Kua rongo koe i tētahi taote pokanga e kī ana "i mutu te toto mā te hiko" i te wā o tō pokanga? Kua kite rānei koe i tētahi taote e whakamahi ana i tētahi taputapu motuhake hei tango hiko i tētahi tohu kiri, i tētahi tipu rānei? Ahakoa te āhua whakamataku o te ingoa, e mōhiotia ana tēnei tikanga hauora ko te Electrosurgery. Ahakoa te āhua o tōna tangi, he hangarau tino noa, he haumaru, he whai hua hoki e whakamahia ana i roto i ngā pokanga puta noa i te ao. I Nirogi Lanka, e hiahia ana mātou ki te āwhina i a koe kia mārama ki te tikanga o tēnei, i roto i ngā kupu māmā noa iho.
He aha te tikanga o te Pokanga Hiko?
Ko te pokanga hiko he tikanga pokanga e whakamahi ana i te iahiko auau teitei hei tapahi i te kiko, hei whakangaro i te kiko kāore e hiahiatia, hei whakamutu rānei i te toto (te toto toto). I te wā o te tikanga, ka whakaputahia he hiko e te Wāhanga Pokanga Hiko (ESU), ka tukuna atu ki tētahi taputapu rite ki te pene e kiia nei ko te hikohiko e puritia ana e tō tākuta. Ina pā tēnei taputapu ki te wāhi ūnga, ka whakaputahia he wera e te iahiko e haere ana i roto i te kiko.
Whakaarohia he rite ki te kohua hiko e whakamahana ana i te wai, engari, he iti noa iho te wāhi o te kiko o tō tinana e aro ana, e whakamahana ana hoki.
Mā tēnei wera ka taea e te taote pokanga te rongoā pai i te wāhi. He mea noa te whakamahi hei tango i ngā tohu kiri, ngā kōroke, me ētahi atu tupu iti. He mea nui anō hoki i te wā pokanga kia hiritia ngā oko toto iti hei ārai i te toto. I ētahi wā koinei te rongoā matua, ā, i ētahi wā ka whakamahia tahi me ētahi atu tikanga pokanga.
He aha ngā momo matua o te Pokanga Hiko?
He maha ngā momo pokanga hiko motuhake kua hangaia mō ngā hiahia haumanu rerekē:
| Momo | Te āhua o tana mahi |
|---|---|
| Te Whakapūmautanga Hiko | Kāore te hiko e pā tika ki te kiri. Ka puritia kia torutoru mirimita te tawhiti, ā, ka whakamahia he mura hiko hei rongoā i te paparanga o te kiri. |
| Te whakakore hiko | Ka pā tika te pito o te hiko ki te wāhi e hiahiatia ana. Ka maroke te iahiko, ka whakangaro i te kiko, e whakamahia whānuitia ana mō te tango i ngā tohu kiri, i ngā kōroke rānei. |
| Te whakapūngao hiko | Ka pā tēnei ki ngā paparanga kiko hohonu ake, ā, ko te nuinga o te wā ka whakamahia hei whakatairanga i te toto totoka me te aukati i te toto. |
| Te wehenga hiko | He rite te mahi ki te maripi hiko, ā, e whakamahia ana tēnei hei tapahi me te wehewehe i te kiko kia ma, kia tika hoki. He maha ngā wā ka whakaritea ki te "tapahi pata ki te maripi wera." |
He rerekē te Electrocautery?
Ae, he rerekē te hikohiko . I roto i te pokanga hiko, ka pā te iahiko mā roto i te kiko o tō tinana. I roto i te hikohiko , ka whakamahana noa te iahiko i te pito whakarewa o te taputapu, kātahi ka pā te pito kua whakamahanahia ki te kiko hei whakangaro, hei whakamutu rānei i te toto. He māmā noa iho: i tētahi, ka pā te iahiko mā roto i a koe; i tētahi atu, ka whakamahia he taputapu wera.
He aha ngā āhuatanga e whakamahia ai tēnei?
