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Renal function (eGFR)
Measure kidney function based on creatinine value
He aha te tikanga o te ablation?
He huarahi kē atu te tango i te ngira hei rongoā i te mate pukupuku whatukuhu hei whakakapi i te pokanga. I roto i tēnei tikanga, ka werohia e tō tākuta tētahi taputapu angiangi rite ki te ngira (tirohanga) mā roto i tō kiri ki te wāhi kei reira te mate pukupuku. Kātahi ka tukuna e te taputapu te wera nui, te makariri rānei ki ngā pūtau mate pukupuku. Whakaarohia he rite ki te werohanga tika, ko ngā pūtau mate pukupuku anake ka mate i tēnei maimoatanga. Ko te painga nui o tēnei ko te waiho i te kiko whatukuhu hauora e karapoti ana i te mate pukupuku kia tata kore e pāngia . Ko te tikanga ka ora te wāhanga hauora o te whatukuhu.Mā wai tēnei maimoatanga e tino pai?
Kāore tēnei maimoatanga e pai mō te katoa. Ka tirohia tō āhua e tō tākuta, ā, ka whakatau mēnā he pai mōu. Ko te tikanga, ka tūtohutia tēnei maimoatanga i ngā wā e whai ake nei:- Mō te hunga kāore e taea, kāore rānei e hiahia ki te pokanga: Mō ētahi tāngata, nā te pakeketanga, nā ētahi atu āhuatanga hauora pēnei i te mate ngakau , te mate huka rānei, tera pea he mōrearea te pokanga nui (nephrectomy). Ā, ko ētahi tāngata kāore e hiahia ki te pokanga. He kōwhiringa pai tēnei mō ēnei tāngata.
- Mena he iti te matepukupuku : Ko tēnei tikanga te mea tino whai hua mō ngā pukupuku matepukupuku he iti iho i te 3-4 henimita (tata ki te 1.5 inihi) .
- Mō te hunga he maha ngā pukupuku iti i roto i te whatukuhu kotahi, he pukupuku iti rānei i roto i ngā whatukuhu e rua: Engari ko te tango i te whatukuhu katoa mā te pokanga, ka taea e tēnei tikanga te whakangaro i ngā pukupuku anake, me te tiaki i te whatukuhu.
Ko te pokanga tuku iho ko te tango i te puku me tētahi wāhanga o te kiko hauora e karapoti ana (te tango hapa o te whatukuhu) te whatukuhu katoa rānei (te tango hapa o te whatukuhu). Mā te tangohanga ka whakaitihia taua kino.
✨ Clinical nutrition
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Check Availability →He aha ngā momo maimoatanga matua mō te tango i te kiriuhi?
E rua ngā huarahi matua mō tēnei maimoatanga: e ai ki te pūngao e whakamahia ana hei whakangaro i ngā pūtau matepukupuku.| Tikanga maimoatanga | He māmā noa iho te mea ka tupu. |
|---|---|
| Te Whakakānga | Ka kiia hoki tēnei ko te cryotherapy. Ko te whakamahi i te hau tino makariri hei whakatio i ngā pūtau matepukupuku. Kātahi ka tukuna kia rewa ngā pūtau. Ka tapahia e tēnei tukanga te toto me te hāora e tukuna ana ki ngā pūtau matepukupuku, ka mate ai rātou. |
| Te Whakakorenga Auautanga Reo Irirangi (RFA) | Ko te whakamahi i ngā ngaru reo irirangi (pūngao hiko) hei hanga i ngā taumata wera teitei, hei tahu hoki i ngā pūtau matepukupuku. Ko te tango i ngā pūtau maikoro me te tango i ngā pūtau irahiko ētahi atu tikanga e whakamahi ana i tēnei momo wera. |
Me pēhea taku whakarite i mua i te maimoatanga?
Ka hoatu e tō tākuta he tohutohu mārama ki a koe mō tēnei. I te nuinga o te wā,- Ka tūtohutia kia kaua e kai, e inu rānei i roto i ētahi haora i mua i te maimoatanga.
- Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā (ina koa ko ngā rongoā whakaiti toto ), ngā huaora , ngā rongoā Ayurvedic rānei mō tētahi wā.
He aha ngā mea ka tupu i te wā e rongoatia ana?
