He aha ka Extracorporeal Shockwave Lithotripsy (ESWL)?

ʻO ka Extracorporeal Shockwave Lithotripsy (ESWL) e pili ana i ke kaʻina hana o ka wāwahi ʻana i nā pōhaku puʻupaʻa i nā ʻāpana liʻiliʻi me ka hoʻohana ʻana i nā nalu haʻalulu.

Hana pinepine ʻia ka ESWL ma ke ʻano he lāʻau lapaʻau outpatient, ʻo ia hoʻi, ʻaʻole pono ʻoe e noho i kahi pō ma ke keʻena mālama ola a i ʻole ka haukapila ma hope o ke kaʻina hana.

A laila e kipaku ʻia nā ʻāpana pōhaku puʻupaʻa i ʻoki ʻia mai ke kino ma o ke kahe ʻana o ka mimi. Inā nui aʻe kou pōhaku, pono paha ʻoe i nā lāʻau lapaʻau hou aʻe.

He aha ka EWSL?

He kaʻina hana ʻo ESWL e hoʻohana ana i kahi mīkini i kapa ʻia he lithotripter e hāʻawi i kahi moʻo o nā nalu haʻalulu. Hoʻouna ʻia nā nalu haʻalulu i ka puʻupaʻa i hoʻopilikia ʻia, a hele kēia mau nalu ma o ka ʻili a me nā ʻiʻo, e kālele ana i ka wāwahi ʻana i nā pōhaku puʻupaʻa i nā ʻāpana liʻiliʻi a ʻāpana. Hoʻokuke ʻia kēia mau ʻāpana ʻāpana mai ke kino ma o ke kahe ʻana o ka mimi, a hiki i kēia ke hala a hiki i kekahi mau pule ma hope o ka lāʻau lapaʻau.

He aha nā hōʻailona e hōʻike ana i nā pōhaku puʻupaʻa?

E pōmaikaʻi ana kēlā me kēia kanaka e ʻeha ana i nā pōhaku puʻupaʻa mai kēia kaʻina hana. 

Nā hōʻailona:

• ʻEha nui ma nā ʻaoʻao haʻahaʻa a me ke kua o ke kino
• Ke hoʻomālamalama nei i ka ʻeha ma ka ʻōpū lalo a me ka ʻūhā
• ʻEha a wela paha ka manaʻo i ka wā e mimi ai

E noi i kahi manawa ma nā Halemai ʻo Apollo 

kahea 1860-500-1066 e hoʻopaʻa i kahi manawa

He aha nā mea pilikia e pili ana me EWSL?

Pono ka hui o kēia poʻe e nānā me kā lākou kauka e pili ana i nā mea pilikia e pili ana me EWSL:

• Nā mea maʻi hāpai
• ʻO nā maʻi e hoʻohana ana i nā "mea hoʻokahe koko" a i ʻole he maʻi kahe koko
• Loaʻa i nā maʻi kahi poloka ureter a i ʻole kahi ʻiʻo ʻeha e pale ai i nā ʻāpana pōhaku mai ka hele ʻana
• ʻO nā maʻi me ka cystine a me kekahi mau ʻano o nā pōhaku calcium, ʻoiai ʻaʻole maʻalahi kēia mau pōhaku e ʻokiʻoki
• Pono nā mea maʻi me nā pacemakers cardiac e hoʻomaopopo i kā lākou kauka. Ma mua o ke ʻoki ʻana, e hōʻoia e kaʻana like i kou hopohopo me kāu kauka.
• Obesity hiki ke hoʻolilo i ka lithotripsy i mea paʻakikī

He aha nā pilikia o ka EWSL?

Hiki i ka ESWL ke hana i nā pilikia ma lalo nei:

• ʻO ka hele ʻana o nā ʻāpana pōhaku ke kumu o ka ʻeha
• Ma muli o ke komo ʻana o nā ʻāpana pōhaku i loko o ke kahawai mimi, ua ālai ʻia ke kahe ʻana o ka mimi. Pono paha kahi ureteroscope e wehe i nā ʻāpana.
• ʻO ka maʻi o ka ʻāpana mimi
• Ke kahe ʻana o ke koko a puni ka ʻaoʻao o ka puʻupaʻa

He aha nā pilikia e pili ana i ka EWSL?

