I ētahi wā ka puta mai ngā wero i roto i te ao kāore i whakaarohia e tātou. Ko te mate pukupuku tōngāmimi tētahi o ngā taumahatanga nui ka taea te taumaha rawa. Mena kua tūtohu tō taote pokanga kia tangohia te tōngāmimi , he mea maori te manukanuka, te āwangawanga rānei. Engari kaua e ngākau pouri. Mā te hangarau hauora matatau o ēnei rā, ka taea te mahi haumaru i ngā pokanga nui, ā, he iti ake te mamae. I tēnei rā, kei te kōrero tātou mō tētahi tikanga matatau e kiia nei ko te Robotic Cystectomy .
Tuatahi, he aha te Cystectomy?
He ngāwari noa iho, he pokanga te tango i te pūkahukahu. Ko te tikanga matua he rongoā mō te mate pukupuku pūkahukahu . E rua ngā momo matua:
| Momo Pokanga | Ngā mea e uru ana ki roto |
|---|---|
| Te tango i te cysteine raruraru | Ka tangohia te pūkahukahu katoa, me ngā kōpū lymph e tata ana. I runga i te horapa o te mate pukupuku, i roto i ngā tāne, ka uru pea te prostate, ā, i roto i ngā wāhine, ka tangohia pea te kōpū me ngā ovaries. |
| Te tango i te cyste wāhanga | Mena kei te kotahi anake te wāhanga o te pūkahukahu e kitea ana te mate pukupuku, ko taua wāhanga anake ka tangohia. Heoi, i te nuinga o ngā mate pukupuku, me tango katoa te pūkahukahu. |
I roto i te pokanga tuwhera tuku iho, ka tapahia he puku nui. Heoi, he rerekē rawa te pokanga karetao.
Nā, he aha te Robotic Cystectomy?
Ko te tango i te pukupuku i roto i te pūnaha karetao he rite tonu ki te tikanga matua kua whakahuatia ake nei, engari he iti ake te kaha o te pokanga ki te tango i te pukupuku. Engari i te tapahi nui kotahi, ka mahia e te taote pokanga ētahi tapahi iti .
Ko te mea nui, ehara i te karetao e mahi ana i te pokanga. Mā tō taote pokanga tino mātau e whakahaere te tikanga, māna e whakahaere ngā ringa karetao mā roto i tētahi papatohu pokanga motuhake.
He nui ake te tika, te pūkenga, me te pumau o ēnei taputapu karetao i tō te ringa tangata. Hei tāpiri, mā te kāmera 3D whakamārama-teitei ka taea e te taote pokanga te tiro i te wāhi pokanga me te tino mārama me te whakanui. Ko te tikanga, he taputapu matatau te karetao e whakarei ake ana i ngā pūkenga o tō taote pokanga.
Tukanga Hipanga-i-te-Taumata
1. Whakamoemiti : Ka noho koe i raro i te whakamoemiti whānui, kia mōhio ai koe kei roto koe i te moe hohonu, ā, kāore koe e mamae i te roanga o te pokanga.
2. Te Waihanga Wāhi: Hei whakarato i tētahi wāhi mahi mārama ki te taote pokanga, ka pupuhi mārire te puku ki te hau waro hauhā.
3. Ngā Tapahi Iti: Engari mō te tapahi nui kotahi, e 4 ki te 5 ngā tapahi iti, he torutoru mirimita noa te roa, ka mahia.
4. Te Whakauru i ngā Taputapu: Ka tukuna ngā taputapu pokanga motuhake me te kāmera 3D mā roto i ēnei tapahi iti.
5. Te Pokanga: I raro i te arataki a te papatohu, ka nekenekehia e te taote pokanga ngā ringa karetao me te tino tika ki te tango i te pūkahukahu, ngā kōpū lymph, me ētahi atu kiko e tika ana.
Me pēhea te tango i te mimi i muri i te tango i te pūkahukahu?
He āwangawanga noa tēnei. Kia tangohia te pūkahukahu, me whai huarahi hou tō tinana ki te penapena me te whakakore i te mimi. Ka kiia tēnei ko te hanga anō i te mimi . Ka matapakihia e tō taote pokanga te kōwhiringa pai rawa atu mō tō āhuatanga. E toru ngā tikanga matua:
| Tikanga Whakahou | Whakamārama Māmā |
|---|---|
| Te awaawa o Ileal | Ka whakamahia he wāhanga iti o tō whekau hei hanga i tētahi ara mō te mimi, ka hono atu ki tētahi pūaha i tō kiri e kiia nei ko te stoma. Ka kohia te mimi ki roto i tētahi pēke o waho (pēke ostomy). |
| Te whakahurihanga kiri o te whenua | Ka hangaia he pēke o roto mai i tētahi wāhanga o tō whekau hei penapena mimi, e hono ana ki tētahi stoma. Kāore he pēke o waho; ka whakamahia he catheter iti hei tango i te pēke i ngā wā maha i te rā. |
| Pūngāwerewere | Ka hangaia he pūkahukahu hou mai i tētahi wāhanga o tō whekau, ka honoa ki tō urethra, kia taea ai e koe te mimi maori. Me ako koe i ngā tikanga, pērā i te whakamahi i ngā uaua o te puku, hei āwhina i te whakawātea i tēnei pūkahukahu hou. |
He aha ngā painga o te pokanga karetao?
