Kua rongo koe i te pupuhi me te pupuhi o tō puku, pērā i te poihau kua kī tonu i te wai? He uaua ki a koe te manawa, ā, e ahua ana kāore e taea e koe te kai, te inu rānei i te tika? Tērā pea nā te mea kua kī tonu tō puku i te nui o te wai. I roto i te rongoā, e kiia ana tēnei mate ko te ascites. Nō reira, i tēnei rā ka kōrero tātou mō tētahi tikanga hauora māmā, engari he tino nui hei tango i tēnei wai kua kohia. Ko te paracentesis tēnā.
He aha te paracentesis?
Ko te paracentesis he tikanga e tango ana i te wai nui (te wai) mai i tō puku, i te kōhao puku rānei. Whakaarohia ko ngā whekau i roto i tō puku, pērā i tō ate me ō whekau, e karapotia ana e tētahi paparanga kiko angiangi e kiia nei ko te peritoneum. Koinei te wāhi i waenganui i ēnei paparanga e rua, te wāhi e kohia ai tēnei wai e kiia nei ko te ascites.
I roto i tēnei maimoatanga, ka whakamahia e te tākuta he ngira angiangi me tētahi ngongo kirihou iti (kātene) e piri ana ki reira hei tango i tēnei wai kua kohia. He rite ki te tango wai mai i tētahi tāke. Ina tangohia te wai i tēnei ara, ka tino heke te pēhanga me te mamae o te puku, pērā i te pupuhi.
He aha i mahia ai tēnei maimoatanga?
E rua ngā take matua e mahia ai tēnei: tētahi hei tautuhi mate , me tētahi hei rongoā .
- Paracentesis Tātaritanga: He māmā noa iho, hei kimi i te take i kī ai te puku i te wai. Ka tangohia e te tākuta tētahi tauira o te wai ka tukuna ki te taiwhanga. Mā ngā hua o te whakamātautau ka āwhina ki te whakatau i te tino take o te mate.
- Paracentesis Hauora: Ka mahia tēnei hei whakamamae i te mamae i puta mai i te wai i roto i te puku. He maha ngā wā ka whakamahia tēnei maimoatanga e ngā tākuta ina kore e taea e ngā rongoā diuretic, te kai iti-tote rānei te whakahaere i te mate.
| Momo mōhiohio | Whakaahuatanga |
|---|---|
| Ngā take matua o te ascites | |
| Te mate ate | Koinei te tino take o te pupuhi. |
| Te toto toto tiketike o te tomokanga | Te pikinga o te toto toto i roto i te uaua matua o te ate. He mea noa i waenga i ngā tūroro e pangia ana e te cirrhosis. |
| Ngā mate urutā | Ko te peritonitis he mate pāwera o te wai i roto i te kōhao puku. |
| Matepukupuku | Te mate pukupuku o ngā ovaries, te kōpū, te ate, te repe taiaki, te koroni rānei. |
| Te ngoikore o te okana | Te ngoikore o te ate, te ngākau rānei. |
| Ngā tohu ka memeha haere i te tango wai | |
| Ngā Āhuatanga | Te mamae me te pēhanga o te puku, te pupuhi o te puku, te uaua ki te manawa, te mate kōroke, te pupuhi, me te kore e hiahia kai. |
Me pēhea tāu whakarite mō tēnei?
Ehara tēnei i te pokanga nui, engari me whakarite koe i mua. Mā tō tākuta koe e whakamārama i ngā mea katoa.
- Hītori hauora: Ka pātai tō tākuta mō ō mate o mua, ō pokanga, me ō mate pāwera. He mea nui kia mōhio koe mēnā kei te hapu koe.
- Tohutohu mō te rongoā: Mena kei te tango koe i ngā rongoā whakaiti toto pēnei i te (Aspirin) me te (Warfarin) rānei, ka tohutohu pea tō tākuta kia mutu te tango i aua rongoā mō ētahi rā. Ka tohutohu pea tō tākuta kia mutu te tango i ngā rongoā whakamamae mamae (NSAID), i ētahi rongoā rānei mō te mate huka. He mea tino nui kia whai i ngā tohutohu a tō tākuta.
- Nohopuku: Ka tohutohuhia koe kia kaua e kai, e inu rānei mō ētahi haora i mua i te maimoatanga.
He aha ngā mea ka tupu i te wā e rongoatia ana?
Ka taea tēnei te mahi i te tari o te tākuta, i te hōhipera rānei. He pai ake te mimi me te whakawātea i tō pūkahukahu i mua i te maimoatanga.
