I tūtohutia e tō tākuta kia pokangahia hei tango i ngā kōhatu o te pūkahukahu? Mena koinā, kua kīia atu pea ki a koe ka mahia he 'Intraoperative Cholangiogram' i te wā o te pokanga. Tērā pea he ahua uaua te ingoa, ā, tērā pea ka mataku koe. Engari he whakamātautau tino nui tēnei e mahia ana hei tiaki i a koe. Me titiro tātou ki te aha tēnei, te take e mahia ai, me ngā painga ka puta mai i a koe.
He aha te Cholangiogram I te Wāhanga Ope?
He whakarāpopototanga noa iho, he whakamātautau hihi-X motuhake te Intraoperative Cholangiogram e mahia ana i te wā o tō pokanga tango i te pūhā ( cholecystectomy ). Ka hoatu ki te taote pokanga he 'mahere ara' mārama o ngā awaawa pūhā i roto i tō tinana.
Ka haere te au i hangaia e tō tātou pūkahukahu me te ate mā roto i tētahi pūnaha ngongo iti ki te whekau iti. Ko tēnei pūnaha ngongo e kiia ana ko te awa au. Mā tēnei hihi-X, ka taea e te taote pokanga te kite mārama i te āhua o te whakaritenga o tēnei pūnaha ngongo, me pēhea te hono atu tetahi ki tetahi, me te mea kei roto i ngā ngongo he kōhatu pūkahukahu, he ārai rānei.
Ko te whāinga matua o tēnei he āwhina i te taote pokanga ki te tango i tō pūkahukahu me te kore e kino ki ngā awaawa o te pūkahukahu.
He aha ngā take e mahi ai ngā tākuta i tēnei whakamātautau?
He maha ngā painga o te mahi i tēnei whakamātautau i te wā e pokangahia ana te tango i te pūkahukahu. He āwhina nui tēnei ki te tīma hauora.
| Te kaupapa o te whakamātautau | He whakamārama māmā |
|---|---|
| Te tautuhi i ngā kōhatu huna | I ētahi wā, ka piri pea ngā kōhatu iti ki roto i ngā awaawa o te ate, kāore pea e puta he tohu i te tīmatanga, engari ka puta he raruraru i muri mai. Ka taea e tēnei whakamātautau te kite i ngā kōhatu huna, ā, ki te taea, ka tangohia i te wā e pokanga ana. |
| Te tautuhi i te kino o ngā awaawa o te ate | Mā tēnei whakamātautau ka kitea te kino o te awaawa ate i te wā e pokanga ana, ā, ka taea hoki te whakatika i taua kino i te wā kotahi. |
| Te tiaki i te hanganga o ngā awaawa o te ate | Ka rerekē pea te āhua o te whakaritenga o ngā okana i roto i te tinana o ia tangata. Ka rerekē pea te āhua o te hononga o te awa kōpiko mai i te pūkahukahu me te awa kōpiko noa mai i te ate i ia tangata, i ia tangata. Mā te titiro ki tēnei "mahere," ka taea e te taote pokanga te mahi i te pokanga me te haumaru ake. |
He take motuhake anō kei reira mō te whakahaere i tēnei whakamātautau?
Ka mahia e ētahi taote pokanga tēnei whakamātautau i ia wā ka pokangahia te tango i te pūkahukahu (cholangiography auau). Heoi, ka mahia e ētahi mēnā he take motuhake anake (cholangiography whiriwhiri). Mēnā kei a koe tētahi, neke atu rānei o ngā āhuatanga i raro nei, tera pea ka whakatau tō tākuta ki te mahi i tēnei whakamātautau.
- Mena he rerekē āu i roto i ngā whakamātautau mahi a tō ate .
- Mena ka teitei ake te taumata o ngā whākōkī pancreatic.
- Mena kei a koe te mate pancreatitis , kua pāngia rānei koe e te mate nei i ngā wā tata nei.
- Mena he mate kiriuhi tōu .
- Mena kua pāngia koe e tētahi aukati i roto i ngā awaawa o te ate, pērā i te kōhatu.
- Mena kua whakamātauria koe ki te whakamātautau ERCP (endoscopic retrograde cholangiopancreatography) hei tiro, hei tango rānei i ngā ārai i roto i ngā awaawa o te kōpū, engari kāore e taea te kite katoa i ngā awaawa o te kōpū, te tango rānei i ngā ārai.
Me pēhea te puta o tēnei tukanga?
Ka puta katoa tēnei tukanga i raro i te rongoā whakamoe, ā, ka whakatakotoria koe ki te moe, kia kore ai koe e rongo i tetahi mea. Nō reira, kāore he take e wehi ai koe i tēnei.
Ngā mea me mahi e koe i mua i te pokanga
He rite tonu te whakarite mō tēnei ki te whakarite mō te pokanga tango i te pūkahukahu. Mā tō tākuta koe e hoatu he tohutohu mārama mō tēnei.