He kaʻina hana palekana ka ESWL. Eia nō naʻe, aia kekahi mau pōʻino e pono ai i nā maʻi ke makaʻala:

• Ke kahe koko a me ka hoʻoili koko: He pilikia kakaikahi ka hematoma (ke kahe ʻana o ke koko i loko a puni ka puʻupaʻa) e pono ai ke hana i kahi ke kokoʻOiai kēia, ʻoi aku ka liʻiliʻi o nā helu hoʻoili koko no ESWL ma mua o 1%.
• HoʻoponoponoʻOiai ʻo ka loaʻa ʻana o ka lāʻau antibiotic intravenous ma mua pono o ka ESWL, hiki nō ke loaʻa nā maʻi mimi, e hopena ana i ke kuni kiʻekiʻe a me ke anuanu. ʻOiai hiki ke mālama ʻia ka hapa nui o nā maʻi me nā lāʻau antibiotic waha, pono paha e hoʻokomo hou ʻia nā kānaka i ka haukapila no nā lāʻau antibiotic intravenous i nā kūlana kakaikahi.
• ʻEha ʻiʻo a i ʻole ka ʻōpūHiki ke hōʻeha i ka ʻili a puni, nā ʻiʻo, nā aʻalolo, nā ʻiʻo, a me nā ʻōpū (akepaʻa, spleen, nā ʻōpū liʻiliʻi a me nā ʻōpū nui, pancreas, a me nā puʻupaʻa) ma hope o ka ESWL. ʻO ka hapa nui o nā ʻeha he liʻiliʻi, ho'ōla iā lākou iho, a ʻaʻole pono ka mālama hou aku.
• Ka ʻoki ʻana i ka pōhaku piha ʻoleʻOiai he lāʻau lapaʻau pono ka ESWL no nā pōhaku puʻupaʻa a me ka ureter, hilinaʻi kona pono i kekahi mau kumu, me ka nui a me ke ʻano o nā pōhaku. Pono paha nā kau he nui o EWSL.
• Ke koko kiʻekiʻe a me ka maʻi diabetes: Hypertension, ʻoiai ke koko kiʻekiʻe diastolic, he hopena ʻaoʻao paha ia o SWL. He mea kūpono loa e nānā me kāu kauka ma mua o ka loaʻa ʻana o EWSL.

E noi i kahi manawa ma nā Halemai ʻo Apollo 

Pehea e pale aku ai i ka mālama ʻana iā EWSL?

Eia kekahi mau ʻōlelo aʻoaʻo e kōkua iā ʻoe e pale i ka ulu ʻana o nā pōhaku puʻupaʻa: 

1) E mālama iā ʻoe iho i ka hydrated

ʻO ke ala maikaʻi loa e pale aku ai i nā pōhaku puʻupaʻa, ʻo ia ka inu ʻana i ka wai hou aku. E emi ana kāu mimi inā ʻaʻole ʻoe e inu nui. Ke emi kāu hana mimi, ʻoi aku ka nui o kāu mimi a emi iki ka nui o ka paʻakai mimi, hiki ke alakaʻi i nā pōhaku.

2) E hoʻonui i kāu lawe ʻana i ka calcium 

ʻO ka pōhaku calcium oxalate ke ʻano maʻamau o ka pōhaku puʻupaʻa, e hoʻoulu ai i nā poʻe he nui e manaʻo hewa e pono lākou e pale i ka calcium. Akā ʻo ka ʻoiaʻiʻo, hiki i nā meaʻai haʻahaʻa-calcium ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā pōhaku puʻupaʻa a osteoporosis, no laila ua ʻōlelo ʻia e hoʻopau i kahi pae olakino o ka calcium.