1. Te whakarite i a koe: Tuatahi, ka meinga koe kia takoto ki runga i te moenga.
2. Te horoi me te whakangāwari: Whai muri i tēnā, ka horoia pai te wāhi werohanga, ā, ka whakangāwari hoki te wāhi. Ka werohia he iti mō tēnei. Ina werohia, ka paku mamae, me te mea kua ngaua e te pōpokorua, engari i muri i tēnā, kāore he mamae i taua wāhi.
3. Te whakauru i te catheter: Ka whakamahia e te tākuta he matawai ultrasound hei tirotiro i te wāhi e takoto ana te wai. Kātahi, mā te wāhi i werohia ai, ka āta whakaurua te catheter me te ngongo kirihou iti (catheter) e piri ana ki roto i te puku.
4. Te tango i te wai: Kātahi ka whakamahia he pūwero, he pounamu korehau rānei hei tango i te wai. Mena he maha ngā rita wai hei tango māu, whakamahia tēnei pounamu korehau hei tere ake i te tukanga.
5. Te tango i te wero me te takai: Kia mimiti te wai, tangohia te wero, pēhia te wāhi hei whakamutu i te toto, kātahi ka tāpirihia he takai ma.
Mō ētahi tāngata, ahakoa ka tangohia te wai i tēnei ara, ka hoki mai anō. Mō ēnei tāngata, ka whakauruhia he ngongo roa motuhake (Tunneled Peritoneal Drainage Catheter). Kātahi ka taea e koe te tango i te wai i te kāinga. Mā tō tākuta e whakatau mēnā he pai mōu.
He mamae tēnei? Kia pēhea te roa?
Tērā pea ka pāngia koe e te mamae iti ina werohia te werohanga whakangote, engari kāore koe e tino mamae ina tangohia te wai. Heoi anō, tērā pea ka pāngia koe e te pēhanga iti, e te kore whakamarie rānei i roto i tō puku. Ki te pāngia koe e te kore whakamarie, e te whanoke rānei, kaua e wehi ki te kōrero ki te tākuta, ki te nēhi rānei i reira.
Ko te tikanga, e 20 ki te 45 meneti te roa o tēnei tukanga. Ka rerekē i runga i te nui o te wai e tangohia ana. Mō ngā take tātaritanga, ka tangohia he iti noa iho, tata ki te 25 miririta. Mō te maimoatanga, i ētahi wā ka taea te tango i te 5 rita , neke atu rānei.
Me pēhea te tūpato ina hoki koe ki te kāinga?
He pai ake te okioki mō ngā haora 24 tuatahi i muri i te maimoatanga. Mā tō tākuta koe e tohutohu mō te tiaki i te patunga.
- Te tiaki patunga: Horoia ō ringaringa ki te hopi me te wai i mua i te whakawhiti i te takai. Mēnā ka whero te patunga, ka pupuhi, ka puta rānei te waikura, me kōrero ki tō tākuta.
- Kai: Me whakaiti te tote i roto i tō kai, nā te mea ka nui ake te pupuri wai i roto i te tinana i te tote.
- Rongoā: Tangohia ngā rongoā whakaheke toto kua tohua e tō tākuta i te wā tika.
- Te horoi:Kaua e tukua te patunga kia mākū kia ora rā anō. Nō reira, he pai ake te karo i te kaukau, engari me kaukau ki te hautai.
Āhea koe me rapu tohutohu hauora tonu?
He tino onge ngā raruraru, engari he mea nui kia tere te mahi mēnā ka puta he tohu mōrearea.
| Whai wāhitanga | Ngā tohu |
|---|---|
| Waea atu ki tō tākuta. | |
| Ngā tohu o te mate | Te kirika me te makariri, te whero, te mamae rānei i te wāhi i werohia ai, me te rerenga, te pūkahukahu rānei, he kakara kino. |
| Haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU). | |
| Ngā āhuatanga ohorere | Mamae o te uma, uaua rawa te manawa, whanoke, mamae nui o te puku, pupuhi rānei. |
Karere Tangohia ki te Kāinga
- He tikanga hauora tino haumaru te paracentesis e tango ana i te wai nui mai i te puku.
- Mā tēnei ka āwhina koe ki te kimi i te pūtake o te pupuhi me te whakaiti i te mamae e pā mai ana.
- He mea tino nui kia whai tika koe i ngā tohutohu a tō tākuta, i mua atu, i muri mai hoki i te maimoatanga.
- Kia tūpato ki ngā tohu whakatūpato pēnei i te kirika, te pupuhi o te patunga, me te mamae nui o te puku. Mēnā ka puta tētahi o ēnei, rapua tonutia he tohutohu hauora.
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