Ina kī atu tō tākuta ki a koe, ki tētahi rānei e mōhio ana koe me mahi pokanga koe e kiia nei ko te 'nephroureterectomy', tera pea ka mataku koe, ka āwangawanga hoki i te rongonga i te ingoa. He kupu nui, he kupu uaua hoki. Inaa, ka mataku te tangata ina rongo i tēnei ingoa. Engari kaua e mataku. I tēnei rā, me kōrero tātou mō tēnei mea i roto i tētahi huarahi māmā, me te mea kei te kōrero koe ki tētahi hoa. Ka kōrero tātou mō te aha, te take i mahia ai, me te pēhea o te mahi.
He aha te Nephroureterectomy?
He kupu roa tēnei, nō reira me wehewehe tuatahi tātou kia mārama ai.
- Nephro-: Nō te kupu Kariki tēnei. Ko tōna tikanga he "whatukuhu".
- Ureter: Koinei te ngongo e kawe ana i te mimi i hangaia i roto i ō tātou whatukuhu ki te pūkahukahu.
- Ectomy (-ectomy): Ko te tikanga o tēnei ko te "tango ma te pokanga" .
He ngāwari noa iho, he pokanga te nephroureterectomy e tango ana i ētahi wāhanga o tō tinana. Koinei ngā wāhanga ka tangohia:
- Kotahi te whatukuhu katoa.
- I honoa te ureter katoa ki taua whatukuhu.
- Ko tētahi wahi iti o te kiko e hono ana te urethra ki te pūkahukahu ka kiia ko te kāpe pūkahukahu.
He aha koe i hiahia ai ki tēnei momo pokanga?
He maha ngā wā ka tūtohu te tākuta i tēnei pokanga mēnā he mate pukupuku kei roto i tō ara mimi o runga, arā, ō whatukuhu, tō urethra rānei (he mate pukupuku urothelial, he mate pukupuku pūtau whakawhiti rānei). He tikanga tēnei he pokanga "tino nui" .
He aha te mahi "tino nui"? Ko tōna tikanga, ehara i te mea ko te mate pukupuku anake te mea ka tangohia e te tākuta, engari ko ngā kiko, ngā whekau rānei e karapoti ana kua horapa pea te mate pukupuku. Hei tauira, mēnā kua horapa te mate pukupuku ki ngā kōpū lymph tata, ka tangohia pea te whatukuhu me te ureter me aua kōpū lymph. Ko te whāinga matua o tēnei ko te tango katoa i te mate pukupuku mai i te tinana, me te whakaiti i te tūponotanga o tōna hokinga mai.
Me pēhea te whakarite i mua i te pokanga?
I mua i te pokanga, ka tūtaki koe ki tō tākuta. Ka kōrero ia mō tō hītori hauora, ā, ka tirohia tō teitei, tō taumaha, me tō toto toto kia kite ai mēnā kua rite koe mō te pokanga. He wā nui tēnei māu. Kōrero ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe.
Anei ētahi mea me kōrero e koe ki tō tākuta:
- Ngā rongoā katoa e tangohia ana e koe:He mea nui kia kōrerohia ngā rongoā i tohua e te tākuta, tae atu ki ngā rongoā kore utu (OTC), ngā huaora, ngā rongoā tuku iho, me ngā rongoā Ayurvedic. He mea nui rawa kia kōrerohia ngā rongoā whakaiti toto pērā i te aspirin.
- Mate pāwera: Me whakamōhio atu ki tō tākuta mēnā he mate pāwera koe ki ētahi rongoā, ki ngā horoi kiri pērā i te iodine, ki ngā kai, ki te rapa rānei.
Ka hoatu hoki e tō tākuta he tohutohu ki a koe mō ngā mea hei kai me ngā mea hei inu i te rā i mua i te pokanga. I te nuinga o te wā ka kī atu rātou kia kai noa koe i ngā wai mārama mō ngā hāora 24 i mua i te pokanga, ā, kaua e kai, e inu rānei i tetahi mea mō ngā hāora 8 i mua i te pokanga. He mea tino nui kia tika ai te whai i ēnei tohutohu mō tō haumaru.
He aha ngā tikanga matua mō te mahi i tēnei pokanga?
E rua ngā tikanga matua mō te tango i te uaua o te puku. Me titiro tātou ki ngā rerekētanga i waenganui i ngā tikanga e rua.
| Tikanga pokanga | Hei whakarāpopototanga... |
|---|---|
| Te whakatuwheratanga o te nephroureterectomy | Koinei te tikanga tuku iho. Ka tapahia e te tākuta tētahi, e rua rānei ngā tapahi nunui ki roto i tō puku. I ētahi wā, me tango pea he rara. Ka whakamahia tēnei tikanga mēnā he tino nui te matepukupuku, he uaua rānei ki te tango. |
| Te tango i te nephroureterectomy laparoscopic āwhina-rorohiko | Koinei te tikanga hou rawa atu, ā, e whakamahia whānuitia ana. E toru ki te rima noa iho ngā tapahi iti rawa (ngā tapahi kōhao matua) i roto i te puku. Ka whakauruhia he taputapu angiangi (laparoscope) me te kāmera e piri ana mā roto i ēnei tapahi, ā, ka whakanuia ngā whekau o roto i runga i te mata rorohiko. Ka whakahaerehia e te taote pokanga ngā ringa o te mīhini karetao kia tino tika ai te mahi pokanga. |
He maha ngā painga o te pokanga laparoscopic mā te whakamahi i te hangarau robotic, pērā i te iti o ngā koha, te iti o te mamae, me te tere o te ora.
