Ina kōrero te tākuta ki a koe, ki tētahi rānei e tata ana ki a koe mō tētahi pokanga nui pērā i te tango i te maxillectomy, he mea noa te mataku me te ohorere nui. Ina rongo tātou i tētahi kupu pēnei, ka ara ake he maha ngā pātai i roto i ō tātou hinengaro. "He aha te momo mea nei?", "He aha ahau me mahi ai i tēnei?", "Me pēhea tōku ao i muri i tēnei?" Tērā pea he pātai kei roto i tō hinengaro. Koia te take, hei whakaiti i tō mataku me ō ruarua mō tēnei, i whakaaro mātou me kōrero mō tēnei pokanga i roto i tētahi huarahi tino māmā, ātaahua hoki.
He aha tonu te tikanga o te tango i te maxillectomy?
Ki te kī ngāwari, ko te tango pokanga o te kauae o runga (maxilla) he tango pokanga i te katoa, i te wāhanga rānei o tō wheua kauae o runga (maxilla). Kei roto i te kauae o runga ngā niho o runga. Ehara tēnei i te tango noa iho. He maha ngā wā, ka haere tahi tēnei pokanga me te pokanga hanga anō hei whakaora i te wāhanga kua tangohia, arā, hei whakapai ake i te āhua. Nō reira, he tikanga tino uaua, he pai hoki te whakamahere, e mahia ana e tētahi rōpū tākuta pūkenga.
He aha i tika ai kia mahia he pokanga nui pēnei?
Ko te mate pukupuku te take matua o tēnei. Ina koa mēnā ka puta te mate pukupuku i tō kauae o runga, mēnā rānei kua horapa te mate pukupuku mai i tētahi atu wāhi ki tēnei wāhi, he mea nui tēnei pokanga hei tango katoa i ngā pūtau mate pukupuku.
He maha ngā āhuatanga matua e taunaki ana ngā tākuta i tēnei pokanga:
- Matepukupuku o te Uhi runga: Mena ka puta tika te matepukupuku i roto i te wheua runga.
- Te Mate Pukupuku o te Ihu: Mena ka horapa te mate pukupuku e ahu mai ana i te ihu ki te kauae o runga.
- Matepukupuku ā-Waha: He matepukupuku e puta ana i te tuanui o te waha.
- Ngā Puku Sinonasal: Ngā mate pukupuku e puta ana i roto i ngā kōhao ihu i roto i te mata, ka horapa ki te kauae o runga.
Haunga ēnei momo mate pukupuku, ka mahia tēnei pokanga i ētahi wā mō ngā mate harore tino kino (invasive fungal sinusitis) . He mate kino tēnei ka puta ina manawahia ētahi momo harore, ka horapa, ka whakangaro i te kiko i roto i ngā sinus.
Ko te mea nui ko te mahi i tēnei pokanga kia tangohia katoatia te mate pukupuku me te whakaora i tō ora.
Ko te kauae o runga anake te mea ka tangohia i tēnei pokanga?
He raruraru tēnei mō te tini o te tangata. I runga i te rahi o te mate pukupuku me te whānui o tōna horapa, me tango pea te kiko, ngā whekau rānei e tata ana, me te kauae o runga. Tērā pea he whakamataku tēnei, engari me tango katoa te mate pukupuku.
Ko ngā wāhi e karapoti ana me tango pea ko:
- Kanohi: Mena kua uru te mate pukupuku ki roto i te kanohi.
- Te waha mārō: Te wāhanga o runga o te waha.
- Āmio: Ko te kōhao wheua kei reira te kanohi.
- Papa o te orbital: Ko te papa wheua e pupuri ana i te karu o te kanohi ki tōna tūranga .
- Ko te io e whakarato ana i te kare ā-roto ki te kiri i raro i te kanohi: Tērā pea ka pā te ngaungau i te paparinga i muri i te pokanga.
- Ngā niho e pā ana ki te kauae o runga e tangohia ana.
- Puku Roimata: Ko te ngongo e kawe ana i ngā roimata mai i te kanohi ki te ihu.
Ko te tango atu i ēnei mea, kei te taumata o tō matepukupuku. Mā tō tākuta ēnei mea katoa e whakamārama ki a koe.
He aha ngā momo matua o tēnei pokanga?
