Kei te pāngia tō tamaiti e te mate puku kore? E maha ngā rā kāore ia e nekeneke ana, ā, e tino māharahara ana ia? Kāore rānei ia e mōhio kei te pāngia e te kore e taea te pupuri i te paitini o te tūtae? Ko koe, hei tamaiti, hei mātua hoki, me tino mamae koe i ēnei raruraru. I tēnei rā, ka kōrero tātou mō tētahi maimoatanga motuhake ka taea te āwhina ina uaua te whakahaere i ēnei āhuatanga mā te whakamahi i ngā rongoā noa.
He aha te cecostomy i roto i ngā kupu māmā?
He whakarāpopototanga noa iho, he pokanga iti te cecostomy. Ko te whakaurunga o tētahi ngongo mā roto i te kiri o tō puku ki roto tonu i te wāhanga tuatahi o tō whekau nui. Ko te ingoa hauora o tēnei wāhanga tuatahi o tō whekau nui ko te cecum . Ka kiia tēnei ngongo he ngongo cecostomy, he ngongo C rānei.
Inaianei pea kei te whakaaro koe, "He aha rātou i whakauru ai i tētahi ngongo pēnei?" Ko te take, ka mahia e rātou he enema mā roto i tēnei ngongo. Ko te enema he wai e werohia ana ki roto i te koroni hei horoi. I te nuinga o te wā, ka mahia e mātou he enema mā roto i te nono, arā, te pito o raro o te koroni. Ka piki ake te wai. Ka kiia tēnei he enema retrograde . Engari kāore tēnei tikanga e horoi i te koroni katoa.
Engari ina mahia he enema mā roto i te ngongo cecum, ka tomo te wai ki te tihi o te whekau nui. Kātahi ka haere te wai ki raro i te whekau katoa, ka kawe i te tūtae, ka puta mā te nono. He rite ki te ringihia he wai ki raro i te paipa. Ka kiia tēnei he antegrade enemas . He tino whai hua tēnei tikanga nā te mea ka taea te horoi i te whekau nui katoa. He wā poto noa iho tēnei maimoatanga mō ētahi tāngata, engari tera pea ka hiahiatia mō te wā roa mō ētahi atu.
Ko wai rā te tangata e hiahia ana ki tēnei maimoatanga?
Ko te Cecalostomy te mea e whakamahia whānuitia ana i roto i te rongoā tamariki . He tino āwhina tēnei mō ngā tamariki e pāngia ana e te mate puku kōroke nui, ā, kāore e taea te whakahaere i ō rātou puku (te kore e taea te pupuri i te tūtae). Whakaarohia te whakarihariha o te turuturu tūtae o te tamaiti i a ia e tākaro ana me ōna hoa i te kura. Ka taea e tēnei maimoatanga te hanga i tētahi rerekētanga nui ki te oranga o ēnei tamariki.
Hei tāpiritanga, he tino whai hua hoki tēnei mō ngā tamariki i whānau mai me ētahi mate puku. Hei tauira:
- Ngā āhua hē o te puku: Ko ngā āhua hē o te puku he āhua hē whānau mai o te nono.
- Te mate Hirschsprung: He raruraru kei ngā pūtau io i roto i te whekau e kore ai e neke tika te tūtae.
- Spina bifida: He mate whānau o te tuaiwi me te taurakira e pā kino ana ki te whakahaere o te puku me te pūhā.
Kāore i te tūtohutia te cecalostomy mō ngā pakeke, engari i ngā wā motuhake, ka taea e ngā enemas antegrade o ia rā te āwhina i te pupuri i ngā nekehanga o te puku kia rite ki tētahi wātaka me te ārai i ngā nekehanga puku ohorere.
He aha ngā momo ngongo e whakamahia ana?
He maha ngā momo paipa matua e whakamahia ana mō tēnei. Tirohia te ripanga i raro nei hei mārama ake i ēnei.
| Momo Ngongo | Āhua me te whakaahuatanga |
|---|---|
| ngongo C | Koinei te ngongo rangitahi ka whakaurua tuatahitia i te wā pokanga. He catheter roa, angiangi. Ko te pito o te ngongo e kitea ana ka takaihia ki runga i te puku. |
| Chait Trapdoor™ | He ngongo tēnei e whakamahia ana mō te wā roa . He rite ki tētahi pātene iti e whakaurua ana ki roto i te puku. He mea takai te wāhanga o roto i te whekau, kia mau tonu ai ki tōna tūranga me te kore he tuitui. |
| Pātene Enema MiniACE® | He ngongo anō hoki tēnei e āhua ana ki te pātene, ā, ka whakamahia tonutia, pērā i te mea i runga ake nei. Engari ka whakanohoia tēnei ki roto i te puku me te pupuhi o tētahi poihau iti. |
Me pēhea te whakahaere i tēnei tikanga?
Ka taea te wehewehe i tēnei tukanga kia maha ngā wāhanga.
Me pēhea te whakarite i mua i te pokanga?
I mua i te pokanga, tera pea ka tono tō tākuta kia whakarite koe i te puku . Ko te tikanga me whakawhāiti i tāu kai me tāu inu mō ētahi rā, kātahi ka tango i te rongoā whakamāmā hei whakakore i te puku.
Ko te mea nui, mēnā ka pokaina tāu tamaiti, me whakamārama e koe ngā mea katoa ka tupu i runga i te huarahi e mārama ai ia, kia marino, kia mārama hoki. Ina māia koutou, hei mātua, he kaha nui tēnei mō te tamaiti.
