Kua kōrerotia e te tākuta ki a koe, ki tētahi rānei e mōhio ana koe me pokanga koe ki te ate? He mea noa te mataku me te manukanuka ina rongo koe i te kupu 'tango i tētahi wāhanga o te ate'. He tino nui te ate i roto i tō tātou tinana. Engari ki te mārama tika koe, ka taea te whakaiti i taua mataku ki tētahi taumata nui. Nō reira, i tēnei rā, me kōrero tātou mō tēnei pokanga, e tango ana i tētahi wāhanga o te ate, e kiia nei ko te 'hepatectomy', i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
He aha te tikanga o te hepatectomy?
Ko te tango i te ate he pokanga e tango ana i tētahi wāhanga mate, i tō ate katoa rānei. Ko te mea whakamiharo, ko te mea pai rawa atu hoki, he kaha whakamiharo tō tātou ate ki te whakaora anō i a ia anō. Mena he hauora te toenga o tō ate, ahakoa ka tangohia e koe te rua hautoru o taua ate, ka taea e te toenga o te ate te tipu anō ki tōna rahi taketake i roto i te wā poto. He mea whakamiharo tēnā?
He aha i tika ai kia mahia tēnei momo pokanga?
He maha ngā take matua mō tēnei pokanga. I te nuinga o te wā, ka mahia tēnei pokanga hei tango i ngā pukupuku kua puta i roto i te ate. I ētahi wā, ka mahia hoki tēnei pokanga hei tuku i tētahi wāhanga o te ate hei whakaora i te ora o tētahi atu tangata.
| Take | He whakamārama māmā |
|---|---|
| Ngā Pūkahukahu Matepukupuku | Tangohia ngā mate pukupuku e tīmata ana i te ate (Te Mate Pukupuku Ate Tuatahi), me ngā mate pukupuku kua horapa ki te ate mai i tētahi atu okana (hei tauira, te koroni) (Te Mate Pukupuku Tuarua/Metastatic). Ko ngā momo tino noa ko te Hepatocellular carcinoma me te Cholangiocarcinoma . |
| Ngā Puku Pai | Ehara ēnei i te matepukupuku, engari ka tangohia atu nā te mea ka tipu haere te rahi, ā, ka puta te mamae me te kore whakamarie. Hei tauira, ko te Adenoma me ngā Cysts Ate (ngā cysts kī tonu i te wai i roto i te ate). |
| Ngā kōhatu au i roto i te ate | Mena kei te aukati ngā kōhatu i ngā awaawa au i roto i te ate, ā, kei te pā mai te mate, ka tangohia taua wāhanga. |
| Kaiwhakarato Ate Ora | Ka kohaina e te tangata hauora tētahi wāhanga o tōna ate ki tētahi e hiahia ana ki te whakawhitinga ate. Whai muri i te pokanga, ka tipu anō ngā ate e rua ki tōna rahi tūturu. |
He pēhea te kino o tēnei pokanga? He mōrearea kei reira?
Ki te pono, āe. E kiia ana tēnei he pokanga uaua, he uaua hoki ki te taha hangarau . Ko te take matua he okana nui te ate e rere ana te toto. Nō reira, he nui te mōrearea o te toto i te wā o te pokanga. Nā reira, ka mahia ēnei pokanga e ngā taote pokanga he tohunga whakangungu me te wheako motuhake ki tēnei mara.
Ko ngā mōrearea o te pokanga e whakawhirinaki ana ki te rahi o te wāhanga ate ka tangohia me te hauora whānui o tō ate.
- Te Tangohanga Iti: Ki te iti iho i te haurua o te ate ka tangohia, he iti ngā mōrearea. He maha ngā wā ka mahia ēnei mā te whakamahi i te pokanga 'kī-pō' (pokanga laparoscopic) te pokanga karetao rānei.
- Te Tangohanga Nui: Mena ka neke atu i te haurua o te ate ka tangohia, ka nui ake te uaua me te morearea o te pokanga.
Nō reira, ki te mea ka mahia tēnei momo pokanga ki a koe, he mea tino nui kia whiriwhiria e koe tētahi tohunga he pai ōna wheako, ā, he hōhipera anō hoki ōna ratonga .
He aha ngā mea ka tupu i mua i te pokanga?
I mua i te mahi pokanga i a koe, ka āta tirohia e te tākuta ētahi āhuatanga.
Ngā mea e whakaarohia ana e te tākuta
- He kaha tō hauora tinana ki te tu atu ki tētahi pokanga nui pēnei?
- He wāhi kei roto i te ate e taea ai te tango i te pukupuku mā te pokanga?
- Mena he mate pukupuku, kua horapa atu ki ētahi atu wāhi i waho o te ate?
- He rawaka te toenga o te ate i muri i te pokanga hei whakahaere tonu i ngā mahi a te tinana?
Hei whakaū i ēnei mea, ka tono tō tākuta kia whakahaerehia e koe ētahi whakamātautau.
- Ngā Whakamātautau Whakaahua: He matawai CT , he matawai MRI rānei.
- Ngā whakamātautau toto (Ngā Whakamātautau Mahi Ate): Ine i te mahi a te ate.
- Kohikohi Ate: Te tango i tētahi wahi iti o te kiko mai i te ate hei tirotiro.
