Me ako tātou mō te Radical Nephrectomy (te pokanga hei tango katoa i te whatukuhu)?

Ina kī atu tō tākuta me tango katoa tētahi o ō whatukuhu, tera pea ka nui te mataku me te ohorere e pā mai ana ki a koe. "Ka aha ahau mēnā e rua aku whatukuhu, ā, ka tangohia tētahi?" "He pokanga nui tēnei?" He maha pea ō pātai kei roto i tō hinengaro. He mea noa iho tēnā. Nō reira, i tēnei rā, me kōrero tātou mō tēnei pokanga e kiia nei ko te Radical Nephrectomy, kia kitea ai ngā whakautu ki ngā pātai katoa kei roto i tō hinengaro.

He aha te Nephrectomy Raruraru?

Ki te kī ngāwari, he pokanga tēnei hei tango katoa i tētahi o ō whatukuhu. I roto i ngā kupu hauora, ko te tikanga o te "nephro" ko te "whatukuhu." Ko te tikanga o te "ectomy" ko te "tangohanga." Nō reira, ko te nephrectomy ko te tango i tētahi whatukuhu.

I tēnei mahi, ka tangohia e te taote pokanga tō whatukuhu katoa, me te kiko ngako e karapoti ana i a ia. I ētahi wā, me tango hoki te repe adrenal i runga ake i te whatukuhu me ngā kōpū lymph e karapoti ana i te whatukuhu.

He aha koe i hiahia ai ki tēnei momo pokanga?

Ko te take matua mō tēnei pokanga he tango i te pukupuku whatukuhu matepukupuku. Heoi anō, tera pea ka tūtohu tō tākuta i tēnei pokanga mō ētahi atu take.

• Te mate pukupuku tākihi: Ina koa mēnā he nui rawa te mate pukupuku, he tūponotanga rānei kei horapa ki waho o te tākihi.
• Ngā mate pukupuku auau: Mena kua pakaru ngā whatukuhu nā ngā mate pukupuku pumau kāore e taea te whakahaere mā te rongoā.
• Te ngoikore o te whatukuhu: Mena kua hauā rawatia tetahi o ngā whatukuhu nā tētahi aituā, mate, tētahi atu take rānei.
• Te Koha i te Whatukuhu: Mena kei te koha koe i te whatukuhu ki tētahi e arohaina ana e koe.

He pokanga noa tēnei, ā, he mahi noa iho, nō reira kaua e mataku noa iho.

Me pēhea te whakarite mō te pokanga?

I te mea he pokanga nui tēnei, me tino whakarite koe i mua.

1. Ngā whakamātautau hauora:Ka whakahaerehia e tō tākuta ētahi whakamātautau toto i te tuatahi. Mā ēnei ka āwhina ki te whakatau i te mahi taketake o tō whatukuhu me tō momo toto. Mā tēnei ka āwhina koe ki te whai whakaaro ki te pai o te mahi a tō whatukuhu e toe ana i muri i te pokanga. He mea nui hoki kia mōhio koe ki tō momo toto mēnā me tuku toto koe, ahakoa he āhuatanga ohorere. Ka tirohia hoki e rātou tō hauora whānui, pērā i tō pāmahana, tō tere o te manawa, me tō toto toto.

2. Te whakamōhio atu ki te tākuta mō ngā rongoā e tangohia ana e koe: He mea nui kia whakamōhio atu koe ki te tākuta mō ngā rongoā katoa e tangohia ana e koe, ahakoa he rongoā nā te tākuta i tohu , he rongoā mamae kāore e taea te hoko (pēnei i ngā NSAID), he rongoā whakangawari toto (pēnei i ngā rongoā ārai toto), he huaora, he rongoā Ayurvedic, he rongoā otaota rānei. Ka taea e ētahi rongoā te whakanui ake i te mōrearea o te toto i te wā e pokanga ana.

3. Kōrero mai mō ō mate pāwera: Mena he mate pāwera koe ki ētahi rongoā, ki te rapa, ki ngā horoi kiri rānei pērā i te iodine, me kōrero mai koe ki a mātou.

4. Kai me te Inu: Ka hoatu he tohutohu mārama ki a koe mō te maha o ngā hāora me nohopuku koe i mua i te pokanga, me te wā me mutu te inu wai. Mena he kai kei roto i tō puku i a koe e noho ana i raro i te mate whakamoe, ka ruaki pea koe, ā, ka uru pea te kai ki roto i ō pukahukahu. He mea morearea tēnei. Nō reira, me whai i ngā tohutohu kia tika.

