Tērā pea kua paku mataku, kua pāngia rānei koe, e tētahi atu rānei e mōhio ana koe, i te wā i kōrero ai te tākuta mō tētahi pokanga e kiia nei ko te 'Proctectomy'. He mea noa iho tēnā. Ko wai kāore e pai ki te whakaaro o te pokanga, tika? Engari ki te mārama, ki te tika hoki tā tātou mōhio ki ēnei mea, ka taea e tātou te whakakore i te mataku koretake, ā, ka tū atu ki te aroaro o te hinengaro me te rangimarie. Nō reira, i tēnei rā, me kōrero tātou mō tēnei pokanga Proctectomy i roto i ngā kupu māmā noa iho.
He aha te Proctectomy?
He pokanga te proctectomy e tango ana i tētahi wāhanga, i te katoa rānei o tō rectum. Tērā pea kei te whakaaro koe he aha te rectum. Ko te wāhanga whakamutunga tēnei o tō whekau nui, tata ki te ono inihi te roa. Ina koa, ko te wāhanga i runga ake i te nono, te wāhi e puta mai ai te paru. I ētahi wā, i runga i te āhua o te mate, me tango pea te rectum i tēnei pokanga.
He aha koe i hiahia ai ki tēnei momo pokanga?
He maha ngā take matua mō te mahi i tētahi pokanga nui pēnei. Ka tūtohu noa te tākuta i tēnei pokanga i ngā wā tino kino, ina kāore he huarahi kē atu.
- Matepukupuku rectum: Koinei te take matua me te take tino noa mō te tango i te proctectomy. He mea tika tēnei pokanga hei tango i ngā pūtau matepukupuku me te aukati i tō rātou horapa.
- Mate Puku Mumura (IBD): Kua rongo pea koe i te mate puku mumura , te mate a Crohn rānei. Ina kaha rawa ēnei mate, kāore e taea te whakahaere mā te rongoā me ētahi atu maimoatanga, me mahi pokanga pea hei whakamama i te mamae me te mate korere e puta mai ana.
- Te Polyposis Adenomatous Familial (FAP): He āhuatanga ira tēnei. Ka puta he maha o ngā tipu iti (polyps) i roto i te koroni me te rectum. He nui te tūponotanga o ēnei tipu ka noho hei matepukupuku i roto i te wā. Nō reira, e taunakihia ana tēnei pokanga hei taahiraa hei ārai i te whanaketanga o te matepukupuku.
Ahakoa he pokanga nui tēnei, he mea utu nui te āwhina e homai ana hei whakaora i a koe i tētahi mate morearea pēnei i te mate pukupuku.
Me pēhea te whakarite i mua i te pokanga?
Ka tirotirohia koe e tō tākuta i mua i te pokanga. He mea nui kia mārama koe ki tō hauora whānui i mua i te whakamahere i tō pokanga.
- Ngā whakamātautau: Ngā whakamātautau toto, ngā whakamātautau ECG, me ētahi atu whakamātautau whakaahua mēnā e tika ana. Mena kāore anō kia whai colonoscopy koe i mua, me mahi anō hoki tēnā.
- Te whakarite i te puku: He mea tino nui tēnei.I mua i te pokanga, me tino takoto kau ngā whekau, me tino ma hoki. Mō tēnei, ka tohua e te tākuta he rongoā whakamāmā ( laxative ) ka whakamahia rānei he enema .
- Ngā Rongoā: Mena kei te tango koe i ētahi rongoā, pērā i ngā rongoā whakaiti toto, ka tonoa koe kia mutu te tango i aua rongoā i mua i ētahi rā. Kia mahara ki te kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
- Momi hikareti: Mena he kaipaipa koe, mā te whakamutu rawa i te kaipaipa i mua i te pokanga ka tino āwhina i te tukanga whakaora.
