ʻO ka hemo ʻana o ke kīʻaha

ʻO ka hoʻoneʻe ʻana i nā puʻupaʻa, a i ʻole nephrectomy, kahi ʻoki e wehe a pau a i ʻole kahi ʻāpana o kahi puʻupaʻa. Pili paha ia:

• Wehe ʻia kahi ʻāpana o hoʻokahi hakuʻala (hapa nephrectomy).
• Wehe ʻia nā puʻupaʻa āpau (nephrectomy maʻalahi).
• ʻO ka hemo ʻana o hoʻokahi puʻupaʻa holoʻokoʻa, puni momona, a me ka gland adrenal (nephrectomy radical). I kēia mau hihia, hemo i kekahi manawa nā lymph node kokoke.

Hana ʻia kēia ʻoki kino i ka haukapila ʻoiai ʻoe e hiamoe ana a ʻaʻohe ʻeha (anesthesia āpau). Hiki i ke kaʻina hana ke hana i 3 a ʻoi paha mau hola.

ʻO nephrectomy maʻalahi a wehe paha i nā kīhāpai wehe:

• E moe ana ʻoe ma kou ʻaoʻao. E hana kāu mea ʻokiʻoki i kahi ʻokiʻoki (ʻoki) a i 12 ʻīniha a 30 kenimika (cm) ka lōʻihi. Aia kēia ʻoki ma kou ʻaoʻao, ma lalo pono o nā iwi ʻaoʻao a i ʻole ʻākau ma luna o nā iwi ʻaoʻao haʻahaʻa.
• ʻOki a hoʻoneʻe ʻia kaʻiʻo, momona, a me nāʻiʻo. Pono paha kāu kaukipona e hemo i kahi iwi ʻaoʻao e hana i ke kaʻina hana.
• ʻO ka paipu e halihali i ka mimi mai ka puʻupaʻa a i ke kīloi (ureter) a me nā kīʻaha koko e ʻoki ʻia mai ka puʻupaʻa. Lawe ʻia ka hakuʻala.
• I kekahi manawa, hoʻoneʻe ʻia kahi ʻāpana o ka puʻupaʻa (nephrectomy hapa).
• Hoʻopili ʻia ka ʻoki me nā stitches a i ʻole staples.

ʻO nephrectomy radical a wehe paha i nā kīhāpai wehe:

• E ʻokiʻoki kāu kauka lāʻau ma kahi o 8 a 12 paha ʻīniha (20 a 30 cm) ka lōʻihi. Aia kēia ʻoki ma ke alo o kou ʻōpū, ma lalo pono o kou mau iwi ʻaoʻao. Hana ʻia ia ma kāu ʻaoʻao.
• ʻOki a hoʻoneʻe ʻia kaʻiʻo, momona, a me nāʻiʻo. ʻO ka paipu e halihali i ka mimi mai ka puʻupaʻa a i ke kīloi (ureter) a me nā kīʻaha koko e ʻoki ʻia mai ka puʻupaʻa. Lawe ʻia ka hakuʻala.
• Lawe pū kāu kauka i nā momona a puni, a i kekahi manawa ka gland adrenal a me kekahi mau lymph node.
• Hoʻopili ʻia ka ʻoki me nā stitches a i ʻole staples.

Wehe i ka haku laparoscopic:

• E ʻokiʻoki kāu kaukipoki i nā ʻoki liʻiliʻi he 3 a 4 paha, ʻo ka hapanui pinepine ʻaʻole ma mua o 1 ʻīniha (2.5 cm) i kēlā me kēia, i loko o kou ʻōpū a me kou ʻaoʻao. E hoʻohana ka kaukoki i nā probes liʻiliʻi a me kahi kāmela e hana ai i ke ʻoki.
• I ka hopena o ke kaʻina hana, e hoʻonui kāu kaukoki i kekahi o nā ʻoki nui (ma kahi o 4 ʻīniha a 10 cm paha) e lawe i ka puʻupaʻa.
• E ʻoki ke kaukōkō i ka ureter, e hoʻonoho i ʻeke a puni ka puʻupaʻa, a huki iā ia i loko o ka ʻoki nui.
• ʻOi aku ka lōʻihi o kēia ʻoki ma mua o ka wehe ʻana o ka hakuʻala. Eia nō naʻe, ʻo ka hapa nui o ka poʻe e ola wikiwiki a manaʻo i ka ʻeha ma hope o kēia ʻano ʻoki ke hoʻohālikelike ʻia i ka ʻeha a me ka manawa hoʻōla ma hope o ke kahakaha wehe.

I kekahi manawa, ʻoki paha kāu kauka lāʻau i kahi ʻokoʻa ma mua o ka mea i hōʻike ʻia ma luna.

Ke hana nei kekahi mau haukapila a me nā kikowaena lapaʻau i kēia ʻoki me ka hoʻohana ʻana i nā pono hana robotic.

