Nā hanana urinary Percutaneous - hoʻokuʻu

Loaʻa iā ʻoe kahi kaʻina hana e hoʻokahe i ka mimi mai kou puʻupaʻa a i ʻole e kipaku ʻana i nā pōhaku hakuʻala. Hāʻawi kēia ʻatikala iā ʻoe i ka ʻōlelo aʻo e pili ana i ka mea e manaʻo ai ma hope o ke kaʻina hana a me nā ʻanuʻu e pono ai ʻoe e mālama iā ʻoe iho.

Loaʻa iā ʻoe ka percutaneous (ma o ka ʻili) i nā kaʻina mimi e kōkua ai i ka hemo ʻana o ka mimi mai kou puʻupaʻa aku a hoʻopau i nā pōhaku hakuʻala.

Inā loaʻa iā ʻoe kahi nephrostomy percutaneus, hoʻokomo ka mea mālama ola i kahi catheter liʻiliʻi (maʻalahi) ma o kou ʻili i loko o kou puʻuwai e hoʻopau i kou mimi.

Inā loaʻa iā ʻoe ka nephrostolithotomy percutaneus (a i ʻole nephrolithotomy), hāʻawi ka mea hāʻawi i kahi mea olakino liʻiliʻi ma o kou ʻili i loko o kou puʻupaʻa. Ua hana ʻia kēia e wāwahi a hemo i nā pōhaku hakuʻala.

Loaʻa paha iā ʻoe ka ʻeha ma kou kua no ka pule mua ma hope o ka hoʻokomo ʻia ʻana o ka catheter i loko o ka puʻupaʻa. Hiki ke kōkua i ka lāʻau ʻeha ʻo over-the-counter e like me Tylenol me ka ʻeha. ʻO nā lāʻau ʻeha ʻē aʻe, e like me aspirin a i ʻole ibuprofen (Advil) hiki ke kōkua pū, akā ʻaʻole hiki i kāu mea lawelawe ke paipai iā ʻoe e lawe i kēia mau lāʻau no ka mea hiki iā lākou ke hoʻonui i kou makaʻu i ke kahe.

Loaʻa paha iā ʻoe kahi kahawai melemele i ka mālamalama a puni ka pūnaewele hoʻokomo catheter no nā lā 1 a 3 i hala. He maʻamau kēia.

ʻO kahi paipu e hele mai kou puʻupaʻa e hele ma waena o ka ʻili ma kou kua. Kōkua kēia i ka mimi e kahe mai kou puʻupaʻa i loko o kahi ʻeke i pili i kou wāwae. ʻIke paha ʻoe i kekahi koko i loko o ka ʻeke i ka mua. He maʻamau kēia a pono e holoi i ka holo ʻana o ka manawa.

Pono ka mālama kūpono ʻana i kāu catheter nephrostomy no laila ʻaʻole ʻoe e loaʻa i kahi maʻi.

• I ke ao, hiki iā ʻoe ke hoʻohana i kahi ʻeke urinary e pili ana i kou wāwae.
• E hoʻohana i kahi ʻeke hoʻokahe nui aku i ka pō inā makemake ʻia e kāu kauka.
• E mālama mau i ka ʻeke urinary ma lalo o ka pae o kou puʻupaʻa.
• Empty the eke ma mua o kona piha piha.
• E holoi i kāu ʻeke hoʻoheheʻe i hoʻokahi manawa i ka pule e hoʻohana ana i kahi hopena o ka hapaʻī winika keʻokeʻo a me ka hapalua wai. E holoi maikaʻi iā ia me ka wai a ʻae e maloʻo i ke ea.

Inu nui i nā wai (2 a 3 liters) i kēlā me kēia lā, ke ʻole ke kauoha mai kāu mea lawelawe iā ʻoe e hana pēlā.

Hōʻalo i nā hana e hoʻonāukiuki i ka manaʻo huki, ʻeha a puni ka catheter, a i ʻole kinking i ka catheter. Mai ʻauʻau ke loaʻa kēia catheter iā ʻoe.

E paipai aku kāu mea lawelawe iā ʻoe e ʻau i nā ʻauʻau spons, i maloʻo ai kou kapa. Hiki paha iā ʻoe ke ʻauʻau inā kāwili ʻoe i ka lole me ka wahī ʻāpiki a hoʻololi i ka lole inā pulu ia. Mai pulu i loko o kahi pahu wai a i ʻole pahu wai wela.

E hōʻike kāu mea hāʻawi iā ʻoe pehea e waiho ai i kahi lole hou. Pono ʻoe e kōkua ma muli o ka lole ma kou kua.

E hoʻololi i kouʻaʻahu i kēlā me kēia 2 a 3 mau lā no ka pule mua. Hoʻololi pinepine iā ia inā haumia, pulu, a palaka paha. Ma hope o ka pule mua, e hoʻololi i kou ʻaʻahu ʻana i hoʻokahi manawa i ka pule, a i ʻoi aku paha i nā manawa e pono ai.

