Mena ka pāngia koe e te aituā kino ki tō ringa, ki tō waewae rānei, ki te pāngia rānei koe e te mate kino pēnei i te mate pukupuku, he mea noa te wehi kei tapahia. Inaa, ka ohorere katoa tātou i ēnei wā. Engari i mōhio koe ehara i te mea ko te tapahi anake te otinga? I te whanaketanga o te rongoā i ēnei rā, kei reira ngā tikanga pokanga motuhake ka taea te whakaora i tētahi peka me te kore e tapahia. Koinei te mea e kiia nei e tātou ko te 'Pokanga Whakaora Pekapeka'.
He aha te tikanga o te Pokanga Whakaora i ngā Waewae?
Whakaarohia, i whara kino te waewae o tō mātou hoa rangatira, a Kamal, i roto i tētahi aituā pahikara. I pakaru ngā wheua, he whara nui. I mua, i kīia me tapahi te waewae. Engari ināianei kei te tirotirohia e ngā tākuta mēnā ka taea e tēnei tikanga 'Limb Salvage' te whakaora i te waewae.
Ki te whakarapopoto, ko te Pokanga Whakaora i ngā Waewae he pokanga e ngana ana ki te whakatika me te whakaora i te ringa, i te waewae rānei kua tino mate, kua whara rānei, me te kore e tangohia. I roto i tēnei, ka ngana ngā tākuta ki te whakaora i tō ringa, i tō waewae rānei i ngā mea katoa e taea ana, me te kore e whakararu i tō hauora whānui. Ka kiia hoki tēnei ko te 'Pokanga Tiaki Waewae'. Ko tōna tikanga he "pokanga whakaora-waenga".
I roto i ngā āhuatanga hea ka taea te whakaaro ki tēnei pokanga?
He maha ngā wā ka whakaarohia tēnei pokanga e ngā tākuta i roto i ētahi āhuatanga matua.
| Āhua/Pūtake | Whakaahuatanga |
|---|---|
| Matepukupuku wheua (Bone Sarcomas) | Tērā pea ka tangohia ngā pukupuku matepukupuku e puta ana i roto i ngā wheua, pērā i te Osteosarcoma , te Ewing sarcoma , me te Chondrosarcoma . |
| Ngā Sarcoma o te Kiko Ngāwari | Mō ngā mate pukupuku pērā i a Liposarcoma me Myxofibrosarcoma ka puta i ngā wāhi pērā i ngā uaua me ngā kiko ngako o te ringa, o te waewae rānei. |
| Ngā mate urutā kino | Mēnā he mate kino te wheua ( Osteomyelitis ), he mate hononga ( Septic Arthritis ), he mate kiko rānei ( Gangrene ). |
| Ngā Whara Whakamataku | Ina kuru ngā peka me ngā waewae, ka kuru hoki ngā wheua, ā, ka tino kino ngā uaua toto me ngā io nā ngā mea pēnei i ngā aituā motuka, te mau rānei i roto i ngā mīhini. |
| Matepukupuku wheua metastatic | Mena ka puta te mate pukupuku ki tētahi atu wāhanga o te tinana, ka horapa ki ngā wheua, ka whati te wheua, ka tata rānei te whati. |
Tapahia te ringa/waewae? Whakaorangia? Me pēhea te whakatau a ngā tākuta?
He whakatau tino uaua tēnei. Ka whakatau te tākuta ki te mahi i tēnei pokanga i muri i te whakaaroaro i ētahi āhuatanga. Ko te mea nui ko te mea ka hoatu e te pokanga he ringa, he waewae rānei e ora ana, e mahi ana, e āhua noa ana .
