Kua rongo koe i tētahi mea e kiia nei ko ngā 'polyps'? Tērā pea kua tirohia koe e tō tākuta, ā, kua kī mai kei a koe tētahi. He kupu ngāwari noa iho, he tipu iti ēnei e puta ana i ngā pakitara o roto o ngā whekau o roto i ō tātou tinana (hei tauira, ngā whekau, te kōpū). Ahakoa kāore te nuinga o ēnei i te mōrearea, ka huri ētahi hei mate pukupuku i roto i te wā, nō reira he pai ake te tango atu i a rātou, ā, me tirotiro. Nō reira, i tēnei rā ka kōrero tātou mō te tikanga hauora e kiia nei ko te 'polypectomy', e tango ana i ēnei polyps.
He aha tonu te tikanga o te polypectomy?
Ko te polypectomy he tikanga hauora e tango ana i te polyp, i te tipu rānei kua puta i roto i tētahi okana o tō tinana. Ka taea e ēnei polyp te mate pukupuku (mate pukupuku) te kore mate pukupuku rānei (pai).
I te nuinga o te wā, he pai ēnei. Engari ka taea e tō tākuta te kī tika i muri i te tango atu i a rātou, me te tuku atu ki te taiwhanga hei whakamātautau. Ko ētahi polyp he "precancerous". Ko te tikanga ehara i te mea he mate pukupuku i nāianei, engari tera pea ka noho hei mate pukupuku ā muri ake nei.
He aha i tika ai kia tangohia ēnei polyp?
He maha ngā take e tika ana kia tangohia te polyp.
- Mena kei a koe ngā tohu: Ka taea e ētahi polyp te whakararu i a koe ki ngā tohu rerekē, pērā i te mamae o te puku, te toto, te huringa rānei o te āhua o te puku.
- Mena he tūponotanga kei te pāngia e te mate pukupuku: Mena ka tirohia e te tākuta, ā, ka whakaaro ia he mate pukupuku pea, he mate pukupuku rānei.
- Ki te hiahia koe kia whakamātauria: Kia mōhio ai koe he aha te momo pukupuku, me tango e koe ka tukuna ki te taiwhanga (he "koiora").
He tokomaha ngā tākuta e whakapono ana me tango wawe tonu ngā polyp ahakoa he pai, kāore he tohu, hei ārai i ngā raruraru a muri ake nei.
Ko ngā wāhi e tino kitea ai ngā polyp me te hiranga o te tango atu i aua polyp
Ka taea e ngā polyp te puta i roto i tētahi okana tuwhera o te tinana. Kia mārama ake tātou ki tēnei mea mai i te ripanga i raro nei.
| Te wāhi e puta ai ngā polyp | Te hiranga o te tango (matepukupuku ka taea te ārai) |
|---|---|
| Ngā Polyps o te Kōrini | Matepukupuku o te repeure |
| Ngā Polyps o te Kōpū | Te mate pukupuku o te kōpū me te mate pukupuku o te kōpū |
| Ngā Polyps o te Puku | Matepukupuku puku |
| Ngā Polyps o te Pūngāwerewere | Matepukupuku o te Pūngāwerewere |
He pokanga nui tēnei? Ka mamae rānei?
He pātai tēnei nā te tini o te tangata. Kāo, he pokanga iti noa iho te tango i te kiri. He "tikanga iti rawa te whakaekenga". Arā, ka mahia me te kore e tapahia nui.
He maha ngā wā ka tangohia ēnei polyp i te wā o te colonoscopy, te endoscopy rānei. Ko te tikanga o tēnei ko te whakauru i tētahi ngongo roa, ngāwari me te kāmera mā roto i tētahi pūaha tūturu i roto i tō tinana (hei tauira, te rectum, te waha) me te tuku i ngā taputapu iti mā roto hei tango i te polyp.
Waihoki, ko te mea e wehingia ana e te tini ko te mamae. Kāore koe e rongo i te mamae i tēnei mahi. Ka hoatu e te tākuta he rongoā whakamoe me ngā rongoā whakamamae hei whakarite kia pai tō noho. Ka hoatu pea he rongoā whakamoe whānui (he momo rongoā whakamoe) ki a koe mēnā e hiahia ana koe. Ka hoatu rānei he rongoā whakamoe ki a koe (he momo rongoā hei whakamoe i a koe). Tērā pea ka pēhia koe ina tangohia te polyp, engari kāore e mamae.
He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?
Te whakarite i mua i te pokanga
- Te horoi i te puku: Ina koa mō te tango i ngā polyp i roto i te whekau nui mā te colonoscopy, me tino takoto kau, me tino ma hoki tō whekau. Mō tēnei, ka hoatu e tō tākuta he wai motuhake (`(bowel prep formula)`) hei inu māu. Me whai hoki koe i tētahi kai motuhake mō ētahi rā.
