e loaʻa kekahi e lawe iā ʻoe i ka home.
No ʻelua lā ma hope o ka mālama ʻana, e hāʻawi ʻia ʻoe i kahi lāʻau antibiotic e pale aku i ka maʻi. Inā loaʻa iā ʻoe ke kuni, ke anu, a i ʻole ka ʻeha hiki ʻole ke hoʻomanawanui, he mau hōʻailona paha kēia o kahi maʻi. Inā hana ʻia kēia , e hoʻomaopopo koke i kāu kauka.
Pehea e mālama ai i ka ʻeha a me nā hopena ʻaoʻao?
Hiki paha iā ʻoe ke ʻike i kekahi ʻeha a ʻoluʻolu ʻole paha no kekahi mau lā ma hope o ka mālama ʻana. Hiki paha iā ʻoe ke ʻike i kekahi ʻoluʻolu ʻole ma ka ʻāpana puʻupaʻa a i ʻole ka ʻōpū mimi, a i ʻole kahi ʻano wela i ka wā e mimi ai ʻoe. E hāʻawi kāu kauka iā ʻoe i nā lāʻau hōʻeha no kēia. Eia kekahi, hiki iā ʻoe ke hana i kēia ma ka home:
- E inu i ka wai nui: I nā hola ʻelua mua ma hope o ka mālama ʻana, e inu i ʻelua kīʻaha wai i kēlā me kēia hola. E kōkua kēia i nā ʻāpana pōhaku i kuʻi ʻia e hele maʻalahi.
- ʻAuʻau ʻana i ka wai wela: E nīnau i kāu kauka a ʻike ʻoe he hiki i ka ʻauʻau ʻana i ka wai wela ke hōʻoluʻolu i ka ʻeha.
- ʻUmi mehana: E hoʻopili mālie i kahi lole i pulu i ka wai mehana ma kahi e puka mai ai ka mimi.
- Waihoʻoluʻu mimi:He ʻulaʻula iki paha ke kala o kou mimi. He mea maʻamau kēia, a ʻo ia hoʻi, pono ʻoe e inu i ka wai hou aku.
I kekahi manawa, hiki ke kau ʻia kahi ʻōmole liʻiliʻi i kapa ʻia ʻo stent i loko o ka puʻupaʻa e kōkua iā ia e ho'ōla wikiwiki a ʻae i ka mimi e kahe pono. Hoʻopau ʻia kēia ke hoʻi ʻoe i ke keʻena lapaʻau i hoʻokahi a ʻelua paha pule.
He aha nā pilikia o kēia?
E like me nā hana ʻoki kino āpau, aia kekahi mau pilikia, akā he liʻiliʻi loa.
- Maʻi
- Ke kahe ʻana o ke koko
- ʻEha i ka ureter
He liʻiliʻi loa ka manawa kūpono o ka hōʻino nui ʻana i ka urethra, ma kahi o 1 i loko o 1000. Inā hana ʻia kēlā, pono ʻoe e hana i kahi ʻoki ʻokoʻa e hoʻoponopono ai. Na kāu kauka e hoʻomaopopo iā ʻoe e pili ana i kēia mau mea āpau. No laila, mai makaʻu nui ʻoe no kēia.
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- He ʻano lapaʻau kūpono a palekana hoʻi ka Ureteroscopy i hoʻohana ʻia e wehe i nā pōhaku puʻupaʻa me ka ʻole o kahi ʻoki nui.
- Hana ʻia kēia lāʻau lapaʻau ma lalo o ka anesthesia, no laila ʻaʻole ʻoe e ʻike i kekahi ʻeha.
- Hopu ʻia a wehe ʻia nā pōhaku liʻiliʻi me kahi ʻupena, ʻoiai ua kuʻi ʻia nā pōhaku nui me nā kukuna laser a hoʻopuka ʻia me ka mimi.
- He mea maʻamau ke ʻike i kekahi ʻeha iki a me ka mimi ʻulaʻula ma hope o ka mālama ʻana. He mea nui e inu i ka wai he nui.
- E hoʻohana i ka lāʻau lapaʻau e like me ke kauoha a ke kauka a e hahai i kāna mau kuhikuhi.
- Inā loaʻa iā ʻoe ke kuni, ke anu, a i ʻole ka ʻeha nui, e hoʻomaopopo koke i kāu kauka a i ʻole ka haukapila kahi i mālama ʻia ai ʻoe.
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