Ua lohe mākou a pau i kahi "ʻoki kino" a i ʻole "ʻoki kino" ma ka liʻiliʻi hoʻokahi i ko mākou ola, ʻeā? Malia paha ua hana kekahi o ko mākou ʻohana a i ʻole nā hoaaloha iā ia. A i ʻole ua ʻike mākou ma ke kīwī a i ʻole ma kahi kiʻiʻoniʻoni. He mea maʻamau ka makaʻu iki a me ka hoihoi i ka wā e lohe ai mākou i kēia mau ʻōlelo. No laila, ʻo wai kēia kauka ʻoki kino? He aha kā lākou hana? I kēia lā e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he kauka lapaʻau ke kauka i loea i ka ʻike ʻana a me ka mālama ʻana i nā kūlana e pono ai ke ʻoki ʻana. ʻO "ʻoki ʻana" ka hana o ka hoʻololi ʻana i ke kino o ke kanaka e hoʻoponopono i kahi maʻi a i ʻole ka ʻeha. I loko o ka lumi hana, ʻo ke kauka lapaʻau ka mea nāna e alakaʻi i ka hui holoʻokoʻa. Hana pū nā kauka a me nā kahu maʻi ʻē aʻe e hōʻoia i ka holo pono ʻana o nā mea āpau, ma lalo o ke alakaʻi ʻana a ke kauka lapaʻau.
E noʻonoʻo i kēia ʻano: ua like ke kauka lapaʻau me kahi mīkini akamai e kūkulu ana i kahi ʻenekini kaʻa. Akā, ʻo ko kākou kino ka mea a lākou e kūkulu nei ma ʻaneʻi. He hana kuleana loa ia e pono ai ke akamai.
Hoʻohana nā kauka ʻoki i nā ʻano mea hana like ʻole no kā lākou hana. Eia kekahi laʻana:
- Nā lasers
- ʻenehana Ultrasound
- Nā ʻūpā niho
- He nui nā mea e like me nā nila.
He aha nā ʻano hana ʻoki kino?
ʻElua ʻano nui o ke ʻoki kino.
1. ʻO ke ʻoki kino hāmama: ʻO kēia ka hana ʻana i kahi ʻoki liʻiliʻi ma ka ʻili a hana pololei i ke ʻoki kino ma ka ʻāpana i hoʻopilikia ʻia o ke kino. No ka laʻana, hoʻohana ʻia kēia ʻano hana e wehe i kahi puʻupuʻu nui a i ʻole i kekahi mau ʻoki kino puʻuwai.
2. ʻO ke ʻoki kino liʻiliʻi loa: ʻO kēia ke "ʻoki kino me ke kōkua o ke kāmela" a mākou i lohe ai. Ma kahi o kahi ʻoki nui, hana ʻia kekahi a ʻoi aku paha mau ʻoki liʻiliʻi. Hoʻokomo ʻia kahi kāmela a me nā mea hana kūikawā ma o kēlā mau ʻoki e hana i ke ʻoki kino. ʻO nā pono o kēia , ʻoi aku ka pōkole o ka manawa hoʻōla, emi ka ʻeha, a ʻoi aku ka liʻiliʻi o nā ʻeha . Eia naʻe, ʻaʻole hiki ke hana ʻia nā ʻoki kino āpau ma kēia ʻano. Aia ia i kāu kauka.
Nā ʻano hana kūikawā like ʻole o nā kauka lapaʻau
Aia nā kauka ʻokiʻoki i loea i kēlā me kēia ʻāpana o ko kākou kino. E like me ka loaʻa ʻana o kahi kanaka ʻokoʻa no nā huila o ke kaʻa a me kahi kanaka ʻokoʻa no ka ʻenekini. E nānā kākou i nā ʻoihana ʻokiʻoki nui.
