Kua oti kē te tirotiro i tō puku? Tērā pea kua tono tō tākuta kia whakamātauria tēnei whakamātautau mō te mate puku, mō tētahi atu mamae rānei. I a koe e mahi ana i tēnei whakamātautau, ka kite te tākuta i ētahi wā i te toto mai i tētahi patunga iti i roto i tō puku, i tō whekau rānei, i ngā tipu iti rānei (polyps) kua puta. I mua, me mahi pokanga iti tēnei, engari nā te hangarau matatau o ēnei rā, kei reira ngā huarahi hei rongoā i ēnei mea me te kore e tapahia. Koinei tētahi o ngā maimoatanga matatau e kōrerohia ana e tātou i tēnei rā. Ko te ingoa o tēnei ko te Argon Plasma Coagulation, ko te APC rānei te poto.
He aha te APC (Argon Plasma Coagulation)?
Āe, tera pea he ahua uaua tēnei ingoa, engari he tino māmā noa iho te mea e tupu ana i roto i tēnei. Whakaarohia he kōhao iti kei roto i te ngongo i roto i tō tātou tinana (pērā i te ara nakunaku) e toto ana. I roto i tēnei tikanga e kiia nei ko te APC, ka tukuna e te tākuta tētahi atu ngongo angiangi mā roto i te ngongo endoscope (scope), ā, ka werohia he hau motuhake e kiia nei ko te 'Argon' mā roto. Kātahi ka whakamahia he au hiko iti rawa hei whakakā i te hau. Ka tahuna e te wera nui e puta mai ana i tēnei te wāhi e toto ana, ā, ka mutu te toto. Waihoki, ki te mea he tipu iti kāore e hiahiatia (polyps), ka taea e tēnei tikanga te whakangaro katoa i a rātou.
He rite tēnei ki te whakaoti rapanga i roto i te tinana, me te kore e haehae i te tinana, engari he tino ātaahua te mahi mai i waho. Ko te tikanga, kāore he take e hiahiatia ai he pokanga nui. Koinei te mea e kiia nei e mātou he 'iti rawa te whakaekenga' i roto i te rongoā.
Ka whakahaerehia tēnei maimoatanga e te tohunga gastroenterologist, e te pulmonologist rānei.
I roto i ngā āhuatanga hea e hiahiatia ai tēnei maimoatanga?
He maha ngā take e whakamahia ai te rongoā APC. Me titiro tātou ki tāna mahi matua.
| Te āhua e rongoatia ana | He whakamārama māmā |
|---|---|
| Te aukati i te toto i roto i te tinana | E whakamahia ana hei rongoā i te toto i puta mai i ngā whara i roto i te puku me ngā whekau, te toto i te pūkahukahu, te mate rānei e kiia nei ko te 'puku merengi' (Gastric Antral Vascular Ectasia Syndrome). |
| Te tango i ngā kiko/pūpū e kore e hiahiatia | Ka whakamahia tēnei tikanga hei tango i ngā tipu iti (polyps) me ngā kiko rānei ka huri hei matepukupuku i roto i ngā whekau. Ka taea hoki te whakamahi hei whakaiti i te pukupuku matepukupuku i roto i te tangata kāore e taea te mahi pokanga nui. |
| Te rongoā i te Barrett's Esophagus | Nā te gastritis roa (GERD) tēnei i puta ai ngā huringa i roto i ngā pūtau o te korokoro. Ka whakamahia ngā APC hei tango i ēnei pūtau kua whakarerekētia i mua i te huri hei matepukupuku. |
| Te pikinga o te taumaha i muri i te pokanga whakaheke taumaha | I muri i ētahi pokanga whakaiti taumaha, ka totoro, ka nui haere te wāhi i piri ai te puku i roto i te wā. Kātahi ka hoki mai te taumaha. Ka whakamahia te maimoatanga APC hei whakakaha me te whakaiti anō i taua wāhi kua totoro. |
| Ngā raruraru pūkahukahu me te manawa | Ka whakamahia anō hoki tēnei tikanga me te bronchoscopy hei rongoā i ngā pukupuku iti, i ngā wāhi toto rānei i roto i ngā ara manawa. |
Me pēhea te mahi a tēnei maimoatanga?
He iti noa ngā whakaritenga me mahi e koe i mua i tēnei maimoatanga. Kei te āhua o tō hiahia ki te mahi.
- Endoscopy o Runga: Ko te whakaurunga o tētahi ngongo mā te waha hei tirotiro i te puku me te korokoro.
- Colonoscopy: Ko te whakaurunga o tētahi ngongo mā roto i te pūkahukahu hei tirotiro i te whekau nui.
- Pūkahukahu: Ko te whakaurunga o tētahi ngongo mā te ihu, mā te waha rānei hei tirotiro i ngā pukahukahu.
I mua i tēnei, ka tono tō tākuta kia kaua e kai, e inu rānei mō ētahi hāora . Mā te colonoscopy, ka hoatu he mea whakarite puku hei āwhina i te horoi i tō colon. Waihoki, ki te mea kei te tango koe i ngā rongoā whakaiti toto pēnei i te aspirin, ka tonoa pea koe kia mutu te tango i aua rongoā mō ētahi rā.
I te wā e rongoatia ana...
