KOKOA
Hoʻokomo ʻia ka mea maʻi i ka haukapila i hoʻokahi lā me ka ʻehaʻeha a ma kahi liʻiliʻi ma mua o ʻelua mahina ma hope ua hoʻi ʻo ia i ka home, ma hope o ka wehe ʻia ʻana o kahi maʻi maʻi maʻi nui loa, i hoʻomaka mai ka ʻāʻī ʻākau a hiki i ka puʻuwai. I kēia lā ma Vigo Álvaro Cunqueiro, hoʻolauleʻa lākou i ka kūleʻa o kahi hōʻoki ʻewalu hola i hana ʻia e ʻelima mau keʻena ma kahi ʻaoʻao - urology, vascular surgery, general surgery, cardiac surgery and anesthesia—a ua komo pū nā ʻoihana he iwakālua. ʻO ke kanaka, he 64 mau makahiki o ke kūlanakauhale, e ulu nei "me ka ʻole o ka pilikia", mai ka haukapila, ʻoiai me nā mea mālama i loko o kahi hihia maʻi maʻi. "Ua hana mākou i ka mea aʻu i hana ai, ua hāʻawi mākou iā ia i ka manawa i loaʻa iā ia," i wehewehe ʻo Dr. Benito Rodríguez, mai ka lawelawe Urology, nāna e mālama i ka hoʻonohonoho ʻana i ka hana, wehewehe iā ABC.
ʻO kahi hoʻoikaika hui, e like me kāna i ʻōlelo pinepine ai, ʻo ia wale nō ka moʻolelo o kāna intrahistory.
I ka hoʻomaka ʻana, e like me kā lākou wehewehe ʻana mai ka haukapila, hoʻomaka nā mea āpau mai kahi "loaʻa manawa". Hoʻokomo ʻia ka mea maʻi, ʻaʻole ʻike ʻia ke kumu o kāna mau kāne, hana ʻia kekahi mau hoʻokolohua kiʻi a ʻike ʻia ka ʻōpū. Hoʻomaka i loko o ka puʻupaʻa, ua komo i ka Urology. Ua ʻike ʻia e koi ka mea maʻi i kahi ʻoki "koi nui", ʻaʻohe mea i komo i mua i Cunqueiro. Hoʻoholo ʻia e hoʻolālā i nā mea āpau me ka kikoʻī, meticulously. He mau halawai. "Ua kamaʻilio, ua hānai ʻia me ka ʻohana, me ka mea maʻi, ua kūkākūkā ʻia, ua hana ʻia nā hoʻokolohua hoʻohui he nui, no ka mea he mea paʻakikī loa ia," wehewehe ʻo Dr. Rodríguez. Ua loiloi ʻia inā hiki i ka mea maʻi ke "hoʻomanawanui" i ka hana ʻana, ʻaʻole ia e hana ʻia "e hōʻike i ke kīpē" a i ʻole "ma kahi huakaʻi". "ʻAʻole like ko mākou makemake nui e komo i loko o kēia haunaele," wahi āna.
I ka hopena, hāʻawi ʻia ke kukui ʻōmaʻomaʻo. "ʻO ke koho ʻē aʻe ʻaʻole ia e hana i kekahi mea, e haʻalele i ka mea maʻi", e wehewehe ana ka loea. Aia kekahi "makaʻu" ʻaʻole i ʻoluʻolu ka hopena. ʻAʻole au e hūnā. Akā,ʻo ka "haʻahaʻa"; ʻO ia ka mea a ka urologist e kau ana i ke kamaʻilio, ʻaʻole ʻo ia e hoʻōki i ka hoʻoikaika ʻana ua hana mua ʻia nā hana o kēia nui a e hoʻomau ʻia. Ua ʻike lākou, a ua ʻōlelo ʻia, aia ka hiki ke hoʻopau i ke kaʻina hana ma hope o kanakolu mau minuke a i ʻole hola inā ʻike ʻia he "hiki ʻole ke holomua". "I ke kakahiaka nui o ka hana, a ma mua o ke komo ʻana i ke keʻena hana, ʻōlelo kekahi: 'Ae, pehea inā ʻaʻole hiki iā ʻoe?' ʻAe, inā ʻaʻole hiki iā ʻoe, pono ʻoe e hoʻōki, e ka manawa", haʻi ʻo ia me ka maʻalahi e hoʻoluhi i kahi kamaʻāina.
ʻO ka laina lahilahi o ka holomua
Haʻaheo ʻo Aleja. Aia ka mea maʻi i loko o ka lumi hana, kahi e hele ai ka poʻe loea, nā kahu hānai, nā perfusionists, nā ʻenehana kiʻi diagnostic a me nā kahu mālama. Kākoʻo ʻia nā lawelawe i ʻōlelo ʻia e Radiology, Cardiology a me ka ʻāpana radiology interventional. Ua komo ke koko i loko o ka ʻaʻa renal a ua noho ʻo ia i ka vena cava a me nā aʻa ate, a hiki i ke komo ʻana i ka atrium ʻākau o ka puʻuwai. Pono e wehe ʻia ka puʻupaʻa a me ka thrombus tumo, e wehe ana i ka atrium, a pono e wehe ʻia nā ʻāpana o ka cava a hoʻopaʻa ʻia. I kēia manawa, hoʻolako ka mīkini i ka pāpaʻi ʻana o ka puʻuwai (extracorporeal circulation system). He holomua ka hopena.
Ua hala ka hiki, "e hoʻopaʻa haʻahaʻa, e haʻalele mākou me ko mākou huelo ma waena o ko mākou mau wāwae, akā naʻe, ʻaʻole pēlā." Hoʻi hou ʻo Dr. Rodríguez i nā pōmaikaʻi o ka hana multidisciplinary, i kāna hopena multiplier, i ka "ʻoluʻolu maikaʻi" i lanakila i loko o ka lumi hana, kahi i nā hana o kēia nui "ua hoʻokumu ʻia ka nui o ka tension." Me ka ʻoiaʻiʻo loa, ua ʻae ʻo ia ʻaʻole i ʻōlelo mau ʻia ka lanakila: "He kanaka mākou, a ʻo nā ʻokiʻoki, ʻokoʻa kēlā me kēia mai ka wā e hiki mai ana, ʻo kēlā me kēia maʻi he honua. ʻO ka mea hiki ʻole ke hana ʻo ia ka hoʻopōʻino. E pili ana i ka manaʻo, pinepine, aia nā pathologies inoperable.
"ʻO kekahi mea ʻē aʻe, aia kekahi i kā lākou hewa ponoʻī, hiki nō ke hana. I nā ʻokiʻoki aia nā hewa e like me nā ʻoihana āpau," wahi āna. Ma laila ʻo ia e kākoʻo nei i ka "hoʻopiʻi" a me ka "hoʻomaha iki." "Eia ka hoʻokolokolo-hewa he hunchbacked loa. Aia ma ka papa ke ola o ka mea maʻi." A hoʻomanaʻo ʻo ia: "Hoʻohana wau i nā mea āpau, ʻaʻole ia e pili ana i ka hana ʻino i ka mea maʻi no ka mea makemake kekahi e puka ma ka pepa."
