Ko wai te Taote Tākuta Whānui? Me kōrero māmā noa iho tātou mō tēnei!

Kua rongo pea koe i tētahi 'Taonga Tākuta Whānui'. Kua tūtaki rānei koe ki tētahi o ō whānau, ki tētahi o ō hoa rānei. Ko wai tonu te Taonga Tākuta Whānui? He aha tāna mahi? He aha rātou i rerekē ai i ētahi atu tākuta? Me kōrero tātou mō ēnei mea katoa i roto i te reo Sinhala māmā e mārama ai koe.

Ko wai tonu te Taote Tākuta Whānui?

He kupu ngāwari, he tākuta anō hoki te taote whānui, he taote anō hoki. Arā, ka taea e ia te tātaritanga i ngā mate, te rongoā i aua mate, ā, ki te tika, te mahi pokanga. Ko te mea motuhake, kāore ēnei tāngata e herea ana ki tētahi wāhanga o te tinana anake. Pērā i tā tātou tākuta whānau, engari ka taea hoki e rātou te mahi pokanga.

Hei tauira, ko ētahi tākuta he tohunga ki te ngākau (he `Cardiologist`) he `Neurologist` rānei. Engari he whānui ake te mahi a te taote pokanga whānui. Hei tauira, ka taea e rātou te rongoā i ō whekau puku (`abdominal organs`), ngā pukupuku i ētahi atu wāhanga o tō tinana, ngā whara maha rānei mai i ngā aituā i te wā kotahi. Ko rātou te hunga e whai wāhi nui ana ki te tiaki i te tūroro i mua i te pokanga (`preoperative`), i te wā pokanga (`operative`), me muri i te pokanga (`postoperative`). He maha ngā wā ko rātou te hunga e mahi tahi ana me ētahi atu tākuta me ngā nēhi.

Ko te pokanga whānui tētahi o ngā momo pokanga 14 e whakaaetia ana e te American College of Surgeons.

He aha te rongoā a te taote pokanga whānui?

Kua kōrero kē ahau i mua he rite te taote whānui ki te "taote whānau ka taea hoki te mahi pokanga." Nō reira, he maha ngā momo mate e rongoatia ana e rātou. Ā, kei roto i aua maimoatanga he maha ngā momo pokanga me ngā tikanga. Heoi, ki te whakaaro te taote whānui kāore ia i te tino maia ki te rongoā i tētahi mate, ka tukuna koe e ia ki tētahi tohunga. Ko tā rātou kawenga anō hoki tēnā.

He aha ngā mate e rongoatia ana?

Anei ētahi o ngā mate e rongoatia ana e te taote pokanga whānui:

• Ngā whara kino: Whakaarohia kei te rongoatia e rātou ngā whara kino i puta mai i tētahi aituā, i te hinganga rānei i a rātou e hikoi ana i te rori.
• Ngā āhuatanga rerekē o te tinana: He hapa whānau mai pea ēnei, he pukupuku rānei ka puta ake i muri mai i te ao.
• Matepukupuku ū: Ka taea te rongoā i te matepukupuku ū, e pā ana ki ngā tāne me ngā wāhine, mā te pokanga.
• Ngā mate o te ara GI o runga:Ko te tikanga o tēnā ko ngā mate e pā ana ki tō tātou korokoro, te puku, me te whekau iti. Hei tauira, ki te kino haere ngā āhuatanga pēnei i te gastritis, me whai tirotiro endoscopic, me mahi pokanga rānei.
• Ara pūhā: Kei roto i tēnei ko te pūhā, ngā awa pūhā, te repeure, me te ate. He maha ngā wā ka tangohia ngā kōhatu pūhā mā te pokanga e te taote pokanga whānui.
• Ngā āhuatanga endocrine: Hei tauira, ka mahia te pokanga hei rongoā i ngā pukupuku i roto i te repe tairoi, i ngā repe adrenal rānei.
• Ngā āhuatanga toto: Ka pāngia hoki ētahi o ngā raruraru toto.
• Te mate kino me te mate whakamate: I ētahi wā ka uru atu rātou ki ngā pokanga e hiahiatia ana e ngā tūroro i ngā wāhanga tiaki nui, i ētahi mahi rānei e mahia ana hei whakaiti i te mamae o ngā tūroro i te mutunga o ō rātou oranga.

Me pēhea koe e noho ai hei Taote Tākuta Matua?

Ehara i te mea ngāwari te haere hei taote whānui. Tuatahi, me noho hei tākuta rātou. Arā, me ako rātou mō ngā tau e whā i te kura hauora, ā, me whiwhi i te "tohu hauora". Kātahi anō ka tīmata te whakangungu hei taote.

