I ētahi wā, he mea noa te mataku me te manukanuka ina kī mai te tākuta me tango tetahi wāhanga o ō whekau nā te mea he mate hauora. "Ka taea e au te ora noa i muri i te tangohanga o tetahi wāhanga o taku whekau?" "Kāore rānei e nakunaku te kai?" He maha pea āu pātai pēnei i roto i tō hinengaro. Koia te take, i tēnei rā, ka kōrero tātou mō tēnei pokanga 'tango whekau iti', 'Tango Whēkau Iti' rānei i roto i ngā kupu māmā noa iho.
He whakarāpopototanga noa iho, ko tēnei pokanga he tango i tētahi wāhanga kua pakaru, kua mate rānei o tō whekau iti. He tino roa, he piko, he mīharo hoki tō tātou whekau iti, ā, he 20 ki te 30 putu te roa. Koinei te wāhi e mimiti ai te tinana i te nuinga o ngā matūkai mai i te kai e kainga ana e tātou. Nō reira, ahakoa ka tangohia tētahi wāhanga iti o tēnei whekau roa, ka taea e tō tātou tinana te urutau ki reira, me te pupuri i te mahi noa o te whekau.
He aha i tika ai kia mahia tēnei momo pokanga?
He maha ngā take e tangohia ai tētahi wāhanga o te whekau iti. Ko te tikanga, ka tūtohu ngā tākuta i tēnei pokanga ina kore te mate e taea te whakahaere mā te rongoā, mā te kai motuhake rānei. Heoi, i roto i ngā āhuatanga e morearea ai te ora pērā i te aukati i te whekau, me pokanga tonu pea . Anei ētahi o ngā take matua mō tēnei pokanga.
| Take | Whakamārama Māmā |
|---|---|
| Ngā whanaketanga rerekē | Ngā āhuatanga pēnei i ngā tipu kore-matepukupuku i roto i te whekau iti, pērā i ngā pukupuku, ngā polyp, te matepukupuku whekau iti rānei. |
| Ngā raruraru mai i te whānautanga | Ko ngā āhuatanga pēnei i te diverticulum a Meckel, te malrotation rānei o te whekau, e kitea ana mai i te whānautanga. |
| Ngā mate urutā roa | Mā ngā āhuatanga pēnei i te mate a Crohn ka matotoru, ka whaiti hoki ngā pakitara o te whekau (ka whakawhāiti). |
| Hernia kua werohia | Ina mau tētahi wāhanga o te whekau i roto i te hernia, ka motuhia te rere o te toto ki taua wāhi, ā, ka tūpono te mate o te kiko. |
| Te aukati i te puku | Ko te aukati o te whekau iti he āhuatanga e aukati katoatia ai te whekau mō tētahi take. He āhuatanga tēnei e hiahiatia ana he pokanga ohorere. |
| Ngā aituā | Te kino o te whekau nā te aituā, te whara rānei, hei tauira, te poka. |
He aha ngā tikanga hei whakahaere i te pokanga?
E toru ngā huarahi matua e taea ai tēnei pokanga. Ko te whiriwhiri i tētahi o ēnei tikanga ka whakawhirinaki ki tō āhua me te taunakitanga a te taote pokanga.
1. Pokanga Laparoscopic: Kāore e hiahiatia he tapahi nui ki te puku. Engari, ka mahia he tapahi iti noa iho , ā, ka whakauruhia he kāmera me ngā taputapu pokanga ki roto. Ko te painga o tēnei tikanga he tere te ora, ā, he iti ake te mamae.
2. Pokanga karetao: He rite tēnei ki te pokanga laparoscopic, engari i konei ka whakahaerehia e te taote pokanga ngā ringa o te mīhini karetao, kia tika ake ai, kia māmā ake ai hoki te mahi pokanga.
3. Pokanga tuwhera: Koinei te tikanga tuku iho. I konei, ka tapahia he puku nui , ā, ka uru atu ki ngā whekau. Ka whakamahia tēnei tikanga ina kore e pai ngā tikanga e rua e toe ana.
He aha ngā mea ka tupu i te wā o te pokanga?
He mea nui kia whai whakaaro koe mō tēnei mea.
Tuatahi, ka whakamoea katoatia koe, kia kore ai koe e rongo i tetahi mea i te wā o te pokanga.
Kātahi ka tapahia e te taote pokanga te puku mā te whakamahi i tētahi o ngā tikanga kua whakahuatia ake nei hei toro atu ki te wāhanga kua pakaru o te whekau. Kātahi ka puritia te wāhanga ki ngā taha e rua mā te whakamahi i ngā taputapu motuhake (ngā rawhi) ā, ka tapahia te wāhanga kua pakaru, ka tangohia.
Ko te taahiraa e whai ake nei te mea tino nui.
