Nā kaʻina hana haku kekona

ʻO Percutaneous (ma o ka ʻili) nā kaʻina mimi kōkua i ka hoʻoheheʻe ʻana i ka mimi mai kou puʻupaʻa aku a hoʻopau i nā pōhaku hakuʻala.

ʻO kahi nephrostomy percutaneus ka hoʻonohonoho ʻana o kahi paipu kāpili liʻiliʻi liʻiliʻi (catheter) ma o kou ʻili i loko o kou puʻupaʻa e hoʻopau i kou mimi. Hoʻokomo ʻia ia ma o kou kua a pale paha.

ʻO Percutaneous nephrostolithotomy (a i ʻole nephrolithotomy) ka hala ʻana o kahi mea lapaʻau kūikawā ma o kou ʻili i kou puʻupaʻa. Hana ʻia kēia e hemo i nā pōhaku hakuʻala.

ʻO ka hapa nui o nā pōhaku e hele i waho o ke kino ma o lākou iho ma o ka mimi. Ke hana ʻole lākou, hiki i kāu kauka olakino ke koi i kēia mau kaʻina hana.

I ke kaʻina hana, moe ʻoe ma kou ʻōpū ma ka papa. Hāʻawi ʻia ʻoe i kahi pana o ka lidocaine. ʻO kēia ka lāʻau like a kāu kauka niho e hoʻohana ai e hoʻopau i kou waha. Hāʻawi ka mea hāʻawi iā ʻoe i nā lāʻau e kōkua iā ʻoe e hoʻomaha a hōʻemi i ka ʻeha.

Inā he nephrostomy wale nō ʻoe:

• Hoʻokomo ke kauka i kahi nila i kou ʻili. A laila hala ka catheter nephrostomy i loko o ke kui kele i loko o kou puʻupaʻa.
• ʻIke paha ʻoe i ke kaomi a me ka hōʻoluʻolu ke hoʻokomo ʻia ka catheter.
• Hoʻohana ʻia kahi ʻano x-ray kūikawā e hōʻoia i ka catheter ma kahi kūpono.

Inā loaʻa iā ʻoe ka nephrostolithotomy percutaneus (a i ʻole nephrolithotomy):

• E loaʻa iā ʻoe ka anesthesia ākea i mea e hiamoe ai ʻoe a ʻaʻohe ʻeha.
• Hana ke kauka i kahi ʻoki liʻiliʻi (incision) ma kou kua. Hoʻokomo ʻia kahi nila i loko o ka ʻili i loko o kou puʻupaʻa. A laila ua kīloi ʻia ke kaha a waiho ʻia kahi wahī ʻāpana i kahi e ʻae ai i kahi tract i nā mea kani.
• Hoʻoholo ʻia kēia mau mea hana kūikawā ma waena o ka wahī. Hoʻohana kāu kauka i kēia e lawe i ka pōhaku a haki iā ia i mau ʻāpana.
• Ma hope o ke kaʻina hana, kau ʻia kahi paipu i loko o ka puʻupaʻa (nephrostomy tube). ʻO kekahi paipu, i kapa ʻia he stent, waiho ʻia i ka ureter e hoʻokahe i ka mimi mai kou puʻupaʻa ʻana. ʻAe kēia i kou puʻupaʻa e hoʻōla.

ʻO kahi kahi i hoʻokomo ʻia ai ka catheter nephrostomy i uhi ʻia me kahi lole. Pili ka catheter i kahi ʻeke hoʻokahe.

Nā kumu e loaʻa ai kahi nephrostomy percutaneous a nephrostolithotomy paha:

• Kāohi ʻia kāu kahe o ka mimi.
• Ke loaʻa nei iā ʻoe ka nui o ka ʻeha, ʻoiai ma hope o ka mālama ʻia ʻana no ka pōhaku kiki.
• Hōʻike nā kukuna X i ka pōhaku hakuʻala nui loa e hala iā ia iho a i ʻole e mālama ʻia e ka hele ʻana i loko o ka puhā i ka puʻupaʻa.
• Ke kulu nei ka mimi i loko o kou kino.
• Ke hoʻokumu nei ka pōhaku hakuʻala i nā maʻi urinary tract.
• Ke hoʻopōʻino nei ka pōhaku hakuʻala i kou hakuʻala.
• Pono e hoʻokahe ʻia ka mimi mai ka hakuʻala mai.

