I ētahi wā, nā ngā mate e pā ana ki ō tātou pūkahukahu, inā koa ngā mate kino pēnei i te mate pukupuku, me whakatau nui ngā tākuta. I roto i ēnei āhuatanga, me tango pea te pūkahukahu katoa e pāngia ana e te mate mā te pokanga. Koinei te mea e kiia nei e mātou he 'Pneumonectomy' i roto i te rongoā. Nā te mea he pokanga nui tēnei, he mea tino nui kia mōhio koe ki ngā mea ka tumanakohia.
He aha tonu te tikanga o te tango i te pneumon?
Ki te kī ngāwari, ko te tango pokanga i tētahi o ō pūkahukahu he tango pokanga. Mēnā ka tangohia te pūkahukahu matau, ka kiia ko te 'pneumonectomy taha matau', ā, ki te tangohia te pūkahukahu maui, ka kiia ko te 'pneumonectomy taha maui'.
Koinei te momo pokanga pukahukahu nui rawa atu, nā te mea i ētahi wā ka tangohia he wāhanga iti noa iho o te pukahukahu.
- (Lobectomy) - Ko te tango i tētahi wāhanga (lobe) anake o te pukahukahu he mea tēnei.
- (Taehanga poro) - I tēnei mahi, ka tangohia tētahi wāhanga iti ake o te pukahukahu.
E rua ngā huarahi matua e whakahaerehia ai te pokanga pneumonectomy.
| Momo pokanga | Whakaahuatanga |
|---|---|
| Te tango i te niumōnia paerewa | I tēnei, ka tangohia e te taote pokanga tō pukahukahu katoa anake. Tērā pea ka tangohia e ia ētahi o ngā io me ngā kiko e tata ana. |
| Te pokanga whānui ake ( extrapleural Pneumonectomy ) | He uaua ake tēnei. Haunga ngā pukahukahu, ka tangohia atu ētahi atu mea. Arā: - Ngā pūkahukahu - Te hipoki e karapoti ana i ngā pukahukahu (Pleura) - Te taupoki e karapoti ana i te ngākau (pericardium) - Ka tangohia atu hoki tētahi wāhanga o te diaphragm. |
E rua ngā tikanga e whakamahia ana e ngā taote pokanga hei mahi i tēnei pokanga. Ko tētahi he pokanga tuwhera e kiia nei ko te thoracotomy . Ko tētahi he pokanga tapahi iti e kiia nei ko te pokanga thoracic āwhina-ataata (VATS) . Ahakoa he iti ake te whakaekenga o te VATS, kāore e pai mō ngā tūroro katoa.
He aha ngā momo āhuatanga e mahia ai tēnei pokanga?
Ko te nuinga o te wā ka mahia tēnei pokanga hei rongoā mō te mate pukupuku pūkahukahu, engari ka taea hoki te mahi mō ētahi atu āhuatanga.
- Matepukupuku pūkahukahu
- Ngā pukupuku carcinoid e puta mai ana i roto i ngā pukahukahu
- Ko te mesothelioma pleural, he mate pukupuku e puta ana i roto i te arai o ngā pukahukahu
- Ngā whara nui o te pukahukahu
- He mate harore nui e kiia nei ko te Aspergillosis
- He mate te Bronchiectasis e whānui haere ai ngā ara manawa mō ake tonu atu.
- Te mate kohi
- Ina horapa te momo mate pukupuku e kiia nei ko te thymoma horapa
Ko te tango i te pūkahukahu te maimoatanga tino noa mō te mate pukupuku pūkahukahu, engari kāore e taea e ngā tūroro mate pukupuku katoa te mahi i tēnei tikanga.
Mā wai tēnei pokanga e tika?
Tērā pea ka taea e koe te mahi i tēnei pokanga i roto i ēnei take e whai ake nei:
- Mena kei roto i te kotahi anake te pukahukahu te mate pukupuku (kāore anō kia horapa ki ētahi atu wāhi), ā, ka taea te tango i te pukahukahu, ā, ka taea te whakaora katoa i te mate pukupuku.
- I runga i te wāhi o te pukupuku matepukupuku, ko tētahi wāhanga anake o te pukahukahu ka tangohia pea, ā, kāore pea te pukupuku katoa e tangohia.
