Kua kī atu tō tākuta me mahi koe i tētahi tātaritanga puku? Me mataku koe i tō rongonga i taua ingoa, tika? Me maha āu pātai pēnei i te, 'He aha tēnei? He pokanga nui? Ka mamae?' He mea noa iho. Kāore i te miharo ka mataku koe ina rongo koe i tētahi kupu hou, ahakoa e kiia ana he pokanga. Nō reira, i tēnei rā, me kōrero tātou mō te tikanga o tēnei tātaritanga puku, te take i mahia ai, me pēhea te mahi, me ngā mea ka tupu i muri mai, i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
He aha te tikanga o te Mediastinoscopy?
Āe, me wehewehe tuatahi tātou i tēnei. He tikanga pokanga te mediastinoscopy e āhei ai tō tākuta ki te tirotiro tata atu i te roto o tō uma, inā koa te wāhi i waenganui i ō pukahukahu (koinei te mea e kiia nei e tātou ko te mediastinum i roto i te rongoā).
Whakaarohia, he mea tino nui tēnei wāhi i waenganui i ngā pukahukahu e rua i roto i tō tātou uma. Nā te mea he maha ngā whekau nui pēnei i tō tātou ngākau, te trachea, me te esophagus kei konei. Nō reira, ka whakamahia tēnei tikanga ina hiahia tātou ki te kite mēnā he mea rerekē kei tēnei wāhi, pērā i te pukupuku, i te kōpuku lymph rānei kua nui haere.
Ka whakamahia he taputapu motuhake e kiia nei ko te mediastinoscope mō tēnei tikanga. He rite ki tētahi ngongo angiangi me tētahi kāmera me tētahi rama e piri ana ki a ia. Mā te whakamahi i tēnei taputapu, ka taea e ngā tākuta te kite mārama i ngā mea kei roto i te uma. Ehara i te mea ka taea e rātou te kite noa, engari ka taea hoki e rātou te tango i tētahi tauira kiko mai i tētahi kōpū lymph, i tētahi atu pukupuku rānei i reira, ka tukuna atu hei tirotiro (e kiia ana tēnei he koiora).
He aha te rerekētanga i waenga i te Mediastinoscopy me te Mediastinotomy?
Tērā pea ka rongo koe i te kupu mediastinotomy. E rua ngā mahi hei tirotiro i te rohe mediastinum o te uma. Engari he rerekētanga iti.
- Mediastinoscopy: Ko te tikanga o tēnei ko te tapahi i tētahi tapahi iti (tata ki te inihi) ki te kaki, ka whakauruhia he karu tirotiro mā roto. He iti te tapahi, nō reira ka tere te ora.
- Mediastinotomy: Ko te tikanga he tapahi nui ake i te uma, ā, ka titiro tika ki roto. Mā tēnei tikanga ka taea e te tākuta te kite i te taha o roto, engari he nui ake te tapahi, nō reira he roa ake te wā whakaora.
Ki te kī māmā noa iho, he rite te mediastinoscopy ki te titiro mā roto i te kōhao kī o te tatau o te rūma. He rite te mediastinotomy ki te whakatuwhera i te tatau me te titiro ki roto. Ahakoa he rite te kaupapa o ngā mea e rua, he rerekē te tikanga me te wā whakaora.
He aha koe i hiahia ai ki te mahi i tēnei whakamātautau?
He maha ngā take ka tonoa ai tēnei whakamātautau e te tākuta. Ko ngā take matua ko:
- Whakaū i te whakapae mō te mate pukupuku:Ki te kite koe i tētahi mea rerekē i roto i tō uma i runga i te matawai X-ray, CT rānei, me tango e koe tētahi wahi kiko ka tirotirohia kia tino kitea ai mēnā he matepukupuku. He mea tino nui tēnei tikanga mō tēnā.
- Te whakatau i te taumata o te mate pukupuku: Mena kua kitea kētia te mate pukupuku pūkahukahu, te mate pukupuku repe thymus, te mate pukupuku korokoro rānei o te tangata, ka mahia tēnei whakamātautau hei tirotiro i te horapa o te mate pukupuku. Ina koa, he āwhina ki te kite mena kua horapa te mate pukupuku ki ngā kōpū lymph tata. Koinei te huarahi e whakatauhia ai te taumata o te mate pukupuku, me te whiriwhiri i te maimoatanga pai rawa atu.
