Pokanga Kauae (Pokanga Hononga Kauae): Ngā Mea Me Mōhio Koe

Ina kī atu tō tākuta me tango tetahi wāhanga o tō kauae o raro mā te pokanga, tera pea ka pā mai he mataku nui me te ohorere. Ina rongo koe mō tēnei pokanga e kiia nei ko te 'mandibulectomy', tera pea he maha ngā pātai kei roto i tō hinengaro. He mea noa te pātai pēnei i te, "Ka rerekē taku mata?", "Ka taea e au te kōrero me te kai anō?" Engari kaua e manukanuka. I roto i tēnei tuhinga, ka kōrerohia e mātou tēnei pokanga, te take i mahia ai, me pēhea te mahi, me ngā mea hei tumanakohia i muri i te pokanga i roto i te huarahi māmā, mārama hoki.

He aha te tikanga o te tango i te mandibulectomy?

Ki te whakarapopoto, ko te tango pokanga i tētahi wāhanga, i te katoa rānei o tō kauae o raro (kaue kauae). I ētahi wā ka kiia tēnei ko te 'mandibular resection'.

Ko te tikanga, ka whakatau ngā tākuta ki te mahi i tēnei momo pokanga mēnā he pukupuku matepukupuku kei roto i te kauae, mēnā he mate kino, mēnā rānei kua pakaru te kauae i tētahi mate hauora. Ko te whāinga matua he tango katoa i te wāhanga mate, me te aukati i te horapa haere o te mate.

He aha ngā momo matua o tēnei pokanga?

E rua ngā momo matua o te pokanga mandibulectomy. Kei te nui o te kauae e tangohia ana. Me titiro tātou ki aua momo e rua.

Kei hea koe e tiki ai i ngā wheua mō te hanga anō?

I roto i te tango i te kauae wāhanga-rua, ka tangohia e ngā taote pokanga te wheua, te kiko, te kiri, me ngā oko toto (ngā uaua me ngā uaua) mai i tētahi atu wāhanga o tō tinana hei hanga anō i tō kauae. Ka kiia tēnei he "hanga anō kore-pā." Whakaarohia he rite ki te tango i tētahi wahi papanga ka whakapiripiri hei whakatika i tētahi wāhanga pakaru o ō kākahu.

Ko ngā wāhi e tangohia ai ngā wheua me ngā kiko mō tēnei:

• Waewae o raro: I te nuinga o te wā, ka tangohia tetahi wāhanga o te wheua fibula.
• Te mata o te pakihiwi: I ētahi wā, ka tangohia pea tētahi wāhanga o te mata o te pakihiwi.
• Hope: Ka taea hoki te tango i tētahi wāhanga o te wheua hope mō tēnei kaupapa.

I ētahi wā, ka whakamahia pea he pereti whakarewa, he whakapiri wheua rānei mai i tētahi atu kaituku. Mā tō rōpū hauora tēnei e whakamārama ki a koe.

I roto i ēhea āhuatanga e hiahiatia ai tēnei pokanga?

He maha ngā take motuhake ka whakamahia e te tākuta tēnei momo pokanga. Ko ētahi o aua take ko ēnei.

• Matepukupuku waha: Mena kua horapa ki te kauae te matepukupuku e puta ana i roto i te waha, i te arero, i ngā kapia, i te paparinga rānei.
• Te mate pukupuku oro-pharyngeal: Mena ka horapa te mate pukupuku e tīmata ana i waenganui o te korokoro ki te kauae.
• Mate Wheua (Osteomyelitis): Mena he mate kitakita kino tōu kua horapa ki te kauae, ā, kāore e pai ki te rongoā.
• Te osteonecrosis o te kauae: Mena ka mate te wheua kauae nā te whakamahinga o ētahi rongoā (ina koa ko ngā bisphosphonates) me te rongoā irahiko.
• Ngā aituā kino: Mena kua pakaru te kauae kia mongamonga i roto i tētahi aituā kino, ā, kua tino pakaru, kāore e taea te whakatika i tētahi atu huarahi.

He aha ngā mea ka tupu i mua i te pokanga?

He wā whakarite kei mua i te pokanga, hei wā e mārama ai te tīma hauora ki tō āhua.

• Ngā whakamātautau: Mā te matawai CT ka ine tika i te rahi me te horapa o te pukupuku, te wāhi pakaru rānei o tō kauaeKa mahia ngā whakamātautau pēnei. Mena kei te whakahaerehia he pokanga hanga anō, ka mahia hoki ngā whakamātautau motuhake hei tirotiro i te hauora o ngā uaua toto i te wāhi i tukuna ai te toto.
• Te hui ki te tīma hauora: Ka whakahaerehia tēnei pokanga e tētahi tīma tākuta maha-mātauranga. Tērā pea kei roto i tēnei tīma he taote pokanga o te upoko me te kaki, he taote pokanga hanga anō, me tētahi taote pokanga waha. Ka kōrero taipitopito rātou mō te pokanga ki a koe.
• Ngā mea hei whakamutu: Ka tohutohuhia koe kia karo i ngā mea ka whakanui ake i te toto, ka whakararuraru rānei i te tukanga whakaora i te wā e pokanga ana.
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He mea nui: Kia tino kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā huaora.

He aha ngā mea ka tupu i te wā o te pokanga?