Hei whakatutuki i tēnei, me whakaoti e rātou tētahi kaupapa noho pokanga mō te iti rawa e rima tau . Ka whakahaerehia tēnei whakangungu i roto i tētahi wāhanga. Arā, i muri i te otinga angitu o te kotahi tau ka āhei rātou mō te tau e whai ake nei.

Ahakoa kua oti i a rātou tēnei whakangungu, me eke tonu rātou ki ngā whakamātautau poari e rua kia noho hei taote pokanga whānui whaimana.

1. Ko te tuatahi ko te whakamātautau whai mana . He whakamātautau tuhituhi tēnei me ngā pātai whiriwhiri maha.

2. Kia oti i a koe tēnei te whakaoti, ka āhei koe ki te noho mō te "whakamātautau tiwhikete" . He whakamātautau ā-waha tēnei.

Kia oti i a koe ēnei whakamātautau e rua, ka mōhiotia ai te tangata hei "Taonga Tākuta Whānui Whai Tiwhikete." Whakaarohia te nui o te whakapau kaha me te mahi uaua e hiahiatia ana mō tēnei!

He aha ngā mea e rangahauhia ana e te taote pokanga whānui?

Ka ako hōhonu te taote pokanga whānui mō ngā wāhanga matua e iwa o te pokanga whānui i a ia e whakangungu ana. Ko ēnei:

• Te ara kai: E pā ana tēnei ki te nuinga o ngā wāhanga o tō tātou pūnaha nakunaku.
• Ngā whekau puku me te hope: Ngā whekau kei roto i te puku, pērā i te ate, ngā whatukuhu, me te repeure.
• Ngā ū, te kiri me ngā kiko ngohengohe: Ka ako hoki rātou i ngā mea o te mata o te tinana.
• Te upoko me te kaki:Ka rongoātia hoki e rātou ētahi āhuatanga e pā ana ki ēnei wāhi.
• Pūnaha manawa: He mōhiotanga taketake mō te manawa me ngā uaua toto.
• Pūnaha Endocrine: Ko te pūnaha o ngā repe e whakaputa ana i ngā homoni.
• Te matepukupuku pokanga: Ko te tikanga o tēnei ko te rongoā i te matepukupuku mā te pokanga.
• Whara: Kei roto i tēnei ko ngā whara ki te pūnaha uaua me te wheua, ngā whara o te mahunga, me ngā whara o te ringa.
• Ngā pokanga tiaki nui me ngā pokanga ohorere: Ngā mea pēnei i ngā pokanga whakaora ora me mahi tonu.

I roto i ā rātou whakangungu, me mahi tahi rātou me ngā tūroro mō te iti rawa e whā tau me te hawhe i roto i ngā tau e rima. Ā, kia toru tau te iti rawa e mahi ana i ngā wāhanga matua e iwa kua whakahuatia i mua ake nei. Kāore e taea e rātou te whakangungu mō te neke atu i te 12 marama i roto i te kotahi momo mahi pokanga, neke atu rānei i te 6 marama i roto i te momo mahi hauora kore-pokanga. Ko te tikanga me whānui rawa ā rātou whakangungu.

He aha te mahi a te Tākuta Matua?

Ina oti i te taote pokanga whānui āna whakangungu, ā, ka haere ki te mahi, ka rerekē pea ngā pokanga me ngā maimoatanga e mahia ana e ia i runga i te hōhipera e mahi ana ia, ahakoa kei te tāone nui, kei te rohe tūmatanui rānei.

Whakaarohia, i roto i tētahi hōhipera nui, he pai ngā taputapu, tera pea he tohunga pokanga e mahi ana i ētahi pokanga motuhake. Hei tauira, tera pea ka mahi te taote ngakau i ngā pokanga ngākau, ā, tera pea ka mahi te taote roro i ngā pokanga io. Heoi, i roto i tētahi hōhipera kāore i te maha ngā tohunga, tera pea me mahi e te taote whānui te nuinga o ēnei mahi. Nō reira, he mea tino nui tā rātou mahi.

He aha ngā pokanga e tino noa ana?

Anei ētahi o ngā momo pokanga ka taea e koe te tumanako ka mahia e te taote pokanga whānui i ia wā:

