Kua whakaurua he pēke ki roto i tō puku kia rere ai ō paru i te mea he mate hauora tēnei? E kiia ana tēnei he stoma i roto i ngā kupu hauora. Tērā pea he āhua kore whakamarie te noho pēnei, ā, he āhua whakarihariha anō hoki i ētahi wā. Ko te pātai nui kei roto i te hinengaro o te tini tāngata ko, "Ka taea rānei e au te haere ki te wharepaku pērā i mua?" He whakautu pai tēnei ki tēnā pātai. Mō te tini tāngata, ka taea te whakakore i tēnei stoma rangitahi mā tētahi atu pokanga (pokanga whakahurihuri) ka whakahokia ki te āhua e taea ai e rātou te paru noa. Me kōrero taipitopito tātou mō tēnei i tēnei rā.
Ka taea e te katoa te mahi i tēnei pokanga?
He pātai tino nui tēnei. Mā kōrua ko tō taote pokanga e whakatau tahi mēnā he tika tēnei pokanga whakahuri stoma māu. He maha ngā mea hei whakaaroaro māu i te wā e whakatau ana koe.
- Tō hauora whānui: Me pai te hauora o tō tinana kia taea ai e koe te mahi i tēnei momo pokanga, kia tere ai hoki te ora i muri i te pokanga.
- Te nui o te pūkahukahu e toe ana i muri i te pokanga tuatahi: Hei hono anō i ngā pito e rua o te whekau, me nui te pūkahukahu e toe ana.
- Te kaha o te uaua o te rectum: Ka tirohia hoki e te tākuta mēnā he kaha ngā uaua e karapoti ana i tō rectum hei whakarato i te kaha e tika ana hei pana i te paru.
- Tō mahere maimoatanga: Mena kei te rongoatia koe mō tētahi mate pēnei i te mate pukupuku, ka whakaroahia tēnei pokanga whakakore kia oti rā anō taua maimoatanga katoa (hei tauira, te chemotherapy).
Ki te kī ngāwari, ko te mea nui i konei ko te rite o tō tinana mō tētahi pokanga tuarua, me te mea hoki ka taea te hono anō i ngā whekau.
I mua i tēnei pokanga, ka tirotirohia koe e tō tākuta, ā, ki te tika, ka tūtohu pea ia i ētahi mahi whakakori tinana, i ētahi rongoā tinana rānei. Mā ēnei ka āwhina i te whakapakari i ngā uaua o tō pūkahukahu, ā, ka āwhina i a koe kia pai te nekeneke o te puku i muri tata mai i te pokanga.
He aha te wā pai rawa atu mō te pokanga?
Ko te tikanga, ko te wā pai rawa atu mō tēnei pokanga whakahuri ko te toru marama i muri i tō pokanga tuatahi. Heoi, tera pea ka roa pea ki te kotahi tau. Ko te take o tēnei, kia nui ai te wā e ora ai ngā patunga o roto me te pupuhi, kia hoki ai te tinana ki te āhua noa. I ētahi wā, tera pea ētahi tāngata e pokanga ana ahakoa kua maha ngā tau. Nō reira, kaua e manukanuka, ka taea e koe te kōrero ki tō tākuta me te whakatau i te wā e pai ana ki a koe.
Te Whakahokinga o te Colostomy me te Ileostomy
I roto i te colostomy, ka tangohia tetahi wāhanga o tō whekau nui (koroni), me te ileostomy, tetahi wāhanga o tō whekau iti (ileum), mā te kiri o tō puku hei hanga i tētahi stoma. Ahakoa he rerekē ngā tikanga mō ēnei pokanga e rua, he rite tonu te ariā taketake. Arā, ka honoa anō ngā pito e rua o te whekau kua wehea kia taea ai e te paru te haere i te ara noa.
Te āhua o te mahi pokanga
1. Whakamoemiti: Tuatahi, ka hoatu he whakamoemiti ki a koe. Nō reira, kāore koe e rongo i tetahi mea i te wā o te pokanga, ka moe katoa koe.
2. Te tukunga o te whekau: Muri iho, ka tukuna mārire e te taote pokanga te wāhanga o tō whekau e piri ana ki te kiri o tō puku.
3. Anastomosis: Kātahi ka honoa anō ngā pito e rua o te whekau kua wehea, ka honoa. Ka kiia tēnei he anastomosis i roto i ngā kupu hauora. Ka taea te hono mā te whakamahi i tētahi momo tākai motuhake, mā te tuitui ā-ringa rānei.
4. Te katinga o te patunga: Kia honoa te whekau mai i roto, ka tuia te stoma me ngā tapahi pokanga.
E 2-4 hāora te roa o tēnei pokanga, engari ki te mea he kiko koha tōu, he hernia rānei nō ngā pokanga o mua, ka roa ake pea.