Te āhua o te pokanga me ngā momo matua
I mua i te tīmatanga o te pokanga, ka hoatu e te tohunga whakamoe te rongoā whakamoe whānui ki a koe. Nō reira ka moe tonu koe i te roanga o te pokanga, kāore he mamae e pā ana ki a koe.
Ko te momo tangohanga o te pokanga ka mahia ki a koe, ka whakawhirinaki ki te āhua, te wāhi, me te whānuitanga o te mate. E toru ngā momo matua.
| Momo Pokanga | Whakaahuatanga |
|---|---|
| Te tango i te puku (APR) | I tēnei, ka tangohia tō pūkahukahu katoa, tō nono, me ngā uaua huri noa (ngā uaua sphincter). Nā te mea ka tangohia te nono, ka hangaia he kōhao ki te kiri o te puku hei tuku i te paru kia puta. Ka kiia tēnei he ostomy . Ka piri he pēke ki waho o te kōhao. Ka kohia te paru ki roto i tēnei pēke. Me whakawātea tēnei pēke i ngā wā maha i te rā. Ka mahia tēnei pokanga mēnā he tata rawa te matepukupuku ki te nono. |
| Te tangohanga o mua iti (LAR) | Ko te tikanga o tēnei ko te tiaki i te nono me ngā uaua i te mea ka taea. Ko te wāhanga mate anake ka tangohia, ā, ko te wāhanga hauora e toe ana o te whekau ka honoa anō ki te nono ( anastomosis ). Mena ka angitu tēnei, kāore e hiahiatia he putea ostomy. Ka taea e koe te haere noa i te tūtae. |
| Te tango i te puku rectum mā te āwhina robotic | He tikanga hou tēnei, he iti noa te whakaekenga e whakamahia ana hei mahi i te pokanga LAR. Ka whakamahia e te taote pokanga te hangarau karetao hei mahi i te pokanga me te tino tika me te tino tika. Ko ngā painga o tēnei ko te whakaiti i te toto, te tere o te whakaoranga, me te nui ake o te tika. |
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, mō te wiki pea, kei tō āhua.
- Te whakahaere mamae: Ka whiwhi tonu koe i ngā rongoā hei whakahaere i te mamae e pā ana ki a koe.
- Ngā Ngongo: Ka taea te whakatakoto i tētahi katitere hei tango i te mimi, ā, ka taea hoki te whakatakoto i ētahi atu ngongo (ngā waikeri) hei tango i te wai e kohia ana i te wāhi i pokangahia ai. He rangitahi ēnei.
- Kai: Tērā pea kāore e taea e koe te kai i te tīmatanga. I te wā e ora ake ana tō pūnaha nakunaku, ka hoatu he wai ki a koe i te tuatahi, kātahi ka whakaurua mārire ki te kai ngohengohe.
- Whakaora tinana: Ka taea e te kaiwhakaora tinana te āwhina i a koe ki te whakahoki mai i te kaha me te hikoi.
I mua i tō hokinga ki te kāinga, ka whakamāramahia e tō tīma hauora me pēhea te tiaki i tō patunga, me pēhea te tango i te rongoā mamae, ngā kai hei kai, me ngā tohutohu katoa me whai e koe.
He aha ngā mōrearea me ngā raruraru o te pokanga?
Pērā i ngā pokanga nui katoa, tera pea ētahi mōrearea me ngā raruraru o te pokanga proctectomy, ā, he mea nui kia mōhio ki aua mōrearea.
