ʻO Lithotripsy

ʻO Lithotripsy kahi hana e hoʻohana ai i nā nalu haʻalulu e wāwahi i nā pōhaku i ka puʻupaʻa a me nā ʻāpana o ka ureter (paipu e lawe i ka mimi mai kou puʻupaʻa i kāu pūpū). Ma hope o ke kaʻina hana, hele i nā ʻāpana pōhaku liʻiliʻi o kou kino i kāu mimi.

ʻO ka lithotripsy nalu Extracorporeal shock (ESWL) ka ʻano lithotripsy maʻamau. "Extracorporeal" ʻo ia hoʻi ma waho o ke kino.

No ka hoʻomākaukau no ke kaʻina hana, e hoʻokomo ʻoe i ke kapa komo haukapila a moe i ka papa hōʻike ma luna o kahi ʻūlū palupalu a piha i ka wai. ʻAʻole ʻoe pulu.

E hāʻawi ʻia ʻoe i ka lāʻau no ka ʻeha a i ʻole e kōkua iā ʻoe e hoʻomaha ma mua o ka hoʻomaka ʻana o ke kaʻina hana. Hāʻawi ʻia ʻoe i nā lāʻau ʻaloʻalo.

Ke loaʻa iā ʻoe ke kaʻina hana, hāʻawi ʻia iā ʻoe i ka anesthesia ākea no ke kaʻina hana. E hiamoe ʻoe a ʻaʻohe ʻeha.

ʻO nā nalu haʻalulu ikaika, i kapa ʻia hoʻi nā nalu kani, alakaʻi ʻia e x-ray a i ʻole ultrasound, e hele ma waena o kou kino a hiki i ka wā e kū ai lākou i nā pōhaku hakuʻala. Inā ala ʻoe, manaʻo paha ʻoe i kahi kuʻi ke hoʻomaka kēia. Haki nā nalu i nā pōhaku i mau ʻāpana liʻiliʻi.

Pono ke kaʻina hana lithotripsy ma kahi o 45 mau minuke i 1 hola.

Hoʻokomo ʻia kahi paipu i stent ma o kou kua a i ʻole bladder i loko o kou puʻupaʻa. E hoʻoheheʻe kēia paipu i ka mimi mai kou puʻupaʻa a hiki i ka hele ʻana o nā ʻāpana liʻiliʻi o ka pōhaku mai kou kino. Hana ʻia kēia ma mua a ma hope paha o kāu lapaʻau lithotripsy.

Hoʻohana ʻia ʻo Lithotripsy e wehe i nā pōhaku hakuʻala e hoʻomaka ana:

• Kahena
• Poino i kou puʻupaʻa
• ʻEha
• Nā maʻi maʻi urinary

ʻAʻole hiki i nā pōhaku hakuʻala āpau ke hemo me ka hoʻohana ʻana i ka lithotripsy. E hemo paha ka pōhaku me:

• Hoʻokomo ʻia kahi ʻōmole (endoscope) i loko o ka puʻukū ma o kahi ʻoki ʻoki liʻiliʻi i ka hope.
• Hoʻokomo ʻia kahi pahu kukui liʻiliʻi (ureteroscope) ma o ka pahu i nā ureter. ʻO nā Ureter nā paipu e hoʻohui i nā puʻupaʻa i ka pale.
• Pākuʻi wehe (ʻaʻole pono).

Palekana ʻo Lithotripsy i ka hapa nui o ka manawa. E kamaʻilio me kāu mea mālama ola e pili ana i nā pilikia e like me:

• Kahe ʻana a puni kou puʻupaʻa, kahi e koi ai iā ʻoe e kiʻi i ke koko.
• Maʻi kīnā.
• ʻO nā ʻāpana o ka pōhaku ālai i ka mimi mai kou puʻupaʻa (hiki i kēia ke kumu i ka ʻeha nui a i ʻole ka hōʻino ʻana i kāu puʻupaʻa). Inā kū kēia, pono ʻoe i nā kaʻina hana hou aʻe.
• Waiho ʻia nā ʻāpana pōhaku i loko o kou kino (pono ʻoe i nā lāʻau hou aʻe).
• Nā ulcer i loko o kou ʻōpū a i ʻole kou ʻōpū liʻiliʻi.
• Nā pilikia me ka hana hakuʻala ma hope o ke kaʻina hana.

E haʻi mau i kāu mea hāʻawi:

• Inā ʻoe a hāpai paha
• He aha nā lāʻau āu e lawe nei, ʻo nā lāʻau, nā mea hoʻopiha, 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 noi ʻia ʻoe e haʻalele i ka lawe ʻana i nā mea lahilahi e like me aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), a me nā lāʻau ʻē aʻe e paʻakikī i kou kōkō ʻana ke kō. E noi i kāu mea nāna e hāʻawi ke haʻalele iā lākou.
• E nīnau i kāu mea nāna e hāʻawi i nā lāʻau e pono ai e lawe i ka lā o ke ʻoki.

I ka lā o kāu kaʻina hana:

• ʻAʻole paha ʻoe e ʻae e inu a ʻai paha i kekahi mea no kekahi mau hola ma mua o ke kaʻina hana.
• Lawe i nā lāʻau i kauoha ʻia iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E haʻi ʻia ʻoe i ka wā e hōʻea ai i ka haukapila.

Ma hope o ke kaʻina hana, e noho ʻoe i ka lumi hoʻōla a ma kahi o 2 mau hola. Hiki i ka hapa nui o ka poʻe ke hoʻi i ka home i ka lā o kā lākou kaʻina hana. Hāʻawi ʻia ʻoe i kahi kānana mimiki e hopu i nā ʻāpana o ka pōhaku i hala i kāu mimi.

Maikaʻi kāu hilinaʻi ʻana i ka nui o nā pōhaku āu, ka nui, a ma hea i loko o kāu ʻōnaehana mimi. ʻO ka hapanui o ka manawa, wehe ka lithotripsy i nā pōhaku āpau.

Extracorporeal haʻalulu lithotripsy nalu; Pā lithotripsy nalu haʻalulu; Lithotripsy kukuna; Percutaneith lithotripsy; Lithotripsy Endoscopic; ESWL; Ka-lithotripsy Renal

• 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
• Nā hanana urinary Percutaneous - hoʻokuʻu

• Anatomia hakuʻala
• Neikolithiasis
• ʻO ka pyelogram Intravenous (IVP)
• Nā kaʻina hana Lithotripsy

Bushinsky DA. Neikolithiasis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2016: chap 117.

Matlaga BR, Krambeck AE, Lingeman JE. ʻO ka hoʻokalakino hoʻokele o ka helu nui urinary tract calculi. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 54.

Zumstein V, Betschart P, Abt D, Schmid HP, Panje CM, Putora PM. Hoʻoponopono ʻoki lāʻau o urolithiasis - kahi ʻōnaehana ʻōnaehana o nā alakaʻi i loaʻa. BMC Urol. 2018; 18 (1): 25. PMID: 29636048 www.ncbi.nlm.nih.gov/pubmed/29636048.