Kua kīia atu rānei ki a koe, ki tētahi rānei e mōhio ana koe, me tango tetahi wāhanga o tō pūkahukahu mā te pokanga? He mea noa te mataku me te manukanuka ina rongo koe i aua kupu. "Kei te tangohia tetahi wāhanga o tōku pūkahukahu? Ka taea e au te manawa i muri i tērā? He mea morearea tēnei?" He maha pea ngā pātai pēnei i roto i tō hinengaro. Kaua e manukanuka. I tēnei rā, ka kōrero tātou mō tēnei pokanga, e kiia nei ko te tango i te puku, i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
He aha te tikanga o te tango i te puku?
Ko te tango i te pūkahukahu he mahi pokanga hei tango i tētahi wāhanga, i te "pūkahukahu" rānei, o tō pūkahukahu. I mōhio koe e toru ngā pūkahukahu o tō tātou pūkahukahu matau, e rua ngā pūkahukahu maui? Ka tangohia e tēnei pokanga te pūkahukahu mate anake, ka waiho ko te pūkahukahu hauora kia ora tonu.
He maha ngā wā ka mahia tēnei pokanga hei rongoā mō te mate pukupuku pūkahukahu i te wā tōmua. He rongoā tino whai hua tēnei, inā koa mō te mate pukupuku pūkahukahu ehara i te pūtau iti . I ētahi wā, ka whakatau pea te tākuta ki te tango i tētahi wāhanga anake o tētahi wāhanga. Ka kiia tēnei he segmentectomy .
| Ngā take matua mō te tango i te toto i roto i te mangai | |
|---|---|
| Ngā āhuatanga mate pukupuku | Hei tango i te mate pukupuku pūkahukahu (ina koa ko te wā tōmua), ngā pukupuku carcinoid pūkahukahu, me ngā pukupuku metastatic kua horapa ki ngā pūkahukahu mai i ētahi atu wāhanga o te tinana. |
| Ngā mate urutā me ngā kino | Hei whakakore i ngā kino kino ki ngā pukahukahu i puta mai i ngā mate kino (hei tauira, te mate kohi) me te rongoā irahiko. |
| Ngā raruraru mai i te whānautanga | Hei whakatika i ētahi hapa e puta ana i te wā e hanganga ana ngā pukahukahu i te whānautanga. |
| Te toto | Mena he toto kāore e taea te whakahaere nā te kino o ngā pukahukahu, me tango pea taua wāhanga. |
He aha ngā tikanga pokanga?
I ngā wā o mua, i mahia tēnei momo pokanga mā te tapahi nui i te uma, me te tango i ngā rara. Ka kiia tēnei he thoracotomy . Engari i nāianei, nā te whanaketanga o te hangarau, ko te nuinga o ngā pokanga ka mahia mā te whakamahi i ngā tikanga iti rawa te whakaekenga . Ki te kī māmā, ka mahia tēnei pokanga mā roto i ētahi kōhao iti, me te kore e tapahi nui.
- VATS (Pokanga Ataata-Āwhina-Tāroa): Ko tēnei he tapahi iti i te taha o te uma, he whakauru i tētahi kāmera iti mā roto i tētahi, ā, he whakauru i ngā taputapu pokanga mā roto i ngā tapahi kē atu. Ka whakahaerehia te pokanga e te tākuta i a ia e mātakitaki ana i te roto o ngā pukahukahu i runga i tētahi mata nui. Kāore e hiahiatia kia whati, kia nekehia rānei ngā rara i tēnei tikanga.
- RATS (Pokanga Uma-Āwhina-Robot): He tino rite tēnei ki te VATS. Heoi, i konei ka whakahaerehia e te taote pokanga ngā taputapu mā roto i tētahi pūnaha ringa robotic. Mā tēnei ka taea te mahi pokanga me te ātaahua ake, me te tika ake.
Ko te hua o ēnei tikanga hou he iti ake te mamae i muri i te pokanga, he tere ake te ora, ā, he poto ake te noho hōhipera.
Me pēhea tā tātou whakarite mō tēnei pokanga?
I te mea he pokanga nui tēnei, ka mahia ētahi whakamātautau i mua i te wā kia kitea ai te rite o tō tinana mō tēnei. Kaua e mataku i muri i te kitenga i ēnei. Hei tiaki i a koe tēnei katoa.
