He tino taonga, he tino tairongo hoki tō tātou roro. Ahakoa te iti o te kino ki tēnei roro, ka raru pea. Nō reira, ko te angaanga te taupoki kaha rawa atu i roto i tō tātou tinana hei tiaki i tēnei roro utu nui. Engari i ētahi wā, nā tētahi aituā nui, nā tētahi mate hauora pēnei i te pukupuku roro, nā tētahi pokanga roro o mua rānei, ka pakaru pea tēnei angaanga, ā, me tango pea tētahi wāhanga o taua angaanga. I taua wā, kei te kōrero tātou mō tētahi pokanga motuhake e mahia ana hei whakaora i te āputa, i te hapa rānei o te angaanga.
He aha te Cranioplasty?
He mahi pokanga te cranioplasty e whakatika ana i tētahi hapa, āputa, āhua rerekē rānei o tō angaanga. E toru ngā mahi matua ka taea e tō tākuta te mahi me tēnei pokanga:
- Te tāpiri anō i te angaanga: Te tāpiri anō i tētahi wāhanga o tō ake wheua angaanga i tangohia mai i tētahi pokanga o mua.
- Te whakatika i te whati o te angaanga: Te hanga anō i te angaanga whati, pakaru rānei, pērā i tētahi aituā.
- Te hanga i te āhua o te angaanga: Te whakatika i tētahi āhua rerekē o te angaanga.
Ko tēnei momo pokanga e hiahiatia ana i muri i te whara nui o te upoko, i te whānautanga mai o te pēpi, i te pokanga roro rānei o mua. He tikanga kua whakaritea tēnei, ehara i te tikanga ohorere. Mā tō tākuta e whakatau mēnā e hiahiatia ana tēnei pokanga, ā, ko tehea te wā pai rawa atu.
He aha koe i hiahia ai ki tēnei momo pokanga?
He maha ngā take e tika ai te mahi cranioplasty. Me titiro tātou ki ngā take matua.
| Te take mō te pokanga | He whakamārama māmā |
|---|---|
| Hei tiaki i te roro | Ina he āputa kei roto i te angaanga, ka waiho te roro kia kore e tiakina. Ahakoa he puku iti noa iho ka taea te kino i te roro. Ka kati tēnei pokanga i taua āputa, ā, ka whakahokia mai te tiaki tūturu o te roro. |
| Hei whakatika i tētahi hapa mai i tētahi pokanga o mua | I ētahi wā ka tangohia te wāhanga o te angaanga mō te wā poto (craniectomy) hei whakaiti i te pupuhi i roto i te roro. Ka mahia tēnei pokanga hei kati i te āputa i muri i te memeha o te pupuhi. |
| Hei whakaora i te āhua | Ka taea e te kōhao, te pokanga rānei i roto i te angaanga te whakarerekē i te āhua o te upoko. Ka pā pea tēnei ki te āhua o te tangata me tōna āhua hinengaro. Ka taea e te pokanga te whakatika i tēnei āhuatanga. |
| Hei whakaiti i te mamae o te upoko | Tērā pea ka pāngia ētahi tāngata e te mamae upoko roa nā te hapa o te angaanga. Tērā pea ka iti haere, ka ngaro katoa rānei ēnei mamae upoko i muri i te pokanga. |
| Ngā āhuatanga whānau | He tino onge te whānautanga mai o ētahi pēpi me te hapa o te angaanga. Ka whakamahia hoki tēnei pokanga hei whakatika i aua āhuatanga. |
He pokanga nui tēnei? He tūponotanga kei reira?
Ae, he pokanga nui te cranioplasty. Nā te mea e tata ana ki te roro, he tino teitei ngā mōrearea e pā ana ki tēnei. Kaua e manukanuka. Ka mahia e tō taote pokanga me te tīma hauora ngā mahi katoa e tika ana hei whakaiti i ēnei mōrearea.
Me pēhea tā tātou whakarite i mua i te pokanga?