Ki te whakatauritea ki te pokanga tuwhera tuku iho, he maha ngā painga mārama o te huarahi karetao:
- He iti ake te toto e ngaro ana : Mā ngā tapahi iti me te whakahaere tika ka iti ake te toto.
- He iti ake te mamae: Tērā pea he iti ake te rongoā mamae e hiahiatia ana i a koe e ora ana.
- Te poto o te noho hōhipera: Ko te tere o te whakaora he tikanga kia tere ake te hoki ki te kāinga.
- Te tere ake o te whakaoranga: Ka taea e koe te hoki wawe ki ō mahi o ia rā.
- Ngā koha iti: Engari ko te koha nui, he torutoru noa ngā tohu iti, ngoikore e toe ana.
- Whakarei ake i te tirohanga: Mā te kāmera 3D ka mārama ake te tirohanga a te taote pokanga i tō te kanohi tahanga.
He tūponotanga me ngā pānga taha kei reira?
Pērā i ngā pokanga nui katoa, he tūponotanga anō kei roto, ahakoa he mea onge ēnei:
- Te toto
- Ngā toto totoka
- Mate pāwera
- Ngā tauhohenga ki te rongoā whakamoe
- Te kino ki ngā whekau o roto e tata ana
Hei tāpiri, ko te tango i te pūkahukahu ka pā ki te mahi moepuku:
- Mō ngā Tāne: Nā te mea he maha ngā wā ka tangohia te repeure me ngā vesicle purapura, kāore e puta te putanga mai o te ure, ā, ka pāngia pea te ure e te ngoikore o te ure.
- Mō ngā Wahine: Ki te tangohia tētahi wāhanga o te tara, ka kore pea e pai te moe tāne, ā, ka pāngia pea ngā io e pā ana ki te whakaohooho ira tangata.
Tēnā koa , kōrerotia ō wehi, ō pātai rānei ki tō tākuta i mua i te pokanga. Kei reira rātou hei whakamārama i ngā mea katoa e hiahiatia ana e koe.
Ngā Tohu Whakaora me ngā Tohu Whakatūpato
Ko te roa o tō whakaoranga ka whakawhirinaki ki te momo pokanga motuhake. Ahakoa e taea ai e te tango i te cyst i roto i te robotic te tere ake o te whakaoranga, tera pea ka ngaro te hiahia kai, ka pāngia rānei koe e te mate puku mō te wā poto. Tērā pea ka roa pea te whakaoranga katoa mō ētahi wiki, mō ētahi marama rānei.
Whakapā atu ki tō tākuta tonu mēnā ka kite koe i ēnei:
- Ngā tohu o te mate, pērā i te kirika, te makariri rānei
- Whakapairuaki, ruaki rānei kāore e taea te whakahaere
- He toto nui, he whero, he pupuhi rānei i ngā wāhi i tapahia
- Te mamae nui kāore e taea te whakahaere e te rongoā kua tohua e koe
- Te uaua ki te mimi, te kore rānei e mahi te ara mimi hou
Mēnā he pēnei te āhua, me whakamōhio tonu atu ki tō tākuta, me rapu rānei i te āwhina hauora i te wāhanga ohorere tata atu.
Karere Tangohia ki te Kāinga
- Ko te tango i te cystectomy robotic he huarahi hou, kāore i te nui te kaha ki te pokanga tango i te mimi.
- Ka whakahaerehia te pokanga e te taote pokanga mohio, mā te whakamahi i te karetao hei taputapu motuhake, tino tika.
- Ko ngā painga ko te iti o te mamae, te iti o te toto e ngaro ana, me te tere ake o te ora ki te whakaritea ki te pokanga tuwhera.
- He wāhanga noa o te tukanga te hanga anō i te mimi; ma tō tākuta e whakamārama pai ō kōwhiringa.
- Ahakoa he rite tonu ngā mōrearea ki ngā pokanga katoa, kaua e tukua kia aukati i a koe ki te kōrero tuwhera ki tō tīma hauora hei whakatika i ō 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
