He aha ka Donor Nephrectomy? Ke Kumu, ke Kaʻina Hana & Hoʻōla

ʻO ka donor nephrectomy kahi hana ʻoki e wehe ʻia ai kekahi puʻupaʻa olakino mai ke kanaka ola e hoʻololi i kekahi me ka maʻi kīkī. ʻO kēia ʻoki e ola ai e hiki ai iā ʻoe ke kōkua i kekahi e loaʻa hou i ko lākou olakino ʻoiai e ola ana i ke ola maʻamau me kāu puʻupaʻa i koe.

ʻO ka hāʻawi ʻana i ka puʻupaʻa ola e hōʻike ana i kekahi o nā hana lokomaikaʻi loa o ka lāʻau lapaʻau. Hiki i kāu puʻupaʻa olakino hoʻokahi ke hana maikaʻi e like me nā puʻupaʻa ʻelua no ka hapa nui o nā kānaka, e hana ana i kēia kaʻina hana i palekana a me ke ʻano nui.

He aha ka donor nephrectomy?

ʻO ka donor nephrectomy ka wehe ʻana i ka ʻoki ʻana i kahi puʻupaʻa olakino mai kahi mea hāʻawi ola no ka hoʻololi ʻana. ʻO ka maʻamau, e lawe ana ke kaʻina hana i 2-4 mau hola a hiki ke hana ʻia me ka hoʻohana ʻana i nā ʻenehana liʻiliʻi.

I ka wā o ke ʻoki ʻana, e wehe pono kāu kauka lapaʻau i kekahi puʻupaʻa me ka mālama ʻana i nā mea a pau e pili ana. E hoʻopili maoli kāu puʻupaʻa i koe e mālama i ka hana piha, maʻamau i loko o kekahi mau pule ma hope o ke ʻoki ʻana.

ʻO ka hapa nui o nā donor nephrectomies i kēia lā e hoʻohana i nā ʻenehana laparoscopic, ʻo ia hoʻi nā ʻoki liʻiliʻi a me nā manawa hoʻōla wikiwiki. Ua hana kēia ala i ka hāʻawi ʻana i ka puʻupaʻa i ʻoi aku ka ʻoluʻolu ma mua o ka ʻoki maʻamau.

No ke aha e hana ʻia ai ka donor nephrectomy?

Hana ʻia ka donor nephrectomy e hāʻawi i kahi puʻupaʻa olakino no kekahi me ka maʻi kīkī hope. ʻO ka maʻamau, hana maikaʻi nā puʻupaʻa hāʻawi ola a lōʻihi ma mua o nā puʻupaʻa mai nā mea hāʻawi i make.

Nui ka poʻe e koho e hāʻawi no ka mea makemake lākou e kōkua i kahi lālā o ka ʻohana, hoaaloha, a i ʻole he malihini e pale i ka dialysis a i ʻole e hoʻomaikaʻi i ko lākou maikaʻi o ke ola. Loaʻa pinepine ka mea loaʻa i ka hoʻomaikaʻi koke ʻana i ko lākou olakino a me nā pae ikehu.

Hiki nō hoʻi i ka hāʻawi ola ke hana i ka ʻoki i hoʻolālā ʻia i ka manawa kūpono no ka mea hāʻawi a me ka mea loaʻa. ʻO kēia manawa maʻalahi e alakaʻi pinepine i nā hopena maikaʻi aʻe i ka hoʻohālikelike ʻana i ka kali ʻana i kahi puʻupaʻa hāʻawi i make.

He aha ke kaʻina hana no ka nephrectomy mea hāʻawi?

Hoʻomaka ka hana nephrectomy mea hāʻawi me ka anesthesia maʻamau e hōʻoia i kou hōʻoluʻolu piha i ka wā o ke ʻoki. E nānā pono kāu hui ʻoki iā ʻoe i ka wā o ke kaʻina hana.

