Me tango atu anō hoki tētahi wāhanga o tō whekau iti? Me kōrero tātou mō tēnei pokanga (Te Tango i te Whekau Iti)!

I ētahi wā, kāore ētahi o ā tātou mate puku e memeha noa iho mā te rongoā, tika? I ēnei wā, ka mea ngā tākuta me tango te wāhanga mate o te whekau. He mea noa te mataku me te manukanuka ina rongo koe i tēnei. He mea tika kia whakaaro, "Āe, he aha te mea ka pā ki ahau mēnā ka tangohia tetahi wāhanga o taku whekau?" Nō reira, i tēnei rā, me kōrero tātou mō tēnei pokanga whekau iti, e kiia nei i roto i te rongoā ko te 'Small Bowel Resection', he mārama, he māmā hoki.

He aha te tango i te puku iti?

He whakarāpopototanga tēnei, arā, ko te tango i tētahi wāhanga kua pakaru, kua mate, kua kore rānei e mahi tika o tō whekau iti mā te pokanga. Ko ētahi pokanga he wāhanga iti noa iho e tangohia ana, engari i ētahi wā ka tangohia pea tētahi wāhanga nui ake.

Tērā pea kei te whakaaro koe, "Me pēhea taku oranga mēnā ka tangohia tetahi wāhanga o taku whekau?" Whakaarohia pēnei, ko tō tātou whekau iti he okana e 20-30 putu te roa . He rite ki te ngongo roa e takai ana ki roto i te puku. Ko tana mahi matua he mimiti i ngā matūkai e hiahiatia ana e te tinana mai i te kai e kainga ana e tātou. Nō reira, ko te tango i tetahi wāhanga iti o taua whekau roa kāore e nui te pānga ki tana mahi. Ka taunga tō tātou tinana ki tēnei.

Ko wai e hiahia ana ki tēnei pokanga? Mō ēhea momo mate?

Ko te tikanga, ka mahia tēnei pokanga ki te hunga he mate puku kino tō rātou. Ka tūtohu ngā tākuta i tēnei pokanga ina kore e taea te whakaora i te mate mā te rongoā anake. Me titiro tātou ki aua mate.

He aha ngā tikanga pokanga?

E toru ngā tikanga matua e whakamahia ana e ngā tākuta hei mahi i tēnei pokanga. Ka whiriwhiria te tikanga tino tika i runga i tō āhua.

Me pēhea te whakarite i mua i te pokanga?

Mena ehara i te pokanga ohorere, he torutoru ngā rā hei whakarite mō te pokanga.

• Ngā whakamātautau: Ka mahia ngā whakamātautau toto, ngā whakamātautau mimi, me ngā karapa hei tirotiro mēnā ka taea e koe te aro atu ki te pokanga.
• Te whakamutu i te rongoā: Mena kei te tango koe i ngā rongoā whakaiti toto (pēnei i te aspirin) me ētahi rongoā whakamamae mamae rānei, me whakamutu pea e koe te tango i aua rongoā mō ētahi rā, e ai ki ngā tohutohu a tō tākuta.
• Te horoi i te koroni: Me horoi rawa te koroni i mua i te pokanga. Ka tonoa koe kia kai i ngā kai muka nui, me te inu i te nui o te wai mō ētahi rā i mua i te pokanga. Ka tonoa koe kia whakawhāiti i tō kai ki ngā wai i a koe e tata ana ki te pokanga. I ētahi wā, ka hoatu pea he rongoā whakamāmā , he enema rānei hei āwhina i te nekeneke o ō whekau. Ka mahia ēnei katoa kia haumaru ai te pokanga.

He aha ngā mea ka tupu i te wā o te pokanga, ā, i muri hoki i te pokanga?

I te wā o te pokanga, ka tukuna he rongoā whakamoe whānui ki a koe, kia kore ai koe e rongo i tetahi mea, ka moe hōhonu koe. Ka tapahia e te tākuta he wahi e ai ki te tikanga i whiriwhiria, ā, ka tae atu ki te wāhanga kua pakaru o te whekau. Kātahi, mā te whakamahi i ngā taputapu motuhake, ka hopukia e ia te wāhanga i ngā taha e rua ka tapahia.