E whakamahia ana te mahi hiko i roto i ngā momo mahi hauora maha:
- Te Tākuta Kiri: He maha ngā wā ka whakamahia tēnei e ngā tākuta kiri hei tango i ngā tipu kino pērā i ngā kirikawa me ngā tohu kiri . Ka whakamahia hoki hei rongoā i ētahi mate pukupuku kiri . Hei tauira, i roto i te `ED&C (Electrodessication & Curettage)`, ka waruhia e tō tākuta te pukupuku, kātahi ka whakamahi i te pokanga hiko hei whakangaro i ngā pūtau mate pukupuku e toe ana.
- Pokanga Whānui: He mea nui tēnei i roto i ngā tikanga pēnei i te 'Endoscopy', e whakamahia ana hei tango i ngā tipu o roto, hei whakahaere rānei i te toto i roto i te tinana.
He aha ngā mea ka tupu i te wā o te tikanga?
Tuatahi, ka tukuna he rongoā whakamoe ā-rohe ki a koe hei whakangāwari i te wāhi kia kore ai koe e mamae, ka tukuna rānei he rongoā whakamoe whānui ki a koe i runga i te uauatanga. Ko te mea ka tupu i muri mai ka whakawhirinaki ki te whakamahinga o te tikanga 'Monopolar', 'Bipolar' rānei.
Pokanga Hiko Monopolar
Koinei te tikanga tino noa. Ko te tikanga o "Mono" he "kotahi". I tēnei tikanga, kotahi noa te pito hiko e pā ana ki tō tinana hei tuku i te iahiko, ā, mā te papa whenua i tētahi atu wāhi o tō tinana ka whakaoti i te ara iahiko.
1. Ka tukuna e te mīhini ESU te pūngao hiko ki tētahi irahiko hohe (te taputapu rite ki te pene e puritia ana e tō tākuta).
2. Ka haere tēnei hiko mā roto i ngā kiko o tō tinana, ka whakamahana i te wāhi e pāngia ana.
3. Kātahi ka haere te iahiko mā roto i tō tinana ki tētahi "papa whenua" (hiko hiko marara) kua whakatakotoria ki tō huha, ki tētahi atu wāhi rānei e tika ana.
4. Hei whakamutunga, ka haere te hiko mai i te papa whenua ki te mīhini ESU hei whakaoti i te ara iahiko.
Pokanga Hiko Bipolar
Ko te tikanga o "Bi" he "rua". I tēnei tikanga, ka pā ngā pito o te hikohiko ki tō tinana. Whakaarohia tō tākuta e pupuri ana i te kiko ūnga me tētahi taputapu e rite ana ki te takirua o ngā kuku.
1. Ka uru te hiko ki roto i te kiko mā te taha kotahi o te kuku (te irahiko hohe).
2. He poto noa te tawhiti e haere ai te iahiko mā roto i te kiko ki tērā taha o te kuku (te hiko whakahoki).
3. Mai i reira, ka hoki te hiko ki te mīhini ESU, ka whakaoti i te ara iahiko.
I roto i te pokanga Monopolar, ka roa ake te hiko e haere ana i roto i tō tinana, engari i roto i te pokanga Bipolar, ka haere noa mā roto i te wahi kiko iti i waenganui i ngā pito e rua o te forceps. Nā tēnei ka haumaru ake te tikanga Bipolar mō ngā tūroro me ngā taputapu hauora kua whakatōngia pērā i te ' Pacemaker ' me te 'Defibrillator' rānei.
He aha ngā painga o tēnei tikanga?
He maha ngā painga o te pokanga hiko i runga i te pokanga maripi tuku iho:
- Te tika: He iti noa te kino ki ngā kiko hauora e karapoti ana.
- Te Whakaiti i te Mahanga: He iti ake te mahanga ina tangohia te kiko.
- Whai huatanga: Ka taea te tango wawe i te kiko.
- Hemostasis (Whakahaere Toto) : Mā tēnei ka taea e tō tākuta te whakamutu tonu i te toto, ka whakaiti nui i te wā pokanga.
He pānga taha, he mōrearea rānei kei reira?
