Kei te pāngia tētahi o tō whānau, he hoa pea nōu, e te mate tākihi. He aha te uaua ki a koe te mātakitaki i a rātou e haere ana ki te dialysis i ia rā? Nā, me pēhea mēnā ka taea e koe te hoatu i tētahi oranga hou ki taua tangata mā te tuku i tētahi o ō tākihi? He whakatau nui rawa tēnei. He mea tino rangatira hoki. Nō reira, i tēnei rā ka kōrero noa tātou mō tēnei tukanga whakamiharo e kiia nei ko te tuku tākihi.
He aha te tikanga o te koha whatukuhu i roto i ngā kupu māmā noa iho?
Ki te kī māmā noa, ko te tuku whatukuhu he tango pokanga i te whatukuhu o tētahi tangata, ka whakatōkia ki tētahi atu tangata kua ngoikore ōna whatukuhu.
Whakaarohia, ka tukuna e te tangata ora tētahi o ōna whatukuhu. Ka taea e te tangata kua mate te roro te whiwhi i ngā whatukuhu e rua. Ko te pātai nui pea kei a koe, "Ka taea e koe te ora me te whatukuhu kotahi?" Ae, ka taea e koe! Ka taea e te tangata he whatukuhu hauora kotahi te ora roa, hauora, me te kore he raruraru.
He aha ngā mate ka taea te rongoā mā te koha whatukuhu?
He āwhina te koha i tētahi whatukuhu ki tētahi e pāngia ana e te ngoikore o te whatukuhu . Ko te ngoikore o te whatukuhu he āhuatanga e kore ai e mahi tika ō whatukuhu e rua.
Ko ngā whatukuhu tētahi o ngā okana matua o te pūnaha mimi i roto i tō tātou tinana. Ko tā rātou mahi he tātari i ngā para me te wai koretake mai i te toto, ā, ka tukuna atu i te tinana hei mimi.
He mea nui anō hoki ngā whatukuhu mō te whakataurite i ngā irahiko pērā i te pāhare pāporo me te konutai i roto i te tinana, me te whakahaere hoki i te toto toto tiketike.
Ina ngoikore ngā whatukuhu, ka kohia te wai ki roto i te tinana, ka pupuhi ngā waewae (edema). Ka kohia te wai huri noa i ngā pukahukahu (pleural effusion) me te taha o te ngākau (pericardial effusion). Ka kore pea te ngākau e mahi tika, ka arahi ki te ngoikore o te ngākau. Ka taea hoki e ngā taumata pāhare pāporo te tino teitei, ka puta ai te ngakau koretake (arrhythmias) me te mate ohorere o te ngākau.
Koia te take he mate whakamate te ngoikore o te whatukuhu, ki te kore e rongoatia. Ko te tangata e pāngia ana e tēnei mate, me haere ki te dialysis mō tōna oranga katoa, me haere rānei ki te whakawhitinga whatukuhu.
He aha ngā huarahi hei tuku i te whatukuhu?
E rua ngā huarahi matua hei koha i te whatukuhu. Mai i te tangata ora, mai rānei i te tangata kua mate tata nei (kua mate te roro). He maha ngā huarahi e taea ai e te tangata ora te koha. Me whakamārama atu tēnei i roto i tēnei ripanga.
| Tikanga koha | He whakamārama māmā |
|---|---|
| Mai i tētahi whanaunga ora (E pā ana ki te hunga ora) | Te tuku i tētahi whatukuhu e tētahi whanaunga toto (ngā mātua, ngā tuākana, teina rānei). |
| Mai i tētahi tangata kāore he whanaunga ora (Kore whanaunga ora) | Te koha ki tētahi hoa, hoa rangatira, ki tētahi whanaunga rānei. |
| Koha i Whakahaeretia | Ka whiriwhiri tika te kaituku ko wai hei hoatu i tōna whatukuhu ki. |
| Whakawhitinga Takirua | He ahua uaua tēnei. Whakaarohia kei te hiahia koe ki te koha i tētahi whatukuhu ki tō whanaunga, engari kāore ō momo toto e ōrite. Ā, kei te hiahia koe ki te koha i tētahi whatukuhu ki tētahi atu whanaunga, engari kāore rāua e ōrite. Engari he ōrite tō whatukuhu ki te whanaunga tuarua, ā, he ōrite te whatukuhu o te tangata kē ki tō whanaunga. Kātahi ka whakawhitiwhiti whatukuhu ngā kaituku e rua. |
| Te Koha Atawhai | Kāore te kaituku i te mōhio ko wai te tangata ka whiwhi i tōna whatukuhu. Ko tā rātou e tuku ana ko te whakaaro rangatira anake kia whakaorangia te ora o tētahi tangata tauhou e hiahia ana ki te āwhina. |
Ko wai ka āhei ki te tuku i tētahi whatukuhu i a ia e ora ana?
