Tērā pea kei te pāngia koe e te diverticulitis, he mate e mamae tonu ai tō puku me te kirika. Ina uaua te whakahaere i tō mate ahakoa te tango rongoā me ētahi atu maimoatanga, ka tūtohu pea tō tākuta kia pokanga. Nō reira, he mea noa te mataku i a ia e kī ana i tēnā. Heoi, ina mōhio koe he aha tēnei pokanga, me pēhea te mahi, me te aha ka tupu i muri mai, ka ngaro atu tō mataku. I tēnei rā, me kōrero tātou mō tēnei pokanga diverticulitis.
He aha tātou e hiahia ai ki te pokanga mo te diverticulitis?
I te whakarapopototanga, ko te diverticulitis te āhua e puta ai ngā putea iti (diverticula) i roto i ngā pakitara o te koroni, e kiia nei e tātou i roto i te rongoā he diverticula , ka pangia, ka mumura rānei. Mēnā ka kino rawa tēnei āhua, ka whakaarohia te pokanga.
I te nuinga o te wā ka tūtohu tō tākuta i te pokanga i roto i ēnei take e whai ake nei:
- Mena kāore e taea te whakahaere i te āhua ahakoa te tango rongoā me ētahi atu maimoatanga kore-pokanga.
- Mena ka hoki anō tēnei āhuatanga i muri i te maimoatanga (te diverticulitis recurrent).
- Ka puta he hononga rerekē, pērā i te fistula , i waenganui i te pakitara o te whekau nui me ngā whekau tata pērā i te pūkahukahu, te tara rānei.
Ko te tikanga o tēnei pokanga he tapahi me te tango i tētahi wāhanga o te whekau nui e pāngia ana e te mate. Ka kiia tēnei he tango wāhanga .
I te nuinga o te wā, ka tangohia te koroni sigmoid, te wāhanga whakamutunga o te whekau nui. Ina tangohia tēnei wāhanga, ka tata ngaro katoa ngā tohu.
I ētahi wā, i muri i te tango i tētahi wāhanga o tēnei whekau, me mahi anō hoki e te taote pokanga he ostomy . Me titiro tātou he aha te tikanga o tēnā.
He aha ngā momo pokanga ēnei?
Ka whiriwhiri pea tō taote pokanga i tētahi o ēnei pokanga i runga i tō āhua.
| Momo pokanga | He whakamārama māmā |
|---|---|
| Te Whakakorenga Tuwhera o te Kolekoti | I tēnei tikanga, ka tapahia e te tākuta tētahi tapahi poutū nui ki roto i tō puku, ka tangohia te wāhanga mate o tō whekau, ka hono anō i ngā wāhanga hauora e rua. He tikanga tuku iho tēnei. |
| Te tango i te korakora/te tango i te korakora | Koinei te mea e kiia nei e mātou ko te "pokanga kōhao kī". Ka mahia mā te hanga i ētahi tapahi iti ki te puku me te whakauru i tētahi kāmera (laparoscope) me ngā taputapu ngawari. He iti ake te mamae, ā, he tere ake te ora o ngā patunga. |
| Pokanga ostomy | Ka mahia tēnei ina tangohia tētahi wāhanga o te whekau, ā, kāore e taea te hono tonu i ngā wāhanga hauora e toe ana. Ko te tikanga o tēnei ko te hanga i tētahi kōhao rangitahi i roto i te kiri o te puku hei putanga mō te paru. |
He kōrero anō mō te pokanga Ostomy
Kaua e wehi ina rongo koe i tēnei. Whakaarohia he rite ki te hanga i tētahi rori, he ara rerekē mō te wā poto hei haere mā ngā waka. He rite tonu te āhua o tēnei mea. Kei te hangaia tēnei ara mō te wā poto hei aukati i te paru kia haere mā te wāhi i mahia ai te pokanga puku kia ora rā anō.
- Colostomy: Ka honoa tētahi wāhanga o te whekau nui ki te kiri o te puku, ka hangaia he pūaha. Ka puta te paru mā roto, ka kohia ki roto i tētahi pēke (pēke colostomy) e piri ana ki te puku.
- Ileostomy: Ka hangaia tēnei whakatuwheratanga mā te whakamahi i tētahi wāhanga o te whekau iti (ileum).
Ko te mea nui, he wā poto noa iho ēnei pokanga ostomy. I roto i ētahi marama, i muri i te ora o ngā patunga o roto, ka taea te mahi i tētahi atu pokanga iti hei kati i te pūaha me te whakahoki mai i te nekehanga puku kia noa.
Me pēhea te whakarite i mua i te pokanga?
Me whakarite koe i mua i te pokanga. Mā tō tākuta koe e hoatu he tohutohu mārama mō tēnei. I te nuinga o te wā, ka puta ēnei mea.