He tino haumaru te pokanga hiko ina mahia e te tohunga hauora mātau. Ahakoa, pērā i ngā tikanga katoa, he tūponotanga kei roto, ka mahia e tō rōpū hauora ngā mahi katoa hei whakaiti i aua tūponotanga.
- Ngā weranga: Ki te nui rawa te mana, ka pā mai pea ngā weranga kiri. Hei ārai i tēnei, ka tīmata tonu tō tākuta i te tautuhinga mana iti rawa e hiahiatia ana mō te mahi.
- Ru Hiko: Ka puta pea tēnei mena kāore i te tika te whakamahi i te papa whenua. Heoi, he tino onge tēnei nā te mea ka tirohia anō e tō rōpū ngā hononga katoa i mua i te tīmatanga o te tikanga.
- Ngā Mate Pukupuku: Hei karo i ngā mate, ka whakamahia e tō rōpū ngā taputapu kua horoia. Ka whakamahia hoki e mātou ngā pūnaha whakakore paowa hei whakarite kia tangohia haumaru te paru i hangaia i te wā e tahuna ana te kiko.
- Te toto: I ētahi wā, i runga i te kiko, ka nui ake pea te toto i te mea e tumanakohia ana. Ka taea e tō tākuta te whakahaere i tēnei mā te whakarerekē i ngā tautuhinga ESU.
- Ngā Huringa o te Tae Kiri: Ka arahi pea ētahi momo pokanga hiko ki te `Hypopigmentation` (te māramatanga o te kiri i te wāhi). Ka matapakihia e tō tākuta mēnā he mōrearea tēnei mō tō maimoatanga.
- Te Whakararuraru ki ngā Tārai:E ai ki te kōrero, ka taea e te pokanga hiko Monopolar te whakararuraru i ngā taputapu ngākau pērā i ngā 'Pacemakers' me ngā 'Defibrillators'. He mea nui kia whakamōhio atu koe ki tō tākuta mō ngā whakaurunga i mua i te pokanga kia taea ai e rātou te whiriwhiri i te tikanga haumaru mōu.
Kia pēhea te roa o te whakaoranga?
Ko te roa o te whakaoranga e whakawhirinaki ana ki te āhua o tō tukanga.
- Mō ngā tikanga iti nei, pērā i te tango i te tohu kiri, i te whara iti rānei, ko te tikanga ka roa te whakaora i te kotahi wiki .
- Ko ngā tikanga hōhonu ake e rua, e whā wiki rānei te roa, kia ora katoa ai.
Ka whakaritea e tō tākuta he wā whakaora motuhake e hāngai ana ki tō maimoatanga.
Āhea ahau me whakapā atu ki taku tākuta?
I muri i tō tikanga, ki te pāngia koe e te toto e kore e mutu i muri i te pēhi tonu mō te 20 meneti tonu, whakapā atu ki tō tākuta tonu. Ki te nui te toto, ki te kore rānei e taea te whakahaere, haere ki te Tari Ohotata (ED) tata.
Hei tāpiri, kaua e mangere ki te whakapā atu ki tō tākuta mēnā ka kite koe i ngā tohu o te mate (pēnei i te pupuhi, te whero rānei), te mamae nui, te kore rānei te patunga e ora pērā i te mea e tumanakohia ana.
Ngā Whakaaro Matua
- He tikanga pokanga tino whakahaeretia, he haumaru, he whānuitia hoki te whakamahinga o te pokanga hiko—he tika ake i te kupu "tahu ki te hiko".
- He whai hua te whakamahinga hei tango i ngā tohu me ngā whara kiri, hei rongoā i ētahi mate pukupuku kiri, hei whakahaere tonu i te toto i te wā e pokanga ana.
- He iti noa ngā mōrearea ina mahia e te tohunga, ā, he tino pakari ngā tikanga hei ārai i ngā raruraru pēnei i te weranga me te mate.
- Mena he taputapu tāpiri hauora tāu pēnei i te Pacemaker, me whakamōhio koe ki tō tākuta i mua i te tikanga.
- Mena ka pāngia koe e ētahi tohu whakararuraru i te wā e ora ana, pērā i te toto nui, i ngā tohu rānei o te mate, me toro atu ki tō tākuta tonu.