| Te whakamātautau e mahia ana | He aha tāu e kite ana i roto i tēnā? |
|---|---|
| Whakamātautau tinana | Ka mārama te tākuta ki tō āhua hauora whānui. |
| Ngā Matawai Whakaahua | Ka whakamahia ngā hihi-X o te uma, ngā karapa CT, me ngā karapa PET hei whakatau i te wāhi me te whānuitanga o te raruraru o te pukahukahu. |
| Ngā Whakamātautau Mahi a te Pūkahukahu | Ka inehia e rātou te pai o te mahi a ōu pukahukahu, me te mea ka taea e koe te manawa noa me te toenga o te wāhanga i muri i te pokanga. |
| Ngā Whakamātautau Manawa | Ka whakahaerehia ngā whakamātautau pēnei i te ECG (electrocardiogram) me te echocardiogram hei whakaū mēnā ka taea e tō ngākau te tu atu ki tētahi pokanga nui pēnei. |
| Te koiora | I ētahi wā, i mua i te pokanga, ka tangohia he tauira iti o te pukupuku i roto i te pukahukahu, i ngā kōpuku lymph rānei e tata ana hei tirotiro mēnā he matepukupuku. |
Haunga ēnei whakamātautau, ka kite anō koe i tētahi tohunga ngakau me tētahi tohunga whakamoe. Ka whakamāramahia e te tohunga whakamoe te whakamoe ka hoatu ki a koe i te wā o te pokanga, me pēhea hoki te whakahaere i te mamae i muri i te pokanga.
Ko te mea nui: Mena he kaipaipa koe, he mea tino nui kia mutu wawe tonu i mua i te pokanga. Mā te whakamutu i te kaipaipa ka tino whakaiti i te tūponotanga o ngā raruraru i muri i te pokanga.
Mā te tākuta anō hoki e kī atu ki a koe te wā tika me mutu te kai me te inu i te pō i mua i te pokanga.
He aha tonu te mea e tupu ana i te wā o te pokanga?
Kāore koe e manukanuka ki tēnei mea. Ka hoatu he rongoā whakamoe ki a koe i mua i te tīmatanga o te pokanga, nō reira ka moe pai koe. Kāore koe e rongo i te mamae.
1. Ka whakatakotoria he ngongo ki raro i tō korokoro, ā, ka honoa ki tētahi mīhini (pūwero manawa) hei āwhina i a koe ki te manawa.
2. Ka whakaurua he ngongo IV ki roto i tētahi uaua i tō ringa, ā, mā roto ka tukuna te rongoā e tika ana.
3. Kātahi ka tīmata te pokanga e te taote pokanga mā te tapahi i te uma mā te whakamahi i te tikanga VATS, RATS, te Thoracotomy rānei i kōrerotia i mua.
4. Ka wehea marietia ngā oko toto me ngā peka pūkahukahu e anga atu ana ki te wāhanga pukahukahu e pāngia ana, ā, ka tangohia katoatia te wāhanga. Heoi, kāore ngā oko toto me ngā peka pūkahukahu e anga atu ana ki ētahi atu wāhanga hauora e pakaru.
5. Ka whakatakotoria te wāhanga kua tangohia ki roto i tētahi putea motuhake, ā, ka tangohia mai i te tinana.
6. Mena he mate pukupuku, ka tangohia ētahi o ngā kiko hauora e karapoti ana. Ka tangohia hoki ētahi o ngā kōpū lymph i roto i te uma, ā, ka tukuna kia whakamātautauhia mēnā kua horapa te mate pukupuku.
7. Kia oti ngā mea katoa, tirohia marietia mēnā he wāhi e toto ana, ā, horoia rawatia te taha o roto o te uma.
8. Hei whakamutunga, ka katihia ngā tapahi ki ngā tuitui, ki ngā here rānei.
E rua hāora te roa o te pokanga katoa, engari ka rerekē pea tēnei i runga i te uauatanga o te pokanga.
He aha ngā mea ka tupu i muri i te pokanga? Me pēhea te tiaki i a koe i te hōhipera
I muri i te pokanga, ka whakaarahia koe ka haria ki te wāhanga whakaora, ka hoatu he rongoā ki a koe hei whakahaere i tō mamae.
- Kia tino mārama koe, ka tangohia te ngongo manawa. Kāore te nuinga o te iwi e mahara ki tēnei.
- Kātahi ka whakawhitia koe ki te wāhanga whānui, i ētahi wā rānei ki te wāhanga tiaki nui (ICU).
- Ka whakauruhia he ngongo kotahi, e rua rānei (ngā paipa wai uma) ki roto i tō uma. Mā ēnei ka mimiti te wai me te hau tāpiri e kohia ana i ō pukahukahu. Ka tangohia i roto i ētahi rā.
- Ngā mahi mare me te manawa: Ka akiakihia koe e ngā nēhi kia mare pinepine koe, kia manawa hōhonu hoki. Ahakoa he mamae pea tēnei, he mea nui kia whānui tonu ō pukahukahu, kia ārai hoki i ngā mate.
- Hei ārai i te toto totoka i roto i ō waewae i a koe e takoto ana i te moenga, ka taea e koe te tango i ngā rongoā whakaiti toto me te mau i ngā taputapu pēhi motuhake ki ō waewae.
- Mai i te rā i muri i te pokanga, me tīmata taku hikoi pakupaku me te āwhina a ngā nēhi.
Kia mōhio hoki tātou ki ngā painga me ngā mōrearea.
Pērā i ngā pokanga katoa, he painga kei reira, engari he mōrearea anō hoki.
Painga matua:
Mō te mate pukupuku pūkahukahu i te wāhanga tōmua, koinei te pokanga pai rawa atu mō te whakaora katoa .
