Ina kī atu te tākuta ki a koe, ki tētahi rānei e mōhio ana koe me tango tetahi wāhanga, te katoa rānei o ō rātou pūkahukahu mā te pokanga, he mea noa te rongo i te taumahatanga nui me te wehi. " Me pēhea taku ora me te kore he pūkahukahu?" "Kāore ianei tēnei i te pokanga nui?" He maha ngā pātai ka puta ake pea ki te hinengaro. Engari ko te mea pono, koinei te otinga pai mō ētahi mate hauora, e mahia ana ināianei me te angitu nui me te whanaketanga o te pūtaiao hauora. Nō reira, i tēnei rā, me kōrero tātou mō tēnei pokanga pūkahukahu, te 'Lung Resection' rānei e kiia nei i roto i te pūtaiao hauora, i roto i te huarahi tino māmā, i roto i te huarahi ka taea e koe te mārama.
He aha te tikanga o te tango i te pukahukahu?
Koinei te tikanga o te pokanga pūkahukahu, arā, te 'tangohanga pūkahukahu'. He ngāwari noa iho, ko te tango i tētahi wāhanga mate, pakaru rānei o tō pūkahukahu, o te pūkahukahu katoa rānei mā te pokanga. Tērā pea nā te mate pukupuku, he mate kino, he mate hauora rānei tēnei. I ētahi wā, ka mahia he koiora hei tango i tētahi wahi kiko hei whakamātautau hei whakatau i te tino pūtake o te mate.
E rua ā tātou pūkahukahu i roto i tō tātou uma. Ka wehea ia o ēnei pūkahukahu ki ngā wāhanga iti ake, pērā i te uho o te karaka. Ka karangatia ēnei e tātou he 'lobes', he poro rānei. E toru ngā lobes o tō pūkahukahu matau, ā, e rua ngā lobes o tō pūkahukahu maui . Nō reira, i roto i tēnei pokanga, ka taea te tango i tētahi lobe, i tētahi wāhanga o tētahi lobe, i te pūkahukahu katoa rānei. Ko te mea tuatahi me maumahara koe ahakoa he pokanga nui tēnei, ka taea tonu e koe te noho i tētahi oranga noa ahakoa kotahi noa te pūkahukahu, tētahi wāhanga rānei o te pūkahukahu kua tangohia.
He aha ngā momo pokanga pukahukahu?
He maha ngā huarahi hei mahi i tēnei pokanga. Kei te āhua o te mate me te rahi o te pukahukahu e tika ana kia tangohia. Me titiro tātou ki ngā momo matua.
| Momo pokanga | Koinei te mea ka tupu noa iho... |
|---|---|
| Te Tangohanga Weri | Ka tangohia he wahi iti tapatoru o te kiko pukahukahu, he rite ki te poro keke. |
| Wehewehenga wāhanga | Ka tangohia tētahi, ētahi rānei o ngā wāhanga o te pūkahukahu, me te kore e whara i ngā wāhanga kē atu. |
| Te tango i te pūkahukahu | Ka tangohia katoatia tetahi pūkahukahu. |
| 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 katoatia te pukahukahu i tetahi taha. |
He aha ngā momo āhuatanga e mahia ai tēnei pokanga?
He maha ngā take e taea ai te mahi pokanga pukahukahu. Ko ngā take matua ko:
- Matepukupuku pūkahukahu: Ina koa mō ngā matepukupuku wāhanga tōmua (wāhanga I, II, me te III pea).
- Ina horapa te mate pukupuku mai i ētahi atu whekau ki ngā pukahukahu: Ka kiia tēnei he 'mate pukupuku metastatic'.
- Ngā pukupuku pai, ngā pona rānei o te pukahukahu.
- Te Pūkahukahu Ānini: He āhuatanga e whānui haere ai ngā ara manawa, e kī tonu ai i te hūpē.
- Emphysema : He āhuatanga e pakaru ai ngā pēke hau i roto i ngā pukahukahu, e uaua ai te manawa.
- Ngā whewhe, ngā whēwhe rānei o te pukahukahu.
- He kino rawa te kino o ngā pukahukahu nā te aituā.
Ko te mea nui rawa atu, me whakatau te mahi i tēnei pokanga i muri i te tirotiro hohonu a te tīma tākuta motuhake i tō āhua.
Ngā tikanga matua e rua mō te mahi i te pokanga
E rua ngā tikanga e whakamahia ana e ngā taote pokanga hei mahi i tēnei mahi.
1. Pokanga Uma: Koinei te tikanga e mahia ana me te iti o ngā tapahi. Ka kiia hoki tēnei ko te VATS (Pokanga Uma Āwhina Ataata) mō te poto. I konei, ka hangaia he kōhao iti ki roto i te uma, ka whakauruhia he ngongo angiangi me te kāmera (Thoracoscope) mā roto, ā, ka mahia te pokanga mā te whakamahi i ngā taputapu motuhake i a koe e mātakitaki ana i runga i te mata tirotiro. Ina mahia mā te whakamahi i te hangarau karetao, ka kiia ko te RVATS (Robotic VATS). Ko te painga o tēnei tikanga he iti ake te mamae, ā, ka tere ake te ora.
2. Pokanga Tuwhera / Tātaritanga o te Uma:He mahi nui tēnei. I roto i tēnei mahi, ka tapahia e te taote pokanga he puku roa, ka whakatuwhera i tō uma i waenganui i ngā rara e rua, ka tae atu ki ō pukahukahu. Ko te tikanga o tēnei mahi he tango i tētahi wāhanga nui o te pukahukahu, i ngā take uaua rānei.
Me pēhea te whakarite i mua i te pokanga?
Me whakarite pai mō tēnei momo pokanga. Mā tō tākuta koe e hoatu ki a koe ngā tohutohu pai rawa atu mō tēnei.
- Me nohopuku koe (kaua e kai, kaua e inu) mō ētahi haora i mua i te pokanga.
- Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā huaora me ngā tāpiringa. Tērā pea me mutu te tango i ētahi rongoā (ina koa ko ngā rongoā whakaiti toto) i ētahi rā i mua i te pokanga.
- Mena he kaipaipa koe, me mutu rawa atu . Mā te whakamutu i te kaipaipa ka tino whakaiti i te tūponotanga o ngā raruraru i muri i te pokanga.
- Kia rite mō ētahi rā i te hōhipera. Me whakarite hoki kia tikina koe e tetahi ina tae koe ki te kāinga.
- I mua i te pokanga, he maha ngā mea me mahi, pērā i ngā whakamātautau toto, ngā whakamātautau mahi a ngā pukahukahu, te hihi-X o te uma, te matawai CT, me ngā whakamātautau ngākau (ECG) .
He aha ngā mea ka tupu i muri i te pokanga? Me ako tātou mō te wā whakaora
I muri i te pokanga, ka puritia koe i roto i te rūma whakaora tae noa ki tō oho ake, kātahi ka whakawhitia ki te wāhanga. I te nuinga o te wā ka noho koe ki te hōhipera mō ngā rā e rua, e toru rānei, tae atu ki te wiki. Ka whakawhirinaki tēnei wā ki te momo pokanga i mahia ki a koe me te tere o tō ora.
I muri i te pokanga , ka whakanohoia he ngongo uma ki roto i tō uma hei tango i te wai me te hau e kohia ana i roto i tō uma. I te nuinga o te wā ka waihohia tēnei ki tōna tūranga mō te rā kotahi, e rua rānei, kātahi ka tangohia.
Tērā pea ka paku poto te manawa , ka ngenge hoki koe i te tīmatanga. He mea noa tēnei. Mā ngā kaimahi hauora koe e ako ki te manawa hōhonu, me te mahi i ngā mahi maremare kia pai ai te mahi a ō pukahukahu. Tērā pea ka hoatu he hāora ki a koe mō te wā poto.
