Mā te rongonga i te kupu 'Proctectomy' mai i tō tākuta ka tino pāngia koe e te manukanuka, ka pāngia hoki koe e te mataku. He mea noa te āwangawanga ina whakahuatia te pokanga. Heoi, mā te mārama ki te tikanga ka āwhina i a koe ki te whakangāwari i tō hinengaro, ā, ka taea e koe te anga atu ki te haerenga kei mua me te māia. I Nirogi Lanka, me kōrero tātou mō ngā mahi o te proctectomy, he whakamārama ngāwari noa iho.
He aha te tikanga o te proctectomy?
He pokanga te tango i te porotiti hei tango i tētahi wāhanga, i te katoa rānei o tō pūkahukahu. Ko te pūkahukahu te ono inihi whakamutunga o tō whekau nui, i runga ake i te nono. I runga anō i tō āhua hauora, me tango pea e tō taote pokanga te nono tonu i tēnei mahi.
He aha i tika ai tēnei pokanga?
He maha ngā take matua e taunaki ai te tākuta i tēnei tikanga nui. Ko te tikanga ka whakamahia mō ngā āhuatanga kāore i te whai hua, kāore rānei i te tika ētahi atu maimoatanga.
- Matepukupuku Remu: Koinei te take tino noa mō te tango i te pokanga. He mea nui te tango i te kiko kua pāngia hei whakakore i ngā pūtau matepukupuku me te ārai i te horapa o te mate.
- Te Mate Puku Mumura Nui (IBD): Ngā āhuatanga pēnei i te mate puku ulcerative , te mate a Crohn rāneii ētahi wā ka tino kino rawa atu, ā, kāore e pai ake te rongoā. Mena kei te pāngia koe e te mamae nui, e ngā raruraru rānei, me mahi pokanga pea hei whakaora i te kounga o tō oranga.
- Familial Adenomatous Polyposis (FAP): He āhuatanga ira tēnei e tohuhia ana e te tipu o ngā polyp maha i roto i te koroni me te rectum. Nā te mea he tino nui te mōrearea o ēnei polyp ki te mate pukupuku, he maha ngā wā ka tūtohuhia kia pokanga hei mahi ārai.
Ahakoa he tikanga nui tēnei, he taahiraa whakaora ora tēnei hei whakahaere i ngā mate kino pēnei i te mate pukupuku, i te mate puku kino rānei, ā, e kore e taea te ine i ōna painga mō te tiaki i tō hauora mō te wā roa.
Me pēhea te whakarite mō tō pokanga?
I mua i tō pokanga, ka whakahaerehia e tō tākuta he whakamātautau tinana hōhonu. Ko te mārama ki tō hauora whānui he taahiraa nui ki te whakamahere haumaru me te whai hua i tō pokanga i konei i Nirogi Lanka.
- Ngā whakamātautau: Tērā pea me whai whakamātautau toto, he ECG, me ētahi atu rangahau whakaahua pea. Mena kāore anō kia mahia he colonoscopy ki a koe i mua, tera pea ka whakaritea e tō tākuta tētahi.
- Te whakarite i te puku: He taahiraa nui tēnei. Me tino mārama ō puku i mua i te pokanga. Ka tohua e tō tākuta he tikanga whakangote, ka tūtohu rānei i tētahi enema hei whakarite kua tika te whakarite o tō pūnaha.
- Ngā Rongoā: Mena kei te tango koe i ngā rongoā whakaiti toto, i ētahi atu rongoā motuhake rānei, ka tonoa pea koe kia whakamutua ēnei rongoā i ētahi rā i mua i tō pokanga. Tena koa homai ki tō tākuta he rārangi katoa o ngā rongoā katoa, ngā tāpiringa, me ngā huaora e tangohia ana e koe i tēnei wā.
- Momi hikareti: Ki te mea he momi hikareti koe, mā te whakamutu i ētahi wiki i mua i tō pokanga ka pai ake te kaha o tō tinana ki te whakaora, ā, ka whakaiti i te tūponotanga o ngā raruraru.
