Me tango tetahi wāhanga o tō whatukuhu? (Partial Nephrectomy) - Kaua e mataku, me kōrero tāua mō tēnei.

Kua kī atu tō tākuta me whai whakawhitinga whatukuhu koe nā te mea he pukupuku whatukuhu, he mate pāwera, he raruraru rānei? He mea noa te mataku me te manukanuka ina rongo koe i tētahi mea pēnei. Kaua e manukanuka. I tēnei wā o te pūtaiao hauora matatau, ka taea te mahi angitu i ēnei momo pokanga. I tēnei rā, ka kōrero tātou mō tēnei mea e kiia nei ko te 'Partial Nephrectomy', arā, te pokanga hei tango i tētahi wāhanga o te whatukuhu, i roto i tētahi huarahi māmā e mārama ai koe.

He aha te tikanga o te Nephrectomy Wāhanga-ā-Wāhanga?

Ko te Nephrectomy Wāhanga he tikanga pokanga e tangohia ai te wāhanga mate, pakaru, matepukupuku rānei o tētahi o ō whatukuhu mā te pokanga, ā, ka whakahokia mai te wāhanga hauora e toe ana.

Whakaarohia, ko ngā whatukuhu te tātari matua o tō tātou tinana. Ka tātarihia e ēnei whatukuhu e rua ngā para i roto i te tinana, ā, ka noho ora tātou. Nō reira, ko te whāinga matua o tēnei pokanga he tango i te wāhanga mate anake, me te kore e tango i te whatukuhu katoa, me te whakaora i te nui o ngā kiko whatukuhu hauora e taea ana. Nā te mea he mea nui te mahi a te whatukuhu mō tō tātou oranga, he mea tino nui te tiaki i ōna wāhanga hauora.

He aha koe i hiahia ai ki tēnei momo pokanga?

Tērā pea ka tūtohu tō tākuta i tēnei pokanga mō ētahi āhuatanga rerekē. Ko ngā take matua ko:

• Matepukupuku Tākihi: E whakamahia ana tēnei tikanga hei tango i ngā pukupuku matepukupuku iti, inā koa ko ērā e whanake ana i roto i ngā tākihi.
• Ngā Mate Pukupuku Auau: Ngā mate kino e pā ana ki tētahi wāhanga o te whatukuhu, ā, kāore e taea te rongoā.
• Te kino i puta mai i ngā kōhatu tākihi: Mena kua kore e mahi tika tetahi wāhanga o te tākihi, kua pakaru rānei nā ngā kōhatu tākihi.
• Whara: Mēnā kua pakaru tetahi wāhanga o te whatukuhu nā tetahi aituā.
• Ngā Hapa Whānau: Mēnā he hapa kei tētahi wāhanga o te whatukuhu i te whānautanga.
• Te toto toto tiketike: I ētahi wā, me mahi 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 tikanga pokanga matua?

E rua ngā tikanga matua mō te mahi i tēnei pokanga. Mā tō tākuta e whakatau te tikanga e pai ana mōu, i runga i tō āhua.

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

I muri i te whakarite i tō pokanga, me tūtaki koe ki te tākuta.

• Ka tirohia tō hauora whānui. Ka inehia ngā mea pēnei i te toto toto me te manawa.
• He mea nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa (kua tohua me ngā rongoā kore-tohu), ngā huaora, me ngā tāpiringa otaota e tangohia ana e koe. Me mutu pea te tango i ngā rongoā whakaiti toto, pērā i te aspirin, i mua i te pokanga. Heoi, kaua rawa e mutu te tango i tētahi rongoā me te kore e kōrero ki tō tākuta i te tuatahi.
• Whakamōhiotia ō mate pāwera (ngā rongoā, ngā horoi kiri, te rapa, te kai).
• Ka tohutohuhia koe kia kaua e kai, e inu rānei i tetahi mea i muri i te waenganui pō i te pō i mua i te pokanga. Mena me tango e koe tetahi rongoā nui, ka taea pea e koe te tango me te inu wai. Ma te tākuta anō hoki e kōrero ki a koe mō tēnā.

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

He mahi tahi tēnei. Kei roto i tēnei tīma he taote tākuta whatukuhu (Urologist), he tohunga whakamoe, me tētahi nēhi.

Tuatahi, ka tukuna koe e te tohunga whakamoe ki raro i te rongoā whakamoe whānui. Ko te tikanga tēnei kāore koe e mamae i te wā e pokangahia ana, ā, ka moe koe. Kātahi ka whakaurua he catheter mimi.

Kātahi ka whakahaerehia te pokanga i runga i te tikanga kua whiriwhiria.

• I roto i te pokanga tuwhera: Ka tapahia e te tākuta he tapahi nui, ā, ka katihia ngā oko toto e kawe ana i te toto ki te whatukuhu, mai i reira hoki, mā te whakamahi i tētahi topenga. Kātahi ka whakatakotoria he hukapapa ki runga i te whatukuhu hei whakaiti i te pāmahana o te whatukuhu. Ka mahia tēnei hei whakaiti i te kino ki te kiko o te whatukuhu i te wā e mutu ana te rere o te toto. Kātahi ka tangohia te wāhanga mate, ā, ka whakatikatikaina te whatukuhu.
• Pokanga Robotic: Ka whakauruhia he kāmera me ngā taputapu mā roto i ngā tapahi iti, ā, ka whakakīia te kōhao puku ki te hau waro hauhā. Mā tēnei ka hangaia he wāhi i roto i te puku, ka taea e te tākuta te toro atu ki te whatukuhu. Kātahi, mā te whakamahi i ngā ringa robotic, ka tangohia marietia te wāhanga mate, ā, ka whakatikatikaina te whatukuhu.

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

He aha ngā mea ka tupu i muri i te pokanga? Ā, kia pēhea te roa o te wā e ora ai?

I muri i te pokanga, ka haria koe ki te rūma whakaora. Ka mōhio koe engari he puhoi paku. Ka hoatu he rongoā ki a koe hei whakahaere i te mamae. Tērā pea ka whakapairuaki koe nā te rongoā whakamoe, ā, ka hoatu hoki he rongoā mō tēnā.

• Kai: Ka hoatu he kai wai ki a koe mō te rā tuatahi, mō ngā rā e rua rānei. Kātahi ka āta whakamōhiotia koe ki te kai noa.
• Hīkoi: He mea whakamiharo, ka akiakihia koe kia ara ake i te moenga ka hīkoi haere i te rā i muri i te pokanga. Ka taea e te hīkoi te āwhina i te tere ake o te whakaora, te whakapai ake i te rere o te toto, te ārai i te pupuhi toto, me te ārai i ngā raruraru pēnei i te niumōnia.
• Te noho hōhipera: I muri i te pokanga karetao, me noho koe ki te hōhipera mō te 1-2 rā . I muri i te pokanga tuwhera, me noho koe mō te 3-4 rā .
• Te wā whakaora: Ka taea e koe te hoki ki ngā mahi o ia rā i roto i ngā wiki e 4-6 i muri i te pokanga karetao. E 8-12 wiki pea te roa i muri i te pokanga tuwhera. Mēnā he uaua te mahi tinana, he mea whakaaro nui kia roa ake te wā e ora ai koe.

Āhea koe me waea atu ki te tākuta tonu?

I muri i tō hokinga ki te kāinga, me toro atu koe ki tō tākuta i ō wā whakarite. Heoi, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu, haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata.