Ina rongo koe i te kupu "pokanga", ka whakaaro tonu koe ki ngā motu nui, ngā rā i noho ai koe i te hōhipera, me te mamae nui i muri i te pokanga? He mea tino noa te whakaaro pēnā. Heoi, nā te whanaketanga whakamiharo o te rongoā hou, kua tino rerekē ngā mea. Whakaarohia he pokanga nui mā te tapahi iti kotahi, ka taea ai e koe te hoki ki te whakamarie o tō kāinga i roto i te rā kotahi, e rua rānei. I tēnei rā, kei te harikoa mātou ki te kōrero mō tēnei hangarau hou, auaha i Nirogi Lanka .
He aha te Pokanga Kotahi-Pou?
I roto i ngā kupu māmā noa iho, he momo pokanga iti rawa te whakaekenga tēnei. Engari i ngā tikanga tuku iho, kotahi noa te tapahi iti ka mahia e tō taote pokanga—hei tauira, i roto i tō puku. Ka whakauruhia he taputapu "awa" motuhake mā roto i tēnei pūwāhi kotahi. Ka tukuna ngā taputapu pokanga katoa, tae atu ki te kāmera whakamāramatanga teitei me ngā taputapu pokanga, mā roto i tēnei pūwāhi urunga kotahi. Ko te mutunga? Kāore he whara nui e toe ana ki a koe.
Ahakoa e whakamahia ana tēnei tikanga puta noa i ngā momo tohungatanga, ko te mea tino whakamahia i roto i te mimi mō ngā tikanga uaua e pā ana ki ngā whatukuhu, te mimi pūkahukahu, me te repeure.
Āwhina karetao—me pēhea te mahi?
Kua whakapai ake i tēnei hangarau mā te whakauru i te hangarau karetao, e mōhiotia ana ko te Pokanga Robotika Kotahi-Port . I roto i tēnei tikanga, ka whakahaerehia e tō taote pokanga tētahi pūnaha karetao matatau. Ko ngā ringa karetao, e arahina tika ana e te taote pokanga, ka whakahaere i ngā taputapu mā roto i taua tapahi iti kotahi hei mahi i te mahi me te tino tika.
Ko te painga matua o tēnei hangarau ko te mahi a te pūnaha karetao i ngā nekehanga me te tino tika me te pumau i te ringa tangata. Hei tāpiri, ka whakaratohia e te kāmera whakauru he tirohanga whānui, mārama hoki o ō whekau o roto. Mā tēnei ka taea e mātou te mahi i ngā pokanga tino uaua me te tino tika me te haumaru. Ahakoa he whanaketanga hou tēnei - e whakamahia ana mai i te tau 2018 pea - he tino angitu ngā hua, e whakarite ana i te tere o te whakaora me te pai ake o te makona o te manawanui ki Nirogi Lanka.
He aha te rerekētanga o tēnei i ētahi atu tikanga pokanga?
He maha ngā huarahi pokanga e wātea ana. Ko te tikanga tino tika māu ka whakatauhia i runga i tō tautuhi haumanu, tō hauora whānui, me te tohungatanga o tō taote pokanga. Me titiro tātou ki ngā rerekētanga i waenga i ngā huarahi matua.
| Tikanga Pokanga | Tapahi me te Mātārae | Mamae me te Whakaora |
|---|---|---|
| Pokanga Tuwhera | Kotahi te tapahi nui e hiahiatia ana. He nui ake te whara o te kiko, ā, he nui ake, he kitea ake te koha. | He nui ake ngā mamae. He roa ake te wā whakaora. He maha ngā rā e noho ai ki te hōhipera. |
| Pokanga Laparoscopic/Robotic Tikanga | E 3-5 ngā tapahi iti e whakamahia ana, ka hua ake he maha ngā koha iti. | He iti ake te mamae, he tere ake te ora ki te whakaritea ki te pokanga tuwhera. |
| Pokanga Robotic Kotahi-Port | Kotahi anake te tapahi iti, kotahi te rahi (tata ki te 2.5 cm). He iti noa te koha, ā, he maha ngā wā kāore e kitea. | He iti noa te mamae. He tere te ora; he maha ngā wā ka taea te tuku i te hōhipera i taua rā anō, i te rā e whai ake nei rānei. |
He aha ngā momo pokanga ka taea te mahi mā te whakamahi i tēnei tikanga?