Te tikanga pokanga me ngā momo matua
I mua i te tīmatanga o te pokanga, ka tukuna e te tohunga whakamoe te rongoā whakamoe whānui, kia mōhio ai koe kei te moe tonu koe, ā, kāore he mamae i te roanga o te pokanga.
Ko te momo pokanga motuhake e mahia ana ka whakawhirinaki ki tō tātaritanga, te wāhi o te mate, me tōna whānuitanga. E toru ngā huarahi pokanga matua:
| Momo Pokanga | Whakaahuatanga |
|---|---|
| Te tango i te puku (APR) | Ko te tikanga o tēnei ko te tango i te pūkahukahu, te nono, me ngā uaua o te sphincter e karapoti ana. Nā te mea ka tangohia te nono, ka hangaia he kōhao ki te mata o tō puku hei tango i ngā para, e mōhiotia ana ko te ostomy . Ka tāpirihia he putea hei kohi para, me whakawātea e koe i ia wā. Ko te tikanga o tēnei ka mahia ina tata rawa te mate ki te kōhao o te nono. |
| Te tangohanga o mua iti (LAR) | I ngā wā e tika ana i te taha hauora, ko tā mātou whāinga he tiaki i te nono me ōna uaua sphincter. Ko te wāhanga mate anake ka tangohia, ā, ka honoa anō ngā pito hauora o te whekau ( anastomosis ). Ki te angitu, kāore e hiahiatia he putea ostomy, kia taea ai te nekeneke noa o te whekau. |
| Te tango i te puku rectum mā te āwhina robotic | He huarahi hou tēnei, he iti noa te whakaekenga, ki te LAR. Ka whakamahia e tō taote pokanga ngā hangarau karetao matatau hei whakahaere i te tikanga me te tino tika. Ko ngā painga ko te whakaiti i te toto, te tere ake o te whakaora, me te whakapai ake i te tika o te pokanga. |
He aha ngā mea ka tupu i muri i te pokanga?
I muri i tō pokanga, ka noho pea koe ki te hōhipera mō ētahi rā, tae atu ki te wiki, i runga i te ahunga whakamua o tō whakaoranga.
- Te Whakahaere Mamae: Ma tā mātou tīma e whakarato ngā rongoā hei whakarite kia pai te whakahaere i tō mamae.
- Ngā ngongo: Tērā pea kei a koe he kati mimi me ngā paipa pokanga hei tango i ngā wai taikaha mai i te wāhi i puta ai. He wā poto noa iho ēnei.
- Kai Totika: Ka neke mārire koe mai i ngā wai mārama ki te kai ngohengohe i te wā e ora ake ai tō pūnaha nakunaku.
- Whakaora tinana: Mā te kaiwhakaora tinana koe e āwhina ki te whakahoki mai i te kaha me te nekenekehanga, tae atu ki te whakaara i a koe me te hikoi i te wā e haumaru ai.
I mua i tō tukunga i te hōhipera, ka whakaratohia e tō tīma hauora ngā tohutohu taipitopito mō te tiaki i te patunga, te whakahaere mamae, ngā aratohu kai, me ngā mahi whai muri me mahi e koe.
He aha ngā mōrearea me ngā raruraru?
Pērā i ngā pokanga nui katoa, he tūponotanga me ngā raruraru pea kei te tango i te pokanga. He mea nui kia mōhio koe ki ēnei mea ka taea. Tena koa whakapā atu ki tō taote pokanga mēnā ka pāngia koe e ētahi tohu whakararuraru, waea atu rānei ki te 911, toro atu rānei ki tō tari ohorere tata.