He rerekē te roa o te wā whakaora i ia tangata, i ia tangata.
- Mena ka mahia te pokanga mā roto i tētahi tapahi iti pēnei i te VATS , ka taea e koe te hoki anō ki ngā mahi o ia rā i roto i te rua wiki pea.
- Mena he pokanga nui pērā i te tango i te uma , ka roa pea te kotahi marama, neke atu rānei, kia ora katoa ai.
He tūponotanga, he raruraru rānei kei reira?
Pērā i ngā pokanga nui katoa, kei reira ētahi tūponotanga, ā, he mea nui kia mōhio ki aua tūponotanga.
- Te turuturu o te hau mai i ngā pukahukahu
- Ngā rerekētanga o te pā o te ngakau (Arrhythmia)
- Te kohi toto i roto i te uma (Hemothorax)
- Ngā mate urutā pēnei i te niumōnia
- Ngā mate urutā i roto i ngā motu
- Te embolism pūkahukahu
- Ngā tauhohenga ki te rongoā whakamoe
Kei te whakapau kaha tō tīma hauora ki te whakaiti i ēnei mōrearea. Ka taea e koe te whakaiti ake i ēnei mōrearea mā te karo i te momi hikareti me te whai i ngā tohutohu a tō tākuta.
Āhea te rapu tohutohu hauora tonu
I muri i te hokinga ki te kāinga, he mea tino nui kia tere te mahi mēnā ka puta mai ētahi tohu mōrearea.
| Tohu | Me aha? |
|---|---|
| Kōrero ki tō tākuta: | |
| Ki te tīmata te toto o te takai i te motu i te wā tonu ka mākū | Whakamōhio atu ki tō taote pokanga, ki te hōhipera rānei i taua wā tonu. |
| Mena he rerekē te tae o te rerenga, he nui rawa rānei | |
| Mena he kirika tōu | |
| Mena kei te pāngia koe e te mamae e kore e taea te whakahaere ahakoa he rongoā | |
| Haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata: | |
| Ki te maremare koe i te toto | He tino whāiti ēnei āhuatanga. Haere tonu ki te hōhipera. |
| Ki te pāngia koe e te uauatanga nui o te manawa | |
| Mena ka pāngia koe e te mamae ohorere o te uma, me te uaua ki te manawa | |
Ka taea e te pukahukahu kua tangohia te whakaora anō?
Kāo. Kāore i rite ki tō tātou ate, kāore te kiko o te pūkahukahu e tupu anō i muri i te tangohanga ma te pokanga. Engari ka urutau te tinana ki tēnei huringa. Ka tīmata te toenga o te kiko o te pūkahukahu ki te mahi pai ake. Nō reira, i roto i te wā, kāore pea koe e kite i te nui o te rerekētanga.
Karere Tangohia ki te Kāinga
- He tikanga pokanga tino matatau, angitu hoki te tango i ngā pukahukahu e rongoā ana i ngā mate hauora nui.
- He mea noa te mataku mō tēnei pokanga. Kōrerohia mā te mahorahora ki tō tākuta mō tēnei mea, ā, pātai atu hoki i ō pātai.
- Mā te whai i ngā kaupae i mua i te pokanga, inā koa te whakamutu i te kai paipa, ka taea e koe te tere ake i tō whakaoranga me te whakaiti i ngā mōrearea.
- He roa te wā e ora ai. Nō reira kia manawanui. Hoatu ki tō tinana te okiokinga e hiahiatia ana e ia. Rapua he āwhina mai i te whānau me ngā hoa.
- Kia tūpato tonu ki ngā tohu mōrearea katoa (te kirika, te mamae nui, te uaua ki te manawa) ka puta mai i muri i tō hokinga ki te kāinga. Mēnā he āwangawanga āu, rapua tonutia he tohutohu hauora.
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