Tērā pea i paku mataku koe i te wā i kī atu ai tō tākuta me 'tangohia te puku'. He ingoa tauhou tēnei, nō reira tērā pea i whakaaro koe, 'He aha te momo pokanga tēnā?' Kaua e manukanuka, i tēnei rā ka kōrero tātou mō te tikanga o te tango puku, te take e mahia ai, me ngā mea katoa e hiahia ana koe kia mōhio mōna i roto i te huarahi tino māmā.
Tuatahi, kia kite tātou, he aha tēnei 'omentum'?
He whakarāpopototanga noa iho, ko te omentum he paparanga ngako e kapi ana i ngā whekau o roto i tō puku, pērā i tō puku me ō whekau. He rite ki te hipoki tiaki mō ō tātou whekau nui. Koinei te mea e kiia nei e tātou ko te 'omentum'. Ehara i te mea he kiko ngako anake, engari he uaua toto anō hoki e rere ana i roto. Nō reira ka whakaratohia he tiaki tinana me te whakarato toto ki ō tātou whekau. Ko te omentectomy te tango pokanga i te katoa, i te wāhanga rānei o te omentum.
Nā, he aha te take e mahia ai te omentectomy?
Ko te take matua mō te tango i te puku he mate pukupuku . Heoi, i te nuinga o te wā, kāore te mate pukupuku e tīmata i te omentum. Ka tīmata i tētahi atu wāhi o te puku, pērā i ngā ovaries, te kōpū, te puku rānei, ā, ka horapa ki te omentum (metastasis).
Ko te omentum te wāhi e taea ai e ngā pūtau matepukupuku te toro atu me te horapa. Koia te take i whakatau ai ngā tākuta ki te tango i tēnei wāhanga i te wā e pokanga ana i te matepukupuku.
Tērā pea e hiahiatia te tango i te pokanga mō ngā momo mate pukupuku e whai ake nei:
| Momo mate pukupuku | Whakaahuatanga |
|---|---|
| Matepukupuku ovarian | He momo mate pukupuku ka horapa pea ki te omentum. |
| Matepukupuku kōpū/Endometrial | Ka taea hoki e tēnei mate pukupuku te horapa ki te omentum. |
| Matepukupuku puku | He tūponotanga kei horapa nā te mea kei te tata ki te puku. |
| Matepukupuku repeure | Ka taea hoki e ēnei pūtau matepukupuku te horapa ki te omentum. |
| Ētahi atu mate pukupuku | Te mate pukupuku o ngā whekau pērā i te ngongo fallopian, te repeure, me te apeni. |
I ētahi wā, ka tangohia e ngā tākuta te omentum hei tirotiro mō ngā pūtau matepukupuku iti rawa. Mena kua horapa, ka taea e rātou te whakatau i te wāhanga o te matepukupuku me te maimoatanga e hiahiatia ana. Waihoki, ki te whakaarohia kua horapa te matepukupuku ki te omentum, ka mahia tēnei pokanga hei ārai i tōna horapa ā muri ake nei .
Me kōrero tātou mō te āhua o te pokanga.
E rua ngā huarahi matua e taea ai te tango i te pokanga: te pokanga laparoscopic me te pokanga tuwhera.
- Pokanga Laparoscopic: Ko te tikanga he tapahi iti e 3-4 ki te puku, ka whakauruhia he kāmera (laparoscope) me ngā taputapu ngawari. Ko te hua o tēnei tikanga he iti ake ngā koha, he iti ake te mamae, ā, he tere ake te ora.
- Pokanga Tuwhera: I tēnei, ka tapahia he puku roa, ka tirohia ngā whekau o roto i te puku, ā, ka tangohia te omentum me te matepukupuku katoa. Ka whakamahia tēnei tikanga hei tango i ngā pukupuku nui, mēnā rānei kua horapa te matepukupuku ki ngā whekau maha.
