Kei te wehi koe i te pokanga? Me ako tātou mō te Pokanga Kotahi-Port!

Mā te pokanga, arā, mā te pokanga, ka ngoikore tō tinana, kāore? Ko te wehi nui rawa atu ka puta ake ki te hinengaro ko te mea me tapahi koe i tētahi tapahi nui, me noho ki te hōhipera mō ētahi rā, kātahi ka noho ki te moenga mō ētahi marama tae noa ki te wā e ora ai koe. Ehara i te mea koinā anake, engari he maha ngā tāngata e manukanuka ana mō ngā koha e puta mai ana i taua tapahi nui mō te oranga katoa. Heoi, i tēnei wā o te pūtaiao hauora matatau, ka miharo koe ki te mōhio kei reira ngā huarahi hei whakaiti i taua wehi ki tētahi taumata nui. Koinei tā tātou e kōrero ai i tēnei rā, he hangarau hou, he hangarau whakamiharo.

He aha tēnei pokanga kotahi-awa?

Ki te kī māmā noa, ko te Pokanga Kotahi-Port he tikanga e mahi ana i tētahi pokanga katoa mā te tapahi iti kotahi i roto i te tinana. Ko tēnei tapahi iti ka mahia i roto i tō puku, i ētahi wā i roto i te hope. Heoi, ka rerekē pea te wāhi o tēnei tapahi i runga i te momo pokanga e mahia ana.

Whakaarohia tēnei, he rite ki te tomo ki tētahi whare mā te tatau kotahi, te mahi i ngā mea katoa i roto i te whare, ā, ka puta anō mā te tatau kotahi. Ka whakaurua e te tākuta tētahi taputapu motuhake e kiia nei ko te 'pūnga' mā roto i tēnei tapahi iti. Kātahi ka tukuna ngā taputapu katoa e hiahiatia ana mō te pokanga, pērā i ngā kāmera me ngā kutikuti, ki roto i te tinana mā roto i tēnei pūnga.

E whakamahia ana tēnei tikanga i ēnei rā mō ngā momo pokanga maha. He maha ngā wā ka whakamahia tēnei tikanga e ngā tākuta tohunga, inā koa mō ngā mate e pā ana ki te pūnaha mimi (urology).

Nā, he aha te Pokanga Robotic Kotahi-Port?

Koinei te mea whakamiharo hou o te hangarau. Ko te mea e tupu ana i konei ko te tāpiri i tētahi hangarau karetao motuhake ki te tikanga Single-Port i kōrerohia e tātou i mua ake nei. Engari ko te tākuta te kaiwhakahaere ā-ringa i ngā taputapu, ka whakahaerehia e ia tētahi ringa karetao tino ngāwari mā roto i tētahi pūnaha rorohiko.

Ko te painga o tēnei, ka taea e ēnei ringa karetao te mahi i ngā nekehanga ātaahua, tika hoki e kore e taea e te ringa tangata. Waihoki, ka taea te whakanui ake i ngā wāhanga o roto i te tinana, me te mātakitaki mārama mā te kāmera kaha-teitei. Mā tēnei ka taea te mahi haumaru me te tino tika o te pokanga. I whakamahia tuatahitia tēnei tikanga i te tau 2018. Mai i taua wā, he tino pai ngā hua o ngā tūroro kua pokangahia mā te whakamahi i tēnei tikanga.

He aha te rerekētanga i waenga i tēnei me ētahi atu tikanga pokanga?

He rerekē ngā tikanga mō te mahi pokanga. Ko te tikanga e tino tika ana māu, kei runga i tō āhua, tō hauora whānui, me te wheako o te taote pokanga. Me ngana tātou kia mārama ki ngā rerekētanga o ēnei tikanga.

He aha te momo pokanga e whakamahia ana tēnei tikanga?

Kei te whakamahia tēnei huarahi kotahi-pūnga mō te whānuitanga o ngā pokanga e pā ana ki ngā pūnaha okana rerekē o te tinana. Anei ētahi tauira:

• Ngā pokanga e pā ana ki te whatukuhu:
• Te tango i te whatukuhu (nephrectomy)
• Te tango i tētahi whatukuhu hauora hei koha i te whatukuhu (te tango i te whatukuhu mai i te tākihi)
• Te whakawhitinga whatukuhu
• Te whakatika i ngā ārai i waenganui i te whatukuhu me te ureter (pyeloplasty)
• Ngā pokanga e pā ana ki te prostate:
• Te tango i te repeure
• Ngā pokanga e pā ana ki te pūkahukahu:
• Te tango i te pūkahukahu (cystectomy)

Ko wai ka taea te mahi i tēnei pokanga kotahi-awa?

He pai tēnei tikanga kotahi-tauranga mō te hunga katoa e āhei ana ki te mahi pokanga karetao.

Ko tētahi atu mea motuhake ko te taea o tēnei tikanga te whakamahi e te hunga kāore e tika ana mō te pokanga karetao auau. Hei tauira:

• Ngā tāngata kua maha ngā pokanga puku nui i mua.
• Ngā tāngata he nui ngā mate o te ngākau, o te pukahukahu rānei.

Heoi anō, ko te whakatau whakamutunga mō te tikanga pokanga e pai ana mōu ka mahia e tō taote pokanga, ā, māna e āta tirotiro tō āhua hauora.

Me pēhea te whakarite i mua i te pokanga?

