Ka mataku te katoa ina rongo i te kupu pokanga uma, tika? He tika tēnei wehi nā te mea kei roto i te uma ngā whekau nui pērā i te ngākau me ngā pukahukahu. He tokomaha e whakaaro ana ko ngā pokanga ngākau anake tēnei. Engari he whānui ake te kaupapa "Pokanga Uma". Nō reira, me kōrero taipitopito tātou mō tēnei mea.
He aha te pokanga uma?
Ki te kī ngāwari, ko ngā pokanga katoa e mahia ana i roto i te kōhao o tō uma (uma) ka taka ki tēnei kāwai. Ae, ko te ngākau te okana tino nui o te uma, engari kāore ēnei pokanga i te herea ki te ngākau anake. Whakaarohia, ko ngā pokanga e mahia ana i runga i te maha atu o ngā okana nui i roto i tō uma ka taka ki tēnei kāwai.
Hei tauira:
- Te korokoro: Ko te ngongo e kawe ana i te kai e kainga ana e tātou ki te puku.
- Te pūhā: Ko te pūhā matua e manawa ai tātou.
- Diaphragm: Ko te uaua e wehe ana i te uma me te puku, ā, e āwhina ana hoki ki te manawa.
- Pakitara o te uma: Ko ngā rara, ko te sternum (te wheua o waenganui o te uma), me ngā uaua e karapoti ana.
- Mediastinum: Ko te wāhi i waenganui i ngā pukahukahu kei roto ngā mea pēnei i te ngākau, ngā oko toto nui, me te trachea.
He aha ngā tikanga pokanga?
E rua ngā huarahi matua ka taea e ngā tākuta te mahi i ēnei pokanga.
1. Pokanga Tuwhera: I tēnei, ka mahia te pokanga mā roto i tētahi tapahi nui ake.
2. Pokanga Whakaiti i te Urunga: Koinei te tikanga hou e whakamahia whānuitia ana i ēnei rā. I konei, ka tapahia e ngā taote pokanga ētahi tapahi iti, ka whakauruhia he kāmera iti ki roto i te uma mā roto i aua tapahi. Ka tirohia ngā whakaahua mai i te kāmera i runga i te mata tirotiro, ā, ka whakauruhia ngā taputapu tino pai mā roto i ētahi atu tapahi iti hei mahi i te pokanga.
- Ina mahia ki te uma, ka kiia tēnei ko te VATS (Pokanga Thoracoscopic Āwhina Ataata) .
- Ina mahia ki te puku, ka kiia tēnei tikanga he pokanga laparoscopic .
- I ētahi wā ka whakamahia ēnei kāmera me ngā taputapu mā te āwhina o tētahi karetao. Engari kia maumahara, ko te tākuta anake te kaiwhakahaere o te karetao.
He aha ngā mate e rongoatia ana e te pokanga uma?
Ka rongoatia e ēnei pokanga ngā momo mate e pā ana ki te uma me te puku o runga. Me titiro tātou ki ēnei mate.
| Āhua | He whakamārama māmā |
|---|---|
| Te pupuhi o ngā oko toto (Aneurysms) | Ka ngoikore ngā oko toto nui, ka pupuhi hoki pērā i te poihau. |
| Mate ngakau | Te mate manawa whānau, ngā mate manawa, ngā raruraru takirere manawa, me te pokanga karo manawa (CABG) . |
| Te whakawhitinga ngākau, te whakawhitinga pūkahukahu rānei | Te whakato i tētahi okana hauora hei whakakapi i te ngākau, i te pukahukahu rānei e ngoikore ana. |
| Te mate pukupuku pūkahukahu me ngā pukupuku | Te tango i ngā pukupuku matepukupuku, ngā pukupuku noa rānei i roto i ngā pukahukahu (Lobectomy) . |
| Te uaua ki te horomi (Dysphagia) | Te uaua ki te horomi kai nā ngā raruraru o te korokoro. |
| Te mate reflux gastroesophageal (GERD) | Te mamae o te uma nā te pikinga ake o te waikawa o te puku ki te esophagus. |
| Ngā Hernia Hiatal | Ka uru tetahi wāhanga o te puku ki te uma mā te diaphragm. |
He tino kino ēnei pokanga?
Ae, he nui ngā pokanga o te uma. Nā te mea ko te ngākau me ngā pukahukahu ngā okana tino nui o te tinana. Me mahi ētahi tāngata i ngā pokanga uaua hei whakatika i ētahi raruraru ngākau i te wā kotahi. Ko ētahi atu me mahi pea i te pokanga pukahukahu, ka mahia mā te tapahi iti.
Kaua e manukanuka. Kei te ngana tonu te tīma hauora e rongoā ana i a koe ki te hoatu i te hua pai rawa atu ki a koe. Ka mahi tahi rātou hei tīma, ā, ka manaaki pai i a koe.
Me pēhea te whakarite mō te pokanga?
He maha ngā mea me whakarite e koe i mua i te pokanga.