Kātahi ka tae mai te wāhanga nui. Inaianei kua rua ō pito hauora o te whekau, tika? Mā tāu mahi e whai ake nei e whakatau tō heke mai. E rua ngā kōwhiringa matua i konei.

1. Te hono anō i ngā wāhanga e rua o te whekau (Anastomosis)

Koinei te tikanga tino noa. Pērā i te hono anō i tētahi paipa pakaru, ka honoa anō ngā pito e rua o te whekau hauora mā te whakamahi i ngā tuitui, i ngā tīpene rānei . Kia angitu tēnei, ka tīmata anō tō pūnaha nakunaku ki te mahi i te āhua noa.

2. Ileostomy

I ētahi wā, kāore pea ngā wāhanga hauora e toe ana o te whekau e roa rawa hei hono. Mēnā rānei he mate, he tino mōrearea te hono i a rātou katoa i te wā kotahi. Mēnā he pēnei, ka tangohia e te tākuta te pito o te whekau iti mā roto i tētahi kōhao iti (stoma) i hangaia i roto i te kiri o te puku. Kātahi ka tāpirihia he pēke motuhake ki taua kōhao. Ka kohia te paru ki roto i taua pēke. He wā poto noa iho tēnei i ētahi wā. Ā muri ake nei, ka taea te hono anō i te whekau mai i roto mā tētahi atu pokanga. I ētahi wā, me pupuri tonu pēnei.

Ngā mōrearea pea me ngā pānga taha o te pokanga

Pērā i ngā pokanga katoa, he mōrearea anō hoki kei tēnei pokanga.

• Te turuturu o te puku: Koinei te raruraru tino kino. Ka puta ina honoa ngā whekau, arā, te wāhi i whakatakotoria ai ngā tuitui, ngā tāera rānei. Mēnā ka puta tēnei, ka uru te paru ki roto i te puku, ka pā he mate kino. He āhuatanga ohorere tēnei e morearea ana ki te ora .
• Te mate toto iti mau tonu: Ka puta te mate toto iti i roto i te wā roa.
• Te kino ki ngā whekau e karapoti ana: I te wā o te pokanga, ka kino pea ngā whekau e karapoti ana pērā i te ate me te repeure.
• Korere: He mea noa te pāngia e te korere mō ētahi wiki i muri i te pokanga. Ka roa te wā e taunga ai ngā io me ngā uaua o roto i ngā whekau ki tēnei huringa.
• Hernia: Ka puta pea he hernia i tetahi wā i muri i te tapahi pokanga.
• Te Whakaiti: Ka whaiti pea te wāhi e hono ana te whekau, ā, ka puta anō te aukati.

He pēhea te wā whakaora?

I muri i te pokanga, me noho koe ki te hōhipera mō ētahi rā. I ngā rā tōmua, kāore koe e hoatu he kai mā te waha hei whakangā i ō whekau. Ka hoatu he kai mā te ngongo (kai enteral). I a koe e ora ana, ka hoatu he wai ki a koe, kātahi he hupa, ā, kātahi he kai ngohengohe .

He mea nui kia okioki mō ētahi wiki i muri i tō hokinga ki te kāinga. Heoi, kāore i te tūtohutia kia noho noa i runga i te moenga. He mea nui kia hikoi haere hei ārai i te toto totoka . Tērā pea ka roa pea ētahi marama kia tino ora ai, engari ka taea e te nuinga o te tangata te hoki ki ā rātou mahi noa i roto i ētahi wiki.

I tēnei āhuatanga, waea atu ki tō tākuta tonu!

He mea tino nui kia aroturukihia tō hauora i muri i tō hokinga ki te kāinga. Mēnā kei a koe ētahi o ngā tohu i raro nei, waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata ki a koe.