| Momo Whakararuraru | Whakaahuatanga |
|---|---|
| Ngā raruraru poto | |
| Mate pāwera | Tērā pea ka pāngia koe e ngā mate i te wāhi i tapahia ai te pokanga, i roto rānei i te kōhao puku. |
| Te toto | Mena ka puta he toto nui i te wā o te pokanga, i muri rānei i te pokanga, me whai whakawhiti toto pea koe. |
| Ngā Putunga Toto | Mā te ngoikore o te nekenekehanga i muri i te pokanga ka arahi pea ki te toto totoka i roto i ō waewae. Ka kino pea ēnei mēnā ka haere ki ō pukahukahu ( embolism pūkahukahu ). |
| turuturu | Mena he turuturu kei te wāhi i honoa anō ai te whekau (anastomosis), tera pea e hiahiatia he tikanga tuarua. |
| Ngā raruraru roa | |
| Te ngoikore o te moepuku | I ētahi wā, ka pāngia ngā io e pā ana ki te mahi moepuku e ngā pokanga. Tērā pea ka pāngia ngā tāne e te ngoikore o te ure, e te uaua rānei ki te eke ki te orgasm ( anorgasmia ) mō ngā ira tangata katoa. |
| Ngā Huringa o te Puku | Tērā pea ka kite koe i te pikinga ake o te auau, te tere rānei o te nekenekehanga o te puku, i ētahi wā rānei, he uauatanga ki te whakahaere i te puku. |
| Ngā Take e Pā Ana ki te Ostomy | Tērā pea ka pāngia koe e te mumura o te kiri huri noa i te stoma, ka turuturu te wai, ka pāngia rānei koe e ngā raruraru hernia. |
Āhea koe me whakapā atu ki tō tākuta?
Kia tae koe ki te kāinga, he mea nui kia mataara tonu. Ki te kite koe i tētahi o ngā tohu whakatūpato e whai ake nei, whakapā atu ki tō kaiwhakarato hauora, ki te rapu awhina hauora ohorere rānei i taua wā tonu:
- He kirika 38°C (100.4°F) neke atu rānei.
- Te mamae e kino haere ana, e kore rānei e taea te whakahaere e te rongoā kua tohua.
- He whero, he pupuhi, he rere rerekē rānei i te wāhi i tapahia ai tō pokanga.
- Te toto nui rawa, te toto tonu rānei.
- Te kore e taea te mimi.
- Whakapairuaki, ruaki tonu rānei.
- Te poto o te manawa, te mamae rānei o te uma.
- Ngā huringa nui o te mahi, o te āhua rānei o tō ostomy.
Karere Tangohia ki te Kāinga
- He tikanga nui te tango i te pokanga, engari he taahiraa nui ki te whakahaere i ngā āhuatanga pēnei i te mate pukupuku, i te mate mumura kino rānei hei tiaki i tō hauora mō te wā roa.
- He mea nui te whai i ngā tohutohu a tō taote pokanga i mua i te pokanga me muri i te pokanga kia angitu ai tō whakaoranga.
- He roa te wā e ora ai. Kia manawanui ki a koe anō, whai i ngā tohutohu a tō tīma hauora, ā, whakawhirinaki ki tō pūnaha tautoko.
- He tika tōu ki te pātai. Kōrerohia ō āwangawanga, ō mataku rānei ki tō tīma hauora.
- He nui ngā angitu i te whanaketanga o ngā tikanga pokanga hou. Kia mau ki te whakaaro pai, kia arotahi ki tō haerenga whakaora me Nirogi Lanka.
👩🏽⚕️ Ngā Pātai Auau (FAQ) nā Nirogi Lanka
💬 He aha te tango i te pūmua?
Ko te proctectomy he tikanga pokanga hei tango i tetahi wāhanga, i te katoa rānei o tō rectum, koinei te wāhanga whakamutunga o tō whekau nui.
💬 He aha i mahia ai te tango i te pūkahukahu?
He maha ngā take haumanu e taunaki ai tō tākuta i tēnei pokanga. Ko te nuinga o ēnei ko te mate pukupuku o te rectum, te mate puku mumura kino (IBD) kāore e pai ki te rongoā, ngā āhuatanga ira pēnei i te Familial Adenomatous Polyposis (FAP) hei ārai i te whanaketanga o te mate pukupuku.
💬 He tikanga tango i te pūkahukahu hei rongoā i te mate pukupuku o te kōpū?
Ae, ko te mate pukupuku o te kōpū tētahi o ngā take tino noa mō te mahi i te tango i te puku. He mea nui tēnei tikanga hei tango i ngā pūtau mate pukupuku me te ārai i te horapa o te mate pukupuku ki ētahi atu wāhanga o tō tinana.