Āe, me titiro tātou me pēhea te whakarite i mua i te pokanga. Mā tō tākuta ēnei mea katoa e whakamārama ki a koe. Anei ētahi mea whānui hei whai:

• Nohopuku: Kāore e taea e koe te kai, te inu rānei i tetahi mea mō te iti rawa i te 8 hāora i mua i te pokanga. Kāore i te tūtohutia kia inu wai noa iho. Heoi, ki te mea me tango e koe tētahi rongoā nui, ka taea e koe te tango me te inu wai. Pātai atu ki tō tākuta mō tēnei, kia tino mōhio ai koe.
• Kākahu: Tērā pea ka pāngia koe e te mamae me te kore whakamarie i te puku i muri i te pokanga. Nō reira, kakahuria he kākahu ngāwari, he kākahu whakamarie . Mauria he hū whakamarie me ngā rekereke iti.
• Kaua e mau whakapaipai: Kaua e mau whakapaipai. Tērā pea kei roto i ngā whakapaipai ngā iroriki, ā, ka pāngia te patunga e te mate.
• Kaua e pania te peita whao: Tangohia te peita whao, ngā whao kiriaku rānei. Tērā pea kei roto i ēnei ngā huakita. I te wā e pokanga ana, ka tāpirihia he taputapu e kiia nei ko te pulse oximeter ki tō maihao. Ka taea e te peita whao te whakararuraru i ngā pānui.

He aha ngā mea ka tupu i te wā e pokangahia ana?

He tino whakamaheretia tēnei tukanga.

1. Whakamoemiti: Tuatahi, ka tukuna koe e te tākuta whakamoemiti ki raro i te whakamoemiti whānui. Ko te tikanga kāore koe e rongo i tetahi mea, ka moe katoa koe.

2. Te tapahi: Kātahi ka tapahia e te taote pokanga te tapahi iti i kōrerotia e tātou i tō puku, i te taha rānei o tō pito.

3. Te whakarite i te wāhi: Muri iho, ka pupuhihia tō kōhao puku ki te hau waro hauhā. Kaua e manukanuka, ka mahia tēnei hei waihanga wāhi mō te taote pokanga kia kite mārama i ngā whekau o roto, me te whakahaere i ngā taputapu.

4. Pokanga: Kātahi ka whakaurua ngā taputapu karetao me te kāmera mā roto i te tapahi iti, ā, ka mahi āta te tākuta i te pokanga me te titiro ki te mata rorohiko.

I te nuinga o te wā, ka roa pea te tukanga katoa i waenga i te rua ki te whā hāora, i runga i te momo pokanga e mahia ana.

He aha ngā painga o te tikanga Pokanga Kotahi-Pūnga?

Ka tino miharo koe ki te pātai atu koe mō ngā painga o tēnei tikanga.

• Tata kore he koha: Nā te mea kotahi noa te tapahi iti, he uaua ki te kimi i tētahi koha i muri i te whakaora.
• He iti ake ngā raruraru: He iti ake te mōrearea o ngā raruraru pēnei i te mate urutā me te toto nui ka puta i ngā pokanga tuwhera auau.
• He iti noa te mamae: E ai ki ngā kōrero a ngā tūroro, he iti iho te mamae e pā ana i muri i tēnei tikanga i ērā atu tikanga.
• Ka taea e koe te hoki wawe ki te kāinga: I ētahi wā, ka taea pea e koe te hoki ki te kāinga i taua ahiahi anō e whakahaerehia ai te pokanga .
• He tino tere te whakaoranga: ka taea e koe te hoki ki ngā mahi o ia rā i roto i ngā rā torutoru.
• Ngā pokanga maha mā te tapahi kotahi: Whakaarohia me tango tō repeure me tētahi wāhanga o tō whatukuhu. I roto i tētahi tikanga tuku iho, me rua ngā pokanga motuhake, me rua rānei ngā tapahi nui. Engari mā te tikanga Kotahi-Port, ka taea te mahi i ngā pokanga e rua i te wā kotahi mā te tapahi iti kotahi .

Kāore he ngoikoretanga, he mōrearea rānei?

Pērā i ngā pokanga katoa, he iti noa iho ngā tūponotanga, engari he iti noa iho.

Ko te wero nui ko te hiahia o tētahi taote pokanga tino pūkenga, tino mātau hoki ki tēnei mahi pokanga. Nā te mea he uaua ake te whakahaere i ngā taputapu katoa i te wāhi kotahi i te pokanga laparoscopic noa. Nō reira, he mea tino nui te whiriwhiri i tētahi hōhipera he pai ngā whare, ā, he tākuta mātau hoki e mahi tonu ana i tēnei momo pokanga.

Hei tāpiritanga, kei reira ētahi mōrearea noa ki tētahi pokanga:

• Ngā tūponotanga e pā ana ki te rongoā whakamoe.
• Te mate urutā.
• Te kino ki tētahi okana o roto.
• Ngā raruraru whakaora patunga.
• Te kohi wai huri noa i te patunga (seroma).
• Te toto.

Mā tō tākuta koe e kōrero atu mō tēnei.

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

Mena ka whakahaerehia tēnei pokanga e te taote pokanga tino mātau, ka taea e koe te hoki ki te oranga noa i roto i te wā poto, pērā i te rua ki te whā wiki .

Engari kia maumahara, he mea nui kia okioki tō tinana i a koe e whakaora ana. Tonoa he mema o te whānau, he hoa rānei hei āwhina i a koe ki ngā mahi taumaha o te whare me te mahi i te māra.

He mea whakamataku te pokanga. Engari nā ngā hangarau hou pēnei i te Pokanga Kotahi-Port, ka taea te whakaiti i taua wehi. He iti noa te kino o te tinana, he tere te ora, ā, he iti ake te mamae. Mēnā kua whakaritea koe mō te pokanga, kōrero ki tō tākuta mō tēnei tikanga. Ka taea e ia te hoatu atu i ētahi atu kōrero mō te kōwhiringa pai rawa atu māu.