He maha ngā whakamahinga o tēnei hangarau, ā, ka taea te whakamahi mō te whānuitanga o ngā tikanga puta noa i ngā pūnaha okana, tae atu ki:
- Ngā Tukanga Whawhati: Te tango i ngā whatukuhu (nephrectomy), te nephrectomy kaituku mō ngā whakawhitinga whatukuhu, ngā whakawhitinga whatukuhu, me te hanga anō hei whakatika i ngā aukati i waenga i te whatukuhu me te ureter (pyeloplasty).
- Ngā Tukanga Repeure: Te tango i te repeure (prostatectomy).
- Ngā Tukanga mō te Pūngāwerewere: Te tango i te pūngāwerewere (cystectomy).
Ko wai te kaitono pai rawa atu mō tēnei pokanga?
I te nuinga o te wā, ko te hunga katoa e tika ana mō te pokanga karetao ka taea te tono mō tēnei huarahi kotahi-awa. He mea nui, he maha ngā wā ka noho hei kōwhiringa pai mō ngā tūroro kāore pea e pai mō te pokanga karetao maha-awa tuku iho, pēnei i:
- Ngā tūroro he hītori o ngā pokanga puku maha.
- Ngā tūroro he nui ngā mate pūkahukahu, ngākau rānei, e uaua ana ki te pupuri i ngā tūranga motuhake e hiahiatia ana mō ngā tikanga tuku iho, roa ake.
Hei te mutunga, ka arotakehia e tō taote pokanga tō hauora whānui me te āhua o tō mate hei whakatau i te huarahi tino haumaru me te tino whai hua mōu.
Me pēhea taku whakarite i mua i taku pokanga?
I mua i tō mahi, ka whakamāramahia e tō taote pokanga te tukanga. Hei tāpiri, me whai i ēnei aratohu paerewa:
1. Nohopuku: Kaua e kai, kaua e inu i tetahi mea (tae atu ki te wai) mō te iti rawa 8 hāora i mua i te tikanga. Mena me tango e koe he rongoā nui, me tango noa me te iti o te wai.
2. Kākahu: I te mea ka pāngia pea tō puku e te mamae i muri i te pokanga, mauria he kākahu ngāwari, whakamarie hoki ina haere mai koe ki te hōhipera.
3. Hu: I muri i te whakamoenga, tera pea ka pāngia koe e te whanoke, te koretake rānei. Me mau he hu papatahi, whakamarie, ka taea te paheke.
4. Whakapaipai: Tangohia ngā whakapaipai katoa. Tērā pea kei roto i ngā whakapaipai he huakita, ā, ka nui ake te tūponotanga o te mate i te wāhi i pokangahia.
5. Pane Whakairo: Tangohia katoatia ngā pane whakairo, ngā pane kiriaku rānei. Ehara i te mea ka huna noa ngā huakita i raro i a rātou, engari ka taea hoki e te pane whakairo te whakararuraru i te pūoko oximeter, e ine ana i ngā taumata hāora o tō toto i te wā e pokanga ana.
He aha ngā painga o tēnei pokanga?
Ko tētahi o ngā painga tino whakamiharo ko te āhua o te tinana. Nā te tapahi iti kotahi, he iti noa iho ngā koha, ā, he maha ngā wā kāore e kitea. Hei tāpiri, he iti ake te tūponotanga o ngā raruraru ki te whakaritea ki te pokanga tuwhera.
Ko ētahi atu painga matua ko:
- He kōwhiringa whai hua ahakoa mō ngā tūroro kāore e hiahia ana ki te pokanga laparoscopic tikanga.
- Ko te kaha ki te mahi i ngā tikanga maha mā te tapahi kotahi (hei tauira, te tango i te repeure me te tango hapa i te repeure i te wā kotahi).
- He tino whakaiti i te mamae i muri i te pokanga.
