He mea noa te mataku me te ohorere nui ina rongo tātou he mate pukupuku tō tātou. I ēnei wā, he uaua ki a tātou te mārama ki ētahi o ngā kupu hauora me ngā ingoa pokanga e whakamahia ana e ngā tākuta. Ko te 'Omentectomy' tētahi o aua ingoa. Kaua e manukanuka, ehara tēnei i te mea uaua pērā i tō whakaaro. Me kōrero tātou mō tēnei mea i tēnei rā, he tino māmā noa iho, he ngāwari hoki.
Āe, me titiro tātou he aha tēnei 'omentum'.
He whakarāpopototanga noa iho, ko te omentum he paparanga angiangi o te kiko ngako e kapi ana i ētahi o ngā whekau o roto i tō tātou puku. Hei whakamārama, he rite ki te 'āperona' e iri ana i runga i tō tātou puku me ō tātou whekau. Ko te nuinga o te wā he kiko ngako me ngā uaua toto.
He maha ngā mahi nui a tēnei omentum i roto i tō tātou tinana:
- Parenga: Ka whakarato i te tiaki tinana mō ngā whekau i roto i te puku.
- Te tuku toto: Ka āwhina i te tuku toto e tika ana ki ngā whekau e karapoti ana.
- Ārai Mate: He wāhanga anō hoki o te pūnaha ārai mate o te tinana. Mēnā he mate, he whara rānei, ka haere ki te wāhi ka āwhina ki te whakahaere.
He aha rā te take i tangohia ai tēnei omentum mā te pokanga?
Ko te take matua mō te whakamahi i te pokanga hei tango i te omentum, arā, te omentectomy, he mate pukupuku .
I te nuinga o te wā, ka tīmata te mate pukupuku i roto i te omentum tonu, he mea tino onge tēnei. Heoi, ko te mate pukupuku e tīmata ana i tētahi atu wāhi o te puku, pērā i ngā ovaries, te kōpū, te puku rānei, ka tere te horapa ki te omentum. Nā te mea he nui te toto kei roto i te omentum, ā, he wāhi pai hoki mō ngā pūtau mate pukupuku ki te piri me te tipu.
Kei raro nei ētahi o ngā momo mate pukupuku matua e taunakihia ana kia tangohia te pokanga.
| Momo mate pukupuku | Whakaahuatanga |
|---|---|
| Matepukupuku ovarian | Koinei te tino take e horapa ai te mate pukupuku ki te omentum. |
| Matepukupuku kōpū | Ka taea e ngā pūtau matepukupuku e horapa ana mai i te kōpū te noho ki konei. |
| Matepukupuku puku | Nā te mea kei te tata rawa ki te puku, he nui te tūponotanga ka horapa. |
| Matepukupuku repeure | Ka taea hoki e tēnei momo mate pukupuku te horapa ki te omentum. |
| Ētahi atu mate pukupuku | Ka taea hoki tēnei te puta i ngā mate pukupuku o te repeure, o ngā ngongo fallopian, me te apendiks. |
Ki te kī ngāwari, ki te kitea e tō tākuta te mate pukupuku i roto i te omentum, ka tūtohu ia kia tangohia. I ētahi wā, ki te nui te tūponotanga ka horapa te mate pukupuku tata ki te omentum, ka mahia hoki tēnei pokanga hei ārai i te horapa o te mate pukupuku .
I ētahi wā, ka tangohia e ngā tākuta tētahi wāhanga o te omentum, ka tirohia hoki hei whakatau i te taumata tuturu o te mate pukupuku. He tino āwhina tēnei ki te whakatau i te horapa o te mate pukupuku me te momo maimoatanga e hiahiatia ana mō ngā rā kei mua.
He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?
I te nuinga o te wā, kāore tēnei tangohanga o te puku e mahia ko ia anake. Ka mahia hei wāhanga o tētahi pokanga nui ake hei tango i te okana matua kei roto te matepukupuku.
Te whakarite mō te pokanga
I mua i te pokanga, ka kōrero pai tō tīma hauora ki a koe mō tēnei mea. Ka whakamōhio atu rātou ki a koe mō ngā painga, ngā huakore, me ngā mōrearea o te pokanga. Ka whakahaerehia hoki e rātou ētahi whakamātautau hei tirotiro mēnā ka taea e tō tinana te tu atu ki tēnei momo pokanga.
- Ngā whakamātautau toto
- He whakamātautau ECG hei tirotiro i te mahi a te ngākau
- Ngā whakamātautau hei tirotiro mēnā he pai koe mō te rongoā whakamoe whānui
Me pēhea te mahi i te pokanga
E rua ngā huarahi matua mō tēnei pokanga. Kei tō āhua, te āhua o te matepukupuku, me te whakatau a te taote pokanga.
1. Pokanga iti rawa te whakaekenga: Ka kiia hoki tēnei he pokanga laparoscopic , he pokanga robotic rānei. Ko te tikanga o tēnei he tapahi iti e 3-4 ki te puku, ka whakauruhia he kāmera me ngā taputapu ngawari. Ko ngā painga o tēnei tikanga he iti ake te kiripaka, he iti ake te mamae, ā, he tere ake te ora.
