Me hiahia koe ki tētahi tapahi nui hei tango i ngā pukupuku i roto i te puku? Me kōrero tātou mō te Endoscopic Submucosal Dissection

Kua kōrerotia mai e tō tākuta he kiko iti, he pukupuku, he polyp rānei kei roto i tō pūnaha nakunaku, arā, kei roto i tō puku, i tō korokoro rānei? Ina rongo tātou i tēnā, ko te mataku e puta ake ana ki roto i ō tātou hinengaro ko, "Āe, me mahi ahau i tētahi pokanga nui inaianei?" Engari me te pūtaiao hauora matatau o ēnei rā, kāore he take ki te mahi pokanga e puta ai he tapahi nui mō ngā mea katoa. Koia mātou ka kōrero ai mō tētahi tikanga maimoatanga whakamiharo ka taea te whakaiti i te kino ki te tinana, ā, ka tere te ora.

He aha te tikanga o te Endoscopic Submucosal Dissection?

Ahakoa te ahua uaua o te ingoa, he tino māmā noa iho te tikanga. Ko te Endoscopic Submucosal Dissection , te ESD rānei hei whakarapopototanga, he tikanga kore-whakaeke e tango ana i ngā kiko rerekē, i ngā puku pūtau ka huri hei matepukupuku, i ngā pukupuku iti rānei i roto i tō ara kai.

Whakaarohia tēnei e te tākuta puku. Ka whakamahia e ia he ngongo roa, ngāwari, he kāmera kei te pito. Ka kiia tēnei he endoscope.

• Mena kei roto i tō pūnaha nakunaku o runga te raruraru (hei tauira, te korokoro, te puku), ka whakaurua tēnei endoscope mā tō waha.
• Mena kei roto i te ara whekau o raro (te whekau nui, te tō) te raruraru, ka whakaurua mā te nono.

Ka mahia tēnei mā te whakamahi i tētahi taputapu pokanga iti ka whakaurua ki roto i te ngongo, ā, i raro i te arataki a te kāmera, ka whakamahia hei tapahi me te tango āta i te kiko rerekē. Ko te mea nui ko te puta o ēnei mea katoa i roto i te tinana. Nā te mea kāore he tapahi i waho, ka taea e koe te tere ake te ora, te iti ake o te mamae, me te karo i te whara.

He aha ngā momo mate hauora e whakamahia ana te ESD?

Ko te tikanga, ka whakamahia tēnei maimoatanga ESD hei tango i ngā mate pukupuku o mua i te mate pukupuku, o ngā mate pukupuku rānei kei te wāhanga tōmua o te pūnaha nakunaku. Me titiro tātou ki ēnei mate.

He aha te rerekētanga i waenga i te ESD me te EMR?

Kua rongo pea koe i tētahi atu tikanga rite, e kiia nei ko te Endoscopic Mucosal Resection (EMR) . Ahakoa he iti ake te whakaekenga o ngā tikanga e rua, he iti noa te rerekētanga.

He maha ngā paparanga o te pakitara o tō tātou pūnaha nakunaku. Ko te kiriuhi angiangi o roto rawa e kiia ana ko te mucosa.

• Tikanga EMR: Ko te tikanga matua o tēnei ko te tango i ngā pukupuku kei roto noa i te paparanga o roto e kiia nei ko te mucosa. Ko te tikanga ko te werohanga i tētahi wai ki raro i te pukupuku, te hiki ake, kātahi ka tapahia ki tētahi mea pērā i te koropiko whakarewa.
• Tikanga ESD: He tikanga matatau ake tēnei i te EMR. Ka taea e ia te tango i ngā pukupuku kei roto i te mucosa, me ngā pukupuku kua horapa ki te paparanga i raro iho . Ko te painga nui o tēnei ko te taea te tango i te kiko rerekē, ahakoa te rahi, i roto i te wahi kotahi . Kātahi ka ngāwari te tuku atu ki te taiwhanga me te whakaū tika mēnā kua tangohia katoatia te mate pukupuku.

Me pēhea taku whakarite i mua i tēnei maimoatanga?

Ka hoatu e tō tākuta he huinga tohutohu mārama ki a koe i mua i tēnei maimoatanga. He mea tino nui kia whai tika koe i ēnei tohutohu.

• Mena kei te rongoatia koe mō te ara kai o runga: (esophagus, puku) me mutu rawa te kai me te inu mō ētahi haora i mua i te maimoatanga. Ko te tikanga me takoto kau tō puku.
• Mena kei te rongoatia koe mō tō ara kai o raro: (whekau nui), ka tonoa koe kia "whakarite i te puku." Ko te tikanga o tēnei ko te whakawātea katoa i tō whekau nui mā te inu i tētahi wai motuhake ( laxative ). Mā tēnei ka taea e te tākuta te kite mārama i roto mā te endoscope.

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

Kāore koe e rongo i te mamae, i te kore whakamarie rānei i te wā e rongoatia ana. Nā te mea ka whakamoea koe. Tērā pea ka whakamoea rawatia koe (Whakamoea Whānui), ka tukuna rānei he momo whakamoea hei whakangāwari i a koe (Manaaki Whakamoea Aroturuki).

