He raruraru tōu, tō tamaiti rānei ki te whakahaere i te puku? Me kōrero tātou mō te pokanga cecostomy

I ētahi wā ka pā mai ngā raruraru hauora kāore e taea te whakaaro. Ko te kore e taea te pupuri i te wai i roto i te paru, me te kore e mōhio, ko te mate puku kino rānei e kore e taea te manawanui, tētahi o aua raruraru. He aha te uaua o te noho me ēnei āhuatanga? He maha ngā tāngata e pāngia ana e te whakama me te whakama o te haere ki waho i te aroaro o te marea me te mahi i ā rātou mahi. Nō reira, i tēnei rā kei te kōrero tātou mō tētahi pokanga motuhake ka taea te āwhina i ēnei raruraru, me te whakangāwari anō i te oranga.

He aha te tikanga o te cecostomy?

He pokanga te cecostomy. I roto i tēnei tikanga, ka tapahia he wahi iti e ngā taote pokanga ki te taha matau o tō puku, ka whakauruhia he ngongo iti ki roto i te cecum, te wāhanga tuatahi o te whekau nui. Kei roto tetahi pito o te ngongo i te cecum, ko tetahi pito kei runga ake i te kiri o te puku. He pokanga tēnei e mahia ana ki ngā tamariki me ngā pakeke.

Tērā pea ka mataku koe ina rongo koe i tēnei. Tērā pea kei te whakaaro koe, "Me pēhea te whai ngongo i roto i tō puku?" Engari he mea iti noa iho te āhua. Ā, he nui ngā painga o tēnei mea. Me kōrero anō tātou mō tēnei mea.

Ko wai e hiahia ana ki tēnei pokanga?

Kāore e hiahiatia tēnei pokanga mō te mate puku koretake noa, te mate puku koretake rānei i ētahi wā. E taunakihia ana mō te hunga tino kino te mate puku koretake, te mate puku koretake rānei, inā koa kāore i angitu ētahi atu maimoatanga.

Ko ētahi o ngā āhuatanga hauora ka puta ai ēnei āhuatanga ko:

• Ngā raruraru whānautanga: Hei tauira, kāore te nono i te hanga tika i te whānautanga (Imperforate anus).
• Te mate Hirschsprung: He mate tēnei e uaua ai te haere i te tūtae nā te mea he raruraru kei ngā pūtau io i roto i te whekau nui.
• Te mate Klippel Feil: He mate onge tēnei e puta mai ana i te hanumitanga o ngā tuaiwi i roto i te tuaiwi.
• Spina bifida: He hapa whānau i roto i te whanaketanga o te tuaiwi me te taurakira.

Mō te tamaiti, mō te pakeke rānei e pāngia ana e ēnei āhuatanga, ka tino uaua te oranga o ia rā. He tino āwhina tēnei pokanga ki a rātou.

He aha te āwhina a te ngongo cecostomy ki a tātou? Te rerekētanga i waenga i te enema me te ngongo cecostomy

Hei mārama ki tēnei, me mōhio tātou ki te tikanga o te enema. Ko te enema he tikanga e whakauru ana i te wai ki roto i te whekau nui hei āwhina i te putanga o te tūtae kia māmā ake. Ko te tikanga tuku iho e mōhiotia ana e tātou ko te tuku i te enema mā te nono.

Ko te mea motuhake o te pokanga cecostomy ko te āheinga ki te whakamahi i tētahi tikanga enema motuhake e kiia nei ko te antegrade enema . Nā, me titiro tātou ki te rerekētanga i waenga i ēnei tikanga e rua.

Te whakarite mō te pokanga me ngā mea ka tupu

I te rā i mua i te pokanga, me horoi katoa ō whekau (te whakarite i te puku) e ai ki ngā tohutohu a tō tākuta.

