Ina haere koe ki te tākuta ki te tango i tētahi mole iti, i tētahi pukupuku rānei i tō kiri, tera pea kua kite koe i a ia e 'waru' ana ki tētahi taputapu iti. I taua wā, tera pea ka hongi koe i tētahi paoa iti me tētahi haunga mura. He tokomaha te hunga e whakaaro ana he maimoatanga laser tēnei. Engari he maimoatanga motuhake tēnei e whakamahi ana i te hiko. Ka karangatia tēnei e mātou he pokanga hiko. Ahakoa he ahua whakamataku te ingoa, he hangarau hauora tino haumaru, he matatau hoki tēnei. I tēnei rā, ka kōrerohia e mātou he mea ngāwari noa iho.
He aha te mahi hiko hei whakarāpopototanga?
Ko te pokanga hiko he whakamahinga noa iho o ngā iahiko hiko e whakahaeretia ana hei mahi pokanga. E toru ngā mea matua ka taea e ia te whakatutuki:
1. Te tapahi: Ka whakamahia tēnei tikanga hei tapahi i te kiko, pērā i te maripi pokanga.
2. Te whakangaro kiko: Hei whakangaro i tētahi tipu kāore e hiahiatia ana i runga i te kiri, pērā i te ira.
3. Te whakamutu i te toto: Ka whakamahia tēnei hei whakamutu tonu i te toto mā te 'hiri' i te uaua toto e toto ana i te motu.
He mīhini motuhake kei reira, ko te Electrosurgical Unit (ESU) te ingoa, mō tēnei kaupapa. Ka honoa te hiko o tēnei mīhini ki tētahi taputapu iti e kiia nei ko te electrode, e whakamahia ana e te tākuta. Ina whakatakotoria tēnei electrode ki te taha o tō wāhi maimoatanga (hei tauira, tō kēkē), ka whakangaromia, ka tapahia rānei te kiko e pā ana ki te wera nui e puta mai ana i te hiko.
Whakaarohia, ko te kino e puta mai ana i tēnei he whakaora i te kino. Arā, ka tangohia ngā mea kāore e hiahiatia, ka mutu te toto, ā, ka āwhina i te tinana kia ora.
He aha ngā momo tikanga rerekē o tēnei maimoatanga?
Kāore tēnei tikanga hiko e mahia ana i te kotahi ara anake. He maha ngā tikanga e whakamahia ana i runga i te hiahia. Me titiro tātou ki ēnei kia māmā ake ai te mārama.
| Ingoa tikanga | He pēhea te hanga, ā, he aha te whakamahinga? |
|---|---|
| Te Whakapūmautanga Hiko | I konei, me whakanoho tika te hiko ki te kiri.Kāo. Ka hangaia he mura hiko mā te whakanoho i a ia ki runga ake i te kiri i ētahi mirimita. Ko te paparanga o runga o te kiri anake ka rerekē. |
| Te whakakore hiko | I konei, ka whakatakotoria te hiko ki runga i te wāhi e rongoatia ana. Ka haere te hiko mā roto i te kiko ka 'whakamaroke' i taua mea. He maha ngā wā ka whakamahia tēnei tikanga hei tango i ngā kiriuhi. |
| Te whakapūngao hiko | Ka pā kino pea tēnei ki ngā kiko hohonu. Ko tana mahi matua mā te whakatairanga i te toto totoka me te aukati i te toto. |
| Te wehenga hiko | Mā tēnei ka taea te tapahi kiko tino tika. He māmā noa iho, pērā i te tapahi i tētahi pata ki tētahi maripi wera, ā, he iti noa iho te toto. |
He rerekē te whakamahi hiko?
Ae, he iti noa te rerekētanga. He tokomaha e whakapoauau ana i ngā mea e rua. I roto i ngā tikanga o runga ake nei, ka haere te hiko mā roto i ngā kiko o te tinana. Engari i roto i te electrocautery, ka whakamahia te hiko hei whakamahana i te pito o te irahiko anake. Kātahi ka whakamahia te pito wera ki te kiko hei whakangaro i te kiko. I konei, kāore te hiko e haere mā roto i te tinana.
He aha ngā āhuatanga e whakamahia ai te pokanga hiko?
E whakamahia ana tēnei hangarau i roto i te maha o ngā mara o te rongoā.
