Ina kī mai tō tākuta me pokanga koe i te kōpū, he mea noa te mataku me te manukanuka. Ina rongo koe i te ingoa pēnei i te "proctocolectomy," tera pea ka uaua ake. Kaua e manukanuka. He pokanga whakaora ora tēnei ka taea te āwhina i a koe kia pai ake te oranga mā te whakamama i ō tohumate o nāianei. Ka kōrerohia e mātou ngā mea katoa i roto i te huarahi māmā ka taea e koe te mārama.
He aha tonu te Proctocolectomy?
Ki te kī ngāwari, ko te proctocolectomy te tango pokanga i tō koroni me te wāhanga whakamutunga o tō rectum.
Me whakamārama ake tātou i tēnei. He wāhanga roa te whekau nui o tō tātou pūnaha nakunaku, he rite ki te ngongo. E toru ngā wāhanga matua:
1. Koroni: Koinei te wāhanga nui rawa atu. Ka mimiti i te wai mai i ngā para e toe ana mai i te kai e kainga ana e tātou, ka huri hei āhua totoka, e kiia nei ko te tūtae.
2. Te Remu: Koinei te wāhanga poto o te remu e whai ana i te koroni. Koinei te wāhi e rongoatia ai te tūtae mō te wā poto i mua i te whakaputanga.
3. Nono: Te pūaha e puta ai te paru i te tinana.
Nō reira, i roto i te proctocolectomy, ka tangohia te koroni me te rectum, tetahi wāhanga rānei o rāua. Ko te tikanga o "Procto" ko te rectum. Ko te tikanga o "Colectomy" ko te tango i te koroni.
He aha koe i hiahia ai ki tēnei momo pokanga?
He maha ngā take e taea ai te mahi i tētahi pokanga nui pēnei. Ko te take matua he ārai te mate o te whekau i taua wāhanga o te tinana kia mahi tika, he mate rānei e tūpono ana ki te ora.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Ngā Mate Puku Mumura | Mena kei te whara tonu, kei te mumura hoki te roto o te whekau nā ngā āhuatanga pēnei i te Ulcerative Colitis me te mate a Crohn , me mahi pokanga pea mena kāore e taea te whakahaere i te āhuatanga mā te rongoā. |
| Te mate pukupuku o te repeure me ngā āhuatanga o mua i te mate pukupuku | Hei aukati i te horapa o ngā pūtau matepukupuku koroni, i roto rānei i ngā āhuatanga pēnei i te Familial Adenomatous Polyposis (FAP) , he āhuatanga tuku iho e puta ai ngā rau polyp ka nui ake te tūponotanga ka huri hei matepukupuku. |
| Ētahi atu take | Ngā raruraru pēnei i te matenga o te kiko o te puku nā te ngaronga o te rere o te toto (ischemia), te mate kōroke nui, ngā whara kino ki te puku, te diverticulitis rānei. |
Me pēhea te horoi i te toto i muri i te pokanga?
Koinei te pātai nui rawa atu a te tini tāngata. Ina tangohia te koroni me te pūreirei, ka ngaro te ara noa mō te putanga o te paru. Me pēhea te mahi paru? Ko te whakautu ki tēnei kei te momo tangohanga o te paru e mahia ana e koe. Mā tō tākuta e whakatau te tikanga tino tika i runga i tō āhua hauora.
He maha ngā tikanga matua:
1. Tukanga ileostomy
Ko te tikanga o tēnei ko te hono i te wāhanga whakamutunga o tō whekau iti, e kiia nei ko te ileum, ki tētahi kōhao iti (stoma) i hangaia i roto i te kiri o tō puku. Kātahi ka tāpirihia he pēke ostomy ki te kōhao hei kohi paru. Ka taea tēnei te noho pumau, te noho rangitahi rānei . Ka mahia te wā rangitahi kia ora rā anō tō tinana. Ka taea tēnei te whakarerekē ā muri ake nei mā tētahi atu pokanga.
2. Pēke Ileoanal (te waihanga i tētahi pēke o roto)
He tikanga tino whakamere tēnei. Ka kiia hoki ko te Restorative Proctocolectomy. Ka tangohia tētahi wāhanga o tō whekau iti (ileum) ka hangaia he putea iti mai i reira. Whakaarohia he wāhanga hou o tō tinana ka taea te pupuri i tō tūtae mō te wā poto, pērā i tō rectum. Kātahi ka honoa anō te putea ki tō nono. Whai muri i tēnei tikanga, ka taea e koe te haere ki te wharepaku me te tūtae noa i muri i tētahi wā. Ko te tikanga tino noa mō tēnei ko te J-pouch .
3. Te tango i te wāhanga iti o te kiri (me te kore e tangohia tetahi wāhanga)
I tēnei, ka waihotia tētahi wāhanga o te whekau nui. Mēnā ka taea, ka taea te hono anō i te toenga o te whekau ki te nono, ki te toenga rānei o te rectum (anastomosis). Heoi, i ētahi wā, me hanga he kōhao rangitahi ki te puku, me te whakauru i tētahi putea tūtae (colostomy) kia ora rā anō te wāhi hononga.
Ko te mea nui kia kōrerohia e tō tākuta ko tēhea o ēnei tikanga te mea pai mōu. Nō reira, kōrerohia ō pātai, ō āwangawanga rānei ki tō tākuta.
