He pokanga APR mō te mate pukupuku o te kōpū? Kaua e mataku, me kōrero tātou mō ngā taipitopito (Te Tangohanga o te Abdominoperineal)

Kua kōrerotia mai e tō tākuta ki a koe, ki tētahi rānei e mōhio ana koe me pokanga mō te mate pukupuku o te kōpū? He mea noa te mataku me te manukanuka i tēnei wā. Ina koa ka mōhio koe he pokanga nui pēnei i te 'APR'. Kaua e manukanuka. Mā te mōhio ki ēnei momo pokanga ka tino whakaiti i tō mataku. I tēnei rā, ka kōrero tātou mō te APR, me pēhea te whakarite mōna, me ngā mea hei tumanakohia i muri i te pokanga.

He whakarāpopototanga noa iho, he aha tēnei pokanga APR?

Ko te Abdominoperineal Resection, e mōhiotia ana ko te APR, he pokanga nui e mahia ana hei rongoā i ngā mate pukupuku o te pito o raro o te kōpū. He pokanga uaua rawa atu.

Whakaarohia, ko te wāhanga whakamutunga o tā tātou pūnaha nakunaku ko te nono me te rectum. I runga i te wāhi kei reira te matepukupuku, kia tangohia katoatia ai ngā pūtau matepukupuku, me tango pea te rohe e karapoti ana. Hei whakamārama, i roto i tēnei tikanga APR, ka mahi tō taote pokanga i ētahi mahi matua:

• Ka tangohia katoatia tō nono , te pūaha e puta ai te paru, ā, ka tuia te wāhi.
• Ka tangohia tō pūkahukahu , te wāhanga whakamutunga o tō whekau nui.
• Ka tangohia atu hoki tētahi wāhanga o tō koroni .

Tērā pea kei te whakaaro koe, "Me pēhea taku tūtae?" Ae, koinei te rerekētanga nui rawa atu o tēnei pokanga. Nā te mea ka tangohia te nono, me hanga he ara hou mō te tūtae ki waho o te tinana. Koia te take e mahia ai he colostomy tuturu .

Hei whakarāpopototanga, ka tangohia te toenga o tō koroni, ā, ka honoa tōna pito ki te mata o te kiri o tō puku. Ka kiia tēnei kōhao he 'stoma' . Kātahi ka tāpirihia he putea motuhake (putea ostomy) ki tēnei stoma. Kātahi ka uru tika tō tūtae ki roto i tēnei putea. He mea hou pea tēnei i te tīmatanga, engari ka taunga koe ki tēnei i roto i te wā. He nēhi motuhake hei āwhina i a koe ki tēnei.

Me pēhea tā tātou whakarite i mua i te pokanga?

He pokanga nui te APR, he mea tino nui te whakarite mōna. Mā tō rōpū hauora koe e whakamārama i ngā mea katoa. Kei raro nei ētahi o ngā mea ka pā ki a koe i roto i tēnei whakarite.

He aha ngā mea ka tupu i te wā o te pokanga?

Nā te mea kei raro koe i te mate whakamoe whānui, kāore koe e rongo i tetahi mea i te wā e pokangahia ana. Ka moe pai koe. Ka mahia tēnei pokanga e te tīma o te taote pokanga mō ētahi haora.

E rua ngā huarahi e taea ai tēnei pokanga te mahi:

1. Pokanga Tuwhera: Ka mahia te tikanga tuku iho mā te tapahi roa kotahi i te puku.

2. Pokanga Laparoscopic/Robotic: Ka mahia tēnei tikanga mā roto i ētahi tapahi iti i roto i te puku, mā te whakamahi i tētahi kāmera me ngā taputapu motuhake. He poto ake te wā whakaora o tēnei tikanga, ā, he iti ake te mamae.

I te wā o te pokanga, ka tangohia e te taote te pūkahukahu, te nono, me te wāhanga o te koroni kei reira te mate pukupuku. I taua wā anō, ka tangohia hoki ngā kōpū lymph e karapoti ana i te rohe. Nā te mea ko ēnei kōpū lymph te wāhi ka horapa ai ngā pūtau mate pukupuku. Kātahi, e ai ki te kōrero i mua ake nei, ka hangaia te stoma ki roto i te puku, ā, ka tuia te kiri kei reira te nono i mua, ka kati.

He aha ngā raruraru ka puta mai i muri i te pokanga?

I te mea he pokanga nui te APR, pērā i ngā pokanga nui katoa, he maha ngā tūponotanga kei roto. Kaua e manukanuka, kei te whakapau kaha te tīma hauora ki te whakaiti i ēnei tūponotanga. He mea nui kia mōhio koe ki ngā raruraru ka pā mai.

