Ka taea e koe te whakaaro ki te mamae e kore e taea te tu atu i te mate kino, te mumura, te kōhatu rānei i roto i tō pūkahukahu? I ētahi wā, i roto i tēnei āhuatanga, ka tino kino te āhua o te tūroro, ā, kāore e taea te pokanga hei tango katoa i te pūkahukahu. I roto i ēnei āhuatanga, ka kōrerohia e mātou tētahi tikanga maimoatanga motuhake, iti ake te whakaekenga e whakamahia ana e ngā tākuta hei whakaora i te ora o te tūroro, hei whakaiti i te mamae, me te whakahaere i te mate.
He aha te cholecystostomy?
He kupu ngāwari noa iho, he tikanga hauora iti te cholecystostomy e hangaia ai he kōhao iti ki roto i tō pūkahukahu, ā, ka whakaurua he ngongo (catheter) mā roto. E ai ki te ingoa, ko te tikanga o te "cholecyst-" ko te pūkahukahu, ā, ko te tikanga o te "-ostomy" ko te whakatuwheratanga i hangaia mā te pokanga. He okana iti te pūkahukahu, he rite ki te pēke, e penapena ana i te au, e hiahiatia ana mō tā tātou pūnaha nakunaku.
E kiia ana tēnei tikanga he "percutaneous cholecystostomy." Ko te tikanga o te "Percutaneous" he mea e mahia ana mā roto i te kiri. Ko te tikanga ka hangaia e te tākuta he kōhao iti mā roto i te kiri o tō puku, ka whakauru i tēnei ngongo ki roto i te gallbladder.
Ko te whāinga matua o tēnei maimoatanga he tango i te wai pangia (te au me te pupuhi) kua kohia ki roto i te pūkahukahu, he whakaiti i te pēhanga o roto, me te whakahaere i te mamae me te mate urutā.
He aha i hiahiatia ai tēnei momo maimoatanga?
He maha ngā wā e hiahiatia ana tēnei maimoatanga i roto i te āhua e kiia nei ko te cholecystitis acute. Ka puta tēnei ina āraia te awaawa o te aukume e tētahi mea pērā i te kōhatu aukume, ka pupū ake te aukume, ka pangia e te huakita. Ka pupuhi te aukume, ka tino mamae.
Ko te tikanga, ko te rongoā pai rawa atu mō tēnei āhuatanga ko te pokanga hei tango katoa i te pūkahukahu (cholecystectomy). Heoi, ki te pāngia te tūroro e ētahi atu mate kino pērā i te mate manawa, te mate huka, te mate tākihi, te koroheketanga rānei, tērā pea kāore e taea e ia te tu atu ki tētahi pokanga nui i taua wā. I roto i ēnei āhuatanga, hei whakakapi i te pokanga nui, ka mahia tēnei maimoatanga e kiia nei ko te Cholecystostomy hei whakau i te āhua o te tūroro.
He aha te rerekētanga i waenga i te cholecystostomy me te cholecystectomy?
He āhua ōrite pea ēnei ingoa e rua, nō reira ka pōhēhē pea koe. Engari he rerekē ngā tikanga e rua. Kia mārama tātou ki te rerekētanga i waenganui i ngā mea e rua.
| Āhuatanga | Cholecystostomy (whakanoho ngongo) | Te tango pokanga (cholecystectomy) |
|---|---|---|
| Te āhua o te maimoatanga | He otinga rangitahi. He mea i mahia hei whakahaere i ngā tohumate. | Rongoā tuturu. Ka tangohia katoatia te pūhā. |
| Te riri | He iti. He kōhao iti noa iho. | He nui rawa. Pokanga nui (tuwhera, pokanga laparoscopic rānei). |
| Ngā whakamahinga | Mō te hunga e tino pāngia ana e te mate, ā, kāore e taea te tu atu ki te pokanga nui. | He maha ngā tūroro e ora pai ana ka taea te pokanga. |
| Hua | Ka whakatakotoria he ngongo waikeri hei tango i te wai mai i te pūkahukahu. | Ka tangohia te pūmua mai i te tinana. |
Me pēhea te whakahaere i tēnei maimoatanga?
Ko te tikanga, ka mahia tēnei e te Kaiwhakaora Irirangi Wawao . Arā, he tohunga e whakamahi ana i ngā hangarau whakaahua pēnei i te ultrasound me te CT scan hei tirotiro i ngā whekau o roto i te tinana, ā, ka tapahia kia tino tika ngā tapahi iti hei mahi maimoatanga.
Te whakarite i mua i te maimoatanga
- Mā te tākuta koe e whakamārama ki ngā mōrearea me ngā painga o tēnei maimoatanga, ā, māna anō hoki e tiki tō whakaaetanga whai mōhio.
- Ka tūtohutia kia kaua e kai, e inu rānei mō ētahi haora.
- Ka mahia he whakamātautau toto hei tirotiro i te kaha o te toto ki te totoka. Mēnā e tika ana, ka tukuna he maimoatanga.
- Ka whakanohoia he aho IV ki roto i tētahi uaua i tō ringa hei hoatu i ngā paturopi, te tote, ā, ki te tika, he rongoā whakamoe.
