He maha ngā wā e hiahiatia ana e koe, e tō whanaunga rānei, he werohanga uaua, he werohanga tote, he tango toto rānei? E mārama ana mātou ki te mamae, ki te kore whakamarie, me te kino o ngā uaua e puta mai ana i te werohanga me te werohanga ngira. I tēnei rā, e kōrero ana mātou mō tētahi taputapu hauora iti, nui, kua hangaia hei whakapai ake i te whakamarie me te watea o te maimoatanga mō te wā roa māu.
He aha rawa te Pūnga Whakatō?
He kupu ngāwari noa iho, he taputapu hauora iti te pūwero kua whakatōkia ki raro i tō kiri. He "kuaha" pumau, haumaru hoki tēnei ki tētahi uaua nui i roto i tō tinana, e ngāwari ai te uru atu ki ngā maimoatanga. Tērā pea ka rongo koe i tēnei e kīia ana he "port-a-cath" he "mediport" rānei.
Ko te putanga he kōpae iti, papatahi i hangaia ki te konganuku, ki te kirihou rānei. Kei runga, kei reira he pokapū silicone hiri-ake e kiia nei ko te "septum," ka taea te wero ki te ngira. Ka mirohia he ngongo angiangi, ngāwari (catheter) e piri ana ki te kōpae ki roto i tētahi uaua nui e tata ana ki tō ngākau. Ka whakahaerehia e tō tākuta he pokanga iti hei whakanoho i te pūnaha katoa ki raro i tō kiri. Ina kore e hiahiatia te putanga, ka taea te tango i te wā o tētahi atu pokanga iti.
Ko te painga nui ko te kore e hiahiatia he werohanga ngira maha, me te werohanga auau, kia māmā ake ai te tukanga maimoatanga, kia iti ake ai te mamae, kia tino whakamarie ake ai.
He rerekē ngā momo tauranga?
Āe, he maha ngā momo e wātea ana. Mā te ripanga e whai ake nei koe e āwhina ki te mārama ki ngā kōwhiringa.
| Momo Tauranga | Whakaahuatanga |
|---|---|
| Lumen kotahi | He pūwāhi urunga kotahi. Koinei te momo e whakamahia whānuitia ana mō te tiaki o ia rā. |
| Rua Lumen | E rua ngā pūwāhi urunga motuhake, he mea tino whai hua mēnā me whiwhi koe i ngā rongoā maha i te wā kotahi. |
| Werohanga-Mana | Kei roto i tēnei kāwai te nuinga o ngā putanga hou. He mea hanga ēnei kia tū atu i te pēhanga teitei e hiahiatia ana hei werohanga i ngā tae rerekē i te wā o ngā matawai CT, MRI rānei. |
Ko wai e hiahia ana ki tētahi tauranga?
He taputapu āwhina te tauranga mō te hunga e hiahia ana ki ngā maimoatanga uaua (IV) auau, roa rānei, ngā whakawhiti toto, ngā tango toto auau rānei. Tērā pea ka tūtohu tō tākuta i tētahi tauranga mōu, mō tāu tamaiti rānei mēnā kei te whakahaere koe i ngā āhuatanga pēnei i:
- Matepukupuku: Ina hiahia koe ki ngā wā rongoā chemotherapy auau.
- Ngā Mate Pukupuku Mau tonu: Mena ka hiahia koe ki ngā paturopi ā-uaua mō ētahi wiki, mō ētahi marama rānei.
- Te ngoikore o te whatukuhu: Mō ngā tūroro e hiahia ana ki te maimoatanga dialysis tonu.
- Ngā Mate Pūnaha Nakunaku: Ngā āhuatanga pēnei i te Mate Puku Mumura (IBD) e hiahia ana pea koe ki te kai mā te uaua mō te wā roa.
- Ētahi atu Hiahia Hauora Uaua: Ngā āhuatanga e hiahia ana ki te hoatu rongoā auau, ki te tirotiro toto auau rānei.
Ngā mea hei tumanako atu i mua i te Tukanga
He mahi pokanga iti noa iho tēnei, nō reira he torutoru ngā mahi whakarite:
- Me whakamōhio atu ki tō tākuta mō ngā rongoā me ngā tāpiringa katoa e tangohia ana e koe. Tērā pea ka tohutohuhia koe kia whakamutua te kai i ētahi rongoā i mua i te pokanga.
- Ka whakamātauhia tō toto i ia wā hei tirotiro i te mahi a tō whatukuhu me te pai o te toto e pupū ana.
- Ka whiwhi koe i ngā tohutohu kia nohopuku koe (kaua e kai, kaua e inu) mō ētahi haora i mua i te tikanga.
Me pēhea te whakaurunga o te tauranga?
He pokanga iti tēnei e kotahi hāora te roa, ā, ka taea e koe te hoki ki te kāinga i taua rā anō. Heoi anō, me whai hoa koe hei arahi i a koe ki te kāinga me te haumaru.
Ko te nuinga o ngā pūwāhi ka whakatakotoria ki raro i te kiri i te uma o runga. I ētahi wā, ka whakatakotoria pea e tō tākuta ki roto i tō ringa, ki raro noa iho rānei i te rara.
Hei whakarite kia pai tō noho, ka whakaratohia e te tohunga whakamoe te rongoā whakangāwari hei pupuri i a koe kia marino, kia hiamoe hoki, me te rongoā whakamoe ā-rohe hei whakangāwari i te wāhi i tapahia. Mō ngā tamariki, ko te rongoā whakamoe whānui te tikanga e whakamahia ana.
