Ko te roro te okana tino nui, tino tairongo hoki o tō tātou tinana. E tiakina ana tēnei roro e tō tātou angaanga, he rite ki te potae. Engari whakaarohia, he aha te mea ka tupu mēnā ka pakaru tētahi wāhanga o tēnei angaanga, ka tangohia rānei, nā tētahi aituā nui, nā tētahi atu pokanga rānei e pā ana ki te roro? Mēnā he pēnei, ka mahia he pokanga motuhake e kiia nei ko te cranioplasty hei whakatika i te āputa, i te pakaru rānei o te angaanga. I tēnei rā, ka kōrerohia tēnei mea me te taipitopito, me te tino māmā.
He aha tonu te mahi a te pokanga cranioplasty?
He whakarāpopototanga noa iho, ka whakatikahia e tēnei pokanga tētahi hapa i roto i tō angaanga. He maha ngā take ka taea ai tēnei. Ko ngā mea matua ko:
- Te tāpiri anō i te angaanga: Te tāpiri anō i tētahi wahi o te angaanga i tangohia mai i tētahi pokanga o mua.
- Te whakatika i te whati o te angaanga: Te whakatika i te whati o te angaanga, i te whati rānei i puta mai i tētahi aituā.
- Te whakarerekē i te āhua o te angaanga: I ētahi wā, mēnā he rerekētanga kei roto i te āhua o te angaanga, ka mahia anō tēnei pokanga hei whakatika.
He maha ngā wā ka mahia tēnei pokanga i muri i ētahi atu pokanga roro (pērā i te tango angaanga). Mā tō taote pokanga koe e whakamārama mēnā e hiahiatia ana tēnei pokanga, me te wā pai hoki mōna.
I roto i ēhea āhuatanga e hiahiatia ai tēnei pokanga?
He maha ngā take e tika ai te mahi cranioplasty. Me titiro tātou ki ērā.
| Take | Whakaahuatanga |
|---|---|
| Nā te pokanga o mua | Mēnā he pupuhi te roro, ka tangohia tetahi wāhanga o te angaanga hei whakamama i te pēhanga. Ā muri ake nei, ina memeha te pupuhi, ka mahia tēnei pokanga hei kati i te āputa. |
| Whara Whakamataku | Ina pakaru te angaanga i tētahi aituā, me mahi tēnei pokanga hei whakatika i te pakaru me te tiaki i te roro. |
| Ngā Āhuatanga Whānau | Tērā pea ka whānau mai ētahi tamariki me ētahi hapa o te angaanga. Ka whakamahia hoki tēnei pokanga hei whakatika i ēnei. |
| Ngā Take Whakapaipai | Ka mahia hoki tēnei hei whakatika i ngā huringa āhua i puta mai i ngā āhuatanga rerekē o te āhua o te angaanga. |
He pokanga nui te cranioplasty?
Ae, e kiia ana tēnei he pokanga nui . Ko te take he tata rawa te mahi o tēnei pokanga ki te roro, koinei te pokapū whakahaere o tō tātou tinana. Nō reira, he taumata mōrearea kei reira. Engari kāore he mea e wehi ai, he tino angitu, he haumaru hoki te mahi a ngā taote pokanga me ngā tīma hauora whai mātauranga motuhake.
Me pēhea te whakarite i mua i te pokanga?
He mea tino nui kia pai te whakarite i mua i te pokanga.
1. Te wā whakarite ki te tākuta: Ka kōrero tō taote pokanga ki a koe, ka tangohia tō hītori hauora katoa, ā, ka tirotirohia tō tinana.
2. Ngā whakamātautau: I mua i te pokanga, ka tukuna atu ētahi whakamātautau ki a koe hei whakatau i tō āhua tuturu.
- Ngā whakamātautau toto
- X-ray
- Matawai MRI
- Matawai CT
3. Kia tūpato ki ngā rongoā: Mena kei te tango koe i ētahi rongoā, pērā i ngā rongoā whakangawari toto, me whakamutu pea i mua i te pokanga. Engari kia maumahara, kaua rawa e tīmata, e whakamutu rānei i tētahi rongoā me te kore he tohutohu a tō tākuta. Tērā pea ka tohutohuhia koe kia tīmata te tango i ngā rongoā, pērā i ngā paturopi, hei ārai i te mate.
4. Ngā huringa āhua noho: Ki te mea he kaipaipa koe, he inu waipiro rānei, me mutu, me whakaiti rānei tō inu waipiro i te iti rawa i te wiki i mua i te pokanga, nā te mea ka taea e ēnei tikanga te whakaroa i te whakaoranga i muri i te pokanga.
He aha ngā mea ka tupu i te wā o te pokanga?
I te rā o te pokanga, ka haria tuatahitia koe ki tētahi tohunga whakamoe, ā, māna koe e hoatu he rongoā hei āwhina i a koe kia moe pai i te roanga o te pokanga, kia kore ai koe e mamae.
Kātahi ka mahi te tīma pokanga:
- Ka tangohia tētahi wāhanga o te huruhuru i te wāhi i pokangahia, ā, ka horoia rawatia te kiri.
