Tērā pea kua kīia atu ki a koe, ki tētahi rānei e mōhio ana koe, e te tākuta me mahi he pokanga e kiia nei ko te 'proctocolectomy'. He mea noa te mataku me te manukanuka ina rongo koe i tēnei kupu. He maha pea ngā pātai kei roto i tōu mahunga, pērā i te "He aha tēnei pokanga? He aha ahau i hiahia ai ki tēnei? Me pēhea tōku ao i muri i tēnei?" Kaua e manukanuka. Me kōrero tātou mō ēnei mea katoa i roto i te huarahi tino māmā, taahiraa-i-te-taahiraa, pērā i tāu kōrero ki tētahi hoa.
He aha te Proctocolectomy?
He pokanga te proctocolectomy e tango ana i tētahi wāhanga, i te katoa rānei o tō whekau nui (koroni) me te rectum.
Nā, me whakamārama ake tātou i tēnei. He wāhanga tō tō tātou pūnaha nakunaku e kiia nei ko te whekau nui. E toru ngā wāhanga o roto: te koroni, te pūhā, me te nono. Whakaarohia he ngongo roa.
- Koronī: Koinei te wāhanga nui rawa atu o tēnei ngongo. I konei ka mimitihia ngā para e toe ana i muri i te nakunaku i te kai e kainga ana e tātou, ā, ka hurihia hei āhua totoka, e kiia nei ko te tūtae.
- Te tō: Koinei te wāhanga poto o te whekau nui e pupuri ana i te paru mō te wā poto i mua i te wehenga atu i te tinana.
- Nono: Koinei te pūaha e puta ai te paru i te tinana.
I roto i te pokanga proctocolectomy, ko te kupu "procto" e pā ana ki te rectum, ā, ko te kupu "colectomy" e pā ana ki te tango i te colon. Nō reira , ko te proctocolectomy he pokanga e tango ana i te colon me te rectum. I ētahi wā, ki te tangohia te colon anake, ka kiia he colectomy. Ki te tangohia te rectum anake, ka kiia he proctectomy. E mārama ana koe ki te rerekētanga?
He aha koe i hiahia ai ki tēnei momo pokanga?
Ka tūtohu noa ngā tākuta i tētahi pokanga nui pēnei mēnā he take nui. Ka mahia tēnei pokanga mēnā he āhuatanga kei roto i te koroni, i te pūkahukahu rānei e aukati ana i te mahi tika o te koroni, o te pūkahukahu rānei, mēnā rānei he āhuatanga mōrearea ki te ora.
Anei ētahi o ngā take matua:
- Ngā Mate Puku Mumura (IBD): Koinei ngā āhuatanga e puta ai te mumura me ngā mate pukupuku mō te wā roa i roto i ngā whekau. Ko te Ulcerative Colitis me te Crohn's Disease ngā tauira matua. Me tango ētahi tāngata i ngā wāhanga mate o ō rātou whekau ina kore e taea te whakahaere mā te rongoā.
- Te mate pukupuku o te repeure me ngā āhuatanga o mua i te mate pukupuku: Ina puta ngā pūtau mate pukupuku i roto i te koroni, i te rectum rānei, ina puta rānei ngā polyp ka taea te huri hei mate pukupuku (ngā āhuatanga pēnei i te Familial Adenomatous Polyposis ), ko te maimoatanga pai ko te tango katoa i ngā wāhi mate.
- Ētahi atu take:
- Ka puta te ischemia ina ngaro te rere o te toto ki te whekau, ā, ka mate te kiko.
- Ngā āhuatanga uaua o te Diverticulitis .
- Te whara kino ki te whekau nā tētahi aituā kino.
- He mate puku kino e kore e taea te whakaora mā te rongoā.
Ko te mea nui ko te mahi o tēnei pokanga hei whakaora i tōu ora, hei hoatu hoki i tētahi oranga pai ake, whakamarie ake hoki mōu.
Me pēhea te haere o te tūtae i muri i te pokanga?
Koinei te pātai nui rawa atu kei roto i te hinengaro o te katoa. I muri i te tangohanga o te koroni me te pūkahukahu, kua kore te ara noa mō te putanga o te paru. Me pēhea te mahi paru?
Ko te whakautu ki tēnei, kei te momo pokanga e mahia ana e koe. Mā tō tākuta e whakatau te momo pokanga e pai ana māu, i runga i tō āhua hauora me te take o te pokanga. Me titiro tātou ki ngā momo.
He aha ngā momo pokanga proctocolectomy?
He maha ngā huarahi hei mahi i tēnei pokanga. Mā tō tākuta e whiriwhiri te tikanga e pai ana māu.
| Momo pokanga | He whakamārama māmā mō ngā mea e tupu ana |
|---|---|
| Te tango i te proctocolectomy me te ileostomy (me te ileostomy) | I tēnei tikanga, ka tangohia katoatia te koroni me te pūrua. Kātahi ka whakaputaina te wāhanga whakamutunga o te whekau iti, e kiia nei ko te ileum , mā te kiri o te puku, ā, ka hangaia he kōhao (stoma). Ka puta te paru mā tēnei kōhao. Ka piri he pēke ki waho. Me mau tonu tēnei e ētahi tāngata, ko ētahi he wā poto noa iho. |
| Proctocolectomy Whakaora me te Pēke Ileoanal (Pokanga whakakapinga) | I tēnei tikanga, ka tangohia hoki te koroni me te pūrua, engari ka waiho te nono ki tōna tūranga. Muri iho, ka hangaia he putea o roto mai i te pito o te whekau iti (ileum). Ka āwhina tēnei putea, pērā i te pūrua taketake, ki te pupuri i te tūtae mō tētahi wā. Kātahi ka honoa tēnei putea ki te nono (ileoanal anastomosis).Mā tēnei ka taea e koe te tūtae i te āhua noa. Ka taea tēnei te mahi mā te pokanga kotahi, e rua rānei. |
| Te Proctocolectomy Waenga Katoa (te tango i tētahi wāhanga) | Ko te tikanga o tēnei ko te waiho i tētahi wāhanga o te koroni, o te pūhā rānei. Hei tauira, ka tangohia e te tikanga a Hartmann te wāhanga whakamutunga o te koroni (sigmoid colon) me te pūhā anake. Mēnā ka oti tēnei, ka taea te hono anō i ngā wāhanga hauora e toe ana o te koroni (anastomosis) , kia taea ai e koe te nekeneke noa i te puku. I ētahi wā ka whakatakotoria he colostomy rangitahi (te whakatuwheratanga o te koroni) kia ora rā anō te patunga. |
Me aha koe i mua i te pokanga?
Mena ehara i te pokanga ohorere, he nui te wā hei whakarite.
- He wiki torutoru i mua: Kōrero ki tō tākuta mō te pokanga, ōna momo, ngā mōrearea, me ngā painga. Pātai atu mēnā he pātai āu.
- E rua wiki i mua: Mena kei te tango koe i ngā rongoā whakaiti toto, ka tohutohu tō tākuta kia mutu, kia whakaiti rānei i aua rongoā. Me ngana hoki kia ora ō puku mā te kai i te nui o te muka me te inu i te nui o te wai i tēnei wā.
- 24 hāora i mua: I te rā i mua i te pokanga, ka whakaritea he whekau hei horoi katoa i ō whekau. Ka whakaaetia noa koe ki te inu i ngā wai mārama, pērā i te wai me te hupa, i taua rā. Tērā pea ka hoatu hoki he rongoā paturopi ki a koe hei ārai i te mate i muri i te pokanga.
He aha ngā mea ka tupu i te wā o te pokanga?
Ina haere koe ki te hōhipera, ka whakakakahuria koe ki tētahi kākahu pokanga. Ka whakaurua he catheter IV ki roto i tō uaua, ā, ka hoatu he tote me ngā rongoā e tika ana ki a koe. Kātahi ka haria koe ki te rūma pokanga.
Ka tukuna koe e te tohunga whakamoe ki raro i te whakamoe whānui. Kāore koe e rongo i tetahi mea i te wā e pokangahia ana. Ka honoa koe ki tētahi mīhini (he mīhini manawa) hei āwhina i a koe ki te manawa.
Pokanga Tuwhera? Pokanga Laparoscopic?
I ēnei rā, ko te nuinga o ngā pokanga proctocolectomy ka mahia mā te laparoscopic . Ko te tikanga, kaua e tapahia nui te puku, ka mahia te pokanga mā roto i ētahi kōhao iti, ka whakauruhia he kāmera me ngā taputapu pokanga iti rawa. Mā tēnei tikanga ka tere ake te ora, ka iti ake te mamae, ka iti ake ngā koha. Heoi, kāore tēnei tikanga e pai mō te katoa. I roto i ngā take uaua, ohorere rānei, me whakamahi te pokanga tuwhera tuku iho.
I te wā o te pokanga, ka ata tangohia e te taote pokanga te koroni me te pūkahukahu kua mate. Kātahi, e ai ki te kōrero i mua ake nei, ka hangaia he ileostomy/colostomy, ka honoa anō rānei ngā whekau (anastomosis).
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, me noho koe ki te hōhipera mō te wiki pea. I tēnei wā, ka āta whakaurua koe ki ngā kai wai, kātahi ka āta whakaurua ki ngā kai mārō.
Mena he ostomy (ileostomy/colostomy) tāu, mā te Wound Ostomy Continence Nurse (WOCN) koe e āwhina. Mā rātou koe e ako i ngā mea katoa e hiahia ana koe ki te mōhio mō te whakamahi i te putea ostomy me te pupuri i tō stoma (te whakatuwheratanga i roto i tō puku) kia ma. Ahakoa he ostomy rangitahi, ka roa pea ētahi marama i mua i te taea e koe te kōrero ki tō tākuta mō ngā mahi e whai ake nei (te tango, te hanga rānei i tētahi putea o roto).
He aha ngā mōrearea me ngā raruraru e pā ana ki tēnei pokanga?
