Kua kōrerotia atu rānei e tō tākuta he tipu iti, he rerekē rānei tō kiko i roto i ō whekau, i tō puku, i tō korokoro rānei, he tīmatanga rānei nō te mate pukupuku? He mea noa te mataku me te ohorere ina rongo koe i tētahi mea pēnei. Kaua e manukanuka. He tino māmā, he tikanga hou hoki kei roto i te rongoā i ēnei rā, kāore e hiahiatia he pokanga nui pēnei i te tapahi i te puku pērā i ngā wā o mua. Koinei te āhua o tā tātou kōrero mō tētahi tikanga motuhake ka tere ai tō ora.
He aha te tango i te kiriuhi mucosal endoscopic?
Ahakoa te ahua uaua o te ingoa, he tino māmā noa iho te tikanga. He tikanga tēnei e tango ana i ngā kiko rerekē i roto i tō ara nakunaku, pērā i ngā puku iti, ngā polyp, ngā wāhanga tōmua rānei o te mate pukupuku, me te kore e tapahia tō puku.
Whakaarohia, kāore he motu, he koha rānei e toe ana i tō puku. Mā te tohunga puku tēnei e mahi. Ka whakamahia e ia he kāmera iti kei te pito o tētahi ngongo roa, ngāwari e kiia nei ko te endoscope. Mena kei roto i tō korokoro, i tō puku rānei te kiko rerekē, ka whakaurua te ngongo mā tō waha. Ki te kore, mena kei te wāhanga o raro o tō whekau, pērā i te whekau nui, ka whakaurua mā tō nono.
Ko te painga nui o tēnei tikanga ko te korenga o ngā tapahi i waho o te tinana, kāore koe e tino mamae, ā, ka poto ake tō wā whakaora i tērā o te pokanga noa.
He aha ngā momo āhuatanga e whakamahia ai tēnei tikanga?
Ko te nuinga o tēnei maimoatanga he tango i ngā pūtau matepukupuku , i ngā kiko rerekē rānei ka taea te whanake hei matepukupuku ā muri ake nei . He tino whai hua mō ngā pukupuku e whanake ana i roto i te mucosa, te arai angiangi o te ara nakunaku.
Anei ētahi o ngā whakamahinga tino noa o tēnei tikanga:
- Te korokoro o Barrett: I tēnei āhua, ka rerekē haere ngā pūtau i roto i te korokoro, ka piki ake te tūponotanga ki te whakawhanake i te mate pukupuku.
- Matepukupuku korokoro: He puku iti e kitea ana i te wā tōmua.
- Matepukupuku korokoro: Matepukupuku wāhanga tōmua.
- Matepukupuku whekau iti: Te matepukupuku e pā ana ki te duodenum.
- Matepukupuku puku: He pukupuku iti e puta ana i te mata o te puku.
Ngā mea hei mōhio māu i mua me muri i te maimoatanga
He mea tino nui hoki tō takoha i mua atu, i muri mai hoki i te maimoatanga pēnei.
Te whakarite i mua i te maimoatanga
Mā tō tākuta koe e tohutohu mārama mō te whakarite mō tēnei.
- I te wāhanga o runga o te ara kai (paipa kai, puku): Ka tonoa koe kia kaua rawa e kai, e inu rānei mō ētahi haora i mua i te maimoatanga (nohopuku).
- Mena kei te wāhanga o raro o te ara nakunaku (te whekau nui): Me whakarite pea koe i te whekau. Ko te tikanga o tēnei ko te inu i tētahi rongoā wai ka hoatu e tō tākuta ki a koe hei horoi katoa i tō whekau. Koinei te wā ka taea e te tākuta te kite mārama i roto mā te endoscope.
I te wā o te maimoatanga
Ka hoatu he rongoā whakamoe ki a koe kia kore ai koe e pāngia e te mamae, e te kore whakamarie rānei. Tērā pea ka whakamoea koe (whakamoea whānui) , ka whakamoea rānei koe kia kore ai koe e mahara ki tetahi mea i muri mai (whakamoenga mohio) . Ka whakauruhia e te tākuta te endoscope, ka tirohia te wāhi me te kāmera, ka whakamahia he taputapu iti rawa ka tukuna mā roto hei tango i te kiko rerekē. E 30 ki te 60 meneti noa iho te roa o te tukanga katoa.
