He mea tino noa te manukanuka, te āwangawanga rānei ina tūtohu te tākuta kia pokangahia ō whatukuhu, tō hoa aroha rānei. I te mea he whekau nui ngā whatukuhu, he mea tino mārama ēnei āwangawanga. Kia māia koe, e mārama ana tō tīma hauora ki ō kare ā-roto, ā, kei konei rātou hei tautoko i a koe. Mā rātou e whakamārama te tikanga, ngā putanga e tumanakohia ana, me te tukanga whakaora kia marino ai tō hinengaro.
He aha te Heminephrectomy?
He pokanga te heminephrectomy e tangohia ai te wāhanga anake o te whatukuhu kāore e mahi. E kore te okana katoa e tangohia e tō taote pokanga, engari ko te wāhanga anake kāore e mahi tika ana.
Ko te tikanga o tēnei tikanga he mahi i roto i ngā take o te whatukuhu duplex . Tērā pea kei te whakaaro koe he aha te tikanga o tēnā.
I te nuinga o te wā, e rua ngā whatukuhu o ia tangata. I te nuinga o te wā, kotahi te ureter (te ngongo e kawe ana i te mimi ki te pūkahukahu) o ia whatukuhu. Heoi, kei ētahi tāngata he mate whānau kei reira te whatukuhu kotahi e hono ana ki ngā ureter e rua; e mōhiotia ana tēnei ko te Duplex Kidney .
Kia mōhio koe, ehara i te mea ko te katoa he tākihi rua-ira ka pāngia e ngā raruraru. He maha ngā tāngata e noho ana i ō rātou oranga katoa me te kore e mōhio kei a rātou tēnei mate. Heoi, i ētahi wā ka arahi pea tēnei ki ētahi raruraru e hiahia ana kia arohia e te rata.
He aha ngā raruraru ka pā mai i te whatukuhu duplex?
E toru ngā raruraru matua ka pā mai i te whatukuhu takirua . Me titiro tātou ki ēnei raruraru.
| Āhua | I roto i ngā kupu māmā… |
|---|---|
| Te Whakamuritanga Vesicoureteral (VUR) | Ka puta tēnei ina rere whakamuri te mimi mai i te pūkahukahu ki ngā whatukuhu. I roto i te wā, ka arahi pea tēnei ki te kino tuturu o te whatukuhu. |
| Te Ureter Ectopic | Ka puta tēnei ina hono te ureter ki tētahi okana ehara i te pūkahukahu. Ka taea e tēnei he o te hononga te whakararu i taua okana e karapoti ana. |
| Ureterocele | Ka pupuhi te pito o raro o te ureter, pērā i te poihau i roto i te pūkahukahu, ka aukati i te rere noa o te mimi. Ka puta te pēhanga, ka kino pea te whatukuhu. |
Ahakoa kei te noho tonu ēnei āhuatanga, ka tīmata tō tākuta Nirogi Lanka mā te aroturuki i tō ahunga whakamua. Heoi, ki te pāngia koe e ngā mate mimi maha , ki te ngaro katoa rānei te mahi a tētahi wāhanga o tō whatukuhu i ngā raruraru kua whakahuatia ake nei, ka tūtohu pea tō tākuta kia tangohia te heminephretectomy.
Me pēhea te whakarite mō te pokanga?
I mua i tō pokanga, ka whakamāramahia e tō tākuta mimi te mahi pokanga me te tiki i tō whakaaetanga whai muri i te whakamahinga. Ka whakamātauhia hoki koe i mua i te pokanga kia mōhio ai kei te ora koe mō te pokanga. Ka matapakihia e tō tīma hauora:
- Tō hītori hauora katoa .
- Ngā rongoā katoa e tangohia ana e koe i tēnei wā. Kei roto i tēnei ko ngā rongoā whakahaunga, ngā rongoā kore utu, ngā tāpiringa otaota, me ngā huaora. Me whakamutu ētahi rongoā, inā koa ngā rongoā whakaiti toto, nā te mea ka piki ake te tūponotanga o te toto.
- Ngā mate pāwera katoa e mōhiotia ana kei a koe.
Ka whiwhi koe i ngā tohutohu mārama mō te wā me mutu te tango i ngā rongoā motuhake me te wā me tīmata te nohopuku (te karo i te kai me te inu) i mua i tō pokanga.
Me pēhea te mahi i te pokanga?