Pono ʻoe i mau lako ke hoʻololi ʻoe i kou ʻaʻahu. Pākuʻi ʻia kēia mau mea: Telfa (nā mea ʻaʻahu), Tegaderm (ka leki uila maopopo), nā ʻūpā, nā ʻanuʻu aniani hoʻokaʻawale, 4-ʻīniha x 4-iniha (10 cm x 10 cm) mau ʻanuʻu aniani, lekiō, paipu hoʻohui, hydrogen peroxide, a ka wai mehana (a me kahi ipu maʻemaʻe e kāwili iā lākou), a me kahi ʻeke hoʻokahe (inā pono).

E holoi pono i kou mau lima me ke kopa a me ka wai ma mua o kou hemo ʻana i ka lole kahiko. E holoi hou iā lākou ma mua o ka hoʻokomo ʻana i ka lole hou.

E akahele ke wehe ʻoe i ke kapa kahiko.

• Mai huki i ka catheter drainage.
• Inā aia kekahi apo plastik e pale aku i kou ʻili.
• E hōʻoia e ʻike i nā sutures (nā kuʻi) a i ʻole ka hāmeʻa e paʻa ana i kāu catheter e kūʻē i kou ʻili.

Ke pau ka lole kahiko, hoʻomaʻemaʻe mālie i ka ʻili a puni kāu catheter. E hoʻohana i ka pulupulu i pulu ʻia me kahi hopena o ka hapalua hydrogen peroxide a me ka hapalua o ka wai mehana. E hoʻomaloʻo me kahi lole maʻemaʻe.

E nānā i ka ʻili a puni kāu catheter no ka hoʻonui ʻana o ka ʻulaʻula, palupalu, a me ke kahawai wai. Kāhea i kāu mea hāʻawi inā ʻike ʻoe i kēia mau loli.

E kau i kahi kapa maʻemaʻe i ke ala a kāu mea hāʻawi i hōʻike ai iā ʻoe.

Inā hiki, loaʻa i kahi ʻohana a i ʻole kahi hoaaloha ke hoʻololi i ka lole no ʻoe. Māmā kēia i ke kaʻina.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli.

• ʻEha ma kou kua a ʻaoʻao paha ʻaʻole e hele a ʻinoʻino paha
• ʻO ke koko i loko o kou mimi ma hope o nā lā mua
• Fiva a me nā anuanu
• ʻO ka luaʻi
• Urine ʻaʻala a ʻino ke nānā ʻana
• ʻO kaʻulaʻula a ʻeha paha o ka ʻili a puni ka paipu

Kāhea pū inā:

• Ke huki nei ke apo plastic mai kou ʻili.
• Ua huki ka catheter.
• Kū ka catheter i ka hoʻokahe ʻana i ka mimi i loko o ka ʻeke.
• Kinked ka pōpoki.
• Hoʻonāukiuki ʻia kou ʻili ma lalo o ka lipine.
• Ke kulu nei ka mimi a puni ka catheter a i ʻole ke apo plastic.
• He ʻulaʻula, pehu, a ʻeha hoʻi ʻoe kahi e puka ai ka catheter mai kou ʻili.
• ʻOi aku ka hoʻoheheʻe o ka wai ma mua o kāu maʻa mau.
• He koko ke kahe o ka wai a i ʻole loaʻa ka pā.

Percutaneous nephrostomy - hoʻokuʻu; Percutaneous nephrostolithotomy - hoʻokuʻu; PCNL - hoʻokuʻu; Nephrolithotomy - hoʻokuʻu; Percutaneith lithotripsy - hoʻokuʻu; Lithotripsy Endoscopic - hoʻokuʻu; Kanu hakuʻala - hoʻokuʻu; Stent Ureteric - hoʻokuʻu; Huʻi kāhili - nephrostomy; Neprolithiasis - nephrostomy; Nā pōhaku a me nā hakuʻala - mālama pono iā ʻoe iho; Nā pōhaku kalipuna - nephrostomy; Nā pōhaku oxalate - nephrostomy; Pōhaku waikawa Uric - nephrostomy

Bushinsky DA. Neikolithiasis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 117.

Matlaga BR, Krambeck AE. ʻO ka hoʻokalakino hoʻokalakupua no ka chuliuli tract urinary tract. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 94.

• Pōhaku Bladder
• Cystinuria
• Goute
• Pohaku hakuʻala
• ʻO Lithotripsy
• Nā kaʻina hana haku kekona
• Stent

• Nā pōhaku hakuʻala a me ka lithotripsy - hoʻokuʻu
• Nā pōhaku hakuʻala - mālama pono iā ʻoe iho
• Nā pōhaku hakuʻala - he aha e nīnau aku ai i kāu kauka

• Pohaku hakuʻala