Eia ka mea e hana ʻia i ka wā o ke ʻoki, i kēlā me kēia ʻanuʻu:

1. Hana ʻia nā ʻoki liʻiliʻi i loko o kou ʻōpū no nā mea hana laparoscopic
2. Hoʻohana ʻia ke kinoea carbon dioxide e hana i kahi ākea no ke kauka e hana palekana
3. Hoʻokaʻawale ʻia ka puʻupaʻa mai nā ʻiʻo a me nā kīʻaha koko
4. Hoʻopaʻa ʻia a ʻoki ʻia nā kīʻaha koko a me ka ureter me ka pololei
5. Hoʻokomo ʻia ka puʻupaʻa i loko o kahi ʻeke pale a wehe ʻia ma kahi ʻoki liʻiliʻi
6. Hoʻopaʻa ʻia nā ʻoki a pau me nā sutures a i ʻole ke kāpili ʻoki

Hoʻomākaukau koke ʻia ka puʻupaʻa i wehe ʻia a hoʻololi ʻia i ka mea loaʻa, pinepine i loko o kahi lumi hana pili. Kōkua kēia hoʻololi wikiwiki i ka hōʻoia ʻana i ka hopena maikaʻi loa no ʻolua.

Laparoscopic vs. Open Surgery

Hana ʻia ka hapa nui o nā nephrectomies mea hāʻawi i kēia manawa ma ka laparoscopic, ʻo ia hoʻi ka hoʻohana ʻana i nā ʻoki liʻiliʻi a me kahi kamera e alakaʻi i ke ʻoki. ʻO kēia ala e hopena maʻamau i ka ʻeha liʻiliʻi, nā noho haukapila pōkole, a me ka hoʻōla wikiwiki.

Hiki ke ʻōlelo ʻia ke ʻoki hāmama i kekahi mau kūlana, e like me ka wā e paʻakikī ai nā mea anatomical i ke ʻoki laparoscopic. E kūkākūkā kāu kauka lapaʻau i ke ala maikaʻi loa no kou kūlana kikoʻī i ka wā o kāu loiloi.

Pehea e hoʻomākaukau ai no kāu nephrectomy mea hāʻawi?

ʻO ka hoʻomākaukau ʻana no ka nephrectomy mea hāʻawi e pili ana i ka hoʻāʻo ʻana i ka lāʻau lapaʻau e hōʻoia i ke olakino lawa no ke ʻoki a me ka hāʻawi. Lawe pinepine kēia kaʻina loiloi i kekahi mau pule e hoʻopau.

E komo ana kāu hoʻomākaukau i nā hoʻāʻo koko, nā haʻawina kiʻi, a me nā hālāwai me nā lālā o ka hui mālama ola. E loaʻa nō hoʻi iā ʻoe ka ʻike kikoʻī e pili ana i ka mea e manaʻo ai ma mua, i ka wā, a ma hope o ke ʻoki.

Eia nā ʻanuʻu hoʻomākaukau nui e pono ai ʻoe e hoʻopau:

• Hoʻopiha i ka mōʻaukala olakino a me ka hoʻokolokolo kino
• Nā hoʻokolohua koko e nānā i ka hana o ka puʻupaʻa, ke ʻano o ke koko, a me ke olakino holoʻokoʻa
• Nā haʻawina kiʻi e like me nā CT scans e loiloi i kou anatomy puʻupaʻa
• Ka loiloi psychological e hōʻoia i kou mākaukau naʻau
• Hālāwai me ka hui transplant e kūkākūkā i nā pilikia a me nā pōmaikaʻi
• Kūkākūkā kālā e hoʻomaopopo i nā kumukūʻai e pili ana

Pono nō hoʻi ʻoe e hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home ma hope o ke ʻoki ʻana a kōkua iā ʻoe i nā lā mua o ka hoʻōla. ʻO ka loaʻa ʻana o kēia ʻōnaehana kākoʻo e maʻalahi ai kou hoʻōla.

