Ina whakaaro tātou ki tētahi pokanga , ka whakaaro tātou ki tētahi tapahi nui, ki ētahi rā i te hōhipera, me te mamae e puta mai ana i muri mai, tika? He tika taua wehi. Engari nā te whanaketanga o te pūtaiao hauora, kua tino rerekē tēnei āhuatanga. Whakaarohia mēnā ka taea e koe te tapahi i tētahi tapahi iti noa iho i roto i tō puku, ka oti te pokanga katoa, ā, ka hoki ki te kāinga i roto i te rā, i ngā rā e rua rānei? Koinei te hangarau hou me te hangarau whakamiharo ka kōrerohia e tātou i tēnei rā.
He aha te Pokanga Kotahi-Pou?
He whakarāpopototanga noa iho tēnei, he pokanga iti rawa te whakaekenga. I konei, kotahi noa te tapahi iti a te taote pokanga i roto i tō tinana, hei tauira i te puku. Kātahi ka whakaurua he taputapu motuhake e kiia nei ko te 'port' mā roto i taua tapahi. Ko ngā taputapu katoa e hiahiatia ana mō te pokanga , pērā i te kāmera me te forceps, ka whakaurua mā roto i taua kōhao iti. Ko te tikanga o tēnei, kāore he koha nui e toe ana.
Ahakoa e whakamahia ana tēnei tikanga mō ngā momo pokanga, ko te mea tino whakamahia i roto i te mimi, inā koa mō ngā pokanga i ngā whekau pēnei i ngā whatukuhu, te mimi pūkahukahu, me te repeure.
He karetao hei āwhina? He aha rā tēnā?
Āe, kua whanakehia ake tēnei hangarau, ā, kei roto i tēnei wā te āwhina a tētahi karetao. Ko tōna ingoa ko te Pokanga Robotika Kotahi-Port . Ko te mea e tupu ana i konei ko te taote pokanga e whakahaere ana i tētahi karetao. Ka whakahaerehia e tēnei karetao ngā taputapu i whakaurua mā roto i taua kōhao iti.
Ko te painga o tēnei, ka taea e te karetao te mahi i ngā nekehanga tino tika, tino pumau hoki i te ringa tangata. Waihoki, ka taea e te kāmera i roto te whakanui ake i ngā okana, me te kite mārama i a rātou. Mā tēnei ka taea te mahi tika me te haumaru ahakoa ngā pokanga tino uaua. Ahakoa he hangarau hou tēnei kua whakamahia mai i te tau 2018 pea, he tino angitu ngā hua. Ka tere te ora o ngā tūroro, ā, he nui hoki ō rātou harikoa.
He aha te rerekētanga o tēnei i ētahi atu tikanga pokanga?
He maha ngā tikanga pokanga. Ko te tikanga e pai ana māu ka whakawhirinaki ki tō āhua, ki tō hauora, me te wheako o te taote pokanga. Me titiro tātou ki ngā rerekētanga matua i waenga i ngā tikanga.
| Tikanga pokanga | Ngā motu me ngā whara | Te mamae me te whakaora |
|---|---|---|
| Pokanga Tuwhera | Ka tapahia he wahi nui. He nui te kino o te kiko. Ka waiho he koha nui. | He nui rawa te mamae. He roa te wā e ora ai. Me noho koe ki te hōhipera mō ētahi rā. |
| Pokanga Laparoscopic/Roboti Tuku Iho | E 3-5, neke atu rānei, ngā tapahi iti ka mahia. Ka toe mai ētahi koha iti. | He iti ake te mamae, he tere ake te ora. |
| Pokanga Robotic Kotahi-Port | Kotahi anake te tapahi iti (tata ki te 2.5 cm). He tino iti te koha, kāore e kitea i ētahi wā. | He iti noa te mamae. He tino tere te ora. He maha ngā wā ka taea e koe te hoki ki te kāinga i taua rā anō, i te rā e whai ake nei rānei. |
He aha ngā momo pokanga ka taea te mahi mā tēnei tikanga?
Ka taea te whakamahi i tēnei hangarau hei mahi i te whānuitanga o ngā pokanga i ngā pūnaha okana rerekē. Anei ētahi tauira:
- Ngā pokanga e pā ana ki te whatukuhu: te tango i te whatukuhu (nephrectomy), te tango i te whatukuhu mai i tētahi tangata hauora hei koha (donor nephrectomy), te whakawhitinga whatukuhu, me te tango i ngā mea e ārai ana i waenganui i te whatukuhu me te ureter (pyeloplasty).
- Pokanga repeure: Tangohia te repeure.
- Pokanga tōngāmimi: tango i te pūkahukahu.
Ko wai te tangata e tino tika ana mō tēnei pokanga?
He pai tēnei tikanga pokanga kotahi-tapa mō te hunga katoa e āhei ana ki te pokanga karetao. Ko te mea motuhake, he kōwhiringa pai pea tēnei mō te hunga kāore e taea te mahi pokanga karetao tuku iho. Hei tauira:
- Mō te hunga kua maha ngā pokanga puku nui i mua.
- Ko te hunga he mate pūkahukahu, he mate ngākau kino rānei, e uaua ai te noho ki tētahi tūranga motuhake i te wā e pokanga ana.
Heoi, mā tō tākuta e whakatau ko tēhea tikanga te mea pai mōu, me te whakaaro ki tō āhua hauora whānui me te kaha o tō mate.
Me pēhea taku whakarite i mua i te pokanga?
