I te wā i kī mai ai tō tākuta he mate pukupuku tōu, i kōrerotia e ia ki a koe te pokanga RPLND? Tērā pea i mataku koe, i pōuri hoki i te ingoa. Kaua e manukanuka. He pokanga tino nui tēnei hei aukati i te horapa o ngā pūtau mate pukupuku i roto i tō tinana. Nō reira, me kōrero ngāwari tātou, i roto i te huarahi e mārama ai koe.
He aha te pokanga RPLND?
Ki te whakarapopoto, he mahi pokanga te RPLND (Retroperitoneal Lymph Node Dissection) e tango ana i ngā kōpuku lymph mai i tētahi wāhi motuhake o tō tinana. Ka kiia tēnei wāhi ko te wāhi 'retroperitoneal'.
Whakaarohia pēnei: ko te wāhi takoto kau i roto i tō puku i muri i ō whekau nui, pērā i tō ate me ō whekau. Ko taua wāhi te mea e kiia nei e tātou ko te rohe retroperitoneal.
Nā, kia tirohia tātou he aha ēnei pona lymph. He tino iti ēnei okana e āwhina ana ki te pupuri i te hauora o te pūnaha ārai mate o tō tātou tinana. He rite rātou ki ngā kaitiaki o tō tātou tinana. E rau ngā okana e marara ana puta noa i ō tātou tinana.
Nō reira, i muri i te tango a tō taote pokanga (tohunga mate pukupuku) i ngā kōpū waikura i te wā o tēnei pokanga, ka tukuna atu e rātou ki tētahi tohunga mate pukupuku hei tirotiro. I reira, ka tirohia ngā kōpū waikura i raro i te karuārai hei tirotiro mēnā he pūtau matepukupuku kei roto. I ētahi wā ka karangahia tēnei pokanga e ngā tākuta he 'retroperitoneal lymphadenectomy'.
He aha ahau i hiahia ai ki tēnei pokanga RPLND?
He maha ngā take e taunaki ai tō tākuta i tēnei pokanga. Me titiro tātou ki ngā painga o tēnei pokanga.
| Take matua | Hei whakarāpopototanga... |
|---|---|
| Whakatauhia te wāhanga o te mate pukupuku | Mā te tango me te tirotiro i ngā pona lymph ka taea te whakatau i te horapa o te mate pukupuku i roto i te tinana. Ka kiia tēnei ko te whakatau i te wāhanga o te mate pukupuku. |
| Whakamutua te horapa o te mate pukupuku | Ki te uru ngā pūtau matepukupuku ki ngā kōpū lymph, ka taea e rātou te haere mā roto i ngā oko lymph ki ētahi atu wāhanga o te tinana. Ka kiia tēnei he metastasis. Nō reira, mā te tango i ēnei kōpū lymph ka āwhina i te aukati i te horapa. |
| Whakaitihia te mōrearea o te hokinga mai o te mate pukupuku | Mā te tango i ngā pona lymph kei roto ngā pūtau matepukupuku ka tino whakaiti i te mōrearea o te hokinga mai o te matepukupuku a muri ake nei. |
| Hei rongoā mēnā ka hoki mai te mate pukupuku | I ētahi wā, ki te hoki mai te matepukupuku i muri i te maimoatanga, ka mahia tēnei pokanga hei tango i ngā kōpū lymph kei roto ngā pūtau matepukupuku. |
Ina koa, ka mahia te RPLND i ētahi wā hei whakatau i te taumata me te rongoā i te mate pukupuku o te kōpū . Ka mahia hoki mō ētahi atu momo mate pukupuku, pērā i te mate pukupuku o te whatukuhu, ētahi mate pukupuku o te pūnaha whakaputa uri wahine, me ētahi momo sarcomas.
Me pēhea te mōhio o ngā tākuta mēnā me whai RPLND ahau?