He aha ngā tikanga hei mahi i tēnei pokanga?

E toru ngā tikanga matua mō te tango i te nephropathy. Mā tō taote pokanga e whakatau ko tēhea tikanga te mea pai mōu i runga i tō āhua.

He aha ngā mea ka tupu i te wā o te pokanga?

I muri i tō haria ki te rūma pokanga, ka hoatu e te tohunga whakamoe te rongoā whakamoe whānui ki a koe. Ko te tikanga tēnei kāore koe e mamae, ā, ka moe pai koe tae noa ki te mutunga o te pokanga.

I muri i tērā,

• Ka hoatu he catheter mimi ki a koe hei whakawātea i tō pūkahukahu.
• Mēnā he pokanga laparoscopic, he pokanga robotic rānei, ka mahia he torutoru tapahi iti, ā, ka whakakīia te puku ki te iti o te hauhā waro hei hanga āputa i waenganui i ngā whekau.
• Ka āta tapahia e te tākuta ngā oko toto e hono ana ki te whatukuhu, ā, ka tangohia te whatukuhu, te kiko e karapoti ana i a ia, me ētahi atu wāhanga mēnā e tika ana.
• I muri i te pokanga, ka whakatakotoria pea he ngongo iti (he paipa pokanga) hei tango i te wai nui me te toto e kohia ana i roto.
• Hei whakamutunga, ka katihia ngā tapahi ki ngā tuitui, ki ngā here rānei.

E toru hāora, neke atu rānei, te roa o tēnei tukanga katoa.

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

Kia oti te pokanga, ka whakawhitia koe ki te rūma whakaora. Ka tiakina koe e te tīma hauora kia hoki mai tō māramatanga, kia tau hoki tō āhua.

• Te whakahaere mamae: Ina pāngia koe e te mamae, ka hoatu ki a koe te rongoā e tika ana.
• Kai: Ko te kai wai anake ka hoatu mō te rā tuatahi, ngā rā e rua rānei. Kātahi ka tāpirihia mārire te kai noa.
• Hīkoi: Ka akiakihia koe kia hīkoi pakupaku i te rā i muri i te pokanga. Mā te hīkoi ka pai ake te rere o te toto, ā, ka tere ake te ora o ngā patunga. He mea nui anō hoki kia āraihia ngā raruraru pēnei i te toto totoka i ngā waewae me te niumōnia.
• Te Hokinga ki te Kāinga: Kia whakatau te tīma hauora kei te ora koe, ka whakaaetia koe kia hoki ki te kāinga. Nā te mea kāore e taea e koe te taraiwa, tonoa he mema o te whānau, he hoa rānei kia haere tahi me koe. He mea nui kia whai tangata hei tiaki i a koe mō ngā rā tuatahi i muri i tō hokinga ki te kāinga.

Kia pēhea te roa o te wā e ora ai? Ā, ka taea anō te hoki anō ki te mahi kino?

Ko te roa o te wā e ora ai koe, e whakawhirinaki ana ki te momo pokanga i mahia ki a koe. Ahakoa e 8-12 wiki te roa o te pokanga tuwhera, he tere ake te ora i muri i te pokanga laparoscopic. Me karo pea koe i te hiki taumaha me ngā mahi uaua mō tētahi wā.

I te nuinga o te wā ka taea e koe te hoki ki te mahi i roto i te 4 wiki pea. Heoi, ki te mea he mahi uaua ki te tinana tāu, me roa ake pea tō okiokinga. Kōrero ki tō tākuta mō tēnei mea, kia whiwhi tohutohu ai koe.

Mena ka pokangahia koe mō te mate pukupuku whatukuhu, he tino onge te hokinga mai o te mate pukupuku ki tētahi atu wāhanga o te tinana, ki te taha rānei o te wāhi i pokangahia ai. Koia te mea nui kia tirohia tonutia koe i muri i te pokanga.

Āhea te wā e kite ai i te tākuta

I muri i te pokanga, ka whakaritea kia tirohia ō patunga me te tango i ngā tuitui. Mena i pokangahia koe mō te mate pukupuku, me whai whakamātautau koe pērā i te CT scan , te toto me te mimi i ngā wā katoa hei tirotiro mēnā ka hoki mai anō te mate.

Waihoki, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata.