Kua kī atu tō tākuta me pokanga koe hei tango i tō repe adrenal nā te mea he raruraru? He mea noa te mataku me te manukanuka ina rongo koe i tēnei rongo. Ka mataku tātou katoa ina rongo tātou i te kupu "pokanga." Engari ehara i te mea whakamataku pērā i tā tātou e whakaaro nei. I te nuinga o te wā, he tikanga tino angitu, he tikanga ngāwari hoki. Nō reira, i tēnei rā ka kōrero tātou mō te tikanga tango adrenal, me pēhea te whakarite mōna, me pēhea hoki te ora wawe i muri i te tikanga.
He aha te tikanga o te adrenalectomy?
Āe, tuatahi, me titiro tātou ki ngā repe adrenal. He repe iti ēnei e rua e noho ana i runga i ō tātou whatukuhu, he rite ki ngā potae e rua. Ka whakaputahia e rātou ētahi homoni he mea nui mō ō tātou tinana.
Engari i ētahi wā ka pāngia ēnei repe e ngā raruraru. Hei tauira:
- Matepukupuku: Ka taea e ēnei repe te whakawhanake i ngā pukupuku he matepukupuku, ka taea rānei te huri hei matepukupuku.
- Te nui rawa o te hanga homoni: I ētahi wā ka tīmata ēnei repe ki te whakaputa i te nui rawa o ngā homoni. Ka taea e tēnei te arahi ki ngā āhuatanga pēnei i te "Hyperaldosteronism" me te "mate a Cushing".
Nā konei, ka whakatau ngā tākuta kia tangohia mā te pokanga tētahi, e rua rānei o ēnei repe. Mēnā kotahi anake te repe ka tangohia, ka kiia ko te "Unilateral adrenalectomy", ā, ki te tangohia ngā repe e rua, ka kiia ko te "Bilateral adrenalectomy". Ka kiia tēnei pokanga ko te Adrenalectomy.
Me pēhea te whakarite i mua i te pokanga?
Me whakarite koe i mua i te rā o tō pokanga. Mā tō tākuta koe e hoatu he tohutohu mārama mō tēnei.
- Tērā pea ka tonoa koe ki te mahi i ētahi atu mea pēnei i ngā matawai tāpiri.
- I ētahi wā, ka tohua pea he rongoā motuhake hei tango i ngā rā i mua i te pokanga.
- Tērā pea ka taea te hoatu he tohutohu motuhake mō te kai me te inu.
Ko te mea nui ko te mahi i tēnei pokanga i raro i te whakamoe katoa, arā, kei te moe rawa koe. Nō reira, he mea nui kia whai tangata hei kawe i a koe ki te kāinga i muri i te pokanga. Kāore rawa e taea e koe te taraiwa i tētahi motuka ko koe anake.
He aha ngā tikanga pokanga?
E toru ngā tikanga matua mō te tango i te repe adrenal. I runga i tō āhua, mā tō taote pokanga e whakatau ko tēhea te tikanga pai mōu.
| Tikanga pokanga | Me pēhea te mahi |
|---|---|
| Te tango i te adrenal i roto i te laparoscopy | Koinei te tikanga e whakamahia whānuitia ana. Ka tangohia te repe mā roto i te 1-4 ngā tapahi iti rawa i roto i te puku, ka whakauruhia he kāmera me ngā taputapu pokanga ngawari. He tino iti ngā tapahi, nō reira he tere te whakaora, ā, he iti noa te mamae. |
| Te tangohanga adrenal i roto i te karetao | He rite tonu tēnei ki te tikanga o runga ake nei. Heoi, kāore te taote pokanga e whakahaere ā-ringa i ngā taputapu, engari mā te āwhina o tētahi pūnaha rorohiko me tētahi kāmera 3D. Mā tēnei ka taea te mahi i te pokanga me te tino ātaahua, me te tika hoki. |
| Te Whakatuwheratanga o te Adrenaline | Koinei te tikanga tuku iho. Ka mahia te pokanga mā te tapahi kotahi i te puku. Ka whiriwhiria tēnei tikanga mēnā he tino nui te pukupuku i roto i te repe, mēnā rānei he momo matepukupuku motuhake, pērā i te "Adrenocortical carcinoma". |
E rua, e toru rānei hāora te roa o tēnei pokanga.
Me pēhea te tiaki i a koe anō i muri i te pokanga i te kāinga?