- Ka tonoa koe kia nohopuku (kia kaua e kai, kia kaua e inu) mō ētahi haora i mua i te pokanga.
- Me whakamōhio atu koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe. Tērā pea me mutu te tango i ētahi rongoā, me whakarerekē rānei te horopeta i mua i te pokanga. Kaua rawa e mutu te tango i tētahi rongoā me te kore he tohutohu a tō tākuta.
- Whakaritea kia haria koe e tetahi ki te kāinga i muri i te pokanga.
Ngā mea ka tupu i te wā o te pokanga
1. Ka hoatu e te tākuta whakamoe koe he rongoā whakamoe, ā, ka meinga koe kia moe rawa.
2. Ka tapahia he iti, he maha rānei ngā tapahi e te taote pokanga ki te puku mō te mahi pokanga.
3. Kātahi ka whakauruhia he ngongo tino angiangi (catheter) ki roto i te awa cystic.
4. Mā roto i tēnei ngongo, ka werohia he wai motuhake e kīia ana ko te tae rerekē ki roto i te pūnaha awaawa. Mā tēnei wai ka puta te pūnaha awaawa me te mā i runga i te hihi-X.
5. Ināianei, mā te whakamahi i te mīhini hihi-X, ka mātakitaki te taote pokanga i te wai e neke ana i roto i tēnei pūnaha ngongo mā roto i tētahi aroturuki.
6. Ki te kite koe i ētahi kōhatu e piri ana i tēnei wā, ngana ki te tango tonu atu mēnā ka taea.
7. Mā te whakamahi i tēnei "mahere" hihi-X, ka tangohia te pūkahukahu me te haumaru rawa, ka oti te pokanga, ā, ka kati ngā tapahi.
I muri i te pokanga
I muri i te pokanga, ka tirotirohia koe i roto i te wāhanga. I te nuinga o te wā ka taea e koe te hoki ki te kāinga i taua ahiahi anō, i te aonga ake rānei.
He aha ngā mōrearea me ngā painga o tēnei whakamātautau?
Pērā i ngā tikanga hauora katoa, he iti noa iho ngā mōrearea, engari he maha ngā painga.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| - Nā te mea e kitea mārama ana ngā awaawa o te ate, ka tino whakaitihia te mōrearea o te pakaru i te wā e pokanga ana. | - Ngā mate pāwera ki te tae whakawehewehe (he tino onge tēnei). |
| - Ka taea te tautuhi i ngā kōhatu iti kāore i kitea i mua, ā, ka taea hoki te ārai i ngā raruraru ā muri ake nei. | - Te kino ki ngā awaawa o te ate (engari ko te kaupapa o tēnei whakamātautau he ārai i tēnei). |
| - Te āhei ki te tautuhi me te whakatika tonu i tētahi kino mēnā ka puta. | - Mate pāwera, Toto, Pancreatitis. |
Ko te mea nui, he iti rawa te tūponotanga o ēnei mōrearea, ā, kua tino whakangungua tō tīma pokanga ki te whakatau i aua āhuatanga.
Āhea ahau me waea atu ki te tākuta?
Kia tino tupato ki ēnei tohu ina hoki koe ki te kāinga i muri i te pokanga. Mena kei a koe tētahi o ēnei, me kōrero tonu koe ki tō tākuta . Mena e tika ana, ka taea hoki e koe te haere ki te Tari Whawhati Tata (ETU) o te hōhipera tata.
- Ki te pāngia koe e te mamae nui kāore i te tūmanakohia, e kore rānei e taea te whakamanawanui .
- Mena he whero te tapanga pokanga, he pupuhi, he mahana , he pupuhi, he toto rānei e puta mai ana i roto.
- Ki te pāngia koe e te kirika .
Ki te mea he iti noa iho ōu ruarua mō tēnei mea, kaua e mangere ki te pātai ki tō tākuta. Ko tō haumaru te mea nui.
Karere Tangohia ki te Kāinga
- He whakamātautau hihi-X motuhake te cholangiogram intraoperative e mahia ana hei whakanui ake i tō haumaru i te wā e pokanga ana mō te tango i te pūkahukahu.
- Mā tēnei ka āwhina i te taote pokanga kia kite mārama i tō pūnaha awaawa, kia mahi i te pokanga me te kore e pakaru, me te tango i ngā kōhatu huna.
- Kāore koe e mamae i te wā o tēnei whakamātautau nā te mea kua hoatu he rongoā whakamoe ki a koe.
- Mena he pātai, he wehi, he ruarua rānei āu mō tēnei mea, kōrero tūmatanui atu ki tō tākuta i mua i te pokanga.
- Kia tūpato ki ngā tohu whakatūpato (te kirika, te mamae nui, ngā tohu o te mate i te wāhi i tapahia) ka puta pea i muri i te pokanga, ā, me rapu tohutohu hauora tonu mēnā ka kite koe i tētahi o ēnei.
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