Nā ʻano o ke ʻoki pōhaku hakuʻala a pehea e hoʻōla ai

Anter

• Nā ʻano o ke keʻoki pōhaku hakuʻala
• 1. ʻO ke kahakaha laser no nā pōhaku kōpū
• 2. ʻoki kino no nā pōhaku kōkō me nā nalu haʻalulu
• 3. ʻO ke kāpili pōhaku hakuʻala me ka wikiō
• Nā Pilikia o ke Keʻena Pōhaku Kidney

Hoʻohana wale ʻia ke kaha pōhaku hakuʻala ke nui aku nā pōhaku hakuʻala ma mua o 6 mm a i ʻole ke lawa ʻole ka lāʻau ʻana e hoʻopau iā lākou i ka mimi.

ʻO ka maʻamau, ʻo ka hoʻōla hou ʻana mai ke ʻoki pōhaku kīhāhā e mau ana i 3 mau lā, ʻoi aku ka lōʻihi ma nā hihia o nā pōhaku i ʻoi aku ma mua o 2 cm, ke pono e ʻokiʻoki e kiʻi i ka puʻupaʻa, a hiki ke hala i 1 pule hiki ke hoʻi i ka hana, no ka laʻana. E aʻo i ka mālama maʻamau ma hope o kēlā me kēia ʻoki.

Ma hope o ke kāpili pōhaku kīʻaha, pono ke kanaka e mālama i kahi papaʻai olakino a inu ma ka liʻiliʻi he 1 lita o ka wai i kēlā me kēia lā e pale ai i ke ʻano o nā pōhaku hakuʻala hou. E ʻike hou aʻe e pili ana i ke ʻano o ka papaʻai ma: ʻAi Pōhaku Kidney.

Nā ʻano o ke keʻoki pōhaku hakuʻala

ʻO ke ʻano o ke kaha ʻana o ka pōhaku hakuʻala e pili ana i ka nui a me kahi o ka pōhaku hakuʻala, inā paha he maʻi e pili ana a he aha nā ʻōuli, akā ʻo nā ʻano lāʻau i hoʻohana pinepine ʻia me:

1. ʻO ke kahakaha laser no nā pōhaku kōpū

ʻO ke kahakaha laser no nā pōhaku hakuʻala, i ʻike ʻia he urethroscopy a i ʻole laser lithotripsy, hoʻohana ʻia e hoʻopau i nā pōhaku ʻoi aku ka liʻiliʻi ma mua o 15 mm ma o ka hoʻolauna ʻana i kahi paipu liʻiliʻi mai ka urethra i ka puʻuwai o ke kanaka, kahi, ma hope o ka loaʻa ʻana o ka pōhaku, hoʻohana ʻia kahi laser e wāwahi i ka pōhaku hakuʻala i loko o nā ʻāpana liʻiliʻi i hiki ke hoʻopau ʻia i ka mimi.

Loaʻa mai ke ʻoki kino: I ka wā o ke kaha ʻana o ka laser no nā pōhaku hakuʻala, hoʻohana ʻia ka anesthesia ākea a, no laila, pono e noho i ka haukapila ma ka liʻiliʻi he 1 lā a hiki i ke ola ʻana mai nā hopena o ka anesthesia. ʻAʻole waiho kēia ʻano ʻoki i nā kaha a ʻae a hoʻi i ke kanaka e hoʻi i kā lākou hana maʻamau ma lalo o 1 pule ma hope o ke ʻoki.

2. ʻoki kino no nā pōhaku kōkō me nā nalu haʻalulu

Hoʻohana ʻia ke kīkaha pōhaku nalu kuʻi, i kapa ʻia hoʻi ʻo ka lithotripsy nalu hawewe shock, i ka hihia o nā pōhaku hakuʻala ma waena o 6 a 15 mm ka nui. Hana ʻia kēia hana me kahi hāmeʻa e hoʻopuka i nā nalu haʻalulu e kia wale ana i ka pōhaku e haki iā ia i mau ʻāpana liʻiliʻi i hiki ke hoʻopau ʻia i ka mimi.

Loaʻa mai ke ʻoki kino: maʻamau, hana ʻia ke kaha me ka ʻole o ka anesthesia a, no laila, hiki i ke kanaka ke hoʻi i ka home i ka lā like. Eia nō naʻe, ʻike paha kekahi poʻe i ke kuni ma hope o ke kaha ʻana a ua ʻōlelo ʻia e hoʻomaha i ka home no 3 mau lā a hiki i ka hoʻopau ʻia ʻana o nā ʻāpana pōhaku i ka mimi.

3. ʻO ke kāpili pōhaku hakuʻala me ka wikiō

Hoʻohana ʻia ke kīʻaha pōhaku ʻoniʻoni, ʻike ʻepekema ʻia e like me neprolithotripsy percutaneus, i nā hihia o ka pōhaku hakuʻala ʻoi aku ka nui ma mua o 2 cm a i ʻole ke ʻekemu a kahi anatomical abnormalities. Hana ʻia ia ma o kahi ʻoki liʻiliʻi i ka lumbar, kahi e hoʻokomo ʻia ai kahi nila i ka puʻupaʻa e ʻae ai i ke komo ʻana o kahi mea hana kūikawā, i kapa ʻia he nephroscope, kahi e hemo ai ka pōhaku hakuʻala.

Loaʻa mai ke ʻoki kino: maʻamau, hana ʻia kēia ʻano ʻoki ma lalo o ka anesthesia ākea a, no laila, hoʻi ka mea maʻi i ka home 1 a 2 mau lā ma hope o ke ʻoki. I ka wā o ka hoʻihoʻi ʻana ma ka home, kahi e pili ana i hoʻokahi pule, koi ʻia e hōʻalo i nā hana hopena, e like me ka holo ʻana a hāpai ʻana paha i nā mea kaumaha, a ʻoki ʻia ke ʻoki i kēlā me kēia 3 mau lā a i ʻole e like me nā ʻōlelo a ke kauka.

Nā Pilikia o ke Keʻena Pōhaku Kidney

ʻO nā pilikia nui o ke kīʻaha pōhaku ʻāʻī e hoʻopili me nā hōʻino a me nā maʻi. No laila, i ka hebedoma mua ma hope o ke kaha ʻana he mea nui e makaʻala i kekahi mau ʻōuli e like me:

• Colic hōʻeha;
• Kahe i ka mimi;
• Fiva ma luna o 38ºC;
• ʻEha nui;
• Huakaʻi paʻakikī.

Ke hōʻike ka mea maʻi i kēia mau ʻōuli, pono ʻo ia e hele koke i ka lumi pilikia a hoʻi paha i kahi anakuhi kahi i hana ʻia ai ke ʻoki kino e hana i nā hoʻokolohua diagnostics, e like me ultrasound a i ʻole compute tomography, a hoʻomaka i ka lapaʻau kūpono, e hōʻalo ana i ke kūlana ʻino.