I ētahi wā, ka tukuna pea te rongoā irahiko , te rongoā chemotherapy rānei i mua i te pokanga hei whakaiti i te rahi o te mate pukupuku, hei whakahaere hoki i te pokanga kia māmā ake, kia haumaru ake hoki.
He aha ngā tikanga hei whakahaere i te pokanga?
E rua ngā tikanga matua: Ko te Pokanga Tuwhera me te Pokanga Whakaiti i te Urunga.
| Tikanga pokanga | Whakaahuatanga |
|---|---|
| Pokanga Tuwhera | Ka mahia te pokanga mā te whakatuwhera i te kōhao puku mā te tapahi roa kotahi i te puku. Ko tēnei tikanga te mea pai rawa atu mō te tango i ngā pukupuku uaua me ngā pukupuku nui. |
| Pokanga Laparoscopic/Robot | E 4-6 ngā tapahi iti ka mahia te pokanga, me te whakauru i tētahi kāmera me ngā taputapu motuhake. He iti ngā tapahi, nō reira he iti ake te mamae, he tere ake te whakaora, ā, he iti ake ngā koha. |
He aha ngā mea ka tupu i muri i te pokanga? Kia pēhea te roa o te wā e ora ai?
I muri i te pokanga, ka noho pea koe ki te wāhanga tiaki nui (ICU) mō te rā kotahi, e rua rānei. Ka whai puna wai koe hei tango i ngā wai mai i tō tinana me ngā ngongo whāngai. I a koe e ora ake ana, ka whakawhitia koe ki te wāhanga noa.
- Noho hōhipera: I te nuinga o te wā, me noho koe ki te hōhipera mō te wiki pea.
- Te whakaora i te kāinga:
- Mena i pokanga tuwhera koe, tera pea e 4 ki te 8 wiki te roa ka ora katoa.
- Mena he pokanga pokanga, ka roa pea te whakaoranga i waenga i te 2 ki te 4 wiki .
- He mea nui: Kaua e hiki taumaha, kaua hoki e whakakorikori tinana i tēnei wā. Mā te hikoi poto i ia rā ka āwhina i te tukanga whakaora.
Ngā Tūponotanga/Ngā Āhuatanga o te Takuhanga
Pērā i ngā pokanga katoa, tera pea ētahi mōrearea me ngā raruraru ka pā mai. He mea nui kia mōhio ki ēnei.
- Mate urutā:Ka pā pea ngā mate ki te patunga pokanga, ki ngā pukahukahu, ki te ara mimi rānei.
- Te toto: He mōrearea nui tēnei o te pokanga ate. Tērā pea me whakawhiti toto.
- Te turuturu o te au: Mena ka pakaru te awa au i te wā o te pokanga, ka turuturu te au ki roto i te puku.
- Te ngoikore o te whatukuhu: I ētahi wā, ka pāngia pea te mahi a te whatukuhu.
- Te ngoikore o te ate: He mate tino kino ka pā mai mēnā kāore te toenga o te ate e mahi tika.
- Ngā totoka toto (Deep Vein Thrombosis): He mōrearea kei roto i ngā waewae ngā totoka toto nā te roa o te takoto i runga i te moenga i muri i te pokanga.
Mā tō tākuta ēnei mōrearea e whakamārama atu ki a koe me ngā taipitopito atu.
Ngā tohu whakatūpato e hiahia ana kia toro atu ki te tākuta
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te hokinga ki te kāinga i muri i te pokanga, whakamōhio atu ki tō tākuta tonu atu , haere rānei ki te Tari Ohotata (ETU) o te hōhipera.
Kia tino mōhio ki ēnei tohu. Mā te rongoā wawe ka ārai i ngā mate kino.
- Te kirika pumau mo etahi ra.
- Te toto e puta mai ana i te patunga pokanga, pērā i te toto, i te pupuhi rānei .
- Te ruaki tonu, te korere rānei .
- Hei whakaatu i te āhua pupuhi, pupuhi .
- Te kōwhai o ngā kanohi me te kiri (Jaundice) .
- Te koretake o te puku e roa ana mō te neke atu i te toru rā.
He mea nui te pokanga ate. Engari ki te mahia me te tīma hauora tika me te mahere kua whakaritea pai, ka taea e ia te hoatu he oranga hou ki a koe, ki tō kaituku ate rānei. Ina koa mō ngā tūroro mate pukupuku, koinei pea te maimoatanga pai rawa atu hei whakaora i ō rātou oranga.
Karere Tangohia ki te Kāinga
- He pokanga nui te tango i te ate, e tangohia ai tētahi wāhanga o te ate. Engari ka taea e ia te whakaora i ngā mate pēnei i te mate pukupuku, me te whakaora hoki i ngā oranga.
- He tino kaha tō tātou ate ki te whakaora anō i a ia anō. Ka hoki anō te wāhanga hauora e toe ana ki tōna rahi noa.
- He roa te wā e pau ana ki te whakaora, nō reira kia manawanui, kia tika hoki te whai i ngā tohutohu a tō tākuta.
- Kaua rawa e inu waipiro i muri i te pokanga. He tino kino ki te ate.
- Ki te kite koe i ētahi tohu rerekē, pērā i te kirika, te maringi o te patunga, te kōwhai rānei o ngā kanohi, me whakamōhio tonu atu ki tō tākuta.
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