Ngā pokanga kāore he tapahi nui? He hangarau hou mō ngā pokanga pūnaha mimi (Pokanga Urological Minimally Invasive)

Ina whakaaro tātou ki te pokanga, ka whakaaro tātou ki tētahi motu nui, ki ētahi rā i te hōhipera, me te nui o te mamae, tika? He tika tonu tēnā wehi. Engari kua tino whanake te rongoā ināianei. Ina koa i te rongoā i ngā mate e pā ana ki te pūnaha mimi, kei reira ngā tikanga pokanga e mahia ana i te nuinga o te wā me te kore e hanga i ngā motu nui, engari mā roto i ngā kōhao iti. Koinei ngā mea e kiia nei e tātou ko te pokanga iti rawa te whakaekenga. I tēnei rā kei te kōrero tātou mō tēnei kaupapa he mea nui ki te tini o te tangata.

He aha te tikanga o te pokanga iti rawa te whakaekenga?

E ai ki te ingoa. Engari ko te tapahi nui, ka whakamahia tēnei ingoa hei tohu i tētahi pokanga e mahia ana mā roto i tētahi, i ētahi rānei tapahi iti rawa, he rite te rahi ki te pene. I roto i tēnei tikanga, he iti noa te kino ki ngā kiko hauora, ā, he iti rawa hoki te nui o te toto e ngaro ana i te wā o te pokanga.

Mā ēnei pokanga, ka taea e ngā tohunga te rongoā i ngā mate maha e pā ana ki tō pūnaha mimi (ngā whatukuhu, te pūhā, te urethra), te pūnaha uri wahine, me te pūnaha uri tāne.

He aha ngā tikanga rerekē mō te mahi i tēnei pokanga?

He maha ngā tikanga matua mō te mahi i tēnei pokanga iti rawa te whakaekenga. Mā tō tākuta e whiriwhiri te tikanga tino tika i runga i tō āhua.

Ngā pokanga laparoscopic

He tikanga tino rongonui tēnei. Ko te mea e tupu ana i konei ko te tuku i tētahi ngongo angiangi me tētahi kāmera e piri ana ki a ia (laparoscope) mā roto i tētahi tapahi iti ki roto i te tinana. Ka taea te whakanui ake i ngā whakaahua mai i tēnei kāmera, ā, ka kitea mārama i runga i te mata. Kātahi ka hangaia tētahi, e rua rānei ngā tapahi iti, ā, ka whakaurua ngā taputapu ātaahua e hiahiatia ana mō te pokanga mā roto i aua tapahi hei mahi i te pokanga. Hei whakamārama, ka mahi te tākuta i te pokanga i roto i tō tinana i a koe e titiro ana ki tētahi mata nui.

Pokanga Robotic

He tikanga matatau anō tēnei. I konei, kāore te tākuta e whakamahi tika i ngā taputapu pokanga. Engari, ka noho ia ki tētahi pūnaha whakahaere rorohiko (Surgical Console) ā, ka whakahaere i ētahi ringa karetao. Ka taea e ngā taputapu pokanga iti e piri ana ki ēnei ringa karetao te neke tika ake, me te whānui ake i te ringa tangata. Waihoki, nā te mea ka whakaratohia e te kāmera motuhake e whakamahia ana mō tēnei he whakaahua toru-ahu (3D) i roto i te tinana, ka taea e te tākuta me te tīma pokanga te kite mārama i ngā mea katoa. Mā tēnei ka taea te mahi i ngā pokanga tino uaua me te tino tika.

Pokanga Kotahi-tauranga

I tēnei tikanga, ka mahia te pokanga mā te tapahi iti kotahi i te puku, i te hope rānei. Tuatahi, ka werohia he iti o te hau waro hauhā ki roto i te puku hei pupuhi. Mā tēnei ka taea te tiro pai ake i ngā whekau o roto, ā, ka taea hoki te whakamahi i ngā taputapu pokanga. Kātahi ka whakauruhia he kāmera me ētahi atu taputapu e tika ana mā taua tapahi kotahi, ā, ka mahia te pokanga.