Nā ʻōlelo aʻo ma mua o ke ʻoki ʻana

I nā lā e alakaʻi ana i kāu ʻoki ʻana, e loaʻa iā ʻoe nā ʻōlelo aʻo kikoʻī e pili ana i ka ʻai, ka inu, a me nā lāʻau lapaʻau. ʻO ka hahai ʻana i kēia mau alakaʻi me ka akahele e kōkua i ka hōʻoia ʻana i ka ʻoki ʻana palekana loa.

Pono ʻoe e hooki i ka ʻai a me ka inu ʻana ma hope o ke aumoe ma mua o kou lā ʻoki. E hāʻawi kāu hui mālama ola iā ʻoe i kahi manawa kikoʻī o ka mea e hana ai a me ka manawa.

Pehea e heluhelu ai i kāu hopena nephrectomy mea hāʻawi?

Ma hope o ka nephrectomy mea hāʻawi, ana ʻia kāu holomua ʻoki e ka holomua o kou hoʻōla a me ka hana o kāu puʻupaʻa i koe. E nānā kāu hui mālama ola i kekahi mau hōʻailona nui e hōʻoia i ka hoʻōla pono ʻana o nā mea a pau.

E nānā ʻia kāu hana puʻupaʻa ma o nā hoʻokolohua koko e ana i nā pae creatinine. Hiki ke kiʻekiʻe iki kēia mau pae ma mua o ke ʻoki ʻana, akā he mea maʻamau kēia a manaʻo ʻia me hoʻokahi puʻupaʻa.

Eia ka mea e nānā ai kāu hui mālama ola i ka wā e ola ai:

• Nā pae creatinine koko e loiloi i ka hana puʻupaʻa
• Nā ana koko e hōʻoia i ke kūpaʻa
• Urine output e hōʻoia i ka hana puʻupaʻa maʻamau
• Hoʻōla ʻeha ma nā wahi ʻoki
• Nā pae ʻeha a me ka hōʻoluʻolu holoʻokoʻa
• Hoʻi i nā hana maʻamau a me nā pae ikehu

ʻO ka hapa nui o nā mea hāʻawi e ʻike i ka paʻa ʻana o kā lākou hana kīkī i loko o kekahi mau pule ma hope o ke ʻoki ʻana. E lawe mālie kāu kīkī i koe i ka hana piha, a e ʻoi aku kou ikaika i kou wā e ola ai.

Pehea e mālama ai i ke olakino maikaʻi ma hope o ka nephrectomy mea hāʻawi?

ʻO ka mālama ʻana i kou olakino ma hope o ka nephrectomy mea hāʻawi e pili ana i ka hahai ʻana i nā ʻōlelo aʻoaʻo ola olakino e pōmaikaʻi ai i nā mea a pau. Hiki i kāu kīkī i koe ke mālama i nā hana ola maʻamau me ka ʻole o nā palena kūikawā.

Pono ʻoe i nā nānā maʻamau e nānā i kāu hana kīkī, ʻoi aku ka pinepine i ka makahiki mua ma hope o ka hāʻawi ʻana. Kōkua kēia mau kipa ʻana e hōʻoia i ka olakino o kāu kīkī a hopu i nā hopohopo i ka wā mua.

Eia nā ala nui e kākoʻo ai i kou olakino lōʻihi:

• E noho maikaʻi i ka wai ma ka inu ʻana i ka wai nui i ka lā a pau
• E mālama i ka meaʻai kaulike me ka ʻai protein maʻalahi
• E hoʻoikaika mau i ke kākoʻo ʻana i ke olakino cardiovascular holoʻokoʻa
• E mālama i ke koko i loko o ke olakino
• E pale i ka puhi ʻana a e kaupalena i ka inu ʻana i ka waiʻona
• E lawe i nā lāʻau lapaʻau e like me ke kauoha a e pale i nā lāʻau ʻeha pono ʻole

ʻO ka hapa nui o nā mea hāʻawi kīkī e ola i nā ola maʻamau me ka ʻole o nā palena meaʻai a i ʻole nā palena hana. Hiki i kāu kīkī i koe ke kākoʻo piha i nā pono a pau o kou kino.

