Kua rongo koe i tētahi okana iti engari he tino nui e mahi puku ana i roto i ō tātou tinana ki te nakunaku i te kai e kainga ana e koe, me te whakahaere i ngā taumata huka toto? Ko te repe taiaki tēnā, ko te repe taiaki rānei i te reo Pākehā. I ētahi wā, nā ētahi mate e pā ana ki tēnei okana nui, me tango tetahi wāhanga, tetahi wāhanga rānei, mā te pokanga. Koia tēnei e kīia nei ko te repe taiaki. He mea noa te mataku ina rongo koe mō tētahi pokanga pēnei. Koia te take, i tēnei rā ka kōrerohia e tātou he mea ngāwari, i roto i tētahi huarahi e mārama ai koe.
He aha koe i hiahia ai ki tēnei pokanga tango i te pancreas?
Ko te tikanga, ka tūtohu ngā tākuta i ngā pokanga nui pēnei i muri i te whakaaroaro tupato, ā, mēnā he mea tino tika anake. E rua ngā take matua mō tēnei.
1. Ngā pukupuku: Ko ētahi pukupuku e puta mai ana i roto i te repe taiaki ka taea te mate pukupuku. He nui te tūponotanga o ēnei kia horapa (metastatic) ki ētahi atu wāhanga o te tinana. Nō reira, ko te huarahi pai ki te whakaiti i taua tūponotanga ko te tango i te wāhanga o te repe taiaki kei roto te pukupuku.
2. Te mate pāwera: Koinei te wā ka mumura ai te repe taiaki. Ka pā mai pea te mamae nui me ētahi atu raruraru. I ētahi wā, ina tino kino rawa te mate, me mahi pokanga pea.
Hei tāpiritanga, ka whakamahia hoki tēnei pokanga hei rongoā mō ngā āhuatanga pēnei i ngā kiore repeure me ētahi pukupuku whakaputa homoni (ngā pukupuku neuroendocrine repeure).
He aha ngā momo pokanga tango i te pancreas?
He rite te āhua o tō tātou repe taiaki ki te ika. He whānui tōna " upoko ", he "tinana" waenga, ā, he "hiku" angiangi. Nō reira, he rerekē te wāhanga e tangohia ana, i runga i te wāhi kei reira te mate. Nō reira, he maha ngā momo pokanga.
| Momo pokanga | Hei whakarāpopototanga, he aha te mea e tupu ana? |
|---|---|
| Te tango i te pancreas tawhiti | I tēnei, ka tangohia te wāhanga "hiku" o te repe taiaki, me te wāhanga "tinana" i ētahi wā. Nā te mea he tino tata tēnei wāhanga ki te whēkau, he maha ngā wā ka tangohia tahitia me te whēkau . |
| Te tango i te pancreas matua | He pokanga uaua ake tēnei, ā, kāore i te tino kitea. Ko te tango noa i te " upoko " me te "hiku" ka waiho te "tinana" o waenganui kia kore e pakaru . Mā tēnei ka nui ake te tiaki i te mahi a te repe taiaki. |
| Te tango i te pancreas me te duodenum (te tikanga Whipple) | Koinei te mea e mōhiotia ana e te tini ko te pokanga "Whipple". I roto i tēnei, ka tangohia te " upoko " o te repe taiaki. I taua wā anō , ka tangohia hoki te wāhanga tuatahi o te whekau iti (duodenum), te pūhā, me te awaawa aukume noa e hono ana ki reira . Kātahi ka honoa anō te repe taiaki, te awaawa aukume, me te puku ki te whekau iti. |
| Te tango katoa i te pancreas | E ai ki te ingoa, ko te tango i te repe taiaki katoa tēnei. Ka mahia tēnei pokanga ina horapa te mate puta noa i te okana katoa, ina kore rānei e taea te whakaora i te kiko hauora. Haunga te repe taiaki, ka tangohia hoki te whēkau, te pūhā, te wāhanga tuatahi o te whekau iti, me te wāhanga o te puku. |
Ka taea te ora me te kore he pancreas?
Ae, ka taea e koe. Engari me ētahi huringa. Nā te mea ka ngaro ngā whākōkī me ngā homoni i hangaia e te repe taiaki, me tango e koe ēnei ki waho mō te toenga o tō oranga.
Hei whakarāpopototanga, me tango e koe ngā whākōkī hei āwhina i te nakunaku (Pancreatic Enzyme Replacement Therapy - PERT) i roto i te ahua o ngā pire, me te homoni insulin e whakahaere ana i te huka toto (insulin) i roto i te ahua o ngā werohanga.
Ka pāngia ahau e te mate huka i taua wā?
He raruraru tēnei mō te tini tāngata. Mēnā ka tangohia tetahi wāhanga o te repe taiaki, tērā pea ka nui te insulin e puta mai i te toenga mō te tinana. Kei te wāhanga e tangohia ana. Heoi, ki te tangohia te repe taiaki katoa (Total Pancreatectomy), ka tino pāngia koe e te mate huka . Nā te mea kua ngaro katoa ngā pūtau e whakaputa ana i te insulin. I taua wā anō, me tīmata te maimoatanga insulin.
He aha ngā mea ka tū i mua, i te wā, me muri i te pokanga?
I mua i te pokanga...
Me whakarite koe i ētahi rā i mua i te pokanga.
- Ngā Whakamātautau:Me whai koe i ētahi whakamātautau hei tirotiro i tō hauora, pērā i ngā whakamātautau toto, he hihi-X o te uma, me te EKG.
