E mōhio ana koe ki te pokanga matepukupuku koroni?

Ina rongo koe i te kupu "matepukupuku whēkau," ka mataku ētahi tāngata, tika? Engari he momo matepukupuku tēnei e kitea whānuitia ana i tō tātou whenua me te ao katoa. Ko te maimoatanga matua me te tino angitu mō tēnei ko te tango i te wāhanga o te koroni kei roto ngā pūtau matepukupuku mā te pokanga. Nō reira, i tēnei rā, me kōrero tātou i roto i te huarahi hoa, he aha ēnei momo pokanga, me pēhea te whakahaere, me ngā mea tino nui me mōhio koe i muri i te pokanga.

Tuatahi, kia mārama tātou ki ēnei momo pokanga me ō rātou tikanga.

Ka rerekē te momo pokanga i runga i te momo mate pukupuku me te whānui o tōna horapa. Me titiro tātou ki ngā tikanga matua e whakamahia ana.

He aha te pokanga laparoscopic?

I ngā wā o mua, i hiahiatia he tapahi nui i te roanga o te puku mō te pokanga whekau. Ka kiia tēnei ko te "pokanga tuwhera". He roa ake te wā e ora ai, ā, he mamae ake.

Engari kua matatau te hangarau ināianei. I roto i te tikanga laparoscopic , ka mahia e te taote pokanga kia 3 ki te 6 ngā tapahi iti, tata ki te 5-10 mirimita te rahi, ki roto i tō puku. Ka whakauruhia he kāmera (laparoscope) mā roto i tētahi o ngā tapahi. Kātahi ka taea te tiro i ngā whekau o roto i te puku i roto i te huarahi whakanuia, pērā i te mata pouaka whakaata. Ka whakauruhia ngā taputapu motuhake mā roto i ngā tapahi kē atu, ā, ka mahia te pokanga me te tino ātaahua.

Kei te whakamahia whānuitia tēnei tikanga inaianei mō ngā āhuatanga pēnei i te mate a Crohn, te diverticulitis, tae atu ki te mate pukupuku koroni.

He aha ngā momo pokanga matua mō te matepukupuku koroni?

Ka rerekē te wāhanga o te whekau e tangohia ana i runga i te wāhi me te horapa o te mate pukupuku. Me titiro tātou ki ētahi o ngā momo pokanga.

• Te tango i te wāhanga mate pukupuku o tō koroni me ētahi kōpū lymph tata. Kātahi ka honoa anō ngā wāhanga hauora e toe ana o tō koroni. Ka kiia tēnei he anastomosis . Whai muri i te pokanga, ka hoki anō ō tikanga puku ki te nuinga o tōna āhua noa.

• Te tango i te puku matau / te ileocolectomy: Ko te tango i te taha matau o te whekau nui. I ētahi wā ka tangohia hoki te wāhanga whakamutunga o te whekau iti (ileum) e piri ana ki reira.

• Te Tangohanga o te puku: He pokanga nui tēnei. Ka tangohia katoatia tō pūwero, tō remu, me te wāhanga o raro o tō koroni (korone sigmoid). Ko te tikanga o tēnei ka hangaia he whakatuwheratanga tuturu ki te kiri o tō puku, ā, ka whakatakotoria he putea hei tuku i ngā paru kia puta. Ka kiia tēnei he colostomy tuturu .

• Proctocolectomy Katoa: Koinei te pokanga whēkau whānui rawa atu. I roto i tēnei, ka tangohia katoatia te koroni me te pūkahukahu.

He aha atu ngā tikanga e pā ana ki te pokanga?

I ētahi wā, me mahi anō hoki ētahi atu mea hei tāpiri atu ki te pokanga matua. He mea nui kia mōhio koe ki ēnei mea anō hoki.

Stoma, Ostomy rānei

I te kīanga māmā noa, he tikanga te stoma e hono ana i tētahi wāhanga o te whekau ki te mata kiri o te puku, e hanga ana i tētahi pūaha hou hei putanga mō ngā para.

• Ki te hono koe i te pito o te whekau nui ki reira,He colostomy te ingoa.
• Mena ka honoa te pito o te whekau iti, ka kiia he ileostomy .

Ka whakamahia he putea motuhake (Stoma Bag) hei kohi para mai i tēnei stoma. I ētahi wā he wā poto noa iho ēnei. Arā, ka puritia kia noho tonu i te wāhi i pokangahia ai kia ora rā anō. I roto i ētahi marama, ka mahia tētahi atu pokanga iti hei tango i tēnei me te hono anō i te whekau mai i roto. Heoi, e ai ki te kōrero i mua ake nei, i ētahi pokanga, me pupuri tonu ēnei ki te wāhi tūturu .

Ngā pēke o roto (ngā pēke iti)

I ētahi wā, i muri i te tangohia katoatia o te nono, ka hangaia he putea iti ki roto i te tinana mai i te whekau iti hei kohikohi me te penapena i ngā para. Mā tēnei ka kore e hiahiatia he putea o waho. He tikanga rongonui te Ileal (J) Pouch o tēnei momo. Heoi, he uaua rawa ēnei pokanga.

Pokanga Ate

Ka horapa pea te mate pukupuku koroni ki te ate i ētahi wā. Mēnā ka horapa, ka taea hoki te tango i te mate pukupuku ate i te wā kotahi e pokangahia ai te koroni.

Te whakaoranga me ngā mahi ārai i muri i te pokanga

Ka ora pai te nuinga o te tangata i muri i ēnei pokanga. Me tango e koe ngā rongoā whakamamae mamae mō ngā rā tuatahi. Tērā pea ka kīia atu ki a koe kia kai noa i ngā kai wai. Engari ka taea e koe te kai noa i muri i ētahi rā.

Heoi, pērā i ngā pokanga katoa, kei reira ētahi mōrearea, pērā i te toto, te mate urutā, me te pupuhi o te toto i roto i ngā waewae.

He mea tino nui kia noho whakapā atu koe ki tō tīma hauora i muri i te pokanga. Me whai i ā rātou tohutohu kia tika. Tērā pea ka tūtohu rātou i ētahi atu maimoatanga, pērā i te chemotherapy, hei tāpiri atu ki te pokanga.