Ngā pokanga endoscopic

Kāore he tapahi i te tinana. Engari, ka mahia te pokanga mā roto i tētahi pūaha tūturu i roto i te tinana (pērā i te urethra). Ka whakaurua he ngongo roa, ngāwari, angiangi (endoscope) me tētahi kāmera me ngā taputapu pokanga i te pito mā roto i tēnei pūaha hei rongoā i ngā raruraru o te pūkahukahu, ngā ureter, ngā whatukuhu rānei.

Ngā āhuatanga noa e rongoatia ana e ēnei tikanga

He maha ngā āhuatanga ka taea te rongoā mā te whakamahi i ēnei tikanga pokanga hou. Me titiro tātou ki ētahi o aua āhuatanga.

He aha ngā mea hei tumanako atu i mua atu, ā, i muri mai i te pokanga?

Mena ka tūtohutia kia mahia tēnei momo pokanga, mā te tākuta koe e whakamārama i ngā mea katoa.

• Ka pātai atu ia mō tō āhua hauora, ngā rongoā e tangohia ana e koe, me ō mate pāwera.
• Ka tirotirohia koe kia kite ai mēnā kei roto koe i te āhua tinana e tika ana mō te pokanga.
• Ka tohutohu anō hoki rātou i a koe mō ngā kai me ngā inu hei kai māu i te rā i mua i te pokanga.

Ka whakamahia te rongoā whakamoe i roto i ēnei pokanga. I te nuinga o te wā, ka whakamoea katoatia koe, nō reira kāore koe e rongo i tetahi mea. I muri i te pokanga, ka aroturukitia tō hauora, ka hoatu he rongoā mamae, ā, ka hoatu he tohutohu ki a koe mō ngā mea hei mahi kia tere ai te ora. Ina rite koe ki te hoki ki te kāinga, ka tukuna koe i te hōhipera.

Te rerekētanga i waenga i te pokanga tuwhera tuku iho me tēnei tikanga hou

Kia mārama koe ki te rerekētanga i waenga i ēnei tikanga e rua, ka mārama ake koe ki ngā painga o te pokanga iti rawa te whakaekenga.

Pērā i ngā pokanga katoa, he mōrearea kei roto i tēnei?

Ae, he iti noa te mōrearea o tētahi pokanga. Tērā pea he mōrearea noa anō hoki kei roto i ēnei pokanga.

• Ngā tūponotanga e pā ana ki te rongoā whakamoe.
• Te mate urutā.
• Te kino ki ētahi atu okana e karapoti ana.
• Tapahia ngā raruraru whakaora.

Āhea te wā hei kōrero ki te tākuta i muri i te pokanga

I muri i tō hokinga ki te kāinga i muri i te pokanga, ki te puta mai tētahi o ngā tohu e whai ake nei i a koe , me whakamōhio tonu atu ki tō tākuta .

• Ngā tohu o te mate urutā, pērā i te kirika me te makariri.
• Te whakapairuaki me te ruaki tonu.
• Te toto nui mai i ngā motu.
• Mena kei te pupuhi haere, kei te mamae, kei te rerekē te tae, kei te pupuhi rānei te taha o te patunga.
• He nui rawa te mamae, ā, kāore e taea e ngā rongoā whakamamae mamae i tohua e te tākuta te whakahaere.

Nā tēnei hangarau hou kua tino whakaitihia te wehi o te pokanga. He tikanga tino watea, he tere hoki te whakaora mō ngā tūroro. Mena kei te hiahia koe ki te pokanga mō te raruraru o te ara mimi, kōrero ki tō tākuta mō ēnei tikanga iti rawa te whakaekenga. Māna koe e whakamōhio ki te maimoatanga tino tika mō tō āhua.