- Te whakarērea i ngā whanonga kino: Mena he tangata inu waipiro koe, me kōrero koe ki tō tākuta mō tēnei. Ka pā mai pea ngā raruraru i te wā e pokanga ana, ā, i muri hoki i te pokanga, ka āwhina te tīma hauora i a koe ki te whakamutu haumaru i tēnei.
- Rongoā: I ētahi wā ka tonoa koe kia mutu te tango i ngā rongoā whakaiti toto i ētahi rā i mua i te pokanga.
I te wā o te pokanga...
I te rā o te pokanga, ka meinga koe e te tohunga whakamoe kia moe rawa me te aho IV i roto i tō ringa. Nō reira, kāore koe e mamae. Ka roa pea te pokanga i waenga i te 4 me te 6 hāora. Ka mahia te pokanga e te taote pokanga mā te tapahi i tō puku (pokanga tuwhera) mā roto rānei i ētahi tapahi iti me te āwhina o te kāmera (pokanga laparoscopic, pokanga robotic rānei).
I muri i te pokanga...
I muri i te pokanga, ka whakawhitia koe ki tētahi wāhanga, ā, ka tirotirohia tō āhua. Ka noho koe ki te hōhipera mō te whitu rā pea.
- Tuatahi, ka hoatu he kai wai ki a rātou, kātahi ka āta whakaurua ki te kai noa.
- Ka hoatu ngā rongoā mamae ina hiahiatia.
- Mai i te rā i muri i te pokanga, ka āwhinahia koe kia ara ake i te moenga, ka hikoi haere hoki mā te āwhina a ngā nēhi. He mea tino nui tēnei mō te tere o te ora.
- Kei te tirotirohia tonutia e te tīma hauora ō taumata huka toto me te tukanga nakunaku.
He aha ngā mōrearea me ngā raruraru o tēnei pokanga?
Pērā i ngā pokanga katoa, he tūponotanga kei roto. Engari ka whakahaerehia tēnei pokanga e ngā tākuta nā te mea he nui ake ngā painga i ngā tūponotanga.
| Momo raruraru | Whakaahuatanga |
|---|---|
| Ngā pānga taha mō te wā poto (i muri tata mai i te pokanga) | |
| Te whakahekenga taumaha | He mea noa te ngaro o te taumaha i te 5-7 kirokaramu i muri i te pokanga. Nā ngā panonitanga o te kai me te kaha o te tinana ki te whakaora tēnei. I roto i te wā, ka tau te taumaha. |
| Ngenge | Nā te mea he nui te kaha e whakamahia ana e tō tinana hei whakaora i a ia anō mai i roto ki waho, tera pea ka nui ake tō ngenge i tō te tikanga. He mea noa te pai o te ahua i tētahi rā, ā, i te rā e whai ake nei ka ngenge koe. Kia nui te okiokinga. |
| Ngā raruraru nakunaku | I ētahi wā, ka iti ake te mahi a ngā whekau (Paralytic ileus). Waihoki, ka roa pea te putanga o te kai i te puku (Te whakaroa i te whakawātea o te puku). He wā poto noa iho ēnei. |
| Ngā raruraru roa | |
| Mate huka | E ai ki tā tātou i kōrero ai i mua ake nei, ko te tango katoa i te repe taiaki ka hua ake te mate huka. |
| Te ngoikore o te repeure exocrine | Kāore e nui ngā whākōkī e hangaia ana e te tinana hei nakunaku i te kai. Ka puta pea ngā tohu pēnei i te pupuhi me te korere. Me tango pire whākōkī (PERT) tēnei. |
| Te ngoikore o te ārai mate | Ki te tangohia te ate i te wā o te pokanga, ka heke te kaha ki te whawhai ki ētahi mate. Nō reira, ka tūtohu pea te tākuta kia whiwhi koe i ētahi kano ārai mate . |
Kia pēhea te roa o te wā e ora ai? Ā, āhea ahau me toro atu ki te tākuta?
E 4 ki te 8 wiki pea te roa o te ora katoa i muri i te hokinga ki te kāinga, kei runga i tō hauora tinana me te āhua o te pokanga.
Mena kei a koe ēnei tohu e whai ake nei, waea atu ki tō tākuta tonu:
- Mena he pupuhi te patunga pokanga, he whero, he wai rānei e turuturu ana, he rite ki te pupuhi.
- Mena he nui ake te kirika i te 37.7 nekehanga Celsius.
- Mena he mate korere tonu tōu, he mate kōroke rānei.
- Mena kei te kino haere te mamae.
Karere Tangohia ki te Kāinga
- He pokanga nui te tango i te repe taiaki e tango ana i tētahi wāhanga mate, i te katoa rānei o te repe taiaki. Ka mahia mō ngā āhuatanga morearea pēnei i te mate pukupuku.
- I muri i te pokanga, ka taea tonu te ora me te kore he repe taiaki, engari me whai maimoatanga mō te wā katoa pēnei i ngā pire whākōkī hei whakahaere i te nakunaku me te insulin hei whakahaere i te mate huka.
- Ahakoa he ahua whakamataku tēnei pokanga, ma te tīma hauora koe e whakarato ki te maimoatanga me te tautoko pai rawa atu e hiahiatia ana e koe.
- Mena he pātai, he wehi, he ruarua rānei āu mō tēnei mea, kōrerohia ki tō tākuta me te kore e whakaroa.
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