Ngā mea ka tupu i mua, i te wā, me muri i te pokanga
I mua i te pokanga
Mena ehara i te pokanga ohorere, ka whai wā koe ki te whakarite.
- He wiki torutoru i mua i te: Ka whakamāramahia e tō tākuta te pokanga ki a koe, ōna mōrearea, me ō kōwhiringa.
- E rua wiki i mua i te: Mena kei te tango koe i ngā rongoā whakaiti toto, ka kīia atu kia mutu, kia whakaiti rānei i aua rongoā. Ka tohutohuhia koe kia kai i ngā kai muka nui, kia nui hoki te wai e inumia ana.
- 24 hāora i mua i te pokanga: Ka whakaritea he whekau hei horoi katoa i ō whekau. Ka kīia atu hoki kia kai noa koe i ngā wai mō te rā. Tērā pea ka hoatu he rongoā paturopi ki a koe hei ārai i te mate i muri i te pokanga.
I te wā o te pokanga
Ka whakamoea koe i raro i te rongoā whakamoe, kia kore ai koe e rongo i tetahi mea. E rua ngā huarahi matua e taea ai te mahi i te pokanga:
- Pokanga Tuwhera: Ko te tikanga tuku iho, ka mahia mā roto i tētahi tapahi nui i te puku.
- Pokanga Laparoscopic: E mōhiotia ana ko te pokanga "keyhole", ka mahia tēnei mā te hanga i ētahi tapahi iti ki te puku ka whakauru i tētahi kāmera me ngā taputapu ngawari ki roto. Ka tere ake te ora me te iti ake o te mamae i tēnei tikanga.
Kātahi ka tangohia marietia e te taote pokanga te wāhanga mate o te whekau, ka mahia ngā tikanga e tika ana (ileostomy, putea, hononga anō rānei) e ai ki te kōrero i mua ake nei.
I muri i te pokanga
Me noho koe ki te hōhipera mō te wiki pea. I tēnei wā, ka neke haere koe mai i te kai wai ki ngā kai mārō. Mena he ostomy (pēke) tōu, mā te nēhi whakangungu motuhake (WOCN - Wound Ostomy Continence Nurse) koe e ako ki te whakamahi me te pupuri i tō kiri kia ma.
He aha ngā raruraru ka pā mai?
Pērā i ngā pokanga katoa, tera pea ētahi mōrearea me ngā raruraru ka pā mai, engari i te nuinga o te wā he wā poto noa iho ēnei.
| Momo raruraru | Whakaahuatanga |
|---|---|
| Ngā raruraru noa o te pokanga | Ngā tauhohenga ki te rongoā whakamoe, te toto o roto, ngā mate pāwera, te aukati i te puku, me ētahi atu. |
| Ngā raruraru e pā ana ki te ostomy (pēke) | Ngā mate kiri e karapoti ana i te stoma, e urutomo ana, e puta mai ana rānei i te stoma.Tērā pea ka puta he āhuatanga e kiia nei ko te phantom rectum . Koinei te āhua o te hiahia ki te tūtae ahakoa kua tangohia te rectum. Ka iti haere tēnei i roto i te wā. |
| Ngā raruraru e pā ana ki te Pēke Ileoanal (pēke ā-roto) | Te mate pukupuku , te turuturu o te arai, me te kore e taea te pupuri i te tūtae i te wā tōmua. He maha o ēnei ka taea te rongoā. |
He aha ngā āhuatanga ohorere e hiahia ana kia toro atu ki te tākuta?
Ina hoki koe ki te kāinga i muri i te pokanga, ki te pā mai ētahi o ngā tohu e whai ake nei ki a koe, waea atu ki tō tākuta tonu atu , haere rānei ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
- Te pupuhi, te mamae o te puku, te whakapairuaki, me te mate kōroke (he tohu pea ēnei o te aukati whekau).
- Te mamae nui o te puku, te kirika, te pupuhi e puta mai ana i te patunga (he tohu ēnei o te mate pāwera).
Kaua e wareware, ki te mea ka pā mai tētahi mea rerekē ki a koe, kaua e warewaretia. Ko te mea tino haumaru ko te rapu tohutohu hauora.
Karere Tangohia ki te Kāinga
- Ahakoa he pokanga nui te proctocolectomy, ka taea e ia te whakaora i ngā mate morearea, ā, ka taea e koe te noho i tētahi oranga whakamarie ake.
- He rerekē ngā huarahi mō te tūtae i muri i te pokanga. Ko ētahi tāngata me noho me te pēke ostomy, ko ētahi he kōwhiringa anō e āhei ai rātou ki te tūtae noa. Mā tō tākuta e whakatau ko tēhea te mea pai mōu.
- He roa te wā e ora ai. Ka taea e koe te hoki ki te oranga noa i roto i ētahi marama. He mea tino nui kia manawanui koe, kia whai hoki i ngā tohutohu a tō tākuta i tēnei wā.
- Kaua e mangere ki te kōrero i ō mataku, ō ruarua, me ō pātai katoa ki tō tākuta. Ka homai he kaha hinengaro nui ki a koe.
- Ahakoa he uaua te noho me te pēke ostomy i te tīmatanga, ina taunga koe ki tēnei, ka taea e koe te mahi tonu i te āhua noa. He maha ngā taputapu me ngā tikanga e wātea ana i ēnei rā hei āwhina i tēnei.
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