ʻO ka nephrostomy a me ka nephrostolithotomy ka mea palekana. E noi i kāu kauka e pili ana i kēia mau pilikia kūpono.

• Nā ʻāpana o ka pōhaku i waiho ʻia i kou kino (pono ʻoe i nā lāʻau hou aku)
• Kahe ʻana a puni kou puʻupaʻa
• Nā pilikia me ka hana hakuʻala, a me nā hakuʻala (s) e hōʻoki i ka hana
• ʻO nā ʻāpana o ka pōhaku e ālai ana i ka mimi kahe mai kou puʻupaʻa mai, kahi e hōʻeha ai i ka ʻeha a i ʻole ka hōʻino ʻana o ke kīhāpai
• Maʻi kīnā

E haʻi i kāu mea hāʻawi:

• Inā ʻoe a hāpai paha.
• He aha nā lāʻau āu e lawe nei. Hoʻopili kēia i nā lāʻau, nā mea hoʻopihapiha, a i ʻole nā ​​mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau.
• Inā inu nui ʻoe i ka waiʻona.
• Kūleʻa ʻoe i ka kala ʻokoʻa i hoʻohana ʻia i nā kukuna x.

I ka lā o ke kaha:

• E noi ʻia ʻoe ʻaʻole e inu a ʻai paha i kekahi mea no 6 mau hola ma mua o ke kaʻina hana.
• E 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. E hōʻea pono i ka manawa.

Lawe ʻia ʻoe i ka lumi hoʻōla. Hiki paha iā ʻoe ke ʻai koke inā ʻaʻohe ou ʻōpū huhū.

Hiki paha iā ʻoe ke hoʻi i ka home ma loko o 24 mau hola. Inā he pilikia, mālama paha kāu kauka iā ʻoe i ka haukapila ʻoi aku ka lōʻihi.

E lawe ke kauka i nā ohe inā hōʻike nā x-ray i ka hala ʻana o nā pōhaku kōkō a ua hoʻōla kou kīʻaha. Inā noho mau nā pōhaku, loaʻa paha iā ʻoe ke kaʻina hana like koke.

ʻO ka nephrostolithotomy a i ʻole nephrolithotomy aneane kōkua mau i ka hōʻoluʻolu i nā ʻōuli o nā pōhaku hakuʻala. ʻO ka pinepine, hiki i ke kauka ke hoʻopau loa i kāu mau pōhaku hakuʻala. I kekahi manawa pono ʻoe i nā kaʻina hana ʻē aʻe e hemo ai nā pōhaku.

ʻO ka hapa nui o ka poʻe i mālama ʻia no nā pōhaku hakuʻala e pono e hoʻololi i ka nohona i hana ʻole ko lākou kino i nā pōhaku hakuʻala hou. Hoʻopili kēia mau hoʻololi i ka hōʻalo ʻana i kekahi mau meaʻai a me ka lawe ʻole ʻana i kekahi mau huaora. Pono kekahi poʻe e lawe i nā lāʻau e kāohi ai i nā pōhaku hou mai ka hana ʻana.

Percutaneous nephrostomy; Percutaneous nephrostolithotomy; PCNL; Neikolithotomi

• 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

ʻO Georgescu D, Jecu M, Geavlete PA, Geavlete B. Percutaneous nephrostomy. I: Geavlete PA, ed. ʻOki kino pākēneka o ka ʻĀpana mimi ʻo luna. Cambridge, MA: Elsevier Academic Press; 2016: chap 8.

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.

ʻO Zagoria RJ, ʻO Dyer R, ʻo Brady C. ʻO ke ʻano radiology genitourinary. I: Zagoria RJ, Dyer R, Brady C, eds. Kiʻi Genitourinary: Nā Koi. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2016: chap 10.