Pērā i ngā pokanga katoa, kei reira ētahi mōrearea, engari he tino onge ēnei.
| Momo raruraru | Ngā mea pea |
|---|---|
| Ngā mōrearea noa o te pokanga | Ngā tauhohenga ki te rongoā whakamoe, te kino o ngā whekau e karapoti ana, te toto nui rawa, me te mate urutā. |
| Ngā raruraru motuhake mō te pokanga | - Te aukati i te puku: Ka taea e te kiko kua whara mai i te pokanga te aukati i ngā puku. - Te kino o ngā io: Ka taea e te pokanga ira te kino i ngā io e pā ana ki te mahi moepuku, ki te mimi rānei. Ka ora tonu ēnei i te roanga o te wā. |
| Ngā raruraru e pā ana ki te Ostomy (Ileostomy/Colostomy) | - Mate pāwera kiri: Ka whero pea te kiri huri noa i te stoma, ka mamae hoki i te pā atu ki te paru. - Ngā panonitanga o te stoma: Tērā pea ka totohu te stoma ki roto mai i te taumata kiri (whakahoki) ka nui rawa rānei te pupū (prolapse). - Phantom Rectum: Ahakoa kua tangohia te rectum, tera pea ka hiahia tonu ētahi tāngata ki te tūtae. Ka memeha haere tēnei i roto i te wā. |
| Ngā Raru e Pā Ana ki te Pēke ā-Roto | - Pōkaitā: Te mumura o roto o te pēke hou. Ka rongoātia tēnei ki ngā paturopi. - Te turuturu ā-roto: He turuturu kei te wāhi o te hononga whekau. He mate onge tēnei engari he kino rawa. - He uauatanga rangitahi ki te whakahaere i te nekehanga o te puku: I ngā wāhanga tōmua, tera pea he uaua ki te whakahaere i te nekehanga o te puku nā te ngoikore o ngā uaua o te hope. Ka pai ake tēnei mā te whakakori tinana me te wā. |
Me pēhea te tiaki i muri i te pokanga?
E hia pea ngā marama ka ora katoa. I tēnei wā, he mea nui kia ata whai i ngā tohutohu a tō tākuta.
- Te tiaki patunga: Mā te tākuta, mā te nēhi rānei koe e ako ki te horoi i te patunga me te whakawhiti i te takai.
- Te tiaki i te stoma: Ka ako koe me pēhea te whakawātea i te putea ostomy i ētahi wā i te rā, me te pupuri hoki i te kiri huri noa i te stoma kia ma.
- Kai: Kia tae koe ki te kāinga i te hōhipera, me whakauru mārire ngā kai mārō. Kaua e kai i te kai nui i te wā kotahi, engari me kai i ngā wāhanga iti i ētahi wā i te rā. Ngaungauhia kia pai tō kai.
- Te wai: He mea tino nui tēnei. Nā te mea kua tangohia te nuinga o tō kōpū, ka iti ake te wai ka mimitihia e tō tinana. Nō reira, he mea nui kia nui te wai me te inu i te roanga o te rā.
Āhea te wā e kite ai i te tākuta
I muri i te hokinga atu ki te kāinga i te pokanga, ki te pā mai tētahi o ngā tohu e whai ake nei ki a koe , waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
- Ko ngā tohu o te aukati puku ko te mate kōroke, te mamae o te puku, te pupuhi, me te whakapairuaki.
- Ngā tohu o tētahi mate hopuhopu pērā i te mamae nui o te puku, te pupuhi, te pupuhi o te wai i te patunga, me te kirika.
He pokanga nui te tango i te wheua i roto i te pokanga. Engari ka taea e ia te āwhina i a koe kia whiwhi i te whakaoranga mai i tētahi mate mō te wā roa, me te whakapai ake i tō kounga o te oranga. Mā te hangarau o ēnei rā, ka taea te hanga i ngā pēke ostomy kia kore e kitea, kia tino whakamarie hoki. Kōrero ki tō tākuta mō ō kōwhiringa, ā, whakatauhia te whakatau e pai ana mōu.
Karere Tangohia ki te Kāinga
- He pokanga whakaora ora te proctocolectomy e tango ana i te koroni me te rectum. He maha ngā wā ka mahia mō ngā mate kino pēnei i te IBD me te mate pukupuku.
- Ka rerekē te tikanga tango i te puku i muri i te pokanga. He maha ngā kōwhiringa pērā i te ileostomy (pēke o waho) me te pēke o roto (pēke o roto).
- Kōrerohia mā te mahorahora ki tō tākuta mō te momo pokanga e tika ana māu, ā, kia whakautua hoki ō pātai katoa.
- He roa te wā e ora ai i muri i te pokanga. I tēnei wā, me ata whai i ngā tohutohu a tō tākuta, inā koa mō te kai me te inu wai.
- Ahakoa te āhua uaua o te noho me te ostomy i te tīmatanga, mā te whakangungu tika me te tautoko tika, ka taea e ia te noho hei wāhanga o te oranga noa.
- Ki te pāngia koe e ētahi tohu rerekē (mamae nui, kirika, whakapairuaki) i muri i te pokanga, rapua tonutia he tohutohu hauora.
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