Kua pokangahia koe, tētahi rānei e mōhio ana koe, hei tango i tētahi wāhanga o tō whekau, hei pokanga rānei mō te ngākau? Mēnā ka puta tēnā, kua whakaaro koe me pēhea te hono anō i ngā wāhanga e rua i tapahia, i tangohia atu rānei? Koinei te mea e kiia nei e mātou he 'anastomosis' i roto i te rongoā. He mea tino nui tēnei, ā, he mea nui hoki i roto i te maha o ngā pokanga. Nō reira, me kōrero tātou mō tēnei mea i tēnei rā.
He aha te anastomosis?
Ki te kī māmā noa, ko te anastomosis he hononga i waenganui i ngā ara e rua. Whakaarohia he rite ki te wāhi e tūtaki ai ngā awa e rua, ki te wāhi rānei e hono ai ngā paipa wai e rua i raro i te rori. He maha ngā hononga ā-taiao o ō tātou tinana, arā, ko ngā anastomosis ā-taiao. Hei tauira, ko te whatunga o ō tātou uaua toto (ngā uaua toto) e hono ana tetahi ki tetahi, me tō tātou ara nakunaku - arā, te huarahi e hono ai te korokoro ki te puku, me te puku ki ngā whekau - he anastomosis ā-taiao katoa ēnei.
Engari i roto i te rongoā, ko te kupu tēnei e whakamahia ana mō te hononga i hangaia mā te pokanga. He maha ngā wā me hono e ngā taote pokanga ngā oko toto rerekē o te tinana.
He aha te hiranga o te anastomosis i roto i te pokanga?
Whakaarohia pēnei. Mēnā kua pakaru tētahi ngongo i roto i tō tinana (pērā i te whekau, i te oko toto rānei), me tango e ngā tākuta te wāhanga kua pakaru. Kātahi ka hono anō i ngā pito hauora e rua e toe ana, ki te kore ka mutu te rere o ngā mea (te kai, te toto rānei) mā roto i taua ngongo. Koinei te mahi a te anastomosis.
I ētahi wā, ki te mau tetahi mea ki roto i te ngongo, arā, ka puta he aukati, me hanga he ara hou hei karo i taua aukati. Ka kiia tēnei ko te bypassing. I taua wā anō, ka hangaia he hononga hou, e kiia nei ko te anastomosis, i waenganui i ngā wāhanga e rua o te ngongo i ia taha o te aukati.
Ki te kī māmā noa iho, he rite ki te whakatika i tētahi rori pakaru, te whakaora i te mahi a ngā wāhanga o te tinana i muri i te pokanga.
He aha ngā pokanga matua e mahi ana i ēnei momo hononga?
He maha ngā momo pokanga e whakamahia ana te anastomosis. Me titiro tātou ki ētahi o ngā tauira e tino kitea ana.
| Momo pokanga | He aha te mea ka tupu noa |
|---|---|
| Te Tangohanga o te Puku | Ina tangohia tetahi wāhanga o te whekau iti, o te koroni rānei nā te mate pukupuku, nā tetahi atu mate rānei, ka honoa anō ngā pito hauora e rua e toe ana hei whakaora i te ara nakunaku. |
| Pokanga Ārai (Pokanga Ārai Arorangi) | Ina āraia he oko toto i roto i te ngākau, i ngā waewae rānei, ka hangaia he ara hou hei karo i te ārai. Ko te tikanga o tēnei ko te whakamahi i tētahi wahi uaua i tangohia mai i tētahi atu wāhanga o te tinana, ka hono atu ki te wāhi kua āraia, i te taha kē, i te taha kē hoki. |
| Pokanga whakaiti taumaha (Gastric Bypass) | Ka hangaia he hononga hou hei karo i tētahi wāhanga o te puku, ka tuku tika i te kai ki te wāhanga o raro o te whekau. Ka whakaitihia te mimiti kai, ā, ka āwhina i te whakaheke taumaha. |
| Te urunga ki te dialysis mō ngā tūroro whatukuhu | Hei whakahaere i te hemodialysis mō te tangata e pāngia ana e te ngoikore o te whatukuhu, ka hangaia he fistula arteriovenous i waenganui i te uaua me te uaua i te ringa kia ngāwari ai te hono atu i te mīhini dialysis. He anastomosis anō hoki tēnei. |
| Te Whakatō Okana | Ina whakatōkia he okana hou, pērā i te whatukuhu, i te ate rānei, ki roto i te tinana, me whakatū anō ngā oko toto katoa me ngā hononga e kawe ana i te toto ki taua okana, mai i taua okana hoki. He maha ngā pokanga anastomosis e mahia ana i konei. |
He aha ngā tikanga matua mō te mahi anastomosis?
