I kī atu te tākuta ki a koe, ki tētahi rānei e mōhio ana koe me pokanga koe ki te puku? I whakamahia e ia te kupu 'anastomosis' i tana kīnga i tēnā? I tō rongonga i tēnei kupu, tera pea i mataku koe, "He aha tēnei, he mate hou tēnei?" Engari kāore he mea e wehi ai. He tikanga pokanga tino noa tēnei e mahia ana e ngā taote pokanga i ngā wā katoa. Nō reira, i tēnei rā, me kōrero noa tātou mō tēnei mea, i roto i tētahi huarahi e whakamārama ai i ō pātai me ō mataku.
He aha tonu te anastomosis?
Ki te kī ngāwari, ko te hononga o ngā rori e rua te hononga. Whakaarohia ngā awa e rua e hono ana, e rere ana hei awa kotahi. He rite tonu. He paipa motuhake rānei e hono ana ki tō tātou whare mai i te paipa matua e kawe mai ana i te wai ki ō tātou kāinga, tika? He hononga pērā tonu tēnā.
He mea tēnei e tupu noa ana i roto i ō tātou tinana. Hei tauira, he hononga ngā oko toto o roto i ō tātou tinana tetahi ki tetahi, ā, he rite ki te whatunga. Waihoki, ki te tangohia te pūnaha nakunaku, ka hono te korokoro ki te puku, te puku ki te whekau iti, me te whekau iti ki te whekau nui. Ka kiia ēnei he anastomosis tūturu.
Heoi, i roto i te rongoā, ko te nuinga o te wā ka whakamahia tēnei kupu hei tohu i te hononga pokanga o ngā wāhanga e rua o te tinana. Me hanga tonu e ngā taote pokanga ēnei hononga. Kia kite tātou he aha.
He aha i hangaia ai tēnei momo hononga i te wā e pokangahia ana?
E rua pea ngā take matua mō tēnei.
1. Te tango me te hono anō i tētahi wāhanga kua pakaru: Whakaarohia kua pakaru tētahi wāhanga o tō whekau i te mate pukupuku, i tētahi mate kino, i tētahi atu mate hauora rānei. Kātahi ka tapahia e te taote pokanga taua wāhanga kua pakaru, ka tangohia. Kātahi ka hono anō ngā pito e rua o te whekau hauora e toe ana. Ki te kore, ka tapahia te paipa kai. Koinei te mea e kiia nei e mātou he anastomosis.
2. Te waihanga i tētahi ara hou hei karo i tētahi aukati (Takiwhiti): I ētahi wā ka āraia tētahi oko toto i roto i te tinana mai i roto. Ko te tauira pai rawa atu ko te wā ka āraia tētahi oko toto e tuku toto ana ki te ngākau e ngā putunga cholesterol. Ko te mahi i konei ko te waihanga i tētahi ara hou hei karo i te aukati. Hei mahi i tēnei, ka tangohia tētahi wāhanga o tētahi oko toto hauora i tangohia mai i tētahi atu wāhanga o te tinana ka honoa ki runga ake, ki raro hoki i te aukati hei waihanga i tētahi ara hou (takiwhiti). Ko ēnei hononga hou e rua e kiia ana ko te anastomosis.
He rite tēnei ki te tango i te wāhanga pakaru o te rori pakaru, kātahi ka hanga anō, ki te hanga rānei i tētahi ara whakawhiti hou hei karo i ngā waka i runga i te rori.
He aha ngā pokanga e whakamahia whānuitia ana mō te anastomosis?
He maha ngā momo pokanga e whakamahia ana tēnei tikanga. Me titiro tātou ki ētahi o ngā tauira e whakamahia whānuitia ana.
Pokanga Tango Puku
Koinei te momo anastomosis tino noa. Koinei te wā e hiahiatia ana kia tangohia tētahi wāhanga o te koroni, o te whekau iti rānei nā te mate pukupuku, nā ngā mate kino (pēnei i te diverticulitis), nā te whara rānei. Kātahi ka honoa anō ngā wāhanga hauora e toe ana. Hei tauira, ko te anastomosis ileocolonic te wāhi e honoa ai te wāhanga whakamutunga o te whekau iti (ileum) ki te whekau nui e toe ana.