- Tātarihia ētahi atu mate: Ehara i te mea ko te mate pukupuku anake, engari i ētahi wā ka whakamahia tēnei whakamātautau hei rapu i ngā mate i roto i ngā pukahukahu, me te tātaritanga i ētahi atu mate pēnei i te lymphoma, te sarcoidosis, te mesothelioma rānei .
He tāngata kei reira kāore e hiahia ana ki te mahi i tēnei pokanga?
Āe, kāore tēnei pokanga e pai mō te katoa. I ētahi wā, ka mōrearea pea. Ina koa mō te hunga pēnei i:
- Mō te hunga he pukupuku nui rawa tō rātou, kāore e taea te pokanga hei tango.
- Mō te hunga kua oti kē te mahi i te mediastinoscopy i mua (nā te mea ka uaua, ka mōrearea hoki te mahi tuarua i te koha o te kiko i tapahia i mua).
- Mō te hunga kua whiwhi i te rongoā irahiko ki te uma (tērā pea he uaua te pokanga nā te mea kua rerekē te kiko o taua wāhi nā te irahiko).
Ka tirotirohia koe e tō tākuta, ā, ka whakatau i te whakatau pai rawa atu mō tēnei.
Me pēhea te whakarite i mua i te pokanga?
I te mea he mahi pokanga tēnei, ka hoatu e tō tākuta he tohutohu mō te whakarite i mua. He mea tino nui kia tino whai i aua tohutohu.
| Te wāhanga hei whakarite | Ngā mea me mahi e koe |
|---|---|
| Ngā Whakamātautau Hauora | I mua i te pokanga, ka tohua e tō tākuta he whakamātautau X-ray o te uma, he matawai CT, me te whakamātautau mahi o te pūkahukahu. Me mahi i ēnei mea katoa i te wā tika. |
| Ngā rongoā e tangohia ana e koe | Mena kei te tango koe i tētahi mea hei ārai i te toto totoka (ngā rongoā whakangawari toto), me mutu te tango i aua mea i ētahi rā i mua i te pokanga. Me kōrero koe ki tō tākuta mō tēnei mea, me te tiki tohutohu hoki. Kōrerotia ki a ia ngā rongoā katoa e tangohia ana e koe. |
| nohopuku | Ka tonoa koe kia mutu te kai me te inu i ētahi hāora i mua i te pokanga (i te nuinga o te wā i waenganui pō). Me whai i ēnei tohutohu kia tika. |
Me pēhea te mahi i te pokanga?
Āe, kia kite tātou i ngā mea ka tupu i roto i te rūma pokanga. Kaua e manukanuka, ka puta katoa ēnei mea i raro i te rongoā whakamoe whānui, arā, ka whakatakotoria koe ki te moe kia kore ai koe e rongo i tetahi mea.
1. Whakamoe: Tuatahi, ka tukuna he IV ki roto i tētahi uaua i tō ringa, ā, ka hoatu he rongoā ki a koe hei mea kia moe rawa koe.
2. Ngongo manawa: Kāore koe e mōhio, ka whakatakotoria he ngongo manawa ki raro i tō korokoro, ā, ka whakaaetia koe kia manawa mā roto i tētahi mīhini (pūwero manawa).
3. Tapahi iti: Ka mahia he tapahi iti kia kotahi inihi i raro i tō kaki, i runga ake i tō uma.
4. Te whakauru i te taputapu: Ka whakaurua e te taote pokanga he taputapu e kiia nei ko te mediastinoscope mā roto i taua tapahi.
5. Te tirotiro me te tango tauira: Ka whakaurua e te tākuta ki roto, ka tirohia ngā wāhi hei tirotiro mā te kāmera. Mena he kōpū waikura, he kiko rānei e whakapaetia ana, ka tangohia he tauira (koiora) mā te whakamahi i tētahi taputapu iti rite ki te kutikuti i runga i taua taputapu anō.
6. Te tango i te taputapu me te tuitui: Kia oti te mahi, tangohia te taputapu ka tuitui i te tapahi iti ki te miro rewa, ki te miro noa rānei.
7. Te oho ake i te rongoā whakamoe: Hei whakamutunga, ka oho ake anō koe, ā, ka tangohia te ngongo manawa.
Kotahi te haora te roa o tēnei tukanga katoa, engari i ētahi wā ka roa ake pea.