- Ngā rongoā:Ka kōrero te tohunga whakamoe ki a koe i mua i te wā mō te momo whakamoe ka hoatu ki a koe. Tērā pea ka tono atu ia kia mutu tāu tango i ētahi rongoā (pērā i ngā rongoā whakaiti toto) i te rā o te pokanga.
I te wā o te pokanga
Ka whakahaerehia he polypectomy māmā mā te whakamahi i te endoscope, he ngongo me te kāmera e piri ana.
1. Ka whakaurua e te tākuta tēnei ngongo ki roto i tō tinana, ka haere ki te wāhi kei reira te polyp.
2. Kātahi ka werohia he iti noa te hau waro hauhā ki roto i te okana hei pupuhi kia mārama ai te kitea o roto o te okana.
3. Kātahi, mā te whakamahi i tētahi taputapu iti (pēnei i tētahi takirua o te kuku, i tētahi koropiko waea rānei) ka tukuna mā roto i te ngongo, ka tapahia tuatahitia te polyp ka tangohia.
4. I muri i te tango i te polyp, ka tahuna te wāhi mō te wā poto (electrocautery) hei whakamutu i te toto me te tango i ngā kiko e toe ana. Mā tēnei ka ārai i te tipu anō o te polyp.
Me pēhea te tango i ētahi polyp uaua?
Tērā pea he uaua ki te tango i ētahi polyp mā ngā tikanga māmā noa iho nā te mea he nui, he papatahi, he āhua rānei e uaua ai te tango. I ēnei wā, ka whakamahia ētahi atu tikanga.
| Tikanga | Hei whakarāpopototanga... |
|---|---|
| Pokanga Laparoscopic | Te hanga i ētahi tapahi iti rawa ki te puku, te whakauru i tētahi kāmera me ngā taputapu hei tango i te polyp. |
| Te tango i te kiriuhi endoscopic (EMR) | Werohia he otinga tote ki roto i te kiriuhi i raro i te polyp, kia ngāwari ai te tango i te polyp ina puea ake. |
| Te wetewete endoscopic submucosal (ESD) | Ka tangohia katoatia ngā polyp nunui, ngā polyp matepukupuku rānei, me te kiriuhi hohonu o raro. |
He aha ngā mea ka tupu i muri i te pokanga, ā, he aha ngā tūponotanga?
I muri i te pokanga
I te nuinga o te wā ka taea e koe te hoki ki te kāinga i taua rā anō. Heoi, nā te mea kāore e taea e koe te taraiwa nā ngā pānga o te rongoā whakamoe, he mea nui kia whai tangata hei taraiwa i a koe. Tērā pea ka pāngia koe e te mamae mō ētahi rā nā te hau kua mau i roto i tō puku. Ka tukuna te polyp kua tangohia ki te taiwhanga, ā, ka wātea te pūrongo i roto i te kotahi ki te rua wiki.
Ngā tūponotanga me ngā raruraru
He tino onge ngā raruraru, engari he mea nui kia mōhio ki ēnei.
- Te toto (`(Te toto)`)
- Mate urutā (`(Pango)`)
- Te poka o te okana (`(Te poka)`)
- Ngā wera i puta mai i ngā taputapu hiko
Ko tētahi atu mate tino onge ko te Postpolypectomy Coagulation Syndrome (PPCS) . Koinei te wā e tahuna ai te kiko i raro i te wera o te polyp, ka puta ai ngā tohu pēnei i te mamae o te puku me te kirika. Kāore tēnei i te tino kino pērā i te pokanga. I te nuinga o te wā ka memeha mā te rongoā i roto i ētahi rā. Heoi, ki te pāngia koe e tētahi o ēnei tohu i roto i ētahi rā o te pokanga, me kōrero tonu atu ki tō tākuta.
I roto i ngā rā torutoru ka ora katoa koe. Me tango e koe ngā rongoā whakamamae mō te rā kotahi, e rua rānei. Tērā pea ka puta he toto iti i roto i tō tūtae, i tō mimi rānei, he mea noa tēnā. Heoi, ki te nui te toto, ki te haere tonu rānei, me kōrero ki tō tākuta.
Karere Tangohia ki te Kāinga
- He tikanga hauora māmā, haumaru hoki te tango i ngā polyp, arā, he momo tipu ka puta i roto i te tinana.
- Ahakoa ehara i te mea morearea te nuinga o ngā polyp, he mea nui kia tangohia, kia tirohia hoki nā te mea kei huri hei mate pukupuku.
- Kāore he mamae o tēnei tukanga, ā, mā ngā tikanga whakamoe ka whakaitihia tō mamae.
- He poto rawa te wā whakaora, he torutoru noa ngā rā.
- Ki te pā mai ētahi tohu rerekē ki a koe i muri i te pokanga (mamae nui, kirika, toto nui) me whakamōhio tonu atu ki tō tākuta.
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