Kua kīia atu rānei ki a koe, ki tētahi rānei e mōhio ana koe, me tango katoa te whatukuhu? He mea noa te mataku me te manukanuka ina rongo koe i aua kupu. Tērā pea ka puta ake ngā pātai pēnei i te "Me pēhea taku ora me te kore he whatukuhu?". Kaua e manukanuka. Me kōrero tātou mō tēnei pokanga, e kiia nei ko te 'Radical Nephrectomy', i roto i ngā kupu māmā, kia kitea ai ngā whakautu ki ngā pātai katoa kei roto i tō hinengaro.
He aha te Nephrectomy Raruraru?
He mahi pokanga tēnei. I roto i tēnei, ka tangohia katoatia tō whatukuhu. I roto i ngā kupu hauora, ko te tikanga o "nephro" ko "whatukuhu" ā, ko te tikanga o "ectomy" ko "te tango." Nō reira, ko te ingoa te tohu mō tēnā, tika?
Ehara i te mea ko te whatukuhu anake te mea ka tangohia i tēnei pokanga, engari ko te kiko ngako e karapoti ana i a ia. I ētahi wā, me tango hoki te repe adrenal me ngā kōpū lymph e karapoti ana.
Ahakoa he rua ngā whatukuhu o te tini tāngata, ka taea e rātou te ora pai me te kotahi anake te whatukuhu hauora, kāore he raruraru. I roto i te wā, ka paku nui ake, ka kaha ake te whatukuhu e toe ana, ā, ka tīmata ki te mahi i ngā mahi a ngā whatukuhu e rua.
He aha koe i hiahia ai ki tēnei pokanga?
I te nuinga o te wā, ko te take matua mō tēnei pokanga he tango i te pukupuku matepukupuku i roto i te whatukuhu . Heoi anō, tera pea ka tūtohu tō tākuta i tēnei pokanga mō ētahi atu take anō hoki.
- Ngā mate tākihi auau: Ka pāngia ētahi tāngata e ngā mate tākihi auau.
- Te ngoikore o te whatukuhu: Ina mutu te mahi a te whatukuhu nā te mate, nā te aituā rānei.
- Ētahi atu mate tākihi, kino rānei: Nā ētahi atu āhuatanga hauora kāore e taea te whakahaere.
- Te koha whatukuhu: Ka mahia hoki tēnei pokanga ina koha te tangata i tōna whatukuhu hauora ki tētahi atu tangata.
Me pēhea te whakarite i mua i te pokanga?
I te mea he pokanga nui tēnei, me tino whakarite koe i mua.
- Ngā whakamātautau hauora: Ka mahia ngā whakamātautau toto me te mimi hei tirotiro i te mahi a tō whatukuhu. Ka tirohia hoki tō momo toto mēnā me tuku toto koe i te wā pokanga. Ka tirohia hoki tō hauora whānui, pērā i te kirika, te manawa, me te toto toto.
- Ngā Mōhiotanga Rongoā: He mea nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (kua tohua me ngā rongoā kore-tohu), tae atu ki ngā huaora me ngā tāpiringa otaota . Ka taea e ētahi rongoā whakamamae mamae (NSAID) me ngā rongoā whakangawari toto (anticoagulants) te whakanui ake i te mōrearea o te toto i te wā pokanga.
- Mate pāwera: Kōrero mai ki a mātou mō ō mate pāwera. Hei tauira, he mate pāwera ki ētahi rongoā, ki te rapa, ki te iodine rānei e whakamahia ana hei horoi i te kiri.
- Kaua e kai, e inu rānei: 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, tera pea ka ruakihia e koe, ka uru ki roto i ō pukahukahu. He mea morearea tēnei.
He aha ngā tikanga pokanga?
E toru ngā huarahi matua e whakahaerehia ai te pokanga Nephrectomy Radical. Mā tō tākuta e whakatau te tikanga e tino tika ana mōu.