E toru ngā huarahi matua: te pokanga tuwhera, te pokanga laparoscopic, me te pokanga āwhina-rorohiko.
| Tikanga Pokanga | Huarahi me ngā Painga |
|---|---|
| Heminephectomy tuwhera | Ka tapahia e te taote pokanga he taha tata ki te 12 inihi te roa i waenganui i ngā rara me te hope, kia taea ai te uru tika atu ki te whatukuhu hei tango i te wāhanga kāore e mahi ana. |
| Pokanga Laparoscopic | Engari mō te tapahi nui kotahi, ka mahia ētahi poka iti. Ka whakauruhia he kāmera (laparoscope) me ngā taputapu motuhake hei tango. Ka hua ake he iti ake ngā koha, ā, ka tere ake te ora. |
| Pokanga Robotic | He rite ki te laparoscopy, engari ka whakahaerehia e tō taote pokanga ngā ringa karetao me te tino tika, kia pai ake ai te tika i te wā o te mahi. |
I mua i te tīmatanga o te pokanga, ka tukuna e te tohunga whakamoe te rongoā whakamoe whānui , kia mōhio ai koe kei te moe koe, ā, kāore koe e mamae. Ka whakanohoia hoki he catheter mimi (Foley catheter) hei pupuri i te pūkahukahu kia takoto kau. E rua ki te toru hāora te roa o te mahi.
He aha te mea ka tupu i muri i te pokanga, ā, he aha te roa o te whakaoranga?
Ka tirotirohia koe i roto i te rūma whakaora kia ara ake rā anō koe, kia tau hoki ō āhuatanga ora. Ka hoatu he rongoā mamae ina hiahiatia.
Ko te roa o te whakaoranga e whakawhirinaki ana ki te huarahi pokanga:
- Whai muri i te pokanga laparoscopic, te pokanga robotic rānei , ka taea e koe te hoki ki ngā mahi o ia rā i roto i ngā wiki 4-6 .
- Whai muri i te pokanga tuwhera , ka roa pea te whakaoranga katoa i roto i te 8-12 wiki .
I te wā e ora ana koe, ka akiaki tō tākuta i te hikoi māmā hei whakatere i te rere o te toto, hei ārai hoki i ngā raruraru pērā i te toto totoka, te niumōnia rānei. Heoi anō, me karo koe i te hiki i tētahi mea taumaha atu i te 4.5kg (tata ki te taumaha o te karani wai) .
Ngā whakaaro kai
Āe. Mō ngā wiki tuatahi e whā, ngana ki te inu i te 6-8 karāhe wai i ia rā, me te arotahi ki ngā kai ngawari, ngāwari ki te nakunaku. Tērā pea ka tohutohuhia koe kia karo i ētahi kai kia hoki rā anō ō nekehanga puku ki te āhua noa.
| Ngā Kai e Manakohia ana | Ngā Kai hei Ārai |
|---|---|
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Āhea me whakapā atu tonu ki tō tākuta
Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i muri i tō pokanga, whakapā atu ki tō tākuta tonu atu , toro atu rānei ki te Tari Ohotata tata atu.
- Te uaua ki te manawa
- Te toto nui i te wāhi i tapahia
- Te wehenga o ngā taha o te patunga
- Ngā tohu o te mate: Kei roto i tēnei ko te whero, te pupuhi, te tae papura/parauri/mangu huri noa i te wāhi, te kirika, te rere mai rānei me te haunga kino.
- Te mamae e kore e taea te whakamanawanui, e kino haere ana rānei
- Te mamae o ngā waewae
- Te toto i roto i tō mimi
He mea noa te manukanuka mō te pokanga. He mea noa ngā pātai pēnei i te, "Ka angitu te pokanga?" "Me pēhea mēnā ka kino haere aku tohumate?". Ngāna kia arotahi ki ngā hua pai: "E hia te pai ake o tōku oranga i muri i tēnei?" "Ka mutu rānei ēnei mate urutā?" Mā te whakarerekē i tō tirohanga ka āwhina i a koe kia marino ake i a koe e ora ana.
Nga Taketake matua mai i Nirogi Lanka
- Ko te heminephrectomy he tikanga e tango ana i te wāhanga kore mahi o te whatukuhu, kia ora ai te wāhanga hauora.
- Ko te nuinga o te wā ka mahia tēnei pokanga hei rongoā i ngā raruraru e puta mai ana i tētahi mate whānau e mōhiotia ana ko te Duplex Kidney.
- I runga i tō āhua, ka taea te mahi pokanga tuwhera, laparoscopic, robotic rānei. Ka rerekē te roa o te wā whakaora i runga i te tikanga e whakamahia ana.
- Kia tika te whai i ngā tohutohu a tō taote pokanga i muri i te pokanga, inā koa mō tō kai me ngā here mō te hiki i ngā mea taumaha.
- Rapua he awhina hauora ohorere mēnā ka kite koe i ngā tohu whakatūpato pēnei i te uaua ki te manawa, te toto nui, ngā tohu rānei o te mate pāwera.
- Kaua e mangere ki te kōrero noa ki tō tīma hauora mō ngā pātai, ngā āwangawanga rānei kei a koe; kei konei mātou hei tautoko i tō whakaoranga.
Heminephectomy, Pokanga Tākihi, Tākihi Duplex, Mate Tākihi, Ngā Tukanga Pokanga, Reflux Vesicoureteral, Ureterocele
