Me ako tātou mō te Nephroureterectomy, he pokanga e tango ai i te whatukuhu me te ureter.

Kua kōrerotia atu rānei e tō tākuta ki a koe, ki tētahi atu rānei e mōhio ana koe me mahi koe i tētahi pokanga e kiia nei ko te "Nephroureterectomy"? I tō rongonga i taua ingoa, i paku mataku koe, kāore i taea e koe te mōhio he aha te ingoa, tika? He mea tino noa. Ina rongo tātou i ngā kupu pēnei, he maha ā tātou pātai. Nō reira, i tēnei rā, me kōrero tātou mō tēnei pokanga, he tino māmā noa iho, i roto i tētahi huarahi e mārama ai koe, pērā i te kōrero ki tētahi hoa.

Tuatahi, he aha te Nephroureterectomy?

Āe, he kupu roa, he kupu rerekē tēnei, kāore? Me wehewehe tātou? Kātahi ka māmā ake te mārama.

• Nephro- (nephros): Nō te kupu Kariki tēnei "nephros." Ko tōna tikanga māmā ko "whatukuhu" he mea rānei e pā ana ki te whatukuhu.
• Ureter: Koinei tō tātou "ureter." Hei whakamārama tika, ko te ngongo angiangi tēnei e kawe ana i te mimi i hangaia i roto i ngā whatukuhu ki te pūkahukahu.
• -ectomy (-ektomi): He kupu Kariki anō hoki tēnei. Ko tōna tikanga "ki te tapahi." Arā, ki te tango mā te pokanga.

Nā, kia tirohia te tikanga o tēnei katoa. Ko te nephroureterectomy he pokanga e tango ana i te whatukuhu me te ureter katoa. Ka tangohia tētahi atu mea i tēnei pokanga. Ko te wahi iti o te kiko e hono ana te ureter ki te pūkahukahu. Ka kiia ko te kāpia pūkahukahu .

Ki te kī ngāwari, e toru ngā wāhanga o tō tinana ka tangohia e tēnei pokanga:

1. Kotahi te whatukuhu

2. Ko te ara mimi katoa e hono ana ki taua whatukuhu

3. Te pūtu o te pūkahukahu, he wahi iti o te kiko e tūtaki ai te urethra ki te pūkahukahu

He aha koe i hiahia ai ki tēnei momo pokanga?

I te nuinga o te wā, ka tūtohu te tākuta i tēnei pokanga mēnā he mate pukupuku pūtau whakawhiti tōu, e mōhiotia ana ko te mate pukupuku urothelial .

Ka puta tēnei mate pukupuku i roto i ngā kiko e whakarārangi ana i te taha o roto o tō tātou pūnaha mimi. Arā, ka taea te puta i roto i ngā whatukuhu, i ngā ureter, me te pūhā. Ina koa mēnā ka puta tēnei mate pukupuku i te wāhanga o runga o te pūnaha mimi, arā, i roto i ngā whatukuhu, i ngā ureter rānei, he nui te tūponotanga ka horapa ngā pūtau mate pukupuku ki roto i te pūhā.

He pokanga "tino nui" tēnei.Ka pera te rongoā. Ko te pokanga whānui ko te tango i te mate pukupuku, tae atu ki ngā kiko, ngā whekau rānei e karapoti ana e whakaarohia ana kua horapa te mate pukupuku. Hei tauira, mēnā kua horapa te mate pukupuku ki ngā kōpū lymph tata, ka tangohia e te tākuta ngā kōpū lymph me te whatukuhu me te ureter. Ka kiia tēnei ko te metastasis .

Me pēhea taku whakarite i mua i te pokanga?

Āe, me kī atu te tākuta me mahi koe i tēnei pokanga. Me aha koe i reira? Kaua e manukanuka, mā te tīma hauora e whakamārama ngā mea katoa ki a koe. Engari he mea tino nui kia mōhio koe ki ēnei mea.

I mua i te pokanga, me toro atu koe ki tō tākuta. Ka tangohia e ia tō hītori hauora katoa, ā, ka tirohia tō teitei, tō taumaha, tō toto toto, me tō pāmahana kia mōhio ai koe kei te ora koe mō te pokanga.

He mea nui ētahi me mōhio koe, ā, me kōrero atu ki tō tākuta .

He aha ngā tikanga hei mahi i tēnei pokanga?