Pokanga Ārai
- Pokanga Ārai i te Arorangi o te Ngākau: E ai ki taku kōrero i mua ake nei, ina āraia he oko toto i roto i te ngākau, ka hangaia he ara hou hei ārai i te ārai mā te whakamahi i tētahi oko toto hauora i tangohia mai i te waewae, i roto rānei i te uma.
- Pokanga Ārai Puku: He pokanga whakaiti taumaha e tangohia ai tētahi wāhanga iti o te puku, ka hono tika ki te wāhanga o raro o te whekau iti. Ka whakapotohia te paipa kai, ka whakawhāitihia hoki te mimiti kai.
Te waihanga i tētahi urunga mō te dialysis whatukuhu
Me whai hemodialysis ngā tūroro e pāngia ana e te ngoikore o te whatukuhu hei horoi i ō rātou toto. Me whai uaua nui, kaha hoki tēnei hei tango tonu i te toto, hei whakahoki mai ki te tinana. Hei mahi i tēnei, ka hono te taote pokanga i te uaua toto me te uaua toto i te ringa hei hanga i tētahi uaua toto kaha (Arteriovenous Fistula) . He momo anastomosis anō hoki tēnei.
Te Whakatō Okana
Ina whakatōngia tētahi okana, pērā i te ate, te whatukuhu, te ngākau rānei, me hono te okana hou ki ngā pūnaha o te tinana. Ko te tikanga o tēnei, me hono ngā oko toto e tuku ana, e hoki ana ki te okana, me ētahi atu oko toto e pā ana (hei tauira, te awa toto i roto i te whakatōnga ate), ki ngā wāhanga tika o te tinana. Ka kiia ia o ēnei hononga he anastomosis.
He aha ēnei tikanga hononga?
E toru ngā huarahi matua e hono ai ngā taote i ēnei oko toto. Mēnā kei roto i tō pūrongo ēnei kupu, ka taea e koe te mārama inaianei.
| Momo Anastomosis | He whakamārama māmā |
|---|---|
| Mutunga-ki-te-mutunga | He rite tēnei ki te hono tika i ngā wahi paipa pakaru e rua. Ka tuia ngā pito tuwhera o ngā paipa e rua hei hanga i tētahi paipa tonu. Koinei te tikanga e whakamahia whānuitia ana ina honoa ngā whekau. |
| Taha-ki-taha | I konei, ka katihia ngā pito o ngā paipa e rua, ka whakatakotoria ngā paipa e rua kia whakarara, ā, ka honoa mā te whakatuwhera i ngā taha e rua. Pērā i te wā e haere ana ngā rori e rua, ka whakatakotoria he rori taha ki waenganui i a rāua. |
| Pito-ki-taha | Ka honoa te pito tuwhera o tētahi ngongo ki te taha o tētahi atu ngongo, he rite tonu ki te hononga o tētahi paipa hou ki tētahi paipa wai matua. He tikanga whānui tēnei e whakamahia ana i roto i te pokanga arai. |
He aha ngā mōrearea o te pokanga anastomosis?
Pērā i ngā pokanga katoa, he tūponotanga kei roto. Engari kia maumahara, he tino whakangungua ngā taote pokanga ki te whakahaere i ēnei.
Ngā mōrearea noa o tētahi pokanga:
- Te toto
- Ngā toto totoka
- Mate pāwera
- Te kino ki ngā whekau tata
Ngā raruraru motuhake ki te anastomosis:
Koinei ngā mea me tino mōhio tātou. He iti te tūponotanga o ēnei mea, engari he mea nui kia mōhio tātou.
1. Te Whakatōtō Anastomotic:
He whakawhāiti noa iho tēnei o te hononga. Whai muri i te pokanga, ka puta he kiko whara ki te wāhi hononga i te wā e ora ana te patunga. I ētahi wā ka nui haere te kiko whara, ka whakawhāiti i te ara. Ka kiia tēnei ko te stenosis . Mena ka hono ngā whekau, ka taea e tēnei te whakararuraru i te haerenga o te kai. Mena ka hono te urethra i muri i te pokanga pūkahukahu, ka uaua te mimi. Engari ko te rongo pai , he maha ngā wā ka taea te whakaora i tēnei mate me te kore e hiahiatia he pokanga anō, mā te whakauru i tētahi taputapu pērā i te poihau ki roto i te wāhi whaiti (dilation).