He aha ngā mea ka tupu i te wā o te pokanga?
I te wā o te pokanga, ka hangaia e te tākuta he kōhao iti mā roto i te kiri o tō puku ki roto i tētahi wāhanga o tō whekau nui e kiia nei ko te cecum.
- I ētahi wā ka mahia tēnei mā te whakamahi i tētahi taputapu rite ki te ngira. Ka kiia tēnei he percutaneous cecostomy . Ko te tikanga he whakangoioi i te wāhi.
- I ētahi wā ka mahia tēnei mā roto i tētahi tapahi iti. Ka kiia tēnei he cecostomy pokanga . Mō tēnei, ka whakamoea koe, tāu tamaiti rānei i raro i te mate whakamoe whānui.
I muri i te hanganga o te kōhao, ka whakamahia e te tākuta te hangarau kāmera motuhake (fluoroscopy, endoscopy rānei) pērā i ngā hihi-X hei whakauru i te ngongo-C mā roto i te kōhao ki roto i te whekau. Kātahi ka tāpirihia te ngongo ki te whekau, ā, ka tāpirihia te whekau ki te pakitara o te puku.
He aha ngā mea ka tupu i muri i te pokanga?
Ka roa pea te pokanga mō te haora. Kātahi ka noho koe ki te hōhipera mō ētahi rā. I tēnei wā, ka tiakina koe e te tīma hauora. Ka hoatu he rongoā paturopi IV ki a koe hei ārai i te mate. Ka hoatu he rongoā whakamamae mamae ki a koe mēnā kei te mamae koe. Ka paku "mangere" ō whekau i muri i te pokanga, nō reira me kai koe i te kai wai kia tīmata rā anō te mahi tika.
He aha ngā painga me ngā mōrearea o tēnei?
Pērā i ngā maimoatanga hauora katoa, he painga, he mōrearea hoki tō tēnei.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
|
|
Kaua e wehi i ēnei mōrearea. Mā tō rōpū hauora koe e ako ki te pupuri i te ngongo kia ma, me te tiaki hoki. Ki te whai koe i aua tohutohu me te āta, ka taea e koe te whakaiti i ēnei mōrearea.
Kia pēhea te roa e ora ai, ā, me pēhea te whakamahi i te ngongo?
E rua wiki pea te roa o te whakaora i te wāhi i pokaina. I taua wā, ehara i te mea pai te mahi i ngā mea pēnei i te kaukau, te kaukau rānei. Me hoki mai anō koe i muri i ngā wiki e rua kia tangohia ō tuitui. I te nuinga o te wā ka taea e koe te tīmata ki te whakamahi i te ngongo i muri i te wiki tuatahi.
He wā poto noa te ngongo-C e whakatakotoria ana i te tuatahi. E whakamahia ana mō te 6 ki te 8 wiki pea . Whai muri i tēnā, me toro atu koe ki tō tākuta. Māna e tango taua ngongo ka whakauru i tētahi ngongo tuturu e āhua ana ki tētahi "pātene" e ai ki te kōrero i mua ake nei. He tino māmā noa iho.
He papatahi tēnei ngongo rite ki te pātene ki te puku, nō reira kāore e tino kitea mai i waho. Mēnā me mahi koe i tētahi enema, he wāhanga ngongo motuhake kei reira ka taea te hono atu ki te pātene. Ka whakaurua te wai enema mā roto. Ka taea te whakamahi i tēnei ngongo pumau mō te roa e hiahiatia ana. Heoi, e kī ana ngā tākuta kia hurihia tēnei ngongo i ia 6 ki te 12 marama mō ngā take akuaku.
Ētahi atu wā e hiahia ana koe ki te toro atu ki te tākuta
Mena kei a koe, kei tāu tamaiti rānei tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu.
- Ngā tohu o te mate: te kirika, te wai rite ki te pūkahukahu e maringi ana mai i te wāhi o te ngongo.
- Mamae rerekē: Te mamae e kore e taea te whakamanawanui, te pupuhi, te toto rānei huri noa i te ngongo.
- Raru paipa: Mena kua neke te paipa i tōna tūranga, kua mawehe katoa rānei.
Ki te puta te ngongo, he āhuatanga ohorere tino kino. Nā te mea ka tere te kati o te kōhao. Nō reira, ki te puta tēnā, me haere tonu koe ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
Karere Tangohia ki te Kāinga
- He maimoatanga angitu te cecostomy mō te mate kōroke nui me te kore e taea te pupuri i te puku, inā koa i roto i ngā tamariki.
- Ka taea tēnei mā te horoi i te koroni mai i runga ki raro (antegrade enema) hei āwhina i te puta o te paru.
- Ahakoa he tūponotanga kei roto i tēnei tikanga, ka taea te whakaiti mā te tiaki tika i te paipa me te rohe e karapoti ana. He nui ake ngā painga i ērā.
- Pātai atu ki tō tākuta me pēhea te horoi i te ngongo, me pēhea te hoatu i te enema, me te aha te mahi i roto i te āhuatanga ohorere. Āta whai i ana tohutohu.
- Mā tēnei maimoatanga ka hoatu he whai wāhitanga nui ki te tamaiti, ki a koe rānei, kia ora anō i te ao herekore, whakahaeretia.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment