Me werohanga, me tango toto rānei koe, tetahi atu rānei e mōhio ana koe i ia wā, i ia wā? E mōhio ana mātou ki te mamae, te kore whakamarie, me te kino o ngā uaua e pā mai ana me te whakauru i tētahi cannula me te wero i te ngira i ia wā. Nō reira, i tēnei rā kei te kōrero mātou mō tētahi taputapu iti tino nui e māmā ake ai tēnei tukanga mō te hunga e whiwhi ana i ngā maimoatanga roa pēnei.
Nā, he aha tēnei 'Tauranga Whakatō'?
He kupu māmā noa iho, he taputapu hauora iti tēnei e whakatōkia ana ki raro i tō tātou kiri. He tika ake, he "kēti" tuturu tēnei kua hangaia hei hono ngāwari ki tētahi uaua nui i roto i tō tātou tinana. I ētahi wā ka kiia tēnei he 'portacath' he 'mediport' rānei.
He mea hanga tēnei 'pūnga' i tētahi wāhanga papatahi, iti, rite ki te kōpae, he mea hanga ki te konganuku, ki te kirihou rānei. Kei runga ake i tēnei he wāhanga (`septum`) he mea hanga ki te silicone, ka taea te whakauru ki te ngira. Ka whakaurua tika tētahi ngongo angiangi, ngāwari (`catheter`) e hono ana ki tēnei kōpae ki roto i tētahi uaua nui e tata ana ki tō tātou ngākau. Ka whakanohoia e te tākuta tēnei pūnaha katoa ki raro i te kiri i te wā o tētahi pokanga iti. Ina kore e hiahiatia, ka taea hoki te tango anō mā te pokanga iti.
Ko te painga nui o tēnei ko te kore e hiahiatia te werohanga ngira me ngā cannulas, kia māmā ake ai te maimoatanga, kia iti ake ai hoki te mamae.
He rerekē ngā momo o ēnei 'tauranga'?
Āe, he maha ngā momo matua. Ka māmā ake te mārama ki tēnei i roto i tētahi ripanga.
| Momo tauranga (Momo) | Whakaahuatanga māmā |
|---|---|
| Lumen kotahi | Kotahi te tomokanga o tēnei. Koinei te momo e whakamahia whānuitia ana. |
| Rua Lumen | E rua ngā tomokanga o tēnei. He tino whai hua tēnei mēnā me hoatu e koe ngā momo rongoā e rua i te wā kotahi. |
| Werohanga-Mana | He rite tonu te momo o ngā 'pūnga' e wātea ana i ēnei rā. Ka taea te whakamahi hei wero i te tae rerekē i te pēhanga teitei mō ngā mea pēnei i ngā karapa CT, MRI rānei. |
Ko wai e hiahia ana ki tētahi 'tauranga' pēnei?
He mea whai hua tēnei mō te hunga e hiahia ana ki ngā maimoatanga uaua auau, roa rānei, ki te whakawhiti toto, ki te tango toto rānei. Tērā pea ka tūtohu tō tākuta i tēnei, inā koa mēnā kei a koe, kei tāu tamaiti rānei tētahi o ēnei mate e whai ake nei:
- Ngā āhuatanga o te mate pukupuku: Mena me whiwhi koe i te rongoā chemotherapy i ia wā.
- Ngā mate pāwera mō te wā roa: Mena e tika ana, ka hiahiatia pea ngā paturopi werohanga ā-uaua mō ngā wiki, ngā marama rānei.
- Te ngoikore o te whatukuhu: Mō te dialysis.
- Ngā mate o te pūnaha nakunaku: I roto i ngā āhuatanga pēnei i te Mate Puku Mumura (IBD), me werohia pea he kai mā te uaua.
- Ētahi atu mate uaua: He āhuatanga e hiahia ana kia tukuna pinepine ngā wai ā-uaua, ngā whakamātautau toto rānei.
He aha te mea ka tupu i mua i te whakaurunga o te 'tauranga'?
I te mea he pokanga iti tēnei, he iti noa ngā mea me whakarite e koe i mua.
- Me kōrero koe ki tō tākuta mō ngā rongoā me ngā huaora e tangohia ana e koe. Tērā pea ka hiahiatia kia mutu te tango i ētahi rongoā i mua i te pokanga.
- He maha ngā whakamātautau toto e mahia ana hei tirotiro i te mahi a te whatukuhu me te toto totoka.
- Ka tohutohuhia koe kia kaua e kai, e inu rānei i tetahi mea (kia tere) mō ētahi haora i mua i te pokanga.
Me pēhea te whakauru i tēnei 'pūnga' ki roto i tō tinana?
He pokanga iti tēnei, ā, e tata ana ki te haora te roa, ā, ka taea e koe te hoki ki te kāinga i taua rā anō. Heoi anō, he mea nui kia mauria mai e koe tētahi hei kawe i a koe ki te kāinga.
I te nuinga o te wā, ka whakatakotoria tēnei 'pū' ki raro i te kiri i te taha matau o te uma. I ētahi wā, ka taea hoki te whakanoho ki raro i te kiri i te taha o roto o te ringa, i roto rānei i te puku i raro i ngā rara.
Ka whakamoea koe e te tohunga whakamoe kia kore ai koe e mamae i te wā e pokangahia ana. Ka hoatu hoki e rātou he rongoā hei whakangāwari i te wāhi e mahia ai te pokanga. Ka hoatu he 'whakamoenga whānui' ki ngā tamariki, ka moe katoa rātou.
Ka tāpaetia tēnei e te tākuta penei:
1. Aratohu hihi-X: Ka mahia tēnei pokanga mā te whakamahi i tētahi hangarau hihi-X motuhake e kiia nei ko te `Fluoroscopy`.
2. Tapahi iti: Ka tapahia he tapahi iti ki te kaki hei uru atu ki tētahi uaua nui (pērā i te vena cava superior, te jugular, te subclavian rānei).
3. Tētahi atu tapahi: Ka mahia tētahi atu tapahi iti ki te kiri o te uma, o te ringa rānei, ka hangaia he "pōkete" iti i raro i te kiri hei whakanoho i te 'pūnga'.
4. Te whakatakoto i te 'tauranga':Ka whakanohoia te 'tauranga' ki roto i te pute i hangaia.
5. Te hono i te ngongo: Ka whakauruhia te ngongo (catheter) e puta mai ana i te 'port' ki roto i te uaua mā te tapahi i te kaki, kātahi ka honoa.
6. Whakaū: Ka tangohia he hihi-X o te uma hei tirotiro kei te pai ngā mea katoa.
7. Te Tuitui: Hei whakamutunga, ka katihia ngā tapahi mā te whakamahi i ngā tuitui ka taea te rewa.
He aha ngā painga me ngā ngoikoretanga o te whakamahi i te 'tauranga'?
He painga anō hoki tēnei, me ētahi mōrearea iti anō hoki. Kia mōhio tātou ki ngā mea e rua.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
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Mā wai e tiaki te 'tauranga', ā, āhea ahau me kōrero ki te tākuta ?
Kāore e hiahiatia he tiaki motuhake mō te kiri i runga i te tauranga. Heoi, ki te kore koe e whiwhi maimoatanga auau, me horoi pea te tauranga i te wā kotahi i te marama hei ārai i te toto e pupuhi ana. Ko te tikanga o tēnei me horoi ki tētahi wai motuhake. Mā tō tākuta, mā tō nēhi rānei tēnei e mahi.
Hei ārai i ngā mate urutā, ko te horoi te mea tuatahi.
- Kaukau i te kaukau i ia rā.
- Me horoi pai ō ringaringa ki te hopi mō te 20 hēkona pea.
- Kia ma tonu tō taiao me tō moenga.
Waea atu ki tō tākuta tonu mēnā:
Mena kei a koe tētahi o ngā tohu e whai ake nei, kaua e whakaroa, me whakamōhio atu ki tō tākuta , ki te haere rānei ki te Tari Whawhati Tata (ETU) .
- Mena kei te turuturu te toto, tetahi atu wai rānei mai i te tauranga.
- Mena he whero te wāhi, he pupuhi, ā, he wera hoki ina pā atu.
- Ki te mea he kirika tōu.
- Mena kei te pupuhi te ringa i te taha kei reira te 'tauranga'.
- Mena he uaua ki te manawa, he mamae rānei tō uma.
- Ki te pōuri koe, ki te ngoikore rānei.
He mea tino whai hua te 'tauranga' mō te tangata e whiwhi ana i te maimoatanga mō te wā roa. Mā tēnei ka māmā ake te oranga. Nō reira kaua e wehi i tēnei. Mā tō tākuta koe e whakamārama i ngā mea katoa mō tēnei.
Karere Tangohia ki te Kāinga
- Ko te 'pūnga whakatō' he taputapu iti e whakatakotoria ana ki raro i te kiri hei whakahaere i te maimoatanga mō te hunga e hiahia ana ki te whiwhi rongoā ā-uaua (hei tauira, te chemotherapy), te werohanga tote, te tango toto rānei mō te wā roa.
- Mā tēnei ka whakakorea te mamae me te kore whakamarie e puta mai i ngā werohanga ngira me ngā cannulas maha.
- Ka whakaurua tēnei mā te pokanga iti, ā, ka taea te tango ina kore e hiahiatia.
- Ko te mate pāwera te raruraru tino kitea, nō reira he mea nui kia tino tupato ki te horoi.
- Ki te puta mai ngā tohu pēnei i te whero, te pupuhi, te kirika, te uaua rānei ki te manawa huri noa i te 'tauranga', whakapā atu ki tō tākuta tonu.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te mamae o te tuara o raro / te mamae o te hope?
Ehara i te mea he mamae iti noa iho tēnei ina ara ake koe i te ata! Ko te 'mamae o te tuara o raro' he mumura/he taumahatanga e kore e taea te tu atu i roto i te tuaiwi, i ngā uaua, i ngā io rānei i runga ake i tō wheua hope, i runga ake i tō papa (rohe lumbar) he mamae whakararuraru rānei e kore ai e taea te ara ake i te moenga/te noho. Ahakoa koinei tētahi o ngā mamae tino noa e pāngia ana e te tangata o te ao, i ētahi wā he whakatūpato ka pararutiki ngā waewae e rua mō ake tonu atu!
💬 He aha ngā tino take o te mamae o te tuara o raro e uaua ai te ara ake i te moenga?
Ko te take matua mō tēnei (90%) ko te 'tū tika me te pēhanga uaua' - ka puta tēnei ina hapai i ngā mea taumaha (te piko o te tuara kaua ki te piko o ngā waewae). Hei tāpiri, 2) Ka puta he urunga i waenganui i ngā tuaiwi e rua, ka kōpiri i te io (Herniated Disc / Slip Disc). 3) Sciatica - Ka haere te mamae mai i te tuara ki raro i te waewae. 4) Ka puta anō hoki tēnei mamae i ngā kōhatu tākihi (Whārangi tākihi/Pyelonephritis).
💬 He aha ngā 'tohu whero' e tohu ana i tētahi āhuatanga kino, ohorere rānei, ā, me haere tonu koe ki te hōhipera me te kore e pania he hinu/mirimiri ki te kāinga?
Mena he raruraru noa, ka ora i roto i ngā wiki e rua mā te hukapapa/wai wera me te okioki. Engari ko te mōrearea nui rawa atu! 1) Mena ka mamae tō tuara, ā, ka ngaro whakarere tō mana whakahaere i tō pūkahukahu, i tō puku rānei (Te ngaronga o te mana whakahaere i tō puku/pūkahukahu) mēnā rānei kua ngoikore tō tuara o raro (Saddle anesthesia), ka pirau tō taurakira (Cauda Equina Syndrome / mate)! 2) Mena kei te ngoikore ō waewae e rua, 3) Mena he kirika nui tōu me te mamae, ka taea e koe te pararutiki i roto i ngā haora ruarua, me haere tonu koe ki te hōhipera!
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