Me ako tātou mō te tango i te cyst i roto i te pūnaha karetao?

Ina kī mai tō tākuta he mate pukupuku tōngāmimi tōu, tō tētahi rānei o tō whānau, tera pea ka tino mataku koe, ka ohorere hoki. Ā, ina kīia atu me pokanga koe hei tango i te tōngāmimi katoa, tera pea ka rua te mataku. He mea noa tēnā. Engari kaua e mataku. Nā te whanaketanga o te rongoā i ēnei rā, kei reira ngā huarahi hei mahi i ngā pokanga nui pēnei i tēnei, he haumaru ake, he iti ake te mamae, ā, he tere ake te ora i mua. I tēnei rā, ka kōrero tātou mō tētahi hangarau tino matatau e whakamahia ana i roto i ēnei momo take, e kiia nei ko te "Robotic Cystectomy."

He aha te tikanga o te Robotic Cystectomy?

He pokanga anō hoki tēnei hei tango i te pūkahukahu. Engari kāore e mahia mā te tapahi nui i te puku pērā i mua. He tikanga tino iti rawa te whakaekenga o tēnei. Ki te kī ngāwari, ka hangaia e te taote pokanga ētahi kōhao iti rawa ki roto i tō puku, ā, ka whakaurua he ringa karetao me te kāmera ki roto i tō tinana mā roto i aua kōhao. Kātahi ka titiro te tākuta ki te mata rorohiko, ā, ka whakahaere i te ringa karetao mā te whakamahi i tētahi papatohu motuhake hei mahi i te pokanga me te tino tika.

E rua ngā huarahi matua e whakahaerehia ai tēnei pokanga:

• Te tango i te cyste wāhanga ā-rorohiko: I roto i tēnei mahi, ko te wāhanga anake o te pūkahukahu kei roto te mate pukupuku ka tangohia.
• Te tango i te pūkahukahu tōngāmimi katoa i roto i te pūnaha karetao: Ko te tango i te pūkahukahu katoa tēnei. He maha ngā wā ka mahia tēnei pokanga mō te mate pukupuku pūkahukahu.

Mā te tākuta koe e whakamārama ko tēhea pokanga te mea pai mōu i runga i tō āhua.

I roto i ēhea āhuatanga ka mahia ai tēnei pokanga?

Ko te mate pukupuku tōngāmimi te take matua mō tēnei pokanga. Heoi, i ētahi wā ka tūtohutia hoki hei rongoā mō ngā mate mimi whānau.

He aha te mea ka tangohia i te wā o te pokanga?

Tuatahi, ka tangohia tō pūkahukahu me ngā kōpū waikura e karapoti ana. Hei tāpiri, i runga i te horapa o te mate pukupuku, me tango pea ētahi o ngā whekau e karapoti ana e pā ana ki te pūnaha whakaputa uri i roto i ngā tāne me ngā wāhine. Ka mahia tēnei hei tango katoa i te mate pukupuku, hei whakaiti hoki i te tūponotanga o tōna hokinga mai.

Me pēhea te whakarite i mua i te pokanga?

I mua i te pokanga, ka tūtaki koe ki te tākuta. Māna koe e whakamārama i ngā taipitopito katoa mō te pokanga, e tiki i tō whakaaetanga, ā, ka tirotirohia tō tinana kia kite ai mēnā kei te ora koe hei mahi i te pokanga.

Me mahara koe ki te kōrero i ēnei mea ki te tākuta:

• Ngā rongoā katoa e tangohia ana e koe. Arā, ko ngā rongoā kua tohua e ngā tākuta, ngā rongoā kore-tohu (OTC), ngā rongoā tuku iho Sinhala, ngā huaora, ngā rongoā Ayurvedic, ngā mea katoa. Nā te mea ka taea e ngā rongoā whakaiti toto pēnei i te aspirin te whakanui ake i te toto i te wā pokanga.
• Kia mahara ki te kōrero mai ki a mātou mō ō mate pāwera . He mate pāwera ki ētahi rongoā, ki ngā horoi kiri (iodine), ki te rapa, me ētahi kai.

Mā te tākuta koe e tohutohu mārama mō te wā me mutu te kai me te inu i mua i te pokanga, me te aha rānei me mutu te tango rongoā.

He karetao tūturu te mahi pokanga?

Kāo. Koinei te wāhi e hē ai te mārama o te tini tāngata. Kāore tēnei pokanga e mahia ana e te karetao.

I tēnei wā, ko te taote pokanga tino whakangungua (Urologist) te rangatira mō te pokanga. He taputapu matatau, he taputapu ngāwari noa iho te karetao e whakamahia ana e te tākuta. Whakaarohia he rite ki te kaitoi mohio e whakamahi ana i te paraihe tino ngāwari hei peita i tētahi pikitia ataahua. Ka hoatu e te karetao ki te tākuta ēnei painga:

• Ka taea te tiro mārama atu i te wāhi pokanga i te 3D , i te whakamāramatanga teitei, me te whakanuia hoki.
• Ka taea e ia te mahi i ngā nekehanga ātaahua, tika, ā, kore e taea e te ringa tangata.

Nō reira, ko te tākuta tonu e mahi ana i te pokanga, ā, ko te karetao he toronga noa iho o ōna ringa.

Te whakahaeretanga o te pokanga me ngā tikanga hou mō te rere o te mimi

Kia tangohia katoatia tō pūkahukahu, me waihanga e koe he ara hou mō te mimi kia puta i tō tinana. Ka kiia tēnei he "Urinary Diversion". Ka whakamahia e te tākuta tētahi wāhanga o tō ake whekau hei waihanga i tēnei ara hou. E toru ngā tikanga matua.

1. Te Ara Wai Ileal:

• He aha te rerekētanga: Ka tangohia tētahi wāhanga o tō ake whekau iti ka hangaia hei ngongo. Ka honoa ngā ureter mai i ngā whatukuhu ki reira. Ka hangaia tētahi pito kia puta mā te kiri o te puku. Ka kiia tēnei he ``(Stoma)``.
• Ka kohia te mimi: Ka tāpirihia he putea ostomy ki waho o tēnei stoma hei kohi mimi. Me whakawātea tonu i tēnei putea.

2. Te Hurihanga Kiri o te Whenua:

• He aha te rerekētanga: I konei anō hoki, ka whakamahia ngā wāhanga o te whekau hei hanga i tētahi putea iti (pūnga wai) hei kohi mimi mai i roto i te tinana. Ka honoa anō hoki ki te kiri o te puku mā te 'stoma'.
• Ka kohia te mimi: Engari kāore koe e hiahia ki tētahi pēke o waho. Ka taea e koe te whakawātea i te pēke ki roto mā te whakauru i tētahi ngongo iti (kātene) i ētahi wā i te rā.

3. Te Whakahoutanga o te Pūngāwerewere Neo:

• He aha te rerekētanga: I roto i tēnei tikanga, ka tangohia hoki tētahi wāhanga roa o te whekau, ā, ka hangaia he hanganga hou rite ki te pūkahukahu e kiia nei ko te "Neobladder". Ka honoa tika atu ki tō urethra.
• Te mimi: Ko te tikanga ka taea e koe te mimi i te āhua noa, pērā i tō mahi i mua i te pokanga. Heoi, i te tuatahi, me whakaharatau koe i ngā mea pēnei i te whakakaha i ngā uaua o tō puku kia mimi ai.

Mā tō tākuta koe e āwhina ki te whiriwhiri i te tikanga e tino pai ana ki a koe i roto i ēnei tikanga e toru.

He aha ngā painga o te pokanga karetao?

He maha ngā painga o te pokanga karetao i ngā pokanga tuwhera tuku iho.

He tūponotanga kei roto i tēnei pokanga?

Pērā i ngā pokanga nui katoa, he tūponotanga kei reira, engari mā ngā hangarau matatau ka taea te whakaiti i ēnei tūponotanga.

• Ngā mōrearea whānui: te toto, te toto totoka, te mate pāwera, ngā tauhohenga ki te rongoā whakamoe (ruaki, ānini).
• Ngā mōrearea motuhake:
• Ngā panonitanga o te mimi: Ka rerekē te āhua o tō mimi i muri i te pokanga. He roa te wā e hiahiatia ana kia taunga koe ki tēnei.
• Ngā pānga taha ā-ira tangata:
• Mō ngā tāne: Ki te tangohia te repe prostate me ngā vesicle seminal, kāore e puta te putanga mai o te ure. Tērā pea ka pāngia ētahi tāne e te ngoikore o te ure.
• Mō ngā wāhine: Ki te tangohia tētahi wāhanga o te tara, ka uaua pea te moe tāne. Tērā pea ka pāngia ngā io e whai wāhi ana ki te whakaohooho me te whakaputa uri.

Kia pēhea te roa o te wā e ora ai, ā, āhea ahau me toro atu ki te tākuta?

Ka roa pea te wā ki te wiki, ki ngā marama rānei kia tino ora ai. He pokanga nui tēnei, nō reira me hoatu he wā ki tō tinana kia ora ai. He mea noa te ngaro o te hiahia kai me ngā huringa o ngā tikanga puku (korere, mate puku) i muri i te pokanga.

Heoi, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu, haere rānei ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.**

• Ngā tohu o te mate urutā, pērā i te kirika, te makariri, me te wiri .
• Kāore e taea te aukatiTe ruaki .
• Te toto nui mai i ngā wāhi pokanga.
• Mena kei te piki haere te mamae, te pupuhi, te rerekētanga rānei o te tae (whero, parauri, mangu) huri noa i te wāhi i tapahia.
• He nui rawa te mamae, ā, kāore e taea e te rongoā i hoatu e te tākuta te whakahaere .
• Mena he uaua ki te mimi , ki te whakaiti rānei te rere o te mimi mā te pūaha hou.