- 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.
- Ka wehea marietia te kiri me te uaua, kia kitea ai te wāhanga o te angaanga e hiahia ana kia whakatikahia.
- Muri iho, ka whakanohoia te rauemi kua tīpakohia i mua (te whakatō) ki roto i te āputa, i te wāhi pakaru rānei o te angaanga, kātahi ka whakapūmautia. Ka whakapūmautia ki ngā pereti titanium me ngā tīwiri hei ārai i te nekeneke, hei whakarite hoki kia mau te hononga.
- Hei whakamutunga, ka whakahokia ngā uaua me ngā kiko ki tō rātou tūranga tika, ā, ka tuia te tapahi kiri.
E toru hāora te roa o tēnei pokanga, engari ka rerekē pea te roa i runga i te āhua o te whakatikatika ka mahia.
He aha ngā rauemi e whakamahia ana hei hanga i te angaanga?
He rerekē ngā momo rauemi e whakamahia ana hei whakatika i te angaanga. Mā tō tākuta e whakatau ko tēhea rauemi te mea pai mōu, ā, ko tēhea te mea iti rawa te mōrearea.
| Momo rauemi | Whakaahuatanga |
|---|---|
| Wāhanga o tōu ake angaanga | Kei te tiakina, ā, kei te whakamahia anō te wāhanga o te angaanga i tangohia mai i tētahi pokanga o mua. |
| Tetahi atu wheua i roto i te tinana (Te tārai wheua) | Ka whakamahia he wahi wheua i tangohia mai i tētahi atu wāhanga o te tinana, pērā i te rara. |
| Ngā rauemi hangai | E whakamahia ana ngā rauemi horihori e rite ana ki te wheua (hei tauira, te konupūmā phosphate, te hydroxyapatite). |
| Mea whakarewa | Ka whakamahia he mata whatu, he pereti rānei i hangaia ki te konganuku titanium. |
| Te whakaurunga ritenga | Mā te whakamahi i te matawai CT, ka whakamahia he mea tāpiri motuhake (hei tauira, PEEK - Polyetheretherketone, PMMA - Polymethyl methacrylate) hei whakauru i te āputa i roto i tō angaanga. |
Te whakaoranga me ngā mahi ārai i muri i te pokanga
I muri i te pokanga, ka puritia koe i roto i tētahi wāhanga tirotiro mō te rā kotahi, ā, ka tirotirohia tō āhua. Ki te kore he raruraru, ka whakawhitia koe ki tētahi wāhanga noa. I te nuinga o te wā ka noho koe ki te hōhipera mō te rima rā pea.
He mea noa te pāngia e te mamae o te upoko, te mamae rānei i muri i te pokanga. Mā tō tīma hauora koe e hoatu he rongoā whakamamae mō tēnei. He mea nui anō hoki kia teitei ake tō upoko me ngā urunga i a koe e okioki ana.
I mua i tō hokinga ki te kāinga, ka tirotirohia anō koe kia mōhio ai kei te ora pai ngā mea katoa. I muri i tō hokinga ki te kāinga, he mea nui kia nui te okiokinga, kia karo hoki i ngā mahi uaua. Kaua e taraiwa kia whakaaetia rā anō koe e tō tākuta. Tērā pea ka roa te kotahi ki te toru marama ki te ora katoa.
Ngā āhuatanga ohorere e hiahia ana kia toro atu ki te tākuta
Kia mataara ki ēnei tohu i a koe e noho ana i te kāinga i muri i te pokanga. Mena kei a koe tētahi o ēnei, me whakamōhio tonu atu ki tō tākuta.
- Te ānini nui, te mamae tonu
- Kirika
- Te pupuhi i te wāhi i pokangahia
- Ka rere te wai i te wahi i tapahia.
Ko te mea nui: Ki te pāngia koe e te mate haurangi, ki te whakaatu rānei i ngā tohu o te whiu (hei tauira, te takoto kau o te waha, te ngoikore o te ringa, o te waewae rānei, te uaua ki te kōrero), waea atu ki te waka tūroro tonu ka haere ki te Tari Whawhati Tata o te hōhipera (ETU).
Karere Tangohia ki te Kāinga
- He pokanga nui te cranioplasty e whakatika ana i te pakaru, i te āputa rānei o te angaanga, kia whakahokia mai ai te tiaki e hiahiatia ana e tō roro.
- He mea tino nui kia whai i ngā tohutohu a te tākuta (te rongoā, te whakamutu i te momi hikareti/waipiro) i mua tonu i te pokanga kia angitu ai ngā hua.
- He roa te wā e ora ai i muri i te pokanga. I tēnei wā, he mea nui kia nui te okiokinga, kia karohia hoki ngā mahi taumaha.
- Kia tūpato ki ngā tohu whakatūpato pēnei i te kirika, te ānini nui, me te pupuhi i te wāhi i pokangahia. Ki te kite koe i tētahi o ēnei, rapua tonutia he tohutohu hauora.
- Kōrerotia marietia ki tō tākuta mō ō pātai, ō wehi rānei.
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