Pokanga tango i te ngongo: Kaua e wehi i tēnei, me kōrero ngāwari tātou mō ngā mea katoa!

He mea noa te mataku me te manukanuka ina kī atu tō tākuta ki a koe, ki tētahi rānei e tata ana ki a koe me mahi koe i tētahi pokanga e kiia nei ko te "Esophagectomy." Tērā pea he maha āu pātai pēnei i te, "He aha tēnei pokanga? He aha i mahia ai? He aha ka tupu i muri i tērā?" Kaua e manukanuka. Ka kōrerohia e mātou ngā mea katoa i roto i te reo Sinhala māmā e taea ai e koe te mārama, he tino hoa. Kia mutu tō pānui i tēnei tuhinga, kua mārama pai koe ki tēnei.

He aha te tikanga o te tango i te esophagus?

He pokanga te tango i te esophagus e tango ana i tētahi wāhanga, i te katoa rānei o tō esophagus. Ko te esophagus te ngongo e kawe ana i te kai me te inu mai i te korokoro ki te puku. He rite ki te paipa wai.

Tērā pea kei te whakaaro koe, "He aha i tangohia ai tēnei?" Ko te take matua ko te mate pukupuku korokoro . Ka tūtohu hoki ngā tākuta i tēnei pokanga mēnā he mate pēnei i te korokoro a Barrett, e whakanui ana i tō mōrearea ki te mate pukupuku, i te wā rānei kāore tō korokoro e mahi tika ana, ā, he uaua ki a koe te horomi.

I te wā o te pokanga, ka tangohia e te taote pokanga te wāhanga kua pakaru o tō korokoro. Mena he mate pukupuku, ka tangohia hoki ētahi o ngā kōpū lymph tata, ka tukuna kia whakamātautauhia. Kātahi ka honoa anō ngā wāhanga e toe ana, ā, ka whakahokia tō paipa kai. Ko te tikanga o tēnei ka hutia ake te puku, ka honoa ki te toenga o tō korokoro. Mā tēnei, ka whakatikahia tō paipa kai kia taea ai e koe te kai noa anō.

He aha ngā tikanga rerekē mō te mahi i tēnei pokanga?

Ahakoa ko te tango i te korokoro i ngā tikanga katoa o te tango i te korokoro, ka rerekē pea te tikanga e whakamahia ana e tō taote pokanga i runga i ngā āhuatanga pēnei i te wāhi o tō pukupuku, o tō kino rānei, me tō hauora whānui.

E rua ngā tikanga matua:

• Pokanga Tuwhera: I konei, ka tapahia he tapa roa ki te kiri kia tae atu ai ki te korokoro.
• Pokanga Whakaiti i te Urunga: Koinei te mea e kiia nei e mātou ko te "pokanga laparoscopic." Engari i te tapahi nui kotahi, ka whakamahia ētahi tapahi iti tata ki te inihi te roa hei mahi i te pokanga, ka whakauruhia he kāmera me ngā taputapu mā roto. Ko te pokanga hei uru atu ki ngā whekau o te puku ka kiia ko te 'pokanga Laparoscopic', ā, ko te pokanga hei uru atu ki ngā whekau o te uma ka kiia ko te 'pokanga Thoracoscopic'.

He maha ngā momo pokanga e ahu mai ana i ēnei tikanga. Kei te ripanga i raro nei ētahi atu whakamārama mō ēnei.

Me pēhea tā tātou whakarite mō tētahi pokanga nui pēnei?

He pokanga nui te tango i te esophagus, ā, he roa te wā e ora ai. Nō reira, he mea tino nui kia whakarite koe i mua i te pokanga.