- Kia tino mōhio koe ki te kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā rongoā i whakaritea e te tākuta me ērā ka hokona e koe me te kore he whakahaunga mai i te whare rongoā).
- Tērā pea ka tono atu tō tākuta kia mutu te tango i ētahi rongoā i ētahi rā i mua i tō pokanga. Kaua e mutu te tango i tētahi rongoā me te kore he tohutohu a tō tākuta.
- Kati te momi hikareti i te iti rawa i te kotahi marama i mua i te pokanga, ina koa mēnā he pokanga pukahukahu. Ki te kore koe e momi hikareti mō te kotahi marama i muri i te pokanga, ka taea e koe te whakaiti i te tūponotanga o ngā raruraru i te wā e ora ana te patunga mā te haurua.
- Kati te kai me te inu i te pō i mua i te pokanga, i runga rānei i ngā tohutohu a tō tākuta.
- Hangaia he mahere mō tō whakaoranga. Whakaritea kia hoki mai tētahi ki te kāinga hei āwhina i a koe mō ētahi rā. He whakaaro pai hoki te whakarite i ētahi kai i mua i te wā, ka rongoa ki roto i te pouaka tio.
He aha ngā mea hei tumanakohia i muri i te pokanga?
I muri i te pokanga, ka hoki anō tō māramatanga i a koe i roto i te Wāhanga Tiaki Kaha (ICU) me te Rūma Whakaora.
- Ka tangohia te ngongo manawa i whakamahia hei āwhina i a koe ki te manawa.
- Ka whakatakotoria he paipa waikeri mō te uma hei tango i te wai mai i te uma. Ka whakatakotoria hoki he katitere hei tango i te mimi.
- Ina pai ake tō āhua, ka whakawhitia koe ki te wāhanga noa.
- He mea tino nui te hikoi haereere i roto i te rūma me te āwhina, me te mahi i ngā mahi whakakorikori manawa i te wā e taea ai. Ka tino āwhina tēnei i te mahi tika anō o ngā pukahukahu.
- Kia tutuki i a koe ngā whāinga e tumanakohia ana e te tākuta, ka taea e koe te hoki ki te kāinga. E toru ki te tekau ngā rā te roa o tēnei mahi, i runga i te āhua o te pokanga.
Me ako anō hoki tātou mō ngā mōrearea me te roa o te wā whakaora.
Ngā tūponotanga pea
Pērā i ngā pokanga katoa, he tūponotanga anō kei reira.
- Ngā mate urutā, inā koa ngā mate pūkahukahu pērā i te niumōnia.
- Te hinganga o te pūkahukahu.
- Ngā toto totoka.
- Te pouri.
- Ngā rerekētanga o te pā o te ngakau.
- Te pupuhi o te pūkahukahu.
Te wā hei whakaora
Kei te āhua o te pokanga i mahia ki a koe te tikanga o tēnei. Mēnā he iti noa te motu i puta, tera pea ka taea e koe te hoki ki te kāinga i roto i ngā rā e 3-4. Heoi anō, tera pea ka roa te kotahi marama, neke atu rānei, kia ora katoa ai koe.
I runga anō i te āhua o te pokanga,Kāore e taea e koe te taraiwa mō te marama pea. E kī ana hoki te tākuta kia kaua e hiki i ngā mea taumaha mō te ono wiki pea.
Āhea koe me toro atu ki te tākuta?
He mea tino nui: Ki te pā mai ētahi o ēnei tohu ina tae koe ki te kāinga i muri i te pokanga, me toro atu koe ki tō tākuta tonu atu , me haere rānei ki te Tari Ohotata (ETU) o te hōhipera.
- Mamae nui o te uma
- Te uaua ki te manawa
- Te toto, te waikura rānei e puta mai ana i ngā motu
- Kirika
- Te pupuhi, te whero o ngā motu
Ehara te pokanga ū i te mahi ngāwari, engari mā te mōhio ki ngā mōhiotanga tika mō tēnei mahi ka nui te āwhina ki te whakamama i ō mataku.
Karere Tangohia ki te Kāinga
- Ko te pokanga uma e pā ana ki ngā pokanga e mahia ana ehara i te mea ki te manawa me ngā pukahukahu anake, engari ki ētahi atu okana o te uma hoki, pērā i te korokoro me te ararewha.
- He mea tino nui kia ata whai i ngā tohutohu a te tākuta i mua i te pokanga, inā koa ngā mea pēnei i te whakamutu i te momi hikareti.
- Hei whakaora wawe i muri i te pokanga, me mahi koe i ngā mahi pēnei i te hikoi me te manawa e ai ki ngā tohutohu a tō tākuta.
- Ina hoki koe ki te kāinga i muri i te pokanga, kia tūpato ki ngā tohu pēnei i te mamae o te uma, te poto o te manawa, me te kirika. Mēnā ka puta tētahi o ēnei, rapua tonutia he tohutohu hauora.
- Mena he pātai, he āwangawanga rānei āu mō te pokanga, kaua e mangere ki te kōrero ki tō tākuta.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment