I ētahi wā, ina he raruraru kei tētahi wāhanga o tō tātou whekau, ka tūtohu ngā tākuta kia tangohia taua wāhanga mate e te pokanga. He mea noa te mataku me te manukanuka ina rongo koe mō tētahi pokanga pēnei. Engari ina mārama koe ki tēnei, ka memeha haere taua mataku. Nō reira, i tēnei rā, me kōrero tātou mō ēnei pokanga e tango ana i tētahi wāhanga o te whekau.
He aha te ileocolectomy me te colectomy matau?
Ki te kī ngāwari, e rua ēnei tikanga hei tango i tētahi wāhanga mate o tō pūnaha nakunaku mā te pokanga.
- Ileocolectomy: I tēnei pokanga, ka tapahia te wāhanga whakamutunga o tō whekau iti, te ileum, me te wāhanga tuatahi o tō whekau nui, te koroni piki, ka tangohia.
- Te Korekēmi Matau: I konei, ko te taha matau anake o te whekau nui (te koroni e piki ana) ka tangohia, me te kore e wehe i te ileum o te whekau iti.
Tērā pea kei te whakaaro koe he aha i mahia ai tēnei momo pokanga. He maha ngā take matua mō te mahi i tēnei pokanga.
- Ngā āhuatanga mate pukupuku e puta ana i roto i te whekau.
- Ngā tipu kāore i te matepukupuku .
- Te pupuhi me te mumura i roto i ngā whekau i puta mai i ngā āhuatanga pēnei i te mate a Crohn .
Ko te mea nui rawa atu, me whakatau ngā tākuta ki te mahi i tēnei pokanga i muri i te tirotiro tika i tō āhua, me te whakaū koinei te maimoatanga pai rawa atu māu.
He aha te Laparoscopy?
I mua, i hiahiatia he tapahi nui ki te puku mō tēnei momo pokanga. Engari i nāianei, nā te whanaketanga o te hangarau, ka whakamahia he tikanga e kiia nei ko te laparoscopy hei whakahaere i tēnei pokanga. Ka kiia hoki tēnei ko te "pokanga kōhao kī".
Whakaarohia, kaua e tapahia he tapa nui ki te puku, engari ka tapahia he torutoru tapa iti rawa (pērā i te kōhao kī) ki te puku, ka whakaurua he kāmera me ngā taputapu ngawari ki roto. Ko te tikanga ka iti ake te mamae, ka tere ake te ora, ā, he iti noa iho ngā kōhatu.
Me pēhea te mahi pokanga? E whā ngā mahi matua!
E whā ngā mahi matua o tēnei pokanga. Ka whakamāramahia e au i roto i te huarahi e mārama ai koe.
| Ngā Hipanga | He māmā noa iho te mea ka tupu. |
|---|---|
| Hipanga 1: Te whakauru i te laparoscope | I muri i te whakamoenga, ka tapahia e te taote pokanga he tapahi iti rawa (tata ki te 1/2 inihi) e tata ana ki tō pito. Mā tēnei, ka whakauruhia he taputapu kei roto i te kāmera, e kiia nei ko te laparoscope, ki roto i tō puku. Ka whakaaturia ngā whakaahua mai i tēnei kāmera ki runga i te mata nui (aroturuki) i roto i te rūma pokanga. Kātahi ka mahia kia 5, kia 6 rānei ngā tapahi iti, ā, ka whakauruhia ngā taputapu pokanga e toe ana. |
| Hipanga 2: Te wetewete i te puku | Inaianei me wehe te wāhanga mate o te whekau i te wāhanga hauora. Ka piri te whekau ki te pakitara puku mā te kiriuhi e kiia nei ko te mesentery . Ka haere ngā oko toto matua e tuku toto ana ki te whekau mā roto i tēnei kiriuhi. Ka tapahia marietia e te tākuta ēnei oko toto ka hiritia. Kātahi ka wetekina te wāhanga mate o te whekau i tēnei mesentery. |
| Hipanga 3: Te tango i te wāhanga mate | Nā te mea he tino iti ngā tapahi i te wā o te laparoscopy, ka whakamahia he tikanga motuhake hei tango i te wahi kua tapahia o te whekau. Ka hangaia e te tākuta tētahi o ngā tapahi o mua kia paku nui ake, ā, ka whakaurua he putea motuhake ki roto i te puku mā roto. Kātahi ka whakanohoia te wāhanga mate o te whekau kua tangohia ki roto i tēnei putea, ā, ka tangohia marietia te putea. |
| Hipanga 4: Te hono anō i te puku | I muri i te tango i te wāhanga mate, ka honoa ngā pito e rua o te whekau hauora e toe ana. Ka mahia tēnei mā te whakamahi i tētahi taputapu tātā, i ētahi tuitui rānei ka taea te whakarewa. Ko tēnei tukanga o te hono anō i ngā wāhanga e rua o te whekau ka kiia he anastomosis . Hei whakamutunga, ka horoia pai te kōhao puku, ka tirohia te wāhi hou kua honoa mō ngā turuturu, ā, ka katihia ngā tapahi katoa. |
Kia ako tātou mō te wā whakaora i te kāinga
Ina hoki koe ki te kāinga i muri i te pokanga, he mea tino nui kia tīmata mārire koe i ō mahi o ia rā.
