Mena kei te pokanga koe, kei te mahi rānei tētahi atu e mōhiotia ana e koe, hei tango i tētahi wāhanga o tō rātou koroni, he mea noa te māharahara me te hiahia ki te mōhio. Ina koa he uaua te kupu. Ko tētahi o aua pokanga he laparoscopic proctosigmoidectomy. Ahakoa te ahua whakamataku o te ingoa, me kōrero tātou mō tōna tikanga māmā. Whakaarohia he hoa mātau e whakamārama ana ki a koe.
He aha i mahia ai tēnei pokanga? He aha ngā take mō tēnei?
I roto i tēnei mahi pokanga, ka tapahia, ka tangohia hoki te wāhanga mate o tō koroni me tō pūhā. Ina koa, ko te wāhanga āhua-S o tō koroni, te koroni sigmoid , me te wāhanga o runga o tō pūhā i raro iho.
E taunaki ana ngā tākuta i tēnei pokanga hei rongoā mō ētahi āhuatanga hauora. Kia titiro tātou he aha ēnei.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Ngā mate pukupuku o te koroni me te rectum | Mena kua horapa ngā pūtau matepukupuku ki ēnei wāhanga o te whekau, ka mahia tēnei pokanga hei tango katoa i te wāhanga mate. |
| Ngā tipu kore-matepukupuku | I ētahi wā, ka puta mai ngā mea pēnei i ngā polyp, ehara nei i te matepukupuku engari ka raru pea, i ēnei wāhi. Ka whakamahia hoki tēnei tikanga hei tango i aua mea. |
| Te diverticulitis uaua | Koinei te wā e puta ai ngā pute iti i roto i te pakitara o te puku, ka pangia, ka pirau, ā, i ētahi wā ka pakū. I roto i tēnei āhuatanga uaua, me tango te wāhanga kua pakaru. |
He aha te tikanga o te kupu 'laparoscopic'?
Anei te mea motuhake mō tēnei pokanga. Ko te tikanga o te kupu 'Laparoscopic' ko te ' pokanga kōhao kī ', e mōhiotia ana e tātou katoa. Engari i te tapahi roa i tō puku pērā i mua, ka tapahia e te taote pokanga ētahi tapahi iti rawa (tata ki te 5-10 mirimita) i roto i tō puku, ā, ka mahia te pokanga mā roto i aua kōhao.
Ko te tikanga o tēnei ko te whakamahi i tētahi taputapu iti, rite ki te ngongo, e kiia nei ko te laparoscope , me tētahi kāmera iti e piri ana ki roto. Ina whakauruhia tēnei ki roto i te puku, ka taea e te taote pokanga te kite mārama i ngā whekau o roto i te puku i runga i te aroturuki, ā, ka taea te mahi i te pokanga me te tino tika. Ko ngā painga o tēnei tikanga he iti ake te mamae, he tere te ora, ā, kāore e waiho he koha nui.
Whakaarohia, hei utu mō te whakatuwhera i tētahi tatau nui ka tomo ki roto i tētahi whare, ko te mea e tupu ana he rite ki te titiro mā roto i te kōhao kī ka whakamahi i ngā taputapu iti hei mahi i roto i te whare.
He aha ngā mahi matua e rima o te pokanga?
E rima ngā mahi matua o tēnei pokanga. Kia mārama tātou takitahi i roto i ngā kupu māmā noa iho.
1. Te whakaurunga o te laparoscope me ngā taputapu
Tuatahi, ka tukuna he rongoā whakamoe whānui ki a koe, kia kore ai koe e rongo i tetahi mea i te wā o te pokanga, engari ka moe rawa koe. Kātahi ka tapahia e te taote pokanga he tapahi iti tata ki te henimita te roa e tata ana ki tō pito (puku) ka whakauru i te kāmera laparoscopic mā roto i taua tapahi ki roto i tō puku. Inaianei ka taea e ia te kite i roto i tō puku. Kātahi ka tapahia e ia kia rima, kia ono rānei ngā tapahi iti hei whakauru i ngā taputapu ngawari e hiahiatia ana mō te pokanga.
2. Te whakaora i te wāhanga mate o te whekau
Me tapahi inaianei te koroni sigmoid mate me tetahi wāhanga o te rectum. Engari i mua i tērā, me wetekina taua wāhanga mai i ētahi atu kiko.
E honoa ana ō tātou whekau ki te pakitara o te puku e te kiriuhi e kiia nei ko te mesentery . Kei roto i tēnei kiriuhi ngā oko toto matua (ngā uaua) e tuku toto ana ki taua wāhanga o te whekau. Ka āta tapahia e te taote pokanga ēnei oko toto, ka tapahia kia kati (kia mutu ai te toto). Kātahi ka wetekina te wāhanga mate o te whekau i tēnei mesentery. Hei whakamutunga, ka tangohia te wāhanga pangia o te whekau me te wāhanga mate o te whekau.
I ētahi wā, mēnā me tango katoa te tō, ka kiia tēnei he Total Proctosigmoidectomy.
3. Te whakarite mō te hononga anō o te puku
I muri i te tango i te wāhanga mate, me hono anō ngā wāhanga hauora e rua e toe ana o te whekau. Ko te tikanga me hono te pito hauora o te koroni kei runga ki te pito hauora o te tōngāmimi kei raro.
