Me pēhea te kuru i ngā kōhatu whatukuhu ki ngā hihi laser - Me kōrero tātou mō te Laser Lithotripsy!

Kua pāngia koe e te kōhatu whatukuhu, ā, kua pāngia koe e te mamae nui? Kua kite rānei koe i tētahi mema o te whānau, i tētahi hoa rānei e pāngia ana e tēnei mamae? He mamae tino uaua ki te manawanui. Nō reira, i ēnei rā, he tino matatau ngā tikanga maimoatanga hei tango i ngā kōhatu e puta mai ana i roto i te pūnaha mimi. Ko tētahi tikanga maimoatanga e kōrerohia ana e te tini o te tangata, ā, he tino angitu, ko te whakamahi i ngā hihi laser hei kuru me te tango i ēnei kōhatu. Me kōrero taipitopito tātou mō tēnei i tēnei rā.

He aha te tikanga o te Laser Lithotripsy?

Ko te Laser Lithotripsy he tikanga hauora e whakamahi ana i te laser kaha-teitei hei wawahi me te tango i ngā kōhatu i roto i tō ara mimi. E pā ana tēnei ki tō ara mimi katoa, tae atu ki ō whatukuhu, ngā ngongo e kawe ana i te mimi mai i ngā whatukuhu ki te pūhā (ngā ureter), te pūhā, me te ngongo e kawe ana i te mimi mai i te pūhā ki waho o te tinana (urethra) . Ka taea e tēnei tikanga te tango i ngā kōhatu i ngā wāhi katoa o te ara.

Whakaarohia he hihi laser e tukuna ana mā roto i tētahi ngongo tino angiangi, kāore i te rahi ake i te makawe, ki te wāhi tika o te kōhatu, ā, ka pakaru. Ko te tikanga, ka mahia tēnei e te tākuta mimi. Ka whakauruhia e ia tētahi ngongo tino ngāwari, angiangi (tirotiro) me tētahi kāmera e piri ana ki roto, ki raro i tō urethra, ā, ka kitea te kōhatu. Kātahi ka tukuna e ia he muka laser mā roto i te ngongo, ka whiti te hihi laser ki runga i te kōhatu, ka pakaru kia ririki, pērā i te kirikiri. Hei whakamutunga, ka tangohia te kōhatu mā te whakamahi i tētahi taputapu iti rawa, he rite ki te kete.

I ētahi wā, hei tango i ngā kōhatu whatukuhu nunui rawa, ka mahia he pokanga e kīia nei ko te "percutaneous nephrolithotomy" mā roto i tētahi tapahi iti i te tuara. Ahakoa i tērā, tera anō ētahi wā ka whakamahia tēnei tikanga laser hei wawahi i te kōhatu ina oti te whakauru.

He mahi nui tēnei?

Kāo. Ko te Laser Lithotripsy e kiia ana he tikanga iti rawa te whakaekenga . Nō reira, kāore mātou e whakaaro he pokanga nui, he pokanga kino.

He aha te rerekētanga i waenga i te Laser Lithotripsy me te Shock Wave Lithotripsy?

Kua rongo pea koe i ēnei tikanga e rua. Ahakoa ko te whāinga o ēnei e rua he kuru i ngā toka, he rerekētanga nui kei roto i te āhua o te mahi. Hei mārama ki tēnei rerekētanga, tirohia te ripanga i raro nei.

Ki te kī māmā noa, ko te Laser Lithotripsy te tikanga tino whai hua mō ngā kōhatu he nui rawa, he mārō rawa, he uaua ake rānei te wāhi e kore e taea te wawahi e te ngaru ru.

He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?

Te whakarite i mua i te maimoatanga

Ka hoatu e tō tākuta he huinga tohutohu mārama ki a koe i mua i tēnei maimoatanga. He mea tino nui kia whai tika koe i ēnei tohutohu hei whakaiti i ngā raruraru.