He aha nā mea pilikia no nā pilikia nephrectomy mea hāʻawi?

ʻOiai palekana ka nephrectomy mea hāʻawi, hiki i kekahi mau mea ke hoʻonui iki i kou pilikia o nā pilikia. ʻO ka hoʻomaopopo ʻana i kēia mau mea e kōkua iā ʻoe a me kāu hui mālama ola e hana i nā hoʻoholo maikaʻi loa e pili ana i kāu mālama.

ʻO ka makahiki, ke kūlana olakino holoʻokoʻa, a me ka anatomy kīkī e pāʻani i nā hana i ka hoʻoholo ʻana i kāu pae pilikia pilikino. E loiloi pono kāu hui transplant i kēia mau mea i ka wā o kāu kaʻina loiloi mea hāʻawi.

ʻO nā mea pilikia maʻamau e hiki ke hoʻonui i nā pilikia e pili ana:

• Ka makahiki kiʻekiʻe (ʻoiai he nui nā mākua makua olakino e hāʻawi kūleʻa)
• Ka momona a i ʻole ke kaumaha kino kiʻekiʻe loa
• Ke koko kiʻekiʻe a i ʻole ka maʻi diabetes
• Nā ʻoki ʻōpū mua i hana i ka ʻiʻo ʻōpū
• ʻAno ʻokoʻa o ka puʻupaʻa a i ʻole nā ʻano like ʻole o nā kīʻaha koko
• Ka puhi ʻana i ka paka a i ʻole ka hoʻohana ʻana i ka paka ʻē aʻe

ʻOiai inā he mau mea pilikia kou, hiki nō iā ʻoe ke lilo i moho hāʻawi maikaʻi loa. E hana pū kāu hui mālama ola me ʻoe e hoʻomaikaʻi i kou olakino ma mua o ke ʻoki ʻana a e hōʻemi i nā pilikia hiki ke loaʻa.

Nā Kumu Pilikia Kakaʻikahi

Hiki i kekahi mau mea maʻamau ʻole ke hoʻopili i kou kūpono no ka hāʻawi. ʻO kēia mau mea e pili ana i kekahi mau maʻi genetic, nā maʻi autoimmune, a i ʻole ka moʻolelo o ka maʻi puʻupaʻa i loko o ka ʻohana.

E komo ana kāu loiloi i ka nānā ʻana i kēia mau maʻi kakaʻikahi e hōʻoia i ka palekana o ka hāʻawi ʻana iā ʻoe i ka wā lōʻihi. ʻO ka pahuhopu ka pale mau ʻana i kou olakino i ka wā e kōkua ana i kekahi.

He aha nā pilikia hiki ke loaʻa i ka nephrectomy donor?

He kakaʻikahi nā pilikia o ka nephrectomy donor, akā he mea nui e hoʻomaopopo i ka mea e hiki ke hana i hiki iā ʻoe ke hana i kahi hoʻoholo i ʻike ʻia. ʻO ka hapa nui o nā mea hāʻawi e ʻike i nā hoʻōla maʻalahi me ka ʻole o nā pilikia nui.

Hiki ke māhele ʻia nā pilikia ʻoki i nā pilikia ma hope koke o ka hana a me nā pilikia i ka wā lōʻihi. E nānā pono kāu hui mālama ola iā ʻoe no nā hōʻailona o nā pilikia i kāu hoʻōla.

Eia nā pilikia hiki ke loaʻa koke:

• Ke kahe ʻana o ke koko ma ke kahua ʻoki e koi ana i ka mālama hou
• Ka maʻi ma nā wahi ʻoki a i ʻole ka maʻi i loko
• Nā koko koko i nā wāwae a i ʻole nā māmā
• Nā hopena i ka anesthesia a i ʻole nā lāʻau lapaʻau
• ʻEha i nā ʻōkana kokoke i ka wā o ke ʻoki
• Hoʻololi mai ka laparoscopic i ka ʻoki hāmama inā pono

Loaʻa kēia mau pilikia koke i ka liʻiliʻi ma mua o 5% o nā nephrectomies donor. Ke hana lākou, ua maʻamau lākou e mālama ʻia me ka mālama olakino wikiwiki.

