Ka paku āwangawanga te hunga e rongo ana mō te tango i te pukahukahu katoa mā te pokanga, tika? He pokanga nui tēnei. Engari ko te mea nui me mōhio koe, i ētahi wā, inā koa i ngā wā pēnei i te matepukupuku pukahukahu, ka taea te whakaora i te ora. Nō reira, i tēnei rā, me kōrero tātou mō tēnei pokanga e kiia nei ko te Pneumonectomy, ōna painga me ōna huakore, me ngā mea ka tupu i muri i te pokanga i roto i te huarahi māmā, mārama hoki.
He aha te tikanga o tēnei mahi, arā, te tango i te ngākau māuiui (Pneumonectomy)?
Ko te tango i te pūkahukahu he pokanga tango i tētahi o ō pūkahukahu. E rua ā tātou pūkahukahu, tētahi kei te taha matau, tētahi kei te taha maui. Ki te tangohia te pūkahukahu matau, ka kiia he tango i te taha matau, ā, ki te tangohia te pūkahukahu maui, ka kiia he tango i te taha maui.
Koinei te tangohanga nui rawa atu o ngā pukahukahu nā te mea he uaua ake i ngā pokanga pēnei i te "lobectomy" me te "wedge resection" rānei, e tango ana i tētahi wāhanga iti noa iho o te pukahukahu.
E rua ngā momo matua o te pokanga pneumonectomie:
- Te tango i te pūkahukahu māmā/paerewa: Ko te tango i tō pukahukahu katoa, me ētahi pea o ngā io me ngā kiko e tata ana.
- Pneumonectomy i waho o te pleural: He pokanga nui ake tēnei. I roto i tēnei, ka tangohia e te taote pokanga ngā mea e whai ake nei:
- Pūkahukahu kī tonu.
- Ko te pleura te kiriuhi e karapoti ana i ngā pukahukahu me te pakitara o te uma.
- Te hipoki e karapoti ana i te ngākau (pericardium).
- Ngā wāhanga o te diaphragm, te uaua i raro i ngā pukahukahu.
E rua ngā tikanga e whakamahia ana e ngā taote pokanga hei mahi i tēnei pokanga. Ko tētahi he pokanga thoracotomy tuku iho, arā, ko te tapahi i te uma. Ko tētahi he 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?
He maha ngā wā ka mahia tēnei pokanga hei rongoā mō ngā mate pukupuku kua horapa ki roto, mai i ngā pukahukahu rānei. Heoi anō, he rongoā anō hoki mō ētahi atu āhuatanga. Me titiro tātou ki ēnei.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Matepukupuku pūkahukahu | Koinei te take matua mō te pokanga pneumonectomie. |
| Te mesothelioma pleural | He mate pukupuku e puta ana i roto i te arai o ngā pukahukahu. |
| Ngā raruraru nui o te pukahukahu | Ngā pukahukahu kua pakaru tonu i ētahi atu maimoatanga. |
| Te Aspergillosis | He mate harore kino o ngā pukahukahu. |
| Te mate pūkahukahu | Te whānui me te pakaru o ngā ara manawa tuturu. |
| Te mate kohi | Ko te mate kohi, he mate kāore e taea te rongoā, ā, kua kino rawa atu hoki ngā pukahukahu. |
Ko wai te tangata e tika ana mō tēnei pokanga?
Ka whakatau ngā tākuta mēnā he tika koe mō tēnei pokanga i runga i ētahi āhuatanga.
- Mena kei te kotahi anake te pukahukahu kei roto i tō mate pukupuku (kāore anō kia horapa ki ētahi atu wāhi), ā, ka taea e koe te whakaora katoa mā te tango i te pukahukahu.
- I runga i te wāhi o te mate pukupuku, tērā pea kāore e taea te tango katoa me te kore e tangohia te pukahukahu katoa .
- Mena kei te ora pai tō ngākau, ō uaua toto, me te toenga o tō pukahukahu hei tū atu i te pokanga .
Waihoki, kāore tēnei pokanga i te tūtohutia mō te hunga he iti te mahi a ō rātou pukahukahu, he mate kino te takirere o te ngākau, he ngoikore rānei te kaha ki te pupuhi toto.
He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?
I ētahi rā, i ētahi 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. Kei roto pea i ēnei ko ngā whakamātautau mahi pukahukahu, ngā echocardiogram, ngā matawai CT, ngā hihi-X o te uma, me ngā whakamātautau toto.
Ko te mea tino nui, ki te mea he kaipaipa koe, me mutu rawa te kaipaipa i mua i te pokanga.Ae rā. Ka tino āwhina tēnei i tō tukanga whakaora.
I te rā o te pokanga, ka whakamoea katoatia koe, kia kore ai koe e mamae, ā, e kore hoki koe e mahara ki tetahi mea i tupu. Ka tapahia e te taote pokanga he rara i waenganui i ō rara e rua i tō taha me tō tuara, ka nekehia ngā rara kia paku wehea kia tae atu ki te pukahukahu. Kātahi ka tangohia te hau i roto i te pukahukahu, ā, ka ata tangohia. Ki te tika, ka tangohia ētahi atu kiko kua pakaru, ā, ka tuia anō te rara kia hono. Ka roa pea tēnei mahi katoa mō ētahi hāora.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, me noho koe ki te hōhipera mō ētahi rā. I tēnei wā, ka aroturukihia e te tīma hauora ō taumata hāora me te tere o te manawa, ā, ka hoatu he rongoā ki a koe hei whakahaere i te mamae.