2. Te turuturu o te puku:
He turuturu tēnei i te pūwāhi hononga. He rite ki te wai e turuturu ana mai i te hononga i waenga i ngā paipa wai e rua. Ko te mea e tupu ana i konei, kāore e hiritia pai ngā paipa hono e rua, ā, ka turuturu ngā mea o roto (hei tauira, te kai me te huakita i roto i ngā whekau). Mēnā ka turuturu ngā mea o roto i ngā whekau ki roto i te kōhao puku, ka pā he mate kino (peritonitis).He mate tino kino tēnei. Nō reira, ka tino aro nui ngā tākuta me ngā nēhi ki ngā tohu pēnei i te kirika, te mamae nui o te puku, me te whakapairuaki i muri i te pokanga. Mēnā ka puta tēnei momo turuturu, he maha ngā wā ka hiahiatia he pokanga anō hei whakatika.
Ko te mea nui ko te ripoata tonu i ngā tohu rerekē ka pā ki a koe i muri i te pokanga (mamae nui, kirika, ruaki) ki tō tākuta, ki ngā kaimahi hōhipera rānei. Mēnā ka kitea wawetia, ka taea te whakahaere angitu i ēnei raruraru.
He wā anō kāore e tika ana kia mahia he anastomosis?
Āe. I ētahi wā, ka whakatau te taote pokanga kia kaua e honoa ngā ngongo e rua i te wā kotahi. Ko te take matua mō tēnei he kore e pai te hauora o te kiko whekau.
Whakaarohia kua tangohia tetahi wāhanga o te whekau nā te mate kino. Kātahi ka pupuhi, ka ngoikore pea ngā wāhanga e toe ana o te whekau. Ki te tuia ngātahitia ēnei kiko ngoikore e rua, he nui ake te tūponotanga ka turuturu, kaua e ora tika.
I ēnei āhuatanga, ka hangaia e ngā tākuta he ostomy rangitahi . Ko te tikanga o tēnei ka kawea te pito o runga o te whekau ki te mata o te kiri o te puku, ka hangaia he pūaha hei putanga mō te paru. Ka tāpirihia he putea ostomy ki reira hei kohi paru. Ka katihia te pito o raro o te whekau mō te wā poto, ka whakanohoia ki roto i te puku.
I muri i ētahi marama, ina ora pai te tinana, ā, kua kore te mate, ka mahia he pokanga tuarua hei hono i ngā wāhanga e rua o te whekau (anastomosis). Kātahi ka kati te pūaha i hangaia i roto i te puku. Kātahi ka taea e koe te nekeneke i te puku kia rite ki te āhua o mua.
Karere Tangohia ki te Kāinga
- Ko te anastomosis te tukanga pokanga e hono ai ngā wāhanga e rua o te tinana (pērā i ngā whekau, i ngā uaua toto rānei). Ehara tēnei i te mate hou hei wehi.
- He mea nui tēnei hononga ina tangohia ana tētahi wāhanga pakaru, ina hangaia rānei he rori hou hei karo i tētahi arai.
- He tino angitu te nuinga o ngā pokanga anastomosis, kāore he raruraru. He tino whakangungua ngā taote pokanga mō tēnei.
- Tērā pea ka puta ngā raruraru pēnei i te turuturu, te whakawhāiti rānei i te wāhi hononga, engari he tino onge. Mēnā ka kitea wawetia, ka taea te rongoā angitu.
- Kōrero tonu atu ki tō tākuta mō ngā āhuatanga rerekē katoa e pā ana ki a koe i muri i te pokanga (mamae nui, kirika). Koinei te mea nui rawa atu ka taea e koe te mahi.
- Mena he pātai anō āu mō tēnei, kaua e mangere ki te pātai atu ki tō taote pokanga. Māna e whakamārama ngā mea katoa ki a koe.
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