E mōhio ana pea koe mēnā ka pāngia tetahi okana i roto i tō uma, pērā i tō ngākau, i tō pukahukahu rānei, me pokanga koe i ētahi wā hei rongoā. Nō reira, i taua wā, me tomo te taote pokanga ki roto i tō uma ka titiro ki taua okana, ka tirotirohia, ka tangohia rānei tetahi wāhanga o taua okana. Ko tētahi o ngā momo pokanga matua e mahia ana mō tēnei momo mea ko tā tātou e kōrero nei i tēnei rā, arā, ko te tango i te thoracotomy.
He aha te tikanga o te thoracotomy?
He pokanga te thoracotomy e tapahia ai e te taote pokanga he rara i waenganui i ō rara e rua hei whakatuwhera i te kōhao o tō uma. Mā tēnei ka whakatuwherahia te uma, ā, ka taea e te tākuta te tiro tika, te pā, te tirotiro, me te rongoā i ngā whekau o roto.
Whakaarohia me rongoā e koe tētahi okana pēnei i tō ngākau, te aorta, te esophagus, ngā pukahukahu, te trachea rānei. I ētahi wā ka whakamahia hoki tēnei pokanga hei toro atu ki mua o te tuaiwi.
Ko te tikanga, ka tapahia tēnei tapahi ki te taha maui, ki te taha matau rānei o te uma. Kei te taha o te okana e hiahia ana kia rongoatia tēnei. I ētahi wā, me whati, me tango rānei tētahi rara. Ka tapahia tēnei tapahi mai i te uma ki te tuara i raro i te kēkē. Ko te rahi me te wāhi o te tapahi ka whakawhirinaki ki te momo pokanga e mahia ana e koe. Ka kiia hoki tēnei ko te "pokanga tuwhera".
He aha te take e hiahia ai tetahi ki te mahi i tēnei momo pokanga?
He maha ngā take e taea ai te mahi i te tango i te puku o te hope. I ētahi wā, ka mahia hei tango i tētahi wahi kiko hei tirotiro, e kiia nei ko te koiora, hei whakatau i te tino pūtake o tētahi mate. Ka mahia hoki hei rongoā mō tētahi mate.
Me titiro tātou ki te ripanga i raro nei kia kite ai he aha ngā take matua mō tēnei pokanga.
| Te take mō te pokanga | He whakamārama māmā |
|---|---|
| Ko te koiora hei tautuhi i te mate pūkahukahu | Hei kimi i te tino take o te raruraru o ngā pukahukahu, tangohia he wahi kiko ka tirotirohia. |
| Te tango i te mate pukupuku pūkahukahu | Tangohia he pukupuku matepukupuku, he wāhanga rānei o te pukahukahu. |
| Ngā āhuatanga o te ngākau | Whakaorahia ētahi raruraru o te ngākau, o ngā oko toto nui rānei e pā ana. |
| Ngā raruraru o te diaphragm | Whakaorahia ētahi raruraru o te diaphragm e wehe ana i te uma me te puku. |
| Pneumothorax | Whakaorahia te turuturu o te hau ki roto i ngā pukahukahu, ā, ka poke. |
| Tamponade o te ngākau | Ki te kohia he wai i roto i te pēke e karapoti ana i te ngākau, ā, ka pēhi i te ngākau, tangohia. |
| Ngā mate korokoro | Whakaorahia te mate pukupuku o te korokoro, me ētahi atu mate rānei. |
| Te Pupuhi o te Pleural | Mēnā he nui te wai e kohia ana i roto i ngā pukahukahu, inā koa he mate pukupuku, tangohia te wai. |
He aha ngā mea ka tupu i mua i te pokanga?
He pokanga nui tēnei, ā, me noho koe i raro i te rongoā whakamoe whānui. Nō reira, me noho hauora koe kia taea ai e koe te manawanui ki tēnei momo rongoā whakamoe. Mā te tīma hauora koe e tohutohu mō te wā e mutu ai te kai me te inu i mua i te pokanga.
He mea nui kia kōrero ki tō rōpū hauora mō ngā rongoā, huaora, tāpiringa rānei e tangohia ana e koe, tae atu ki ērā ka taea te hoko mai i te toa rongoā. Ko ētahi rongoā, inā koa ko ngā rongoā whakaiti toto,Ka tohutohuhia koe kia mutu te tango i te rongoā i mua i te wā e whakamahia ana e ētahi atu.
