He mea noa te mataku me te manukanuka ina kī mai te tākuta ki a koe, ki tētahi rānei e mōhio ana koe me pokanga koe ki te whatukuhu. Kāore i te miharo, inā koa he okana nui ngā whatukuhu i roto i ō tātou tinana. Engari e mārama ana tō tākuta ki ō kare ā-roto. Koia rātou ka whakamārama atu ai i te pokanga, ngā hua e tumanakohia ana, me te wā whakaora ki a koe.
He aha te tikanga o te Heminephectomy?
Ko te heminephrectomy (hemi-nephrec-to-me) he tikanga pokanga e tango ana i te wāhanga kore mahi o tō whatukuhu anake. Kāore te whatukuhu katoa e tangohia, ko te wāhanga kore mahi anake.
Ko te tikanga o tēnei pokanga he mahi mā te hunga he mate e kiia nei ko te Duplex Kidney . Tērā pea kei te whakaaro koe he aha te tikanga o tēnā.
Whakaarohia, e rua ngā whatukuhu o te tinana o tātou katoa. I te nuinga o te wā, kotahi anake te ureter hei kawe i te mimi mai i te whatukuhu kotahi ki te pūhā. Engari ko ētahi tāngata ka whānau mai me ngā ureter e rua i roto i te whatukuhu kotahi nā te mate whānau. Koia mātou i kī ai ko te "Kanihi Takirua".
Engari, ehara i te mea ko te katoa he "Whākihi Takirua" ka pāngia e ngā raruraru. Ko ētahi tāngata ka noho ora me te kore e mōhio kei a rātou tēnei mate. Engari i ētahi wā ka pā mai ētahi raruraru.
He aha ngā raruraru ka puta mai i te whatukuhu duplex?
E toru ngā raruraru matua ka puta mai i te 'Kanihi Duplex'. Kia kite tātou he aha ēnei.
| Raru (Āhua) | Hei whakarāpopototanga... |
|---|---|
| Te Whakamuritanga Vesicoureteral (VUR) | Ka hoki ake te mimi i roto i te pūkahukahu ki roto i ngā whatukuhu i tēnei. Mō te wā roa, ka kino pea ngā whatukuhu. |
| Te Ureter Ectopic | Ko te mea e tupu ana i konei, kāore te urethra tāpiri e hono ana ki te pūkahukahu, engari ki tētahi atu okana tata. Ka taea hoki e tēnei te whakararu i taua okana. |
| Ureterocele | Ka pupuhi te urethra, te wāhi e tomo ai ki te pūhā, pērā i te poihau, ka aukati i te rere o te mimi. Ka taea e tēnei te whakanui ake i te pēhanga i roto i te whatukuhu, ā, ka pā kino. |
Ahakoa ēnei raruraru, i te nuinga o te wā, ka aroturuki noa tō tākuta i a koe. Heoi, ki te mea he maha ngā mate mimi e pāngia ana e koe , ki te mea rānei kua kore rawa tetahi wāhanga o tō whatukuhu e mahi nā ngā take kua whakahuatia ake nei, ka tūtohu pea tō tākuta kia tangohia te heminephrectomy.
Me pēhea te whakarite i mua i te pokanga?
I mua i te pokanga, ka whakamāramahia e tō taote pokanga (miorologist) te pokanga ki a koe me te tiki i tō whakaaetanga. Hei tāpiri, ka whakahaerehia e rātou ētahi whakamātautau hei whakarite kei te ora koe mō te pokanga. Ka pātai atu rātou ki a koe mō ēnei e whai ake nei:
- Tō hītori hauora katoa .
- Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe. Kei roto i tēnei ko ngā rongoā kua tohua e te tākuta, ngā rongoā kāore e hiahiatia he rongoā, ngā hua otaota, tae atu ki ngā huaora. Ko ētahi rongoā, pērā i ngā rongoā whakangawari toto, ka piki ake te mōrearea o te toto i te wā e pokanga ana.
- Mō ngā mate pāwera katoa kei a koe.
I mua i te pokanga, ka whakamōhiotia koe mō ngā rongoā me tango e koe, mēnā he rongoā kei a koe, me te wā me mutu ai te tango. Ka whakamōhiotia hoki koe mō te wā tika me mutu ai te kai me te inu (te nohopuku) i mua i te pokanga.
Me pēhea te mahi i te pokanga?
