Me ako tātou mō te Radical Nephrectomy, he pokanga e tango katoa ai i te whatukuhu.

Tērā pea kua kōrerotia e tō tākuta ki a koe, ki tētahi rānei o tō whānau, he pukupuku tākihi tōu, ā, me tango katoa. He mea noa te mataku me te manukanuka ina rongo koe i tēnā. Engari ki te mōhio koe ki ngā kōrero tika mō tēnei, ka tino heke iho taua mataku. I tēnei rā, ka kōrero tātou mō te pokanga e tango katoa ana i te tākihi, e kiia nei ko te 'radical nephrectomy'.

He aha te Nephrectomy Raruraru?

Ki te whakarapopoto, ko te nephrectomy whānui he tango pokanga i tētahi o ō whatukuhu. Ko te tango i te whatukuhu ehara i te mea ko te tango anake engari ko te kiko ngako e karapoti ana. I ētahi wā, me tango hoki te repe adrenal me ngā kōpū lymph e karapoti ana.

Ko te tikanga o "Nephro" ko "whatukuhu." Ko te tikanga o "Ectom" ko "tangohanga." Ahakoa e rua ā tātou whatukuhu, ki te pai te mahi a te whatukuhu kotahi, ka taea e tātou te ora me te kore raruraru.

He aha koe i hiahia ai ki tēnei pokanga?

Ko te take matua mō te tini o te tangata e mahi ana i tēnei pokanga he tango i te pukupuku matepukupuku i roto i te whatukuhu . Heoi, tera pea ka tūtohu tō tākuta i tēnei pokanga mō ētahi atu take.

• Mena ka pāngia koe e ngā mate tākihi i ngā wā maha.
• Mena kāore ō whatukuhu e mahi ana (te ngoikore o te whatukuhu).
• Hei rongoā mō ētahi atu mate tākihi, mō te kino rānei o te tākihi.
• Ki te koha koe i tētahi whatukuhu ki tētahi atu (koha whatukuhu).

He pokanga nui tēnei?

Ae, he pokanga nui te tango i te nephrectomy whānui. Me noho koe ki te hōhipera mō te pō kotahi i muri i te pokanga. Me noho pea koe mō ētahi rā. Engari i ēnei rā, he maha ngā wā ka whakamahia e ngā taote pokanga he huarahi iti rawa te whakaekenga . Ko te tikanga ka mahia mā roto i ētahi tapahi iti, kaua ki te tapahi nui, kia tere ai tō ora me te hoki ki te kāinga.

Me pēhea tā tātou whakarite i mua i te pokanga?

I mua i te pokanga, ka whakahaerehia e tō tākuta ētahi whakamātautau hei whakatau i tō āhua hauora.

• Ngā whakamātautau toto: He mea nui tēnei hei tirotiro i te mahi a ō whatukuhu, hei kimi hoki i tō momo toto. He āwhina pea tēnei mēnā me tuku toto koe i te wā e pokanga ana (engari he tino onge tēnei).
• Whakamātautau tinana: Ka tirohia tō hauora whānui mā te tirotiro i ngā mea pēnei i tō pāmahana, tō pūkahukahu, me tō toto toto tiketike.

Me tino kōrero koe ki tō tākuta mō ēnei mea:

• Ka tonoa koe kia mutu te tango i ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā rongoā whakamamae mamae me ngā huaora ka taea te hoko kore utu), inā koa ngā rongoā whakaiti toto, i mua i te pokanga.
• Mō ngā mate pāwera katoa kei a koe. Arā, he mate pāwera ki ngā rongoā, ki te rapa, ki te iodine, me ērā atu mea, e whakamahia ana hei horoi i te kiri.

Ka whiwhi hoki koe i ngā tohutohu motuhake mō ngā mea hei kai me ngā mea hei inu i mua i te pokanga. I te nuinga o te wā, kāore koe e whakaaetia kia kai, kia inu rānei i tetahi mea mō ētahi haora i mua i te pokanga. Nā te mea mēnā he kai kei roto i tō puku i a koe e noho ana i raro i te mate whakamoe, ka ruaki pea ki roto i ō pukahukahu.