Ngā raruraru pea me ngā mōrearea i muri i te pokanga
Pērā i ngā pokanga katoa, tera pea ngā mōrearea me ngā raruraru ka puta. Heoi, he maha ngā wā ka taea te whakahaere i ēnei. E kiia ana he nui ake te mōrearea o ngā raruraru o ngā whakahurihuri colostomy i ngā whakahurihuri ileostomy.
| Ngā raruraru pea | He aha te tikanga o tēnā? |
|---|---|
| Mate pāwera | He āhuatanga pēnei i te whero, te pupuhi, te mamae, me te pupuhi huri noa i te patunga pokanga. |
| Ileus | He aukati rangitahi o ngā whekau, e ārai ana i te hau, i ngā wai, me te kai kei neke whakamua. |
| Te aukati i te puku | Te aukati i te ara puku nā te kiko kua koha. |
| Te turuturu o te pūnaha io | Te turuturu o ngā paru ki roto i te kōhao puku mai i te wāhi e hono ana ki te whekau. He mate kino rawa tēnei. |
| Hernia | Ka puta mai tētahi wāhanga o te whekau i raro i te kiri mā te stoma, mā te tapahi rānei. |
| Te mate pāwera | He mate kino e horapa ai te mate puta noa i te tinana, ā, ka mōrearea pea te ora. |
| Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera. | |
| |
Mena he kaipaipa koe , mā te whakamutu, te whakaiti rānei i tō kaipaipa i mua i te pokanga ka tino āwhina i te whakaiti i te mōrearea o te pangia o te patunga.
Te wā whakaora me ngā mea hei whai i te kāinga
I muri i te pokanga, ka noho koe ki te hōhipera mō te 3 ki te 10 rā . Ka tukuna koe ki te kāinga ina taea e koe te kai i ngā kai mārō, ā, kua hoki anō te mahi a tō puku ki te āhua noa.
He aha ngā mea hei tumanako atu i muri i te hokinga ki te kāinga
Tērā pea ka paku rerekē te nekehanga o tō puku i te tīmatanga. Kaua e manukanuka, he mea noa tēnei.
- He tūtae wai, he tūtae marara rānei: I te tīmatanga, tera pea he ahua wai te tūtae.
- Te haere ki te wharepaku i ngā wā maha: Me haere pea koe ki te wharepaku i ngā wā maha i te rā.
- Whakahohenga: Tērā pea ka hiahia koe ki te haere ki te wharepaku i te wā tonu ka hiahia koe ki te tūtae.
- Te āhua kāore anō kia whakawātea katoatia ō whekau: Ahakoa i muri i te haerenga ki te wharepaku, tera pea ka āhua kāore anō kia whakawātea katoatia ō whekau.
Ko te nuinga o ēnei tohu ka memeha haere, ā, ka hoki anō ki te āhua noa i roto i te wā.
Kai
Me tino tupato koe ki tāu kai i te wā e ora ana koe.
- He kai iti te muka: I ngā wiki tuatahi, ka tohutohu tō tākuta kia kai koe i tētahi kai ngāwari ki te nakunaku, ā, he iti hoki te muka i roto.
- Ngā kai iti: He pai ake te kai i ngā kai iti e 5-6 i te rā, kaua e kai nui e 3 i te rā.
- Inumia he nui ngā wai: Inumia he nui te wai me ētahi atu wai (pēnei i ngā wai hua) i te roanga o te rā. He mea tino nui tēnei mō te mahi a te puku.
- Kati ēnei mea mō tētahi wā:
- Ngā kai hinuhinu, ngako, me ngā kai raukikī.
- Ngā kai e whakakī ana i te puku ki te hau, pērā i te kāpeti, te riki, me te pīni.
- Ngā inu waipiro, te waipiro, me te nui rawa o te kawheine.
Te whakakori tinana me ngā mahi
Tērā pea ka paku ngenge koe i muri i tō taenga ki te kāinga, nō reira kia nui te okiokinga.
- Korikori tinana māmā: Tīmatahia ngā korikori tinana māmā, pērā i te hikoi, i muri i te whakaaetanga a tō tākuta.
- Kaua e hiki i ngā mea taumaha: Kaua e hiki i ngā mea taumaha mō te marama neke atu rānei.
- Te taraiwa: Kaua e taraiwa mō tētahi wā. Pātai atu ki tō tākuta mō te whakaaetanga i mua i te tīmatanga anō i tēnei.
E ono ki te waru wiki te roa hei whakaora katoa. I tēnei wā, he mea nui kia manawanui, kia whai hoki i ngā tohutohu a te tākuta.
Karere Tangohia ki te Kāinga
- Mena he colostomy rangitahi, he ileostomy rānei tōu, he maha ngā wā ka taea te whakahoki ki te āhua noa mā te pokanga whakahuri.
- Me kōrero koe ki tō taote pokanga mēnā he tika tēnei pokanga māu, ā, ko āhea te wā pai rawa atu hei mahi.
- He roa te wā e pau ana ki te tino ora i muri i te pokanga, nō reira he mea nui kia manawanui, kia hoatu hoki ki tō tinana te okiokinga e hiahiatia ana.
- Whāia ngā tohutohu a tō tākuta mō te kai me te mahi i a koe e ora ana.
- Mena ka pāngia koe e ētahi tohu whakatūpato pēnei i te kirika, te mamae nui, te pupuhi e rere ana i te patunga, ngā huringa rerekē rānei o te tūtae, me whakamōhio tonu atu ki tō tākuta.
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