I mua i te pokanga, ka kōrero tō taote pokanga ki a koe, ka tangohia hoki he hītori hauora katoa. Ka whakahaerehia hoki e ia he whakamātautau tinana. Ka whakahaua e ia ētahi whakamātautau hei whakarite mō te pokanga.
Ko aua whakamātautau ko:
- Ngā whakamātautau toto
- X-ray
- Matawai MRI
- Matawai CT (Matawai Tomography Rorohiko)
Ka taea e ēnei whakamātautau te ine tika i te rahi o te koha o te angaanga, koinei te hanga o te prosthetic e whakamahia ana i te pokanga kia taurite ki tō angaanga.
He mea nui: Ki te mea kei te tango koe i ētahi rongoā, pērā i ngā rongoā whakaiti toto, me whakamōhio atu ki tō tākuta. Me mutu pea te tango i ēnei mō tētahi wā i mua i te pokanga. Engari kaua rawa e mutu te tango me te kore he tohutohu a tō tākuta.
Tērā pea ka hoatu he rongoā paturopi ki a koe hei whakaiti i te tūponotanga o te mate i muri i te pokanga, me ētahi atu rongoā hei whakaiti i te tūponotanga o ngā mate pēnei i te haurangi. Mena kei te momi hikareti koe, kei te inu waipiro rānei, mā te whakamutu i ēnei mahi i te iti rawa i te wiki i mua i te pokanga ka tino āwhina i te tukanga whakaora.
He aha tonu te mea e tupu ana i te wā o te pokanga?
I te rā o tō pokanga, ka hoatu e te tohunga whakamoe ki a koe he whakamoe, arā, ka moe katoa koe, ā, kāore koe e mamae.
I roto i te rūma pokanga, ka whai tō taote pokanga i ēnei mahi:
1. Te Whakarite: Ka tangohia ngā huruhuru i te wāhi e mahia ai te pokanga, ā, ka horoia pai te kiri.
2. Te tapahi: Ka tapahia te kiri. Mena kua pokangahia koe i mua, ka tapahia te tapahi hou i te rārangi kotahi i tapahia ai te tapahi tawhito.
3. Te whakaatu i te angaanga: Ka wehea marietia te kiri me ngā uaua kia kitea te wāhanga o te angaanga e hiahia ana kia whakatikahia.
4. Whakatika: Ka whakanohoia he rauemi kua tohua i mua (pēnei i tō ake wheua, i tētahi wāhanga hangai rānei) ki roto i te kōhao, i te hapa rānei o te angaanga, kātahi ka whakapūmau. Ka whakamahia he pereti iti me he tīwiri i hangaia ki te titanium hei pupuri i tēnei kia mau tonu.
5. Katinga: Ka whakahokia ngā uaua me te kiri i runga i te angaanga kua whakatikatikaina ki tōna tūranga tika, ā, ka katihia te tapahi kiri ki ngā tuitui.
He aha ngā rauemi e whakamahia ana hei hanga i te angaanga?
I runga i tō āhua, ka whiriwhiria e te taote pokanga tētahi o ngā rauemi e whai ake nei.
| Rauemi i whakamahia | Whakaahuatanga |
|---|---|
| Wāhanga o tōu ake angaanga | He wahi o tō ake wheua i tangohia mai i tētahi pokanga o mua. Koinei te kōwhiringa pai rawa atu. |
| Tetahi atu wheua (Te hononga wheua) | He wahi wheua i tangohia mai i tētahi atu wāhi o tōu ake tinana (hei tauira, he rara, he wheua hope). |
| Ngā rauemi hangai | Ngā rauemi horihori e rite ana ki te wheua. Hei tauira: te konupūmā phosphate, te hydroxyapatite. |
| Ngā pepa whakarewa, ngā mata rānei | He pereti, he mata rānei i hangaia ki te konganuku e hototahi ana ki te tinana, pērā i te titanium. |
| Ngā taputapu hanga motuhake | E ai ki tō matawai CT, ka hangaia he rauemi kirihou motuhake (polyetheretherketone, polymethyl methacrylate rānei) mā te whakamahi i te hangarau 3D kia tino uru ki tō angaanga. |
He aha ngā mea hei tumanakohia i muri i te pokanga?