E rua ngā tikanga matua mō te mahi i tēnei pokanga.

1. Pokanga tuwhera (Pokanga nephroureterectomy tuwhera)

2. Te tango i te nephroureterectomy laparoscopic āwhina-rorohiko

Pokanga Tuwhera

Koinei te tikanga tuku iho. I konei, ka tapahia e te taote tetahi, e rua rānei ngā tapahi nunui ki roto i tō puku. E 8-12 inihi te roa o tēnei tapahi. I ētahi wā, me tango pea he rara. Ka taea te whakamahi i tēnei tikanga mēnā he tino nui te matepukupuku, kua horapa hohonu rānei ki roto.

Pokanga Laparoscopic āwhina-rorohiko

Koinei te tikanga tino iti te whakaekenga e whakamahia whānuitia ana i ēnei rā. Anei ngā mea ka tupu:

Ka tapahia e te tākuta kia 3, kia 5 rānei ngā tapahi iti, tata ki te hawhe inihi te roa, ki roto i tō puku o raro. Kātahi, mā roto i tētahi o ngā tapahi ka whakauruhia he ngongo angiangi me te kāmera e piri ana ( he laparoscope ). Ka mahia te pokanga i te wā e mātakitaki ana i ngā whakaahua kua whakanuia mai i tēnei kāmera ki te mata rorohiko.

Ka whakaurua ngā taputapu pokanga mā roto i ētahi atu tapahi iti. Ka whakahaerea ēnei taputapu e te karetao pokanga . Kaua e manukanuka, kāore te karetao e mahi i tetahi mea māna ake. Ka noho te taote pokanga ki te papatohu, ā, ka whakahaere katoa i te karetao. Mā tēnei tikanga, ka taea te toro atu ki ngā wāhanga hohonu rawa o te tinana me te tino tika, me te kore he hapa. Me te mea nei kei te tino ngawari haere, kei te tino tika haere ngā ringa o te tākuta.

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

Ka tae mai te tohunga whakamoe , ka hoatu he whakamoe whānui ki a koe. Ko te tikanga ka moe rawa koe tae noa ki te mutunga o te pokanga. Kāore koe e mamae, ā, kāore hoki koe e mahara ki tetahi mea. Kātahi ka pupuhihia tō puku ki te hau waro hauhā hei hanga wāhi mō te taote pokanga ki te mahi.

Kātahi ka tapahia e te taote pokanga ka tīmata te mahi.

• I roto i te pokanga tuwhera, ka mahia he tapahi nunui, ā, ka tangohia ngā whekau e pāngia ana.
• Ko te tikanga laparoscopy ko te tapahi i ngā tapahi iti me te tango i te whatukuhu me te ureter ma te whakamahi i te laparoscopy me ngā taputapu karetao.

Hei whakamutunga, ka kati te taote pokanga i ngā tapahi ki ngā tuitui. I ētahi wā ka whakamahia ngā ngongo waikeri hei tango i te toto me te wai mai i ngā tapahi.Ka taea e koe te whakatakoto i tētahi ngongo silicone iti e kiia nei ko ".

E rua ki te whā hāora te roa o tēnei pokanga.

He aha ngā mea hei tumanakohia i muri i te pokanga?

Kia mutu te pokanga, ka mutu te hoatutanga o te rongoā whakamoe e te tohunga whakamoe. Ka ara ake koe i te ata. Kātahi ka haria koe ki te rūma whakaora . I reira, ka āta tirotirohia tō hauora e ngā kaimahi hauora.

• Mamae: Ina pāngia koe e te mamae, ka hoatu he rongoā ki a koe mō taua mamae.
• Whakapairuaki: Ka whakapairuaki ētahi tāngata nā te rongoā whakamoe. Mena koinā, ka hoatu he rongoā mō tēnā.
• Kai: I te rā tuatahi, i ngā rā e rua rānei, ka hoatu he kai wai ki a rātou. Kātahi ka āta whakaurua rātou ki te kai noa.
• Te hikoi: Ka tonoa koe kia ara ake i te moenga ka hikoi haere mō te wā poto i te rā i muri i te pokanga. He mea tino nui tēnei. Ka whakaitihia e te hikoi te mōrearea o te toto totoka i roto i ngā waewae, ā, ka ārai i ngā mate pēnei i te niumōnia.

