Pokanga puku? Me kōrero tātou mō te laparotomy.

Kua kīia atu rānei ki a koe, ki tētahi rānei e mōhio ana koe, kia "tapahia te puku" mō tētahi raruraru puku? Kua rongo rānei koe me mahi he pokanga nui hei kimi i tētahi raruraru i roto i te puku i muri i tētahi aituā, hei whakamutu rānei i te toto? I roto i te rongoā, ko tēnei pokanga, e mahia ana i roto i ēnei momo take, hei whakatuwhera i te kōhao puku me te tirotiro i ngā whekau, ka kiia he "laparotomy." He pokanga nui tēnei, nō reira he tokomaha te hunga e mataku ana. Nō reira, me kōrero tātou mō tēnei mea i tēnei rā, i runga i te māmā me te mārama.

He aha tonu te tikanga o te laparotomy?

He māmā noa iho te kī, he tikanga pokanga te laparotomy e whakatuwhera ai te taote pokanga i tō kōhao puku (te āputaputa i roto i tō puku) hei tirotiro, hei rongoā rānei i ngā whekau o roto.

E rua ngā huarahi matua e taea ai tēnei:

1. Mō te tātaritanga (Te Tātaritanga Laparotomy): I ētahi wā, ahakoa he raruraru pēnei i te mamae o te puku, te toto rānei o roto, kāore e kitea te take ahakoa mā te matawai. I ēnei wā, ka mahi te taote pokanga i tēnei mahi hei tiro me te mārama ki ngā mea e tupu ana i roto i te puku. I taua wā, ki te tika, ka taea te tango i tētahi wahi kiko ka tukuna hei tirotiro (`Biopsy`).

2. Te Laparotomy Whakaora: I ētahi wā ka mahia te pokanga i muri i te mōhiotanga o te raruraru. Hei tauira, ka mahia tēnei pokanga hei tango i te pukupuku matepukupuku, hei whakatika i te whekau kua pakaru, hei tango rānei i te apendiks mumura.

He aha te rerekētanga i waenga i te Laparotomy me te Laparoscopy?

Ahakoa he pokanga puku ngā mea e rua, he rerekētanga nui kei waenganui i ngā mea e rua. He maha ngā tāngata e whakapoauau ana i ēnei ingoa e rua. Kia kite tātou he aha te rerekētanga.

I roto i ngā āhuatanga hea e hiahiatia ai te laparotomy?

Tērā pea ētahi take motuhake e whiriwhiri ai te taote pokanga i te laparotomy i te laparoscopy. He pai ake te mahi a tēnei tikanga, inā koa i roto i tētahi āhuatanga ohorere e hiahiatia ana he wawaotanga tere.

Ko ētahi āhuatanga e hiahiatia ai te laparotomy:

• Hei tirotiro mō te kino o ngā whekau o roto i muri i te whara kino o te puku.
• Peritonitis (te mate o te puku).
• Te poka o te puku, te puku rānei, te toto kore e taea te whakahaere.
• Hei tango i te whewhe kua tino mumura, ā, kua tata te pahū.
• Hei tango i te ate ina pahū i roto i tētahi aituā.
• Hei tango i ngā ovarian cysts nunui , i ngā endometriomas rānei.
• Hei tirotiro me te rongoā i te āhua me te horapa o te endometriosis .
• Ngā pokanga nui pērā i te tikanga Whipple mō te mate pukupuku repeure.
• Te mate pukupuku ovarian , te lymphoma Hodgkin rāneiHei kimi i te tawhiti o te horapa o te mate pukupuku, pērā i te lymphoma Hodgkin, i roto i te tinana (Te whakarōpūtanga o te mate pukupuku).
• Te pokanga tākihi kua whakaritea, te pokanga ohorere rānei (`C-section`).

He aha ngā mea ka tupu i mua i te pokanga?

I te mea he pokanga nui tēnei, he maha ngā mea me whakarite e koe i mua.