E rua ngā huarahi matua hei mahi i tēnei maimoatanga. 1. Mā te laparoscopic: Ka mahia tēnei e te tākuta mimi. Ka hoatu he rongoā whakamoe whānui ki a koe. Kātahi ka mahia ētahi tapahi iti rawa ki te puku, ka whakauruhia he kāmera (laparoscope) mā tētahi o ngā tapahi, ā, ka whakauruhia te taputapu tango i te kiri mā roto i ngā tapahi kē atu. Ahakoa he mahi pokanga anō hoki tēnei, ka tere te ora nā te mea he iti rawa ngā tapahi. 2. Mā te percutaneous:Ka mahia tēnei e te tohunga hihi-X. Ko te tikanga o tēnei ko te whakangāwari i te wāhi e rongoatia ana (whakamamae ā-rohe) me te wero i te ngira mā roto i te kiri ki roto i te pukupuku i te wā e titiro ana ki te matawai (CT, ultrasound rānei). Tērā pea ka hoatu he rongoā ki a koe hei āwhina i a koe ki te moe. Ko ngā mahi noa i te wā e rongoatia ana ko:- Te whakangote, te whakamoe rānei i te kiri.
- Tērā pea ka whakatakotoria he ngongo rangitahi (stent ureteral) hei whakahaere i te rere o te mimi .
- Ka tangohia he wāhanga iti o te puku matepukupuku hei whakamātautau (biopsy). Mā tēnei ka āwhina ki te whakatau i te momo matepukupuku tuturu.
- I a koe e titiro ana ki te mata matawai, ka whakaurua te taputapu tango i te pukupuku ki roto i te pukupuku, ka whakahohehia, ā, ka whakangaromia ngā pūtau matepukupuku.
He aha ngā mea hei tumanakohia i muri i te maimoatanga?
I muri i te maimoatanga,- Tērā pea ka taea e koe te hoki ki te kāinga i taua rā anō, me noho rānei koe ki te hōhipera mō te rā kotahi .
- Tērā pea ka rongo koe i te ngenge, te mamae, me te ngau kino i te wāhi i mahia ai te maimoatanga .
- Tērā pea ka kitea he toto, he maru rānei. He mea noa tēnei.
He aha ngā painga o tēnei maimoatanga?
He maha ngā painga o tēnei maimoatanga ki te whakaritea ki te pokanga nui.- Te whakaoranga tere: Ka taea e koe te whakaora tere nā te iti o te mamae me te toto.
- He iti noa ngā koha: Nā te mea ka mahia mā roto i ngā tapahi iti rawa, kāore e waiho he koha nui.
- He iti rawa te kino ki ngā whatukuhu hauora: Koinei te painga nui rawa atu.
- Kāore e hiahiatia ana te whakauru ki te hōhipera: he maha ngā wā ka taea e koe te hoki ki te kāinga i roto i te rā kotahi.
- He iti te mōrearea: He iti ake te mōrearea o ngā raruraru i ērā o te pokanga nui.
Kāore he mōrearea i reira?
Pērā i ngā tikanga hauora katoa, he iti noa iho ngā mōrearea, engari he iti ake te tūponotanga ka puta mai i ngā pokanga nui.- Te toto toto, te toto rānei
- Ngā mate urutā
- He marō, he koha rānei i te wāhi maimoatanga
- He iti noa te tūponotanga ka pakaru ngā oko toto tata, ngā io, me ētahi atu whekau rānei.
- Ngā aukati o te ureter
Āhea ahau me waea atu ki te tākuta?
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i tō maimoatanga, me waea atu koe ki tō tākuta tonu atu . Me haere rānei ki te hōhipera tata.Haere ki te Wāhanga Maimoatanga Ohotata (ETU).- Te mamae e kore e taea te whakamanawanui , te toto nui rānei.
- Te ruaki tonu.
- Te uaua ki te mimi , te toto rānei i roto i te mimi.
- Ngā tohu o te mate pāwera, pērā i te kirika .
Ka taea te mahi i tēnei maimoatanga neke atu i te kotahi? Āe. Mena kāore anō kia ngaro katoa te mate pukupuku, ki te hoki mai anō, ki te puta rānei he pukupuku hou, ka taea te mahi anō i tēnei maimoatanga.
Karere Tangohia ki te Kāinga
- He huarahi maimoatanga whai hua te tango i te pokanga mō te mate pukupuku whatukuhu, he iti ake te pānga ki te tinana, hei huarahi kē atu i te pokanga.
- He tino pai tēnei mō te hunga he iti ngā pukupuku (iti iho i te 3-4 cm) me te hunga kāore e taea te utu mō ngā pokanga nui.
- Ko te tikanga o tēnei ko te whakamahi i te tino makariri (cryoablation) me te tino wera (RFA) hei arotahi me te whakangaro i ngā pūtau matepukupuku anake.
- He iti ake te mamae, he tere ake te ora, he poto ake te noho hōhipera, ā, he iti noa iho te kino ki te kiko hauora o te tākihi.
- Pērā i ngā maimoatanga katoa, he iti noa iho ngā mōrearea, engari he iti ake i te pokanga nui. Ko te huarahi pai ki te whakatau mēnā he tika tēnei maimoatanga māu ko te kōrero ki tō tākuta.
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