- Ngā matawai tāpiri: Tērā pea ka tonoa koe kia whai matawai rorohiko (CT) me ētahi atu whakamātautau hihi-X motuhake.
- Arotakenga hauora: Me whai whakamātautau toto pea koe, he colonoscopy , he EKG , me ētahi atu. Tērā pea ka tūtaki koe ki te tīma whakamoe.
- Te Whakarite i te Puku: Koinei te wāhanga tino uaua. Ka tonoa koe kia mutu te kai mō ētahi haora i mua i te pokanga, ā, me inu noa i ngā wai pēnei i te wai me te hupa. Ka hoatu hoki he rongoā motuhake ki a koe hei horoi katoa i ō whekau.
He aha ngā mea ka tupu i te wā o te pokanga?
Mō ēnei pokanga katoa, ka whakamoea katoatia koe (whakamoea whānui), arā, kāore koe e rongo i tetahi mea, kei te moe koe.
1. Kotahi te tapahi nui ka mahia e te tākuta i te pokanga tuwhera, ētahi tapahi iti rānei i te pokanga laparoscopic hei toro atu ki te whekau nui.
2. Kātahi ka tangohia te wāhanga mate o te whekau me te diverticulitis .
3. Ka honoa anō ngā wāhanga hauora e rua o te whekau mā te whakamahi i ngā tīra, i ngā tuitui rānei.
4. Mena e tika ana, ka mahia he ostomy hei hono i tētahi wāhanga o te whekau ki te kiri.
5. Hei whakamutunga, ka katihia ngā tapahi i mahia ki te puku.
E toru ki te whā hāora te roa o tēnei pokanga, engari ka rerekē pea tēnei wā i runga i tō āhua me te momo pokanga e mahia ana.
He aha ngā mea ka tupu i muri i te pokanga? Ā, kia pēhea te roa o te wā e ora ai?
Me noho koe ki te hōhipera mō ētahi rā i muri i te pokanga. Ka whakawhirinaki tēnei ki te tere o tō whakaoranga. I roto i tēnei wā:
- Kai me te Inu: Mō ngā wiki tuatahi, me kai koe i ngā kai iti-muka, māmā, wai hoki pērā i te parāoa me te hupa. I muri i te marama, ka taea e koe te kai i ngā mea katoa e pai ana ki a koe.
- Te whakakori tinana me te hiki taumaha: Kaua e hiki taumaha mō ngā wiki 6-8 .
- Te Taraiwa: Ka taea e koe te taraiwa i tētahi waka ina mutu tō tango i ngā rongoā whakamamae.
- Te tiaki i te patunga: Mā te hunga nēhi koe e ako ki te tiaki i tō patunga. Mena he ostomy tōu, mā rātou anō koe e ako ki te whakamahi i te putea.
E hia pea ngā marama ka ora katoa ai. He mea tino nui kia manawanui.
He tūponotanga kei roto i tēnei pokanga?
Pērā i ngā pokanga katoa, he tūponotanga kei reira. Ka puta pea te turuturu o te anastomotic, te toto, te mate rānei o te patunga. Heoi, he tino onge ēnei. He tino angitu tēnei pokanga, ā, tata ki te 98% o ngā tūroro kāore e pāngia anō e te diverticulitis.
Āhea koe e kite anō ai i tō tākuta
Mena ka pāngia koe e tētahi o ēnei tohu i muri i te hokinga mai i te pokanga, me waea atu koe ki tō tākuta tonu atu :
- Te mamae nui o te puku , kāore e memeha ahakoa te tango rongoā, ā, kei te kino haere.
- Te kore e taea te tuku tūtae.
- Ngā tohu o te mate urutā, pērā i te pupuhi, te whero, te kirika, te ruaki rānei i te taha o te patunga.
Karere Tangohia ki te Kāinga
- He tino whai hua te pokanga diverticulitis mō ngā mate kino, e kore nei e taea te whakahaere mā te rongoā.
- E rua ngā momo pokanga matua: te pokanga tuwhera me te pokanga laparoscopic (he pokanga kī). Mā tō tākuta e whakatau ko tēhea te mea pai māu.
- I ētahi wā ka taea te hanga i tētahi whakatuwheratanga rangitahi (ostomy) hei tuku i te tūtae kia puta. He rangitahi noa iho tēnei, nō reira kaua e manukanuka.
- E hia ngā marama ka roa hei whakaora katoa i te pokanga. I tēnei wā, he mea tino nui kia whai i ngā tohutohu a te tākuta.
- Kōrerohia marietia ki tō tākuta mō ngā pātai, ngā wehi rānei kei a koe i mua i te pokanga.
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