| ʻOihana Hana Lapaʻau | Ka Mea a lākou e mālama ai |
|---|---|
| Kauka Lapaʻau Nui | Hana ʻia ke ʻoki kino no nā ʻano maʻi like ʻole e hiki ke hana ma kekahi ʻāpana o ke kino (e like me ka appendicitis, gallstones, hernias). |
| Kauka ʻokiʻoki lolo | Hana ʻia ke ʻoki kino no nā maʻi e pili ana i ka lolo, ka iwi kuamoʻo, a me ka ʻōnaehana nerve (e.g., nā puʻupuʻu lolo, nā ʻeha o ke kaula spinal, nā ʻūmiʻi o nā aʻalolo). |
| Kauka Lapaʻau Orthopedic | Hoʻōla lākou i nā pilikia e pili ana i nā iwi, nā ʻiʻo, a me nā hono. E noʻonoʻo, i ka wā e haki ai kahi lima a wāwae paha i kahi ulia, a i ʻole i ka wā e pono ai mākou i kahi hoʻoili hono e like me ke kuli, hele mākou i kēia kauka. |
| Kauka Lapaʻau ʻŌpū / Kapuʻuwai | Nā loea e hana i nā ʻoki kino (e like me ke ʻoki bypass) ma ka puʻuwai, nā māmā, a me nā ʻōpū ʻē aʻe o ka umauma. |
| Kauka Hoʻoponopono Wahine a me nā Kauka Wahine (OB/GYN) | ʻO nā ʻoki Cesarean no nā makuahine hāpai a me nā ʻoki ʻana no nā maʻi o ka ʻōnaehana hānau wahine (e like me nā fibroids uterine). |
| Kauka Lapaʻau Keiki | Mai nā pēpē hānau hou a hiki i nā kamaliʻi liʻiliʻi, hana mākou i nā ʻokiʻoki kūikawā no nā keiki wale nō. |
| Kauka Lapaʻau Palaki | Hoʻihoʻi lākou i nā ʻāpana kino i hōʻino ʻia i nā ulia, ho'ōla i nā kuni, a hana i nā ʻoki kino. |
| Kauka maka | ʻO nā kauka maka, nāna e hana i nā ʻokiʻoki maka a me nā hihiʻo, e like me ka wehe ʻana i ka cataract. |
| Kauka Pepeiao, Ihu a me ka Puʻu (Kauka ENT) | Hana lākou i nā mea e like me ka wehe ʻana i ka tonsil, nā pilikia sinus, a me nā ʻoki pepeiao. |
ʻO ka huakaʻi e lilo ai i kauka lapaʻau
He huakaʻi lōʻihi a hoʻolaʻa ʻia ka lilo ʻana i kauka ʻoki. Pono ia i nā makahiki o ke aʻo ʻana a me ke aʻo ʻana.
- ʻO ka mea mua, pono ʻoe e hala i ka ʻāpana Advanced Level Biology me nā kala lele a laila e komo i ke kula lapaʻau.
- Ma hope o kēlā, pono ʻoe e aʻo no 5 mau makahiki ma ke kula lapaʻau a loaʻa i kahi kekelē MBBS.
- Ma hope o kēlā, pono ʻoe e koho i kahi ʻoihana lapaʻau āu e koho ai a e hele i nā makahiki o ke aʻo ʻana (residency) ma nā haukapila a hiki i kou lilo ʻana i loea ma ia ʻoihana.
Hiki i kēia huakaʻi ke hala ma kahi o 10-15 mau makahiki. No laila hiki iā ʻoe ke hoʻomaopopo i ka nui o ka ʻike a me ka ʻike o ke kauka lapaʻau. No laila, inā ʻoe e hana ʻia ke ʻoki ʻana, hiki iā ʻoe ke maopopo aia ʻoe i nā lima palekana loa.
No ke aha mākou e pono ai ke ʻoki kino?
Nui nā kumu e pono ai ke ʻoki kino. He pilikia kekahi, a he koho wale nō kekahi.
E noʻonoʻo, inā loaʻa iā ʻoe kahi ulia koʻikoʻi a ʻaʻole hiki ke hoʻōki i ke kahe ʻana o ke koko, he ʻoki kino ulia pōpilikia kēlā. Pono e hana koke ʻia. A i ʻole, ʻo kahi ʻoki hoʻololi kuli, kahi āu e lawe ai i ka lāʻau lapaʻau no kekahi manawa no ka ʻeha kuli a laila hana ʻia i ka lā aʻe, he ʻoki kino i hoʻolālā ʻia .
Eia kekahi o nā kumu nui e hiki ai ke hana ʻia ke ʻoki kino:
- E ʻike pololei i kahi maʻi: I kekahi manawa, no ka ʻike pono ʻana i ke ʻano o ka maʻi, hana ʻia kahi ʻoki kino e lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai loko mai o ke kino a nānā iā ia (he biopsy).