He aha ngā mea ka tupu i muri i te pokanga?
E rua ki te whā hāora te roa o te pokanga. Whai muri i tēnā, ka haria koe ki te rūma whakaora. Ka tiakina koe e ngā tākuta me ngā nēhi kia hoki rā anō tō māramatanga.
- Mamae: He mea noa te mamae i muri i te pokanga. Ka hoatu he rongoā whakamamae hei āwhina i tēnei.
- Whakapairuaki: Tērā pea ka pāngia ētahi tāngata e te whakapairuaki nā te rongoā whakamoe. He rongoā anō hoki hei āwhina i tēnā.
- Kai: Ka hoatu he kai wai mō ngā rā tuatahi, e rua rānei. Kātahi ka tāpirihia mārire te kai noa.
- Te hikoi: Ka akiakihia koe kia hikoi i te rā i muri i te pokanga. Ahakoa he uaua pea, he mea tino nui tēnei. Ka āwhina te hikoi ki te ārai i te toto totoka i roto i ngā waewae me te niumōnia.
I te nuinga o te wā ka taea e koe te hoki ki te kāinga i roto i ētahi rā, engari me whai mema o te whānau, hoa rānei koe hei kawe i a koe ki te kāinga.
He pēhea te wā whakaora i muri i te hokinga ki te kāinga?
I muri i tō hokinga ki te kāinga, me nui tō okiokinga. Me tuku e koe he wā ki a koe anō kia tino ora ai, ā, e ono wiki pea te roa o tēnei.
- Te taraiwa: Kaua e taraiwa mō te iti rawa i te rua wiki.
- Te hiki taumaha: Āta karohia ngā mahi taumaha pēnei i te hiki i te neke atu i te 20 pauna (tata ki te 9 kirokaramu) te oma rānei mō te ono wiki. Ka taea e ēnei te kino i ngā tuitui me te whakaputa i ngā āhuatanga pēnei i te hernia.
- Te hikoi: He huarahi pai te hikoi hei whakakorikori tinana.
Tērā pea ka rerekē te tere o te whakaora o tō tinana i tō ētahi atu. Nō reira, whakarongo ki tō tinana. Ki te uaua, okioki.
Āhea koe me toro atu ki te tākuta tonu?
Ka tukuna atu he wā tirotiro anō ki a koe, arā, he rā hei tirotiro anō i te tākuta. Kia mahara ki te haere ki aua rā. Kātahi ka tirohia ngā tuitui, ā, ki te tika, ka tapahia, ka tangohia. Heoi, ki te puta mai tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu, haere rānei ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
| Āhuatanga hei aro atu | Whakaahuatanga |
|---|---|
| Te kirika nui | Mena he 100 Fahrenheit (38 Celsius) neke atu rānei te pāmahana o te tinana. |
| Te toto mai i te wāhi i tapahia | Mena he nui te toto, ā, e kore e mutu. |
| Te rerenga rerekē | Mena he haunga kino, he pūkahukahu kōwhai/kakariki rānei e puta mai ana i te tapahi. |
| Te whakanui ake i te mamae | Kei te kino haere te mamae i ia rā, i ia rā, ā, kāore e taea te whakahaere ahakoa te rongoā. |
| Wehenga tuitui | Ki te wetekina ngā tuitui i te wāhi i tapahia ai, ā, ka tuwhera te patunga. |
He mea noa te mataku, te manukanuka, me te kore e tino mōhio i mua i te pokanga. "Ka angitu te pokanga?", "Me pēhea mēnā kua horapa te mate pukupuku ki ētahi atu wāhanga o te tinana?", "Ka uaua te whakaora?", me ētahi atu. Kaua e pupuri i ēnei kare ā-roto. Kōrero ki tō tākuta me tō whānau mō tēnei mea. Ko te nui ake o tō mōhio mō tēnei pokanga, ko te iti ake o tō mataku.
Karere Tangohia ki te Kāinga
- He pokanga te nephroureterectomy e tango ana i te whatukuhu, tōna ureter e pā ana, me tētahi wāhanga iti o te pūkahukahu. Ko te nuinga o te wā ka mahia hei rongoā mō te mate pukupuku.
- He tikanga tuwhera, he tikanga laparoscopic (kōhao kī) hoki mō tēnei pokanga. He iti ake te mamae o te tikanga laparoscopic, ā, he iti ake te koha.
- He mea nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa me ngā mate pāwera e tangohia ana e koe i mua i te pokanga.
- E ono wiki pea te roa ka tino ora ai. Kaua e hiki i ngā mea taumaha i tēnei wā.
- Ki te kite koe i tētahi mea i a koe e whakaora ana, pērā i te kirika, te mamae nui, te rere rerekē rānei mai i te patunga, rapua tonutia he tohutohu hauora.
- Kōrerotia mā te mahorahora ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe. Kei te rite tonu rātou ki te āwhina i a koe.
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