E toru ngā huarahi matua e hono ai ngā taote pokanga i ēnei hononga. He rite ki ngā huarahi rerekē hei hono i ngā ngongo.
- Te hononga mai i te pito ki te pito: Ko te hononga o ngā pito tuwhera o ngā ngongo e rua, e anga atu ana tetahi ki tetahi, hei hanga i tētahi ngongo kotahi, tonu. He tikanga tēnei e whakamahia whānuitia ana ina honoa ngā whekau.
- Te hononga taha-ki-taha:Ko tāu mahi i konei he whakanoho i ngā ngongo e rua ki te taha, ka hanga he kōhao ki ngā taha e rua, ka hono i a rāua. Kua kati ngā pito e rua o ngā ngongo.
- Te whakapūtanga o te ngongo pito-ki-te-taha: I tēnei tikanga, ka kawea te pito tuwhera o tētahi ngongo ki te taha o tētahi atu ngongo, ka honoa.
He wā kei reira kāore e tika ana te whakamahi i te anastomosis?
Ae, i ētahi wā kāore e taea te hono i tēnei hononga i te wā o te pokanga. Ina koa i roto i te pokanga puku, mena kua pupuhi, kua ngoikore hoki ngā wāhanga kiko e honoa ana nā te mate urutā, ki te mahia he anastomosis i taua wā, he nui ake te tūponotanga kāore e ora tika, ā, ka turuturu i muri mai.
I ēnei āhuatanga, ka hoatu e ngā tākuta he wā ki ngā kiko kia ora ai, kātahi ka hangaia he 'ostomy' mō tētahi wā poto. Ko te tikanga ka whakaputaina tetahi pito o te whekau mā te kiri o te puku, ā, ka tāpirihia he putea hei kohi i te paru. Ā muri ake nei, i muri i te ora pai o ngā kiko, ka mahia tētahi atu pokanga hei tango i te ostomy me te hono i ngā whekau e rua ki roto (anastomosis).
He aha ngā mōrearea ka pā mai i tēnei pokanga?
Pērā i ngā pokanga katoa, he maha ngā tūponotanga pēnei i te toto, te totoka, me te mate. Hei tāpiri, e rua ngā raruraru nui e pā ana ki te anastomosis.
| Ngā raruraru | He aha te tikanga o tēnā, ā, he aha hoki tāna mahi? |
|---|---|
| Te whakawhāiti i te hononga (Anastomotic Stricture / Stenosis) | Ka taea e te kiko whara e puta mai ana i te wā e ora ana te hononga te whakawhāiti i te ara, ka uaua ai te haere o te kai, o te toto rānei. Heoi, he maha ngā wā ka taea te whakatika i tēnei āhuatanga me te kore pokanga mā te whakauru i tētahi taputapu, pērā i te poihau, ki roto i te ara me te whakawhanui. |
| Te turuturu o te pūnaha io | Koinei te raruraru tino kino . Mēnā kāore i te hono tika ngā pito e rua o te ngongo, ka turuturu pea ngā mea o roto (hei tauira, te paru mai i ngā whekau) ki roto i te kōhao tinana. Ka pā mai pea he mate kino. Mēnā ka puta tēnei, me tere te kite me te rongoā. Tērā pea ka hiahiatia he pokanga anō. |
He tikanga tino nui, he tikanga nui hoki te anastomosis i roto i te ao o te pokanga. Nā tēnei tikanga i angitu ai te nuinga o ngā pokanga, ā, ka taea e ngā tūroro te ora anō i te oranga hauora. He maha ngā tikanga me ngā taputapu e whakamahia ana e ngā taote pokanga hei whakatutuki i ēnei mahi angitu, hei whakahaere hoki i ngā raruraru mēnā ka puta. Nō reira, he angitu te nuinga o ngā pokanga, kāore he raruraru.
Karere Tangohia ki te Kāinga
- Ko te anastomosis te hononga anō i waenganui i ngā wāhanga e rua o ngā ngongo o te tinana (pērā i ngā whekau, ngā uaua toto, me ētahi atu).
- He mea nui tēnei mō ngā tikanga pokanga maha, pērā i te tango i te whekau, te pokanga bypass, me ngā whakawhitinga okana.
- Ahakoa he angitu tonu ēnei pokanga, he iti noa ngā tūponotanga, pērā i te turuturu, te whakawhāiti rānei i te wāhi hononga.
- Mena kei te whakahaerehia tēnei momo pokanga ki a koe, he mea nui rawa kia whakamōhio tonu atu koe ki tō tākuta mō ngā kirika, ngā mamae e kore e taea te whakamanawanui, te pupuhi, ngā tohu rerekē rānei e puta mai ana i muri i te pokanga. Mā te maimoatanga tere ka ārai i ngā raruraru nui.
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