Ureteroscopy

Hoʻohana ʻo Ureteroscopy i kahi pae nānā uila liʻiliʻi e nānā i nā ureter. ʻO nā Ureter nā paipu e hoʻohui i nā puʻupaʻa i ka pale. Hiki i kēia kaʻina hana ke kōkua i ka diagnose a mālama ʻana i nā pilikia ma ke kahe urinary, e like me nā pōhaku kōkō.

Hana ʻia ʻo Ureteroscopy me kahi ureteroscope. ʻO kēia kahi paipu liʻiliʻi (ʻoʻoleʻa a maʻalahi paha) me kahi kukui liʻiliʻi a me ka pahu paʻi kiʻi ma ka hopena.

• Hana ka hana i 1 mau hola.
• Hāʻawi ʻia ʻoe i ka anesthesia laulā. ʻO kēia ka lāʻau e ʻae iā ʻoe e hiamoe.
• Ua holoi ʻia kou ʻūlū a me kou urethra. Hoʻokomo ʻia ka laulā ma o ka urethra, i loko o ka puhū, a laila piʻi i ka ureter.

Hōʻike ʻia nā ʻanuʻu aʻe ma lalo.

I ke kaʻina hana, hiki i kāu kauka ke:

• E hoʻohana i nā mea kani liʻiliʻi i hoʻouna ʻia ma o ka laulā e hopu a hemo i nā pōhaku kōkā a wāwahi paha iā lākou me ka hoʻohana ʻana i kahi laser.
• E kau i kahi stent i loko o ka ureter e ʻae i ka mimi a me nā ʻāpana liʻiliʻi o ka pōhaku kōkō. Inā loaʻa iā ʻoe kahi stent, pono ʻoe e hoʻi e wehe iā ia i 1 a i ʻole 2 mau pule. Hiki ke hana maʻamau i kēia ma ke keʻena o ke kauka me ka ʻole o ka anesthesia.
• E hōʻoia no ka maʻi ʻaʻai.
• Nānā a hemo i kahi ulu a i ʻole tumo.
• Nānā i nā wahi o nā ureter i lilo i ololi.
• Hoʻomaopopo hou i nā maʻi urinary tract a me nā pilikia ʻē aʻe.

Nā pilikia no ke ʻoki a me ka anesthesia ma ka laulā:

• Pilikia i ka hanu ʻana
• Ka pane ʻana i nā lāʻau
• Kahe ʻana o ke kahe, ke koko, maʻi

Nā pilikia no kēia kaʻina hana:

• Ka hōʻeha o ka ureter a i ʻole ka hakuʻala
• Maʻi ʻaʻai Urinary
• Hoʻopili a hoʻopili ʻia paha o ka ureter

E haʻi i kāu mea mālama ola i nā lāʻau āu e lawe nei, e like me nā mea āu i kūʻai ai me ka ʻole o ka lāʻau. E haʻi pū i kāu mea hāʻawi inā hāpai ʻoe a manaʻo paha ʻoe.

E hoʻonohonoho i kekahi e lawe iā ʻoe i ka home ma hope o ke kaʻina hana.

E hāhai i nā ʻōkuhi e pili ana pehea e hoʻomākaukau ai no ke kaʻina hana. Pākuʻi ʻia kēia mau mea:

• ʻAʻole ʻai a inu ʻole paha i kekahi mea ma hope o ke aumoe ma mua o kāu kaʻina hana.
• Ke kāohi nei i kekahi mau lāʻau, e like me ka aspirin a i ʻole nā ​​mea lahilahi o ke koko. Mai hōʻoki i ka lawe ʻana i nā lāʻau i kuhikuhi ʻia ke ʻole ke kauka e haʻi iā ʻoe e kū.
• E nīnau i kāu kauka i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.

E ala ʻoe i loko o kahi lumi hoʻōla. Hiki iā ʻoe ke hoʻi i ka home ke ala ʻoe a hiki i ka mimi.

Ma ka home, e hāhai i nā ʻōkuhi āu i hāʻawi ʻia. Pili paha kēia i kēia:

• Pono ʻoe e hoʻomaha no 24 mau hola. Pono ʻoe e noho kekahi me ʻoe i kēlā manawa.
• E kauoha paha kāu kauka i nā lāʻau e lawe ai ʻoe ma ka home. Pākuʻi ʻia paha kēia i kahi lāʻau ʻeha a me kahi antibiotic e pale aku ai i ka maʻi. Lawe i kēia mau mea e like me ke kauoha.
• Inu i ka 4 a 6 mau aniani o ka wai i ka lā e hoʻoliʻiliʻi i kou mimi a kōkua i ka holoi ʻana i kāu kahakaha mimi.
• E ʻike ʻoe i ke koko i kou mimi no kekahi mau lā. He maʻamau kēia.
• ʻIke paha ʻoe i ka ʻeha i loko o kāu pākā a me ke ahi ke miʻihi ʻoe. Inā ʻōlelo kāu kauka ua maikaʻi, ʻo ka noho ʻana i ka ʻauʻau mehana e kōkua paha ia e hoʻopakele i ka ʻino. Hiki ke kōkua i ka hoʻohana ʻana i ka pale hoʻomehana i hoʻonoho ʻia ma ka haʻahaʻa.
• Inā kau ke kauka i kahi stent, ʻike paha ʻoe i ka ʻeha ma kou ʻaoʻao, keu hoʻi i ka wā a ma hope pono o ka urination.
• Hiki iā ʻoe ke kalaiwa ma hope o kou hoʻōki ʻana i ka lawe ʻana i nā mea hoʻōla ʻeha narcotic.

E ʻoluʻolu paha ʻoe ma kahi o 5 a 7 mau lā. Inā loaʻa iā ʻoe kahi stent, ʻoi aku ka lōʻihi o ka manawa e like me ʻoe iho.

ʻO ka mālama ʻana i nā pōhaku hakuʻala me ka hoʻohana pinepine ʻana i ka ureteroscopy he hopena maikaʻi.

ʻOki pōhaku Ureteral; Pohaku hakuʻala - ureteroscopy; Wehe i ka pōhaku Ureteral - ureteroscopy; Calculi - ureteroscopy

Chew BH, Harriman DI. Mea kani uila Ureteroscopic. I: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. ʻO Hinman's Atlas of Urologic Surgery. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 40.

Dute BD, Conlin MJ. Nā manaʻo o ka endoscopy urologic. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 7.