1. Whakaaetanga Whaiaro

Mā tō taote pokanga e whakamārama mārama ki a koe te pokanga, ōna mōrearea me ōna painga, me ngā maimoatanga rerekē. Ka mārama rātou ki ēnei mea katoa, ā, ka whiwhi rātou i tō whakaaetanga tuhituhi. Mēnā ka puta he āhuatanga ohorere, ka whakatauhia ngā whakatau i runga i te kōrero tahi me te whānau tata mēnā kāore te tūroro i te mōhio.

2. Aromatawai Tinana

Ka pātai te tākuta mō tō hauora, ngā rongoā e tangohia ana e koe, me ngā pokanga kua mahia e koe i mua. Ka mahia hoki e ia ētahi whakamātautau taketake, pērā i ngā whakamātautau toto me ngā hihi-X, hei tirotiro mēnā kei te pai koe mō te whakamoe whānui.

3. Te Whakarite i te Puku

I runga i te momo pokanga, me whakawātea katoa pea ō puku i mua i te pokanga. Tērā pea ka hoatu he rongoā whakangāwari i te puku, he werowero rānei. Tērā pea ka tonoa koe kia nohopuku, kia inu wai rānei i te rā i mua i te pokanga.

4. Te whakahoromata

I mua i te pokanga, ka tonoa pea koe kia kaukau ki te hopi paturopi. Mēnā rānei, mā ngā kaimahi o te hōhipera e horoi tō puku. Tērā pea ka heua e rātou ngā huruhuru katoa o te wāhi.

He aha ngā mea ka tupu i muri i 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 tae rā anō ki te wā e mārama ai koe. Kātahi ka nekehia koe ki tētahi wāhanga, ā, me noho koe ki te hōhipera mō ētahi rā.

• Rongoā mamae: Ka hoatu ngā rongoā mamae hei whakahaere i te mamae o te patunga.
• Ngā ngongo: Ka noho pea ngā aho IV me ngā kati mimi e whakanohoia ana i te wā pokanga ki tōna wāhi mō ētahi rā, i runga i te hiahia.
• Te hikoi: Ahakoa te mamae, me whakatika koe, me hikoi mārire me te āwhina a ngā kaimahi. He mea tino nui tēnei hei ārai i te toto totoka me ngā mate pūkahukahu.
• Ngā mahi manawa: Ka whakaakona ngā mahi manawa hōhonu.
• Kai: Tuatahi, ka hoatu he wai, kātahi ka tāpirihia mārire te kai noa. I ētahi wā ka roa ētahi rā ka hoki anō te puku ki te āhua noa. Ka kiia tēnei ko te 'Paralytic ileus' .

He aha ngā mōrearea o tēnei pokanga?

Pērā i ngā pokanga nui katoa, he mōrearea anō hoki kei te pokanga laparotomy.

• Te kino ohorere ki ētahi atu okana tata.
• Te toto nui rawa atu mai i ngā oko toto kua whara.
• Te pangia o te patunga me te whakaroa i te whakaora.
• Te ngoikore tuturu o ētahi wāhi huri noa i te motu nā te kino o te io.
• Ka puta te hernia (hernia) i te hononga ki te tapahi.
• Ka puta he kiko koha (he piri o te puku) ki roto i te puku, ka ārai i te puku ā muri ake nei.

Kia pēhea te roa o te wā e ora ai?

Kei runga tēnei i tō hauora whānui me te uauatanga o te pokanga.

• Te whakaora patunga: E ono wiki te roa ka ora rawa te patunga.
• Kohatu: Ka toe he koha roa ki te puku. Heoi, ka memeha haere i roto i te wā (i roto i te 3-6 tau).
• Te hoki ki te mahi: I runga i te āhua o tō mahi, tera pea ka taea e koe te hoki ki te mahi i muri i te ora o te whara. Heoi, he pai ake kia kaua e mahi i tetahi mea taumaha, pērā i te hiki i ngā taumaha, mō ētahi marama.
• Whakakorikori Tinana: E rua tau pea te roa ka hoki anō te kaha o ō uaua puku ki te āhua noa. Nō reira, me tīmata āta haere te whakakorikori tinana, ā, me raro i te tirotiro a te rata .

I muri i tō hokinga ki te kāinga, ki te pā mai tētahi o ngā tohu e whai ake nei ki a koe, me waea atu koe ki tō tākuta tonu atu .