- Mō ngā mate kiri: Ko tēnei te mea e whakamahia whānuitia ana e ngā tākuta kiri. He tino whai hua ki te tango i ngā tupu kiri pai, ngā kōroke, me ngā tohu kiri.
- Mō te mate pukupuku kiri: Ka whakamahia hoki tēnei tikanga hei rongoā i ētahi momo mate pukupuku kiri, pērā i te mate pukupuku pūtau basal me te mate pukupuku pūtau squamous. Ko te tikanga o tēnei ko te waru i te paparanga mate pukupuku ki tētahi taputapu koi (curettage), kātahi ka whakamahia he hiko hei whakangaro i ngā pūtau mate pukupuku e toe ana.
- Ētahi atu pokanga: Ka whakamahia tēnei tikanga i roto i ngā pokanga pēnei i te endoscopy (te whakamahi i te kāmera hei tirotiro i roto i te tinana) hei tango i ngā pukupuku iti me ngā polyp i roto i te tinana, hei whakamutu hoki i te toto.
He aha te mea e tupu ana i te wā e rongoatia ana?
Tuatahi, ka hoatu he rongoā whakamoe ki a koe hei whakangāwari i te wāhi kia kore ai koe e mamae. Ko te mea ka tupu i muri mai ka whakawhirinaki ki te tikanga e whakamahia ana. E rua ngā tikanga matua.
Tikanga Monopolar
Koinei te tikanga e whakamahia whānuitia ana. Ko te tikanga o "Mono" he "kotahi". Ko te tikanga o tēnei he kotahi anake te pito hiko e pā ana ki tō tinana.
- Ka tae te hiko mai i te mīhini ESU ki te irahiko hohe.
- Ina pāngia tēnei hiko ki te wāhi e rongoatia ana, ka haere te hiko mā roto i ngā kiko o tō tinana.
- Kātahi ka haere te hiko ki tētahi irahiko kore mahi (irahiko marara) e piri ana ki tētahi atu wāhanga o te tinana. He rite tēnei ki tētahi "pereti oneone". He papa pea tēnei ka piri ki tō huha.
- Hei whakamutunga, ka hoki te hiko mai i taua irahiko kore mahi ki te mīhini ESU, hei whakaoti i te ara iahiko.
Tikanga rua-ira
Ko te tikanga o "Bi" he "rua". I konei, e rua ngā pito hiko e whakamahia ana ki tō tinana. Whakaarohia he rite ki te taputapu he rite ki te kuku. Ka tomo te hiko mai i tetahi taha ka puta mai i tetahi taha.
- Ka tae te hiko mai i te mīhini ESU ki te irahiko mahi.
- Ka haere te hiko mā roto i te kiko ka tae ki te irahiko kei tērā taha o taua kōhao anō.
- Kāore te hiko e haere tawhiti mā roto i te tinana, ka haere noa i waenga i ngā pito e rua o te ngira, kātahi ka hoki ki te mīhini ESU. Ka whakamahia tēnei mō ngā pokanga tino tairongo.
He aha ngā painga o tēnei tikanga maimoatanga?
He maha ngā painga o tēnei tikanga i tō te tapahi ki te maripi pokanga noa.
- He iti noa te kino ki ngā kiko e karapoti ana, ā, ko te wāhi anake i tohua ka taea te rongoā.
- He tino onge te kitea o ngā koha.
- Ka taea te whakangaro tere (te tango) i te kiko.
- Ka taea te whakamutu tonu i te toto. Koinei tētahi o ngā painga nui.
Ina whakamahia tēnei tikanga mō te mate pukupuku kiri, he nui te auau whakaora o te 90% - 95%.
He tūponotanga kei roto i tēnei?
He tino haumaru te pokanga hiko ina mahia e te tākuta mātau. Heoi, pērā i ngā tikanga hauora katoa, he iti noa ngā mōrearea. Me titiro tātou ki ngā mahi a ngā tākuta hei ārai i ēnei.
