Tērā pea kua kīia atu ki a koe kia "tūtaki ki tētahi taote pokanga" ina mamae tō puku, ina pōrearea rānei tētahi puku i tō tinana. Ina rongo koe i tēnā, ka mataku koe, ka āwangawanga hoki, tika? Ina rongo tātou i te kupu 'taote pokanga', ka puta ake ngā mea pēnei i te whare pokanga me te pokanga nui. Nō reira, ko wai te taote pokanga tūturu, te 'Taote Pokanga Whānui' rānei? He mahi pokanga anake tāna? Me kōrero tātou mō tēnei hei whakakore i te mataku me te ruarua e pā ana ki tēnei.
Ko wai tēnei Taote Tākuta Whānui?
I te whakarapopototanga, he tākuta te Taote Whānui kua whiwhi whakangungu motuhake ki te mahi pokanga. Ka taea te whakarite ki tētahi tākuta whānau ka taea hoki e ia te mahi pokanga. Ka taea e ia te tātaritanga i tō āhua mai i te tīmatanga, te whakatau i te maimoatanga e hiahiatia ana, me te mahi pokanga mēnā e tika ana.
Ko te mea nui kia noho tahi te taote pokanga me koe, ehara i te mea i te wā e pokanga ana anake.
- Te tiaki i mua i te pokanga: Māna koe e tirotiro, e mahi ngā whakamātautau e tika ana, ā, ka whakarite i a koe mō te pokanga.
- I te wā e pokangahia ana (Tiakitanga pokanga): Ka mahia te pokanga me te tino haumaru, me te angitu hoki.
- Te tiaki i muri i te pokanga: Ka aroturukihia tō hauora e ia, ka hoatu hoki ki a koe ngā tohutohu me ngā rongoā e tika ana i muri i te pokanga kia ora rā anō koe.
Arā, he tākuta te taote pokanga e noho tahi ana me koe mai i te tīmatanga ki te mutunga e pā ana ki tō āhua hauora, ā, ka manaaki hoki i a koe.
He aha ngā mate e rongoatia ana e ngā taote pokanga?
Kāore te taote pokanga e herea ana ki tētahi wāhanga o te tinana anake. He whānuitanga o ngā mate ka rongoatia e rātou. Me titiro tātou ki ētahi o ngā mea e tino kitea ana.
| Āhua/Tauākitanga | He whakaahuatanga māmā |
|---|---|
| Whara | Ngā mea pēnei i ngā whara kino i puta mai i tētahi aituā, te toto o roto, me ētahi atu. |
| Ngā mate e pā ana ki te puku | Ngā āhuatanga pēnei i te apendicitis, te hernia, ngā kohatu o te pūkahukahu, me te pakaru o te puku. |
| Ngā mate o te ū | Te tātaritanga me te tango pokanga i ngā pukupuku (matepukupuku me ngā matepukupuku kore) i roto i te ū. |
| Ngā mate o te kiri me ngā kiko ngohengohe | Ngā pokanga iti mō ngā pukupuku kiri, te ekisema, me ētahi atu raruraru kiri. |
| Ngā āhuatanga endocrine | Pokanga mō ngā raruraru o te repe tairoi, o te repe adrenal rānei. |
| Pokanga matepukupuku (Pokanga matepukupuku) | Te tango pokanga i ngā pukupuku matepukupuku i roto i te korokoro, te ū, me ētahi atu whekau rānei. |
Engari kia maumahara, ki te kite te taote pokanga i tētahi mate tino uaua e uaua ana ki a ia te rongoā, tera pea ka tukuna koe e ia ki tētahi atu tākuta he tohungatanga tōna ki te rongoā. Mā tēnei ka whakarite kia whiwhi koe i te maimoatanga pai rawa atu.
Kia pēhea te roa o te ako hei taote pokanga?
Ehara tēnei i te haerenga ngāwari e ai ki tō whakaaro. He tangata whai whakangungu me te ngākau nui te taote pokanga.
1. Tuatahi me noho koe hei tākuta: Me ako koe i tētahi kura hauora mō ngā tau 5-6, ā, me whiwhi tohu MBBS.
2. Kātahi ka whakangungu pokanga: Whai muri i tēnā, me whai rātou i tētahi kaupapa noho pokanga mō te neke atu i te 5 tau. I roto i tēnei wā, ka mahi rātou i raro i ngā taote pokanga mātau, ā, ka whiwhi wheako ki te mahi i ngā mano tini o ngā pokanga rerekē.
3. Me paahi i ngā whakamātautau motuhake: Whai muri i tēnei whakangungu, ka whai tohu rātou ki te mahi hei taote pokanga i muri i te paahi i ētahi whakamātautau tuhituhi me te whakamātautau ā-waha tino uaua.
Nō reira ka taea e koe te kite i te nui o te mōhio me te wheako o te taote pokanga e rongoā ana i a koe.
He aha ngā tikanga pokanga hou o ēnei rā?
Ina whakaaro tātou ki te 'pokanga', ka whakaaro tātou ki tētahi mea e hiahiatia ana kia tapahia he pokanga nui ki te tinana, engari nā te hangarau o ēnei rā, kua tino rerekē taua āhuatanga. Ināianei, ka whakamahia e ngā taote pokanga ngā tikanga hou e iti ai te kino o te tinana (he iti noa te whakaekenga).
1. Tikanga Endoscopy
He whakamātautau, he pokanga iti rānei tēnei e uru ana ki te whakaurunga o tētahi ngongo angiangi, ngāwari hoki me tētahi kāmera e piri ana mā roto i tētahi pūaha tūturu o te tinana (hei tauira, mā roto i te waha, i te nono rānei), me te kore e tapahia te kiri.
- Ko te mea ka whakaurua mā te waha e kiia ana ko te Upper GI Endoscopy. Ka taea e tēnei te tirotiro i ngā wāhi pēnei i te korokoro me te puku.
- He tikanga te colonoscopy e mahia ana mā te rectum. Mā tēnei ka taea te tirotiro i te whekau nui.
- Ka taea e tēnei tikanga te tango i ngā tipu iti (polyps) i roto i te koroni me te tango i ngā tauira kiko iti (biopsies) hei whakamātautau.
2. Pokanga Laparoscopic
Koinei te mea e kiia ana e te tini he 'pokanga kōhao' he 'pokanga rēseri rānei.' Heoi, kāore he hihi rēseri e whakamahia ana i roto i tēnei tikanga.
Ko te mea e tupu ana i konei, kaua e tapahia he poka nui ki te puku, engari he torutoru noa ngā kōhao iti rawa (tata ki te 1 henimita te whānui), ka whakauruhia he kāmera (laparoscope) mā roto i tētahi kōhao, ka whakauruhia ngā taputapu pokanga mā roto i ētahi atu kōhao, ā, ka mahia te pokanga i a koe e mātakitaki ana i te mata pouaka whakaata.
Ngā painga o tēnei tikanga:
- Kāore he motu nui, kāore hoki he koha.
- He iti iho te mamae.
- Kia ora wawe koe, kia hoki wawe ki te kāinga.
- He iti te mōrearea o te pangia.
I ēnei rā, he maha ngā pokanga, pērā i te tango i te appendectomy me te cholecystectomy, e whakahaerehia ana mā te whakamahi i tēnei tikanga.
3. Pokanga Robotic
Ko tētahi atu whanaketanga tēnei i roto i te pokanga laparoscopic. I konei, kāore te taote pokanga e whakahaere tika i ngā taputapu pokanga. Ka mahia te pokanga mā te whakamahi i ngā ringa karetao e whakahaerehia ana e te tākuta mai i te papatohu rorohiko. Mā tēnei ka taea te mahi i ngā pokanga tino uaua me te tino tika.
He aha te rerekētanga i waenga i te tākuta whānui me te taote pokanga?
He pātai tēnei nā te tini o te tangata. He tino māmā te whakautu.
He tākuta ia taote, engari ehara i te mea he taote ia tākuta.
Arā, ko te taote pokanga he taote kua oti i a ia te tohu MBBS, ā, kua whiwhi whakangungu me ngā tohu motuhake hei tāpiri atu ki te mahi pokanga. Ahakoa ka rongoatia e tō taote whānau noa (Whāngai Whānui - GP) ngā mate mā te rongoā, kei te taote pokanga te pūkenga me te whakangungu ki te rongoa i ngā mate ehara i te mea mā te rongoā anake, engari mā te pokanga anō hoki mēnā e tika ana.
Karere Tangohia ki te Kāinga
- He tohunga te Taote Pokanga Whānui he nui ōna mātauranga me ōna whakangungu hei rongoā i ō mate hauora.
- Kaua e wehi kei tukuna koe ki tētahi taote pokanga. Ko te tikanga ka mahia ngā mahi hei whakarato i te maimoatanga pai rawa atu e hiahiatia ana e koe.
- Ina rongo koe i te kupu 'pokanga', kōrero ki tō tākuta mō ō mataku, ō ruarua, ō pātai rānei, me te kore e whakaroa. Māna e whakamārama ngā mea katoa ki a koe.
- I ēnei rā, ko te nuinga o ngā pokanga e whakahaerehia ana mā te whakamahi i ngā tikanga hou e iti ai te kino o te tinana, ā, e tere ai te ora.











💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment