Nephrolithotomy percutaneous
E pili ana i kēia hoʻāʻo
ʻO ka percutaneous nephrolithotomy (per-kyoo-TAYN-ee-uhs NEF-roe-lih-THOT-uh-me) kahi hana e hoʻohana ʻia ai e wehe i nā pōhaku kīkī mai ke kino, i ka wā hiki ʻole iā lākou ke hele ma o lākou iho. ʻO ka huaʻōlelo 'Percutaneous' ke ʻano ma o ka ʻili. Hana ʻia kahi alahele mai ka ʻili ma ke kua a i ke kīkī. Hoʻohana ka kauka i nā mea hana kūikawā i hoʻokomo ʻia ma o kahi pūpū liʻiliʻi ma kou kua e ʻimi a wehe i nā pōhaku mai ke kīkī.
No ke aha i hana ʻia ai
Hoʻohana pinepine ʻia ka percutaneous nephrolithotomy i kēia mau manawa: Ke kāohi nei nā pōhaku nui o ka puʻupaʻa i ʻoi aku ma mua o hoʻokahi lālā o ka ʻōnaehana hōʻiliʻili o ka puʻupaʻa. ʻIke ʻia kēia mau mea he mau pōhaku puʻupaʻa staghorn. ʻOi aku ka nui o nā pōhaku puʻupaʻa ma mua o 0.8 iniha (2 kenimika) ke anawaena. Aia nā pōhaku nui i loko o ka paipa e hoʻohui ana i ka puʻupaʻa a me ka ʻōpū (ureter). Ua nele nā lapaʻau ʻē aʻe.
Nā pilikia a me nā pilikia
ʻO nā pilikia maʻamau loa mai ka percutaneous nephrolithotomy e komo pū ai: Ke kahe koko Ka maʻi Mea hōʻino i ka puʻupaʻa a i ʻole nā mea ʻē aʻe ʻAʻole i hoʻopau loa ʻia ka pōhaku
Pehea e hoʻomākaukau ai
Ma mua o ka percutaneous nephrolithotomy, e loaʻa iā ʻoe kekahi mau hoʻokolohua. E nānā nā hoʻokolohua mimi a me ke koko i nā hōʻailona o ka maʻi a i ʻole nā pilikia ʻē aʻe, a e hōʻike ka mīkini CT scan i kahi o nā pōhaku i loko o kou puʻupaʻa. Hiki paha ke kuhikuhi ʻia ʻoe e haʻalele i ka ʻai a me ka inu ʻana ma hope o ka hapalua pō o ka pō ma mua o kāu hana. E haʻi aku i kāu kime mālama i nā lāʻau lapaʻau, nā wikamina a me nā mea hoʻohui meaʻai āu e lawe nei. I kekahi mau hihia, pono paha ʻoe e haʻalele i kēia mau lāʻau lapaʻau ma mua o kāu ʻoki. Hiki i kāu kauka ʻoki ke kuhikuhi i nā lāʻau antibiotic e hoʻemi i kou manawa e loaʻa ai ka maʻi ma hope o ke kaʻina hana.
Ke hoʻomaopopo nei i kāu mau hopena
E hiki paha iā ʻoe ke ʻike i kāu kauka ʻoki kino ma 4 a 6 mau pule ma hope o ka ʻoki kino no ka kipa hoʻomau. Inā loaʻa iā ʻoe kahi pahū nephrostomy no ka hoʻokahe ʻana i ka puʻupaʻa, hiki iā ʻoe ke hoʻi koke mai. Hiki paha iā ʻoe ke loaʻa ka ultrasound, X-ray a i ʻole kahi CT scan e nānā i nā pōhaku i koe a e hōʻoia i ka hoʻokahe ʻana o ka mimi mai ka puʻupaʻa e like me ka maʻamau. Inā loaʻa iā ʻoe kahi pahū nephrostomy, e wehe aku kāu kauka ʻoki kino ma hope o ka hāʻawi ʻana iā ʻoe i ka anesthetic kūloko. Hiki i kāu kauka ʻoki kino a i ʻole ka mea hoʻolako mālama mua ke ʻōlelo aku i nā hoʻokolohua koko e ʻike i ke kumu o nā pōhaku puʻupaʻa. Hiki nō hoʻi iā ʻoe ke kamaʻilio e pili ana i nā ala e pale aku ai i ka loaʻa hou ʻana o nā pōhaku puʻupaʻa i ka wā e hiki mai ana.
Hōʻole: He kahua ʻike olakino ʻo ʻAukake a ʻaʻole hōʻike kāna mau pane i ka ʻōlelo aʻoaʻo lapaʻau. E kūkākūkā mau me kahi ʻoihana lapaʻau laikini kokoke iā ʻoe ma mua o ka hana ʻana i nā hoʻololi.
Hana ʻia i India, no ka honua