He aha ngā mea ka tupu i muri i te pokanga? He pēhea te roa o te wā whakaora?
Ka noho tonu te hiamoe mō ētahi haora i muri i tō oho ake i te rongoā whakamoe. I te nuinga o te wā, he mahi tēnei mā te hōhipera, arā, kāore koe e hiahia ki te noho ki te hōhipera.
- Te hoki ki te kāinga: Heoi, nā te mea kua hoatu he rongoā whakamoe ki a koe , kāore e taea e koe te taraiwa. Me whai mema o te whānau, hoa rānei koe hei taraiwa i a koe ki te kāinga.
- Ngā Uauatanga:Nā te mea i whakaurua te ngongo manawa, tera pea ka pāngia koe e te ngaungau i roto i tō korokoro me tō waha, te mamae, me te maremare mō te rā e whai ake nei. Kaua e manukanuka ki tēnā. Ka paku mamae hoki te wāhi i tapahia mō ētahi rā. Ka hoatu e te tākuta he rongoā whakamamae ki a koe mō tēnā.
- Ngā whakamātautau: I ētahi wā i muri i te pokanga, ka whiwhi pea koe i tētahi hihi-X o tō uma hei tirotiro kāore he raruraru ki ō pukahukahu.
He aha ngā mōrearea o te mediastinoscopy?
Pērā i ngā pokanga katoa, he iti noa iho ngā tūponotanga. Ahakoa he iti rawa te tūponotanga o ēnei, he mea nui kia mōhio ki ēnei.
| Mōrearea / Ngā raruraru | He whakamārama māmā |
|---|---|
| Te toto | Koinei te raruraru tino noa, engari i te nuinga o te wā ka rongoatia i te wā o te pokanga. |
| Mate pūkahukahu (Pneumonia) | I muri i te pokanga, ka taea e ngā iroriki te uru ki roto i ngā pukahukahu, ā, ka pā mai he mate (niumōnia). |
| Pneumothorax | He tino onge te puta o tētahi kōhao iti i roto i te pukahukahu nā te taputapu, ka hinga ai (pneumothorax). Ka taea hoki tēnei te rongoā me te whakatika. |
| Mate pāwera | Tērā pea ka pangia te wāhi i tapahia e ngā huakita. He mea nui kia noho ma te patunga. |
He tino iti rawa te mōrearea o te mate mai i tēnei pokanga (tata ki te 0.09%). Nō reira kaua e manukanuka nui mō tēnei mea.
Kia pēhea te roa ka puta mai ngā hua?
Ka tukuna te koiora ki tētahi taiwhanga hei whakamātautau, ā, tera pea ka roa pea ētahi rā ka tae mai te pūrongo. Kia tae mai te pūrongo, ka whakamāramahia e tō tākuta ki a koe, ka matapakihia hoki ngā mahi e whai ake nei me te maimoatanga.
Kia pēhea te wā me toro atu ahau ki te tākuta?
He mea noa te pāngia e ētahi mamae iti i muri i tō hokinga ki te kāinga. Heoi, ki te pāngia koe e tētahi o ngā tohu i raro nei, me waea atu koe ki tō tākuta tonu atu . Me haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata ki a koe.
- Mamae nui o te uma
- He kirika tino teitei
- Te uaua ki te manawa
- Mena he whero rawa te wāhi i tapahia, he pupuhi, ā, kei te puta mai he wai rite ki te pulu
Kaua e warewarehia ngā mea pēnei.
Karere Tangohia ki te Kāinga
- Ehara te mediastinoscopy i te mahi morearea hei wehi. He whakamātautau tino nui, he haumaru hoki e whakamahia ana hei tautuhi tika i ngā mate pēnei i te mate pukupuku.
- Ka mahia tēnei mā te tapahi iti i te kaki, kia tere ai tō ora. I te nuinga o te wā, ka taea e koe te hoki ki te kāinga i taua rā anō.
- Kia ata whai i ngā tohutohu a tō tākuta i mua i te pokanga (pēnei i te whakamutu i te kai me te inu, te whakamutu i te rongoā).
- He mea noa te mamae o te korokoro, te mare, me te mamae i te wāhi i tapahia mō ētahi rā i muri i te pokanga.
- Ki te pāngia koe e te mamae nui o te uma, te kirika, te uaua rānei ki te manawa i muri i te hokinga ki te kāinga, me whakamōhio tonu atu ki tō tākuta.
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