Ngā mea ka tupu i te wā e maimoatanga ana
1. Ka aro turukihia tonutia tō tere o te manawa me tō toto toto.
2. Horoia te wāhi e whakaurua ai te ngongo puku,Kei te tango ahau i tētahi rongoā mamae.
3. Ka whakamahia te matawai oro-oro, te matawai CT rānei hei whakatau i te huarahi pai me te haumaru hei whakauru i te ngongo (tērā pea mā te ate (transhepatic) mā te pakitara puku rānei (transperitoneal).
4. Kātahi, i raro i te arataki a te hihi-X, ka whakaurua te ngongo ki roto i te pūkahukahu mā te whakamahi i tētahi ngira tino angiangi me tētahi waea arataki.
5. Kia mau te ngongo ki tōna tūranga, ka herea ki te kiri mā te tuitui , ā, ka honoa tetahi pito o te ngongo ki te putea whakaheke wai.
I te nuinga o te wā, e 30 meneti ki te haora te roa o tēnei tukanga katoa.
Me pēhea te tiaki i te ngongo i muri i te maimoatanga?
Koinei te wāhanga tino nui. Ka noho tēnei ngongo waikeri ki roto i tō tinana mō te 4 ki te 6 wiki . Me tiaki pai e koe ina hoki koe ki te kāinga.
- Te tiaki patunga: Me whakawhiti te takai o te ngongo i ia rā. Kia ma, kia maroke hoki te wāhi. Kia mau he taupoki kirihou ārai-wai i a koe e kaukau ana.
- Te horoi i te ngongo: Hei ārai i te piri o te au i roto i te ngongo, me horoi te ngongo ki te tote parakore kotahi i te rā. Ma tō tākuta, ma tō nēhi rānei koe e whakaatu ki te mahi i tēnei.
- Te whakawātea i te pēke: Me whakawātea te pēke e kohi wai ana ina kī tonu. Tērā pea ka kī atu tō tākuta kia aroturukihia e koe te nui o te wai e kohia ana e koe i ia rā. Mēnā ka piki ohorere te wai, ka mutu rānei te puta mai, he tohu nui tēnā.
I mua i te tangohanga o te ngongo, ka mahia he whakamātautau hihi-X motuhake e kiia nei ko te cholangiogram hei tirotiro mēnā kei te noa te rere o te au i roto i te pūkahukahu, ā, kāore he aukati i hea. Kia whakaūtia rā anō kei te pai ngā mea katoa, kātahi ka tangohia te ngongo.
He aha ngā painga me ngā mōrearea o tēnei maimoatanga?
Heoi anō, he maimoatanga tino haumaru, tino whai hua hoki tēnei. Ko te ōrau angitu ki te whakahaere i te cholecystitis whakapeka e 95%. Ka taea e ia te whakaora tere me te iti rawa o te mōrearea mō te tūroro kāore e kaha ki te aro ki ngā pokanga nui.
He onge ngā mōrearea me ngā raruraru, engari me mōhio tātou ki aua mea.
| Momo raruraru | Ngā mea pea |
|---|---|
| Ngā mea ka puta pea i te wā e rongoatia ana | Te toto nui rawa, te turuturu o te au ki roto i te kōhao puku, me te kohikohinga o ngā iroriki i roto i te toto (septicemia). |
| He aha ngā mea ka tupu i muri mai ki te paipa? | Te aukati i te ngongo, te marere o te ngongo, te mate huri noa i te ngongo. |
Āhea ahau me waea atu ki te tākuta?
Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i a koe e ora ana, me whakamōhio tonu atu ki tō tākuta, ki te hōhipera rānei i whiwhi ai koe i te maimoatanga.
- Kirika: He kirika neke atu i te 38.3 Celsius (101 Fahrenheit).
- Mamae: He mamae nui, kāore i te mārama te take i roto i te puku, i te wāhi rānei i werohia ai te ngongo.
- Ngā tohu o te mate: te whero o te kiri huri noa i te ngongo, te pupuhi, te puta rānei o te wai ihu he kakara kino.
- Ngā raruraru o te ngongo: te kore e taea te horoi i te ngongo, te marere o te ngongo i te kiri, te turuturu o te au i roto i te ngongo.
- Te huringa o te rahinga wai: He pikinga ohorere, he whakamutu katoa rānei o te nui o te wai e tāpirihia ana ki te putea.
I roto i tēnei āhuatanga, he mea tino nui kia rapu tohutohu hauora tonu.
Karere Tangohia ki te Kāinga
- He maimoatanga haumaru, iti noa te pokanga o te cholecystostomy, mō ngā tūroro e pāngia ana e te mumura o te pūkahukahu kāore e taea te aro ki te pokanga.
- Ko te tikanga o tēnei he whakauru i tētahi ngongo mā roto i te kiri ki roto i te pūhā, me te tango i te wai pangia.
- Me waiho tēnei ngongo ki roto i te tinana mō ētahi wiki, ā, he mea tino nui kia tiakina tika i te kāinga.
- I muri i tēnei maimoatanga, ina pai ake te āhua o te tūroro, ka whakatau te tākuta mēnā he mea tika kia pokanga tango i te pūkahukahu (cholecystectomy).
- Ki te pā mai ētahi tohu rerekē ki a koe i a koe e ora ana, me whakamōhio tonu atu ki tō tākuta.
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