I ētahi wā ka kī atu pea te tākuta ki a koe, "Me pokanga tō puku." He mea noa te mataku me te manukanuka ina rongo koe i tēnā. Ko te ingoa hauora mō tēnei momo pokanga, arā, ko te whakatuwhera i te puku, ko "laparotomy." Nō reira, me kōrero tātou mō tēnei i tēnei rā, me te mea kei te kōrero tātou ki tētahi hoa, i roto i tētahi huarahi e whakakorea ai ō āwangawanga katoa.
He aha te tikanga o te laparotomy?
He pokanga te laparotomy e whakatuwhera ana i te kōhao o tō puku, arā, te wāhi kei reira ō whekau puku. Whakaarohia he rite ki te whakatuwhera i te taupoki o te motuka hei tirotiro i te miihini kia kite ai he aha te hē. Ka whakahaerehia e ngā tākuta tēnei tukanga hei tirotiro tika i ngā whekau i roto i tō puku.
E rua ngā huarahi matua ka taea ai tēnei:
1. Hei pokanga tirotiro: I ētahi wā, ahakoa ngā matawai, kāore e taea te kimi i te pūtake o te mamae o tō puku, o te toto rānei i roto i tō puku. I ēnei wā, ka whakahaerehia e ngā tākuta tēnei pokanga hei rapu i te āhua o roto. I taua wā, ka tangohia pea he wahi iti o te kiko (biopsy) hei tirotiro.
2. Hei pokanga whakaora: I ētahi wā ka mahia tēnei pokanga hei rongoā i tētahi mate hauora. Hei tauira, me tango pea he apeni kua pakaru, he pukupuku matepukupuku, he okana katoa rānei.
I ētahi wā, ko te pokanga e tīmata ana hei tikanga tūhura ka huri hei pokanga rongoā i muri tonu i te kitenga o te raruraru. Arā, ka kitea te raruraru, ā, ka tukuna he otinga i reira tonu.
He aha te rerekētanga i waenga i te Laparotomy me te Laparoscopy?
Kua rongo pea koe i te "pokanga kōhao kī". Koinei te tikanga o te laparoscopy. Ahakoa e whakamahia ana ēnei tikanga e rua hei tirotiro i roto i te puku, he rerekētanga nui kei waenganui i ngā mea e rua. Kia mārama tātou ki tēnā.
| Āhuatanga | Laparotomy (pokanga tuwhera) | Laparoscopy (pokanga pokanga kī) |
|---|---|---|
| Tapahi pokanga | Ka tapahia he tapa roa, nui ki te puku. | He torutoru noa ngā tapahi tino iti ("ngā kōhao kī") ka mahia. |
| Te tirohanga | Ka taea e te tākuta te kite tika i ngā whekau ki ōna kanohi. | Ka whakauruhia he kāmera (laparoscope) ka tirohia ngā whekau i runga i te mata. |
| Te wā whakaora | He roa te wā e ora ai. Me noho koe ki te hōhipera mō ētahi rā. | Ka tere tō ora, ā, ka iti ake tō wā e noho ana koe i te hōhipera. |
| Kohatu | Ka mahue iho he koha nui, e kitea ana. | He torutoru noa ngā koha iti noa iho, kāore e kitea nuitia. |
| Te urutau ki ngā āhuatanga ohorere | He mea tino pai mō ngā āhuatanga ohorere, inā koa he nui te toto. Ka taea te mahi tere. | Kāore i te pai mō ngā āhuatanga ohorere. He roa rawa te wā. |
He aha tātou e hiahia ai ki te mahi laparotomy?
Ko te tikanga, ka whakamahia e te tākuta ngā pokanga nui pēnei ina kāore he huarahi kē atu. He maha ngā take matua:
- Mamae puku kāore i te mārama: Ina kore e taea e ngā matawai te kimi i te pūtake o te mamae puku pumau, te pupuhi rānei.
- Te toto i roto i te puku: Whakamutua te toto i roto i te puku nā tetahi aituā, nā tetahi atu take rānei.
- Ngā wāhanga o te matepukupuku: Tangohia he puku matepukupuku, tirohia rānei te horapa o te matepukupuku i roto i te puku (Te Wāhanga o te Matepukupuku).
- Ngā āhuatanga ohorere: Hei tauira, ina tata te pahū o te apendisitis, ina rānei he kōhao kei roto i te whekau.
- Te pokanga tāne (C-section): Ko te pokanga tāne, e mahia ana mō te whānautanga kua whakaritea, mō te whānautanga ohorere rānei, he momo laparotomy anō hoki.
- Te tango i ngā okana:Hei tango i tētahi okana pērā i te whēkau, i te kōpū rānei nā tētahi mate hauora.
He aha ngā whekau ka tirohia i tēnei pokanga?
Mā te whakatuwhera i te puku ka taea e te tākuta te tirotiro i ngā whekau nui maha. Ko ētahi o ēnei ko:
- Puku
- Ngā whēkau iti me ngā whēkau nui (Ngā whēkau)
- Tāpiritanga
- te whēkau
- Pancreas
- Ate
- Pūngāwerewere
- Ngā whatukuhu, ngā repe adrenal me ngā ureters
- tōngāmimi
- Ngā whekau whakaputa uri wahine (uterus, ngongo fallopian, ovaries)
He aha ngā mea ka tupu i mua i te pokanga?
Nā te mea he pokanga nui te laparotomy, he maha ngā mahi ka taea e koe te mahi hei whakarite mōna. Tērā pea kāore e taea ētahi o ēnei mahi i te wā o te pokanga ohorere.
- Whakaaetanga Whaiaro: Ka whakamāramahia e te tākuta ngā mea katoa ki a koe mō te pokanga, ōna mōrearea, me ngā maimoatanga rerekē. Kātahi ka whiwhi rātou i tō whakaaetanga tuhituhi.