Ka aha te wāhi takoto kau i muri i te tangohanga o te pukahukahu?
He raruraru tēnei e pā ana ki te tini tāngata. Ina tangohia he pukahukahu, ka kī te wāhi i te hau. Engari i roto i ētahi rā, ka mārire te wāhi i te wai o te tinana . I roto i te wā, ka pana paku tō ngākau, tō diaphragm, me ētahi atu okana ki roto i taua wāhi. Ka nui haere hoki tō pukahukahu e toe ana, ā, ka urutau ki tōna tūranga hou.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Pērā i ngā pokanga nui katoa, he pai, he mōrearea hoki ngā mahi tango i te pneumonect. He mea nui kia kōrerohia whānuitia ēnei mea ki tō tākuta.
| Ngā Painga | Ngā Tūponotanga me ngā Āhuatanga Whakararuraru |
|---|---|
| Mēnā he mate pukupuku, ka tangohia katoatia te puku, ka whai wāhi ki te aukati i te horapa o te mate pukupuku . | Te kohikohinga o te pūkahukahu i roto i te uma (Empyema). |
| He parenga ki ngā mate urutā ka mate pea (huakita, harore) ka puta mai i te pakaru o te pukahukahu. | Ko te fistula bronchopleural he kōhao i waenganui i te trachea me te arai o te pukahukahu. |
| Hei wikitoria i ngā uauatanga o te mate, hei anga whakamua i te aoTe whiwhi whai wāhitanga. | Te niumōnia, ngā mate pāwera, ngā huringa o te manawataki o te ngakau (Arrhythmia). |
| Te embolism pūkahukahu (te toto totoka e haere ana ki ngā pukahukahu). | |
| Te ngoikore o te manawa. | |
| He tūponotanga kei hoki anō te mate pukupuku. |
Ko tētahi mea hei mōhio māu, i runga i te hanganga o te tinana, he paku teitei ake te mōrearea o ngā raruraru i roto i te pokanga hei tango i te pukahukahu matau i te pokanga hei tango i te pukahukahu maui .
Te ora me te noho me te pukahukahu kotahi
E hia pea ngā marama ka ora katoa ai koe. I tēnei wā, tera pea ka uaua ki a koe te mahi i te āhua noa.
- Ka herea ngā mahi pēnei i te hiki taumaha me te taraiwa.
- Ka nui ake tō ngenge i tō te tikanga, ā, me okioki pinepine koe.
- Tērā pea ka uaua te manawa.
Ka memeha atu ētahi o ēnei i a koe e ora ana, ko ētahi ia ka noho hei "āhua hou" mōu. Ka roa pea te wā ki te urutau ki tēnei.
Me pēhea te whakahaere i te tukanga whakaora kia māmā ake?
- Kia tika te whai i ngā tohutohu a te tākuta. Mahia ngā mahi whakakori tinana me ngā mahi manawa kia rite ki te mea i whakaritea.
- Inuhia tō rongoā i te wā tika.
- Kia mahara ki te haere i ngā rā e kīia ana ka hoki mai koe ki te whakaatu ki a koe.
- Mena he raruraru, he uauatanga rānei āu, kōrero ki te tākuta.
Ko te roa o te oranga me te kotahi pūkahukahu ka whakawhirinaki ki ngā āhuatanga pēnei i te take o te pokanga, tō tau, me tō hauora whānui. Tērā pea he rerekē te roanga o te oranga o te tangata kua pokangahia mō tētahi atu mate i te tangata kua pokangahia mō te mate pukupuku.
Āhea te rapu tohutohu hauora tonu
Mena ka pāngia koe e ēnei tohu i a koe e ora ana, waea atu ki tō tākuta tonu :
- Mena kei te turuturu te toto mā roto i te takai o te patunga pokanga.
- Mena he wai kakara kino, he rerekē te tae e puta mai ana i te taha o te patunga.
- Mena he maremare tōu me te nui o te hūpē, he hūpē rānei kua rerekē te tae.
- Te kirika.
- Te mamae e kore e taea te whakahaere ahakoa te rongoā.
Mena kei a koe ēnei tohu e whai ake nei, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera:
- Te maremare toto.
- 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 tikanga pokanga nui te tango i te pūkahukahu e mahia ana mō ngā mate hauora nui. Ka mahia ina he iti noa ngā huarahi maimoatanga kē atu.
- He tokomaha te hunga ka taea te ora mō te wā roa me te kotahi o ō rātou pukahukahu. Ka urutau te tinana ki tēnei āhuatanga hou i roto i te wā.
- Ka roa pea te wā whakaora, nō reira he mea nui kia manawanui, kia whai hoki i ngā tohutohu a tō tākuta.
- I mua i te pokanga, kōrero noa ki tō tākuta me tō whānau mō ngā painga, ngā mōrearea, me ngā maimoatanga rerekē kia taea ai e koe te whakatau tika.
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