Kua rongo kē koe i tētahi pokanga e tangohia ai tētahi wāhanga o te waewae o te tangata, ā, ka hurihia te toenga o raro kia 180 nekehanga, kātahi ka tāpirihia anō? Tērā pea he ahua rerekē. Engari he tikanga hauora tino nui tēnei e whawhai ana ki ngā mate kino, inā koa ko te mate pukupuku wheua i te waewae, ā, ka kawea mai he tumanako hou ki te oranga o ngā tamariki nohinohi. I tēnei rā, ka kōrero tātou mō tēnei pokanga motuhake e kiia nei ko te Rotationplasty.
He aha te tikanga o te Rotationplasty?
He pokanga motuhake te Rotationplasty e mahia ana hei whakaora i te waewae o te tangata (tikanga whakaora peka). Whakaarohia he mate hauora tō te tangata pērā i te mate pukupuku i roto i te turi me te rohe e karapoti ana. I te nuinga o te wā, ka tapahia te waewae katoa i runga ake i te turi. Engari i roto i te Rotationplasty, he rerekē te mahi.
Ka tangohia tuatahitia e te taote pokanga te wāhanga o te waewae kei roto te mate (ko te nuinga ko te huha o raro, ko te turi, me te waewae o runga). Kātahi ka tangohia te waewae o raro e toe ana, arā, tō pona, tō waewae, me tō pona , ka hurihia kia 180 nekehanga. Kātahi ka honoa anō ki te huha o runga e toe ana.
Tērā pea kei te whakaaro koe, "He aha koe i tahuri ke ai i tēnei?"
Whakaarohia. Ka piko whakamua tō turi. Engari ka piko whakamuri tō pona waewae. Whai muri i tēnei pokanga, ka mahi tō pona waewae hei turi hou māu. Arā, ina hurihia e koe ki muri, ka taea e tō pona waewae te piko whakamua pērā i te turi. Kia mau tonu tō waewae i tēnei ara, ka taea e koe te tāpiri i tētahi waewae hangai ki reira. Kātahi ka mahi tahi te "turi hou" i hangaia mai i tō pona waewae me te waewae hangai, ka taea e koe te hikoi, te oma, me te peke noa.
He mea whakamiharo, ina mau tarau koe, kāore pea koe e kite i te rerekētanga i waenga i ō waewae. Ina noho koe, ina tū rānei koe, ka piko ngā "turi" e rua tetahi ki tetahi.
Ko wai kei te mahi i tēnei pokanga?
Ehara tēnei i te pokanga mō te katoa. He pokanga tino onge tēnei. Ka whakaarohia tēnei pokanga i roto i ēnei āhuatanga e whai ake nei:
- Matepukupuku wheua: Koinei te take matua. Ina puta ngā matepukupuku wheua pērā i te 'Osteosarcoma' me te 'Ewing sarcoma', he mea tino kitea i roto i ngā tamariki me ngā taiohi, i te taha o te turi, ka whakamahia tēnei tikanga hei tango katoa i ngā pūtau matepukupuku. Nā te mea kei te tipu tonu ngā wheua o ngā tamariki , ka tipu tahi ō rātou waewae me ō rātou tinana i muri i te pokanga. Nō reira, he tino ngāwari ki a rātou te urutau ki tēnei.
- Ngā Hapa Whānau: Tērā pea ka whānau mai ētahi tamariki me te āhua kāore e whanake tika te wheua o te huha (Congenital Femoral Deficiency - CFD). I ēnei āhuatanga, ka whakaarohia hoki te Rotationplasty.
- Ētahi atu take:He onge noa iho te mahi i tēnei pokanga mō ngā whara kino, ngā mate urutā rānei kāore e taea te rongoā.
Me pēhea te whakarite i mua i te pokanga?
He whakatau nui tēnei, he maha ngā mea hei whakaaroaro māu i mua i te pokanga.
1. Kia mōhio pai koe: Me mārama koe me tō whānau ki te āhua o tō waewae i muri i te pokanga, te wā whakaora, me te whakaora tinana. Mā tō tākuta tēnei e whakamārama ki a koe, ā, ki te tika, ka whakaaturia atu hoki e ia ki a koe ngā whakaahua, ngā ataata rānei o te hunga kua pokangahia. He mea tino nui kia rite tō hinengaro mō tēnei.
2. Whakamātautau tinana: Ka tirohia e te tākuta mēnā he pai te whānuitanga o te nekehanga o tō hope me tō pona. Ka tirohia anō hoki e ia mēnā kei te tika te mahi a te io matua e haere ana ki tō waewae, te io sciatic. He mea nui tēnei io kia angitu ai te pokanga.
3. Ngā whakamātautau whakaahua: I mua i te pokanga, ka whakahaerehia e te tīma pokanga ngā whakamātautau pēnei i ngā hihi-X, ngā MRI, ngā matawai CT rānei hei ako mārire i te āhua o roto o te waewae me te horapa o te mate pukupuku.
4. Te whakarite mō te takai waewae: I ētahi wā, ka inehia tō waewae i mua i te pokanga, ā, ka hangaia he takai waewae rangitahi (takai waewae) ka taea te whakamahi tonu i muri i te pokanga.
Te rerekētanga i waenga i te pokanga Rotationplasty me ētahi atu kōwhiringa
E rua ngā kōwhiringa matua hei whakakapi mō te Rotationplasty:
- Te tapahi i te waewae i runga ake i te turi me te whakamahi i tētahi peka horihori e tika ana.
- Te tango i te wāhanga matepukupuku me te whakakapi ki ngā wāhanga whakarewa, ki tētahi hononga wheua rānei mai i tētahi atu.
Me titiro tātou ki ngā painga me ngā ngoikoretanga o te pokanga Rotationplasty ina whakaritea ki ēnei tikanga e rua i roto i tēnei ripanga.
| Āhuatanga | Ngā Painga o te Rotationplasty | Ngā ngoikoretanga me ngā mōrearea |
|---|---|---|
| Mahi | Nā te mea ko ō rātou pona waewae te mahi hei turi, he tino kaha te nekehanga me te whakahaere. Ka taea e rātou te oma, te peke, tae atu ki te tākaro hākinakina. | Me whakangungu kia taunga ai te roro me ngā io ki te "turi hou". |
| Te pakari | Nā te mea e whakamahia ana ōu ake kiko, io, me ngā uaua toto, he pakari ake, ā, he iti ake te hiahia ki ētahi atu pokanga. | He tūponotanga kei roa te hononga i te wā e ora ana. |
| Āhua | Ahakoa kāore he rerekētanga ina mau tarau, he mea tēnei i mahia hei whakapai ake i te mahi. | Koinei te ngoikoretanga matua. Kua hurihia te waewae ki muri, nō reira he rerekē te āhua. He roa te wā e whakaaetia ai e te hinengaro. |
| Ngā raruraru | Ka karohia ngā raruraru pēnei i te "mamae o te peka wairua" (te ahua e mamae ana te waewae ngaro) e puta ana ina tapahia te waewae. | He tino uaua te pokanga. He tūponotanga kei te ischemia, te kino o ngā io, me te mate pāwera. |
He pēhea te wā whakaora?
He pokanga nui tēnei, nō reira ka roa te wā e ora ai.
- E toru ki te ono marama pea te roa o te ora o ngā wheua e rua. Mena kei te rongoatia koe ki te mate pukupuku pēnei i te 'Chemotherapy', ka roa ake te ora.
- I tēnei wā, me whakamahi koe i te tūru wīra, i te tokotoko rānei.
- Kia ora te koha, kia memeha hoki te pupuhi, ka taea te mau i te prosthesis.
- He wāhanga tino nui o tēnei haerenga te whakaora tinana . Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana hei whakapakari me te piko i tō hope me tō "turi hou" (pona waewae). Koinei te wāhi ka taunga tō roro ki tēnei nekehanga hou.
Ka tere ake te urutau o ngā tamariki ki tēnei āhuatanga i ngā pakeke. Engari i roto i ngā marama 6-12, ka tīmata te nuinga ki te hikoi me te kore tautoko. Ka tae rātou ki te wāhi ka taea e rātou te whai wāhi ki ngā mahi katoa e pai ana ki a rātou, tae atu ki ngā hākinakina.
He tino uaua, he tino mokemoke hoki te whakatau i tētahi whakatau pēnei i te Rotationplasty. Nā te mea kua pāngia pea tētahi e mōhio ana koe e tētahi mea pēnei, ā, kua ngaro. Engari i ēnei rā, mā te pāpāho pāpori, ka whai wāhi koe ki te kimi i ngā tāngata kua pokangahia, ki te whakarongo ki ā rātou kōrero, ki te kite i tā rātou tākaro hākinakina, me te noho noa i ngā oranga noa. Ko te kite i ngā mea pēnei he kaha nui ki te whakatau i tēnei whakatau.
Karere Tangohia ki te Kāinga
- He pokanga onge engari he angitu te Rotationplasty hei whakaora i te waewae. He kōwhiringa pai tēnei, inā koa mō te mate pukupuku wheua i roto i ngā tamariki.
- Ka hurihia te pona waewae o te tūroro hei turi mahi, ka nui ake te nekenekehanga me te mahi.
- Ko te mea nui hei whakaaroaro ko te panoni o te āhua o te waewae i muri i te pokanga, engari he tino teitei ngā painga mahi.
- He whakatau whaiaro, he whakatau uaua hoki tēnei, nō reira he mea nui kia kōrero hōhonu atu koe ki tō tākuta mō ngā painga, ngā huakore, me ngā mōrearea katoa i mua i te whakatau kia pokangahia.
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