Kua rongo koe i tētahi e kī ana, "Nā te ia i mutu te toto " i te wā o te pokanga? Kua kite rānei koe i tētahi tākuta e whakamahi ana i tētahi taputapu iti ki te wāhi hei tango i tētahi mea pērā i te mole, i te pukupuku rānei? Ko tēnei tikanga maimoatanga, he ahua whakamataku ina rongo koe i te ingoa, e kiia ana ko te 'Electrosurgery' i roto i te pūtaiao hauora. Ahakoa he mea nui te ahua o tēnei ingoa, he tikanga tino whānui, he haumaru hoki te whakamahinga i roto i ngā pokanga puta noa i te ao. Nō reira, me kōrero tātou mō tēnei mea i tēnei rā.

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 ngā kiko o te tinana, hei whakangaro i ngā kiko kāore e hiahiatia, hei whakamutu rānei i te toto (te toto toto). I roto i tēnei, ka tukuna te hiko e whakaputaina ana e te mīhini e kiia nei ko te "Electrosurgical Unit (ESU)" ki tētahi taputapu iti rite ki te pene (electrode) e whakamahia ana e te tākuta. Ina tukuna te hiko mai i tēnei taputapu ki te wāhi e rongoatia ana, ka puta te wera i te wā e haere ana te hiko mā roto i te kiko.

Ka pakaru ngā kiko kāore e hiahiatia ana i te wera e puta mai ana i tēnei ara. Engari ko tēnei kino te mea e āwhina ana i a tātou. Mā te whakamahi i tēnei tikanga, ka taea e tātou te tango i ngā tipu me ngā kōroke kāore e hiahiatia ana i runga i te kiri. Ka whakamahia hoki hei kati i ngā oko toto iti e tapahia ana i te wā o te pokanga, hei whakamutu hoki i te toto. I ētahi wā ka whakamahia hei maimoatanga motuhake, ā, i ētahi wā ka whakamahia ngātahi me ētahi atu maimoatanga.

He aha ngā momo matua o te pokanga hiko?

He maha ngā momo o tēnei tikanga kua hangaia hei whakatutuki i ngā hiahia rerekē. Kia kite tātou he aha ēnei.

He rerekē te electrocautery?

Ae, he tikanga rerekē te ' hiko whakawerawera' . I roto i te pokanga hiko, ka tika te hiko mā roto i te kiko o te tinana. Engari i roto i te hiko whakawerawera , ka tika te hiko mā te pito o te taputapu anake. Nō reira ka wera te pito o te taputapu. Kātahi, ina pā te pito wera ki te kiko, ka whakangaromia te kiko e te wera tika, ka mutu rānei te toto. I roto i tētahi kōrero, ka tika te hiko mā roto i te kiko, i tētahi atu kōrero, ka whakamahia he taputapu wera.

He aha ngā momo āhuatanga e whakamahia ai tēnei tikanga?

He mea e whakamahia ana te pokanga hiko i roto i ngā momo mara hauora.

• Te Tākuta Kiri: He maha ngā wā ka whakamahia tēnei tikanga e ngā tākuta kiri. He tino whai hua ki te tango i ngā whara pai pērā i ngā kōroke me ngā tohu kiri . Ka whakamahia hoki hei rongoā i ētahi momo mate pukupuku kiri . Hei tauira, i roto i te tikanga ED&C (Electrodessication & Curettage), ka waruhia tuatahitia e te tākuta te puku mate pukupuku, kātahi ka whakamahia te pokanga hiko hei whakangaro i ngā pūtau mate pukupuku e toe ana.
• Ētahi atu pokanga: He mea nui tēnei i roto i ētahi atu pokanga, inā koa ko ērā e whakamahi ana i te endoscopy (ngā whakamātautau e whakamahi ana i te kāmera hei tirotiro i roto i te tinana), hei tango i ngā kiko kāore e hiahiatia (hei tauira, ngā pukupuku iti) hei whakahaere rānei i te toto .

He aha ngā mea ka tupu i te wā e rongoatia ana?

Tuatahi, ka hoatu he rongoā whakangāwari hei whakangāwari i te wāhi e rongoatia ana, ki te kore ka whakamoea rawatia koe. Ko te mea ka tupu i muri mai ka whakawhirinaki ki te mea kei te pāngia koe e te 'monopolar' me te 'bipolar' rānei.

Pokanga Hiko Monopolar

Koinei te tikanga e whakamahia whānuitia ana. Ko te tikanga o "Mono" he "kotahi". I konei, kotahi anake te pito hiko e pā ana ki tō tinana.

1. Ka tae te hiko mai i te mīhini ESU ki te hikohiko hohe (te taputapu rite ki te pene i roto i te ringa o te tākuta).

2. Ka haere tēnei hiko mā roto i ngā kiko o tō tinana, ka whakamahana i taua wāhi.

3. Kātahi ka haere te hiko mā roto i te tinana, ka haere ki te "papa whenua" (hiko hiko marara) e piri ana ki tō huha, ki tētahi atu wāhi rānei.

