He uaua anō hoki ki a koe te whakahaere i ō nekehanga puku? Me ako tātou mō te pokanga MACE (Appendicostomy)

I ētahi wā ka pāngia tātou e ngā raruraru hauora e whakama ai tātou ki te kōrero, engari he nui te pānga ki ō tātou oranga. Pērā i te kore e taea te whakahaere i ngā nekehanga o te puku, te kore rānei e taea te tūtae mō ngā rā. He wheako tino uaua, he wheako taumaha hoki tēnei mō te tamaiti nohinohi me te pakeke. Ka taea e tēnei āhuatanga te waiho hei arai nui ki te haere ki te kura, ki te haere ki te mahi, me te whakahoahoa ki ētahi atu tāngata o te hapori. Nō reira, i tēnei rā kei te kōrero tātou mō tētahi pokanga motuhake e whakaarohia ana e ngā tākuta hei otinga mō ēnei raruraru.

He aha te tikanga o te appendicotomy?

Ahakoa te ahua uaua o te ingoa, he tino māmā te tikanga ki te mārama. Ko te tango i te appendicectomy, e mōhiotia whānuitia ana e ngā tākuta, ko te tikanga MACE (Malone Antegrade Colonic Enema) , he tikanga pokanga.

Hei whakarāpopototanga, koinei te mea ka tupu:

Mā te whakamahi i tētahi wāhanga o tō ake apeni , ka hangaia he ngongo iti mai i te kiri o tō puku ki tō koroni/whekau nui. Ka whakamahia e tēnei tikanga he wai motuhake (enema) hei horoi i te roto o tō koroni, hei āwhina hoki i te paru kia māmā ake te haere.

Ko te pūaha iti i hangaia i roto i te kiri o te puku e hono ana i tēnei ara ka kiia he stoma . He mea hanga tēnei i te nuinga o te wā tata ki te pito (puku) i te taha matau rānei o te puku. Nō reira, kāore e tino kitea mai i waho.

Ko wai rā te tangata e hiahia ana ki tēnei pokanga?

Ko te tikanga, ka tūtohu ngā tākuta i tēnei pokanga mō te hunga kāore anō kia kaha ki te whakahaere i ō rātou nekenekehanga puku mā te whakamahi i ētahi atu maimoatanga, pērā i ngā whakarerekētanga kai, ngā tāpiringa muka, ngā whakangungu pērā i te biofeedback. Ka mahia tēnei pokanga ki ngā tamariki me ngā pakeke.

Mena kei a koe, kei tāu tamaiti rānei tētahi o ngā āhuatanga e whai ake nei, me kōrero pea koe ki tō tākuta mō te pokanga MACE.

Me ako anō hoki tātou me pēhea te whakahaere i te pokanga.

I mua i te pokanga

Mā tō tākuta koe e whakamārama mārama ki ngā mea me mahi e koe i mua i te pokanga.

• Te kai me te inu: Ka whakamōhiotia koe kia pēhea te roa me mutu tō kai me tō inu i mua i te pokanga.
• Te Horoi i te Puku: Ka hoatu he tikanga motuhake hei horoi katoa i ngā whekau (Bowel Prep) i te rā i mua i te pokanga.
• Ngā rongoā kē atu: Mena kei te tango rongoā koe mō ētahi atu mate, he mea tino nui kia pātai atu koe ki tō tākuta mēnā me tango e koe aua rongoā i mua i te pokanga.

I te wā o te pokanga

Ko te tikanga, ka mahia tēnei pokanga mā te laparoscopy . Arā, he "pokanga kōhao kī". Ka mahia mā te whakauru i tētahi kāmera me ngā taputapu mā roto i ētahi kōhao iti i roto i te puku, kaua ki te tapahi nui. Ka hua ake tēnei he poto ake te wā whakaora, ā, he iti ake hoki te mātārae.

I te wā o te mahi pokanga, ka mahi te taote pokanga:

1. Ka tangohia he wāhanga iti o tō apeniki, o tō whekau rānei, ka hangaia hei ngongo.

2. E hono ana taua ngongo ki te taha o roto o te whekau nui.

3. Ka piri tetahi pito o te ngongo ki tētahi pūaha iti (stoma) i hangaia ki te kiri o te puku.

4. I te tīmatanga, ka whakauruhia he ngongo angiangi, e kiia nei ko te catheter, ki roto i te stoma mō tētahi wā poto kia noho tuwhera tonu.

E rua hāora pea te roa o tēnei pokanga.

I muri i te pokanga

Ka noho noa koe ki te hōhipera mō te wā poto, tata ki te rā kotahi, e rua rānei. I taua wā, ka akona koe e te hunga nēhi ki te horoi i ō puku mā roto i tō stoma hou. Ka whakangungua koe ki te mahi i tēnei i a koe anō ina hoki koe ki te kāinga.

He aha ngā painga me ngā pānga taha o tēnei pokanga?

Ko te painga matua ko te whakahoki mai i te mana whakahaere ki ō nekehanga puku. Mā tēnei ka taea e koe te noho i te oranga noa, te tākaro hākinakina, me te haere ki te mahi me te kore whakama, te kore wehi rānei. Ka tiakina hoki tō tūmataitinga nā te mea kāore e taea e ētahi atu te kite i tō stoma.

He tūponotanga kei puta ngā pānga taha (ngā raruraru) . Kāore e pāngia te katoa e ēnei, engari he mea nui kia mōhio.

• I ētahi wā ka turuturu mai he iti noa te tūtae, te wai rānei mai i te nono.
• I ētahi wā ka whaiti te ara kua hangaia (stoma).
• Ahakoa i muri i te pokanga, ka pāngia pea ētahi tāngata e te mate kōroke, e te uaua rānei ki te whakahaere i ō rātou puku.

E tata ana ki te kotahi marama te roa o te whakaora. Ka tohutohu ngā tākuta kia kaua e hiki taumaha me ngā hākinakina uaua i taua wā. I muri i te kotahi marama, ka tangohia te ngongo rangitahi (catheter) e whakanohoia ana ki roto i te stoma. Whai muri i tēnā, ka taea e koe te whakauru i te ngongo ina hiahia koe ki te horoi i ō whekau.

Āhea koe me toro atu ki te tākuta tonu?

Ki te puta mai i a koe, i tāu tamaiti rānei tētahi o ngā tohu e whai ake nei i muri i te pokanga, waea atu ki tō tākuta tonu atu , rapua rānei he maimoatanga.

Ka taea te whakakore i tēnei pokanga?

Āe. Ki te hoki anō tō tamaiti ki te kaha ki te tūtae i te āhua noa, ka taea te tango i tēnei ara i hangaia mā te pokanga, ā, ka whakahokia ki te āhua noa. Kāore tēnei tikanga e kino ki te mahi a te whekau nui.

Hei whakamutunga, ko ngā raruraru puku he mea ka tango i tō harikoa me tō whakapono ki te ao. Engari he otinga whai hua ā te rongoā hou mō ēnei. Ko tō tākuta te tangata pai rawa atu hei whakatau mēnā he tika tēnei pokanga māu, mā tō tamaiti rānei. Nō reira, ako atu mō tēnei, kōrerohia māramatia tō raruraru, ā, whiwhi i te maimoatanga pai rawa atu.