He polyp kei roto i tō tinana? Me ako tātou mō te 'Polypectomy'!

Kua tae atu koe ki tētahi tākuta, mō tētahi endoscopy pea (he tikanga e whakaurua ai he kāmera ki roto i te arai o tō puku) mō tētahi raruraru puku, ā, ka kī mai te tākuta i tētahi mea pēnei? "He tipu iti kei roto i tō koroni/puku. Ka tangohia e mātou." He mea noa te mataku ina rongo koe i tētahi mea pēnei. Engari kaua e mataku. Ko ēnei tipu iti nei te mea e kiia nei e tātou i roto i te rongoā he "Polyps." Ko te tikanga ngāwari hei tango i a rātou ka kiia ko te "Polypectomy." Nō reira, i tēnei rā, ka kōrerohia e tātou ngā mea katoa i roto i tētahi huarahi tino māmā.

He aha te 'polyp'? He aha i tika ai kia tangohia?

Ki te kī māmā noa, he tipu iti, kāore e hiahiatia te polyp o te kiko e puta ana i te pakitara o roto o tētahi okana o te tinana, inā koa he okana he kōhao kei roto (hei tauira, te koroni, te kōpū, te puku). Whakaarohia he rite ki tētahi pōro e tipu ana i roto i te tinana.

He maha ngā momo o ēnei 'Polyps':

• Pai: He pukupuku noa ēnei. Kāore e pā kino.
• Matepukupuku: I ētahi wā ka huri ēnei pukupuku hei pūtau matepukupuku.
• Ngā pukupuku o mua i te matepukupuku: Ko ēnei ngā pukupuku kāore i te matepukupuku i tēnei wā, engari he nui te tūponotanga ka noho hei matepukupuku ā muri ake nei.

Ko te raruraru, he uaua ki te tākuta te kī 100% he aha te momo polyp mā te titiro noa mai i waho. Ko te huarahi pai ki te mōhio ko te tango atu me te tuku atu ki te taiwhanga hei whakamātautau (he ``(Biopsy)``).

He maha ngā tākuta e kī ana ko te mea tino haumaru ko te tango i te polyp i te kitenga tonu, kaua e tatari kia puta he raruraru i muri mai.

He pokanga nui te tango i te polypectomy? He mamae?

Kāore rawa! Kaua e wehi ki te rongo i tēnei. He pokanga iti noa iho te 'Polypectomy'. I roto i te rongoā, ka kiia tēnei he '(Tukanga iti rawa te whakaekenga)'. Arā, he mahi iti noa iho, me te kore e tapahia he tapahi nui.

He maha ngā polyp ka tangohia i te wā o te whakamātautau e kiia nei ko te colonoscopy (he tirotiro kāmera i te koroni) he endoscopy rānei (he tirotiro kāmera i te puku). I te wā e whakauru ana te tākuta i tētahi ngongo kāmera, ka tukuna e ia ngā taputapu iti mā roto i te ngongo ka tangohia te polyp. Kāore koe e rongo i te mamae.

Mō te mamae, kāore koe e rongo i te mamae. Nā te mea ka hoatu he rongoā whakamoe ki a koe i mua i te tikanga. I ētahi wā, ka whakatakotoria koe kia moe (`(Whakamoe Whānui)`). Ka hoatu rānei he rongoā hei whakamoe māmā i a koe (`(Whakamoe)`). Nō reira, ahakoa ka pēhia koe, kāore koe e rongo i te mamae.

He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?

Te whakarite i mua i te pokanga

I te nuinga o te wā, kāore he whakaritenga motuhake e hiahiatia ana. Heoi, ki te mea kei te "Colonoscopy" koe me te "Polypectomy", me tino ma tō puku. Mō tēnei, me inu koe i tētahi rongoā wai motuhake (``(bowel prep formula)``) ka hoatu e tō tākuta ki a koe. I tua atu i tēnei, ka tohutohuhia koe kia whakahaere i tō kai mō ētahi rā. Waihoki, ki te mea kei te tango koe i ētahi atu rongoā, he mea nui kia kōrero koe ki tō tākuta mō te mea me mutu te kai i te rā o te pokanga.

I te wā o te pokanga...

He tino māmā tēnei tukanga.

1. Whakamoemiti: Tuatahi, ka hoatu he rongoā whakamoe ki a koe mā te werohanga IV (whakatō i roto i te uaua) ki roto i te uaua i tō ringa. Ā muri iho, ka marino koe, ka moe rānei.

2. Te whakauru i te endoscope:Kātahi ka whakaurua e te tākuta he ngongo roa, ngāwari (endoscope) me te kāmera e piri ana mā roto i tētahi pūaha tūturu i roto i tō tinana (hei tauira, mā roto i te nono mō te polyp i roto i te koroni, mā roto rānei i te waha mō te polyp i roto i te puku).

3. Te Tango i te Polyp: Ka tirohia ngā whakaahua mai i te kāmera i runga i te mata tirotiro hei kimi i te polyp. Kātahi ka hopukina te polyp ka tangohia mā te whakamahi i tētahi taputapu iti, pērā i te forceps, i te waea mahanga rānei, ka tukuna mā roto i te ngongo.

4. Te whakamutu i te toto: Hei whakamutu i te toto mai i te wāhi i tangohia ai te polyp, ā, hei tango katoa i ngā kiko e toe ana, ka tahuna te wāhi ki te ahi hiko (taputapu electrocautery). Ka kiia tēnei ko te cauterization.

He aha ngā mea ka tupu i muri i te pokanga? He aha ngā tūponotanga?

Ka taea e koe te hoki ki te kāinga i muri tata mai i te pokanga. Heoi anō, tera pea ka pōuri koe i ngā pānga o te rongoā whakamoe, nō reira he pai ake kia haere tahi mai tētahi. Tērā pea ka pōuri koe, ka pupuhi hoki mō ētahi rā. He mea noa tēnei.

Ka tukuna te polyp kua tangohia ki te taiwhanga. E rua wiki pea te roa ka tae mai te pūrongo. I te nuinga o te wā, ka pūrongohia ēnei he kore-matepukupuku (he pai). Mena ka kitea he pūtau matepukupuku, ka tohutohu tō tākuta i a koe mō ētahi atu whakamātautau me te maimoatanga.

• Te toto.
• Te putanga mai o tētahi mate pangia.
• He kōhao, he haehae rānei i te pakitara o tētahi okana. (`(Perforation)`)
• He wera iti ki te kiko i puta mai i te taputapu 'hiko wera'.

He tino onge te puta o ēnei mea. Tērā anō tētahi atu raruraru tino onge e kiia nei ko te 'Postpolypectomy coagulation syndrome' (PPCS). He mumura iti tēnei o te kiko i raro i te 'Polyp' i tahuna ai. Kāore tēnei i te kino, ā, ka ora i roto i ētahi rā mā te rongoā. Heoi, ki te pāngia koe e tetahi mea i muri i te pokanga, pērā i te mamae puku e kore e taea te manawanui, te kirika, te toto nui rānei , me kōrero tonu koe ki tō tākuta.

E torutoru noa ngā rā ka ora ake koe. Ka taea e koe te hoki ki ngā mahi o ia rā i roto i te rā, e rua rānei.