Ngā mea e hiahia ana koe ki te mōhio mō te colectomy

I kōrero tō tākuta ki a koe mō te mamae o te puku, mō te raruraru rānei o te puku? Tērā pea i kōrero anō ia ki a koe mō te pokanga e kiia nei ko te 'Colectomy'. He ahua whakamataku te rongonga i tēnei ingoa. Engari ki te mōhio tātou he aha rawa, ka taea te whakakore i taua wehi. He pokanga tēnei e tango ana i tētahi wāhanga mate o te koroni. Kia titiro tātou ki te tikanga o tēnei pokanga, te take e mahia ai, me pēhea te whakatau i tēnei.

He aha te tikanga o te Colectomy?

Ko te tango pokanga i tētahi wāhanga, i te katoa rānei o tō whekau nui (koroni) te tango pokanga. He wāhanga tino nui te whekau nui o tā tātou pūnaha nakunaku. Heoi, ka taea e ētahi mate te kino i tēnei whekau nui. Kātahi ka kore e taea te mahi tika. Ko te wā tēnā e whakatau ai ngā tākuta ki te tango i tēnei wāhanga kua pakaru.

He aha ngā āhuatanga hauora e arahi ana ki tēnei pokanga?

Ka tūtohu noa te tākuta i tētahi pokanga nui pēnei mēnā he take nui. He maha ngā take matua mō te tango i te kōpū.

Hei tāpiritanga, kei ētahi tāngata ngā mate tuku iho, pērā i te Lynch syndrome, te Familial adenomatous polyposis (FAP) rānei. Ka piki ake te mōrearea o te mate pukupuku koroni i ēnei mate ā muri ake nei. I roto i ēnei āhuatanga, ka tūtohu pea ngā tākuta i tēnei pokanga hei ārai i mua i te whanaketanga o te mate .

He aha ngā momo pokanga colectomy e wātea ana?

E wehea ana tēnei pokanga ki ētahi momo, i runga i te nui o te whekau i tangohia.

• Ko te tango katoa i te whekau nui: I roto i tēnei, ka tangohia katoatia tō whekau nui.
• Te tango hapa o te puku: I tēnei mahi, ko tētahi wāhanga anake o te whekau nui ka tangohia. He maha atu anō ngā momo o tēnei.

Me pēhea te whakarite i mua i te pokanga?

I te mea he pokanga nui tēnei, me tino whakarite. Ka tūtaki tō taote puku ki a koe, ka whakamārama i ngā taipitopito katoa mō te pokanga ka mahia ki a koe, me pēhea hoki te whakahaere.

Hei tāpiritanga, ka whai whakamātautau koe kia kite ai mēnā ka taea e koe te tu atu ki te pokanga.

• Ngā whakamātautau toto
• Te tirotiro koroni
• EKG (Electrocardiogram) hei tirotiro i te mahi a te ngākau
• Ngā whakamātautau whakaahua pēnei i te matawai CT, te matawai MRI rānei

Ka hoatu hoki e te tākuta ki a koe ngā tohutohu mō ngā mahi me mahi e koe i mua i te pokanga.

1. He tangata hei kawe i a koe ki te kāinga: Whakaritea i mua i te wā kia kawe tetahi i a koe ki te kāinga i te hōhipera i muri i te pokanga.

2. Kai wai: Ka tonoa koe kia kai i ngā kai wai mārama anake mō ētahi rā i mua i te pokanga. Hei tauira, ngā mea pēnei i te wai hupa me te wai karaka.

3. Te horoi i te puku: I mua i te pokanga, me tino whakawāteatia ō puku, me horoi hoki. Ka hoatu he wai motuhake (te whakarite puku) hei inu māu. Tērā pea he ahua kore whakamarie tēnei, engari he mea tino nui kia angitu te pokanga.

4. Nohopuku: Kaua e kai, kaua e inu i tetahi mea mai i waenganui pō o te rā i mua i te pokanga.

He aha ngā mea ka tupu i te wā o te pokanga?

Kāore koe e rongo i tetahi mea i te wā o te pokanga nā te mea ka tīmata te pokanga i muri i tō whakamoenga katoa (whakamoenga whānui) me tō moe pai.

Hei whakarāpopototanga, koinei te mea ka tupu:

• Ka tukuna koe e tō tākuta whakamoe ki raro i te whakamoe whānui.
• Ka tapahia e te taote pokanga tētahi tapahi roa ki tō puku (tuwhera te pokanga), ētahi tapahi iti rānei (laparoscopic colectomy, robotic colectomy rānei). Ka tere ake te whakaoranga mā te pokanga laparoscopic.
• Kātahi ka kitea te wāhanga kua pakaru, kua mate rānei o te whekau, ka tapahia.
• Muri iho, ka honoa ngā pito e rua o te whekau hauora e toe ana.
• I ētahi wā, kāore e taea te hono i ēnei pito e rua. I aua wā, ka whaihia he tikanga rerekē (ka kōrerohia tēnā).
• Hei whakamutunga, ka katihia ngā tapahi ki ngā tuitui.