- Mena kei te ora pai tō ngākau, ō uaua toto, me ētahi atu okana.
Ko wai kāore e tika ana mō tēnei pokanga?
- Mō te hunga kāore i te rawaka te mahi a ō rātou pukahukahu.
- Mō te hunga e pāngia ana e te mate takirere ngakau kino.
- Mō te hunga he nui te toto toto tiketike o te pūkahukahu (he pēhanga teitei i roto i ngā uaua toto e kawe ana i te toto ki ngā pūkahukahu).
- Mō te hunga he ngoikore te kaha o te manawa ki te pupuhi (Te ngoikore o te mahi a te ventricle).
Te pokanga i mua i te pokanga me te whakarite mō te pokanga
He torutoru ngā rā, he wiki rānei i mua i te pokanga, ka whakahaerehia e tō tākuta ētahi whakamātautau hei tirotiro i te mahi a tō ngākau me ō pukahukahu.
- (Matawai VQ)
- Ngā whakamātautau mahi pūkahukahu
- Whakamātautau ngākau (Echocardiogram)
- X-ray o te uma
- (Matawai PET) me te (Matawai CT)
- Ngā whakamātautau toto
Me pēhea te whakarite?
I te mea he pokanga nui tēnei, me whakarite koe i mua i te wā.
- Whakaritea tētahi hei tiaki i ngā mahi o te whare me ngā mōkai i a koe e noho ana i te hōhipera.
- Kōrero ki tētahi hei tiki i a koe ina hoki koe ki te kāinga i te hōhipera.
- He mea tino nui kia whai hoa hei āwhina i a koe mō tētahi wā i muri i tō taenga ki te kāinga. Whakamaherehia hoki tēnā.
- Ki te mea he kai paipa koe, kati tonu. He mea tino nui tēnei. Ki te mea he uaua ki a koe te whakamutu, pātai atu ki tō tākuta mō te āwhina.
- Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe. Tērā pea ka tono ia kia mutu te tango i ētahi rongoā, kia whakarerekē rānei i te wā i mua i te pokanga.
- Mena he mate pāwera koe ki ngā rongoā, kōrero mai hoki ki a mātou.
- Ka kī atu te tākuta kia kaua e kai, e inu rānei i tetahi mea i muri i te waenganui pō i te pō i mua i te pokanga. Me whai i aua tohutohu kia tika.
He aha ngā mea ka tupu i te wā o te pokanga, ā, i muri hoki i te pokanga?
I te wā o te pokanga, ka whakamoea katoatia koe, nō reira kāore koe e rongo i tetahi mea. Ka tirotirohia koe e te tohunga whakamoea puta noa i te pokanga. Ka tapahia e te taote pokanga te taha o tō uma, i waenganui i ngā rara e rua, ā, ka nekehia ngā rara kia tae atu ki te pukahukahu. Kātahi ka tangohia e te taote pokanga ētahi o te hau mai i te pukahukahu, ā, ka ata tangohia. Ki te tika, ka tangohia ētahi atu kiko, ā, ka tuia anō ngā rara, ngā uaua, me te kiri. Ka roa pea tēnei pokanga mō ētahi hāora.
I muri i te pokanga...
I muri i te pokanga, me noho koe ki te hōhipera mō ētahi rā.
- Ka aroturuki tonu te tīma hauora i ō taumata hāora, te tere o te manawa, me te toto toto tiketike.
- Ka hoatu ngā rongoā whakamamae hei whakahaere i te mamae.
- Ka haere mai ngā kaiwhakaora tinana ki te ako i a koe ki ngā mahi manawa, ka āwhina i a koe ki te ara ake i te moenga me te hikoi.
Ka ahatia taua wāhi takoto kau ina tangohia te pukahukahu?
He raruraru tēnei e pā ana ki te tini tāngata. Ina tangohia te pūkahukahu, ka kī te wāhi i te hau. I muri i tētahi wā, ka whakakapia taua hau e te wai. I roto i te wā, ka panaia tō ngākau, tō diaphragm, me ētahi atu okana ki taua huarahi. Ka nui haere hoki te toenga o te pūkahukahu. Ka urutau ō tātou tinana ki tēnei āhuatanga hou i roto i tētahi huarahi whakamiharo.
