He raruraru hauora ngā kōhatu whatukuhu e pāngia ana e te tini o te tangata i tō tātou whenua. I ētahi wā he iti rawa ēnei kōhatu, nō reira ka taea te tango atu i te tinana mā te tango rongoā me te inu nui i te wai. Engari i ētahi wā, ka nui haere ēnei kōhatu. Ina nui rawa, kāore e puta mai i a rātou anō, ā, he uaua hoki te tango atu mā ētahi atu maimoatanga ngāwari. I roto i ēnei āhuatanga, i tēnei rā ka kōrero tātou mō tētahi pokanga motuhake e taunakihia ana e ngā tākuta. Ko te ingoa o tēnei ko te 'Percutaneous Nephrolithotomy', ko te PCNL rānei te poto.
He aha te pokanga PCNL? Kia mārama noa tātou
Ahakoa te ahua uaua o te ingoa, he tino māmā noa iho te tukanga. Ko te tikanga o "Percutaneous" ko "mā roto i te kiri ." Ko te tikanga o "Nephrolithotomy" ko "te tango i te kōhatu mai i te whatukuhu." Nō reira, ki te kī māmā noa, he pokanga te PCNL e tapahia ana he kōhatu iti rawa ki te kiri, ā, ka whakaurua he taputapu mā roto hei tango i te kōhatu nui mai i te whatukuhu.
He momo pokanga tēnei e kiia nei ko te "iti rawa te pokanga." Arā, hei utu mō te tapahi nui i te puku pērā i mua, ka mahia tēnei pokanga mā te tapahi iti rawa. He rite ki te "pokanga kōhao kī".
Ahakoa he iti noa te tapahi ka mahia tēnei, kaua e whakahaweatia. E kiia ana te PCNL he pokanga nui . Engari ko te painga he iti ake ngā raruraru i ngā tikanga tawhito, ā, ka tere ake te ora.
Ko wai rā te tangata e hiahia ana ki tēnei pokanga?
Kāore tēnei pokanga e mahia mō te hunga katoa he kōhatu tākihi tōna. I te nuinga o te wā, ka tūtohu te tākuta i tēnei pokanga i roto i ēnei take e whai ake nei:
- Mena he tino nui tō kōhatu tākihi (hei tauira, he nui ake i te 2 henimita).
- Mena kāore e taea te tango i te kōhatu mā ētahi atu maimoatanga, pērā i te ru wave lithotripsy, te laser ureteroscopy rānei,
- Mena kei te kino te kohatu tākihi, kei te mamae nui rānei.
Ko te angitu o tēnei pokanga he 75% ki te 98%. Ko te tikanga ka taea te whakaoti angitu i te nuinga o ngā wā.
Me pēhea te mahi i te pokanga?
Ka mahia tēnei pokanga e te tākuta tohunga ki ngā mate me ngā pokanga o te pūnaha mimi. Ka karangatia ia e mātou he Urologist . Me titiro tātou ki te whakahaere i te pokanga i ia taahiraa.
1. Whakamoemiti: Tuatahi, ka tukuna koe ki raro i te whakamoemiti whānui e te tohunga whakamoemiti. Ko te tikanga kāore koe e mamae, ā, ka moe katoa koe.
2. Tapahia:Muri iho, ka tapahia e te tohunga he tapahi iti rawa (tata ki te 1 cm) ki tō tuara, ki tō hope rānei, te wāhi kei reira tō whatukuhu.
3. Te whakaurunga o te ngongo: Ka whakauruhia he ngongo tiaki (hipoki) mā te tapahi ki roto i te whatukuhu.
4. Te kimi i te kōhatu: Kātahi ka whakauruhia he taputapu iti rawa kei roto he kāmera (nephroscope) mā roto i te ngongo hei kimi i te kōhatu i roto i te whatukuhu.
5. Te tango i te kōhatu: Mena he iti te kōhatu, ka tangohia tika atu. Mena he nui te kōhatu, ka wahia kia ririki mā te whakamahi i te hihi laser, i tētahi taputapu ngaru oro motuhake rānei (lithotripter).
6. Hei āwhina i te whakaora: I muri i te tango i te kōhatu, ka whakanohoia he ngongo iti (he 'ngongo waikeri') he stent ureter rānei ki roto hei āwhina i te rere tika o te mimi, kia tere ake ai te ora o te patunga. Hei whakamutunga, ka katihia te tapahi i te kiri ki ngā tuitui.
I te nuinga o te wā, e rua ki te whā hāora te roa o tēnei tukanga katoa.
Ngā mea hei mōhio māu i mua me muri i te pokanga
Me whakarite koe i mua atu, ā, i muri mai hoki i te pokanga. Me titiro tātou ki tēnā.
| Whai wāhitanga | Ngā mea me mahi e koe |
|---|---|
| I mua i te pokanga |
|
| I muri i te pokanga |
He tūponotanga kei roto i tēnei pokanga?
Pērā i ngā pokanga katoa, kei reira ētahi tūponotanga. He tino onge ēnei, engari he mea nui kia mōhio ki ēnei.
- Ngā tūponotanga e pā ana ki te rongoā whakamoe.
- Te mate urutā i te wāhi i pokangahia.
- Te toto nui rawa, te toto totoka rānei (hematoma).
- Te kino o ētahi o ngā whatukuhu.
- Ngā mate urutā nui o te ara mimi (pērā i te sepsis).
- He onge noa iho, kāore e taea te tango katoa i te kohatu.
Kaua e manukanuka ki ēnei mōrearea. Ma tō tākuta e whakarite te pokanga kia taea ai te whakahaere i ēnei mōrearea katoa.
Āhea te rapu tohutohu hauora tonu
Kia tae koe ki te kāinga i muri i te pokanga, kia tino aro ki tō tinana. Ki te kite koe i tētahi mea rerekē, me waea atu koe ki tō tākuta tonu. Kia tino mōhio ki ēnei tohu:
- Mena kei te toto nui te motu.
- Mena kei te puta he toto matotoru pērā i te ranu tōmato me tō mimi.
- Mena ka huri te mimi ki te whero pouri, ki te parauri pouri rānei.
- Mena he kirika tōu neke atu i te 38 Celsius (100 Fahrenheit) .
- Ki te mea kei te mātao koe, kei te wiriwiri hoki.
- Mena kei te kino haere te mamae.
Ki te pāngia koe e ngā tohu kino pēnei, kaua e mangere ki te haere ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
Karere Tangohia ki te Kāinga
- He tino angitu, he haumaru hoki te pokanga PCNL e whakamahia ana hei tango i ngā kōhatu tākihi nunui.
- Ahakoa he pokanga nui tēnei, he iti noa te tapahi, nō reira he poto te wā whakaora.
- He mea nui kia tere te ora me whai i ngā tohutohu a te tākuta i mua atu, ā, i muri hoki i te pokanga.
- Mena he pātai āu mō te pokanga, kaua e wehi ki te pātai ki tō tākuta.
- Mena ka puta he tohu rerekē i te wā e ora ana, rapua tonutia he tohutohu hauora.
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