Kia ako tātou mō te Nephrectomy Wāhanga i roto i ngā kupu māmā noa iho!

Kua kī atu tō tākuta me pokanga koe hei tango i tētahi wāhanga o tō whatukuhu? He mea noa te mataku me te manukanuka ina rongo koe i tētahi mea pēnei. "Ka pēhea taku whatukuhu? Ka taea e au te noho pēnei i mua?" He maha ngā pātai ka puta ake pea ki te hinengaro. Engari ina mōhio koe ki te aha tēnei, te take e mahia ana, me te pēhea e mahia ana, ka ngaro te wehi i roto i tō hinengaro. Nō reira, i tēnei rā, me kōrero tātou mō tēnei pokanga e kiia nei ko te 'Partial Nephrectomy', he tino māmā, i roto i te huarahi e mārama ai koe.

He aha te tikanga o te Nephrectomy Wāhanga?

Ko te Nephrectomy Wāhanga he tikanga pokanga e tango ana i te wāhanga anake o tō whatukuhu kua mate, kua pakaru, kua mate pukupuku rānei, me te tiaki tonu i te wāhanga hauora e toe ana. Kāore tēnei e tango i te whatukuhu katoa. He rite ki te tapahi i te wāhanga kino anake o te hua pirau, ā, waiho te wāhanga pai.

Ko te whāinga matua o ā mātou taote pokanga he waiho i te nui o te kiko whatukuhu hauora e taea ana ki roto i te tinana. Nā te mea, e mōhio ana koe, ko ngā whatukuhu ngā tātari matua e rua i roto i tō tātou tinana. Ka tātarihia, ka wehea hoki e ngā whatukuhu ngā para i roto i te tinana, ā, ka tukuna atu hei mimi. Nō reira, he mea nui ngā whatukuhu mō te ora. Ki te taea e tātou te pupuri i te mahi pai o ngā whatukuhu e rua, he mea tino nui mō tō tātou hauora whānui.

He aha ngā tikanga matua mō te mahi i tēnei pokanga?

E toru ngā tikanga matua mō tēnei pokanga. Mā tō tākuta e whakatau ko tēhea tikanga te mea pai mōu i runga i tō āhua, te rahi o te wāhanga kua pakaru o tō whatukuhu, me tōna wāhi.

He pokanga nui tēnei? Ko wai e hiahia ana ki te mahi i tēnei?

Ae, he pokanga nui te Nephrectomy Wāhanga. Nā te mea he maimoatanga me te whakaora i te whatukuhu, he okana o roto o te tinana. Engari nā ngā tikanga pēnei i te robotics, i kōrerohia e tātou i mua ake nei, he haumaru ake tēnei pokanga i mua, ā, he poto ake te wā whakaora. Ma tō taote pokanga e whakamārama taipitopito ki a koe ko tēhea tikanga te mea pai mōu, me te take hoki.

He maha ngā wā e tūtohutia ai tēnei pokanga:

• Matepukupuku whatukuhu: Ko te nuinga o te wā ka mahia tēnei pokanga hei tango i ngā pukupuku matepukupuku i roto i ngā whatukuhu.
• Mate urutā: Ina pakaru tetahi wāhanga o te whatukuhu nā ētahi mate urutā kino, me tango pea taua wāhanga.
• Te kino o ngā kōhatu tākihi: Mena kua pakaru te tākihi i ngā kōhatu tākihi nunui.
• Whara: Ina whara te whatukuhu i tētahi aituā.
• Ngā hapa whānau: Mena he hapa tākihi i te whānautanga.
• Te toto toto tiketike: I ētahi wā ka mahia tēnei pokanga hei whakahaere i te toto toto tiketike e puta mai ana i te raruraru o ngā oko toto e tuku toto ana ki ngā whatukuhu.

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

I muri i te whakarite i tō pokanga, me toro atu koe ki te tākuta. Ka tirohia tō hauora whānui. Ka inehia ngā mea pēnei i te toto toto, te manawa, me te pāmahana.

Ā, he tino kawenga nui tōu.

• Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe . Kei roto i tēnei ehara i te mea ko ngā rongoā kua tohua, engari ko ngā rongoā kore-tohu (OTC), ngā huaora, ngā rongoā tuku iho, tae atu ki ngā rongoā Ayurvedic. He mea nui rawa tēnei mēnā kei te tango koe i te aspirin, i ngā rongoā whakangawari toto rānei, nā te mea ka taea e ēnei rongoā te whakanui ake i te mōrearea o te toto i te wā e pokanga ana.
• Kōrero mai ki a mātou mō ō mate pāwera . Kei roto i tēnei ko ngā mate pāwera ki ētahi rongoā, ki ngā horoi kiri pērā i te iodine, te rapa, ngā kai rānei.
• Ka hoatu e tō tākuta ētahi tohutohu motuhake mō ngā mea hei kai me ngā mea hei inu i te rā i mua i tō pokanga. Ko te tikanga, he pai ake kia kaua e kai, e inu rānei i tetahi mea i muri i te waenganui pō o te pō i mua i tō pokanga . Mena me tango e koe tētahi rongoā nui, pātai atu ki tō tākuta mēnā ka taea e koe te tango me te inu wai noa iho.

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

Ka mahia tēnei pokanga e tētahi rōpū tākuta me ngā nēhi motuhake. Ko te tikanga, kei roto i tēnei rōpū he tākuta mimi, he tākuta whakamoe, me ngā nēhi.

Tuatahi, ka tukuna koe e te tohunga whakamoe ki raro i te rongoā whakamoe whānui . Ko te tikanga ka moe katoa koe. Kāore koe e mamae, ā, kāore hoki koe e mōhio i te wā e pokangahia ana. Kia kore koe e mōhio, ka whakaurua he ngongo iti (te catheter mimi) hei tango i tō mimi.

Ka rerekē ngā mea ka puta i muri i tēnā i runga i te tikanga pokanga i whiriwhiria e koe.

I roto i te pokanga tuwhera (te tango i te nephrectomy wāhanga tuwhera)

Ka tapahia e te tākuta tētahi tapahi nui ki tō taha, i waenganui i ō rara me tō hope, kia kitea ai tō whatukuhu. Kātahi ka āraia ngā oko toto e kawe ana i te toto ki te whatukuhu, mai i reira hoki, ki tētahi rākau. Kātahi ka hipokina te whatukuhu ki te hukapapa. Ka mahia tēnei hei whakaiti i te pāmahana o te whatukuhu, hei whakaiti hoki i te kino o te kiko ina mutu te rere o te toto. Kātahi ka tangohia te wāhanga mate, ā, ka whakatikatikaina te whatukuhu.

I te wā o te pokanga karetao (te tango i te nephrectomy wāhanga karetao)

I konei, ka tapahia e te tākuta ētahi tapahi iti rawa ki roto i tō puku. Kātahi ka whakauruhia he kāmera me ngā taputapu karetao mā roto i aua kōhao. Kātahi ka whakakīia tō kōhao puku ki te hau waro hauhā iti. Mā tēnei ka hangaia he wāhi i roto i te puku, kia māmā ake ai te kite a te tākuta i te whatukuhu me te mahi i te pokanga. Kātahi ka mutu te toto mā te whakamahi i ngā ringa karetao, ka tangohia te wāhanga mate, ā, ka whakatikatikaina te whatukuhu.

I te mutunga o te pokanga, ka katihia ngā tapahi ki ngā tuitui, ki ngā tāpa rānei. I ētahi wā, ka whakanohoia pea he ngongo wai iti i hangaia ki te silicone hei tango i te toto, i te wai rānei e kohia ana i roto i te patunga. Ka tangohia ēnei i muri i ētahi rā. Ko te roa o te pokanga katoa e 3-4 hāora te roa.

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

I muri i te pokanga, ka haria koe ki te rūma whakaora. I te memeha haere o ngā pānga o te rongoā whakamoe, ka hoki mārire mai tō māramatanga. Heoi, he mea noa te ahua pōuri me te hiamoe i te tīmatanga.

I muri i tō oho ake, ka hoatu e ngā nēhi he rongoā mamae ki a koe. He iti ake te mamae o te pokanga karetao i te pokanga tuwhera, engari me rongoā tonu koe hei whakahaere i te mamae. Ka taea e te rongoā whakamoe te whakapairuaki. Ki te tupu tēnei, ka hoatu hoki he rongoā ki a koe mō tēnā.

• Kai: Ka hoatu he kai wai anake ki a koe mō te rā kotahi, e rua rānei i muri i te pokanga. Mā tēnei ka whai wā tō tinana ki te ora. Whai muri i tēnā, ka taea e koe te kai mārire i ngā kai noa.
• Te hikoi: Mai i te rā i muri i te pokanga, ka akiakihia koe e ngā nēhi kia ara ake i te moenga me te hikoi haere . He mea tino nui tēnei. Mā te hikoi ka pai ake te rere o te toto, ka tere ake te ora o ngā patunga, ā, ka ārai i ngā raruraru pēnei i te toto totoka i ngā waewae me te niumōnia.
• Noho hōhipera: Mena ka whakahaerehia he pokanga karetao, ka noho koe ki te hōhipera mō te 1-2 rā . Mena ka whakahaerehia he pokanga tuwhera, ka noho koe mō te 3-4 rā .

Kia whakatau ngā tākuta kei te ora koe, ka taea e koe te hoki ki te kāinga. Engari kāore e taea e koe te taraiwa i te motuka ko koe anake. Me tono atu tētahi mema o te whānau, tētahi hoa rānei kia haere mai ki te tiki i a koe. He mea pai anō hoki kia whai tangata hei tiaki i a koe mō ētahi rā i muri i tō hokinga ki te kāinga.

Kia pēhea te roa ka ora ake ahau? Āhea ahau ka hoki ki te mahi?

Ka rerekē te roa o tō whakaoranga i runga i te momo pokanga i mahia ki a koe me tō hauora whānui.

• E 8-12 wiki te roa hei hoki anō ki ngā mahi o ia rā i muri i te pokanga tuwhera .
• He tere te whakaoranga i muri i te pokanga karetao , ā, ka hoki anō ngā tūroro ki te āhua noa i roto i ngā wiki 4-6 .

Mena kei te tari tō mahi, ā, kāore i te tino uaua te tinana, tera pea ka taea e koe te hoki ki te mahi i roto i ngā wiki e 4. Heoi, ki te mea he uaua te tinana o tō mahi, ā, me hiki i ngā mea taumaha, he pai ake te noho ki te kāinga me te okioki mō tētahi wā roa atu. Kōrero ki tō tākuta mō tēnei, ā, whakatau mārire.

He aha ngā tohu me tūpato koe i muri i te pokanga?

I muri i tō hokinga ki te kāinga, me haere koe ki te whare hauora i ngā rā e kīia ana e te tākuta. Ka tirohia e rātou ō patunga me ō tuitui. Mena he tuitui kāore e memeha, ka tapahia, ka tangohia i roto i te wiki, i ngā wiki e rua rānei.

Waihoki, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, me waea atu koe ki tō tākuta tonu atu.