Ina kī atu tō tākuta ki a koe, ki tētahi rānei e mōhio ana koe me whakauru he pēke ki roto i tō puku hei tango i te paru, he mea noa te ohorere me te mataku. "He aha tēnei pokanga?", "He mea pumau tēnei?", "Kāore rānei au e taea te noho noa?" He maha pea ngā pātai kei roto i tō hinengaro. Kaua e manukanuka. Me kōrero tātou mō tēnei pokanga, e kiia nei ko te 'Fuecal Diversion', i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
He aha tēnei pokanga 'Whakarerekētanga Tutae'?
Ko te 'Whakarerekētanga Tutae', i roto i te whakarapopototanga, ko te huringa rangitahi, pumau rānei o te ara tūturu o te tūtae e puta ana i te tinana (te pūrua) kia puta ai mā te kiri o te puku. Ko te pūaha horihori i hangaia pēnei i runga i te kiri o te puku ka kiia he stoma .
Ka hangaia tēnei stoma mā te whakamahi i tētahi wāhanga o te whekau.
- Ki te hanga e koe he stoma mā te hono i tō whekau iti ki te kiri, ka kiia he ileostomy .
- Mena ka hono tō koroni ki te kiri, ka kiia he colostomy .
Tērā pea kei te miharo koe he aha i mahia ai tēnei. He maha ngā take e taunaki ana ngā tākuta i tēnei pokanga:
- Whakaora i ngā mate urutā uaua, i ngā raruraru rānei e pā ana ki te pūkahukahu, ki te nono rānei.
- Hei rongoā mō te mate pukupuku koroni .
- Te kore e taea te pupuri i te mimi .
Whakaarohia, he uaua porowhita te āhua o tō tātou pūremu (uaua sphincter) e whakahaere ana i te haerenga o te tūtae. Koia te take ka taea e tātou te pupuri me te tuku tūtae ina hiahia tātou. Engari kāore he uaua whakahaere pēnei i te stoma i hangaia. Koia te take kāore e taea e tātou te whakahaere i te haerenga o te tūtae. Koia te take me mau tātou i tētahi putea motuhake (he taputapu kohikohi ostomy ) e hono ana ki te stoma hei kohi i te tūtae e puta mai ana.
Ka taea e tēnei stoma te noho rangitahi , te noho pumau rānei. Kei runga i tō āhua hauora. Hei tauira, te toto o te pukuI muri i te tapahi me te tango i tētahi wāhanga o te nono, ā, i muri i te hono anō i ngā wāhanga e rua e toe ana, ka hangaia he stoma rangitahi hei okiokinga kia ora rā anō te anastomosis. Kia ora te wāhi, ka mahia tētahi atu pokanga hei tango i te stoma me te hanga i tētahi ara noa mō te tūtae. Heoi, i ngā wā ka tangohia katoatia te nono me te rectum, me pupuri tonu te stoma.
Me pēhea te mahi i tēnei pokanga mā te laparoscopy?
Ko te laparoscopy, e mōhiotia ana e tātou katoa, he momo " pokanga kōhao kī." I roto i tēnei, hei utu mō te hanga i tētahi tapahi nui, he torutoru noa ngā kōhao iti ka hangaia ki te puku.
Ka whakauruhia he laparoscope , he ngongo angiangi me te kāmera me te mārama kei mua, ki roto i te puku mā roto i tētahi o ngā tapahi. Ka whakaaturia ngā whakaahua mai i te kāmera ki runga i tētahi mata nui (aroturuki) i roto i te rūma pokanga. Ka titiro te tākuta ki te mata, ā, ka mahi i te pokanga mā te whakamahi i ngā taputapu motuhake kua whakauruhia mā roto i ētahi atu tapahi iti.
Ko te painga o tēnei tikanga, kāore he tapahi nui, nō reira he iti ake te mamae, he tere ake te whakaora, ā, he iti ake ngā rā e noho ana koe i te hōhipera.
Me pēhea te hanga o te stoma?
E rua ngā momo matua o ngā stoma. He rerekē paku te āhua o te hanganga.
| Momo stoma | He huarahi māmā ki te hanga |
|---|---|
| Mutunga o te Stoma | Ko te tikanga o tēnei ko te kawe tika i te pito o te whekau (iti, nui rānei) ki te mata o te kiri o te puku, ka whakapiri atu ki te kiri, ka tuitui tahi. Ka puta te pito o te whekau hei pūaha i konei. |
| Porowhita Stoma | Koinei te tikanga e whakamahia ana i te nuinga o te wā hei hanga i tētahi stoma rangitahi. I roto i tēnei, ka kawea mai he koropiko o te whekau ki te mata o te kiri, ā, ka tapahia he mea iti ki runga. Mā tēnei ka puta he āhua e rua ngā pūaha. Hei ārai i tēnei koropiko kei hoki ki roto i te puku, ka whakatakotoria he tokotoko kirihou iti ki raro mō ētahi rā i muri i te pokanga. Kātahi ka tangohia. |
He aha ngā mea ka tupu i muri i te pokanga? Me ako tātou mō te wā whakaora
I muri i tēnei momo pokanga, me noho koe ki te hōhipera mō ngā rā e rua, e toru rānei . Kia oti te pokanga, ka whakatakotoria he putea ki runga i tō stoma. Ka roa te kotahi, e rua rānei ngā rā ka tīmata anō te mahi a tō pūnaha nakunaku . Ko reira anake ka tīmata te puta mai o te paru i roto i te stoma.
I a koe i te hōhipera, ka whakaaturia e te nēhi kua whakangungua ki te tiaki i ngā stoma ki a koe te huarahi hei whakawhiti i tō pēke me te pupuri i te kiri huri noa i tō stoma kia ma. I te tuatahi, ka whakaaturia e rātou ki a koe te huarahi hei mahi i ēnei mea, kātahi ka ako i a koe me pēhea te mahi i aua mea. Nō reira, ina tae koe ki te kāinga, ka taea e koe te mahi i ēnei mea ko koe anake.
Nā te mea he mea hou tēnei, ka nui ngā panonitanga ka pā ki a koe, i te taha tinana, i te taha hinengaro hoki. I ētahi wā, ka tino taumaha, ka pōuri hoki koe. He mea noa tēnei. Kia mahara kāore koe i te mokemoke. Kei reira tō nēhi, tō tākuta, me tō whānau hei āwhina i a koe. Kōrero ki a rātou i ngā wā katoa e pōuri ana koe.
He uaua pea i te tīmatanga, engari i roto i te wā ka taunga koe ki tēnei huringa hou. E miriona ngā tāngata huri noa i te ao e mahi ana i ngā wā katoa, e whai wāhi ana ki te hapori, e noho harikoa ana. Koia te mea nui kia noho kaha tonu.
Karere Tangohia ki te Kāinga
- Ko te 'Fold Diversion' he tikanga pokanga e kawe ana i te ara mō te tūtae ki te mata o te kiri i te puku. Ko te pūaha e hangaia ana ka kiia he stoma .
- Nā te mea ka mahia tēnei pokanga mā te whakamahi i te tikanga laparoscopy (he kōhao kī), ka iti ake te mamae, ā, ka tere ake te ora.
- Nā te mea kāore e taea te whakahaere i te stoma, me mau tonu he putea motuhake ( pēke ostomy ) hei kohi paru.
- Ka taea e te stoma te noho rangitahi, te noho pumau rānei. Kei runga i tō āhua hauora. Pātai atu ki tō tākuta mō tēnei.
- Ka pāngia koe e ngā panonitanga ā-tinana, ā-hinengaro hoki i muri i te pokanga. He mea noa tēnei. Kaua e mangere ki te tono āwhina, me te kōrero ki tō whānau me ngā kaimahi hauora.
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