Mō ngā pokanga ehara i te mea ohorere, ki te mea he kaipaipa koe, ka tino tohutohu ngā tākuta kia mutu te mahi .
He aha ngā mea ka tupu i te wā o te pokanga?
I te wā o te mahi pokanga, ka tahuri te tīma pokanga i a koe ki te taha tika, ka whakanoho i tētahi ringa ki runga ake i tō mahunga ki roto i tētahi pupuri motuhake, ā, ka tautokona tō ringa me tō pakihiwi ki tētahi paraikete pōkai.
He tohunga tō tākuta whakamoe i roto i te pokanga uma. Tērā pea ka whakahaerehia e ia tētahi tikanga e kiia nei ko te "single lung ventilation". He māmā noa iho, ko te kati i te pukahukahu i te taha e pokaina ana mō te wā poto, kia taea ai e koe te manawa mā te pukahukahu kē atu anake. Mā tēnei ka nui ake te wāhi e taea ai e te tākuta te mahi.
Kātahi ka tapahia e te taote pokanga he rara i waenganui i ngā rara e rua. Mēnā e tika ana, ka whatiia, ka wehea rānei tētahi rara. Ka taea hoki te whakamahi i tētahi taputapu motuhake e whakamahi ana i te wera hei uru ki roto i ngā uaua me ētahi atu kiko. Kātahi ka whakaurua ngā taputapu motuhake (ngā taputapu whakahoki me ngā taputapu hora rara) hei hanga wāhi i roto i te uma hei tiro me te rongoā i ngā whekau.
Kia oti te pokanga, kia katia hoki te tapahi, ka whakatakotoria he ngongo uma hei tuku i te wai me te hau e kohia ana i roto kia rere ki waho.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, me noho koe ki te hōhipera mō te wiki pea. Ka noho tonu te ngongo uma ki tōna tūranga mō ētahi rā.
I tēnei wā, ka akiakihia koe e tō tīma hauora kia maremare, kia whakamahia he taputapu manawa motuhake (incentive spirometer), ā, kia hikoi haereere me te āwhina . He mea tino nui te mahi i ēnei mea kia ora ai ō pukahukahu. Ka āwhina anō hoki ēnei ki te whakahaere i tō mamae.
Mena i mahia tō pokanga hei tautuhi i tētahi mate, mā te tākuta koe e whakamārama, e tuku tohutohu hoki mō te mahi e whai ake nei.
He aha ngā mōrearea me ngā raruraru o tēnei pokanga?
Pērā i ngā pokanga katoa, he tūponotanga kei roto i te pokanga niho. Me titiro tātou ki ēnei i roto i te ripanga i raro nei.
| Ngā tūponotanga e pā ana ki te pokanga | |
|---|---|
| Ngā mōrearea tonu o te pokanga | |
| Ngā raruraru e pā ana ki te rongoā whakamoe | Ngā urupare kino o te tinana ki te rongoā whakamoe whānui. |
| Mate pāwera | Te pangia o te patunga pokanga, o roto rānei o te uma. |
| Te toto | Te toto nui i te wā o te pokanga, i muri rānei i te pokanga. |
| Mamae | Te mamae nui huri noa i te wāhi i tapahia ai te pokanga me ngā rara. |
| Ngā raruraru pea i muri mai | |
| Pūkahukahu | He mate manawa i roto i ngā pukahukahu (te whakanui ake i te makariri). |
| Atelectasis | Te hinganga o tētahi, neke atu rānei o ngā wāhanga o ngā pukahukahu. |
| Te mamae o muri i te tango i te uma | Te mamae roa e mau tonu ana mō ngā marama i muri i te pokanga. |
Kia pēhea te roa o te wā e ora ai?
Ka taea e koe te kai noa i muri i te pokanga. Heoi, he pai ake te kai i ngā kai he nui te muka hei ārai i te mate puku. Ki te kore koe e kīia e tō tākuta kia whakawhāitihia ngā wai, inuhia he nui te wai.
Tangohia ngā rongoā whakamamae kia rite ki te whakahaunga. Kaua e mutu te manawa hohonu nā te mamae. Mā te mahi pēnei ka arahi pea ki te niumōnia.
