Lawe ʻana i ka ʻōpū mimi (cystectomy)

ʻO ka cystectomy (sis-TEK-tuh-me) kahi ʻoki kino e wehe ai i ka ʻōpū mimi. ʻO ka wehe ʻana i ka ʻōpū mimi holoʻokoʻa ua kapa ʻia ʻo ka radical cystectomy. ʻO ka hapa nui o kēia e komo pū ana i ka wehe ʻana i ka prostate a me nā seminal vesicles a i ʻole ka uterus, ovaries, fallopian tubes a me kahi hapa o ka vagina. Ma hope o ka wehe ʻana i ka ʻōpū mimi, pono nō hoʻi i ke kauka ʻoki kino ke hana i kahi ala hou no ke kino e mālama ai i ka mimi a no ka mimi e haʻalele ai i ke kino. Ua kapa ʻia kēia ʻo ka urinary diversion. E kamaʻilio ke kauka ʻoki kino e pili ana i nā koho no ka urinary diversion e kūpono paha iā ʻoe.

Pono paha ʻoe i ka ʻoki kino e wehe ai i ka ʻōpū, i kapa ʻia hoʻi he cystectomy, e mālama ai i: Ka maʻi kanesa e hoʻomaka ana a i ʻole e pālahalaha ana i ka ʻōpū. Nā pilikia me ka ʻōnaehana mimi i hānau ʻia mai. Nā kūlana o ka ʻōnaehana hoʻoikaika kino, i kapa ʻia he mau kūlana neurological, a i ʻole nā ​​kūlana inflammatory e hoʻopilikia ana i ka ʻōnaehana mimi. Nā pilikia mai nā lāʻau lapaʻau no nā maʻi kanesa ʻē aʻe, e like me ka radiation, e hoʻokumu ana i nā pilikia me ka ʻōpū. ʻO ke ʻano o ka cystectomy a me ka waihona hou āu e loaʻa ai e hilinaʻi ana i nā mea he nui. ʻO kēia mau mea e komo pū ana i ke kumu o ka ʻoki kino, kou olakino holoʻokoʻa, ka mea āu e makemake ai a me kāu mau pono mālama.

ʻO ka cystectomy he ʻoki kino paʻakikī. ʻO nā pilikia o ka cystectomy e komo pū ana: Ke kahe koko. Nā ʻōpala koko. Ka maʻi. Ka ho'ōla maikaʻi ʻole o ka ʻeha. Ka hōʻino ʻana i nā kino a i ʻole nā ​​kiko kokoke. Ka hōʻino ʻana i nā kino ma muli o ka pane maikaʻi ʻole o ke kino i ka maʻi, i kapa ʻia ʻo sepsis. I nā manawa kakaikahi, make e pili ana i nā pilikia mai ka ʻoki kino. ʻO nā pilikia ʻē aʻe e pili ana i ka hoʻohuli ʻana i ka mimi e hilinaʻi ana i ke kaʻina hana. Hiki i nā pilikia ke komo pū me: Ka luaʻi mau. Ka emi ʻana o ka hana o ka puʻupaʻa. Ka nele o nā minelala pono. Ka nele o ka huaora B-12. Nā maʻi o ke ala mimi. Nā pōhaku puʻupaʻa. Ka nalowale o ka mana o ka ʻōpū mimi, i kapa ʻia ʻo urinary incontinence. Ka pale ʻana e pale aku ai i ka ʻai a i ʻole ka wai mai ka hele ʻana ma nā ʻōpū, i kapa ʻia ʻo ka bowel obstruction. Ka pale ʻana i kekahi o nā paipu e lawe ai i ka mimi mai nā puʻupaʻa, i kapa ʻia ʻo ureter blockage. Hiki i kekahi mau pilikia ke hoʻoweliweli i ke ola a i ʻole e alakaʻi i ka noho ʻana ma ka haukapila. Pono paha kekahi poʻe i kahi ʻoki kino ʻē aʻe e hoʻoponopono i nā pilikia. E haʻi aku kāu hui ʻoki kino iā ʻoe i ka wā e kāhea ai i kāu hui mālama a i ʻole i ka wā e hele ai i ka lumi ulia ma ka wā o kāu ho'ōla.

Ma mua o kāu cystectomy, e kamaʻilio ʻoe me kāu kauka ʻoki kino, kāu kauka anesthesia a me nā lālā ʻē aʻe o ka hui mālama ola e pili ana i kou olakino a me nā kumu e hiki ke hoʻopilikia i ka ʻoki kino. Hiki i kēia mau kumu ke komo pū me: Nā kūlana lōʻihi o ke olakino. Nā ʻoki kino ʻē aʻe āu i loaʻa ai. Nā maʻi lāʻau lapaʻau. Nā pane mua i ka anesthesia. Hoʻōki i ka hanu i ka wā hiamoe, i kapa ʻia ʻo obstructive sleep apnea. E nānā pū me ka hui ʻoki kino i kāu hoʻohana ʻana i kēia mau mea: ʻO nā lāʻau āpau āu e lawe ai. Nā huaora, nā lāʻau kanu a i ʻole nā mea hoʻohui ʻai ʻē aʻe. ʻAlakohol. Sigarette. Nā lāʻau lapaʻau kūʻē. Caffeine. Inā ua puhi ʻoe i ka paka, e kamaʻilio me kahi lālā o kāu hui mālama ola e pili ana i ke kōkua āu e pono ai e haʻalele. Hiki i ka puhi paka ke hoʻopilikia i kou ola hou ʻana mai ka ʻoki kino a hiki ke hoʻokumu i nā pilikia me ka lāʻau lapaʻau i hoʻohana ʻia e hoʻomoe iā ʻoe, i kapa ʻia ʻo anesthesia.

Nā koho no ka ʻoki ʻana i ka cyst e komo pū me: Ka ʻoki ʻana ākea. Hoʻohana kēia ala i kahi ʻoki hoʻokahi, i kapa ʻia ʻo ka incision, ma ka ʻōpū e hele ai i ka pelvis a me ka ʻōpū. Ka ʻoki ʻana liʻiliʻi. Me ka ʻoki ʻana liʻiliʻi, hana ka kauka i kekahi mau ʻoki liʻiliʻi ma ka ʻōpū. A laila hoʻokomo ka kauka i nā mea hana ʻoki kūikawā ma o nā ʻoki e hana ai ma ka ʻōpū. Kēia ʻano ʻoki ʻana i kapa ʻia hoʻi he laparoscopic surgery. Ka ʻoki ʻana robotic. ʻO ka ʻoki ʻana robotic he ʻano ia o ka ʻoki ʻana liʻiliʻi. Noho ka kauka ma kahi console a hoʻoneʻe i nā mea hana ʻoki robotic.