He mea noa te mataku me te manukanuka ina kī mai tō tākuta me pokanga koe ki te koroni, arā, he tango i te puku. Ka mataku katoa tātou ina rongo tātou i te kupu "pokanga". Engari ina mōhio koe ki te tikanga o te pokanga, te take me te āhua o te pokanga, ka memeha atu tō mataku. Nō reira, i tēnei rā, me kōrero ngāwari tātou mō tēnei mea, i roto i te huarahi e mārama ai koe.
He aha te tango i te colectomy?
I te whakarapopototanga, ko te tango pokanga i tētahi wāhanga, i te katoa rānei o tō whekau nui (koroni). He wāhanga tino nui te whekau nui o tā tātou pūnaha nakunaku. Ina pakaru tēnei wāhanga nā tētahi mate hauora, ka mutu tana mahi tika. Ko te wā tēnā e whakatau ai ngā tākuta ki te mahi i tēnei pokanga.
Ko te tikanga, ka tūtohutia tēnei pokanga i raro i ngā āhuatanga e whai ake nei:
- Matepukupuku koroni: Tangohia te wāhanga o te koroni kei roto ngā pūtau matepukupuku.
- Diverticulitis: He āhua tēnei e puta ai ngā putea iti i roto i te pakitara o te whekau nui, ka pangia, ka mumura.
- Te toto o te puku: Mena he toto kāore e taea te whakahaere mai i ngā whekau.
- Te aukati i te whekau nui: Mena kua tino aukatia te whekau mō tētahi take.
- Te mate mumura kino o te whekau: Ina kino haere ngā āhuatanga pēnei i te mate a Crohn, te mate koripi ulcerative rānei.
I ētahi wā, mēnā he tino nui te mōrearea o te whakawhanake i te mate pukupuku ā muri ake nei nā ngā āhuatanga ira tuku iho (hei tauira, te mate Lynch), ka taea hoki tēnei te mahi hei tango i te uaua o te puku hei whakaiti i taua mōrearea.
He rerekē ngā momo pokanga o tēnei?
Āe, he maha ngā momo o tēnei pokanga i runga i te wāhanga o te whekau e tangohia ana. Ka whakatauhia tēnei e te taote pokanga e rongoā ana i a koe i runga i tō āhua hauora.
| Momo pokanga | Hei whakarāpopototanga, he aha te mea ka tupu? |
|---|---|
| Te tango katoa i te koleke | Ka tangohia katoatia tō koroni. |
| Te tango i te wāhanga o te colectomy | Ko te wāhanga mate o te koroni anake ka tangohia. Tērā atu anō hoki ētahi momo o tēnei. |
| Te tango i te pūmua | Ka tangohia tetahi taha o te whekau nui, te taha matau, te taha maui rānei. |
| Te tango i te pūmua | Ka tangohia te whekau nui me te pūkahukahu. |
| Te tango i te korēti sigmoid | Ka tangohia te wāhanga whakamutunga o te whekau nui, te koroni sigmoid, e hono ana ki te rectum. |
Me pēhea te whakarite i mua i te pokanga?
I te mea he pokanga nui tēnei, he mea tino nui te whakarite mōna.
Tuatahi, ka kōrero tō taote pokanga ki a koe, ka whakamārama i te momo pokanga ka mahia ki a koe, me pēhea te mahi (ahakoa ka mahia mā te tapahi nui, mā te kāmera rānei). Kātahi, ka whakahaerehia ētahi whakamātautau hei tirotiro mēnā ka taea e tō tinana te whakahaere i te pokanga.
- Ngā whakamātautau toto
- Te tirotiro koroni
- He whakamātautau EKG (Electrocardiogram) e tirotiro ana i te mahi a te ngākau
- Ngā whakamātautau whakaahua, pērā i ngā matawai CT, ngā matawai MRI rānei
Hei tāpiritanga, ka whakamōhio atu hoki te tīma hauora ki a koe mō ngā mea me whai e koe i ētahi rā i mua i te pokanga. Ko ētahi o ēnei ko:
- Whakaritea kia peia koe e tetahi ki te kāinga mai i te hōhipera: Kāore e taea e koe te peia i a koe anō i muri i te pokanga.
- Tīmatahia he kai wai: Ka tonoa koe kia inu noa i ngā wai pēnei i te hupa me te wai hua mō ētahi rā i mua i te pokanga.
- Te whakarite i te puku: I te rā i mua i te pokanga, ka hoatu he wai motuhake hei inu māu hei whakawātea i ō puku. He ahua whakamā tēnei, engari he mea tino nui mō te angitu o te pokanga.