- Te āheinga mō te tukunga i taua rā anō, i te rā e whai ake nei rānei, kia taea ai e koe te hoki wawe ki te kāinga.
- He tere ake te wā whakaora, e āhei ai koe ki te tīmata anō i ō mahi o ia rā i roto i ngā rā torutoru noa iho.
He mea noa te manukanuka mō te pokanga. Heoi, nā te whanaketanga hauora o ēnei rā, kua nui ake te haumaru o ngā mahi pokanga, kua iti ake te mamae, ā, kua tere ake te ora. Tēnā koa, kōrero tuwhera ki tō tākuta mō te huarahi pokanga pai rawa atu mō ō hiahia.
He tūponotanga, he ngoikoretanga rānei kei reira?
Pērā i ngā tikanga pokanga katoa, he tūponotanga kei roto. Ko te wero matua o tēnei tikanga, nā te mea ka whakamahia ngā taputapu pokanga katoa mā te tapahi iti kotahi, me nui te tohungatanga me te tika o te taote pokanga. Nō reira, ki te whakaaro koe ki tēnei momo pokanga, he mea nui kia whiriwhiria he taote pokanga tino mātau, he hōhipera rongonui hoki e mahi tonu ana i ēnei tikanga.
Hei tāpiritanga, kei reira anō ngā mōrearea paerewa e pā ana ki tētahi pokanga, tae atu ki:
- Ngā raruraru e pā ana ki te anesthesia.
- Te mōrearea o te mate.
- Te whara pea ki ngā whekau o roto.
- Ngā uauatanga ki te whakaora patunga.
- Te kohi wai e tata ana ki te wāhi i tapahia (seroma).
- Te toto nui rawa.
Me pātai atu ki tō tākuta mō ngā mōrearea motuhake e pā ana ki tō āhua ake.
He aha te wā whakaora e tumanakohia ana?
I muri i te mahi a te taote pokanga mātau, ka taea e koe te tumanako ka hoki koe ki tō mahi o ia rā i roto i ngā wiki e rua ki te whā . Ka rerekē pea tēnei wātaka i runga i tō mahi. Ahakoa ka hoki pea te hunga noho puku ki te mahi i roto i te wiki, e taunakihia ana kia tangohia he wiki e whā pea te iti rawa mēnā he mahi uaua ki te tinana tō mahi.
I a koe e ora ana, he mea tino nui kia whiwhi tautoko mai i te whānau, i ngā hoa rānei mō ngā mahi o te whare me ngā mahi māra.
| Whakapā atu ki tō tākuta tonu mēnā ka pāngia koe e ēnei tohu i muri i te pokanga | |
|---|---|
| Tohu | Whakaahuatanga |
| Ngā huringa mimi | Te mimi pinepine, te kitea rānei o ngā panonitanga o te tae o te mimi. |
| Pupuhi (Edema) | Te pupuhi i ngā waewae, i te puku o raro, i te mata rānei. |
| Ētahi atu tohu | Te toto toto tiketike tonu, te whakapairuaki, te ruaki tonu rānei, te ngenge rerekē rānei. |
| Mēnā he āhuatanga ohorere: Mēnā ka pāngia koe e te kirika nui, te mamae e kore e taea te whakamanawa, te toto nui, te uaua rānei ki te manawa, haere tonu ki te Tari Ohorere (ER) tata. | |
Ngā Kōrero Matua (Nirogi Lanka)
- He tikanga hou te Pokanga Kotahi-Pou ka mahia mā te tapahi iti kotahi.
- Mā te whakamahinga o te hangarau karetao ka tino tika te mahi me te haumaru, ka iti ake te mamae, ka tere ake te ora, ā, ka iti ake ngā koha.
- He mea nui kia whiriwhiria he taote pokanga tino mātau, me tētahi hōhipera rongonui hoki mō tēnei tikanga.
- Mena kua whakaritea koe mō te pokanga, kōrerohia tēnei tikanga ki tō tākuta kia kite ai mēnā koinei te kōwhiringa tika mō tō āhua haumanu.
- He mea nui te piri pono ki ngā tohutohu a tō tākuta i muri i te pokanga, kia tere ai te ora, kia maeneene hoki.
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