| Momo Whakararuraru | Whakaahuatanga |
|---|---|
| Ngā raruraru poto | |
| Mate pāwera | Ka puta pea ngā mate i te wāhi i tapahia ai, i roto rānei i te puku. |
| Te toto | Mena ka nui rawa te toto e puta i a koe i te wā e pokanga ana, i muri rānei i te pokanga, me whiwhi pea koe i te whakawhiti toto. |
| Ngā toto totoka | I muri i te pokanga, ka puta pea ngā toto totoka ki ngā waewae nā te tū roa. Mēnā ka haere ki ngā pukahukahu ( pulmonary embolism ), he mea morearea. |
| Te turuturu i roto i te hononga | Mena ka puta he turuturu ki te wāhi i honoa anō ai te whekau (anastomosis), me mahi anō te pokanga. |
| Ngā raruraru roa | |
| Te ngoikore o te moepuku | Ka taea e te pokanga te kino i ngā io e pā ana ki te mahi moepuku, ka pāngia ai ngā tāne e te ngoikore o te ure, e te anorgasmia rānei i ngā ira e rua. |
| Ngā huringa o ngā nekehanga o te puku | Tērā pea ka pāngia koe e te hiahia nui ki te haere ki te wharepaku, te hiahia ohorere ki te haere ki te wharepaku, te uaua rānei ki te whakahaere i tō puku. |
| Ngā raruraru e pā ana ki te ostomy | Ka puta pea ngā āhuatanga pēnei i ngā raruraru kiri, ngā turuturu, ngā hernia rānei huri noa i te putea ostomy. |
Āhea koe me kōrero ki te tākuta?
Kia tae koe ki te kāinga, he mea nui kia mōhio koe ki ētahi tohu whakatūpato. Ki te kite koe i tētahi o ēnei, waea atu ki tō tākuta tonu.
- Mena he kirika tōu kei te 38 nekehanga Celsius (100.4 Fahrenheit) neke atu rānei.
- Mena kei te kino haere te mamae, kāore rānei e whakaorangia e ngā rongoā whakamamae.
- Mena he whero te wāhi i tapahia, he pupuhi, he puta mai rānei he wai rite ki te pulu.
- Mena he nui rawa te toto e puta mai ana.
- Mena he uaua ki te mimi, ki te kore rānei e puta mai te mimi.
- Te whakapairuaki me te ruaki tonu.
- Te uaua ki te manawa.
- Ki te kite koe i tētahi panonitanga o te mahi a te pēke ostomy (tae, rahi).
Karere Tangohia ki te Kāinga
- He pokanga nui te tango i te pokanga, engari he tikanga tika hei whakaora i tō ora mai i tētahi mate pēnei i te mate pukupuku, hei whakaora rānei i a koe mai i tētahi mate hauora nui.
- He mea tino nui kia whai i ngā tohutohu a te tākuta i mua tonu i te pokanga kia angitu ai te putanga.
- He roa te wā e ora ai. I taua wā, kia manawanui, kia whai i ngā tohutohu a te rata, ā, kia whiwhi i te tautoko a tō whānau.
- He tika tōu ki te kōrero tuwhera ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe.
- He tino angitu ngā hua o ēnei pokanga nā te hangarau pokanga hou. Nō reira, anga atu ki tēnei me te hinengaro pai.
👩🏽⚕️ Ngā Pātai Auau (FAQ) mai i te Tākuta
💬 He aha te pokanga proctectomy?
Ko te proctectomy te tango pokanga i tētahi wāhanga, i te katoa rānei o te rectum, arā, te wāhanga whakamutunga o te whekau nui.
💬 He aha i mahia ai te tango i te pūkahukahu?
He maha ngā take matua mō tēnei pokanga, tae atu ki te mate pukupuku o te kōpū, te mate puku mumura kino (IBD) kāore e taea te whakahaere mā te rongoā, me ngā āhuatanga ira pēnei i te Familial Adenomatous Polyposis (FAP), e whakamahia ana hei ārai i te whanaketanga o te mate pukupuku.
💬 Ka mahia te pokanga tango i te kōpū mō te mate pukupuku o te kōpū?
Ae, ko te take matua me te take tino noa mō te tango i te pūmua ko te mate pukupuku o te rectum. He mea tino nui tēnei pokanga hei tango i ngā pūtau mate pukupuku me te aukati i tō rātou horapa ki ētahi atu wāhanga o te tinana.
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