- Nohopuku: Kāore e taea e koe te kai, te inu rānei i tetahi mea mai i waenganui pō o te rā o te pokanga.
He aha ngā mea ka tupu i te wā o te pokanga, ā, i muri hoki i te pokanga?
I te wā o te pokanga, ka whakamoea katoatia koe, nō reira kāore koe e rongo i tetahi mea. Ka tapahia e te taote pokanga he tapahi roa kotahi ki tō puku (Open Colectomy) he tapahi iti rānei mā te whakamahi i te kāmera (Laparoscopic Colectomy). Ka tangohia e rātou te wāhanga mate o tō koroni ka hono anō i ngā wāhanga hauora e rua. Ka kiia tēnei he anastomosis .
Heoi, i ētahi wā , kāore e taea te hono i ngā wāhanga hauora e rua. Hei tauira, mēnā he nui rawa te āputa i waenganui i ngā wāhanga e rua e toe ana, kāore rānei e taea te hono tonu i a rātou nā te mate, ka whakatau pea te taote pokanga ki te hanga i tētahi ostomy .
He aha te Ostomy?
Ko te ostomy he kawe i te pito hauora o te whekau ki te mata o te kiri i runga i te puku, ka hanga he pūaha hou (stoma) hei putanga mō te paru. Kātahi ka kohia te paru ki roto i tētahi putea motuhake (pēke ostomy) e piri ana ki taua pūaha.
E mōhio ana mātou he huringa nui tēnei mō tō oranga. Engari ka whiwhi koe i ngā tohutohu me ngā whakangungu katoa e hiahiatia ana e koe hei whakahaere i tēnei, hei noho tonu hoki i te oranga noa i te hōhipera. Nō reira kaua e wehi.
I muri i te pokanga, me noho koe ki te hōhipera mō ētahi rā, mō te wiki rānei. Ka herea koe ki ngā wai me ngā kai ngawari mō ngā rā tuatahi. Ka taea e koe te hoki ki te kai noa i a koe e ora ana. Ka roa pea ki te 6 wiki ki te tino ora i muri i tō hokinga ki te kāinga. Heoi, ka taea e te nuinga o te tangata te hoki ki te nuinga o ā rātou mahi noa i roto i ngā wiki e rua.
Āhea koe me kōrero ki te tākuta?
He mea tino nui kia mōhio koe ki ngā tohu whakatūpato ka puta ake ina hoki koe ki te kāinga i muri i te pokanga. Mena kei a koe ētahi o ngā tohu e whai ake nei, me kōrero tonu atu ki tō tākuta, ki tō taote pokanga rānei.
| Āhuatanga whakatūpato | Whakaahuatanga |
|---|---|
| Te kirika nui | Te pikinga o te pāmahana tinana, te ahua o te ngoikore. |
| Ngā tohu o te mate i te wāhi i tapahia | Te whero, te pupuhi, te mamae nui, te pupuhi rānei i te taha o te patunga. |
| Te piki haere o te mamae o te puku | Mena ka piki haere te mamae o te puku, kaua e heke iho. |
| Te uaua ki te tūtae | Kāore he nekenekehanga o te puku, te hau rānei mō ētahi rā. |
He wheako whakarerekētanga oranga pea te tango i te colectomy. Ka taea e ia te whakamamae i ō tohu mamae, te whakaora i tō mate pukupuku, te āwhina rānei i a koe kia roa ake te ora me te mate pukupuku. Kōrerohia marietia ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe. Kei te rite tonu rātou ki te āwhina i a koe.
Karere Tangohia ki te Kāinga
- Ko te colectomy te tango pokanga i te wāhanga kua pakaru o te whekau nui.
- Ka mahia tēnei pokanga mō ngā mate hauora nui pēnei i te mate pukupuku me te diverticulitis.
- He mea tino nui te whai i ngā tohutohu hauora, tae atu ki te horoi i te puku, i mua i te pokanga.
- Ka hiahia pea koe ki tētahi pēke ostomy hei tuku i te tūtae, engari ka whiwhi koe i te tautoko katoa e hiahiatia ana e koe kia ora ai koe me taua pēke.
- He roa te wā e ora ai, nō reira kia atawhai ki a koe anō, kia whai wā hoki ki te ora.
- Ki te puta he tohu whakatūpato pēnei i te kirika, te mamae nui rānei i muri i te pokanga, whakapā atu ki tō tākuta tonu atu.
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