I muri i te maimoatanga
I muri i te maimoatanga, ka puritia koe i roto i te rūma whakaora kia memeha ra ano ngā pānga o te rongoā whakamoe. Ko te mea nui, me whai tangata koe hei kawe i a koe ki te kāinga. Nā te mea ka roa pea te 24 hāora kia memeha rawa ngā pānga o te rongoā whakamoe, kāore koe e whakaaetia kia taraiwa, kia hoki rānei ki te kāinga ko koe anake.
He aha ngā painga me ngā pānga taha pea?
Pērā i ngā maimoatanga hauora katoa, he painga, he mōrearea anō hoki ka puta i ētahi wā onge. Me titiro tātou ki ngā mea e rua.
| Ngā painga matua | Ngā pānga taha me ngā mōrearea pea |
|---|---|
| He tere rawa te ora (ka taea e koe te hoki ki te mahi i roto i te kotahi rā pea) | Te mamae rangitahi pērā i te pupuhi, te kikī, me ētahi atu |
| He iti iho te mamae i te pokanga noa. | Te hau, te whakapairuaki, te mamae o te korokoro (mēnā ka whakaurua te endoscope mā te waha). |
| Kāore he koha pokanga e toe ana i waho o te tinana. | Onge: Te toto e puta mai ana i te wāhi i rongoatia ai. |
| He iti ake te mōrearea o ngā raruraru i tērā i te pokanga tuwhera. | Tino onge: Te pakaru o te puku. |
| Ka taea te tango i ngā pūtau matepukupuku i mua i te horapa (metastasize) ki ētahi atu wāhanga o te tinana. | Tino onge: Ngā uauatanga o te korokoro. |
Āhea koe me toro atu ki te tākuta kia tere tonu ai?
He mea tino nui te tiaki i tō tinana i muri i tō hokinga ki te kāinga i muri i te maimoatanga. Mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei, kaua e whakaroa, waea atu ki tō tākuta tonu , haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
- Mena he toto kei roto i tō tūtae (pango, whero pouri rānei)
- Mena he mamae nui tō uma
- Ki te pōuri koe, ki te ngoikore rānei
- Mena he kirika, he makariri rānei tōu
- Mena he uaua ki te manawa (dyspnea)
He mea maori te mataku ina rongo koe i te kupu 'matepukupuku'. Engari nā ngā tikanga hauora hou pēnei i te Endoscopic Mucosal Resection, ka taea e koe te tango i ngā pukupuku iti me ngā tipu o mua i te matepukupuku me te kore e mamae i te pokanga nui. Ehara tēnei i te pokanga nui. Nō reira, ka taea e koe te ora wawe, te hoki ki tō oranga noa me te kore mamae, me te hoki wawe ki tō oranga noa. Mēnā he rite tō āhua, kōrero ki tō tākuta mō tēnei kōwhiringa maimoatanga.
Karere Tangohia ki te Kāinga
- He tikanga tino māmā, he tikanga haumaru hoki te Tango Huka Endoscopic mō te tango i ngā kiko rerekē mai i te ara nakunaku, me te kore e tapahia ki waho o te tinana.
- Ko te nuinga o tēnei ka whakamahia hei tango i ngā puku iti me ngā pūtau ka huri hei matepukupuku i ngā wāhanga tōmua o te matepukupuku.
- Ki te whakaritea ki te pokanga noa, he iti ake te mamae, he tere ake te ora, ā, kāore he koha i te tinana.
- He mea tino nui kia whai i ngā tohutohu a te tākuta (hei tauira, te nohopuku, te horoi i te puku) i mua tonu i te maimoatanga.
- Ki te pāngia koe e ngā tohu kino pēnei i te mamae o te uma, te toto i roto i tō tūtae, te kirika rānei i muri i te maimoatanga, rapua tonutia he tohutohu hauora.
- Kōrero ki tō tākuta puku mēnā he tika tēnei tikanga maimoatanga māu.
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