Nephrectomy: he aha ia a he aha nā hōʻailona no ka ʻoki ʻana i nā puʻupaʻa

Anter
ʻO ka nephrectomy kahi ʻoki e wehe i ka puʻupaʻa, i kuhikuhi pinepine ʻia no ka poʻe i hana maikaʻi ʻole ka puʻuwai, i nā manawa o ke kanesa maʻi ʻaʻa, a i nā hanana o ka hāʻawi manawaleʻa.
Hiki ke ʻāpana a hapa paha ke ʻoki ʻana i nā puʻupaʻa, ke kaukaʻi ʻia i ke kumu, a hiki ke hana ʻia ma o ka ʻoki ākea a i ʻole e ka laparoscopy, me ka hoʻōla wikiwiki e hoʻohana ana i kēia hana.

No ka mea ua hana ʻia
Hōʻike ʻia ke ʻoki hōʻoki kuni no kēia mau hanana:
- ʻO nā hōʻeha puʻupaʻa a i ʻole ke pau ka hana o ka meaola me ka maikaʻi, ma muli o ka loaʻa ʻana o nā maʻi, nā ʻeha, a i ʻole kekahi mau maʻi;
- ʻO ka maʻi ʻaʻai puʻuwai, kahi e hana ʻia ai ke ʻoki e pale ai i ka ulu ʻana o ka tumo, lawa paha ke ʻoki hapa;
- Hāʻawi ka hakuʻala no ke kanu ʻana, ke manaʻo ka mea e hāʻawi i kāna puʻupaʻa i kekahi kanaka ʻē aʻe.
Kaukaʻi ʻia i ke kumu o ka hemo ʻana o ka puʻupaʻa, hiki i ke kauka ke koho e loaʻa i kahi ʻoki a hapa paha.
Nā ʻano nephrectomy
Hiki i ka nephrectomy ke kolohe a i ʻole ka hapa. Loaʻa ka nephrectomy āpau i ka lawe ʻia ʻana o ka puʻupaʻa holoʻokoʻa, akā i ka nephrectomy ʻāpana, lawe ʻia kahi ʻāpana o ke koʻokoʻo.
ʻO ka hemo ʻana o ka puʻupaʻa, he hapa a he huina paha, hiki ke hana ʻia ma ke kīpē hāmama, ke hana ke kauka i kahi ʻokiʻoki ma kahi o 12 cm, a i ʻole e ka laparoscopy, kahi ala e hana ʻia ai nā lua e ʻae ai i ka hoʻokomo ʻana i nā mea kani a pahupaʻiwikiō e hoʻoneʻe ai i ke kola. ʻOi aku ka liʻiliʻi o kēia hana a, no laila, ʻoi aku ka wikiwiki o ka hoʻōla.
Pehea e hoʻomākaukau ai
Pono e alakaʻi ʻia e ka kauka ka hoʻomākaukau no ke ʻokiʻoki, nāna e loiloi pinepine i nā lāʻau a ke kanaka e lawe ai a hāʻawi i nā hōʻailona e pili ana i kēlā mau mea e pono ke kāpae ʻia ma mua o ka hana. Eia hou, pono e kāpae i ka lawe ʻana o ka wai a me ka meaʻai no kekahi manawa ma mua o ke kaha ʻana, kahi e hōʻike ʻia ai e ke kauka.
Pehea ke ola ʻana
Kaukaʻi ʻia i ke ʻano o ka hana i hana ʻia, a inā hele ke kanaka i ke kaha ʻoki ākea, lawe paha ma kahi o 6 mau wiki e ola ai, a pono paha e noho i ka haukapila no hoʻokahi pule.
Nā pilikia i hiki
E like me nā ʻoki ʻana ʻē aʻe, hiki i ka nephrectomy ke hōʻike i nā pōpilikia, e like me ka hōʻeha ʻana i nā mea ʻē aʻe kokoke i ka puʻupaʻa, ke kūkulu ʻana i kahi hernia ma ke kahua paʻa, ka pohō o ke koko, nā pilikia puʻuwai a me nā pilikia hanu, ka hopena maʻi ʻino i ka anesthesia a me nā lāʻau ʻē aʻe i lawelawe ʻia i ka wā o ke ʻoki a me ka thrombus. hoʻokumu