I muri i te pokanga, ka whakaurua koe ki tētahi wāhanga tirotiro/wāhanga whakaheke-iti e tata ana ki te wāhanga tiaki nui, ā, ka tirotirohia tō āhua e te tīma hauora. Mēnā kāore he raruraru, ka whakawhitia koe ki tētahi wāhanga noa i te rā i muri mai. Tērā pea me noho koe ki te hōhipera mō te 5 rā pea.
I muri i te pokanga, tera pea ka pāngia koe e te ānini, e te korokoro rānei. Kaua e manukanuka. Mā te tīma hauora koe e hoatu ki te rongoā e tika ana hei whakamarie i a koe, hei whakahaere hoki i te mamae. He mea nui hoki kia okioki koe me te whakateitei ake i tō māhunga, me te tautoko pai ki ngā urunga.
I mua i tō wehenga atu i te hōhipera, ka tirotirohia anō koe kia mōhio ai kei te ora pai ngā mea katoa. Ka hoatu e tō tākuta he tohutohu mārama ki a koe mō te tiaki i a koe anō i muri i tō hokinga ki te kāinga. Āta karohia ngā mahi taumaha me ngā mahi whakakori tinana taumaha. Kia nui te okiokinga. Kaua e taraiwa kia whakaaetia rā anō koe e tō tākuta.
He raruraru kei muri i te pokanga?
Pērā i ngā pokanga katoa, tera pea he tūponotanga o ngā raruraru i muri i tēnei pokanga. E ai ki ngā rangahau he tūponotanga kei te 40% pea te nui. Heoi, he rerekē tēnei tūponotanga i runga i tō hauora whānui me te āhua o te pokanga.
| Ngā raruraru matua pea | |
|---|---|
| Ngā raruraru noa |
|
| Ngā raruraru pea e morearea ai te ora (engari he onge) |
|
Ahakoa he mōrearea kei te pā mai ngā raruraru pēnei i ēnei, ka taea te rongoā angitu mēnā ka kitea wawe.
Kia pēhea te roa ka ora ai?
He rerekē te roa o te wā e pau ana ki te tino ora i ia tangata, i ia tangata. Kei runga i te uaua o te pokanga me te tere o te whakaora o tō tinana. I te nuinga o te wā, ka taea e koe te tumanako ka kite koe i te pai o te whakaoranga i roto i te kotahi ki te toru marama .
Āhea tātou me kite i te tākuta?
Ka whakaritea e tō tākuta he wā tirotiro whai muri i te pokanga. I te nuinga o te wā, ka tirohia koe i roto i te wiki, te marama, me te toru marama.
Heoi, ki te puta mai tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu:
- Te ānini nui, te mamae tonu
- Kirika
- Te pupuhi i te wāhi i pokangahia
- Te turuturu o te wai mai i te patunga pokanga
Āhua ohorere tino nui: Ki te pāngia koe e te mate haurangi, ki te pāngia rānei koe e ngā tohu o te whiu (hei tauira, te wiri o te waha, te koretake o te kōrero, te ngaro o tetahi waewae), haere tonu ki te Tari Āhua ohorere o te hōhipera (ETU).
Karere Tangohia ki te Kāinga
- He tikanga pokanga nui te cranioplasty e whakatika ana i te hapa o te angaanga, e whakahoki mai ana hoki i te tiaki ki te roro.
- Ahakoa he tūponotanga kei reira nā te mea he pokanga nui tēnei, ka taea te whakahaere i aua tūponotanga i raro i te tirotiro tika a te taote.
- He mea tino nui kia whai i ngā tohutohu a te tākuta (te rongoā, te momi hikareti/te waipiro) i mua tonu i te pokanga.
- He mea nui te nui o te okiokinga me te whai i ngā tohutohu hauora i muri i te pokanga kia tere ai te ora.
- Kia tūpato ki ngā tohu whakatūpato pēnei i te kirika, te ānini nui, me te wai mai i te patunga. Mēnā ka kite koe i tētahi mea pēnei, rapua tonutia he tohutohu hauora.
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