| Mōrearea | He aha ngā mahi a ngā tākuta hei ārai i tēnei? |
|---|---|
| Ngā wera | Ki te nui rawa te kaha o te iahiko, ka pāngia pea koe e ngā wera. Ka āraihia tēnei e ngā tākuta mā te tīmata me te kaha iti rawa e tika ana, me te whakamahi i ngā tautuhinga tika. |
| Ru hiko | Ka puta tēnei mōrearea mēnā kāore te hiko i te whenua tika. Ka tino tupato te tīma hauora ki tēnei, ā, ka whakarite kia tika te tāutanga o ngā taputapu. |
| Ngā mate urutā | Ka taea te horapa o ngā iroriki mā te whakamahi i ngā taputapu kāore i horoia. Waihoki, ka taea e te paoa i puta i te wā o te maimoatanga te hora i ngā iroriki. Nā reira, ka whakamahia tonutia e ngā tākuta ngā taputapu kua horoia, ā, ka mahia ēnei maimoatanga i roto i ngā rūma he hauhautanga paowa. |
| Te rerekētanga o te kiri (Hypopigmentation) | I muri i ētahi maimoatanga hōhonu, tera pea ka paku mārama ake te kiri o taua wāhi i te kiri e karapoti ana. Mena he mōrearea, ka whakamōhio atu tō tākuta ki a koe i mua i te maimoatanga. |
| Ngā pānga ki ngā taputapu kua whakatōkia ki roto i te tinana | Tērā pea ka pāngia te hunga whai taputapu kua whakatōkia pērā i ngā taputapu whakatere me ngā taputapu whakangāwari manawa e tēnei hiko. Mēnā he taputapu pēnei tāu, me kōrero koe ki tō tākuta . Kātahi ka tangohia e ia ngā mahi ārai haumaru e tika ana. |
Kia pēhea te roa o te wā e ora ai? Āhea ahau me toro atu ki te tākuta?
Ko te roa o te wā whakaora e whakawhirinaki ana ki te hohonutanga o te maimoatanga.
- Ki te tangohia he puku iti, he mea rānei pērā i te pūngāwerewere i te kiri, ka roa pea te wiki e ora ai te patunga.Ka taea e koe te haere.
- Mena he patunga hohonu ake, ka roa pea e rua ki te whā wiki , neke atu rānei.
Mā te tākuta koe e whakamārama te roa o te wā whakaora i runga i tō āhua.
Āhea te wā hei waea atu ki tō tākuta:
Mena, i muri i te maimoatanga kiri, kua pēhia e koe te patunga mō te 20 meneti, ā, kāore te toto e mutu , me waea atu koe ki tō tākuta. Waihoki, ki te whakaatu te patunga i ngā tohu o te mate (pēnei i te whero, te pupuhi, te pupuhi) ā, kāore e ora ana pērā i te mea e tumanakohia ana, rapua tonutia he tohutohu hauora.
He rite tonu tēnei ki te pokanga laser?
Kāo. He rerekē rawa atu ēnei hangarau e rua.
- Ka whakamahia e te pokanga hiko te pūngao hiko .
- Ka whakamahia e te pokanga laser te pūngao mārama .
Ahakoa ka taea e ēnei tikanga e rua te tapahi, te whakangaro i te kiko, me te aukati i te toto, he rerekē ngā mātāpono o tā rāua mahi.
Hei whakamutunga, he huarahi haumaru, he huarahi whai hua hoki te pokanga hiko hei rongoā i ngā momo mate maha mā te whakamahi i te mana whakaora o te wera. Tērā pea ka kite koe i tēnei i a koe e tangohia ana tō pukupuku. Tērā pea kāore koe i te mōhio i whakamahia tēnei tikanga nā te mea kei raro koe i te mate moepuku i te wā o tētahi mahi nui, pērā i te endoscopy. Heoi, kia mahara kei te mahi kaha ngā tākuta kia noho haumaru koe i te wā o tēnei maimoatanga.
Karere Tangohia ki te Kāinga
- He maimoatanga hiko te pokanga hiko e whakamahi ana i te hiko whakahaeretia. Ehara tēnei i te maimoatanga taiaho.
- He whānuitanga ngā mea e whakamahia ana, mai i te tango i tētahi tohu kiri iti ki te whakamutu i te toto i te wā o ngā pokanga nui.
- He tikanga maimoatanga tino haumaru tēnei ina whakahaerehia e te tākuta whai whakangungu, whai wheako hoki.
- Mena kua whakauruhia he taputapu ki roto i tō tinana, pērā i te taputapu whakatere, kia mōhio koe ki te kōrero ki tō tākuta i mua i te maimoatanga.
- Mena ka pāngia koe e te toto nui, ngā tohu o te mate, te roa rānei o te whakaora i muri i te maimoatanga, me whakamōhio tonu atu ki tō tākuta.
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