Tērā pea kei te pāngia koe e ngā raruraru puku, e ngā uauatanga ki te tūtae, e te toto rānei i roto i tō tūtae. I ngā wā pēnei, ka toro atu mātou ki tā mātou tākuta whānau (GP). I ētahi wā ka tukuna pea koe e ia ki tētahi tohunga mō ngā mate puku. Koinei te wāhi e kōrerohia ai e mātou tētahi taote pokanga tohunga he tino mātau ki tēnei mara. Koia te taote pokanga colorectal.
Hei whakarāpopototanga, ko wai tēnei Taote Tātari Repeure?
He tākuta te taote pokanga colorectal e tohunga ana ki te rongoā pokanga i ngā āhuatanga e pā ana ki tō tātou whekau nui. Kei roto i te whekau nui te koroni, te pū, me te nono.
I ngā wā o mua, i karangatia ēnei momo tohunga he tohunga tākuta whatukuhu. Kua rongo pea koe i taua ingoa. Heoi, ko te kupu tika ake, ā, e whakamahia whānuitia ana i ēnei rā ko te taote tākuta whatukuhu. Ko te take o tēnei, ko te kupu "tohunga tākuta whatukuhu" e pā ana ki tētahi e aro ana ki te nono me ōna wāhi e karapoti ana. Heoi, ko te kupu "taetae whatukuhu" e kapi ana i te koroni me te rectum, te wāhanga nui rawa atu o tō tātou whekau nui. Heoi, e rongoatia ana e ngā tohunga e rua ngā wāhanga kotahi o te tinana.
He aha koe i tukuna ai ki tētahi taote pokanga colorectal?
Mena kei a koe ngā tohu e pā ana ki te wāhanga o raro o tō pūnaha nakunaku, arā, te whekau nui, me toro atu koe ki tētahi tākuta whānui (GP) me tētahi tohunga puku rānei. Mena ka tirohia koe e taua tākuta, ā, ki tōna whakaaro me pokanga pea tō mate , ka tukuna koe e ia ki tētahi taote pokanga whēkau.
Ki te kī māmā noa, ka rongoatia e ēnei tohunga ngā mate puku uaua e uaua ana ki te rongoā anake, ā, me pokanga pea.
Kei raro nei ētahi o ngā mate hauora matua e hiahia ana kia pokangahia.
| Kāwai tūnga mate | Whakaahuatanga |
|---|---|
| Matepukupuku me te Polyposis | Hei tango i ngā mate pukupuku me ngā tupu iti (polyps) ka huri hei mate pukupuku i roto i te koroni me te rectum. |
| Mate Puku Mumura (IBD) | Hei tango i ngā wāhanga o te whekau ina pakaru i ngā āhuatanga pēnei i te mate a Crohn, te mate puku ulcerative rānei. |
| Te hekenga o te rere o te toto (Ischemia) | Hei tango i tētahi wāhanga o te whekau ina mutu te rere o te toto ki reira, ā, ka kore e pai te mahi a taua wāhanga. |
| Ngā Hapa Hanganga | Hei whakatika i ngā āhuatanga pēnei i te fistula (te hanganga o te ngongo mai i te whekau ki tētahi atu okana), te hernia, me te prolapse rectal. |
Ko te koroni anake te mea e rongoatia ana e ēnei tākuta?
Kāo. Ahakoa he tohunga ngā taote pokanga colorectal ki te whekau nui, he tohunga anō hoki rātou ki te mahi hei taote pokanga whānui . Waihoki, nā te mea he hononga tahi ia okana o roto i tō tātou tinana, ka pā pea tētahi raruraru i roto i te whekau nui ki ētahi atu okana e tata ana. Nō reira, i ētahi wā ka rongoatia e ēnei tākuta ngā mate e pā ana ki ēnei okana:
- Puku iti
- Ngā uaua o te papa pelvis
- Pūnaha mimi
- Pūnaha whakaputa uri wahine
He aha ngā whakamātautau me ngā pokanga e mahia ana e te taote pokanga colorectal?
He maha ngā tikanga me ngā tikanga pokanga e whakamahia ana e ēnei tohunga hei tātaritanga me te rongoā i ngā mate. Ko te tikanga kei a rātou ngā taputapu katoa e hiahiatia ana hei whakarato i te maimoatanga pai rawa atu mō tō āhua. He whānuitia ā rātou maimoatanga, mai i te endoscopy kore-whakaekenga ki te pokanga iti-whakaekenga me te pokanga tuwhera tuku iho.