4. Hei whakamutunga, ka hoki te hiko mai i taua papa whenua ki te mīhini ESU, ka whakaoti i te ara iahiko.

Pokanga Hiko Bipolar

Ko te tikanga o "Bi" he "rua". I roto i tēnei, e rua ngā pito hiko e pāngia ana ki tō tinana. Whakaarohia kei te pupuri te tākuta i te kiko e rongoatia ana ki tētahi taputapu rite ki te forceps.

1. Ka uru te hiko ki roto i te kiko mai i tetahi taha o te irahiko (irahiko hohe).

2. He poto noa te tawhiti e haere ai taua hiko mā roto i te kiko, kātahi ka haere ki tērā taha o te irahiko (irahiko whakahoki).

3. Mai i reira, ka hoki te hiko ki te mīhini ESU, ka whakaoti i te ara iahiko.

He aha ngā painga o tēnei tikanga?

He tikanga te pokanga hiko, he maha ngā painga i tō te tapahi noa ki te maripi.

• Maimoatanga arotahi: He iti noa te kino ki ngā kiko hauora e karapoti ana.
• Te whakaiti i te koha: Ka whakaitihia te nui o te koha i puta mai i te tango kiko.
• Tere: Ka taea te whakakore i ngā kiko (ablation) i roto i te wā poto.
• Te whakamutu i te toto : Ka taea te whakamutu tere i te toto, ka whakaiti i te wā e pau ana i te pokanga.

He pānga taha, he mōrearea rānei kei reira?

He tikanga tino haumaru tēnei ina mahia e te tākuta mātau. Heoi, pērā i ngā tikanga hauora katoa, kei reira ētahi mōrearea. Heoi, ka mahi ngā tākuta i ngā mahi katoa hei whakaiti i ēnei mōrearea.

• Ngā wera: Ki te mea he nui rawa te kaha o te iahiko, tera pea ka puta he wera. Hei ārai i tēnei, ka tīmata tonu ngā tākuta me te kaha iti rawa .
• Ru hiko: Ki te kore e hono tika te papa whenua, tera pea ka pāngia koe e te ru hiko. Heoi, he iti rawa te tūponotanga o tēnei mea, nā te mea ka tirohia pai ngā mea katoa i mua i te maimoatanga.
• Ngā Mate Pukupuku: Ka pā mai ngā mate pukupuku mēnā kāore i te tika te whakahoromata i ngā taputapu e whakamahia ana. Waihoki, ka horapa ngā iroriki mā te paoa e puta mai ana i te tahunga o te kiko. Nā konei, ka whakamahia e ngā tākuta ngā taputapu kua whakahoromatatia anake, ā, ka mahia ēnei maimoatanga i roto i ngā rūma he pūnaha whakapūhautanga paoa.
• Te toto:I ētahi wā, ka nui ake te toto i tō te mea i whakaarohia nā te kino o te kiko, engari ka taea e te tākuta te whakahaere mā te whakarerekē i ngā tautuhinga o te mīhini ESU.
• Te rerekētanga o te tae o te kiri: Whai muri i ētahi momo pokanga hiko, ka mā ake pea te kiri i te wāhi e rongoatia ana (te kore-pango). Mā tō tākuta koe e whakamārama i mua mēnā he mōrearea tēnei mai i te maimoatanga.
• Ngā raruraru o ngā taputapu kua whakatōkia: E ai ki te kōrero i mua ake nei, ka taea e te tikanga Monopolar te whakararuraru i te mahi a ngā taputapu hiko pēnei i ngā pacemaker me ngā defibrillator. Mena kei a koe tētahi taputapu pēnei, me whakamōhio atu koe ki tō tākuta i mua i te pokanga. Kātahi ka whiriwhiria e rātou te tikanga haumaru mōu.

Kia pēhea te roa e ora ai?

Ka whakawhirinaki tēnei ki te āhua o te maimoatanga.

• Ki te tangohia tētahi mea pēnei i te ira, i te puku rānei i te paparanga o runga o te kiri, ka roa pea te wiki e ora ai te patunga.
• Mena he patunga hohonu ake, ka roa pea mō te 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 koe me toro atu ki te tākuta?

I muri i te maimoatanga, ki te mea kei te toto tō patunga , ā, kāore anō kia mutu i muri i te 20 meneti o te pēhanga tonu, waea atu ki tō tākuta tonu. Ki te nui te toto, haere ki te Tari Ohotata (ETU) o te hōhipera tata.

Waihoki, ki te mea kei te pupuhi te patunga, he nui te mamae, ki te mea rānei kāore e ora ana pērā i te mea e tumanakohia ana, kaua e whakaroa ki te kōrero ki tō tākuta.