 3) E hoʻemi i ka paʻakai

ka pōhaku nā konāhua pohaku ʻoi aku ka nui o ka hiki ke loaʻa inā ʻoe e ʻai i ka meaʻai paʻakai kiʻekiʻe. Inā nui ka paʻakai i loko o ka mimi, ʻaʻole hiki ke hoʻihoʻi hou ʻia ka calcium i loko o ke kaʻa. ʻO ka pae calcium kiʻekiʻe i loko o ka mimi ka hopena, kahi e alakaʻi ai i nā pōhaku puʻupaʻa. Ma ka ʻai ʻana i ka paʻakai liʻiliʻi, hiki iā ʻoe ke hōʻemi i ka nui o ka calcium i loko o kāu mimi. 

4) E hōʻemi i kāu ʻai ʻana i nā meaʻai waiwai i ka oxalate

ʻO ka mālama ʻana i nā meaʻai waiwai i ka oxalate i ka liʻiliʻi loa e kōkua i ka pale ʻana i ke kūkulu ʻia ʻana o nā pōhaku.

• Spinach
• kokoleka
• ʻO kaʻuala
• kope
• Peanuts
• Nā mea i hana ʻia mai ka rhubarb a me ka soy
• ʻO ka palaoa mai ka palaoa

5) Pono e pale ʻia nā mea hoʻohui Vitamin C

ʻO ka hoʻohui ʻana me ka wikamina C (ascorbic acid) hiki ke alakaʻi i nā pōhaku puʻupaʻa, ʻoi aku hoʻi i nā kāne. ʻO nā kāne i lawe i nā nui o nā mea hoʻohui wikamina C he pālua ka nui o ka loaʻa ʻana o kahi pōhaku puʻupaʻa. Akā, ʻaʻole like ka pilikia o ka wikamina C mai nā kumu meaʻai.

He memo mai nā Halemai Apollo/Apollo Group

He ʻano lapaʻau ʻaʻole invasive ka ESWL no ka wāwahi ʻana i nā pōhaku puʻupaʻa nui i nā ʻāpana liʻiliʻi, e hiki ai ke hoʻokuke ʻia ma o ka mimi. Inā ʻeha ʻoe i nā pōhaku puʻupaʻa, pono ʻoe e kūkākūkā me kāu kauka Apollo a hōʻoia inā hiki ke mālama ʻia kou kūlana me ESWL.

Pinepine ninau ninaninau 'ana i

1) Pono anei ka anesthesia no ke kaʻina hana ESWL?

ʻOiai he hana ma waho o ka haukapila ka ESWL, hiki i nā kauka ke kuhikuhi i ka hoʻohana ʻana i ka anesthesia ma muli o ke koʻikoʻi o ke kūlana pōhaku puʻupaʻa. Kōkua pū ka anesthesia i ka hoʻomaha ʻana i nā mea maʻi i ka wā e hana ʻia ai ke kaʻina hana.

2) Pono anei e ʻae i ka mea maʻi no ke kaʻina hana ESWL?

I ka hapanui o nā hihia, he hana outpatient ka ESWL, ʻo ia hoʻi hiki i ka mea maʻi ke haʻalele i ka haukapila ke pau ka mālama ʻana. Akā inā pono, hiki i kāu kauka Apollo ke kuhikuhi iā ʻoe e komo no ka nānā ʻana a me ka nānā ʻana i ka hoʻōla ʻana ma hope o ke kaʻina hana. 

3) Aia kekahi mau hana palekana kūikawā e pono e hana ʻia ma hope o ka lawelawe ʻia ʻana o ESWL?

Ma hope o ka mālama ʻana, pono e hiki i ka mea maʻi ke neʻe a puni me ka ʻole o ke kākoʻo. Hiki i ka hapa nui o nā mea maʻi ke hoʻi i kā lākou hana maʻamau i loko o hoʻokahi a ʻelua paha lā. E aʻo aku kāu kauka Apollo e inu i ka lawa i kēlā me kēia lā e kōkua i ka hele ʻana o nā ʻāpana pōhaku puʻupaʻa.