• Te toto: Tērā pea ka puta te toto mai i te wāhi i pokangahia.
• Mate urutā: Ka pā ngā mate urutā ki ngā motu, ki roto rānei i te tinana.
• Ngā toto totoka: Ka puta pea ngā toto totoka i roto i ngā waewae ka haere ki ngā pukahukahu. Hei ārai i tēnei, me hikoi tere koe i muri i te pokanga.
• Te kino ki ngā whekau e karapoti ana: He iti noa te tūponotanga ka kino ngā whekau e karapoti ana i te wāhi pokanga, pērā i te pūkahukahu.
• Ngā raruraru e pā ana ki te rongoā whakamoe: He tino iti te mōrearea o ngā raruraru nui pēnei i te niumōnia, te mate ngakau, me te whiu, engari he mea pai kia mōhio ki ēnei.

I ētahi wā, ka puta ngā raruraru roa i roto i te wā. Hei tauira, ka puta he hernia huri noa i te stoma. Tērā pea ka puta he hernia perineal i te wā i tangohia ai te nono.

He aha ngā mea ka tupu i te hōhipera i muri i te pokanga?

I muri i te pokanga, me noho koe ki te hōhipera mō ētahi rā. I tēnei wā, ka tiakina pai tō whakaoranga e te tīma hauora.

• Ngā ngongo me ngā ngongo: Ka whakanohoia he katitere hei tango i tō mimi. Ka whakanohoia hoki he waikeri ki roto i tō puku hei tango i te wai e kohia ana i te wāhi i pokangahia ai. Ka tangohia ēnei i roto i ētahi rā.
• Ngā rongoā whakamamae:Ka hoatu he rongoā ki a koe ina hiahiatia hei whakahaere i te mamae.
• Kai: I muri i te pokanga, ka hoatu he wai hei inu māu i te tuatahi. Ka taea e koe te tīmata ki te kai i ngā kai ngohengohe pērā i te hupa me te miraka kawa i te rā e whai ake nei.
• Hīkoi: He mea tino nui te ara ake i te moenga i te wā e taea ai, me te hīkoi haereere mō te tukanga whakaora. Ka āwhina i te ārai i ngā mea pēnei i te toto totoka.
• Whakangungu Ostomy: Koinei te whakangungu tino nui ka riro i a koe i te hōhipera. Ka haere mai te nēhi ostomy ki te ako i a koe me pēhea te tiaki i tō stoma hou, te whakawhiti i te putea, me te pupuri i tō kiri kia ma. Kaua e wehi ki te pātai anō me anō kia mārama rā anō koe. Tonoa tētahi mema o te whānau kia haere mai ki a koe i tēnei wā. Pērā ai, ka whai tangata hei āwhina i a koe ina hoki koe ki te kāinga.

Ka whakaaetia koe kia hoki ki te kāinga ina taea e koe te kai i ngā kai ngohengohe, te whakahaere i te mamae mā te whakamahi i ngā rongoā kāinga, ā, ina mōhio koe ki te tiaki i tō ostomy ko koe anake.

He pēhea te wā whakaora i muri i te hokinga ki te kāinga?

Ka roa pea te wā e ora ai koe i muri i tō hokinga ki te kāinga. I tēnei wā, whakarongo ki tō tinana. Ki te ngenge koe, okioki.

Mena kei te mahi koe, tera pea ka roa pea he wiki, he marama rānei hei hoki atu ki te mahi, kei te āhua o te ora o ō whara me te āhua o tō mahi.

Āhea te waea atu ki te tākuta

Mena he raruraru kei a koe i a koe e ora ana, waea atu ki tō tākuta, ki te hōhipera rānei i pokaina ai koe i taua wā tonu. Kia mahara ki te ripoata i tētahi o ngā tohu e whai ake nei:

• Te mamae nui o te puku e kore e taea te whakahaere ahakoa ngā rongoā whakamamae.
• Kirika. He kirika 38.6 nekehanga Celsius (101.5 Fahrenheit) neke atu rānei.
• Mena ka mau tonu te ruaki me te whakapairuaki .
• Te korere, te mate pāwera rānei.
• Mena he whero, he pupuhi, he mamae rānei ngā wāhi i tapahia.
• Mena he mamae, he raruraru rānei tōu ki tō ostomy .

He wheako whakarerekētanga ora te pokanga APR. Ka roa te wā e taunga ai koe ki tēnei. Kōrero ki tō tākuta, ki tō whānau, me ō hoa mō ō āwangawanga, ō wehi, me ō kare ā-roto. Kāore koe e hiahia ki te haere ko koe anake i tēnei haerenga.