I te wā o te pokanga:

• Ka hoatu he rongoā whakamoe whānui ki a koe. Ko te tikanga o tēnei ka hoatu he rongoā ki a koe hei whakamoe i a koe kia kore ai koe e mamae.
• Ka tapahia e te tākuta he wahi iti ki te taha matau o raro o te puku.
• Mā te whakamahi i ngā tikanga whakaahua motuhake, ka whakauruhia te ngongo cecostomy mā te tapahi ki roto i te cecum.
• Ka whakatakotoria te cecum tata ki te pakitara o te puku, ā, ka herea ki ētahi tuitui.
• Ka whakatakotoria tetahi pito o te ngongo ki te mata o te kiri, ā, mēnā e tika ana, ka whakapirihia ki te kiri mā te whakamahi i te pāreti.

He aha ngā painga me ngā mōrearea o te pokanga cecostomy?

Pērā i ngā tikanga hauora katoa, he painga, he mōrearea anō hoki tēnei.

Ngā Painga:

• Te whakaiti nui i ngā aituā paru: Nā te mea ka taea e koe te whakahaere i tō tūtae, ka taea e koe te noho ma i te roanga o te rā.
• Te whakanui ake i te whakapono ki a ia anō:He pai te whakaaro mōu anō nā te mea kua ngaro tō whakama me tō wehi.
• He oranga hihiko ake: Ka taea e koe te mahi i ngā mea katoa pēnei i te haere ki te kura, te mahi, te haere tahi me ngā hoa, me te kaukau me te kore e mataku kei "tata tonu koe ki te wharepaku".
• Kāore e hiahiatia ana he nāpi, he kākahu o roto rānei hei tiaki.

Ngā tūponotanga pea:

• Ngā raruraru e pā ana ki te rongoā whakamoe: Ngā āhuatanga pēnei i te mamae o te korokoro me te ruaki i muri i te oho ake.
• Te poka o te whekau: He kōhao i roto i te whekau nui ka puta tūpono i te wā o te pokanga.
• Te whakatōtōtanga o te puku: Te whaiti o te wāhanga o te whekau huri noa i te wāhi i whakaurua ai te ngongo.
• Te turuturu o te puku: Te turuturu o te wai o te enema mai i te taha o te ngongo ki roto i te puku.

He tino onge ēnei tūponotanga, ā, ka whakapau kaha tō tīma hauora ki te ārai i ēnei.

He aha ngā mea ka tupu i muri i te pokanga?

Anei ētahi mea hei whai māu i te wā e ora ana koe, ā, i muri hoki i te wā e ora ana koe.

• Te putanga mai i te hōhipera: Ka taea e te nuinga o te tangata te hoki ki te kāinga i te rā kotahi i muri i tā rātou pokanga.
• Mamae: Tērā pea ka pāngia koe e te kore whakamarie me te mamae i muri i te hokinga ki te kāinga. Ka taea e koe te whakamahi i ngā rongoā whakamamae mamae kua tohua e tō tākuta mō tēnei.
• Ngā here mahi: Me karo koe i te kaukau mō ngā wiki e rua i muri i te pokanga. Me karo hoki koe i ngā hākinakina me te hiki taumaha mō ngā wiki e whā ki te ono .
• Te tiaki mō te wā roa:
• Me toro atu koe ki te tākuta i roto i te wiki, i ngā wiki e rua rānei, kia tangohia ai ngā tuitui.
• Mā te tīma hauora koe e tohutohu mō te wā me te pēhea te tīmata i ngā enemas antegrade mā te whakamahi i te ngongo cecostomy.
• I ētahi wā ka whakatakotoria he ngongo rangitahi i te wā o te pokanga, kātahi ka hurihia hei ngongo pumau, roa hoki ina haere koe ki te whare hauora i muri i ngā wiki e ono. He tikanga iti tēnei, kāore he mamae, ā, ka mahia me te kore he rongoā whakamoe.
• Ko te mea nui ko te whakawhiti i tēnei ngongo cecostomy i ia 6 ki te 12 marama. He mahi māmā noa iho tēnei e mahia ana i te whare hauora.

Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta tonu.

Mena ka pāngia koe e ētahi tohu o te raruraru i muri i te pokanga, me whakamōhio tonu koe ki tō tākuta.