• Pokanga ārai-reflux (Nissen fundoplication): He pokanga hei aukati i te rere o te waikawa o te puku ki roto i te korokoro nā ngā āhuatanga pēnei i te gastritis.
• Te tango i te āpitihanga (Tango āpitihanga / Whakakorenga āpitihanga): Ina pā mai he mate (āpitihanga) ki tētahi wāhanga iti o te tinana e kiia nei ko te āpitihanga, ka tangohia mā te pokanga.
• Pokanga Bariatric (whakaiti taumaha): Pokanga hei āwhina i te hunga momona rawa kia whakaiti i tō rātou taumaha.
• Pokanga ū: Pokanga mō ngā pukupuku ū, pērā i te mate pukupuku ū.
• Pokanga tūhura (Laparotomy, Laparoscopy rānei): Ki te kore e taea te tautuhi i tētahi mate, ka whakatuwheratia te taha o roto o te tinana, ka whakaurua rānei he kāmera hei tirotiro i roto.
• Te tango i te pūkahukahu (Cholecystectomy): Te tango i te pūkahukahu ina puta he raruraru pēnei i te kōhatu pūkahukahu.
• Te pokanga whakatika hernia:Te whakatika i te hernia (he putanga mai o ngā wāhanga o te whekau mā roto i tētahi wāhi ngoikore o te pakitara o te puku).
• Te tango i te repeure (Prostatectomy): He pokanga e mahia ana i roto i ngā tāne hei rongoā i ngā āhuatanga pēnei i te mate pukupuku repeure.
• Te tango i te whēkau (Splenectomy): Tērā pea me tango te whēkau nā ētahi mate toto me ngā aituā.
• Te tango i te kōpū (Hysterectomy): He pokanga e mahia ana hei rongoā i ētahi āhuatanga e pā ana ki te kōpū i roto i ngā wāhine.

He aha ngā tikanga pokanga?

I ēnei rā, kua whakangungua ngā taote pokanga whānui ki te whakamahi i ngā hangarau hou ('ngā tikanga pokanga āwhina-hangarau'). Ko te tikanga o tēnei, kaua e whakamahi i ngā tapahi nunui i te tikanga tawhito, engari ka whakamahia ngā tapahi iti me ngā pokanga āwhina-kāmera. Ka iti ake te mamae o te tūroro i ēnei tikanga, ā, ka taea hoki e rātou te āwhina i a rātou kia tere ake te ora.

E toru ngā tikanga matua:

1. Te tirotiro ā-roto

2. Pokanga Laparoscopic

3. Pokanga karetao

He aha te Endoscopy?

He tikanga tino rerekē tēnei. Ko te Endoscopy he tikanga e āhei ai te taote pokanga ki te mahi i ngā mahi iti i roto i tō tinana me te kore e tapahia tō kiri, tō kiko rānei. Whakaarohia, ka whakamahia e rātou ngā taputapu roa, angiangi. Ka tukuna ēnei mā roto i tētahi ngongo roa, ngāwari e kiia nei ko te endoscope. Kei tētahi pito o tēnei ngongo he kāmera ataata iti.

Ka tukuna tēnei 'endoscope' mā roto i tō korokoro ('endoscopy o runga') mā roto rānei i tō pūkahukahu ('colonoscopy'). Ka whakaaturia ngā whakaahua e kitea ana mai i te kāmera ki runga i te 'mata'. Ka whakamahia e te tākuta ēnei taputapu iti hei mahi i te pokanga i a koe e titiro ana ki te mata.

He whakarāpopototanga noa iho tēnei, he tirotiro, he pokanga iti rānei e uru ana ki te whakauru i tētahi kāmera ki roto i te puku, me te kore e tapahia nui.

Ko ngā mahi tino noa e mahia ana mā te endoscopy ko:

• Te tango i ngā polyp iti, i ngā pukupuku rānei (polypectomy).
• Te tango tauira kiko hei whakamātautau (biopsy).
• Te tapahi me te wetewete i te uaua piri ('myotomy').

He aha te pokanga laparoscopic?

He tikanga pokanga iti rawa te whakaekenga te pokanga laparoscopic . I roto i tēnei, ka uru atu te taote pokanga ki ō whekau puku mā roto i ētahi tapahi "kōhao kī" iti, he iti iho i te hawhe inihi te rahi .

Ka whakauruhia he ngongo kei roto i te kāmera, e kiia nei ko te laparoscope (he momo endoscope anō hoki) mā roto i tētahi o ngā kōhao, ā, ka tirohia te taha o roto. Ka whakaaturia ngā whakaahua mai i te kāmera ki runga i te mata. Kātahi ka whakauruhia ngā taputapu pokanga roa, angiangi mā roto i ētahi atu kōhao, ā, ka mahia te pokanga i a koe e titiro ana ki te mata. Mā tēnei tikanga ka tere ake te ora o te tūroro, ā, ka iti ake te kiriuhi e toe ana.

Ko ngā pokanga laparoscopic tino noa e mahia ana e ngā taote pokanga whānui ko:

• Ko te tango i te appendectomy he pokanga mō te appendicitis.
• Te pokanga mō ngā kōhatu o te pūhā (Cholecystectomy).
• He pokanga whakaiti taumaha te pokanga arai puku.

He aha te pokanga karetao?