• Ka tonoa koe kia kaua e kai, kia kaua e inu i tetahi mea mō ngā hāora e 8 i mua i te pokanga (nohopuku).
• Ko ētahi rongoā ka tangohia e koe, inā koa ko ngā rongoā whakaheke totoKa kī atu rātou kia mutu te tango i ēnei mō ētahi rā. Kaua e wareware ki te kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā huaora.
• I muri i te pokanga, ka tonoa koe kia kawe mai i tētahi hei kawe i a koe ki te kāinga nā te mea kāore e taea e koe te taraiwa nā te mea kua pangia koe e te rongoā whakamoe.

I ētahi wā, ki te paku whaiti tō ureter, tera pea he uaua ki te whakauru tonu i ngā taputapu. I roto i ēnei āhuatanga, ka whakatakotoria tuatahitia e te tākuta he ngongo rangitahi (he 'ureteral stent') hei whakawhanui i te ngongo, kātahi ka whakaritea he rā mō te maimoatanga taiaho i muri i ngā wiki e rua, e toru rānei.

Ngā mea ka tupu i te wā e maimoatanga ana

• Tuatahi, ka whakamoea katoatia koe, kātahi ka tukua kia moe kia kore ai koe e mamae.
• Muri iho, ka whakauruhia e te tākuta he ngongo angiangi (tirotiro ā-whatu) me te kāmera e piri ana mā roto i te urethra.
• Mā roto i taua ngongo, ka tukuna te muka taiaho ki te taha o te kōhatu.
• Ka wahia e ngā hihi laser te kohatu kia iti.
• Ka kohia aua maramara kōhatu ki roto i tētahi kete ātaahua ka tangohia ki waho.
• Hei whakamutunga, ka whakatakotoria he ngongo rangitahi (he stent ureteral) kia ngāwari ake ai te rere o ngā kōhatu me te mimi e toe ana ki raro i te ureter. Ka tangohia tēnei e te tākuta i te whare hauora i muri i ētahi rā, wiki rānei.
• Kātahi ka tangohia te whānuitanga i whakauruhia.

E rua, e rua rānei ngā haora e pau ana mō tēnei tukanga katoa.

He aha ngā mea ka tupu i muri i te maimoatanga? He aha ngā painga me ngā mōrearea?

I muri i te maimoatanga, ka puritia koe ki te wāhanga tirotiro mō tētahi wā, kātahi ka tukuna kia hoki ki te kāinga i muri i tō oho ake i te rongoā whakamoe. Ka hoatu he rongoā mamae ki a koe, he rongoā mō ngā mamae katoa i puta mai i te stent, me ngā paturopi mō ētahi rā hei ārai i te mate.

Kia pēhea te roa o te wā e ora ai?

Ka taea e te nuinga o te tangata te hoki ki ā rātou mahi o ia rā i muri i te wiki pea . Heoi, ki te mea he stent tōu, tera pea ka pāngia koe e te mamae i a koe e whakakorikori tinana ana, e hiki ana i ngā mea taumaha, e rere ana rānei te toto i roto i tō mimi. Pātai atu ki tō tākuta mō tēnei.

Āhea koe me toro atu ki te tākuta?

Ki te pā mai ētahi tohumate i muri i tō hokinga ki te kāinga i te maimoatanga, waea atu ki tō tākuta tonu. Kia tūpato ki ēnei e whai ake nei:

• Mena he nui tō kirika (neke atu i te 101°F).
• Mena ka pā mai te werawera i a koe e mimi ana mō ngā rā e rua neke atu .
• Mena he toto whero pouri kei roto i tō mimi, mena rānei kua neke atu i te rua, i te toru rānei ngā rā e rere ana te toto māwhero.
• Mena kei te pāngia koe e te mamae e kore e taea te manawanui.
• Ki te mea kei te pēhia koe, ā, kāore e taea e koe te mimi .

I roto i tēnei āhuatanga, waea atu tonu ki te tākuta nāna koe i rongoā. Mēnā rānei, haere ki te Tari Ohotata (ETU) o te hōhipera tata.