I mua i te pokanga, ka whakamāramahia e tō tākuta te tikanga ki a koe. Hei tāpiri, me whai tonu koe i ēnei tohutohu:
1. Kaua e kai, kaua e inu: Kaua e kai, kaua hoki e inu i tetahi mea (ahakoa he wai) mō te iti rawa 8 hāora i mua i te pokanga. Mena me tango e koe tetahi rongoā nui, me inu tahi me te wai.
2. Kākahu: Tērā pea ka pāngia koe e te mamae o tō puku me te kore whakamarie i muri i te pokanga, nō reira mauria he kākahu ngāwari, whakamarie hoki ina tae koe ki te kāinga.
3. Hu: Tērā pea ka pōuri koe, ka kore rānei e pai te haere i muri i te rongoā whakamoe, nō reira mauria mai he takirua hu iti-rekereke, he pai hoki.
4. Whakapaipai: Kaua e mau whakapaipai. Ka taea e ngā whakapaipai te pupuri i ngā iroriki, ka piki ake te tūponotanga o te mate ki te wāhi i tapahia.
5. Pane whao: Tangohia te pane whao, ngā whao kiriaku rānei. Ka taea e ngā huakita kua mau i raro i te pane whao te whakararuraru i ngā mate. Waihoki, ka taea e te pane whao te whakararuraru i te pulse 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 matua me te tino ātaahua o tēnei tikanga ko te koha. Nā te mea kotahi anake te tapahi iti, he tino iti te koha, i ētahi wā kāore e kitea. He iti ake hoki te mōrearea o ngā raruraru i te pokanga tuwhera.
Ko ētahi atu painga ko:
- He kōwhiringa pai tēnei ahakoa mō te hunga kāore e tika ana mō te pokanga laparoscopic tuku iho.
- Ko te kaha ki te mahi i ngā pokanga maha i te wā kotahi mā te tapahi kotahi. Hei tauira, ka taea te tango i te repe prostate me tetahi wāhanga o te whatukuhu i te pokanga kotahi.
- He iti noa iho te mamae i muri i te pokanga.
- He maha ngā wā ka taea e koe te hoki ki te kāinga i taua rā anō, i te rā rānei i muri i te pokanga .
- He tino tere te whakaoranga, ā, ka taea e koe te hoki ki ō mahi o ia rā i roto i ngā rā torutoru.
He mea whakamataku pea te pokanga. Engari nā te hangarau hou, kua nui ake te haumaru o te pokanga, kua iti ake te mamae, ā, kua tere ake te ora mai i te. Kaua e wehi ki te kōrero ki tō tākuta mō te kōwhiringa pai rawa atu māu.
He ngoikoretanga, he mōrearea rānei kei reira?
Pērā i ngā pokanga katoa, he tūponotanga kei reira. Engari ko te wero nui ko te mea ka whakamahia ngā taputapu katoa mā te tapahi kotahi, me tino pūkenga, me tino wheako hoki te taote pokanga. Nō reira, ki te mea ka pokanga koe i tēnei momo pokanga, he mea tino nui kia whiriwhiria he taote pokanga me te hōhipera mātau e mahi ana i ēnei tikanga i ia wā.
Hei tāpiritanga, kei reira ētahi mōrearea noa mō ngā pokanga katoa:
- 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 wāhi i tapahia (seroma).
- Te toto nui.
Pātai atu ki tō tākuta mēnā he mōrearea anō kei roto i te pokanga e pā ana ki a koe.
Kia pēhea te roa e ora ai?
I muri i te mahi a te taote pokanga mātau i tēnei pokanga, ka taea e koe te hoki ki tō oranga noa i roto i te rua ki te whā wiki . Ka rerekē pea tēnei i runga i tō mahi. Ahakoa ka taea e te tangata e mahi ana i te tari te hoki ki te mahi i roto i te wiki, ki te mea he mahi uaua tō tinana, he pai ake te okioki mō te iti rawa i te whā wiki.
He mea tino nui kia rapu āwhina koe i tētahi mema o te whānau, i tētahi hoa rānei mō ngā mahi o te whare me te māra i a koe e ora ana.
| Ki te pāngia koe e ēnei tohu i muri i te pokanga, me toro atu ki te tākuta tonu. | |
|---|---|
| Tohu | Whakaahuatanga |
| Ngā huringa o te mimi | Te mimi pinepine, te huri i te tae o te mimi. |
| Te pupuhi o te tinana (edema) | Te pupuhi o ngā waewae, te puku, te mata rānei. |
| Ētahi atu āhuatanga | Te piki haere tonu o te toto totoka, te whakapairuaki, te ruaki rānei, me te ahua ngoikore. |
| Mēnā he āhuatanga ohorere: Mēnā he kirika nui, he mamae e kore e taea te manawanui, he toto nui, he uaua ki te manawa, me ētahi atu, haere tonu ki te Tari Ohorere (ETU) o te hōhipera tata. | |
Karere Tangohia ki te Kāinga
- Ko te Pokanga Kotahi-Pou he tikanga pokanga hou e mahia ana mā te tapahi iti kotahi anake.
- Nā te mea e whakamahia ana te hangarau karetao, he tino tika, he haumaru hoki te pokanga. He iti ake te mamae, he tere ake te ora, ā, he iti noa ngā koha.
- He mea tino nui te whiriwhiri i tētahi taote pokanga me tētahi hōhipera tino mātau mō tēnei pokanga.
- Mena kua whakaritea kia pokanga koe, kōrero ki tō tākuta kia mōhio ai koe ki ngā taipitopito katoa mō te tika o tēnei tikanga māu.
- He mea nui te whai i ngā tohutohu hauora i muri i te pokanga kia tere ai te ora.
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