Ngā tūponotanga pea (Ngā raruraru):
Kāore ēnei e pā ki te katoa, engari he mea nui kia mōhio ki ēnei āhuatanga.
- Te fibrillation atrial - Koinei te raruraru tino noa.
- Te toto nui rawa.
- Ka turuturu te hau mai i ngā pukahukahu, ā, ka roa mō ētahi rā.
- Ngā toto totoka i roto i ngā waewae.
- Ngā mate pāwera o te uma.
- Ngā mate pūnaha io (hei tauira, ngā panonitanga o te reo).
- Te uaua ki te manawa i te wā e whakakorikori ana.
Ko te huarahi pai ki te whakaiti i ēnei mōrearea ko te whiriwhiri i tētahi hōhipera kei reira ngā taote pokanga mātau e mahi pinepine ana i ēnei momo pokanga. Mena he āwangawanga āu mō ēnei mōrearea, kōrerohia ki tō tākuta i mua i te pokanga.
Me pēhea te tere o te whakaora i muri i te hokinga ki te kāinga?
Mena kua pokangahia koe mā te whakamahi i tētahi tikanga hou pēnei i te VATS, i te RATS rānei, ka taea e koe te hoki ki te kāinga i roto i ngā rā e rua, e toru rānei . He iti ake te mamae, nō reira he tere ake te wā whakaora. I te nuinga o te wā ka taea e koe te hoki ki ngā mahi māmā, pēnei i te mahi i te tari, i muri i te rua wiki pea. Mena he mahi āu e hiahia ana ki te hiki taumaha, me okioki koe mō te iti rawa e whā wiki.
Mena ka pokanga tuwhera koe (thoracotomy), me noho koe ki te hōhipera mō ngā rā e toru ki te whā , ā, ka roa ake te wā e ora ai.
I muri i te hokinga ki te kāinga:
- Ka hoatu he rongoā mamae kaha ki a koe mō te wiki pea.
- He pai rawa atu mēnā he tangata hei āwhina i te tīmatanga.
- Tērā pea ka hiahia ētahi tāngata ki te rongoā hāora ki te kāinga mō tētahi wā.
- Kaua e taraiwa kia tangohia rā anō e koe ngā rongoā whakamamae mamae.
- Ka whai wā tirotiro anō koe me tō tākuta i roto i ngā wiki 1-3 i muri i te pokanga. Ka taea e ia te matapaki i ngā hua o tō whakamātautau, te tirotiro i ō patunga, me te tuku tohutohu ki a koe mō te haere tonu.
Āhea koe me kōrero ki te tākuta?
Mena ka puta he tohu o te mate urutā, pērā i te kirika, te makariri, me te ngenge nui, waea atu ki tō tākuta tonu atu.
Tērā pea ētahi atu pātai kei roto i tō hinengaro:
He pokanga nui tēnei?
Ae , he pokanga nui te tango i te uaua o te puku nā te mea he tino ngawari, he nui hoki ngā uaua toto o ngā pukahukahu. Nō reira, he iti noa te mōrearea.
He aha te roanga o te ora i muri i te pokanga?
Kei te taumata o te mate pukupuku tēnei katoa. Ka taea te whakatau i tēnei mai i te pūrongo pathology i muri i te pokanga. I te nuinga o te wā, ki te tangohia i ngā wāhanga tōmua, ka taea te whakaora katoa.
Ka taea e te mate pukupuku te hoki mai?
Tērā pea he tūponotanga. Koia koe ka tirotirohia mā te CT scan i ia ono marama mō ngā tau e rima i muri i te pokanga. Ki te kore te mate pukupuku e hoki mai i muri i ngā tau e rima, ka kiia koe kua ora katoa.
Tērā pea ka rite koe ki te mea kua peia koe, kua whakapaetia rānei e te hapori mō te mate pukupuku i puta mai i te kai hikareti. He mea noa te pāngia e ēnei kare ā-roto, engari kaua e noho roa ki aua kare ā-roto. Me whakapau kaha koe ki te whakaora wawe.
Karere Tangohia ki te Kāinga
- Ko te tango i tētahi wāhanga (lobe) o te pukahukahu he tango i te lobe. He maimoatanga tino whai hua tēnei mō te mate pukupuku pukahukahu.
- Nā ngā tikanga hou pēnei i te VATS me te RATS, ka iti ake te mamae i muri i te pokanga, ā, ka tere ake te ora.
- Mā ngā mahi pēnei i te whakamutu i te momi hikareti i mua i te pokanga ka tino whakaiti i te mōrearea o ngā raruraru.
- He pokanga nui tēnei, nō reira hoatu he wā ki a koe kia tino ora ai. Kaua e mangere ki te tono āwhina mai i te whānau me ngā hoa.
- Mena he pātai, he āwangawanga rānei āu mō tēnei mea, kia tino kōrerohia ēnei ki tō tākuta. Mā te mōhio ki ngā mea kei roto i tō hinengaro ka āwhina i a ia ki te whakamahere i tō maimoatanga.
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