Ka rerekē te momo pokanga tango i te maxillectomy i runga i te rahi me te wāhi o te pukupuku. Me titiro tātou ki ngā momo matua.
| Momo pokanga | He whakamārama ngāwari noa iho |
|---|---|
| Te tango i te mahunga waenga | Ko te tango i tētahi wāhanga o te kauae o runga e tata ana ki te ihu me ngā niho e pā ana ki a ia te mahi nei. He maha ngā wā ka mahia tēnei mō ngā pukupuku iti i roto i te ihu. Ka taea tēnei mā te tapahi iti i te taha o te ihu, mā te ngongo angiangi rānei (endoscope) ka whakaurua mā roto i te pongaponga ihu. Kāore e hiahiatia he pokanga hanga hou nui mō tēnei mahi. |
| Te tango i te uma o te waewae i roto i te hanganga | I tēnei tikanga, ka tangohia te wāhanga o raro o te kauae o runga, ngā niho, me te waha. Ka puta he kōhao i te tuanui o te waha. Hei kati i tēnei kōhao, ka tangohia he kopa mai i tētahi atu wāhanga o te tinana ka whakatōkia. Ki te kore, ka whakamahia he prosthetic motuhake hei kati i te kōhao. |
| Te tango i te mahunga o runga o runga | Ko te tango i te wāhanga o runga o te kauae o runga ko te tango. Tērā pea ka tangohia ngā niho, te papa o te orbital, te orbit, te kanohi, te awa roimata, me ngā io e karapoti ana. Me mahi pokanga hanga hou nui hei whakatika i ngā wāhanga kua tangohia. Mena ka tangohia te kanohi, ka taea te whakauru i tētahi kanohi hangai hei whakahoki i te āhua, engari he mea nui kia mahara kāore e taea te whakahoki mai i te tirohanga . |
| Te tango i te uma i te wāhanga katoa | I tēnei, ko tētahi wāhanga anake o te kauae o runga ka tangohia mā te whakamahi i tētahi o ngā tikanga kua whakahuatia i runga ake nei. |
| Te tango katoa i te uma o te uma | Koinei te wāhanga whānui rawa atu o te pokanga. Ka tangohia te kauae o runga katoa i te taha kotahi o te mata, me te waha me te papa o te orbital. Me mahi he pokanga hanga hou whānui me ngā taputapu hanga-ira. |
He aha atu anō ngā mea e pā ana ki tēnei pokanga?
Ae, i ētahi wā, kāore pea e ranea te tango i te piko anake. I runga i tō āhua, me mahi pea ētahi atu tikanga i te wā kotahi, i muri rānei i tēnei pokanga.
- Te Whakatakotoranga o te Ngongo Whāngai: Nā te mea he uaua ki te kai, ki te inu rānei mā te waha mō tētahi wā i muri i te pokanga, ka whakanohoia he ngongo mā te ihu, tika rānei ki roto i te puku hei whakarato i te kai e tika ana.
- Dacryocystorhinostomy: He pokanga hei tango i te awa roimata, hei hanga i tētahi ara hou mō ngā roimata ki te rere mai i te kanohi.
- Te Wetewete i te Kaki: Mēnā he whakapae kua horapa te mate pukupuku ki ngā kōpū lymph i te kaki, ka tangohia, ka tirotirohia.
- Tracheostomy: Ki te whakaaro ngā tākuta ka uaua te manawa i muri i te pokanga nā te pupuhi o te mata, ka whakauruhia pea he ngongo ki roto i te puku o mua o te kaki hei āwhina i a koe ki te manawa mō te wā poto.
- Pokanga Whakahou: Ka mahia ēnei pokanga hei whakaora i te āhua me te mahi o te mata i te mea ka taea.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Pērā i ngā pokanga nui katoa, he painga, he mōrearea hoki tō tēnei pokanga.
| Painga matua | Ngā tūponotanga me ngā raruraru pea |
|---|---|
Te whakaora i ngā oranga. Ko te painga nui rawa atu, ko te painga anake hoki o tēnei pokanga, ko te ārai i te horapa o te mate, ā, ka nui ake te tūponotanga kia ora mā te tango i te kiko matepukupuku i te tinana. |
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He pēhea te roa o te wā whakaora i muri i te pokanga?
He haerenga roa tēnei. Me whakarite koe mō tēnei, ā-tinana, ā-hinengaro hoki. Ka taea te wehewehe i te tukanga whakaora kia maha ngā wāhanga.
Te wā i te hōhipera
I runga i te āhua o te pokanga, me noho pea koe ki te hōhipera mō te wiki ki te rua wiki, neke atu rānei . Tērā pea ka roa ake tēnei wā mēnā i pokangahia koe ki te hanga anō i te tinana. I roto i tēnei wā:
- Ka hoatu he rongoā hei whakahaere i te mamae me te ārai i te mate urutā.
