He mea noa te rongo i te pupuhi i roto i tō korokoro i a koe e kai ana. Engari ki te uaua tonu koe ki te horomi i te kai, ā, me te mea kei roto i tō uma, ehara tēnei i te mea noa. Tērā pea he raruraru kei ngā uaua o tō korokoro. I tēnei rā ka kōrero tātou mō tētahi maimoatanga motuhake, tino whai hua hoki mō ēnei momo take.
He aha te RŌMATA?
Tērā pea ka ohorere koe ki te rongo i te ingoa POEM. Ko tōna tikanga he Oral Endoscopic Myotomy . Me whakamārama noa iho.
- Peroral: ko tōna tikanga "mā te mangai."
- Endoscopic: e pā ana ki tētahi mea e mahia ana mā te whakamahi i tētahi ngongo ngāwari, kei roto i te kāmera, e kiia nei ko te endoscope.
- Myotomy: Ko te kupu hauora mō te "tapahi uaua".
He whakarāpopototanga noa iho, ko te POEM he tikanga e whakauru ana i tētahi endoscope mā roto i tō waha, me te kore e tapahia tō kiri, ā, ka tapahia, ka whakangāwari hoki ngā uaua piri o tō korokoro. He rite ki te pokanga, engari nā te mea kāore he tapahi i waho o tō tinana, he poto ake te wā whakaora.
Ko wai e hiahia ana ki tēnei maimoatanga?
Ko te nuinga o tēnei maimoatanga e whakamahia ana mō te hunga e pāngia ana e ngā mate nekehanga o te esophagus pērā i te achalasia . I roto i ēnei āhuatanga, kāore ngā uaua o te pito o raro o te esophagus e marino tika. Kātahi, ina horomia e koe te kai, ka mau te kai ki roto i te esophagus, kaua ki raro ki te puku. Ka uaua pea te horomi, ka mamae te uma, ka hoki mai te kai ki roto i te korokoro. Ko te mahi a te maimoatanga POEM mā te marino i aua uaua piri, ka hanga he ara mō te kai kia haere mā roto ki te puku me te kore he aukati.
Me pēhea te whakarite i mua i te maimoatanga POEM?
Me whakarite koe i mua i tēnei maimoatanga. Kaua e manukanuka. Mā tō tākuta koe e hoatu he tohutohu mārama mō ngā mea katoa. Ko te mea nui ko te whai i aua tohutohu kia tika.
Koinei ngā mea e mahia ana e koe i te nuinga o te wā:
- Me kai noa koe i te kai wai mārama mō ngā rā e rua i mua i te maimoatanga.
- Me mutu rawa te kai me te inu i ngā haora 12 i mua i te maimoatanga.
Kia mahara, he mea tino nui te whai i ēnei tohutohu kia angitu ai te maimoatanga.
He aha ngā mea ka tupu i te wā e rongoatia ana?
E tata ana ki te kotahi ki te toru hāora te roa o tēnei tikanga. I roto i tēnei wā, ka tukuna he rongoā whakamoe whānui ki a koe, kia moe rawa ai koe. Nō reira, kāore koe e mamae. Me titiro tātou ki te whakahaere i te maimoatanga i ia taahiraa.
| Ngā Hipanga | He aha te mea e tupu ana? |
|---|---|
| 1. Te whakauru i te endoscope | Ka whakaurua e te tākuta he endoscope mā roto i tō waha, ka heke iho ki roto i tō korokoro. Mā te kāmera kei runga ka taea e koe te kite i te roto o tō korokoro. |
| 2. Te tāpiri i tētahi tapahi ki te kiriuhi mucous | Ka tapahia te arai o te korokoro, arā, te kiriuhi mucosa, kia iti ngā wahi. |
| 3. Te hanga i tētahi kauhanga | Ka whakaurua te endoscope mā taua tapahi ka haere i raro i te ara rite ki te kauhanga i te taha o te submucosa, he paparanga kiko i runga ake i te paparanga uaua. |
| 4. Te tapahi uaua (Myotomy) | I te hekenga iho, ka tapahia, ka wetekina te wāhi raruraru, arā, ngā uaua piri i te pito o raro o te korokoro me te pito o runga o te puku, ki tētahi maripi iti e piri ana ki te endoscope. |
| 5. Te kati i te tapahi | Hei whakamutunga, ka katihia te tapahi i mahia ki te kiriuhi mucous ki ētahi topenga iti. Kātahi ka tangohia te endoscope. |
He aha te mea ka tupu i muri i te maimoatanga, ā, kia pehea te roa o te wa e ora ai?
I muri i te maimoatanga, me noho koe ki te hōhipera mō te kotahi rā pea. Hei tirotiro tēnei mō ngā raruraru. Ka tīmata tō wā whakaora i te rā e whai ake nei.
- Whakamātautau:Ka mahia he hihi-X barium hei tirotiro mēnā kua tino wātea ngā uaua, ā, kua mārama hoki te ara mō te kai.
- Kai: Me kai koe i ngā kai wai mō ngā rā tuatahi e rua, e toru rānei. Whai muri i tēnā, me taunga koe ki te kai i ngā kai ngawari, iti te muka mō te wiki, e rua rānei.
- Te hoki ki te mahi: Ka taea e koe te hoki ki te mahi i roto i ngā rā e whitu. Heoi, ki te mea kei te mahi koe i tētahi mahi e hiahia ana ki te hiki taumaha, ki te mahi uaua rānei, he pai ake te pātai atu ki tō tākuta mō te rā pai rawa atu hei hoki ki te mahi.
- Arotakenga Whai Ake: Ka tono tō tākuta kia hoki mai koe i muri i ngā rā 10 i muri i te maimoatanga, ā, ka hoki anō koe i muri i ngā marama e 3. I roto i te whakamātautau 3-marama (esophagram), ka tirohia anō e rātou mēnā kei te tika te takoto o tō korokoro i muri i tō horomitanga.
Āhea te wā tika kia kite tonu i te tākuta
He tino onge ngā raruraru mai i te maimoatanga POEM. Heoi, ki te pāngia koe e tētahi o ngā tohu i raro nei i muri i te maimoatanga, me whakapā atu tonu koe ki tō tākuta.
| Ngā tohu whakatūpato |
|---|
| - Te mamae nui o te uma |
| - Te maremare toto |
| - Kirika (38.3°C Celsius / 101°F Fahrenheit, neke atu rānei) |
| - Te ngenge nui, te hemo o te kiri |
| - Ngā tūtae pango, whero rānei |
| - Te mamae nui i roto i te korokoro |
Ki te pā mai ētahi o ēnei tohu ki a koe, kaua e whakaroa. Tirohia tō tākuta i te wā e taea ai. Ki te tika, haere ki te Tari Whawhati Tata (ETU) o te hōhipera tata.
Karere Tangohia ki te Kāinga
- He rongoā hou, tino whai hua te POEM mō ngā mate horomi pērā i te achalasia.
- Ka mahia tēnei mā te whakamahi i tētahi endoscope ka whakaurua mā te waha, kia kore ai e tapahia te taha o waho o te tinana.
- E ai ki ngā rangahau, i angitu te whakakorenga o ngā uauatanga horomi i tēnei maimoatanga i roto i te 95 i roto i te 100 tāngata.
- Ahakoa he poto te wā whakaora, he mea nui kia whai i ngā tohutohu a te tākuta mō te kai me te mahi i muri tonu i te maimoatanga.
- Mena ka puta mai ētahi tohu whakatūpato i muri i te maimoatanga, me whakamōhio tonu atu ki tō tākuta.
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