He aha ngā tikanga hei mahi i tēnei pokanga?

E toru ngā huarahi matua e whakahaerehia ai te pokanga tango i te nephrectomy. Mā tō taote pokanga e whakatau ko tēhea te tikanga pai rawa atu māu.

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

Kāore koe e rongo i tetahi mea i te wā e pokangahia ana. Ka hoatu e te tohunga whakamoe te rongoā whakamoe whānui ki a koe, nō reira ka moe pai koe tae noa ki te mutunga o te pokanga. Kia ngaro tō māramatanga, ka whakauruhia e te nēhi he catheter mimi.

I te wā o te pokanga laparoscopic, robotic rānei, ka pupuhihia tō puku e tō tākuta ki te hau waro hauhā. Mā tēnei ka māmā ake te kite i ngā whekau o roto. Ka katihia ngā oko toto e hono ana ki te whatukuhu, ā, ka tangohia marietia te whatukuhu me ētahi atu wāhanga e tika ana. Kātahi ka katihia ngā tapahi ki ngā tuitui.

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

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

I muri i te pokanga, ka haria koe ki te rūma whakaora. I a koe e hoki mārire ana ki te māramatanga, ka aroturukihia tō āhua e te tīma hauora.

• Ka hoatu he rongoā whakamamae hei whakahaere i te mamae.
• Mō te rā tuatahi, e rua rānei, kāore koe e hoatu he kai māu. He wai anake. Kātahi ka taunga haere koe ki te kai noa.
• Ka akiakihia koe kia hikoi i te rā i muri i te pokanga. Mā te hikoi ka tere ake te tukanga whakaora, ā, ka whakaiti i te tūponotanga o ngā raruraru pēnei i te toto totoka me te niumōnia.
• I te nuinga o te wā ka tangohia te katitere mimi i roto i te kotahi rā.

Kia kitea tō hauora kei te pai, ka whakaaetia koe kia hoki ki te kāinga. Me haere tahi koe me tētahi mema o te whānau nā te mea kāore e taea e koe te taraiwa. He mea nui anō hoki kia whai tangata hei tiaki i a koe mō ētahi rā i muri i tō hokinga ki te kāinga.

He pānga taha, he mōrearea rānei kei reira?

Pērā i ngā pokanga katoa, he mōrearea anō hoki tō tēnei pokanga.

• Mate pāwera
• Te toto
• Ngā toto totoka
• Ngā raruraru nā te rongoā whakamoe
• Te whara

He tino onge pea, ka ngoikore te mahi a tō whatukuhu e toe ana, ka pāngia rānei e te mate. Mā tō tākuta koe e kōrero atu mō tēnei.

Kia pēhea te roa o te wā e ora ai i muri i te pokanga?

Ko te roa o te wā whakaora ka whakawhirinaki ki te momo pokanga i mahia ki a koe. Ka tere ake tō ora i muri i te pokanga laparoscopic i muri i te pokanga tuwhera.

I te nuinga o te wā ka taea e koe te hoki ki te mahi, ki te kura rānei i muri i te 4 wiki pea. Heoi, me tatari pea koe mō te 8 ki te 12 wiki i mua i te mahi i tētahi mea uaua, pērā i te hiki taumaha. Mā tō tākuta koe e tohutohu ki te wā tika mōu.

Āhea koe me kōrero ki te tākuta?

I muri i te pokanga, me haere koe ki te whare hauora i ngā rā kua whakaritea kia kite i tō tākuta. Waihoki, mēnā i pokangahia koe mō te mate pukupuku o te whatukuhu, me whai whakamātautau whai muri i a koe, pērā i te matawai CT , kia kitea ai mēnā kua hoki mai te mate pukupuku.

Ki te puta mai tētahi o ēnei tohu i a koe i te kāinga i muri i te pokanga, waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Ohotata (ETU) o te hōhipera.

• Te toto nui mai i ngā motu.
• Ngā tohu o te mate (te haunga kino e puta mai ana i te patunga, te pupuhi kōwhai/kakariki e puta mai ana, te kirika ).
• Te toto i roto i te mimi (hematuria).