Paipai ʻia ka hemo ʻana o ka hakuʻala no:

• Hāʻawi kekahi i kahi puʻupaʻa
• Hewa hānau
• Ka maʻi ʻaʻai kidney a i ʻole ʻaʻa ʻia he kanesa ʻōiwi
• ʻO kahi puʻupaʻa i hōʻino ʻia e ka maʻi, nā pōhaku hakuʻala, a i ʻole nā ​​pilikia ʻē aʻe
• I mea e kōkua ai i ka kaohi ʻana i ke koko kiʻekiʻe i loko o kekahi mea pilikia me ka lako o ke koko i ko lākou hakuʻala
• ʻO ka hōʻeha maikaʻi loa (trauma) i ka puʻupaʻa i hiki ʻole ke hoʻoponopono

Nā pilikia o kekahi ʻoki kino:

• Hoʻopaʻa ke koko i nā wāwae e hele paha i nā akemāmā
• Nā pilikia hanu
• ʻO ka maʻi, e komo pū ana me ka ʻeha ʻoki, paru (pulumonia), pūpū, a me nā puʻupaʻa
• Lilo ke koko
• Ka hōʻeha puʻuwai a i ʻole hahau i ka wā o ke ʻoki
• Nā hopena i nā lāʻau

ʻO nā pilikia o kēia kaʻina hana:

• ʻO ka hōʻeha i nā mea ʻē aʻe a i ʻole nā ​​hanana
• Hewa ʻiʻo ma ka hakuʻala i koe
• Ma hope o ka hemo ʻana o hoʻokahi puʻupaʻa, ʻaʻole e holo pono paha kāu kīʻaha ʻē aʻe no kekahi manawa
• ʻO Hernia o kāu ʻeha ʻoki

E haʻi mau i kāu mea mālama ola:

• Inā hiki iā ʻoe ke hāpai
• He aha nā lāʻau āu e lawe nei, a ʻo nā lāʻau, nā mea hoʻopiha, nā wikamina, a me nā mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau

I nā lā ma mua o ke kaha ʻana:

• E lawe ʻia ʻoe i nā hāpana koko inā pono ʻoe i kahi kōpili.
• E noi paha ʻoe e haʻalele i ka lawe ʻana i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), Clopidogrel (Plavix), warfarin (Coumadin), a me nā wīwī koko ʻē aʻe.
• E nīnau i kāu mea nāna e hāʻawi i nā lāʻau e pono ai e lawe i ka lā o ke ʻoki.
• Mai puhi. E kōkua kēia iā ʻoe e ola wikiwiki.

I ka lā o ke kaha:

• E noi pinepine ʻia ʻoe mai inu a ʻai ʻole i kekahi mea ma hope o ke aumoe i ka pō ma mua o ke kaha.
• E lawe i nā lāʻau e like me ka mea i haʻi ʻia mai iā ʻoe, me kahi wahi wai ʻuʻuku.
• E haʻi ʻia ʻoe i ka wā e hōʻea ai i ka haukapila.

E noho ʻoe i ka haukapila no 1 a 7 mau lā, kaukaʻi ʻia i ke ʻano o kāu ʻoki ʻana. Ma kahi noho haukapila, hiki iā ʻoe ke:

• Noi ʻia e noho ma ka ʻaoʻao o ka moe a hele i ka lā like o kou ʻoki kino
• E loaʻa i kahi paipu, a i ʻole catheter, e hele mai ana mai kāu ʻōpū
• E loaʻa i kahi kahe e puka i waho ma o kāu ʻoki ʻoki
• ʻAʻole hiki ke ʻai i ka lā mua he 1 a i ka 3, a laila e hoʻomaka ʻoe me nā wai
• Hoʻoikaika e hana i nā hana hanu
• E komo i nā stockings kūikawā, nā kāmaʻa hoʻoliʻiliʻi, a i ʻole ʻelua i mea e pale aku ai i ke koko ʻole
• Loaʻa nā kī ʻana ma lalo o kou ʻili e pale aku ai i ke koko koko
• E loaʻa i nā lāʻau ʻeha i loko o kou veins a i ʻole nā ​​pila

He ʻeha paha ke ola ʻana mai ka ʻoki hāmama ma muli o kahi o ka ʻoki ʻoki kahi. ʻO ka hoʻōla hou ma hope o ke kaʻina hana laparoscopic ʻoi aku ka wikiwiki, me ka liʻiliʻi o ka ʻeha.

ʻOi aku ka maikaʻi o ka hopena ke hemo ʻia kahi puʻupaʻa hoʻokahi. Inā hoʻoneʻe ʻia nā puʻupaʻa ʻelua, a i ʻole holo pono ke kōkō i koe, pono ʻoe i hemodialysis a i ʻole kahi transplant kidney.

Nefrectomy; Nephrectomy maʻalahi; Nephrectomy radical; Wehe i ka nephrectomy; Nephrectomy Laparoscopic; Nephrectomy ʻaoʻao

• Ka palekana i ka lumipaku no nā mākua
• Wehe i nā puʻupaʻa - hoʻokuʻu
• Pāleʻa ka pale ʻana
• Mālama ʻeha ʻeha - wehe

• Nā hakuʻala
• ʻO ka hemo ʻana o nā hakuʻala (nephrectomy) - ke kaʻina

Babaian KN, Delacroix SE, Wood CG, Jonasch E. Ka maʻi ʻaʻai kidney. I: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. ʻO Brenner a me Rector's The Kidney. 10 o ka lā. Piladelapia, PA: Elsevier; 2016: chap 41.

Olumi AF, Preston MA, Blute ML. ʻOhana ākea o ka puʻupaʻa. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 60.

ʻO Schwartz MJ, Rais-Bahrami S, Kavoussi LR. Laparoscopic a me roboticʻoki o ke konāhua. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 61.