- Wehe/hoʻoponopono i nā ʻāpana i hōʻino ʻia a maʻi paha: No ka laʻana, wehe ʻana i kahi ʻāpana o ka ʻōpū i ka wā e loaʻa ai ka appendicitis, a wehe paha i kahi puʻupuʻu maʻi ʻaʻai.
- Wehe i kahi mea ālai: Inā paʻa kahi pōhaku puʻupaʻa, e wehe.
- Hoʻoili kino: Ke hoʻoili ʻana i nā kino e like me nā puʻupaʻa, nā puʻuwai, a me nā akepaʻa.
- E hoʻokomo i kahi hāmeʻa i loko o ke kino: E like me ke hoʻokomo ʻana i kahi pacemaker e hoʻoponopono i ka hana o ka puʻuwai.
- Hoʻololi i ke ʻano: E hana i kekahi mau hoʻololi i ke ʻano ma o ke ʻoki plastik.
Inā ʻōlelo ke kauka e pono ʻoe i ke ʻoki kino, mai makaʻu. ʻO nā nīnau a hopohopo paha āu e pili ana i ia mea, nā mea āpau...E nīnau i ke kauka. E wehewehe ʻo ia i nā mea āpau iā ʻoe.
Leka Lawe-Home
- He loea i aʻo nui ʻia a ʻike nui ʻia ke kauka lapaʻau nāna e mālama i nā maʻi ma o ke ʻoki ʻana.
- ʻO ka hapa nui, ua māhele ʻia nā ʻoki kino i ʻelua ʻano: hāmama a me ka minimally invasive.
- Aia nā kauka ʻokiʻoki i loea i nā ʻāpana like ʻole o ko mākou kino (e.g., puʻuwai, lolo, iwi).
- Pono ke ʻoki kino no nā kumu like ʻole, e like me ke ʻano o ka ʻike ʻana i kahi maʻi, hoʻoponopono i kahi ʻeha, a i ʻole e hoʻopakele i ke ola.
- Inā ua hoʻonohonoho ʻia ʻoe no ke ʻoki kino, mai makaʻu e kamaʻilio ākea me kāu kauka a loaʻa ka ʻike āpau. E hilinaʻi aia ʻoe ma nā lima o kahi hui lapaʻau akamai a palekana.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 ʻO wai lā ke kauka wahine a me ke kauka hānau keiki / VOG?
ʻO ke kauka 'Gynecologist' he kauka loea i nā maʻi o ka 'ʻōnaehana hānau wahine (uterus, ovaries, vagina)' (Cysts, Fibroids). Pēlā nō, ʻo ke kauka 'Obstetrician' he kauka nāna e mālama i ka 'Pregnancy and Childbirth'. Ma Sri Lanka, hoʻohui mākou i kēia mau kahua ʻelua (OB/GYN) a kapa iā lākou ʻo 'VOG (Obstetrician and Gynecologist)'.
💬 Āhea kahi wahine e kipa aku ai i kahi kauka wahine (VOG) no ka manawa mua?
ʻO kēia ke kumu e pono ai nā wahine i kahi VOG ʻaʻole wale i ka wā e hoʻāʻo nei lākou e hāpai/hāpai i kahi keiki! ʻOiai he wahine i hoʻomaka i ka menstruation maʻamau e ʻike i kēia loea inā 1) he lōʻihi loa kona wā mahina/ʻeha (inā ʻaʻole hiki ke hoʻomanawanui i nā ʻeha), 2) he nui ka wai kahe o ka wahine a i ʻole he puʻupuʻu kānalua.
💬 He aha nā 'Hae ʻUlaʻula' make/weliweli e koi ai iā ʻoe e wikiwiki i ke kauka wahine?
ʻO ka pōʻino nui loa! 1) Inā loaʻa i kahi wahine hāpai ka ʻeha nui o ka ʻōpū haʻahaʻa me ke kahe koko ʻana o ka ʻōpū (Ectopic Pregnancy), e pohā ka ʻōmole a e make ka mea maʻi i loko o kekona! 2) Inā hoʻi hou ke kahe koko ma hope o nā makahiki he nui o ka menopause (Endometrial Cancer), pono ʻoe e hele koke i kahi VOG!
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