Nephrectomy (wehe ʻana i ka puʻupaʻa)

ʻO ka nephrectomy (nuh-FREK-tuh-me) kahi ʻoki kino e wehe ai i ka ʻāpana a i ʻole ka ʻāpana holoʻokoʻa o ka puʻupaʻa. ʻO ka hapa nui, hana ʻia ia e mālama i ka maʻi kanesa puʻupaʻa a i ʻole e wehe i kahi ʻōpū ʻaʻole kanesa. ʻO ke kauka e hana ana i ka ʻoki kino, ua kapa ʻia ʻo ia he kauka urologic. Aia ʻelua ʻano nui o kēia kaʻina hana. Hoʻoneʻe ka radical nephrectomy i ka puʻupaʻa holoʻokoʻa. Hoʻoneʻe ka partial nephrectomy i kahi ʻāpana o ka puʻupaʻa a waiho i ka ʻiʻo olakino ma kahi.

ʻO ke kumu maʻamau loa o ka nephrectomy, ʻo ia ka wehe ʻana i kahi tumor mai ka puʻupaʻa. He kanesa pinepine kēia mau tumor, akā ʻaʻole pinepine. I nā hihia ʻē aʻe, hiki i ka nephrectomy ke kōkua i ka mālama ʻana i ka puʻupaʻa maʻi a i ʻole i hōʻino ʻia. Hoʻohana ʻia nō hoʻi ia e wehe i ka puʻupaʻa olakino mai ka mea hāʻawi kino no ka hoʻololi ʻana i loko o ke kanaka e pono ai ka puʻupaʻa hana.

Hoʻomaʻamaʻa pinepine ka nephrectomy i kahi kaʻina hana palekana. Akā, e like me kekahi ʻoki kino, hele mai ia me nā pilikia e like me: Ke kahe koko. Ka maʻi. Ka hōʻeha ʻana i nā kino kokoke. Pneumonia ma hope o ka ʻoki kino. Nā pane i ka lāʻau lapaʻau e pale aku ai i ka ʻeha i ka wā o ka ʻoki kino, i kapa ʻia ʻo anesthesia. Pneumonia ma hope o ka ʻoki kino. I nā manawa kakaikahi, nā pilikia koʻikoʻi ʻē aʻe, e like me ka hāʻule ʻana o ka puʻupaʻa. Loaʻa i kekahi poʻe nā pilikia lōʻihi mai ka nephrectomy. Hoʻopili kēia mau pilikia i nā pilikia e hiki mai ana mai ka loaʻa ʻole ʻana o ʻelua mau puʻupaʻa hana piha. ʻO nā pilikia e hiki mai ana ma hope o ka emi ʻana o ka hana o ka puʻupaʻa e komo pū me: Ke koko kiʻekiʻe, i kapa ʻia hoʻi ʻo hypertension. ʻOi aku ka nui o ka protein i loko o ka mimi ma mua o ka maʻamau, he hōʻailona ia o ka hōʻino ʻana o ka puʻupaʻa. Ka maʻi puʻupaʻa maʻi. Eia naʻe, hiki i ka puʻupaʻa olakino hoʻokahi ke hana maikaʻi e like me nā puʻupaʻa ʻelua. A inā ʻoe e noʻonoʻo nei e hāʻawi aku i ka puʻupaʻa, e ʻike ʻoe ʻo ka hapa nui o nā mea hāʻawi puʻupaʻa e ola lōʻihi, ola maikaʻi ma hope o ka nephrectomy. Loaʻa nā pilikia a me nā pilikia ma muli o ke ʻano o ka ʻoki kino, nā kumu o ka ʻoki kino, kou olakino holoʻokoʻa a me nā pilikia ʻē aʻe he nui. He mea nui hoʻi ka pae o ka mākaukau a me ka ʻike o ke kauka ʻoki kino. No ka laʻana, ma ka Mayo Clinic, hana ʻia kēia mau kaʻina hana e nā urologists me ka hoʻomaʻamaʻa holomua a me ka ʻike nui. Hoʻemi kēia i nā manawa o nā pilikia e pili ana i ka ʻoki kino a kōkua i ka alakaʻi ʻana i nā hopena maikaʻi loa. E kamaʻilio me kāu kauka ʻoki kino e pili ana i nā pono a me nā pilikia o ka nephrectomy e kōkua i ka hoʻoholo ʻana inā kūpono ia no ʻoe.

Ma mua o ke ʻoki kino, e kamaʻilio ʻoe me kāu kauka ʻoki kino urologic e pili ana i kāu mau koho lapaʻau. ʻO nā nīnau āu e nīnau ai paha: E pono anei iaʻu kahi nephrectomy hapa a piha paha? Hiki iaʻu ke loaʻa ke ʻano o ke ʻoki kino e pili ana i nā ʻoki liʻiliʻi, i kapa ʻia ʻo ka ʻoki kino laparoscopic? He aha nā manawa e pono ai iaʻu kahi radical nephrectomy ʻoiai inā ua hoʻolālā ʻia kahi partial nephrectomy? Inā ʻo ke ʻoki kino e mālama i ka maʻi kanesa, he aha nā kaʻina hana a i ʻole nā ​​lapaʻau ʻē aʻe āu e pono ai?

Ma mua o ka hoʻomaka ʻana o kāu nephrectomy, e hāʻawi mai kāu kime mālama iā ʻoe i ka lāʻau e hoʻokomo iā ʻoe i kahi kūlana hiamoe a pale aku iā ʻoe mai ka ʻeha i ka wā o ka ʻoki kino. ʻO kēia lāʻau lapaʻau ka mea i kapa ʻia ʻo ka anesthesia laulā. E kau ʻia hoʻi kahi paipu liʻiliʻi e hoʻokahe i ka mimi mai kāu ʻōpū mimi, i kapa ʻia ʻo ka catheter, ma mua o ka ʻoki kino. I ka wā o ka nephrectomy, e hana pū ka kauka urologic a me ka hui anesthesia e hoʻemi i ka ʻeha ma hope o ka ʻoki kino.