Anei te mahi a tō tākuta:
1. Aratohu X-ray: Ka arahina te tikanga e tētahi hangarau X-ray motuhake e kiia nei ko te fluoroscopy.
2. Tapahi Iti: Ka tapahia he tapahi iti tata ki te kaki hei uru atu ki tētahi uaua nui (pērā i te vena cava superior, te vena jugular, te uaua subclavian rānei).
3. Te Waihanga i te Pūkoro: Ka tapahia he kōhao iti tuarua ki te uma, ki te ringa rānei, ka hangaia he "pūkoro" iti i raro noa i te kiri hei pupuri i te pūkoro.
4. Te Tūnga o te Putanga: Kei roto i tēnei pute te tauranga kua whakanohoia marietia.
5. Te Hononga i te Catheter: Ka mirohia he ngongo angiangi, ngāwari e kiia nei ko te catheter mai i te pūaha ki roto i tō uaua mā te tapahi i te kaki.
6. Manatoko: Ka mahia he hihi-X o te uma hei whakarite kei te tino tika te tūnga o te putanga me te catheter.
7. Te Kati i te Tapahi: Hei whakamutunga, ka katihia ngā tapahi mā te whakamahi i ngā tuitui ka taea te whakarewa.
Ngā Painga me ngā Tūponotanga: Ngā Mea Me Mōhio Koe
Ahakoa te hanga o ngā tauranga hei whakapai ake i te kounga o tō oranga, he mea nui kia mōhio koe ki ngā painga me ngā mōrearea pea.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
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Me pēhea te tiaki i tō 'tauranga' me te wā hei waea atu ki tō tākuta
Kāore he maimoatanga motuhake e hiahiatia ana mō te kiri i runga i tō tauranga i ia rā. Heoi, ki te kore koe e whiwhi maimoatanga auau, me 'horoi' tō tauranga i te kotahi i te marama hei ārai i te toto e pupuhi ana. Ko te tikanga o tēnei ko te horoi i te pūnaha ki tētahi wai motuhake, he tikanga ka mahia e tō tākuta, e tētahi nēhi tohunga rānei.
Hei ārai i te mate, me whakanui te akuaku i ngā mea katoa.
- Kaukau, kaukau rānei i ia rā.
- Horoia ō ringaringa ki te hopi i ngā wā katoa, kia 20 hēkona pea te roa.
- Kia ma tonu tō taiao noho me ō moenga.
Waea atu ki tō tākuta tonu mēnā:
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, kaua e whakaroa ki te whakapā atu ki tō tākuta , ki te haere tonu rānei ki te Tari Mate Urutā tata atu .
- He toto, he rerenga rānei mai i te wāhi tauranga.
- Ka whero te wāhi, ka pupuhi, ka mahana rānei ina pā atu.
- Ka pāngia koe e te kirika.
- Ka tīmata te pupuhi o te ringa i te taha o te tauranga.
- Ka pāngia koe e te uaua ki te manawa, te mamae rānei o te uma.
- Ka pōuri koe, ka ngoikore rānei.
He mea tino whai hua te whakatō i te tauranga mō te hunga e whiwhi ana i te maimoatanga mō te wā roa, ā, ka māmā ake te oranga. Kaua e manukanuka; mā tō tākuta i Nirogi Lanka e whakamārama ngā mea katoa e hiahia ana koe ki te mōhio.
Ngā Whakaaro Matua
- Ko te 'pūnga whakatō' he taputapu iti e whakatakotoria ana ki raro i tō kiri hei whakahaere i ngā maimoatanga roa pēnei i te chemotherapy, ngā wai IV, te tango toto rānei.
- Ka whakakorea te mamae me te kore whakamarie o te werohanga ngira, te werohanga cannula rānei.
- Ka whakaurua mā te pokanga iti, ā, ka taea te tango ngāwari ina kore e hiahiatia.
- Ko te mate pāwera te raruraru tino noa; nō reira, he mea nui kia mau tonu te akuaku.
- Rapua tonutia te awhina hauora mēnā ka kite koe i ngā tohu o te mate pēnei i te whero, te pupuhi, te kirika, te uaua rānei o te manawa.
👩🏽⚕️ Ngā Pātai Auau (FAQs)
💬 He aha te mamae o te tuara o raro (Lumbago)?
Ehara i te mamae noa iho i te ata! Ko te mamae o te tuara o raro he mamae nui, he wera, he pakari rānei i te rohe hope (i runga ake i ngā hope, i raro i ngā hope), ka kore pea koe e noho, e tū rānei. Ahakoa ko tētahi o ngā mate tino noa o te ao, i ētahi wā he tohu whakatūpato mō te mate pūnaha io nui.
💬 He aha ngā tino take o te mamae nui o te tuara o raro?
Ko te tino take (tata ki te 90%) ko te taumahatanga o te uaua nā te tū tika, te kore rānei e tika te hapai i te tinana. Ko ētahi atu take ko: 1) Ngā kōpae herniated, ngā kōpae paheke rānei e pēhi ana i te io, 2) Sciatica, te mamae e horapa ana ki raro i te waewae, 3) Ngā kōhatu tākihi, ngā mate pāwera rānei (pyelonephritis).
💬 Āhea ahau me rapu awhina ohorere mō te mamae o te tuara o raro?
Ahakoa ka memeha te nuinga o ngā mamae tuara iti i roto i ngā wiki e rua mā te okioki me te rongoā wera/mātao, me rapu tonu koe i te āwhina ohorere mēnā ka pāngia koe e ēnei āhuatanga: 1) Te ngaronga o te mana whakahaere o te puku, te pūkahukahu rānei, te ngoikore rānei o te hope (he tohu tēnei mō te Cauda Equina Syndrome, he mate ohorere tēnei nā te pokanga), 2) Te ngoikore ohorere o ō waewae, 3) Te mamae tuara nui me te kirika nui.