Kia kitea tō āhua kua pumau, ka whakaaetia koe kia hoki ki te kāinga. Me haere tahi koe me tētahi mema o te whānau, me tētahi hoa rānei ina hoki koe ki te kāinga. He mea tino pai hoki kia whai tangata hei tiaki i a koe mō ngā rā tuatahi.

Ngā painga me ngā mōrearea noa o te pokanga karetao

Kia tirohia motuhaketia ēnei e rua.

Pērā i ngā pokanga katoa, he mōrearea anō hoki kei tēnei pokanga.

• Ngā tūponotanga e pā ana ki te rongoā whakamoe
• Ngā raruraru whakaora patunga
• Me tuku toto pea
• Ngā mate pāwera huakita
• Pukupuku toto (hematoma)
• Te kohi wai tata ki ngā tapahi (seroma)

Kaua e wehi i ēnei tūponotanga. Ka mahi tō rōpū hauora i ngā mea katoa hei ārai i ēnei tūponotanga, ā, ki te puta, ka whakahaeretia.

He aha ngā mea me aro atu ahau i muri i taku hokinga ki te kāinga?

He rerekē te roa o te wā whakaora i ia tangata, i ia tangata, engari i te nuinga o te wā, me okioki koe mō te ono wiki pea.

• Te taraiwa: Kaua e taraiwa mō te iti rawa i te rua wiki i muri i te pokanga.
• Te hiki taumaha: Kaua e hiki i ngā taumaha taumaha atu i te 9-10 kg (tata ki te 10 rita wai). Kaua e mahi i ngā mahi whakakori tinana taumaha pēnei i te oma. Ka taea e ēnei te kino i ngā tuitui, ā, ka puta he mate pēnei i te hernia.
• Te hikoi: He tino pai te hikoi. He āwhina i te tukanga whakaora.
• Te hoki ki te mahi: Ki te kore tō mahi e tino uaua ki te tinana, tera pea ka taea e koe te hoki ki te mahi i roto i te whā wiki pea. Heoi, ki te mea he mahi nui te hiki taumaha, he mahi uaua rānei, he pai ake pea kia roa ake te wā.

Me toro atu anō koe ki te tākuta? He aha ngā āhuatanga me kōrero wawe atu koe?

Āe, tino. Ka hoatu e te tākuta he rā hei hoki mai māu. I taua rā, ka tirohia e ia ō tapahi me ō tuitui. Mena he tuitui kāore e memeha, ka tapahia, ka tangohia i roto i te wiki, i ngā wiki e rua rānei. Mena he waikeri, ka tangohia hoki.

Ka mahia hoki ngā whakamātautau hei whakarite kia tangohia katoatia te mate pukupuku e te pokanga. Mena kua horapa te mate pukupuku, kua kaha ake rānei te horapa, ka whakamāramahia e tō tākuta ngā mahi maimoatanga e whai ake nei (hei tauira, te chemotherapy).

Ki te pā mai ēnei tohu ki a koe, kaua e whakaroa, waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera.

• Te toto nui mai i ngā motu
• He wai kua rerekē te tae, he kakara kino te rite ki te pūkahukahu e turuturu ana i ngā motu
• Te kirika (neke atu i te 38 nekehanga Celsius / 100 nekehanga Fahrenheit)
• Kei te pakaru ngā tuitui
• Kei te kino haere te mamae.

Ki te kite koe i tētahi mea pēnei, kaua e noho ki te kāinga. Rapua he tohutohu hauora tonu.

Hei whakamutunga, he mea noa te whai wehi, manukanuka, me te ruarua i mua i te pokanga pēnei. Tērā pea ka puta ake ngā pātai pēnei i te "Me aha mēnā ka hē te pokanga?", "Ka horapa te mate pukupuku ki ētahi atu wāhanga o te tinana?", "Ka uaua te whakaora?".

He mea noa te whakaaro pēnei. Engari i te wā kotahi, whakaarohia ngā painga ka riro i a koe mai i tēnei pokanga. Tērā pea ka ora koe, ka pai ake rānei te kounga o tō oranga. Kōrero ki tō tākuta me tō rōpū hauora mō ō āwangawanga me ō wehi katoa. Kei konei rātou hei āwhina i a koe, kāore hoki e waiho i a koe ko koe anake i tēnei haerenga.