I te wā e rongoatia ana, ka whai tō tākuta i ēnei mahi:

1. Ka whakaurua te endoscope mā te waha, mā te pūkahukahu rānei.

2. Mā te whakamahi i te kāmera, ka tukuna te endoscope ki te wāhi kei reira te kiko rerekē.

3. Mā te whakamahi i tētahi taputapu e tukuna ana mā te endoscope, ka hangaia he tohu huri noa i te puku hei tango.

4. Muri iho, ka werohia he wai motuhake ki roto i te kiriuhi i raro i te puku. Mā tēnei ka hangaia he urunga i raro i te puku, ka hiki ake i te kiko hauora e karapoti ana. Mā tēnei ka māmā ake te wehe me te tapahi.

5. Hei whakamutunga, mā te whakamahi i tētahi taputapu motuhake pērā i te maripi hiko auau-teitei, ka tapahia marietia te puku i te rārangi kua tohua, kātahi ka tangohia.

Ko te tikanga katoa ka roa pea i waenga i te kotahi ki te toru hāora , i runga i te rahi me te wāhi o te kiko e tangohia ana.

He aha te mea ka tupu i muri i te maimoatanga?

Kia oti te maimoatanga, ka tukuna te kiko kua tangohia ki te taiwhanga, ka tirotirohia e te tākuta mate pukupuku mēnā kei roto he pūtau matepukupuku, ā, mēnā kua tangohia katoatia.

Ka haria koe ki te rūma whakaora mō te wā poto i muri i te maimoatanga. Kia memeha haere ngā pānga o te rongoā whakamoe, ka taea pea e koe te hoki ki te kāinga i taua rā anō, me noho rānei koe ki te hōhipera mō te pō. Me haere tahi koe me tetahi ki te kāinga , nā te mea ka roa pea te 24 hāora ka memeha haere ngā pānga o te rongoā whakamoe.

He pānga taha, he mōrearea rānei kei reira?

Pērā i ngā maimoatanga hauora katoa, he iti noa ngā pānga taha, engari he tino onge ngā mōrearea.

Ngā pānga taha iti pea

Ko te tikanga ka ngaro katoa ēnei i roto i te rā kotahi, e rua rānei.

• Te whakakī i te puku
• Mamae puku
• Te hau me te mamae e pā mai ana
• Whakapairuaki, ruaki rānei
• Korokoro mamae (mēnā i whakaurua te endoscope mā te waha)

He mea noa te iti o te toto i roto i tō tūtae, engari me mutu i roto i ngā haora 24.

Ngā raruraru onge

He iti rawa te tūponotanga o ēnei mea, engari he mea nui kia mōhio ki a rātou.

• Te toto: Te toto e puta mai ana i te wāhi i tangohia ai te kiko.
• Te poka o te puku: He poka o te pakitara o te ara kai e te endoscope, te taputapu rānei.
• Te whara: Ina koa i te wā e rongoatia ana te korokoro, ko te whara e puta ana i te wā e ora ana ka arahi ki te whaiti o te korokoro (ngā strictures esophageal).

He aha ngā painga o tēnei tikanga?

He maha ngā painga o te tikanga ESD ki te whakataurite ki te pokanga tuwhera.

• He iti iho te mamae: He iti ake te mamae nā te mea kāore he motu.
• Te whakaoranga tere: Ka taea e koe te hoki ki te oranga noa me te mahi wawe.
• Kāore he koha: Kāore he koha e puta ana i waho o te tinana.
• He iti ake ngā raruraru: He iti ake te mōrearea o ngā raruraru i te pokanga tuwhera.
• Te tiaki okana: Ka taea e tēnei tikanga te karo i ngā mahi pēnei i te tango i tētahi wāhanga o te puku, o te whekau rānei, kāore pea e mahia i te wā o te pokanga nui.

Āhea koe me toro atu ki te tākuta tonu?

Ina hoki koe ki te kāinga i muri i te maimoatanga, ki te pā mai ētahi tohu whakatūpato ki a koe, he mea nui kia waea atu koe ki tō tākuta, kia haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata rawa atu .

Kia pēhea te roa o te wā e ora ai?

Ka taea e te nuinga o te tangata te hoki ki te mahi i muri i te rima rā pea. Heoi, ki te mahi koe i tētahi mahi tino uaua, pērā i te hiki i ngā mea taumaha, ka tohutohu pea tō tākuta kia okioki koe mō tētahi wā roa ake. Tērā pea ka puta he huringa iti ki ngā tikanga o te puku mō te wiki pea i muri i te maimoatanga.

I te nuinga o te wā ka kite anō koe i tō tākuta i roto i ngā wiki e rua. I taua wā, ka whakamāramahia e rātou ngā hua o te pūrongo taiwhanga ki a koe, ā, ka whakatau mēnā me whai maimoatanga anō.

He maimoatanga tino angitu te ESD. Kua whakaatuhia e ētahi rangahau he iti noa iho te mōrearea o te hokinga mai o te pukupuku ki te wāhi kotahi i roto i te hunga kua whiwhi i tēnei maimoatanga, arā, 1%.