Ko ngā āhuatanga e pā ana ki tēnei:
- Te whānuitanga o te mate: Mena he pukupuku matepukupuku, mena he tino nui, mena kua uru ki ngā hanganga tata nui pēnei i ngā uaua toto me ngā io, kāore pea e taea te tango i te pukupuku me te kore e pakaru. Waihoki, mena he mate, mena kua horapa nui, ā, kua whakangaro i te nui o ngā kiko, tera pea he uaua ki te whakaora i te okana.
- Te kaha o ngā whara: Ka whakamahia e ngā tākuta ngā pūnaha whakatauranga motuhake hei aromatawai i te nui o te kino i puta mai i tētahi aituā. Ka inehia e rātou te kino ki ngā io, ki ngā kiko, ki ngā uaua toto, me ngā wheua. Mena he maha rawa ngā wāhanga kāore e taea te whakatika, kāore e taea te whakatika takitahi i ia wāhanga. Ko te mea nui ko te whakahoki i te rere o te toto ki ia wāhanga o te okana i muri i te pokanga. Ki te kore he rere o te toto, ka mate te kiko.
He aha ngā mea ka tupu i mua i te pokanga?
Nā te mea he pokanga nui tēnei, kāore koe e haere tonu ki te pokanga. He maha ngā wāhanga i mua i tērā.
1. Maimoatanga i mua i te pokanga: Mena he whara kino tōu, me whai maimoatanga anō pea koe hei whakatau i tō āhua i mua i te pokanga nui. Mena he mate pukupuku, ka taea te hoatu i te chemotherapy, i te radiation therapy rānei i mua i te pokanga hei ngana ki te whakaiti i te pukupuku. Mā tēnei ka māmā ake te tango.
2. Aromatawai i mua i te pokanga:He maha ngā whakamātautau ka mahia e te tīma hauora hei mārama ki tō āhua. Mā ngā whakamātautau pēnei i te MRI, CT scan rānei ka tirohia te roto o te okana. Mā ngā whakamātautau pēnei i te CT angiogram, te Doppler ultrasound rānei ka tirohia te rere o te toto. Ka whakaarohia hoki e rātou tō hauora whānui me te mea kei a koe ētahi atu mate hauora.
3. Kōrero i mua i te pokanga: I ngā wā katoa e taea ai, ka kōrerohia e te tīma hauora te pokanga ki a koe me ngā taipitopito. Ka whakamāramahia e rātou ngā mea katoa ka mahia e rātou, ngā mōrearea, me ngā putanga ka puta, ā, ka whiwhi i tō whakaaetanga whai whakaaro. He uaua pea māu te whakatau ki te whakaora, ki te tapahi rānei i tō ringa/waewae. Nō reira, whakaarohia, me te pātai atu ki tō tākuta i ngā pātai katoa kei a koe.
He aha ngā mea ka tupu i te wā o te pokanga?
He tukanga tino uaua tēnei. Tuatahi, ka tangohia te wāhanga mate. Arā, ka tangohia te pukupuku matepukupuku, te kiko pangia rānei. Kātahi ka tīmata te wāhanga tino uaua - te tukanga hanga anō.
Tērā pea e hiahiatia ana kia neke atu i te kotahi te pokanga, kia maha rānei ngā pokanga. Me hono anō, me whakatika, me hono anō rānei e ngā tākuta ngā uaua toto, ngā io, ngā wheua me ētahi atu kiko.
Ko ētahi o ngā tikanga e whakamahia ana mō tēnei ko:
- Te Whakaora i ngā Toto: Te whakaora i te rere o te toto ki te wāhi kua pakaru. Pērā i te whakamakuku i tētahi rākau kua maroke, ka whakaarahia anō ngā toto mā roto i ngā tikanga pokanga ātaahua.
- Pokanga moroiti: I ētahi wā ka whakakapia he oko toto, he io rānei kua pakaru ki tētahi taupoki mai i tētahi atu wāhanga o tō tinana, i tētahi kaituku toto rānei, ā, ka honoa anō ngā uaua/io ngawari mā te whakamahi i te karuārai.