- Te Anastomosis:I te nuinga o te wā, ka honoa ngā pito o ngā wāhanga hauora e rua o te whekau e toe ana i muri i te tangohanga o te wāhanga, ā, ka tuia anō. Ka mahia tēnei mā te whakamahi i ngā tuitui motuhake, i ngā tīpene rānei. Ka kiia tēnei tukanga he anastomosis.
- Ileostomy: Heoi, i ētahi wā kāore e taea te hono i ngā wāhanga e rua o te whekau e toe ana. Hei tauira, ki te nui rawa te tawhiti i waenganui i ngā wāhanga e rua, ki te ārai rānei te mate i te hononga anō i te wā tonu, ka mahi te tākuta i tētahi atu mea. I tēnei take, ka hangaia he kōhao (stoma) kia kitea ai te pito o te whekau iti ki te kiri o te puku. Ka puta te paru mā roto i tēnei kōhao ka kohia ki roto i tētahi putea motuhake (putea ostomy) e piri ana ki te kiri. Ka kiia tēnei he ileostomy. Ka taea tēnei te noho rangitahi, te noho pumau rānei.
He aha ngā mea ka tupu i muri i te pokanga? Kia pēhea te roa o te wā e ora ai?
Me noho koe ki te hōhipera mō ētahi rā i muri i te pokanga.
- Te Kai: I ngā rā tōmua, nā te mea me okioki ngā whekau, kāore te kai e hoatu mā te waha. Engari, ka whakaratohia te kai mā te ngongo (te whāngai ngongo). I te wā e ora haere ana te tamaiti, ka taea te tīmata ki te hoatu wai me ngā kai ngohengohe mā te waha, e ai ki ngā tohutohu a te tākuta.
- Te hikoi: I a koe i te hōhipera, me muri hoki i tō hokinga ki te kāinga, he mea tino nui kia ara ake koe i te moenga me te hikoi haere hei ārai i te toto e pupuhi ana .
- Te wā whakaora: E hia pea ngā marama ka tino ora ai, engari ka taea e te nuinga o te tangata te hoki ki ngā mahi o ia rā i roto i ētahi wiki.
He aha ngā mōrearea me ngā pānga taha o tēnei pokanga?
Pērā i ngā mahi pokanga katoa, he tūponotanga kei reira, ā, he mea nui kia mōhio ki aua tūponotanga.
| Mōrearea / Pānga taha | Whakaahuatanga |
|---|---|
| Te turuturu o te hononga ā-roto | Te turuturu mai i ngā tuitui/ngā titi. He tino morearea tēnei āhuatanga, ā, ka mate pea. |
| Korere | Tērā pea ka puta te mate korere mō ētahi wiki i muri i te pokanga i te mea ka urutau te tinana ki te āhua hou. |
| Hernia inguinal | Ngā wāhanga o te whekau e panaia ana ki waho mā roto i te tapahi i mahia i te wā o te pokanga. |
| Ētahi atu mōrearea | Ngā mate urutā, ngā toto totoka, te anemia mau tonu, me te kino ki ngā whekau tata pērā i te ate, te pancreas rānei. |
Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta tonu!
Ina hoki koe ki te kāinga i muri i te pokanga, me tino tiaki koe i tō tinana. Mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta, haere rānei ki te hōhipera tonu atu .
- Te uaua ki te tūtae, te kore rānei e nekeneke te puku mō ētahi rā.
- Te whakapairuaki me te ruaki tae noa ki te wāhi kāore e taea te pupuri i te kai, i te wai rānei mā te waha.
- Te pupuhi, te toto rānei mai i te tapahi i te pokanga.
- Te mamae nui e kore e memeha ahakoa te tango i te rongoā.
- Ngā tohu o te mate urutā, pērā i te kirika, te whero me te mahana huri noa i te wāhi i tapahia.
Kia maumahara, ki te mea kei te pāngia koe e ēnei tohumate, kaua e moumou taima, engari me haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata.
Karere Tangohia ki te Kāinga
- Ko te 'Taehanga Whēkau Iti' he tango pokanga i tētahi wāhanga mate, pakaru rānei o te whēkau iti. Kaua e wehi i tēnei.
- Nā te roa o tō tātou whekau iti, ka taea tonu e te tinana te mahi noa ahakoa ka tangohia tētahi wāhanga iti o taua whekau.
- He wā te roa hei whakaora katoa i te pokanga. I taua wā, me ata whai i ngā tohutohu a te tākuta.
- Kia tūpato ki ngā tohu mōrearea pea (te kirika, te mamae nui, te ruaki, te pupuhi o te wai mai i te motu) i muri i te pokanga. Mēnā ka kite koe i tētahi o ēnei, rapua tonutia he tohutohu hauora.
- Mena he pātai anō āu mō tēnei mea, tēnā kōrero ki tō tākuta.
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