He pokanga uaua tēnei, ā, ka roa pea ētahi hāora. Engari kāore he mea hei manukanuka māu. Ka noho koe i raro i te mate whakamoe whānui puta noa i te pokanga, nō reira ka moe pai koe.

I roto i te tango i te kiri taha o te kauae...

1. Ka tapahia e te taote pokanga te taha o roto o tō paparinga.

2. Ka tangohia te pukupuku, te wāhanga mate rānei o te kauae, me tētahi wāhanga iti o te kiko hauora e karapoti ana.

3. Ka katihia ngā tapahi, ā, ka tuia.

I roto i te tango i te Mandibulectomy wāhanga-waenga...

He tukanga roa tēnei. E rua pea ngā tīma pokanga e mahi tahi ana i te wā kotahi. I a tētahi tīma e mahi ana i te pokanga hope, ka whakarite te tīma kē atu i te wāhi i tukuna ai te hope.

1. Tuatahi, ka tangohia te kauae mate me te kiko e karapoti ana.

2. Ka tukuna ngā wāhanga kua tangohia ki te taiwhanga hei whakamātautau mā rātou kia kitea ai mēnā kei reira ngā pūtau matepukupuku, mēnā rānei kua horapa.

3. Ka tirohia hoki mēnā kua horapa te mate pukupuku ki ngā kōpū lymph i te kaki.

4. Ka tangohia e te tīma pokanga kē atu ngā wāhanga wheua, kiri, me ngā oko toto e tika ana mai i te wāhi i honoa ai te wheua (hei tauira, te waewae).

5. Ka hangaia te wheua i tangohia kia rite ki te wāhanga i tangohia mai i te kauae.

6. Hei whakarato i te rere o te toto ki te kiko kua whakatōkia, ka honoa marietia aua uaua toto ki ngā uaua toto i roto i tō kaki.

7. Ka tāpirihia te kauae hou ki te kauae mā te whakamahi i ngā pereti me ngā tīwiri whakarewa motuhake, ā, ka katihia ngā tapahi, ka tuituia.

Ngā mea anō hei mahi mā te pokanga

I muri i te pokanga, me whai maimoatanga anō pea koe kia mau tonu ai ō niho me tō kauae i te tūranga tika, kia māmā ake ai hoki te manawa.

• Ngā pae kōpiko me ngā here rapa: Ka whakanohoia ēnei ki roto i te waha hei pupuri i te tūnga tika o ngā niho me te kauae.
• Tracheostomy:I ngā rā tuatahi i muri i te pokanga, ka whakatakotoria he ngongo ki mua o te kaki ki roto i te pūwero manawa (trachea) hei whakangāwari i te manawa nā te mea ka pupuhi te korokoro. He rangitahi tēnei.
• Ngongo whāngai: Nā te mea he uaua ki te kai mā te waha, ka whakauruhia he ngongo mā te ihu ki roto i te puku hei whakarato i te matūkai e tika ana, me te kai wai hoki.

He aha ngā mea ka tupu i muri i te pokanga?

Ko te wā whakaora e hiahia ana kia iti te manawanui.

• Noho hōhipera: I runga i te momo pokanga e mahia ana ki a koe, me noho pea koe ki te hōhipera mō ngā rā e rua ki te rua wiki. Ko te tikanga he roa ake te noho mō te pokanga wāhanga.
• Ina hoki koe ki te kāinga: I muri i tō hokinga ki te kāinga, he mea tino nui kia tino whai i ngā tohutohu a tō tākuta. Ka tohutohuhia koe ki te pupuri i ō tapahi kia ma, me pēhea hoki te kai. Tērā pea kei a koe tonu he ngongo whāngai ina hoki koe ki te kāinga, ka kīia atu rānei kia kai wai noa koe. Tangohia ngā rongoā mamae e hoatu ana ki a koe i te wā tika.
• Ngā maimoatanga kē atu: I a koe e ora ana, me āwhina pea koe e te kaiwhakaora kōrero me te kaiwhakaora tinana hei āwhina i a koe ki te ako ki te horomi me te kōrero anō. Mena i pokangahia koe mō te mate pukupuku, ka tūtohu pea tō tākuta i te rongoā irahiko, i te rongoā chemotherapy rānei hei patu i ngā pūtau mate pukupuku e toe ana.

Kia pēhea te roa o te wā e ora katoa ai?

He uaua ki te kī i te wā tika mō tēnei. He rerekē i ia tangata, i ia tangata, ā, kei te āhua o te pokanga.

• He tere te whakaoranga i muri i te tango hapa o te mandibulectomy.
• Ka roa pea te wā ki te ora i muri i te tango i te wehenga o te kauae wāhanga me te hanga anō i te hononga. Ka roa pea te wā ki te ako anō ki te horomi, ki te kai, me te kōrero.
• Tērā pea ka roa pea ētahi wiki ki te hoki ki te mahi. Me tatari pea koe kia roa ake anō kia tīmata ai ngā mahi uaua pēnei i te whakakori tinana. Mā tō rōpū hauora koe e hoatu he kaupapa e tika ana māu.

He aha ngā tohu e hiahia ana kia tere te toro atu ki te tākuta?

Ki te puta mai tētahi o ēnei tohu i a koe e noho ana i te kāinga i muri i te pokanga, rapua tonutia he tohutohu hauora. Ki te tika, haere ki te Tari Ohotata (ETU) o te hōhipera.