| Tikanga pokanga | Whakaahuatanga |
|---|---|
| Te tangohanga tuwhera o te nephropathy | I tēnei tikanga, ka tapahia kotahi te puku nui e te taote pokanga, tata ki te 12 inihi te roa. Ka whakamahia tēnei tikanga mēnā he tino nui te pukupuku i roto i te whatukuhu, mēnā rānei me tango he maha o ngā kōpū waikura e karapoti ana. |
| Te tangohanga whānui o te nephrectomy Laparoscopic | Koinei te tikanga e whakamahia whānuitia ana i ēnei rā. Engari i te tapahi nui kotahi, ka mahia ētahi tapahi iti (tata ki te 1 henimita) ki te puku, ki te hope rānei. Mā roto i ēnei tapahi ka whakauruhia he taputapu angiangi me te kāmera (laparoscope) me ētahi atu taputapu pokanga, ā, ka mahia te pokanga. |
| Te tango i te nephrectomy rauropi | He rite tēnei ki te tikanga laparoscopic, engari i konei ka whakahaerehia ngā taputapu pokanga e te ringa karetao e whakahaerehia ana e te tākuta. Mā tēnei ka taea te pokanga tino ātaahua, tino tika hoki. |
He aha ngā mea ka tupu i muri i te pokanga?
E toru hāora, neke atu rānei te roa o te pokanga. Kia oti te pokanga, ka whakaarahia koe e te tohunga whakamoe. Engari ka hiamoe koe mō tētahi wā.
Ka haria koe ki te rūma whakaora, ka aroturukitia tō hauora, ā, ka hoatu he rongoā ki a koe hei whakahaere i te mamae.
- Kai: Ko te kai wai anake ka hoatu i te rā tuatahi. Ā muri ake nei, ka taea e koe te kai mārire i te kai noa.
- Hīkoi: E akiakihia ana koe kia hīkoi pakupaku mai i te rā i muri i te pokanga. Mā te hīkoi ka pai ake te rere o te toto, ka tere ake te ora, ā, ka āwhina hoki ki te ārai i ngā raruraru pēnei i te toto totoka i ō waewae.
- Te kātene mimi: Ko te kātene mimi e whakatakotoria ana i te wā o te pokanga ka tangohia i te ata e whai ake nei.
- Te tukunga i te hōhipera: Ka whakaaetia koe kia hoki ki te kāinga ina pai ake tō āhua. Mena i pokanga tuwhera koe, me noho koe ki te hōhipera mō ētahi rā. I muri i te pokanga laparoscopic, ka taea e koe te hoki wawe ki te kāinga. He mea nui kia haere tahi mai tētahi me koe ki te kāinga.
Kia pēhea te roa o te wā e ora ai?
Ko te roa o te whakaoranga ka whakawhirinaki ki te momo pokanga i mahia ki a koe. Ka roa ake te whakaora i te pokanga tuwhera. I te nuinga o te wā, ka roa pea i waenga i te 8 me te 12 wiki hei whakaora katoa me te tīmata anō i ngā mahi pēnei i te hiki taumaha.
Ka taea e koe te hoki ki ngā mahi māmā, pērā i te tari , i roto i te 4 wiki pea . Heoi, ki te mea he mahi uaua ki te tinana, ka roa ake pea. Kōrero ki tō tākuta mō tēnei, kia whiwhi ai koe i ngā tohutohu tika.
Ngā āhuatanga e hiahia ana koe ki te toro atu ki te tākuta tonu
He mea tino nui kia aroturukihia tō āhua i muri i tō hokinga ki te kāinga. Mena kei a koe ētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera.
- Te toto nui rawa atu mai i te patunga pokanga.
- Ko te pupuhi, te whero, te wai kakara kino e puta ana i te patunga, te kirika rānei neke atu i te 37.8 Celsius (100 Fahrenheit) he tohu pea tēnei o te mate.
- Te toto i roto i te mimi (hematuria).
Mena kua pokangahia koe mō te mate pukupuku, ka whakahau tō tākuta i ngā whakamātautau pēnei i te matawai CT me ngā whakamātautau toto me te mimi i ngā wā katoa hei tirotiro mēnā ka hoki mai anō te mate. He mea tino nui kia mahia ēnei whakamātautau i ia wā.
Karere Tangohia ki te Kāinga
- Ko te nephrectomy whānui he pokanga nui e tango katoa ai i te whatukuhu.
- Ko te tikanga o tēnei he rongoā i ngā mate kino pēnei i te mate pukupuku o te whatukuhu.
- Kua whānuitia te whakamahinga o te pokanga laparoscopic (te pokanga e mahia ana mā roto i ngā tapahi iti) ināianei, ā, ka tere ake te ora.
- He tino taea te ora i te oranga hauora, noa iho me te kotahi tō whatukuhu hauora.
- Kōrerotia marietia ki tō tākuta ngā wehi, ngā feaa, ngā pātai rānei e pā ana ki te pokanga. Mā tēnei ka nui te rangimarie o te hinengaro.
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