Mena ka whakaatuhia e ō whakamātautau whakaahua kua pupuhi ngā pona lymph i muri i tō puku, ka kōrero pea tō tākuta ki a koe mō tēnei pokanga. Ko ēnei momo matawai ko:
- Matawai CT
- Matawai MRI
- Matawai PET
Tērā pea ka tūtohu tō tākuta i tēnei pokanga i tētahi atu wā o tō haerenga maimoatanga matepukupuku. Ko tō tākuta te tangata pai rawa atu hei whakamārama i te take e hiahiatia ana tēnei pokanga māu. Ko ia te tangata e mōhio ana ki tō āhuatanga. Nō reira kaua e mangere ki te pātai atu ki a ia i ō pātai.
Me pēhea te mahi i tēnei pokanga RPLND?
I mua i te tīmatanga o te pokanga, ka whakamoea katoatia koe. Ko te tikanga ka moe katoa koe. Nō reira , kāore koe e rongo i te mamae.
Kātahi ka tapahia tō puku e te taote pokanga, ā, ka tangohia marietia ngā kōpū waikura e tata ana ki te mate pukupuku.
Ko te whāinga matua o tēnei pokanga he tango i ngā kōpū waikura katoa kei roto pea ngā pūtau matepukupuku, ā, kia mutu rawa te horapa o te matepukupuku. Hei whakatutuki i tēnei whāinga, i ētahi wā me tango atu ētahi atu mea hei tāpiri atu ki ngā kōpū waikura.
- He maha atu ngā pūngao lymph mai i tētahi atu wāhanga o te tinana.
- Tētahi atu okana, pērā i te whatukuhu.
- Ētahi atu pukupuku, kiko rānei i taua wāhi.
I ēnei rā, kei ētahi hōhipera tēnei pokanga hei pokanga laparoscopic, arā, mā roto i ētahi tapahi iti, mā te whakamahi rānei i te pokanga robotic. Mā tō tākuta e whakamārama ko tēhea tikanga e tika ana māu.
Ka roa pea tēnei pokanga RPLND mai i te toru ki te tekau hāora .
He aha ngā mea hei tumanakohia i muri i te pokanga?
Me noho koe ki te hōhipera mō te whā ki te whitu rā i muri i te pokanga. He mea noa te mamae i muri i te pokanga. Mā tō tākuta koe e hoatu ki te rongoā whakamamae mamae e tika ana mō tēnā. Nō reira kaua e manukanuka ki te mamae.
He aha ngā mōrearea o tēnei pokanga?
Pērā i ngā pokanga nui katoa, he mōrearea anō hoki kei te pokanga RPLND. Mā tō tākuta ēnei mea katoa e whakamārama ki a koe i mua i te wā.
| Mōrearea | Whakaahuatanga |
|---|---|
| Te kino ki ngā oko toto | Kei te tata rawa te tākuta ki ngā uaua toto nui o te tinana e mahi ana i te pokanga. Nō reira, i ētahi wā onge, ka pakaru pea ēnei uaua toto, ā, ka puta pea he toto anō. |
| Te pā ki te momonatanga | Tērā pea ka puta ngā raruraru o te whakaputa uri i muri i te pokanga. Nā te mea ko ngā io e whakahaere ana i te whakaputa uri ka rere mā te wāhi e mahia ai te pokanga. I te nuinga o te wā, ka tiakina e ngā taote pokanga ēnei io mai i te kino. Heoi, i ētahi wā ka puta he āhuatanga e kiia nei ko te anejaculation. |
| Te kohikohinga wai lymphatic (Lymphocele) | Ka taea e te wai lymph te kohikohi i roto i te wāhi i mahue i te tangohanga o ngā kōpuku lymph. Hei tango i tēnei wai tāpiri, ka whakanohoia pea e tō tākuta he ngongo iti (he paipa wai) ki roto i tō puku. |
| Ētahi atu raruraru | Pērā i ngā mahi pokanga katoa, he iti noa te mōrearea o te mate urutā, te uaua ki te manawa, te kino ki ētahi atu okana, te mamae o raro o te puku, me te mate kōroke. |
He aha ngā mea kei roto i te pūrongo i muri i te pokanga?
Mā tō tākuta koe e whakamārama i te pūrongo pathology ka riro mai i a koe i muri i te tirotiro i ō pona lymph.
