Kua kōrerotia atu rānei e te tākuta he pukupuku iti tōu kei roto i tō koroni, i tō korokoro rānei, me tango? Ina rongo koe i tēnā, he tokomaha o tātou e mataku ana, e manukanuka ana, e whakaaro ana, "Āe, me pokanga nui ahau?" Engari nā te hangarau hauora matatau e wātea ana i ēnei rā, he maha ngā huarahi whakamiharo hei tango i ēnei mea me te kore e tapahia nui te tinana. I tēnei rā, ka kōrero tātou mō tētahi tikanga maimoatanga motuhake, iti rawa te whakaekenga.
He aha te tikanga o te Endoscopic Submucosal Dissection (ESD)?
He tino māmā noa iho tēnei ki te mārama. Kua rongo pea koe i te whakamātautau ' endoscopy '. He tikanga e whakaurua ai he ngongo ngāwari me te kāmera mā te waha, mā te nono rānei hei tirotiro i te paipa kai . He rite tonu tēnei. Engari he paku matatau ake.
I roto i te ESD, ka whakamahia e te tākuta puku he endoscope hei whakauru i ngā taputapu pokanga tino rawe. Kātahi ka tapahia marietia te kiko rerekē i roto i te pakitara o tō ara kai, te wāhanga rite ki te pukupuku , ka tangohia. Ko te mea pai rawa atu ko te puta o ēnei mea katoa me te kore e tapahia tetahi wahi i waho o tō tinana. Ko te tikanga he iti ake te mamae i muri i te pokanga nui, ā, ka tere ake tō ora.
He aha ngā momo āhuatanga e whai hua ai te tikanga ESD?
Ko te tikanga o tēnei maimoatanga he tango i ngā tipu matepukupuku, ngā polyp , ngā whara rānei i roto i te ara kai. He tino whai hua te ESD mō ngā āhuatanga e whai ake nei:
- Te korokoro o Barrett : I tēnei āhua, ka rerekē haere ngā pūtau i te wāhanga o raro o te korokoro. Ka huri pea ēnei hei matepukupuku i muri mai.
- Matepukupuku repeure
- Matepukupuku korokoro
- Matepukupuku whekau iti
- Matepukupuku puku
Ko te mea nui ko tēnei tikangaKo te kaha ki te tango katoa i ngā pūtau matepukupuku , i ngā kiko rerekē rānei , kia kotahi te wahi . Mā tēnei ka māmā ake te whakaū mēnā kua tangohia katoatia te mate.
He aha te rerekētanga i waenga i te ESD me te EMR?
Kua rongo pea koe i tētahi atu tikanga e kiia nei ko te 'Endoscopic Mucosal Resection (EMR).' He maimoatanga iti rawa te whakaekenga o ēnei tikanga e rua, e whakamahia ana he endoscope. Heoi, he iti noa ngā rerekētanga i waenganui i ngā mea e rua. Me titiro tātou ki te aha rāua.
| Āhuatanga | Te Tangohanga Mucosal Endoskopiko (EMR) | Te Wetewete i raro i te Muku o te Endoscopic (ESD) |
|---|---|---|
| Tauwāhi ūnga | Ka tangohia ngā pukupuku i te mata o te arai o roto o te ara nakunaku (mucosa). | Haunga ngā pukupuku o te mata, ka taea hoki te tango i ngā pukupuku kua hohonu ake te keri ki roto i te kiriuhi. |
| Tikanga i whakamahia | Ka tangohia te pukupuku mā te werohanga i tētahi wai ki raro, ka hiki ake, ka tapahia ki tētahi mea pērā i te mahanga whakarewa. I ētahi wā ka tangohia kia maha ngā wāhanga. | Mā te whakamahi i tētahi maripi hiko motuhake, ka tapatapahia rawatia te hua i te taha me raro, kia kotahi te wahi e tangohia ai. |
| Ngā wā tino tika | Mō ngā nati iti, papaku hoki. | Mō ngā pukupuku nunui, papatahi, paku tipu rānei ki roto, inā koa i ngā take o ngā pukupuku matepukupuku, e taunakihia ana kia tangohia katoatia. |
Me pēhea te whakarite i mua i te maimoatanga?
Kāore e nui te whakarite e hiahiatia ana mō tēnei. Mā tō tākuta koe e hoatu ngā tohutohu e hiahiatia ana e koe.
- Mena ka whakauruhia te endoscope mā te waha (hei tauira, te puku, te korokoro): Ka tonoa koe kia kaua e kai, e inu rānei mō ētahi haora i mua i te maimoatanga.
- Mena ka whakaurua ki te taha tōraro (hei tauira, ki roto i te koroni): Ka tonoa koe kia "whakarei i te puku." Ko te tikanga me tango e koe he rongoā whakamāmā ka tohua e tō tākuta hei horoi katoa i tō koroni. Mā tēnei ka taea e te tākuta te kite mārama i te roto o tō koroni.
He aha ngā mea ka tupu i te wā e rongoatia ana?
Kāore he take e manukanuka ai koe mō tēnei. Mā te tohunga whakamoe koe e whakamoe katoa ('Whakamoe Whānui'), mā te rongoā rānei koe e hoatu hei whakangāwari i a koe, hei ārai hoki i te mamae. Kāore koe e rongo i tetahi mea i tēnei wā.
I te wā o te maimoatanga, ka whai te tākuta i ēnei mahi:
1. Ka whakaurua te ngongo endoscope mā te waha, mā te pūkahukahu rānei.
2. Tirohia mā te kāmera, tirohia te wāhi kei reira taua pukupuku rerekē.
3. Ka tohua te wāhi o te puku ki tētahi taputapu motuhake.
4. Hei karo i te kino o te kiko hauora i raro i te pukupuku, ka werohia he wai motuhake ki raro i te pukupuku. Mā tēnei ka hangaia he "urunga" i raro i te pukupuku, ka hiki ake i te pukupuku.
5. Kātahi ka tapahia katoatia te puku mā te whakamahi i tētahi maripi hiko auau-teitei.
Ko te tikanga ka roa pea tēnei tukanga katoa mō te kotahi ki te toru hāora.
He aha ngā mea ka tupu i muri i te maimoatanga? Ā, he aha ngā mōrearea?
I muri i te maimoatanga, ka tirotirohia koe i roto i te rūma whakaora kia oho ake rā anō koe i te rongoā whakamoe. Ka tukuna te kiko kua tangohia ki te taiwhanga hei tātaritanga. I reira, ka tirotirohia e te tākuta mate pukupuku kia kite mēnā he pūtau matepukupuku kei roto, ā, mēnā kua tangohia katoatia te matepukupuku.
Tērā pea ka taea e koe te hoki ki te kāinga i taua rā anō, me noho rānei koe ki te hōhipera mō te pō. Ko te mea nui, e 24 hāora te roa ka memeha haere ngā pānga o te rongoā whakamoe, nō reira me haere tahi koe me tētahi atu ka taraiwa i a rātou ki te kāinga i runga i te motuka.
Tērā pea ka pāngia koe e te mamae iti mō te rā kotahi, e rua rānei i muri i te maimoatanga, engari me mōhio koe ki ētahi mea.
| Ngā pānga taha noa, rangitahi (ka ora i roto i te 1-2 rā) | Āhea me haere tonu ki tō tākuta, ki te Tari Whawhati Tata rānei (ETU) o te hōhipera |
|---|---|
|
|
He onge ngā raruraru o te ESD, engari ka uru pea ki roto ko te toto, te poka o te puku, te whakawhāiti rānei i te korokoro. He tino onge ēnei.
Kia pēhea te roa o te wā e ora ai?
Ka taea e te nuinga o te tangata te hoki ki ā rātou mahi o ia rā i muri i te 5 rā pea. Heoi, ki te mea he mahi uaua ki te tinana tāu, ka tohutohu pea tō tākuta kia okioki koe mō tētahi wā. Tērā pea ka paku koretake te nekeneke o tō puku mō te wiki pea i muri i te maimoatanga.
Ka tonoa koe kia kite anō i te tākuta i ngā wiki e rua i muri i te maimoatanga. Kātahi ka taea e kōrua te matapaki i ngā hua o te pūrongo taiwhanga me te hiahia anō ki ētahi atu maimoatanga.
Karere Tangohia ki te Kāinga
- Ko te Endoscopic Submucosal Dissection (ESD) he tikanga maimoatanga tino matatau e tango ana i ngā mate pukupuku wā tōmua, i ngā pukupuku rerekē rānei i roto i te pūnaha nakunaku, me te kore e hanga i tētahi tapahi nui ki waho o te tinana.
- Mā tēnei ka tangohia katoatia te kiko rerekē, kia māmā ake ai te whakaū kua tangohia katoatia te mate.
- He iti ake te mamae i tērā i te pokanga tuku iho, he tere ake te ora, ā, kāore he koha nui.
- Me ata whai i ngā tohutohu a tō tākuta i mua atu, ā, i muri mai hoki i te maimoatanga.
- Ki te pāngia koe e ngā tohu pēnei i te toto nui, te mamae nui, te kirika, te uaua rānei ki te manawa i muri i te maimoatanga, whakamōhio atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero