He okana iti te ate, he rite te rahi ki te ringa, kei te taha maui o tō puku, i runga ake i ō rara. Kāore pea koe i rongo mōna, engari he wāhanga tino nui o tō tātou pūnaha ārai mate. He māmā noa iho, ko te mahi matua a te ate he whakaputa i ngā toto mā e whawhai ana ki te mate, me te tātari i ngā toto tawhito, kua pakaru. Nō reira, ki te kore e taea e te ate te mahi tika i ēnei mahi, ahakoa he aituā, he mate rānei, ka noho hei tūraru ki tō hauora. Koinā te wā e whakatau ai ngā tākuta ki te tango i te ate mā te pokanga (splenectomy).
Ka taea te ora me te kore he whēkau?
Tērā pea kua tae mai tēnei pātai ki a koe anō hoki. Ae, ka taea tonu. I muri i te tangohanga o te whēkau, ko te nuinga o ngā mahi i mahia e ia ka riro i tō tātou ate me te hinu wheua. Nō reira, kāore he arai mōu ki te ora i te oranga noa, hauora, me te oranga kī tonu.
Engari kotahi te mea. He toa kaha te ate e whawhai ana ki ngā mate urutā. Nō reira, ina ngaro, ka ngoikore haere te kaha o te tinana ki te whawhai ki ngā mate urutā. Nō reira, me tino tupato ake tātou i te tikanga.
Arā, me tino tupato tātou ki ngā mea pēnei i te whiwhi kano kano i te wā tika, me te tūpato hoki ki ngā tohu o te mate.
He aha i hiahia ai koe ki te tango i tēnei ate?
He maha ngā take e tangohia ai te whēkau. Mai i tētahi aituā ki tētahi mate roa, he maha ngā take mō tēnei. Me titiro tātou ki ngā take matua.
| Take | Whakaahuatanga |
|---|---|
| Pakaru o te Whati | Koinei te āhuatanga ohorere tino kitea. Whakaarohia kua pāngia koe e te whiu kaha ki te taha maui o tō puku, nā te aituā motuka, te hinganga mai i te teitei, te takaro hākinakina rānei. Ka kino pea tō ate, ka puta he toto ki roto. Ka mate pea koe, ā, me mahi tonu te pokanga. |
| Ngā Mate Toto | Ka tangohia te whēkau ina kore e angitu ētahi atu maimoatanga mō ētahi mate e pā ana ki te toto. Ko ētahi tauira ko: Idiopathic Thrombocytopenic Purpura (ITP), Polycythemia Vera, Thalassemia, Sickle Cell Anemia, me Autoimmune Hemolytic Anemia. |
| Ngā momo mate pukupuku | Mena ka nui haere te ate, ka mamae hoki nā ngā mate pukupuku pērā i te Hodgkin Lymphoma me te Non-Hodgkin Lymphoma, me tango pea. Ka tangohia hoki te ate i ētahi wā i te wā o te pokanga mate pukupuku repeure. |
| Te splenomegaly | Mena ka nui haere te ate, kāore he take e kitea ana, ā, kei te puta mai ngā tohu pēnei i te mamae o te puku, ka tangohia pea te ate hei kimi i te pūtake me te whakahaere i ngā tohu. |
| Ngā mate urutā | He tino onge te wā, mēnā ka puta he mea pēnei i te whewhe i roto i te ate, me pokanga hei tango. |
Me aha koe i mua i te pokanga?
Mena ehara tēnei pokanga i te mea ohorere, engari he mea kua whakaritea, ka whai wā koe ki te whakarite. Mā tō tākuta ēnei mea e whakamārama ki a koe.
- Te werohanga: He mea tino nui tēnei. Nā te mea he nui ake te tūponotanga o te pangia e ngā mate i muri i te tangohanga o te whēkau, he mea nui kia whiwhi koe i ngā werohanga e tika ana hei tiaki i a koe mai i aua mate i ētahi wiki i mua i te pokanga. Mā tēnei, ka tino kaha te ārai mate o tō tinana i te wā e mahia ai te pokanga.
- Kaua e kai paipa: Mena he kai paipa koe, mā te whakamutu i mua i te pokanga ka tere ake te whakaora o ō patunga.
- Ngā whakamātautau hauora: Ka tirotirohia koe e tō tākuta, ka whakahaerehia he whakamātautau toto, he matawai, me ētahi atu whakamātautau hei whakarite kei te pai tō tinana mō te pokanga.
- Ētahi atu tohutohu: Mā tō tākuta koe e tohutohu mō te wā e mutu ai te kai me te inu i te rā i mua i te pokanga, me te mea me mutu te tango i ētahi rongoā mō te wā poto, pērā i ngā rongoā whakaiti toto.
Me pēhea te mahi i te pokanga?
E rua ngā tikanga pokanga matua hei tango i te whēkau. I ngā tikanga e rua, ka tukuna koe ki raro i te rongoā whakamoe whānui, kia kore ai koe e rongo i tetahi mea, ā, kei te moe koe.
Pokanga Laparoscopic
Koinei te tikanga e whakamahia whānuitia ana i ēnei rā. E kiia ana hoki ko te "pokanga kōhao kī". Engari ko te tapahi nui i te puku, ka mahia te pokanga mā roto i ngā tapahi iti rawa e 3, e 4 rānei, ka whakauruhia he kāmera (laparoscope) me ngā taputapu pokanga ngawari. Ka mahi te taote pokanga i a ia e mātakitaki ana i ngā whakaahua mai i te kāmera i runga i te aroturuki. I tēnei tikanga, he iti ngā tapahi, nō reira he iti ake te mamae, he tere ake te ora , ā, he poto ake te wā i te hōhipera.
Pokanga Tuwhera
Mena he nui rawa te ate, he toto toto korekore rānei, tera pea he uaua ki te tango mā te laparoscopy. Koinei te wā ka whakamahia e ngā tākuta te pokanga tuwhera. Ko te tikanga o tēnei ko te tapahi i tētahi puku kia nui ake te rahi .
He aha ngā mea ka tupu i muri i te pokanga?
Ka taea e koe te hoki ki te kāinga i roto i ngā rā e rua, e toru rānei mēnā i pokangahia koe mā te laparoscopy, ā, i roto i ngā rā e rima, e whitu rānei mēnā i pokangahia koe mā te tuwhera. I mua i tō hokinga ki te kāinga, ka whakamāramahia e te tīma hauora ki a koe ngā mea me tiaki e koe i a koe e noho ana me te kore he whēkau.
- Te tiki i ngā kano kano tika: Ka tukuna atu he wātaka kano kano motuhake ki a koe. Kei roto i ēnei ko ngā kano kano mō te Pneumococcus, te Meningococcus, te Haemophilus influenzae momo b (Hib), me te kano kano rewharewha ā-tau me te kano kano COVID. He mea nui kia tikina ēnei kano kano i te wā tika.
- Ngā Paturopi: Tērā pea ka tohua he rongoā paturopi i ia rā ki ētahi tāngata, inā koa ko ngā tamariki kei raro iho i te 5 tau te pakeke me te hunga he ngoikore te pūnaha ārai mate. Hei tāpiri, tērā pea ka tohua e tō tākuta he rongoā paturopi ohorere hei tango ina pāngia koe e ngā tohu o te mate, pērā i te kirika, te mare rānei.
- Tauākī Hauora: He mea tino nui kia mau tonu he kāri, he poroporo rānei e whakaatu ana kua tangohia tō ate. He āwhina nui tēnei ki te hunga e rongoā ana i a koe mēnā ka puta he āhuatanga ohorere.
- I te wā e haere ana koe: Ki te mea kei te haere koe i tētahi haerenga roa, inā koa ki tētahi wāhi e kitea whānuitia ana ngā mate pēnei i te malaria, tirohia tō tākuta i ētahi wiki i mua i tō wehenga atu kia whiwhi ai koe i ngā tohutohu me ngā werohanga e tika ana.
Ngā mea hei tūpato māu, me te wā e rapu tohutohu hauora ai
Mō te tangata kāore he ate, ahakoa he mate iti noa iho, ka tere tonu te kino. Nō reira, kia tūpato ki ēnei tohu. E mōhiotia ana hoki ēnei ko ngā "tohu haki whero".
| Ki te pā mai ēnei tohu, haere tonu ki te Tari Ohotata (ETU) tata atu! | |
|---|---|
| Te kirika (neke atu i te 101°F / 38.5°C) | Te wiri i te makariri |
| He rerenga mai i te patunga pokanga, he rite ki te pus | Te whero me te pupuhi huri noa i te patunga |
| Te maremare me te uaua ki te manawa | Te mamae nui o te puku, te whakapairuaki, me te ruaki |
| Ki te ngaua koe e tetahi kararehe (ina koa he kurī, he ngeru rānei) | Te mamae e kore e memeha ahakoa te tango i ngā rongoā whakamamae |
He mate kino te OPSI (Overwhelming Post-Splenectomy Infection) e puta ana i muri i te pokanga. Ka taea e tēnei te whakararu i te ora mēnā kāore e rongoatia wawetia. Nō reira , ki te pāngia koe e tētahi o ngā tohu o runga ake nei, kaua e moumou taima, engari haere tonu ki te Tari Ohotata o te hōhipera (ETU).
Karere Tangohia ki te Kāinga
- He pokanga tango i te whēkau te tango i te whēkau. Ahakoa he pokanga nui tēnei, ka taea e koe te ora i te oranga hauora me te kore he whēkau.
- Ki te kore he ate, ka iti haere te kaha o tō tinana ki te whawhai ki ngā mate. Nō reira, ko te tiaki i a koe anō i ngā mate te mea nui rawa atu.
- Tikina ngā kano ārai mate katoa i tohua e tō tākuta i te wā tika, kaua e mahue tetahi o aua kano ārai mate.
- Ki te puta he tohu o te mate pāwera, pērā i te kirika, te makariri, te pupuhi rānei o te patunga, kaua e warewaretia. Rapua he tohutohu hauora tonu, haere rānei ki te Tari Ohotata (ETU) tata atu.
- Mā te whai tonu i ngā tohutohu a tō tākuta, ka taea e koe te noho haumaru, te noho hauora hoki.
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