Nā pilikia lōʻihi

He mea maʻamau ʻole nā pilikia lōʻihi ma hope o ka nephrectomy mea hāʻawi, akā hiki iā lākou ke komo i nā pilikia liʻiliʻi o ke koko kiʻekiʻe a i ʻole nā pōhaku kīkī. Kōkua ka mālama ʻana i ka wā maʻamau i ka ʻike a me ka mālama ʻana i kēia mau pilikia i ka wā mua.

Hiki i kekahi poʻe hāʻawi ke ʻike i ka ʻeha mau ma nā wahi ʻoki, ʻoiai he mea maʻamau ʻole kēia me nā ʻenehana ʻoki hou. ʻO ka hapa nui o nā hopena lōʻihi he mea liʻiliʻi a ʻaʻole pili nui i ka maikaʻi o ke ola.

I nā manawa kakaʻikahi, hiki i nā mea hāʻawi ke hoʻomohala i ka maʻi kīkī i kā lākou kīkī i koe i nā makahiki a i ʻole nā ​​makahiki ma hope. Eia naʻe, ʻoi aku ka kiʻekiʻe o kēia pilikia ma mua o ka heluna kanaka maʻamau a pili pinepine i nā mea olakino ʻē aʻe.

I ka manawa hea wau e ʻike ai i ke kauka ma hope o ka nephrectomy mea hāʻawi?

Pono ʻoe e hoʻokaʻaʻike koke i kāu hui mālama ola inā ʻike ʻoe i nā hōʻailona e pili ana ma hope o ka nephrectomy mea hāʻawi. Hiki i ka hana mua ke pale i nā pilikia liʻiliʻi mai ka lilo ʻana i nā pilikia koʻikoʻi.

E hāʻawi kāu hui transplant iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka manawa e kāhea ai a me ka ʻike pili pilikia. Mai kānalua e hoʻopili inā hopohopo ʻoe i kekahi mea i ka wā o kou ola hou ʻana.

E kelepona koke i kāu kauka inā ʻike ʻoe:

• ʻO ke kuni ma luna o 101°F (38.3°C) a i ʻole nā ​​anu
• ʻEha nui a i ʻole ka ʻeha e hoʻonui ana ʻaʻole e hoʻomaikaʻi me ka lāʻau lapaʻau
• ʻUlaʻula, pehu, a i ʻole ka wai mai nā wahi ʻoki
• He paʻakikī ka mimi ʻana a i ʻole nā ​​hoʻololi nui i ka hana mimi
• ʻO ka nausea a me ka luaʻi e pale ana i ka mālama ʻana i nā wai
• ʻO ka pōkole o ka hanu a i ʻole ka ʻeha o ka umauma
• Pehu i nā wāwae a i ʻole ka loaʻa ʻana o ke kaumaha koke

ʻAʻole pono kēia mau hōʻailona e manaʻo he hewa kekahi mea koʻikoʻi, akā pono lākou i ka loiloi olakino wikiwiki. Makemake kāu hui mālama ola e nānā iā ʻoe me ka pono ʻole ma mua o ka nalo ʻana i kekahi mea nui.

Mālama maʻamau

Ma waho aʻe o nā hopohopo wikiwiki, e loaʻa iā ʻoe nā manawa hālāwai e nānā i kou ola hou ʻana a me ke olakino lōʻihi. He mea nui kēia mau kipa ʻana no ka hōʻoia ʻana i ka olakino o kou puʻupaʻa i koe.

ʻO kāu papa manawa e pili ana i nā kipa ʻana i 1 pule, 1 mahina, 6 mahina, a me 1 makahiki ma hope o ke ʻoki ʻana. Ma hope o kēlā, ua lawa nā loiloi makahiki no ka hapa nui o nā mea hāʻawi.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka nephrectomy mea hāʻawi

Q.1 He palekana anei ka nephrectomy mea hāʻawi no ka mea hāʻawi?