2. Pokanga tuwhera:Ko te tikanga tēnei he tapahi roa i roto i te puku, he whakatuwhera i te kōhao puku, ā, he pokanga anō hoki. Ka whakamahia tēnei tikanga mēnā kua horapa whānuitia te mate pukupuku, ā, me tango tahi atu ētahi atu okana.
Ētahi atu pokanga i mahia i te wā kotahi me tēnei pokanga
E ai ki te kōrero i mua ake nei, he wāhanga iti noa iho pea o tētahi pokanga nui te tango i te puku. Nō reira, ka taea te mahi i tētahi, i ētahi rānei o ngā pokanga e whai ake nei i te wā kotahi:
- Te tango i te kōpū (hysterectomy): Te tango i te kōpū.
- Oophorectomy: Te tango i tētahi, i ngā ovaries e rua rānei.
- Salpingectomy: Te tango i tētahi, i ngā ngongo fallopian e rua rānei.
- Te tango i te puku: Te tango i tētahi wāhanga, i te katoa rānei o te puku.
- Colectomy: Te tango i tētahi wāhanga, i te katoa rānei o te whekau nui.
- Pokanga cytoreductive, debulking rānei: Te tango i te nuinga o te mate pukupuku kua horapa puta noa i te kōhao puku.
I ētahi wā, mēnā kei te tīmatanga tonu te mate pukupuku, ka horoia e te taote pokanga te kōhao puku ki te wai tote (te horoi peritoneal) ka tukuna te wai horoi ki te taiwhanga. Ka āwhina tēnei ki te whakatau mēnā kua horapa ngā pūtau mate pukupuku.
He aha ngā mea ka tupu i muri i te pokanga?
Me noho koe ki te hōhipera mō ētahi rā i muri i te pokanga. Mēnā i pokangahia koe ki te laparoscopy, tera pea ka poto ake tō noho ki te hōhipera. Heoi, mēnā i pokangahia koe ki te pokanga nui i tangohia ai ētahi okana, ka roa ake tō wā whakaora.
I muri i te pokanga, ka kōrerohia e tō tākuta ngā hua o te pokanga me ngā pūrongo taiwhanga ki a koe. Ka kōrerohia hoki e koe ngā mahi hei whai ake. I muri i te pokanga matepukupuku, ka tukuna ētahi atu maimoatanga hei patu i ngā pūtau matepukupuku e toe ana i roto i te tinana. Hei tauira , te chemotherapy , te radiation therapy rānei.
He pānga taha, he mōrearea rānei kei reira?
Pērā i ngā mahi pokanga katoa, he iti noa te mōrearea.
- Te toto
- Mate pāwera
- Te kino ki ngā whekau e karapoti ana
Hei tāpiritanga, ko tētahi raruraru motuhake ka puta i muri i te tango i te puku ko te aukati i te whekau iti . Nā te mea ko te kiko whara (e kiia ana ko ngā piri ) e puta ana i roto i te puku i muri i te pokanga ka taea te piri tahi i ngā whekau, ka aukati hoki i te whekau.
Ētahi pātai e pātai pinepinetia ana
Ka tupu anō te omentum i muri i te tangohanga?
Kāo. Ko te omentum he wāhanga o te peritoneum, te kiriuhi e whakarārangi ana i tō tātou puku. Nā te mea he kaha tēnei peritoneum ki te whakaora tere, e whakaaro ana ētahi ka tupu anō te omentum. Heoi, kāore e tupu anō te omentum kua tangohia.
Kia pēhea te roa e ora ai?
Kei te āhua o te pokanga i mahia ki a koe tēnei. Ahakoa he torutoru wiki pea te roa o te whakaora mō tētahi pokanga iti pēnei i te pokanga laparoscopic, ko tētahi pokanga nui tuwhera e tangohia ai ngā whekau maha ka roa pea ki te waru wiki te roa ki te ora katoa.
Ka mahia te pokanga mō te mate pukupuku me te tumanako ka taea te whakaora. Kua tūtohu tō tākuta kia tangohia te puku me te tumanako ka taea te whakahaere, te whakaora rānei i tō mate pukupuku.
Karere Tangohia ki te Kāinga
- Ko te omentectomy he pokanga hei tango i te omentum, he kiriuhi ngako i roto i te puku.
- Ko te take matua mō tēnei ko te horapa, te mōrearea rānei o te horapa o te mate pukupuku mai i ngā whekau pēnei i ngā ovaries me te puku ki te omentum.
- Ka āwhina tēnei pokanga ki te tango i te mate pukupuku, ki te ārai i tōna horapa, me te whakatau i te wāhanga o te mate pukupuku.
- Ko te roa o te whakaoranga e whakawhirinaki ana ki te momo pokanga (tapahi poto, tapahi tuwhera rānei) me tōna whānuitanga.
- He taahiraa tino nui, tino whakahihiri hoki tēnei i roto i te tukanga maimoatanga matepukupuku. Kaua e mangere ki te kōrero ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe.
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