He momo pokanga laparoscopic matatau te pokanga karetao . Ka whakamahia he laparoscope me ngā taputapu roa, angiangi mā roto i ngā kōhao kī iti. Ko te rerekētanga ko te whakahaerenga o ēnei taputapu e ngā ringa karetao.

Engari, ehara tēnei i te kī ka mahi takitahi te karetao i te pokanga. Ka whakahaerehia e te taote pokanga te ringa karetao mai i te papatohu rorohiko i roto i te rūma pokanga. Mā tēnei ka taea ngā pokanga tino tika, tino ātaahua hoki. Ka taea e ngā taote pokanga whānui te ako mō te pokanga karetao i a rātou e whakangungu ana, ka taea rānei e rātou te mahi whakangungu tāpiri (hoahoa).

He aha te rerekētanga i waenga i te taote pokanga whānui me te taote noa?

He pātai tēnei e pātaihia ana e te tini tāngata. He rata ia taote. Engari ehara i te mea he taote ia taote. He tākuta ngā taote, ā, ka whiwhi whakangungu me te tiwhikete tāpiri hei mahi pokanga. He māmā noa iho, he tikanga te pokanga e mahia ana i roto i te tinana o te tangata, pērā i ngā whekau, ngā kiko, me ngā wheua, hei rongoā i ngā whara, i ngā mate rānei.

Ko te Tākuta Matua (PCP rānei) he tākuta e mahi ana i te rongoā whānui, kaua i te tohungatanga motuhake. Kāore rātou e mahi pokanga i te nuinga o te wā.

I tētahi atu taha, ko te taote pokanga whānui he tākuta kua whiriwhiri ki te tohunga ki te pokanga. Kāore rātou e herea ki te kotahi anake te tohungatanga pokanga, engari he whānui te mahi a rātou i te mara o te "pokanga whānui".

Kia pēhea te roa hei noho hei Taote Tākuta Matua?

Whakaarohia, i tētahi whenua pērā i Amerika, e whā tau te roa hei whiwhi tohu paetahi. Kātahi ka whā tau anō hei whiwhi tohu hauora. Kātahi ka rima tau hei whiwhi tohu noho pokanga. Tekau mā toru tau te roa! Ā, kātahi ka roa te wā hei whakaoti i ngā whakamātautau poari i kōrerotia e au i mua ake nei. Nō reira, me ako koe mō te iti rawa o te tekau mā toru tau hei noho hei taote pokanga whānui. Kāore ianei tēnei i te tino whakapau kaha?

He aha te rerekētanga i waenga i te Taote Tākuta Whānui me te Taote Tākuta Tamariki?

He mea nui anō hoki tēnei. He taote pokanga whānui ia taote pokanga tamariki. Engari ehara i te mea he taote pokanga tamariki ia taote pokanga whānui.

He kupu ngāwari noa iho, ko te taote tamariki he tangata kua whakangungua hei taote whānui, ā, kua whiwhi whakangungu motuhake anō hoki hei rongoā i ngā tamariki. He rite ki te taote tamariki, engari ka taea hoki e tēnei taote te mahi pokanga.

He rite te taote pokanga whānui ki te taote noa, he mana anō tōna. Ko taua mana ko te kaha ki te rongoā i ngā momo mate i roto i te rūma pokanga.

He nui te whakangungu, te mōhiotanga, me te pūkenga e hiahiatia ana hei hanga i tētahi tangata pēnei. Engari he mahi tino whakamīharo. Nā te mea kāore he rā e rite ana. He wero hou, he wheako hou tonu.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Āe, ki taku whakaaro kua mōhio koe inaianei mō te taote pokanga whānui.

• He tākuta tohunga te taote whānui kua whakangungua ki te mahi i te whānuitanga o ngā pokanga. Kāore i te herea ki te wāhanga kotahi o te tinana.
• He maha ngā āhuatanga e rongoātia ana e rātou, pērā i ngā mate puku, ngā aituā, ngā pukupuku ū, me ngā hernia.
• Ka manaaki rātou i te tūroro i mua, i te wā e pokanga ana, me muri i te pokanga.
• Ka taea e rātou te mahi pokanga mā te whakamahi i ngā tikanga hou pēnei i te 'Endoscopy' me te 'Laparoscopy', ā, he iti noa ngā tapahi.
• Ko te noho hei taote pokanga whānui me whai mātauranga nui me whakangungu.
• Ki te hiahia koe ki te pokanga, ka tukuna pea koe e tō tākuta ki tētahi taote pokanga whānui. Kaua e manukanuka, kei reira rātou hei āwhina i a koe.

Mēnā he pātai anō āu, kōrero ki tō tākuta. Kia ora tonu koe!

` Taonga Tākuta, Taonga Tākuta Whānui, pokanga, pokanga, maimoatanga hauora, tātaritanga, Taonga Tākuta Whānui