• Ngā whakamātautau maha: Hei whakarite i te pokanga, ka tohua e tō tākuta ngā whakamātautau pēnei i te matawai CT o tō uma me tō puku, te ultrasound Endoscopic (EUS), te matawai PET rānei.
• Te whiwhi maimoatanga tuatahi: Mena he mate pukupuku tōu, me whiwhi pea koe i te chemotherapy me/ranei te radiation therapy i mua i te pokanga. Ka pai ake ngā hua o ētahi tāngata mā te whiwhi wawe i ēnei maimoatanga.
• Te whakarite i tō tinana mō te pokanga: Mena kei a koe ngā mate pēnei i te mate huka, te toto toto tiketike rānei, me whakahaere e koe i mua i te pokanga. Mena he kaipaipa koe, me mutu rawa. Ka whakaroa te kaipaipa i te tukanga whakaora.
• Te whakarite mō te wā whakaora: Nā te mea ka rerekē ō tikanga kai i muri i te pokanga, ka taea e koe te rapu tohutohu mai i tētahi tohunga kai . Ka taea hoki e koe te ako mai i tētahi tohunga reo-kōrero (SLP) mō ngā mahi whakakori tinana hei whakapakari i ō uaua manawa hei ārai i ngā raruraru o te pukahukahu i muri i te pokanga.
• Te whakarite mō te whakaurunga ki te hōhipera:I te mea ka noho koe i te hōhipera mō te wiki, e rua rānei, whakaritea ngā kākahu e hiahiatia ana e koe, ngā rongoā, me ngā mea pēnei i te pukapuka me te urunga hei whakamarie i a koe.
• I muri i tō taenga ki te kāinga: Whakaritea kia hoki mai tētahi i te hōhipera. He mea nui anō hoki kia whai āwhina koe i te kāinga. Whakaritea tō kāinga kia ngāwari ai te tiki i ngā mea e hiahiatia ana e koe.

He aha ngā mea ka tupu i te wā o te pokanga?

I mua i te pokanga, ka hoatu he rongoā whakamoe kia kore ai koe e mamae. Ko te tikanga ka moe rawa koe. I muri i te pokanga, tera pea ka whakanohoia he ngongo epidural ki tō tuara hei whakahaere i te mamae.

Ka tapahia e te taote pokanga ngā wahi e ai ki te tikanga, ā, ka tangohia te wāhanga mate o te korokoro. I ētahi wā ka tangohia pea he wāhanga iti o te puku. Kātahi ka kawea te puku, te whekau iti rānei ki roto i te uma, ka honoa ki te toenga o te korokoro.

I muri i te pokanga, ka whakanohoia he ngongo whāngai ki roto i tō puku, ki roto rānei i tō whekau iti hei whakarato kai tae noa ki te wā e taea ai e koe te horomi. Ka whakanohoia hoki he ngongo nasogastric mā roto i tō ihu hei āwhina i te tango i te hau nui mai i tō puku, hei āwhina hoki i a koe ki te ora. Tērā pea ka whakanohoia he waikeri uma hei tango i te wai mai i tō uma. Ka mahia ēnei katoa hei āwhina i a koe ki te tere ake te ora. Ko te tikanga ka roa te pokanga i waenga i te 3 me te 6 hāora.

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

I muri i te pokanga, ka puritia koe ki te wāhanga tiaki nui (ICU) mō te rā kotahi, e rua rānei. Ka tīmata koe ki te whāngai i te tinana mā te ngongo whāngai. Ka hoatu he rongoā ki a koe hei whakahaere i te mamae. Me noho pea koe ki te hōhipera mō te rua wiki pea.

I a ia i te hōhipera,

• Ka kīia atu ki a koe kia mau i ngā tōkena pēhi me te hikoi hei ārai i te toto e pupuhi ana .
• Me mahi koe i ngā mahi whakakorikori manawa kia noho ma ai ōu pukahukahu.
• Ka akona koe ki te pupuri i te ngongo whāngai me te patunga kia ma.

He aha ngā pānga taha me ngā mōrearea?

Ka pā mai pea ētahi pānga taha i tētahi pokanga, ā, he mea nui kia mōhio ki ngā mōrearea.

Ka memeha haere te nuinga o ēnei tohu i a koe e ora ake ana, engari ki te mea he āwangawanga āu, whakapā atu ki tō tākuta tonu atu.

Āhea ahau me waea atu ki te tākuta, me haere rānei ki te hōhipera?

Tērā pea ka puta ētahi raruraru i te wā e ora ana koe. Mēnā kei a koe ētahi o ngā tohu e whai ake nei, me whakamōhio tonu atu ki tō tākuta.

• Mena ka piki ake te mamae, te kirika rānei
• Mena he whero te rohe huri noa i te motu, ā, he wera hoki te āhua
• Ki te ngoikore te tinana
• Mena he uaua ki te manawa, he pāorooro rānei tō uma
• Mena he wetekina te puku, he mangu rānei te tūtae
• Mena he mamae tō korokoro
• Mena he maremare tonu tōu
• Mena ka huri te mā o ngā kanohi, te kiri rānei hei kōwhai (Jaundice)
• Mena he uaua ki te horomi, ki te ngaro tonu rānei tō taumaha