- Ka taea te hoatu hāora hei āwhina i te manawa (mā te tracheostomy mēnā kua whakatakotoria).
- Ka whakaratohia te kai mā te hoatu kai wai mā roto i te ngongo whāngai.
Ngā mea hei tiaki i muri i te hokinga ki te kāinga
Me tino tupato tonu koe i muri i tō hokinga mai i te hōhipera.
- Āta karohia ngā mahi uaua kia tohua rā anō e tō tākuta.
- Kai noa i ngā wai me ngā kai ngohengohe kia ora rā anō ngā motu.
- Āta karohia ngā kai me ngā inu wera, nā te mea ka pāngia pea te waha e te wera, ka wera ai.
Kia pēhea te roa o te wā e ora katoa ai?
Ka roa pea tēnei mō ngā marama. Ka roa pea te wā kia hoki anō tō kaha ki te kōrero me te horomi ki tōna āhua noa. Ka whakawhirinaki te wā whakaora ki te momo pokanga i mahia ki a koe.
- Nā te mea he iti noa te whakaekenga o te medial maxillectomy , he tere te whakaoranga.
- He tino uaua ngā pokanga Infrastructure, Suprastructure, me te Total maxillectomy , nō reira ka roa pea te noho hōhipera me te wā whakaora i te kāinga.
Āhea koe me waea atu ki te tākuta?
Ki te puta he tohu kino ki a koe i a koe e ora ana, me whakamōhio tonu koe ki tō tākuta, ki te hōhipera rānei i whiwhi ai koe i te maimoatanga. Kia tūpato rawa ki ēnei tohu.
* Mēnā he pupuhi rerekē kei te puta .
* Ki te mea he uaua ki a koe te manawa .
* Ki te pāngia koe e te kirika (he tohu pea tēnei nō te mate pāwera).
* Ki te pāngia koe e te mamae nui e kore e taea te whakahaere e ngā rongoā whakamamae mamae e hoatu ana.
I roto i tēnei āhuatanga, kaua e whakaroa.
He aha te pānga ki tōku ao i muri i te whakaoranga?
He pai te ora o te nuinga o te tangata i tēnei pokanga. Ka ora pai ngā motu. Heoi, mā te tango i te kauae o runga me ngā wāhi e karapoti ana ka puta he huringa ki te ora. He uaua pea ngā mea i tino māmā i mua, pērā i te kai, te kōrero, me te horomi.
Kaua e manukanuka. He tokomaha ngā tāngata ka taea te āwhina i a koe ki te wikitoria i ēnei wero.
- Ngā Kaiwhakaora Kōrero: Ka āwhina i a koe ki te ako anō me pēhea te kōrero, te horomi, me te kai.
- Ngā Kaitohutohu Kai: Te āwhina i te tinana kia whiwhi i ngā matūkai e hiahiatia ana, ahakoa he uaua ki te kai.
- Ngā Tākuta Niho Whakapūmau: Ka taea e rātou te hanga i ngā niho rūpahu motuhake māu, hei āwhina i a koe kia kaha anō ki te ngaungau kai.
- Ngā Tohunga Matepukupuku: Ka whakarite i ētahi atu maimoatanga matepukupuku, pērā i te chemotherapy, te radiation therapy rānei, e hiahiatia ana i muri i te pokanga.
Ko te kaha o tō whakaoranga whakamutunga e whakawhirinaki ana ki te momo mate pukupuku me tōna kaha. Engari nā te tiaki hauora tika me ō ake mahi, he tokomaha kua kaha ki te wikitoria i ēnei wero me te hoki ki te oranga noa.
Karere Tangohia ki te Kāinga
- He mea tino nui te tango i te maxillectomy, he pokanga whakaora ora pea mō ngā mate pukupuku o te upoko me te kaki.
- Tērā pea ka roa te wā whakaora i muri i tēnei pokanga. Tērā pea ka pāngia te kai me te kōrero.
- He nui te tīma hauora, tae atu ki ngā tākuta, ngā kaiwhakaora kōrero, me ngā tohunga kai, hei āwhina i a koe. Tikina tā rātou tautoko.
- Me ripoata tonu atu ki tō tākuta mēnā kei te ora koe mēnā he tohu kino tōu (kirika, mamae nui, uaua ki te manawa).
- Ahakoa he uaua tēnei haerenga, mā te tautoko tika me te waiaro pai, ka taea e koe te ora anō i te oranga pai.
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