1. Ka hoatu he rongoā whakamoe ki a koe kia pai ai tō noho, kia kore ai koe e mamae. Ko te tikanga o tēnei ko te whakauru i tētahi ngongo iti (raina IV) ki roto i tētahi uaua i tō ringa, ā, ka hoatu he rongoā mā roto.
2. Kātahi ka meinga koe kia takoto ki runga i te moenga maimoatanga.
3. Ka whakaurua e te tākuta he ngongo angiangi, ngāwari (tirotiro ā-kanohi) me te kāmera e piri ana ki roto i te tinana e tika ana (mā te waha, te ihu, te pūkahukahu rānei).
4. Hei ārai i tō tinana kei pakaru i te hiko, ka tāpirihia he papa papatahi (papa whenua) ki tō tinana (ko tō huha te tikanga).
5. Muri iho, ka tukuna te catheter kei roto nei te taputapu APC mā te whānuitanga ki te wāhi e tika ana.
6. Ka werohia te hau ākono i te tuatahi, kātahi ka whakamahia he iahiko hei whakakā. Kātahi ka tahuna te kiko e hiahiatia ana.
7. Ka whakaoti te tākuta i te maimoatanga mā te neke i te taputapu ina hiahiatia, me te whakahaere i te nui o te hau me te iahiko.
8. Kia oti te mahi, ka tangohia te karu tirotiro, te katitere, me te papa whakapūmau.
E 15 meneti ki te haora te roa o tēnei tukanga katoa.
He aha ngā mea ka tupu i muri i te maimoatanga? He pānga taha anō kei reira?
I muri i te maimoatanga, ka puritia koe ki te rūma whakaora mō tētahi wā, ā, ka tukuna koe ki te kāinga ina ngaro ngā pānga o te rongoā whakamoe. Tērā pea ka pā mai ētahi mamae iti.
- Te āhua nei kua kī tō puku.
- Te putanga o te hau, ā, ko te mutunga iho he mamae iti i te puku.
- He paku ngenge, he paku pōuri.
He mea noa ēnei i te nuinga o te wā. Kāore he mea hei manukanuka. Ka memeha haere ēnei mamae i roto i ētahi haora. Kāore koe e mamae i te wā e rongoatia ana nā te mea ka hoatu he rongoā whakamoe ki a koe.
He tino haumaru te APC. He onge ngā raruraru. Heoi, pērā i ngā tikanga hauora katoa, he iti noa ngā mōrearea. Kāore e tino onge te puta o te toto, ngā raruraru ki te rongoā whakamoe, te whaiti o te korokoro (stenosis), te pakaru rānei o te kiko. Koia te mea nui kia mahia ēnei tikanga e te tākuta mātau.
Ngā tohu e hiahia ana kia aro wawe tonu ki te hauora
I muri i te hokinga ki te kāinga, ki te pāngia koe e tētahi o ngā tohu i raro nei, me haere tonu koe ki te hōhipera, inā koa te Tari Whakaora Mate (ETU). Tērā pea he tohu ēnei mō tētahi mea kino, nō reira he mea nui kia tere te mahi.
| Ngā tohu whakatūpato hei tūpato māu! | |
|---|---|
| 🔴 | Te mamae nui o te puku , e kore e memeha ahakoa kua puta te hau. |
| 🔴 | Te mamae o te uma . |
| 🔴 | Te uaua ki te manawa . |
| 🔴 | Te ruaki toto (he rite ki te paura kawhe whero, ki te paura kawhe rānei). |
| 🔴 | Te toto o te tūtae (he toto whero, he toto mangu pouri rānei i roto i te tūtae). |
| 🔴 | Te kirika , te makariri rānei. |
| 🔴 | Te uaua ki te horomi, te mamae rānei o te korokoro. |
I muri i tō hokinga ki te kāinga, me whai tika i ngā tohutohu a te tākuta.
- Nā te pānga o te rongoā whakamoe, kaua e taraiwa, e whakahaere rānei i ngā mīhini taumaha i taua rā.
- Kawea mai tētahi hei kawe i a koe ki te kāinga. He pai ake mēnā ka noho tētahi ki a koe mō ētahi haora i muri i tō taenga ki te kāinga.
- Kaua e inu waipiro.
- Mā te tākuta koe e tohutohu mō ngā kai ka taea e koe te kai me te wā ka taea e koe te tīmata kai noa.
Karere Tangohia ki te Kāinga
- Ko te Argon Plasma Coagulation (APC) he maimoatanga matatau, kāore e pokanoa e whakamahia ana hei aukati i te toto i roto i te tinana me te tango i ngā kiko kāore e hiahiatia.
- Ka mahia tēnei i raro i te rongoā whakamoe, nō reira kāore koe e rongo i te mamae.
- I muri i te maimoatanga, tera pea ka pāngia koe e te mamae iti, pērā i te pupuhi me te hau, engari i te nuinga o te wā ka tere te memeha atu.
- Ina hoki koe ki te kāinga i muri i te maimoatanga, me whai tika i ngā tohutohu a te tākuta.
- Ki te pāngia koe e ētahi tohu whakatūpato pēnei i te mamae nui o te puku, te mamae o te uma, te uaua ki te manawa, te ruaki toto rānei, haere tonu ki te Tari Urupare o te hōhipera (ETU).
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