Ko te hikoi te korikori tinana pai rawa atu!
Ae, ka āwhina nui te hikoi i tō tukanga whakaora. Ka whakapakari te hikoi i ngā uaua , ka whakapai ake i te rere o te toto, ā, ka ārai i te toto e pupuhi ana., ā, ka āwhina anō hoki ki te pupuri i te hauora o ōu pūkahukahu . Mena he pai koe ki te whakakorikori tinana i mua i te pokanga, ka taea e koe te tīmata i tō mahi whakakorikori tinana ina pai koe, ā, kua whakaaetia koe e tō tākuta.
Engari kia maumahara! Kāore i te tūtohutia kia mahi i ngā mahi whakakori tinana kaha, te hiki taumaha, me ngā mahi whakakori tinana e pēhi ana i te puku, pērā i te noho-ake, mō ngā wiki e ono i muri i te pokanga.
Kei te pēhea te kai?
Ina tukuna koe ki te kāinga i te hōhipera, ka hoatu he tohutohu mō tētahi kai hei whai māu mō tētahi wā poto. I te nuinga o te wā ka tohutohuhia koe kia whai i tētahi kai ngāwari . Ko te tikanga ka taea e koe te kai i te nuinga o ngā mea engari ko ngā hua me ngā huawhenua mata. Whaia tēnei kai kia tae rā anō koe ki te whare hauora mō tō tirotiro i muri i te pokanga.
He mea nui: Ki te pāngia koe e te mate puku mārō nā tēnei kai, tēnā whakapā atu ki tō tākuta mō ētahi tohutohu. Kaua e rongoā i a koe anō.
Ahakoa he mahi nui te pokanga, mā te mōhiotanga tika me te whai i ngā tohutohu hauora, ka taea e koe te ora wawe me te hoki ki tō oranga o mua.
Karere Tangohia ki te Kāinga
- Ko te ileocolectomy me te colectomy matau e rua ngā tikanga pokanga e tango ana i te wāhanga mate o te koroni. Ka mahia ēnei mō ngā āhuatanga pēnei i te mate pukupuku, ngā pukupuku kore-mate pukupuku, me te mate a Crohn.
- I te nuinga o te wā, ka mahia tēnei pokanga mā te whakamahi i tētahi tikanga "kī kōhao" e kiia nei ko te laparoscopy. Ka iti ake te mamae, ka tere ake hoki te ora.
- Kia tae koe ki te kāinga i muri i te pokanga, tīmata mārire ki te whakakorikori tinana māmā, pērā i te hikoi. Engari karohia te hiki taumaha me te whakakorikori tinana uaua mō ngā wiki e ono.
- Kia tika te whai i ngā tohutohu kai a tō tākuta. Mēnā he raruraru tōu pēnei i te mate puku, kōrero ki tō tākuta.
- Mena he pātai, he feaa rānei āu, kaua e mangere ki te pātai atu ki tō tākuta.
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