Ngā tikanga e whakamahia whānuitia ana
| Tikanga hangarau | He whakamārama māmā |
|---|---|
| Te tirotiro koroni | Ka whakauruhia he ngongo ngāwari me te kāmera e piri ana mā roto i te nono hei tirotiro i te whekau nui katoa. Ka taea te mahi i ngā tikanga iti pēnei i te tango i ngā tipu iti (polyps) i tēnei wā. |
| Sigmoidoscope | Te tirotiro i te wāhanga whakamutunga anake o te whekau nui (te koroni sigmoid me te rectum). |
| Te tirotiro puku | Te tirotiro i ngā whekau o te puku mā te whakauru i tētahi kāmera (laparoscope) mā roto i tētahi tapahi iti i te puku. |
| Pokanga Laparoscopic | He pokanga e mahia ana mā roto i ētahi tapahi iti i roto i te puku, me te āwhina o te kāmera. E kiia ana hoki ko te "pokanga kōhao kī". |
| Pokanga Robotic | Ka mahia te pokanga laparoscopic mā te whakamahi i tētahi ringa karetao e whakahaerehia ana e te taote pokanga. Mā tēnei ka nui ake te tika. |
Ngā pokanga me ngā maimoatanga matua e mahia ana e rātou
- Polypectomy: Te tango i ngā tipu iti (polyps) i roto i te koroni i te wā o te endoscopy.
- Pokanga Tango Puku: Te tango i te wāhanga mate, matepukupuku rānei o te puku.
- Pokanga Ostomy: Ka hangaia he putea (Colostomy, Ileostomy rānei) mā te hono i te whekau ki te mata kiri o te puku hei putanga mō te paru.
- Te tango i te āpitihanga: Te pokanga hei tango i te āpitihanga mō te āpitihanga.
- Te Whakatikatika i te Hernia: Te whakatikatika pokanga i ngā mate hernia i roto i te whekau.
- Rectopexy: Te whakatika i te pūkahukahu kua piko.
- Te Maimoatanga mō ngā Hemorrhoids, Fistulas, me ngā Ānini: Te rongoā pokanga mō ngā āhuatanga pēnei i te hemorrhoids, te ānini, me ngā ānini.
He aha ngā mate e rongoatia ana e ngā taote pokanga colorectal?
He whānui rawa te whānuitanga o ngā mate e rongoatia ana e ēnei tohunga. Ka taea te wehewehe i ēnei ki ētahi wāhanga matua.
1. Ngā Mate Pukupuku o te Rekereke
- Matepukupuku koroni
- Matepukupuku rectum
- Matepukupuku ā-ira
- Matepukupuku āpitihanga
2. Ngā Polyps me ngā Mate Tuku Iho
Ngā tupu iti (polyps) e puta ana i roto i te koroni me ētahi āhuatanga tuku iho e whakanui ana i te mōrearea o te mate pukupuku (hei tauira, Familial Adenomatous Polyposis - FAP, Lynch syndrome).
3. Te Mate Kororā Uaua
- Diverticulitis - he mate pāwera o ngā pēke iti o te puku.
- Te mate puku
- Te mate a Crohn
- Āpenikā
4. Ngā Āhuatanga Pai o te Anorectal
- Te mate pukupuku: He mate tino noa tēnei.
- Ngā kapiti o te pūwero: Ngā kapiti i te pūwero.
- Fistula anal: He awa rerekē e tuwhera ana ki roto i te kiri e tata ana ki te nono.
- Te whēkau perianal.
5. Ngā Mate Mahi
- Te aukati i te mahi tūtae.
- Te kore e taea te whakahaere i te tūtae (te kore e taea te pupuri i te tūtae).
- Te ngoikore o te papa o te pelvis.
E kite ana koe, he whānui tēnei mara. Ka taea e ēnei tohunga te rongoā i te whānuitanga o ngā mate, mai i ngā mate pukupuku noa ki te mate pukupuku e morearea ana.
Ki te pā mai he mamae, he mamae, he rerekē rānei ngā huringa o roto i ō puku (ina koa ko te toto), kaua rawa e warewaretia. Tuatahi, tirohia tō tākuta whānau. Ki te tika, māna koe e tuku ki te tohunga tika, pērā i te tohunga puku, i te taote puku rānei.
Karere Tangohia ki te Kāinga
- He tohunga tino whakangungua te Taote Pokanga Repeure (Rectum) e rongoā ana i ngā mate o te whekau nui, te pūkahukahu, me te nono.
- I te nuinga o te wā ka tukuna koe ki tēnei momo tohunga e tō tākuta whānau, e tētahi atu tohunga rānei.
- He maha ngā mate e rongoātia ana e rātou, tae atu ki te mate pukupuku, te pukupuku, te pupuhi o te puku, me te mumura o te puku.
- He whānuitanga o ngā maimoatanga e mahia ana e rātou, mai i ngā whakamātautau kore-pokanga pērā i te colonoscopy ki ngā pokanga tino uaua.
- Mena kei a koe ngā tohu pēnei i te toto i roto i tō tūtae, te mamae puku roa, te huringa rānei o te āhua o te puku, he mea tino nui kia toro atu koe ki te tākuta, kaua e moumou taima .
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