- Whakamātautau tinana: Ka mahia ngā whakamātautau toto me ngā hihi-X hei tirotiro i tō hauora. He mea tino nui kia whakamōhiotia te tākuta mō ngā rongoā e tangohia ana e koe me ētahi atu mate kei a koe.
- Te whakarite i te puku: Tērā pea ka hoatu he rongoā whakangote, he enema rānei ki a koe hei horoi i ō puku i te rā i mua i te pokanga. Me nohopuku hoki koe mō ētahi haora i mua i te pokanga.
- Te whakahoromata: I mua i te pokanga, ka horoia pai te puku ki te hopi paturopi. I ētahi wā, ka tangohia pea te huruhuru o te puku.
He aha ngā mea ka tupu i te wā o te pokanga, ā, i muri hoki i te pokanga?
Ka mahia te pokanga i raro i te rongoā whakamoe whānui, nō reira kāore koe e mamae. Ka tapahia e te tākuta tō puku, mai i te 3 ki te 12 inihi te roa. Whai muri i tēnā, ka mahia ngā whakamātautau, ngā maimoatanga rānei e tika ana, ā, ka tuia anō te tapahi. E hia ngā hāora te roa o te pokanga.
I muri i te pokanga, ka haria koe ki tētahi rūma i muri i te pokanga. Ka aroturukitia tō tere o te manawa me tō toto toto kia hoki mai anō tō māramatanga. I tēnei wā, tera pea he maha ngā ngongo kei roto i tō tinana:
- He raina IV: Ka whakaurua tēnei ki roto i tētahi uaua ka tukuna he rongoā whakamoe, he rongoā paturopi, me te tote.
- Ngongo nasogastric: Tangohia te wai mai i te puku.
- Pūwero mimi: Hei tango i te mimi.
Ka hoatu he rongoā whakamamae hei whakahaere i te mamae. I ngā rā tuatahi i te hōhipera, ka āwhinahia koe ki te hikoi haere me te awhina a ngā nēhi. He mea tino nui tēnei hei ārai i te toto totoka me ngā mate pūkahukahu.
He aha ngā mōrearea o tēnei pokanga?
Pērā i ngā pokanga nui katoa, he maha ngā mōrearea kei roto i te laparotomy, engari kāore e pāngia te katoa e ēnei mōrearea.
- Te kino ohorere ki ētahi atu okana tata.
- Te toto nui rawa atu nā te kino o ngā oko toto.
- Te pangia o te motu me te whakaroa i te whakaora.
- Te ngoikore tuturu o ētahi wāhi huri noa i te motu nā te kino o te io.
- He hernia i roto i te hernia tapahi.
- He iti noa te tūponotanga ka puta he āhuatanga pēnei i te aukati o te puku ā muri ake nei nā te piri o te puku.
Kia pēhea te roa o te wā e ora ai?
Ka rerekē tēnei i runga i tō hauora whānui me te whānuitanga o te pokanga e mahia ana.
- E ono wiki pea te roa e ora ai te tapahi .
- Ka toe he koha roa puta noa i te puku, engari ka memeha haere i te roanga o te wā.
- I runga anō i te āhua o tō mahi, tērā pea ka taea e koe te hoki ki te mahi i muri i ngā wiki e ono.
- Ka roa pea ētahi atu marama i mua i te taea e koe te hiki i ngā taumaha, te mahi rānei i ngā mahi whakakori tinana kaha.
- E rua tau pea te roa ka hoki anō te kaha o ō uaua puku ki tōna taumata i mua i te pokanga. Mā te whakakori tinana auau ka āwhina i tēnei.
I muri i tō hokinga ki te kāinga, āhea koe me kōrero ki te tākuta?
He mea tino nui kia aroturukihia tō whakaoranga i muri i tō hokinga ki te kāinga. Mēnā kei a koe ētahi o ngā tohu e whai ake nei, whakamōhio atu ki tō tākuta tonu atu , haere rānei ki te Tari Ohotata (ETU) o te hōhipera.
Kia tūpato! Kia tūpato ki ēnei āhuatanga:
* He toto, he wai rānei e rite ana ki te pupuhi e turuturu ana mai i te patunga pokanga.
* Mena kei te kino haere te mamae, kaua e heke iho.
* Ki te mea he kirika tōu.
* Ki te kore e taea e koe te pupuhi hau, te tutae rānei.
* Mena kei te pupuhi tetahi waewae, ā, kei te mamae (he tohu pea tēnei o te toto totoka).
* Mēnā ka pāngia koe e te mamae o te uma, e te maremare rānei.
Ehara te pokanga pokanga i te mea hei wehi, he tikanga tika tonu hei whakaora i tō ora, hei āwhina rānei i a koe kia ora. Ahakoa he roa ake te wā whakaora, mā te whai i ngā tohutohu a tō tākuta, ka tere tō ora.
Karere Tangohia ki te Kāinga
- He pokanga nui te laparotomy e whakatuwhera ana i te puku. Tērā pea e tika ana kia kitea he mate, kia rongoatia rānei.
- He rerekē tēnei i te "pokanga kōhao kī" (Laparoscopy). He pai ake te laparotomy i ngā wā ohorere.
- He roa te wā e ora ai i muri i te pokanga. Me ata whai i ngā tohutohu a tō tākuta, inā koa mō te whakakori tinana me te hiki taumaha.
- I muri i tō hokinga ki te kāinga, kia mataara ki ngā tohu whakatūpato pēnei i te kirika, te mamae nui, me te rerenga mai o te patunga. Mena he āwangawanga āu, waea atu ki tō tākuta tonu.
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