ʻAe, palekana loa ka nephrectomy mea hāʻawi no nā mea hāʻawi i nānā pono ʻia. ʻO ka pilikia o nā pilikia koʻikoʻi ma lalo o 1%, a ua ola hou ka hapa nui o nā mea hāʻawi i loko o 4-6 pule.

Loaʻa i nā mea hāʻawi ola ke ola like me ka heluna kanaka. E hoʻopili kāu puʻupaʻa i koe e mālama i ka hana piha, a hiki iā ʻoe ke ola i ke ola maʻamau me ka ʻole o nā palena.

Q.2 Hoʻokumu anei ka loaʻa ʻana o hoʻokahi puʻupaʻa i nā pilikia olakino lōʻihi?

ʻO ka loaʻa ʻana o hoʻokahi puʻupaʻa ʻaʻole ia e hana i nā pilikia olakino lōʻihi no ka hapa nui o nā mea hāʻawi. Hiki i kāu puʻupaʻa i koe ke hana i nā hana pono a pau, a mālama ka hapa nui o nā mea hāʻawi i ka hana maʻamau o ka puʻupaʻa i ko lākou ola.

Aia paha kahi pilikia liʻiliʻi o ke koko kiʻekiʻe a i ʻole nā pōhaku kīkī i ka manawa, akā he liʻiliʻi kēia mau pilikia a hiki ke mālama ʻia me ka mālama olakino maʻamau.

Q.3 Pehea ka lōʻihi o ka hoʻōla ʻana ma hope o ka nephrectomy mea hāʻawi?

Hoʻi ka hapa nui o nā mea hāʻawi i nā hana maʻamau i loko o 4-6 pule ma hope o ka laparoscopic donor nephrectomy. E noho maʻamau ʻoe i ka haukapila no 1-2 mau lā a hiki ke hoʻi i ka hana pākaukau i loko o 2-3 mau pule.

Pono e pale ʻia ka hāpai ʻana i nā mea kaumaha a me nā hana ikaika no kahi o 6 pule e ʻae i ka hoʻōla kūpono. E hoʻi mālie kou pae ikehu i ka maʻamau i ka wā e hoʻopili ai kou kino i ka loaʻa ʻana o hoʻokahi puʻupaʻa.

Q.4 Hiki iaʻu ke hoʻoikaika a pāʻani i nā haʻuki ma hope o ka hāʻawi ʻana i ka puʻupaʻa?

ʻAe, hiki iā ʻoe ke hoʻi i nā hana hoʻoikaika kino a me nā haʻuki maʻamau a pau ma hope o ka pau ʻana o kou ola. ʻAʻole e kaupalena ka loaʻa ʻana o kekahi puʻupaʻa i kou hiki ke kino a i ʻole ka hana haʻuki.

Pono ʻoe e pale i nā haʻuki pili me ka pilikia kiʻekiʻe o ka ʻeha i kou puʻupaʻa i koe, akā he mea mālama kēia ma mua o kahi koi koʻikoʻi. He palekana loa ka ʻauʻau, ka holo ʻana, ka paikikala, a me ka hapa nui o nā hana ʻē aʻe.

Q.5 Pono anei au i ka mālama olakino kūikawā no ke koena o koʻu ola?

Pono ʻoe i nā loiloi maʻamau e nānā i ka hana o kou puʻupaʻa, akā ʻaʻole pono ʻoe i nā lāʻau lapaʻau a i ʻole nā ​​lāʻau lapaʻau kūikawā. Ua lawa nā kipa makahiki me nā hoʻokolohua koko ma hope o ka makahiki mua.

Hiki i kāu kauka mālama mua ke mālama i ka hapa nui o kāu mālama ʻana, me nā kipa manawa i ke kikowaena transplant. E ola ʻoe e like me nā mea ʻē aʻe, me hoʻokahi puʻupaʻa ma kahi o ʻelua.