He mea noa ki te tākuta te māharahara me te manukanuka ina kī atu rātou me tango he pukahukahu. "Ka tangohia e koe tētahi wāhanga o taku pukahukahu?" he pātai tēnei e puta ake ana ki te hinengaro. Engari he aha rawa tēnei? He aha i mahia ai? Kia mōhio koe ki te aha, ka tino heke tō wehi. Nō reira, me kōrero noa iho tātou, mai i te A ki te Z.
He aha te tikanga o te tango i te pukahukahu?
Ko te tango i te pūkahukahu, arā, i roto i ngā kupu hauora, ko te tango i te pūkahukahu, he pokanga tango i tētahi wāhanga, i te katoa rānei o tō pūkahukahu. Ko te tikanga o tēnei he tango i tētahi wāhanga o te pūkahukahu kua pakaru i te mate pukupuku, i te mate urutā, i tētahi atu mate hauora rānei. I ētahi wā, ka whakamahia hoki te koiora hei tango i tētahi wahi kiko hei whakamātautau mō tētahi mate motuhake.
E mōhio ana koe e rua ā tātou pūkahukahu i roto i te tinana. Kua wehea ia o ēnei pūkahukahu kia rua ngā wāhanga e kiia nei ko ngā "lobes". E rua ngā lobes o te pūkahukahu maui, ā, e toru ngā lobes o te pūkahukahu matau. Nō reira, ka taea e tēnei pokanga te tango i te lobe katoa, i tētahi wāhanga o te lobe, i te pūkahukahu katoa rānei.
Ahakoa he pokanga nui tēnei, ā, ka tangohia tetahi pukahukahu, tetahi wāhanga rānei o te pukahukahu, me mahara koe ka taea tonu e koe te noho i te oranga noa.
He aha ngā momo pokanga ēnei?
Ka wehea ēnei pokanga ki ētahi momo, i runga i te rahi o te wāhanga pukahukahu ka tangohia. Hei mārama ake i ēnei, tirohia te ripanga i raro nei.
| Ingoa o te pokanga (Momo Tangohanga) | Hei whakarāpopototanga, he aha te mea e tupu ana? |
|---|---|
| Te Tangohanga Weri | He wahi iti noa iho o te kiko pukahukahu, he tapatoru te āhua, ka tangohia. |
| Wehewehenga wāhanga | Ka tangohia tētahi, ētahi rānei wāhanga o te pūkahukahu, engari kāore e tangohia te pūkahukahu katoa. |
| Te tango i te pūkahukahu | Ka tangohia te pūkahukahu katoa (hei tauira, tētahi o ngā pūkahukahu e 3 o te pūkahukahu matau). |
| Te tango i te ngako i roto i te uma | E rua hautoru o ngā pūkahukahu o te pukahukahu matau ka tangohia. |
| Te tango i te niumōnea | Ka tangohia te pukahukahu katoa i te taha kotahi. |
| Pokanga Whakaiti Rōrahi o te Pūkahukahu | Ka tangohia ngā pute hau e mau ana i roto i ngā pukahukahu nā ētahi āhuatanga hauora. |
He aha koe i pēnei ai te momo pokanga?
E rua ngā take matua mō te mahi pokanga pukahukahu. Ko tētahi hei rongoā i tētahi mate, ko tētahi hei tātaritanga i te tino pūtake o te mate.
- Te mate pukupuku pūkahukahu - inā koa te mate pukupuku o te wāhanga tōmua.
- Te mate pukupuku kua horapa ki ngā pukahukahu mai i ētahi atu whekau (Te mate pukupuku metastatic).
- Ko ngā pukupuku pūkahukahu pai, ko ngā pona pūkahukahu rānei, he puku pai engari ehara i te matepukupuku.
- Ko ētahi mate pukupuku kino, ngā whewhe.
- Ngā mate pūkahukahu mau tonu pērā i te bronchiectasis me te emphysema.
- Te pakaru o ngā pukahukahu i tētahi aituā kino.
I ētahi wā, ka mahia ēnei pokanga hei tiki i tētahi wahi kiko (biopsy) hei tātaritanga tika i tētahi raruraru i roto i ngā pukahukahu. Hei tauira:
- Whakaūtia mēnā he mate pukupuku, kāore rānei.
- Tirohia mēnā he mate pēnei i te mate kohi.
- Tāutuhia ētahi atu mate pūkahukahu, pērā i te fibrosis pūkahukahu.
Me pēhea te mahi i te pokanga? E rua ngā tikanga!
E rua ngā tikanga matua mō te mahi pokanga pūkahukahu. Mā tō tākuta e whiriwhiri te mea tino tika i runga i tō āhua.
1. Pokanga Umakokiko
He tikanga hou tēnei, he iti noa te whakaekenga, e whakamahia ana kia tapahia ētahi tapahi iti ki te uma, ki te taha rānei.Kotahi anake ka whakaurua. Ka whakaurua he ngongo angiangi me te kāmera e piri ana ki roto, e kiia nei ko te "Thoracoscope," mā roto i tētahi o ngā tapahi, ā, ka whakaurua ngā taputapu pokanga mā roto i ngā tapahi kē atu. Ko te tikanga "(RVATS)", e whakamahi ana i te hangarau karetao, kei roto hoki i tēnei kāwai. Ko ngā painga o tēnei tikanga ko:
- Ka iti ake te mamae i muri i te pokanga.
- He iti te mōrearea o ngā raruraru.
- Ka taea e koe te ora wawe me te hoki anō ki ngā mahi o ia rā.
2. Pokanga Tuwhera (Pokanga Tuwhera - Tākihi)
Koinei te tikanga tuku iho. I konei, ka tapahia he tapahi roa ake i te taha o te uma, ā, ka uru atu ngā pukahukahu ki waenganui i ngā rara e rua. He pokanga nui ake tēnei, nō reira he roa ake te wā whakaora.
Me pēhea te whakarite i mua i te pokanga?
Kia angitu ai te pokanga, me rite koe. He mea tino nui kia whai tika koe i ngā tohutohu a tō tākuta.
- Nohopuku: Ka tonoa koe kia mutu te kai me te inu mō ētahi haora i mua i te pokanga.
- Ngā Rongoā: Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe. Tērā pea me mutu te tango i ētahi rongoā (ina koa ko ngā rongoā whakaiti toto) me whakarerekē rānei te horopeta i mua i te pokanga. Kaua e mutu te tango i tētahi rongoā me te kore he tohutohu a tō tākuta.
- Momi hikareti: Mena he kaipaipa koe, me mutu te kaipaipa i te iti rawa i etahi wiki i mua i te pokanga.
- Noho hōhipera: Ka noho koe ki te hōhipera mō ētahi rā, nō reira whakaritea ngā kākahu e tika ana. Whakaritea hoki he waka hei hoki ki te kāinga mai i te hōhipera.
- Ngā whakamātautau: I mua i te pokanga, ka tonoa pea koe ki te mahi i ngā mea pēnei i ngā whakamātautau toto, ngā hihi-X o te uma, ngā karapa CT, me ngā whakamātautau mahi a te pūkahukahu.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, ka haria koe ki te rūma whakaora. Kia hoki mai tō māramatanga, ka whakawhitia koe ki te wāhanga.
- Noho hōhipera: Me noho pea koe ki te hōhipera mō ngā rā e rua, e toru rānei, i runga i te momo pokanga i mahia ki a koe me tō tere whakaora.
- Ngā Ngongo Uma: Ka whakatakotoria he ngongo uma (ngongo waikeri) ki roto i te uma hei tango i te wai me te hau e kohia ana i te taha o ngā pukahukahu i muri i te pokanga. I te nuinga o te wā ka waihohia tēnei ki tōna tūranga mō te rā kotahi, e rua rānei, kātahi ka tangohia.
- Te poto o te manawa: Tērā pea ka paku poto te manawa i ngā rā tuatahi. He mea noa tēnei. Mā te hunga hauora koe e ako ki te manawa hōhonu me te maremare kia pai ai te mahi a ō pukahukahu.
- Te wā whakaora: Mena i pokanga tuwhera koe (Thoracotomy), tera pea ka roa pea te kotahi marama ki te hoki ki ngā mahi o ia rā. Heoi, mena i whai koe i tētahi tikanga hou ake pēnei i te VATS, ka taea e koe te hoki ki te āhua noa i roto i te rua wiki pea.
Kāore ianei he mōrearea kei roto i tēnei pokanga?
Pērā i ngā pokanga katoa, he iti noa iho ngā mōrearea kei roto, engari i raro i te tirotiro a tētahi tīma hauora mohio, he iti noa iho ēnei mōrearea.
Ko ētahi raruraru pea ko:
- Te turuturu o te hau
- Te pā o te manawa kāore i te tika (Arrhythmia)
- Te toto i roto i ngā pukahukahu (Hemothorax)
- Pūkahukahu
- Mate pāwera patunga
- Te embolism pūkahukahu
- Ngā tauhohenga ki ngā rongoā whakamoe
Mā tō tākuta ēnei mea e whakamārama pai ki a koe i mua i te pokanga.
Ki te pā mai ēnei tohu ki a koe, kia aro tonu atu!
He mea nui kia tere te mahi mēnā ka pā mai he raruraru i muri i te hokinga ki te kāinga. Kia tūpato ki ngā tohu e whai ake nei.
| Ngā tohu hei tūpato | |
|---|---|
| Mena kei a koe ēnei, waea atu ki tō tākuta tonu atu. | |
| |
| Mena kei a koe ēnei , haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera. | |
|
Ka taea e tēnei pokanga te whakaora katoa i te mate pukupuku?
I ngā wāhanga tōmua o te mate pukupuku pūkahukahu, he tino teitei te tūponotanga ka ora katoa te mate pukupuku i tēnei pokanga. Engari kāore e taea e tetahi te kī he 100% te whai huatanga. I ētahi wā, me whakamahi pea te chemotherapy, te radiation therapy rānei i muri i te pokanga hei ārai i te hokinga mai o ngā pūtau mate pukupuku.
Ka taea e ngā wāhanga o te pukahukahu kua tangohia mā te pokanga te tupu anō?
Kāo. Kāore e rite ki tō tātou ate, kāore te kiko o te pūkahukahu e whakaora anō i muri i te tangohanga ma te pokanga. Heoi, ka tīmata te toenga o te kiko o te pūkahukahu ki te mahi tika hei whakarato i te nui o te hāora e hiahiatia ana ki te tinana.
Karere Tangohia ki te Kāinga
- Ehara te pokanga pūkahukahu i te mea hei wehi. He maimoatanga angitu tēnei mō te mate pukupuku me ētahi atu mate kino.
- Mā te hangarau hou (pēnei i te VATS), ka taea te mahi i ēnei pokanga me te iti o ngā tapahi, te iti o te mamae, me te tere ake o te ora.
- Ko te roa o te wā whakaora e whakawhirinaki ana ki te momo pokanga i mahia ki a koe me tō hauora whānui. Kia manawanui.
- He mea tino nui kia tere ai te ora me whai koe i ngā tohutohu a tō tākuta, i mua atu me muri i te pokanga.
- Ki te puta mai ētahi tohu rerekē i muri i te hokinga ki te kāinga, kaua e whakaroa ki te whakamōhio atu ki tō tākuta.
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