E toru ngā huarahi matua e taea ai tēnei pokanga: te pokanga tuwhera, te pokanga laparoscopic, me te pokanga robotic.
| Momo pokanga | Me pēhea te mahi me ngā painga |
|---|---|
| Heminephectomy tuwhera | Ka tapahia e te tākuta he 12-inihi te roa ki roto i tō puku, i waenganui i ō rara me tō hope. Mā tēnei ka taea e te tākuta te kite pai ake i te whatukuhu. Ka taea te tango ā-ringa i te wāhanga kāore e mahi ana. |
| Pokanga Laparoscopic | Ko te tikanga o tēnei he maha ngā tapahi iti i roto i te puku, kaua ki te tapahi nui kotahi. Ka whakauruhia he taputapu angiangi me te kāmera (laparoscope) mā roto i te tapahi kotahi hei tiro i te whatukuhu. Ka whakauruhia ngā taputapu pokanga mā roto i ētahi atu tapahi hei tango i te wāhanga kore mahi. Ko te painga o tēnei he iti ake te koha, ā, he tere ake te whakaora. |
| Pokanga Robotic | He rite tēnei ki te pokanga laparoscopic, engari i konei ka whakahaerehia e te tākuta ngā taputapu pokanga mā te whakamahi i ngā ringa o tētahi mīhini karetao. Mā tēnei ka taea te pokanga tino ātaahua, tino tika hoki. |
I mua i te tīmatanga o te pokanga, ka hoatu e te tohunga whakamoe te rongoā whakamoe whānui ki a koe ('Whakamoe Whānui'). Nō reira, kāore koe e mamae, engari kei te moe koe. Kātahi ka whakaurua he catheter Foley hei whakawātea i tō pūkahukahu. E rua, e toru rānei hāora te roa o te pokanga.
He aha ngā mea ka tupu i muri i te pokanga? Ā, kia pēhea te roa o te wā e ora ai?
I muri i te pokanga, ka tirotirohia koe i roto i te rūma whakaora kia oho ake rā anō koe, kia tau hoki tō hauora. Ka hoatu he rongoā ki a koe hei whakahaere i tō mamae.
Ka rerekē te roa o te whakaoranga i runga i te momo pokanga i mahia ki a koe.
- I muri i te pokanga laparoscopic, i te pokanga robotic rānei, ka taea e koe te hoki ki ngā mahi o ia rā i roto i ngā wiki 4-6 .
- E 8-12 wiki pea te roa hei whakaora tino i muri i te pokanga tuwhera .
Ka akiaki tō tākuta i a koe kia hikoi paku i a koe e ora ana. He pai te hikoi mō tō tinana, ā, ka āwhina i te ārai i ngā mea pēnei i te toto totoka me te niumōnia. Engari me karo koe i te hiki i tētahi mea taumaha atu i te 10 pauna (tata ki te taumaha o te karani wai).
Me tūpato koe ki te kai me te inu?
Āe. Mō ngā wiki tuatahi e whā i muri i te pokanga, ka tohutohuhia koe kia inu i te 6-8 karāhe wai i te rā, me te kai i tētahi kai ngawari, ngāwari hoki te nakunaku. Ka tohutohuhia hoki koe kia karo i ētahi kai kia hoki rā anō ō nekehanga puku ki te āhua noa.
| Ngā mea pai hei kai | Ngā mea hei karo |
|---|---|
|
Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta tonu!
Ki te pāngia koe e tētahi o ngā tohu i raro nei i muri i te pokanga, me waea atu koe ki tō tākuta tonu atu , me haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
- Te uaua ki te manawa
- Te toto nui mai i te wāhi i tuitui ai
- Te wehenga kiri mā roto i ngā tuitui
- Ngā tohu o te mate urutā: Kei roto i tēnei ko te whero, te papura, te parauri, te mangu rānei te tae huri noa i te patunga, te kirika, te pupuhi e puta mai ana i te patunga, te haunga kino rānei.
- Te mamae e piki haere ana, e kore e taea te whakaroa
- Mamae waewae
- Te toto i roto i te mimi
He mea noa te wehi i te pokanga. He mea noa te pātai pēnei i te, "Me pēhea mēnā kāore te pokanga e pai?" "Me pēhea mēnā ka kino haere aku tohumate?" Engari whakaarohia hoki ngā mea pai. "E pēhea ana te māmā ake o tēnei pokanga ki tōku ao?" "Ka taea rānei e au te whakakore i ngā mate kua pā mai ki ahau?" Mā te whakaaro pēnei ka āwhina i a koe kia pai ake tō wairua.
Karere Tangohia ki te Kāinga
- Ko te heminephrectomy he pokanga e tango ana i te wāhanga whatukuhu e kore e mahi tika ana. Kāore e tangohia te whatukuhu katoa.
- He maha ngā wā ka mahia tēnei pokanga mō ngā raruraru i puta mai i tētahi mate whānau e kiia nei ko te Duplex Kidney.
- Ka taea te mahi pokanga tuwhera, laparoscopy, robotic rānei. Ko te roa o te wā whakaora e whakawhirinaki ana ki te tikanga.
- Kia ata whai i ngā tohutohu a tō tākuta i muri i te pokanga, inā koa mō te kai me te hiki taumaha.
- Ki te kite koe i ngā tohu whakatūpato pēnei i te uaua ki te manawa, te toto nui, ngā tohu rānei o te mate pāwera, rapua tonutia he tohutohu hauora.
- Kōrerotia marietia ki tō tākuta mō ō pātai, ō wehi rānei.
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