Ētahi atu pokanga e mahia ana me te omentectomy
Kāore e mahia takitahitia tēnei pokanga. I runga i te wāhi i tīmata ai te mate pukupuku me tōna horapa, ka tangohia anō taua wāhanga o te tinana i te wā kotahi.
| Ingoa o te pokanga (Te Kupu Ingarihi) | Okana/wāhanga hei tango |
|---|---|
| Te tango i te histerekore | kōpū |
| Te tango i te salpingo-oophorectomy | Ngā ovaries me ngā ngongo fallopian |
| Te tango i te puku | Te wāhanga, te katoa rānei o te puku |
| Te tango i te kolekotia | Wāhanga o te whekau nui |
| Pokanga cytoreductive | Te tango i te nui o te mate pukupuku kua horapa puta noa i te puku |
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. Mena i pokangahia tō pakihiwi ki te pokanga kī, me noho pea koe mō tētahi wā poto, engari ki te mea i pokanga nui koe i tangohia ai ētahi okana, me noho pea koe mō te wiki, neke atu rānei. Ka kōrero tō taote pokanga ki a koe mō ngā hua o te pokanga me ngā pūrongo taiwhanga.
Kia maumahara, i muri i te pokanga matepukupuku, me whai atu maimoatanga hei whakangaro i ngā pūtau matepukupuku e toe ana.
Nō reira, ko ngā mahi e whai ake nei, pērā i te radiotherapy, te chemotherapy rānei, ka whakatauhia i muri i tēnā.
He aha ngā raruraru ka pā mai i tēnei pokanga?
Pērā i ngā pokanga katoa, he iti noa ngā mōrearea.
- Te toto
- Mate pāwera
- Te kino ki ngā whekau e karapoti ana
Hei tāpiritanga, ko tētahi raruraru motuhake ka puta ake i muri mai ko te aukati i te whekau iti . Ka puta pea tēnei nā te piri o ngā whekau i roto i te puku i muri i te pokanga, ka raru ai, ka āraia ai hoki. Mena ka pāngia koe e ngā tohu pēnei i te pupuhi, te ruaki, te mamae rānei o te puku, me toro atu koe ki te tākuta tonu.
Ētahi pātai e pātai pinepinetia ana
Ka tupu anō te omentum kua tangohia?
Kāo. He whakaaro hē tēnei nā te tini o te tangata. Ko te omentum tētahi wāhanga o te peritoneum. Ahakoa he kaha te kiko peritoneal ki te whakaora tere, kāore te omentum kua tangohia mā te pokanga e tupu anō.
Kia pēhea te roa o te wā e ora katoa ai?
Ka rerekē tēnei i runga i te momo pokanga i mahia ki a koe. Tērā pea ka roa te whakaora mō tētahi pokanga iti, pērā i te pokanga kī-pō, mō ētahi wiki. Heoi, mō tētahi pokanga tuwhera nui e tangohia ai ētahi okana, ka roa pea te ora katoa mō te 8 wiki.
Karere Tangohia ki te Kāinga
- Ko te tango pokanga i te kiriuhi ngako e kiia nei ko te omentum i roto i te puku.
- Ka mahia tēnei i te nuinga o te wā ina horapa ngā mate pukupuku pēnei i te mate pukupuku ovarian me te puku ki te omentum, hei ārai rānei i tōna horapa.
- Ka taea te mahi i tēnei pokanga mā te laparoscopy, mā te tuwhera rānei, ā, he maha ngā wā ka mahia ngātahi me te tango i ētahi atu okana e pā ana ki te mate pukupuku.
- Ko te roa o te whakaoranga ka whakawhirinaki ki te roa o te pokanga, ā, me whai maimoatanga anō pea i muri mai, pērā i te chemotherapy.
- Mena he pātai, he āwangawanga rānei āu mō tēnei mea, kōrerotia whānuitia ki tō tākuta. Kei te rite tonu rātou ki te whakarato i ngā mōhiohio tino tika me te whakamarie ki a koe.
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