- Te honotanga: Te whakakapi i tētahi wheua kua pakaru, kua tangohia rānei ki tētahi honotanga wheua, te whakakapi rānei i tētahi kiri ngaro ki tētahi honotanga kiri.
- Porohanga: Ka whakauruhia he mea whakarewa hei whakakapi i te wheua, i te hononga rānei kua tangohia, hei whakaora i te mahi a te peka.
- Te kawe wheua: Hei whakakī i ngā āputa i roto i ngā wheua roa, hei whakaroa rānei i ngā wheua, ka tāpirihia ki waho he anga maitai kore waikura, pērā i te 'Taylor Spatial Frame' me te 'Ilizarov apparatus', hei whakaoho i te tipu o te wheua.
He aha ngā mea ka tupu i muri i te pokanga? He aha ngā painga me ngā huakore?
I muri i te pokanga, he wero nui anō kei mua. Koia te whakaora tinana whānui. Ka mahi tahi te kaiwhakaora tinana me koe ki te āwhina i a koe ki te whakahoki mai i te whānuitanga o te nekehanga me te kaha o tō peka kua tiakina. He wā, he kaha, he manawanui, me te manawanui tēnei. Inaa, i ētahi wā ka iti ake te wā e hiahiatia ana hei taunga ki te peka hangai i te wā e whakamahia ai te peka kua tiakina.
Engari kia maumahara, he kaha nui te whakaora i te hinengaro mā te whakaora i tōna ake waewae.
| Ngā Painga | Ngā Huakore me ngā Mōrearea |
|---|---|
| He pai te mahi (ina koa ka hikoi). | He roa rawa te wā whakaora. |
| He āhua noa iho. | Te tūponotanga o te mahi pokanga whakahou. |
| Te whakapai ake i te kounga o te oranga me te oranga hinengaro. | Ngā raruraru whakaora patunga me te mōrearea o te pangia. |
| Kāore i angitu te pokanga, ā, i te mutunga iho, me tapahi te peka. | |
| Ngā tāpiringa pakaru, ngā mea kua wetekina rānei. |
Kia pēhea te roa o te wā e ora ai?
He rerekē te roa o te wā e hiahiatia ana mō tēnei mahi i ia tangata, i ia tangata. Kei runga i ngā wāhanga o tō peka i whakatikatikaina, me te āhua o te mahi. Ahakoa ka ora ngā patunga i roto i ētahi wiki, he maha ngā marama e ora ai ngā uaua me ngā wheua. He maha ngā wā ka noho koe ki te hōhipera mō ētahi rā, kātahi ka hoki ki te kāinga, ka hoki ki te mahi i muri i te rua ki te toru marama o te okiokinga. Engari ka roa ake pea te wā ka taea e koe te whakamahi anō i tō peka.
Karere Tangohia ki te Kāinga
- Ko te pokanga whakaora i te ringa, i te waewae rānei, he ngana ki te whakaora i te ringa, i te waewae rānei kua tino pakaru, me te kore e tapahia te wheua.
- Ehara tēnei i te mea ka taea e te katoa te mahi. Mā tō tākuta e whakatau mēnā he pai koe mō tēnei i runga i tō āhua hauora, te āhua o ō whara, me tō hauora whānui.
- He pokanga tino uaua tēnei, ā, i muri mai he tukanga roa, he tukanga whakaora manawanui hoki.
- He whakatau uaua te whiriwhiri i waenga i tēnei pokanga me te tapahi i te waewae. Kōrerohia mā te mahorahora ki tō tākuta mō ngā painga, ngā huakore, me ngā mōrearea katoa, ā, me whakatau i te whakatau e pai ana mōu.
- I te whanaketanga haere o te pūtaiao hauora i ēnei rā, he nui te tūponotanga ka taea e koe te whakaora i tōu ora me ō whekau utu nui i muri i te mate, i te aituā rānei e morearea ai te ora.
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