Ko te tikanga ka roa pea tēnei pokanga katoa i te kotahi ki te whā hāora.

He aha te Anastomosis me te Ostomy? He mea tino nui tēnei.

I muri i te tangohanga o tētahi wāhanga o te whekau, he mea tino nui kia mōhio koe ki ngā mea ka pā ki ngā wāhanga e rua e toe ana. E rua ngā tikanga matua i konei. Mā tō tākuta e whiriwhiri te tikanga e pai ana māu.

He mea noa te mataku me te manukanuka ina kīia atu me noho koe me te ostomy. Engari mā ngā tākuta me ngā nēhi koe e ako ki te huarahi pai ki te taunga ki tēnei pēke, me pēhea te whakamahi i te pēke, me pēhea hoki te noho noa me tēnei pēke.

He aha ngā mōrearea ka pā mai i tēnei pokanga?

Pērā i ngā pokanga nui katoa, he mōrearea ētahi o ngā pokanga colectomy, engari ka whakapau kaha ngā tākuta ki te whakaiti i ēnei mōrearea.

• Te turuturu ā-roto: Te turuturu o te tūtae ki roto i te kōhao puku mai i te wāhi e hono ana te whekau.
• Te toto nui: Te toto nui i te wā e pokanga ana, i muri rānei i te pokanga.
• Ngā mate urutā: Ngā mate urutā i roto i te patunga pokanga, i roto rānei i te puku.
• Te kino ki ngā whekau tata: He iti noa te mōrearea o te kino ki ngā whekau tata, pērā i te pūkahukahu me te whekau iti.

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

I muri i te pokanga, me noho koe ki te hōhipera mō ētahi rā, tae atu ki te wiki pea. I roto i tēnei wā:

• Kia tīmata rā anō te mahi a ō whekau, ka hoatu tuatahitia he wai ki a koe i te tuatahi, kātahi ka hoatu he wai ā-waha me he kai ngohengohe.
• Ka tirotirohia e te hunga nēhi i ia wā, i ia wā, mēnā kei te ora pai te patunga pokanga, me mēnā he tohu kei te pangia.
• Ka hoatu he tohutohu taipitopito ki a koe mō te tiaki i te patunga i muri i tō hokinga ki te kāinga.
• Mena he ostomy tōu, ka whakawhiwhia koe ki tētahi whakangungu motuhake mō te tiaki i te stoma me te whakawhiti i te putea.
• Kia hoki koe ki te kāinga, ka hoatu e rātou he tohutohu mō ngā kai hei kai me ngā mahi iti ka taea e koe te mahi (pēnei i te hikoi).

Kia pēhea te roa o te wā e ora ai?

E ono wiki pea te roa o te ora anō i muri i te hokinga ki te kāinga. Heoi, ka taea e te nuinga o te tangata te hoki anō ki te nuinga o ā rātou mahi o ia rā i roto i ngā wiki e rua. Kaua e whakaroa. Whakarongo ki tō tinana. Ki te ngenge koe, okioki.

He aha taku e kai ai i muri i te pokanga?

I te nuinga o te wā, mō te marama tuatahi, me kai koe i ngā kai iti-muka . Nā te mea he māmā ake ēnei mō ngā whekau ki te nakunaku. Ka taea e koe te kai i ngā mea pēnei i te raihi mā, ngā pīni kua tunua pai, ngā huawhenua kua tunua pai, te ika, me te heihei. Ka tohutohu te tākuta kia mutu te kai i ngā kai nui-muka pēnei i ngā huawhenua rau matomato me ngā witi katoa mō tētahi wā.

Āhea koe me kōrero ki te tākuta?

Kia tino tupato ki tō tinana i muri i tō hokinga ki te kāinga. Mena kei a koe tētahi o ngā tohu e whai ake nei, waea atu ki tō taote pokanga tonu .

He wheako whakarerekē ora tēnei momo pokanga. Tērā pea ka whakamama i ō tohu mamae, ka whakaora i a koe i te mate pukupuku, ka roa ake rānei tō oranga. He huringa nui te noho me te ostomy. Engari he tokomaha ngā tāngata ka taea te āwhina i a koe ki te urutau ki tēnei. Nō reira, kia tuwhera ki tō tākuta ō pātai, ō wehi, me ō āwangawanga.