Kei te wehi koe i te pokanga whatukuhu (nephrectomy)? Me kōrero māmā noa iho.

He mea noa te mataku me te manukanuka ina kī atu tō tākuta ki a koe, ki tētahi rānei e mōhio ana koe me pokanga tango whatukuhu. Ina rongo koe i te kupu 'nephrectomy', he maha ngā pātai ka puta ake ki tō hinengaro. "Ka taea e koe te ora me te whatukuhu kotahi?", "He pokanga nui tēnei?", "Kia pēhea te roa ka ora ai?"... Nō reira, i tēnei rā, ka kōrero tātou mō te Nephrectomy, te pokanga tango i te whatukuhu, i roto i tētahi huarahi tino māmā ka taea e koe te mārama.

He aha te Nephrectomy?

He ngāwari noa iho, ko te Nephrectomy he pokanga e tango ana i tētahi wāhanga, i te katoa rānei o tētahi o ō whatukuhu. E rua ngā whatukuhu o te katoa o tātou i whānau mai. Engari ka taea e koe te ora hauora me te whatukuhu kotahi anake. Heoi, me mahi tika te whatukuhu e toe ana.

E rua ngā momo matua o te pokanga nephrectomy:

• Te tango hapa o te whatukuhu: I tēnei tikanga, ka tangohia e te taote pokanga te wāhanga mate, pakaru rānei o tō whatukuhu anake. Kāore te whatukuhu katoa e tangohia.
• Te tango i te whatukuhu katoa: Ko te tango i te whatukuhu katoa tēnei. I ētahi wā, ka tangohia pea e te tākuta te ureter—te ngongo e kawe ana i te mimi mai i te whatukuhu ki te pūkahukahu—i te taha kotahi. Mena e tika ana, ka tangohia pea te repe adrenal me ngā kōpū lymph e karapoti ana.

He aha me tango ai e koe te whatukuhu?

Ko te take matua mō te tango i te whatukuhu he pukupuku e tupu ana i roto i te whatukuhu. Ka taea e tēnei pukupuku te mate pukupuku (kino) te mate pukupuku rānei (pai).

Hei tāpiritanga, ka tūtohu pea tō tākuta kia tangohia te puku i roto i ēnei take e whai ake nei:

• Mena kei te pāngia koe e ngā mate tākihi e hokihoki mai ana (pyelonephritis) .
• Mena ka mutu te mahi a tētahi o ō whatukuhu , ā, kei te pāngia koe e ētahi atu raruraru. (Heoi, ki te kore he raruraru, ka taea e koe te pupuri i te whatukuhu kāore e mahi ana i roto i tō tinana).
• Hei rongoā mō ētahi atu mate tākihi (pēnei i te mate tākihi polycystic ).
• Ki te koha koe i tētahi whatukuhu hauora ki tētahi atu .

Me pēhea te whakarite i mua i te pokanga?

I mua i te pokanga, ka tirohia tō hauora whānui e te tākuta. Ka tirohia e rātou tō pāmahana, tō manawa, me tō toto toto. Ka whakamātauhia hoki e rātou he toto hei kimi i tō momo toto. Nā te mea me whakarite rātou mēnā me tuku toto koe i te wā o te pokanga.

He mea tino nui hoki kia kōrero mai koe ki a mātou mō ō mate pāwera. Hei tauira:

• Mō ngā rongoā
• Ngā wai horoi kiri (hei tauira, chlorhexidine, iodine)
• Mō te rapa
• Mō ētahi kai

Ka tohutohu tō tākuta kia kaua e kai, e inu rānei i tetahi mea i te pō i mua i tō pokanga (nohopuku). Nā te mea mēnā he kai, he wai rānei kei roto i tō puku i te wā o te pokanga, ka ruaki pea ēnei wai ki roto i ō pukahukahu, ka ara ake pea ēnei raruraru kino pērā i te niumōnia.

He aha ngā tikanga pokanga?

E rua ngā tikanga matua mō te tango i te ngongo. Me titiro tātou ki ngā rerekētanga i waenganui i ngā tikanga e rua.

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

I muri i te pokanga, ka puritia koe ki te Rūma Whakaora, ā, ka tirotirohia kia ara ake rā anō koe. Tērā pea ka hiamoe koe, ka whakapairuaki hoki mō tētahi wā nā te rongoā whakamoe. He mea noa tēnei. Ka hoatu he rongoā ki a koe hei whakahaere i te mamae.

I te nuinga o te wā, kāore e hoatu he kai mārō mō te rā kotahi, e rua rānei. Ka hoatu he wai. I te rā i muri i te pokanga, ka akiakihia koe kia ara ake i te moenga ka hikoi haere. Mā te hikoi ka pai ake te rere o te toto, ka tere ake te ora, ā, ka ārai i te toto e pupuhi ana i ō waewae (te toto toto hohonu).

I te nuinga o te wā, me noho koe ki te hōhipera mō te 1 ki te 5 rā. Ka rerekē tēnei i runga i te momo pokanga i mahia ki a koe. Ahakoa kua hoki koe ki te kāinga, kāore i te tūtohutia kia mahi i tetahi mea taumaha (pēnei i te hiki i te neke atu i te 4.5 kg) mō te 6 wiki pea.

Kei te pēhea te oranga me te whatukuhu kotahi?

Koinei te raruraru nui rawa atu o te tini tāngata. Kaua e manukanuka. Ka taea e koe te noho i te oranga noa me te kotahi o ō whatukuhu hauora.

I muri i te pokanga, ka paku nui haere tō whatukuhu e toe ana i roto i ētahi rā, ā, ka tīmata ki te mahi i ngā mahi e rua o tō tinana. Ko te tikanga tēnei kei te urutau tētahi whatukuhu ki te mahi i ngā mahi a ngā whatukuhu e rua.

Heoi anō, me tiaki e koe ō whatukuhu utu nui. Nō reira, he mea whakaaro nui kia matara atu i ngā hākinakina whai pānga nui pēnei i te hoki, te whutupōro, me te nonoke. He mea nui hoki kia whakahaerehia ngā whakamātautau mahi whatukuhu auau (pēnei i te 'creatinine clearance', 'eGFR') e ai ki ngā tohutohu a tō tākuta.

Āhea te wā tika kia kite tonu i te tākuta

Mā tō tākuta koe e hoatu ngā rā tirotiro whai muri. Heoi, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, me toro atu ki te tākuta, me haere rānei ki te hōhipera tonu:

• Te uaua ki te manawa (dyspnea)
• Ngā huringa o te mimi (te mimi pinepine, te huri o te tae)
• Te pupuhi o ngā waewae, o te papa, o te mata rānei (edema)
• Mamae waewae
• Te pikinga ohorere o te toto toto (hypertension)
• Whakapairuaki, ruaki rānei
• Kohu roro

He tohu pea ēnei o tētahi raruraru ki te toenga o te whatukuhu, nō reira kaua e warewaretia.