He kawenga nui te tuku i tētahi whatukuhu. Nō reira, me tino hauora te kaituku. He maha ngā whakaritenga me tutuki.
- Tau: Ki te koha i tētahi whatukuhu, me 18 tau te pakeke neke atu rānei. Nā te mea kāore e taea e te tangata kei raro iho i taua tau te whakaae ture ki tētahi whakatau nui pēnei. Heoi, kāore he rohe tau teitei. Ahakoa he tangata hauora 90 tau te pakeke ka taea te koha angitu i tētahi whatukuhu.
- Hauora tinana:Ka tirohia tō tinana katoa e te tākuta. He maha ngā mea ka tirohia e rātou, pērā i tō hītori hauora, mēnā kua pāngia tētahi o tō whānau e te mate tākihi, ngā rongoā e tangohia ana e koe, me te mahi a ō tākihi me ētahi atu okana. Kāore e taea e ngā wāhine hapū te tuku tākihi. Me iti iho hoki i te 35 te taupū taumaha tinana (BMI). Kāore e taea e te hunga e momi hikareti ana, e vape ana rānei te tuku tākihi. Ko ēnei katoa hei whakarite i te haumaru o te kaituku.
- Hauora hinengaro: Ka tirohia hoki tō hauora hinengaro e tētahi rōpū tākuta. He mea nui tēnei, ā-tinana, ā-hinengaro hoki. Ka kōrero rātou mō te ahotea ka puta i muri i te pokanga me tō kaha ki te aro atu. Ka whai wāhi ngā tākuta hinengaro me ngā kaimahi hapori ki tēnei. I ētahi wā, ka whai wāhi atu ngā kaitohutohu motuhake ki tēnei tukanga kia kore ai koe e akiakihia e tetahi .
He aha ngā whakamātautau me mahi i mua i te tuku koha?
I mua i te whakatau mēnā he tika koe ki te tuku i tētahi whatukuhu, ka whakahaerehia e te tīma hauora he raupapa o ngā whakamātautau.
- Ngā whakamātautau toto
- Ngā whakamātautau paturopi
- Ngā tirotiro mate pukupuku e tika ana mō te tau (hei tauira, te colonoscopy, te mammogram me te Pap smear mō ngā wāhine)
- Ngā whakamātautau whakaahua pēnei i ngā hihi-X me ngā karapa CT
- Ngā whakamātautau pēnei i te EKG me te whakamātautau ahotea whakakori tinana hei tirotiro i te hauora o te ngākau
- Te tātaritanga mimi hei tirotiro mēnā kei te ora ngā whatukuhu
- He whakamātautau toto toto 24-hāora
- Whakamātautau haputanga
Me pēhea te mahi i te pokanga?
Ko te pokanga hei tango i te whatukuhu (e kiia ana ko te 'radical nephrectomy') e rua ki te toru hāora te roa.
Tuatahi, ka meinga koe e te tohunga whakamoe kia moe rawa (whakamoe whānui). Nō reira, kāore koe e mamae, kāore hoki e mōhio. Kātahi ka whakaurua he catheter Foley hei aroturuki i te putanga o tō mimi.
I runga i ngā hangarau matatau o ēnei rā, he maha ngā wā ka mahia tēnei pokanga mā te whakamahi i te huarahi poka kī (huarahi laparoscopic) . Ko te tikanga, kaua e tapahia kotahi te tapahi nui, ka mahia kia 3-5 ngā tapahi iti rawa ki roto i tō puku. Ka whakauruhia he taputapu angiangi me te kāmera (laparoscope) mā roto i te tapahi kotahi, ka mātakihia i runga i te aroturuki, ā, ka tangohia te whatukuhu mā te whakamahi i ngā taputapu iti ka whakauruhia mā roto i ētahi atu tapahi. Ko te hua o tēnei tikanga he tere ake te whakaora, ā, he iti ake te mātārae.
