Me mōhio tātou ki ngā mea katoa e pā ana ki te tango i te toto i te uma?

Kua kīia atu rānei ki a koe, ki tētahi rānei e mōhio ana koe, e te tākuta me pokanga rātou mō tētahi raruraru pūkahukahu? He mea noa te mataku, te hiahia ki te mōhio, me te maha o ngā pātai i tētahi wā pēnei. Tērā pea kei te whakaaro koe ki ētahi mea pēnei i te, "He pokanga nui tēnei? Ka mamae? Ka aha i muri i tēnā?" Nō reira, i tēnei rā ka kōrero tātou i roto i tētahi huarahi tino māmā, ā, he hoa hoki mō tētahi pokanga pūkahukahu nui e kiia nei ko te 'lobectomy.' Kia kite tātou he aha tēnei, he aha i mahia ai, me ngā mea e hiahia ana koe ki te mōhio mōna.

He aha te tikanga o te tango i te puku i ngā kupu māmā noa iho?

He whakarāpopototanga noa iho, ko te tango pokanga i tētahi wāhanga (lobe) o tō pūkahukahu he tango pokanga. He maha ngā lobes, arā, ngā lobes, e hanga ana i ō tātou pūkahukahu. E toru ngā lobes o te pūkahukahu matau, ā, e rua ngā lobes o te pūkahukahu maui. Ka tangohia e tēnei pokanga te wāhanga mate anake o te pūkahukahu, me te tiaki i ngā wāhanga hauora e toe ana o te pūkahukahu.

He maha ngā wā ka mahia tēnei pokanga hei rongoā mō te mate pukupuku pūkahukahu o te wāhanga tōmua (mate pukupuku pūkahukahu ehara i te pūtau iti). Waihoki, i ētahi wā ka whakatau pea te tākuta ki te tango i tētahi wāhanga iti noa iho o te pūkahukahu hei utu mō te pūkahukahu katoa. Ka kiia tēnei he segmentectomy.

Haunga te mate pukupuku o te pūkahukahu, he maha atu anō ngā take e taea ai te mahi i tēnei pokanga.

Me pēhea te mahi i tēnei pokanga?

He rerekē tēnei i ngā rā o mua, ā, i ēnei rā, he maha ngā wā ka mahia tēnei pokanga me te kore e whakatuwhera i te uma, mā te whakamahi i ngā tapahi iti rawa. Ka kiia tēnei he 'tikanga iti rawa te whakaekenga'. E rua ngā tikanga matua.

1. VATS (Pokanga Tākihi Āwhina Ataata):Ko te tikanga o tēnei ko te tapahi i ētahi tapahi iti rawa ki ō rara, te whakauru i tētahi kāmera ataata iti mā roto i tētahi, me ngā taputapu pokanga mā roto i ētahi atu tapahi ki roto i tō uma. Ka whakahaerehia te pokanga e te taote pokanga me te mātakitaki i tētahi whakaahua mārama o ō pukahukahu i runga i tētahi mata nui. Kāore e hiahiatia kia whati, kia nekehia rānei tētahi rara i tēnei tikanga.

2. KIORE (Pokanga Umaro Āwhina-Robot): He rite tēnei ki te VATS, engari i konei ka whakahaerehia e te taote pokanga ngā taputapu me te awhina o ētahi ringa roboti.

Heoi, i ētahi wā uaua, me mahi pea ngā tākuta i te pokanga mā te tapahi i te uma me te neke i ngā rara kia paku wehea. Ka kiia tēnei tikanga he thoracotomy .

Me pēhea te whakarite i mua i te pokanga?

I mua i tētahi pokanga nui pēnei, he maha ngā whakamātautau ka mahia hei aromatawai tika i tō āhua hauora.

• He whakamātautau tinana katoa.
• Ngā whakamātautau whakaahua pēnei i te hihi-X o te uma, te matawai CT, te matawai PET rānei.
• Ngā whakamātautau mahi a te pūkahukahu hei tirotiro mō ngā uauatanga manawa.
• Te tango i tētahi wahi iti o te kiko o te pukahukahu, o ngā kōpuku waikura rānei hei tirotiro (koiora).
• Ngā whakamātautau toto.
• Ngā whakamātautau pēnei i te `(ECG)` me te `(echocardiogram)` hei tirotiro i te mahi a te ngākau.

Mena he mate pukupuku pūkahukahu tōu, he mea nui te mōhio kua horapa ki ētahi atu wāhanga o te tinana (te whakatau i te āhua o te mate) hei whakarite maimoatanga. Waihoki, mena he hītori mate ngakau tōu, me toro atu pea koe ki tētahi tohunga ngakau i mua i te pokanga. Ka whakamārama te tohunga whakamoe i te whakahaere i te mamae i te wā e pokanga ana, me muri hoki i te pokanga.

Mā te tākuta koe e whakamōhio i mua i te wā me mutu te kai me te inu i te pō i mua i te pokanga.

He aha ngā mea ka tupu i muri i te pokanga? Kia pēhea te roa o te wā e ora ai?

I muri i te pokanga, ka whakaarahia koe, ka tukuna ki te wāhanga whakaora. I konei, ka hoatu he rongoā ki a koe hei whakahaere i tō mamae. Kia tino mārama koe, ka tangohia te ngongo manawa. He tokomaha kāore e mahara ki tēnei.

• Kātahi ka whakawhitia koe ki te wāhanga whānui, ki te wāhanga tiaki nui (ICU) rānei i ētahi wā.
• Ka whakanohoia kia kotahi, kia rua rānei ngā paipa waikeri uma ki roto i tō uma hei tango i te wai me te hau nui rawa atu i te wāhi i mahia ai te pokanga. Kia iti haere te nui o te wai e puta mai ana i roto i aua paipa, ka tangohia e te tākuta ngā ngongo.
• Mā te hunga hauora koe e akiaki kia maremare pinepine, kia mahi hoki i ngā mahi whakakorikori manawa hōhonu . He mea tino nui tēnei kia ora ai ōu pukahukahu.
• Ka whakamahia ngā rongoā whakangawari toto me ngā taputapu pēhi hei ārai i te toto e pupuhi ana i ngā waewae i a koe e takoto ana i te moenga.
• He mea nui anō hoki te āwhina i a koe kia hikoi i te rā i muri i te pokanga hei wāhanga o te tukanga whakaora.

Mena ka pokangahia koe mā te whakamahi i tētahi tikanga pēnei i te VATS, i te RATS rānei, e rua, e toru rānei ngā rā e noho ai koe i te hōhipera. He tere ake hoki te ora. Mena ka pokangahia tō uma tuwhera, me noho koe i te hōhipera mō ngā rā e toru, e whā rānei . Ina hoki koe ki te kāinga, ka hoatu he rongoā whakamamae kaha ki a koe hei whakamahi mō te wiki pea. Ahakoa ka taea e koe te mahi i tāu ake mahi i te kāinga, he pai ki te whai i tētahi e tata ana hei āwhina.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Ko te painga nui o tēnei pokanga ko te mea e tuku ana i te tūponotanga pai rawa atu kia ora katoa te tangata he mate pukupuku pūkahukahu kei te tīmatanga o te wā . He tumanako nui tēnā. Ā, pērā i ngā pokanga katoa, he tūponotanga kei roto.

Āhea koe e hiahia ana ki te kite anō i te tākuta?

I muri i tō hokinga ki te kāinga, ki te puta he tohu o te mate urutā, pērā i te kirika, te makariri, me te tino ngenge , me waea atu tonu koe ki tō tākuta.

Ka whakaritea e tō tākuta he haerenga tirotiro ā-muri i muri i te 1 ki te 3 wiki i muri i tō pokanga. Ka tangohia e ia he hihi-X o tō uma, ka tirohia ō patunga, ā, ka kōrero mō tō ahunga whakamua. I runga i te taumata o tō mate pukupuku, ka tukuna pea koe ki tētahi tohunga pukupuku . Ka aroturukitia tō āhua mā te whakamahi i ngā karapa CT i ngā wā auau mō ngā tau e rima e whai ake nei.