He aha ngā painga me ngā mōrearea o te pokanga?
| Ngā Painga | Ngā Tūponotanga me ngā Āhuatanga Whakararuraru |
|---|---|
| Mēnā he mate pukupuku, ka taea te tango i te pukupuku katoa hei aukati i te horapa o te mate pukupuku, ā, tera pea ka ora rawa. | Te whewhe o te uma (Empyema) |
| Ka taea e ia te ārai i ngā mate whakamate (huakita, harore) e puta mai ana i te pakaru o te pukahukahu. | Ngā rerekētanga o te pā o te ngakau (Arrhythmia) |
| Te ngoikore o te manawa | |
| Pūkahukahu | |
| Te embolism pūkahukahu | |
| Te fistula bronchopleural (he kōhao i waenganui i te trachea me te arai o te pukahukahu) | |
| Ahakoa kua oti te pokanga, tera tonu te mōrearea o te puta anō o te mate pukupuku. |
He mea nui: Nā te hanganga o te tinana, he paku teitei ake te mōrearea o ngā raruraru i te wā e pokangahia ana hei tango i te pukahukahu matau i tō te pukahukahu maui.
Te whakaoranga me te oranga kei mua
Tērā pea ka roa pea ētahi marama hei whakaora katoa. I roto i tēnei wā:
- He here kei runga i ngā mea pēnei i te hiki taumaha me te taraiwa.
- Nui atu te ngenge i te āhua o mua.
- Me okioki koe i ia wā, i ia wā.
- Tērā pea he uaua ki te mahi i ngā mahi o ia rā.
Ka memeha atu ētahi o ēnei i a koe e ora ana, ā, ka noho pea ētahi mea hei wāhanga o tō "āhuatanga hou".
He aha te mea ka taea te kī mō te roa o te ora?
He maha ngā āhuatanga e pā ana ki tēnei. Ko te take matua mō te pokanga ko te take i mahia ai. Hei tauira, neke atu i te 3 i roto i te 4 o ngā tāngata kua pokangahia mō te mate kohi ka ora mō te neke atu i te 10 tau. Heoi, e whakaatu ana ngā rangahau kotahi anake i roto i te 3 o ngā tāngata kua pokangahia mō te mate pukupuku pūkahukahu ka ora mō te neke atu i te 5 tau. Nō reira, he mea nui kia kōrerohia tō āhuatanga ki tō tākuta.
Āhea te rapu tohutohu hauora
Kia tino aro ki ngā huringa o tō tinana i a koe e ora ana.
| Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu. | |
|---|---|
| - Ki te mākū te takai o te patunga pokanga i te toto. | - Mena he haunga kino te patunga, he wai rerekē rānei te tae e puta mai ana. |
| - He maremare me te nui rawa o te hūpē, he hūpē rānei kua rerekē te tae. | - Te kirika. |
| - Whakapairuaki, ruaki rānei. | - Te mamae kāore e memeha ahakoa kua tangohia te rongoā. |
| Ki te puta ēnei tohu, haere tonu ki te ETU (Emergency Treatment Unit) o te hōhipera. | |
| - Ki te mea kei te maremare toto koe. | - Te uaua nui ki te manawa. |
| - Te mamae ohorere o te uma, me te uaua ki te manawa. | - Te ngaronga o te māramatanga. |
Karere Tangohia ki te Kāinga
- He pokanga tino kino te tango i te niumōneumone. Ka mahia anake i ngā wā tino kino, ina he iti noa ngā huarahi maimoatanga kē atu.
- E hia ngā marama ka roa hei whakaora katoa i te pokanga, ā, he mea nui kia manawanui i tēnei wā.
- Ahakoa e taea ana te noho roa me te kotahi pūkahukahu, me huri ētahi momo noho.
- Kaua e mangere ki te kōrero ki tō tākuta mō ō pātai, ō āwangawanga rānei i mua, i muri rānei i te pokanga. Mā reira anake ka taea ai e koe te whakatau i te whakatau pai mō tō hauora.
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