Te tango i te pūkahukahu: Me kōrero noa iho tāua mō tēnei?

Kua kīia atu rānei e tō tākuta ki a koe, ki tētahi rānei e mōhio ana koe, me pokanga koe hei tango i tō pūkahukahu? He mea noa te mataku me te manukanuka ina rongo koe i tētahi mea pēnei. He maha pea ō pātai i roto i tō mahunga mō tēnei pokanga e kiia nei ko te 'cystectomy'. Tērā pea kei te whakaaro koe ki ētahi mea pēnei, "He pokanga nui tēnei?", "Ka taea e au te noho noa i muri mai?" Kaua e manukanuka. Ka kōrerohia e mātou ēnei mea katoa i roto i tētahi huarahi tino māmā ka taea e koe te mārama.

Tuatahi, he aha te Cystectomy?

He ngāwari noa iho, he pokanga te tango i te mimi i roto i te tinana hei tango i tētahi wāhanga, i te katoa rānei o tō mimi. He rite te mimi ki te pēke e pupuri ana i te mimi i hangaia i roto i te tinana mō tētahi wā poto.

He tikanga nui tēnei hei mahi pokanga. Ko te take matua e mahi ai ngā tākuta i tēnei pokanga he rongoā i te mate pukupuku o te pūkahukahu. Engari ehara i te mea koinā anake, engari ki te pāngia te pūkahukahu e ētahi atu āhuatanga kore-mate pukupuku (pai), ka taea hoki te mahi i tēnei pokanga i taua wā. Hei tauira, ka taea te waiho hei otinga mō ētahi raruraru whānau.

Me pēhea te whakarite mō te pokanga?

I mua i tēnei pokanga, me toro atu koe ki tētahi tākuta. Ka tirohia tō hauora whānui, tō kirika, tō tere o te manawa, me tō toto toto tiketike.

Waihoki, mā te tākuta koe e whakamārama ki te āhua o te pokanga ka mahia e koe. Nā te mea he maha ngā huarahi hei mahi i tēnei pokanga. Ko te tikanga e pai ana ki a koe ka whiriwhiria i runga i tō āhua.

Ngā mea nui hei kōrero ki tō tākuta

• Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe: Kaua ko ngā mea anake i tohua e tō tākuta, engari ko ngā rongoā kore-tohu (OTC), ngā huaora, me ngā rongoā otaota. Ka taea e te aspirin, ētahi rongoā mamae, me ngā rongoā whakangawari toto te whakanui ake i te toto i te wā e pokanga ana. Kaua e mutu te tango i tētahi rongoā me te kore e pātai ki tō tākuta.
• Kōrero mai mō ō mate pāwera: Mena he mate pāwera koe ki ngā rongoā, ki te rapa, ki ngā kai, tae atu ki te iodine i ētahi wā, e whakamahia ana hei horoi i te kiri, whakamōhio mai i mua i te wā.
• Tohutohu Kai me te Inu: Ka hoatu e tō tākuta he tohutohu mō ngā mea hei kai me te inu i mua i te pokanga. Ko te tikanga, he pai ake kia kaua e kai, e inu rānei i tetahi mea i muri i te waenganui pō o te pō i mua i te pokanga. Mena me tango e koe tetahi rongoā nui, ka taea pea e koe te tango me te inu wai. Pātai atu ki tō tākuta mō tēnā.

He aha ngā mea ka tupu i te wā o te pokanga?

E rua ngā huarahi e taea ai e tō taote pokanga te mahi i tēnei pokanga. Ko tētahi ko te "pokanga tuwhera," arā, ko te tapahi i tētahi tapa nui ake i roto i tō puku. Ko tētahi ko te "pokanga iti rawa te whakaekenga," arā, ko te tapahi i ētahi tapa iti ake me te whakamahi i tētahi kāmera me te pokanga karetao.

Anei ngā mahi e tupu pinepine ana:

1. Whakamoemiti: Tuatahi, ka tukuna koe ki raro i te whakamoemiti whānui. Ko te tikanga o tēnei, kāore koe e rongo i tetahi mea tae noa ki te mutunga o te pokanga, ā, ka moe rawa koe.

2. Tapahi: Mō te pokanga tuwhera, ka tapahia he tapahanga poutū, tata ki te 6-7 inihi te whānui, i waenganui i tō pito (puku) me tō puku o raro. Mō te pokanga iti rawa te whakaekenga, ka tapahia kia 5-6 tapahanga iti, tata ki te kotahi henimita te whānui, ki roto i te puku.

3. Te tango i te pūkahukahu: I runga i tō āhua, ka tangohia tetahi wāhanga, te katoa rānei o tō pūkahukahu.

4. Te waihanga i tētahi ara hou mō te mimi ki waho: He taahiraa tino nui tēnei. Kia tangohia katoatia te pūkahukahu, ka puta te mimi mai i ngā whatukuhuMe waihanga he huarahi hou hei tuku mimi i waho o te tinana. He maha ngā tikanga mō tēnei. Hei tauira, ko te `(Ileal conduit/urostomy)`, ko te `(Indiana pouch)` rānei, ko te `(Neobladder)` rānei. Ka matapakihia e te taote pokanga ki a koe i mua ko tēhea tikanga te mea pai rawa atu māu i runga i tō hītori hauora me ō hiahia.

5. Te tuitui i te tapahi: Hei whakamutunga, ka katihia ngā tapahi, ka tuituia, ā, ka hipokina ki ngā takai.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Ko te painga matua o tēnei pokanga ko tōna kaha ki te rongoā i ngā mate kino pēnei i te mate pukupuku tōngāmimi.

Heoi, pērā i ngā pokanga nui katoa, kei reira ētahi tūponotanga, ā, he mea nui kia mōhio ki aua tūponotanga anō hoki.

• Tērā pea ka nui rawa te toto i te wā o te pokanga, i muri rānei i te pokanga.
• He mōrearea kei te puta he toto totoka .
• Ka pā pea ngā mate ki ngā motu, ki ngā patunga rānei.
• Ka taea ngā raruraru o te puku.
• I ētahi wā ka puta he kiko koha, ā, ka aukati i te rere o te mimi mai i ngā whatukuhu.
• Ngā urupare kino ki te rongoā whakamoe.
• Ngā raruraru ki te whakaora patunga.

Kāore ēnei tūponotanga e pā ki te katoa. Ka whakapau kaha tō tīma hauora ki te whakaiti i ēnei tūponotanga.

He aha ngā mea ka tupu i muri i te pokanga?

I muri i te pokanga, ka haria koe ki te rūma whakaora. I reira, ka tirotirohia tō āhua e te tīma hauora, ā, ka hoatu he rongoā ki a koe hei whakahaere i te mamae e pā ana ki a koe.

I a koe e ora ana, tera pea ka ngaro te hiahia kai, ka rerekē te nekenekehanga o te puku, me te mimi.

• Mena i tangohia tetahi wāhanga o tō pūkahukahu (whakawāhanga hapa o te pūkahukahu): Kua iti ake tō pūkahukahu i tō mua, nō reira me mimi pinepine pea koe.
• Ki te tangohia katoatia: Me mimi koe mā roto i te pūnaha hou kua hangaia. Koinei te mahi. He mea noa anō hoki te whai matū rite ki te hūpē i roto i tō mimi i tēnei wā.

Ka pā pea ki te oranga ā-ira tangata?

I ētahi wā ka pāngia tō oranga moepuku e tēnei pokanga. Tērā pea he raruraru ki te whakaohooho moepuku, ā, ki te tangohia tētahi wāhanga o te tara, ka uaua pea te moepuku. Kaua e whakamā ki te kōrero tuwhera ki tō tākuta mō tēnei. Ka taea e ia te hoatu ki a koe ngā tohutohu e tika ana.

Kia pēhea te roa o te wā e ora ai?

Ko te roa o te wā e noho ai koe i te hōhipera ka whakawhirinaki ki te momo pokanga e mahia ana.

• Mena i mahia he pokanga iti noa te whakaekenga , kotahi noa te rā e noho ai koe ki te hōhipera.
• Mena i tangohia tō puku (cystectomy) i te wāhi tuwhera , me noho pea koe ki te hōhipera mō te wiki pea.

I a koe e noho ana i te hōhipera, ka aroturukihia tō hauora e ngā tākuta me ngā nēhi. Mēnā me whakamahi koe i tētahi pēke ostomy, mā rātou koe e ako ki te whakauru, ki te whakawātea, me te whakawhiti.

Tērā pea ka roa pea ētahi wiki, ētahi marama rānei kia tino ora ai koe. I tēnei wā, me toro atu anō koe ki tō tākuta (ngā haerenga whai muri).

Ka taea e koe te hoki ki te mahi me te mahi i ngā mahi māmā i roto i ētahi wiki, engari me tatari koe kia ono wiki te iti rawa i mua i te mahi i tētahi mea uaua, pērā i te hiki taumaha, te hiki taumaha rānei.

Āhea koe me waea atu ki te tākuta?

Kia tae koe ki te kāinga i muri i te pokanga, he mea nui kia tiakina tō tinana. Mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei, kaua e moumou taima, waea atu ki tō tākuta i te wā tonu.

He mea noa te nui o ngā whakaaro me ngā wehi ina mōhio koe ka mahia he pokanga nui pēnei. Engari ehara i te mea ko koe anake. Mā ō tākuta, ō nēhi, me tō whānau koe e āwhina i roto i tēnei haerenga. Kōrero ki a rātou mō ō pātai, ō wehi rānei. He tino whakamarie tēnei.