Ka taea e koe te whakamahi i ngā kupu "pai" "kino" rānei i roto.
- Ko te tikanga o te hua pai he pūtau matepukupuku kei roto i ngā kōpuku lymph kua tangohia.
- Ko te tikanga o te hua kino kāore he pūtau matepukupuku i kitea.
Hei tāpiritanga, e kī ana hoki te pūrongo e hia o ngā pūtau matepukupuku i roto i te tapeke o ngā kōpū lymph i tangohia.
- Momo mate pukupuku.
- Te rerekētanga o ngā pūtau matepukupuku mai i ngā pūtau noa (taumata).
- Te tere o te wehenga o ngā pūtau matepukupuku (tere mitotic).
Tērā pea kei roto i te pūrongo ētahi atu kōrero nui, pēnei i:
He aha te mea ka tupu i muri i te whiwhinga o ngā hua?
I runga i ngā hua o tāu pūrongo, ka whakatauhia e tāu tīma hauora te mea hei mahi i muri mai. Tērā pea he pēnei:
- Te tirotiro/te tirotiro me te kore he maimoatanga
- Te rongoā matū
- Te rongoā irahiko
Ahea te wā me waea atu ahau ki te tākuta?
Kia tae koe ki te kāinga, me tino tiaki koe i tō whakaoranga. Kia tino tupato ki te āhua o te whakaora o tō patunga pokanga. Mena kei a koe tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu.
| Ngā tohu whakatūpato - whakamōhio atu ki te tākuta tonu | |
|---|---|
| Whakapairuaki, ruaki rānei | Ki te nui rawa tō ruaki, ā, kāore e taea e koe te pupuri i te wai i roto i tō puku. |
| Mamae o raro o te puku | Ki te mea ka pēhia koe e te kikī, e te mamae nui, e te mamae rānei ina pā koe ki tō puku o raro. |
| Kāore he pupuhi, he nekenekehanga puku rānei | Ki te kore e taea e koe te tuku hau, te tutae rānei. |
| Te pupuhi e rere ana mai i te patunga | Mena he wai rite ki te pulu e puta mai ana i te pokanga. |
| Mamae nui | Mena he nui te mamae kāore e taea te whakahaere ahakoa ngā rongoā whakamamae. |
He whakamataku tetahi pokanga, inā koa ka pā te mate pukupuku. Engari kia maumahara, he tikanga whakaora ora te RPLND e hoatu ana ki ngā tākuta ngā mōhiotanga nui mō tō hauora, ā, ka taea hoki te aukati i te horapa o te mate pukupuku.
Mena kei te ruarua tonu koe, kei te mataku rānei mō te pokanga nui pēnei, kāore he he o te rapu whakaaro tuarua mai i tētahi atu tohunga. Mā te kōrero ki tētahi atu tākuta pea ka nui te rangimarie o te hinengaro, ka nui hoki te kaha hinengaro e hiahiatia ana e koe hei aro atu ki te pokanga.
He taahiraa nui tēnei pokanga i roto i tō oranga. Engari ka taea e ia te whakaora i tō oranga. Kei konei tō tīma hauora hei āwhina i a koe. Nō reira, kōrero ki a rātou mō ō pātai, ō wehi rānei.
Karere Tangohia ki te Kāinga
- He pokanga nui te RPLND e tango ai i ngā kōpuku lymph i muri i ngā whekau puku.
- Ko te mahi matua o tēnei ko te tirotiro mēnā kua horapa te mate pukupuku, te aukati i tōna horapa, me te ārai i te hokinga mai o te mate pukupuku.
- Pērā i ngā pokanga katoa, he tūponotanga anō kei reira, pērā i te toto me ngā pānga ki te momonatanga. Mā tō tākuta koe e whakamōhio atu ki a koe.
- He roa te wā e ora ai i muri i te pokanga. He mea nui kia mōhio ki ngā tohu o te mate (te kirika, te pupuhi mai i te patunga, te mamae nui).
- Kia tuwhera ki tō rōpū hauora ō wehi me ō āwangawanga. Kaua e mangere ki te tiki whakaaro tuarua mēnā e tika ana.
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