Mena ka pokangahia koe mā te laparoscopy, tera pea ka taea e koe te hoki ki te kāinga i taua ahiahi tonu, i te aonga ake rānei. Heoi, ki te pokanga tuwhera koe, me noho koe ki te hōhipera mō ētahi rā. Kia mahara ki te whai i ēnei mahi hei whakaora wawe i muri i tō taenga ki te kāinga.
- Kia nui te okiokinga: Hoatu he wā ki tō tinana kia ora ai. Kaua e whakakori tinana i te wiki tuatahi.
- Tangohia tō rongoā kia rite ki te mea i whakaritea: Tangohia ngā rongoā whakamamae mamae me ētahi atu rongoā i whakaritea e tō tākuta i te wā tika me te horopeta tika.
- Inumia he nui te wai: He mea tino nui kia inuhia kia 8 karāhe wai i te rā.
- Kai me te Inu: Kai i ō kai o ia rā, ki te kore koe e mamae te puku. Ki te mea kei te mamae tō puku, tīmata ki tētahi mea māmā pērā i ngā huawhenua kohuatia, i te raihi rānei, kātahi ka neke haere ki ngā kai o ia rā.
- Te maremare me te manawa hōhonu: Ina maremare koe, ina manawa nui koe, ina kata rānei, whakatakotoria he urunga ki runga i te motu ka pēhi ki raro. Mā tēnei ka tino whakaiti i te mamae.
- Te tiaki patunga: Kia ma, kia horoia hoki te patunga kia rite ki ngā tohutohu a tō tākuta.
- Te haere ki te wharepaku: He mea noa te whakapairuaki. Ki te raru koe, kaua e mangere ki te kōrero ki tō tākuta.
Kia pēhea te roa o te wā e ora ai?
Me hoki anō koe ki te āhua noa i roto i te wiki, i ngā wiki e rua rānei. Tērā pea ka roa ake te pokanga tuwhera. He mea noa te mamae i te taha o ngā motu. Ka taea te whakahaere i tēnei mamae mā te whakamahi i ngā rongoā anti-inflammatory kore-steroidal (NSAID) pērā i te ibuprofen.
Ko te mea pai rawa atu, ka tere memeha atu ngā tohu i pā ki a koe i mua i te pokanga (hei tauira, te toto toto tiketike, te ngenge) i muri i te pokanga.
Mēnā he pēnei te āhua, rapua tonutia he tohutohu hauora.
Ki te kite koe i tētahi mea pēnei i te kāinga i muri i te pokanga, kaua e warewaretia.
| Tūnga | Me aha? |
|---|---|
| Kōrero ki tō tākuta. | |
| Mamae | Ki te kore te mamae e memeha ahakoa kua tangohia te rongoā. |
| Whara | Mena he wetekina ngā tuitui, ā, te āhua tuwhera te tapahi. |
| Ngā tohu o te mate | Mena he whero te patunga, he pupuhi, he wera, he pupuhi te wai, he toto rānei, he mamae nui rānei. |
| Kirika | Ki te mea he kirika tōu. |
| Haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera e tata ana. | |
| Ngaronga o te māramatanga | Ki te ngaro whakarere tō māramatanga. |
| Te uaua ki te manawa | Ki te mea ka raru nui koe i te manawa. |
| Mamae o te uma | Mena he mamae nui tō uma, he maremare toto rānei. |
He mea noa te mataku ina kīia atu me pokanga koe. Engari mō te tangata he mate pukupuku repe adrenal, he mate rānei e pā ana ki te homoni, ko tēnei pokanga te huarahi pai ki te ora. Mena kua tūtohutia tēnei pokanga e tō tākuta māu, kaua e wehi ki te kōrero ki a ia mō ō pātai me ō mataku katoa.
Karere Tangohia ki te Kāinga
- He pokanga angitu te tango i te adrenal gland, ā, he mahi noa iho tēnei mō te mate pukupuku o te repe adrenal, mō ngā raruraru homoni rānei.
- He maha ngā wā ka mahia tēnei pokanga mā roto i ngā tapahi iti (laparoskopi), arā, he poto ake te wā whakaora me te iti ake o te mamae.
- Kōrerotia marietia ki tō tākuta mō ō wehi, ō āwangawanga rānei i mua i te pokanga.
- He mea nui te whai i ngā tohutohu hauora i muri tonu i te pokanga kia tere ai te whakaoranga me te angitu.
- Ki te kite koe i tētahi o ngā tohu mōrearea kua whakahuatia ake nei, kaua e mangere ki te waea atu ki tō tākuta tonu atu, ki te haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
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