Hei mahi i tēnei, ka tukuna e te taote pokanga he wāhanga hauora o te whekau mai i te mesentery, kia māmā ake ai te kume ki raro. Ka tukuna anō hoki e ia te toenga o te rectum. Ka taea te hono i ngā mea e rua. Mēnā he mate pukupuku, ka horoia te toenga o te rectum ki tētahi wai motuhake hei whakaiti i te horapa o ngā pūtau mate pukupuku .
4. Te tango i te wāhanga mate o te whekau i te tinana
Nā te iti o ngā tapahi 'kōhao kī', kāore e taea te tango i te wāhanga kua tapahia o te whekau nui mā roto i aua tapahi. Ka whakamahia he tikanga motuhake mō tēnei. Ka hangaia e te taote pokanga tētahi o ngā tapahi taketake kia paku nui ake , ā, ka whakaurua he pēke motuhake ki roto i te puku mā roto. Kātahi ka whakanohoia te wāhanga kua tapahia o te whekau ki roto i te pēke, ā, ka āta tangohia te pēke ki waho.
5. Te hono anō i ngā pito e rua o te whekau (Anastomosis)
Koinei te taahiraa whakamutunga, te taahiraa nui rawa atu hoki o te pokanga. Ko te tukanga hono i ngā pito hauora e rua o te whekau ka kiia he anastomosis i roto i te kupu hauora.
Mō tēnei, ka whakauruhia e te taote pokanga he taputapu whakapiri motuhake mā roto i te nono. Ka tahuna he mowhiti whakapiri, ka piri ngā pito e rua o te whekau. Kātahi ka tirohia e te taote pokanga mēnā he turuturu kei te pūwāhi hononga, ā, ka horoia pai te kōhao puku.
I ētahi wā, ka whakanohoia he 'waikeri', he ngongo iti, mō ētahi rā i muri i te pokanga hei āwhina i te tango i te wai e kohia ana ki roto. Hei whakamutunga, ka katihia ngā tapahi katoa ki ngā tuitui, ki te rīpene motuhake rānei.
He pēhea te roa o te wā whakaora i muri i te pokanga?
He rite te hiranga o te wā whakaora i muri i te pokanga ki te angitu o te pokanga.
- Kaua e hiki taumaha: Me mutu rawa te hiki taumaha me te mahi i ngā mahi whakakori tinana e whakauaua ana i tō puku (pēnei i te noho-ake) mō ngā wiki e ono i muri i te pokanga.
- He rawe te hikoi : Mā te piki haere i tō taumata mahi i muri i tō taenga ki te kāinga. Ko te hikoi te korikori tinana pai rawa atu ka taea e koe te mahi i tēnei wā. Ka hoatu e te hikoi he pūngao ki a koe, ka whakapai ake i te rere o te toto , ka ārai i te toto e pupuhi ana, ā, ka āwhina i te pupuri i te hauora o ō pukahukahu.
- Kai me te Inu: Ka taea e koe te kai i te nuinga o ngā kai ina hoki koe ki te kāinga. Heoi, me karo koe i te kai i ngā hua mata me ngā huawhenua mō tētahi wā. He pai ake te whai i tētahi kai "ngāwari" kia kite rā anō koe i tō tākuta i muri i te pokanga (tirotiro i muri i te pokanga). Mena ka pāngia koe e te mate puku nā tēnei kai, waea atu ki tō tākuta tonu mō ētahi tohutohu.
- Ētahi atu mahi whakakori tinana: Mena i mua i te pokanga i whakakori tinana koe, ka taea e koe te tīmata anō i te whakakori tinana ina pai koe, ā, ka mea mai tō tākuta, "Āe, tīmata inaianei."
Ko te mea nui ko te whakarongo ki tō tinana. Ki te ngenge koe, okioki. Ki te mea he pātai āu, kaua e huna ki a koe anake, engari me kōrero ki tō tākuta.
Karere Tangohia ki te Kāinga
- Ko te laparoscopic proctosigmoidectomy he pokanga 'kī kōhao' e tango ana i te wāhanga mate o te koroni. Engari i te tapahi nui kotahi, he torutoru noa ngā kōhao iti ka whakamahia.
- Ko te nuinga o te wā, ka mahia tēnei pokanga hei rongoā mō ngā āhuatanga pēnei i te mate pukupuku koroni, ngā pukupuku kore-mate pukupuku, me te diverticulitis uaua.
- Ko te hua o te tikanga 'kī kōhao' he iti ake te mamae, he poto ake te noho hōhipera, he tere ake te ora, ā, he iti ake ngā koha.
- He mea nui kia kaua e hiki i ngā taumaha mō ngā wiki e ono i muri i te pokanga, ā, me mahi i ngā korikori tinana māmā pēnei i te hikoi.
- Mena he pātai āu mō te kai, mō tētahi atu mea rānei, kaua e whakapae noa.Me rapu tohutohu tonu i tō taote pokanga, i tō tākuta rānei.
Laparoscopy, pokanga kōhao kī, pokanga kōpuku , mate pukupuku rectum, kōpuku sigmoid, proctosigmoidectomy sinhala, laparoscopy sinhala
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