I ētahi wā o te ao, me tūtaki tātou ki ngā wero kāore e taea te whakaaro. He mate kino, he taumaha hoki te mate pukupuku tōngāmimi. Nō reira, ki te kī atu tō tākuta me tango tō tōngāmimi mā te pokanga, he mea noa te mataku me te manukanuka. Engari kaua e mataku. I te mea kei te matatau te pūtaiao hauora o ēnei rā, kei reira ngā tikanga hou ka taea te mahi haumaru me te iti o te mamae, ahakoa ngā pokanga nui. I tēnei rā, e kōrero ana tātou mō tētahi tikanga matatau, ko te 'Robotic Cystectomy' te Robotic Cystectomy rānei.
Tuatahi, he aha te Cystectomy?
He ngāwari noa iho, he pokanga te tango i te pūkahukahu hei tango i tō pūkahukahu. Ko te nuinga o te wā ka mahia hei rongoā mō te mate pukupuku pūkahukahu . E rua ngā momo matua.
| Momo pokanga | He aha te mea e mahia ana |
|---|---|
| Te tango katoa (Te tangohanga pūmua nui) | I tēnei tikanga, ka tangohia te pūkahukahu katoa. I runga i te whānuitanga o te matepukupuku me te horapa o te matepukupuku, ka taea hoki te tango i te repe prostate i roto i ngā tāne me te kōpū me ngā ovaries i roto i ngā wāhine. |
| Te tango i te cyste wāhanga | Mena ka herea te mate pukupuku ki tētahi wāhanga o te pūkahukahu, ko taua wāhanga anake ka tangohia. Heoi, i te nuinga o ngā wā o te mate pukupuku, ka tangohia te pūkahukahu katoa (radical cystectomy). |
I roto i te pokanga tuwhera tuku iho, ka mahia tēnei pokanga mā roto i tētahi tapahi nui i te puku. Engari he rerekē te hangarau karetao.
Nā, he aha te tikanga o te tango i te cyst i roto i te pūnaha robotic?
He rite tonu te tango i te Cystectomy Robotic ki te Radical Cystectomy, engari he iti ake te kaha o te pokanga . Arā, kaua e tapahia nui te puku,He torutoru noa ngā tapahi tino iti ka mahia.
Ko te mea nui, i tēnei wā, kāore te pokanga e mahia e te karetao. Mā te taote pokanga mātau e whakahaere te pokanga. Māna e whakahaere ngā ringa o te karetao mā te pūnaha rorohiko motuhake (papatohu pokanga).
Ka taea e ēnei ringa karetao te mahi pokanga i roto i te tinana me te tino tika, te tino tika, me te pumau i te ringa tangata. Hei tāpiri, mā te kāmera toru-ahu teitei (3D) ka taea e te taote pokanga te kite mārama me te whakanui i te roto o te tinana. I roto i te poto, he taputapu tino pai tēnei karetao hei whakarei ake i ngā pūkenga o te taote pokanga.
Me pēhea te mahi i te pokanga taahiraa-i-te-taahiraa
1. Whakamoemiti : Tuatahi, ka whakamoemititia katoatia koe. Ko te tikanga tēnei kāore koe e rongo i tetahi mea i te wā o te pokanga, ka moe hōhonu koe.
2. Te waihanga wāhi: Muri iho, ka whakakīia te puku ki te iti o te hau waro hauhā hei waihanga i tētahi wāhi whakamarie mō te taote pokanga ki te mahi i te pokanga.
3. Ngā tapahi iti: Ināianei, hei utu mō te tapahi nui kotahi, ka mahia kia 4, kia 5 rānei ngā tapahi iti, he torutoru mirimita te roa, ki roto i te puku.
4. Te whakaurunga o ngā taputapu: Mā roto i ēnei tapahi ka whakauruhia ngā taputapu pokanga ātaahua me te kāmera 3D e piri ana ki ngā ringa karetao ki roto i te tinana.
5. Pokanga: Ināianei ka noho te taote pokanga ki te pūnaha rorohiko, ka whakahaere i te ringa karetao kia tangohia marietia, kia tika hoki te mimi, ngā kōpū lymph, me ētahi atu okana mēnā e tika ana.
Me pēhea te putanga mai o te mimi i muri i te tango i te pūkahukahu?
He raruraru nui tēnei mō te tini o te tangata. Kia tangohia katoatia te pūkahukahu, me waihanga he ara hou mō te mimi kia puta mai i ngā whatukuhu ki waho o te tinana. Ka kiia tēnei ko te Whakahoutanga Mimi . Mā tō tākuta e whiriwhiri te tikanga e pai ana māu. E toru ngā tikanga matua.
| Tikanga hanga anō | He whakamārama māmā |
|---|---|
| Te awaawa o Ileal | Ko tāu mahi i konei he tango i tētahi wāhanga iti o tō ake whekau iti ka hono atu ki ngā ureter i tētahi taha, me tētahi pūaha iti (stoma) i hangaia i roto i te kiri o tō puku i tētahi taha. Ka kohia te mimi i roto i tētahi putea motuhake (putea ostomy) e piri ana ki tēnei pūaha. |
| Te whakahurihanga kiri o te whenua | I konei anō hoki, ka whakamahia ngā wāhanga o ngā whekau iti me ngā whekau nui hei hanga i tētahi pēke iti (puna wai) i roto i te tinana hei kohi mimi. E hono ana hoki ki tētahi kōhao iti (stoma) i hangaia ki te mata o te kiri. Engari kāore he pēke o waho. Ka taea e koe te whakawātea i tēnei pēke mā te whakauru i tētahi ngongo iti (catheter) i ētahi wā i te rā. |
| Pūngāwerewere | I tēnei tikanga, ka whakamahia he wāhanga roa o te whekau iti hei hanga i tētahi "pūngoi hou" (Neobladder) i roto i te tinana. Ka honoa tika ki tō urethra. Nō reira ka taea e koe te mimi pērā i mua i te pokanga. Engari me whakaharatau koe i ngā tikanga motuhake, pērā i te whakakīkī i ngā uaua o tō puku. |
He aha ngā painga o te pokanga karetao?
He maha ngā painga o te pokanga karetao ki te pokanga tuwhera tuku iho:
- He iti iho te toto : Nā te iti o ngā motu me te pokanga tairongo, he iti noa iho te toto .
- He iti ake te mamae: Nā te mea he iti ake te mamae i muri i te pokanga, he iti ake te hiahia mō ngā rongoā whakamamae .
- Te whakaiti i te noho hōhipera: Nā te mea ka tere tō ora, ka taea e koe te hoki wawe atu ki te kāinga i te hōhipera.
- Te whakaoranga tere: Ka taea e koe te hoki wawe ki ngā mahi o ia rā.
- Ngā koha iti: Engari ko te koha tapahi nui, he torutoru noa iho ngā koha iti rite ki ngā ira e toe ana.
- Te whai hua mō te tākuta: Mā te kāmera 3D me ngā taputapu ātaahua ka taea e te tākuta te mahi i te pokanga me te tino mārama me te tika.
Kāore he mōrearea me ngā pānga taha?
Pērā i ngā pokanga nui katoa, he mōrearea anō hoki kei tēnei pokanga, engari he onge noa iho ēnei.
- Te toto
- Ngā toto totoka
- Mate pāwera
- Ngā tauhohenga ki te rongoā whakamoe
- Te kino ki ngā whekau o roto
Hei tāpiri, ko te tango i te pūkahukahu ka pā pea ki te mahi moepuku.
- Mō ngā tāne: Nā te mea ka tangohia te repeure me ngā pūwero purapura i te wā pokanga, kāore e puta te putanga o te ure. I ētahi wā, ka uaua pea te whakatū i te ure.
- Mō ngā wāhine: Ki te tangohia tetahi wāhanga o te tara i te wā pokanga, tera pea ka pāngia koe e te mamae i te wā moe tāne. I ētahi wā, ka pāngia pea ngā io e uru ana ki te whakaohooho moe tāne me te orgasm.
Me kōrero whānuitia ō pātai, ō āwangawanga rānei mō tēnei mea ki tō tākuta i mua i te pokanga. Māna e whakamārama ngā mea katoa ki a koe.
Te wā whakaora me ngā mea hei mōhio
Ka rerekē te roa o te whakaoranga i runga i te momo pokanga kua mahia e koe. He tere te whakaoranga i muri i te Robotic Cystectomy. Tērā pea ka pāngia koe e te mamae i te tīmatanga, pērā i te kore hiahia kai me te mate puku. E hia wiki, e hia marama rānei ka tino ora ai koe.
Mena ka pāngia koe e tētahi o ēnei tohu i muri i te pokanga, waea atu ki tō tākuta tonu:
- Ngā tohu o te mate, pērā i te kirika, te makariri, me te wiri
- Te ruaki me te whakapairuaki kāore e taea te whakahaere
- He toto nui, he whero, he pupuhi, he pūkahukahu rānei mai i ngā wāhi pokanga
- Mamae nui e kore e taea te whakahaere me ngā rongoā whakamamae kua tohua
- Te uaua ki te mimi, te kore rānei e mimi me tētahi tikanga mimi hou
I roto i tēnei āhuatanga, he mea tino nui kia whakamōhio tonu atu koe ki tō tākuta, kia haere rānei ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
Karere Tangohia ki te Kāinga
- Ko te Robotic Cystectomy he tikanga pokanga tango mimi matatau, kāore i te tino whakaeke.
- I konei, ehara te pokanga i te mahi a te karetao, engari e te taote pokanga mohio e whakahaere ana i te karetao.
- Ko ngā painga matua ko te iti o te mamae, te iti o te toto, me te tere ake o te ora i te pokanga tuwhera.
- I muri i te tangohanga o te pūkahukahu, ka hangaia he ara hou mō te mimi (te hanga anō i te mimi). Mā tō tākuta tēnei e whakamārama ki a koe.
- Pērā i ngā pokanga katoa, he tūponotanga me ngā pānga taha kei reira. Kaua e wehi ki te kōrero tuwhera ki tō tākuta, me te whakatau i ngā āwangawanga katoa.
te tango i te pukupuku mimi, te tango i te pukupuku mimi, te tango i te pūkahukahu, te mate pukupuku pūkahukahu, te pokanga mimi, te hanga anō i te mimi, te stoma, te neobladder
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