Ka hohoro te kawe i te whatukuhu kua tangohia ki te tūroro e whiwhi ana, i te nuinga o te wā i roto i te rūma pokanga tata i te hōhipera kotahi, kātahi ka whakatōkia.
He aha te mea ka tupu i muri i te pokanga, ā, he aha te āhua o te whakaoranga?
I muri i te pokanga, ka haria koe ki te rūma whakaora hei tirotiro māu. Ina ara ake koe i te rongoā whakamoe, ka ahua puhoi koe. Ka hoatu he rongoā ki a koe hei whakahaere i te mamae. Ka taea e koe te tīmata mārire ki te kai me te inu.Mā te ara ake i te moenga me te hikoi wawe tonu ka tere ake te tukanga whakaora.
I te nuinga o te wā me noho koe ki te hōhipera mō ngā rā e rua, e toru rānei. I muri i tō hokinga ki te kāinga, he mea tino nui kia whai tangata hei tiaki i a koe mō te wiki kotahi pea.
E 4 ki te 6 wiki te roa hei whakaora katoa, hei hoki anō ki ngā mahi o ia rā. I tēnei wā, me karo koe i te hiki i ngā mea taumaha (neke atu i te 5 kg) me te taraiwa (kia rua wiki pea te iti rawa). Mena he wahine koe, me karo koe i te hapu mō te iti rawa i te tau.
He aha ngā painga me ngā mōrearea o te koha i tētahi whatukuhu?
Ko te painga nui o tēnei ko te ngākau māhaki e puta mai ana i te hoatutanga o te ora ki tētahi atu tangata. Waihoki, ina tangohia he whatukuhu mai i tētahi tangata ora, ka roa ake te mahi mō te 15-20 tau i te tangohanga mai i tētahi tangata kua mate. He iti ake hoki te tūponotanga o te whakakorenga.
Pērā i ngā pokanga katoa, he mōrearea anō hoki kei tēnei pokanga.
- Ngā toto totoka
- Mate pāwera huakita
- Hernia
- Te whara
I muri i te pokanga, ka heke te mahi a tō whatukuhu ki tētahi taumata. Tērā pea he āhua whakamataku. Heoi, i muri i tētahi wā, ka nui ake, ka kaha ake tō whatukuhu e toe ana, ā, ka tīmata ki te mahi i ngā mahi a ngā whatukuhu e rua. Nō reira, kāore he raruraru mō te wā roa.
Ētahi atu pātai nui
Ka whakapotohia rānei tō oranga ina kohaina he whatukuhu?
Kāo. Kua whakaatuhia e ngā rangahau kāore te koha i tētahi whatukuhu e whakapoto i te roanga o te oranga o te kaituku, e whakanui rānei i te mōrearea o te mate whatukuhu ā muri ake nei.
A, mehemea me hiahia ahau ki tētahi whatukuhu i muri i te tuku i taku tākuta?
He iti rawa te tūponotanga o tēnei mea. Engari ki te tupu, hei kaituku whatukuhu, ka whakawhiwhia koe ki te kaupapa matua i runga i te rārangi tatari mō te whakawhitinga whatukuhu. Ka whiwhi koe i tētahi whatukuhu a mua tata nei.
Āhea koe me toro atu ki te tākuta?
I muri i te pokanga, ki te nui rawa te toto e puta mai ana i ngā motu, ngā tohu o te mate (te kirika, te kakara kino mai i te patunga), te toto i roto i tō mimi, te whanoke rānei, me whakamōhio tonu atu ki tō tākuta.
Karere Tangohia ki te Kāinga
- Ko te koha i tētahi whatukuhu te koha nui rawa atu hei whakaora i te ora o tētahi.
- Mā te kotahi tō whatukuhu hauora, ka taea e koe te ora hauora roa, tino roa hoki.
- I mua i te tuku i tētahi whatukuhu, ka whakahaerehia he raupapa o ngā whakamātautau hauora me ngā whakamātautau hinengaro pakari hei whakarite i te haumaru o te kaituku.
- He wā te roa e hiahiatia ana hei whakaora i muri i te pokanga, ā, he mea nui te manawanui me te okioki.
- He ture kore te tango moni mō te koha i tētahi whatukuhu. Ko ngā utu hauora o te pokanga ka hipokina e te inihua a te kaiwhiwhi.
- Ki te mea kei te whakaaroaro koe mō tēnei, kōrero ki tō tākuta i mua i te whakatau, kia tino mōhio hoki koe ki ngā mōhiotanga katoa me ngā mōrearea.
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