Ko te mea nui ko te whakahaere i te mamae, te manawa pai, me te maremare. Ka taea e tēnei te ārai i ngā raruraru o te pukahukahu.
Me noho koe ki te hōhipera mō te wiki pea. Heoi, tera pea ka roa te rua marama ki te hoki ki te mahi i muri i tēnei pokanga. Pātai atu ki tō tīma pokanga āhea koe ka taea te tīmata anō i ngā mahi pēnei i te moe tāne, te hiki taumaha, me te tākaro hākinakina.
Ahakoa kua hoki koe ki te kāinga, me haere tonu te whakaharatau i te manawa hōhonu, te maremare, me te whakamahi i te ine manawa whakatenatena. Tērā pea ka tūtohu tō tākuta i ngā mahi whakakori tinana mō ō ringaringa me ō pakihiwi.
Āhea ahau me kite anō i te tākuta?
Mā tō tākuta koe e kī atu āhea koe e hiahia ana kia kite anō. Engari i mua i tēnā, ki te mea he pātai, he āwangawanga rānei āu, kōrero ki tō tākuta. Me kite koe i te tākuta, inā koa mēnā kei a koe ētahi o ēnei tohu e whai ake nei:
- Ki te pāngia koe e te kirika.
- Mena ka tīmata anō te toto o te patunga, ka maremare toto rānei koe.
- Mena he uaua ki te manawa.
- Mena ka kite koe i te pūkahukahu, te pupuhi, te rerekētanga rānei o te tae kiri i te wāhi i tapahia ai.
- Ki te nui rawa te mamae kāore e taea te whakahaere.
He aha te rerekētanga i waenga i te Thoracotomy, te Sternotomy me te Thoracostomy?
He āhua ōrite ēnei ingoa e toru, nō reira ka pōhēhē pea. Kia kite tātou he aha te rerekētanga.
| Momo pokanga | Te wāhi me te kaupapa o te tapahi |
|---|---|
| Te tango i te uma i roto i te uma | Ka tapahia i waenganui i ngā rara e rua . Ko te whāinga he whakatuwhera i te uma, he rongoā hoki i ngā whekau. |
| Te tango i te uaua o te hope | Ka tapahia te wheua mā roto i te wheua uma (sternum) i waenganui o te uma. Ka tapahia tēnei wheua kia rua, kātahi ka mahia te pokanga. He maha ngā wā ka whakamahia tēnei tikanga mō te pokanga ngākau. |
| Te tirotiro i te uma | Ka tapahia he tapahi iti rawa ki roto i tēnei. Ko te kaupapa he whakauru i tētahi ngongo (ngā ngongo uma). Mā roto i tēnei ngongo ka taea te hoatu rongoā, ka taea rānei te tango i te wai/hau e kohia ana i te taha o ngā pukahukahu. He iti rawa tēnei tapahi i te tapahi thoracotomy. |
He tino mamae tēnei pokanga?
Ae, he pokanga mamae te tango i te puku. He pono. Ka uaua pea te manawa i tēnei mamae, ka arahi pea ki ngā āhuatanga pēnei i te niumōnia, te atelectasis rānei.
Kaua e manukanuka. He maha ngā huarahi a tō tīma hauora hei whakahaere i tēnei mamae. Mā te rongoā mamae ā-waha, te rongoā mamae ā-uaua, te catheter epidural rānei ka taea te whakauru ki roto i tō tuaiwi hei āwhina i a koe ki te whakahaere i tō mamae.
I ētahi wā ka roa pea tēnei mamae. Ka kiia tēnei ko te mamae post-thoracotomy, i kōrerohia e tātou i mua ake nei.
Hei whakamutunga, ki te tūtohu tō tākuta kia tangohia te puku o te hope, kia pai te kōrero ki a ia mō te take o te pokanga me ngā mea hei tumanako atu. He pokanga nui tēnei. Nō reira, he mea tino nui kia tere ai tō whakaoranga kia whai koe i ngā tohutohu a te tākuta, inā koa mō te whakamutu i te momi hikareti i mua i te pokanga, te mahi i ngā mahi manawa, me te whakahaere i te mamae i muri i te pokanga.
Karere Tangohia ki te Kāinga
- He pokanga nui, tuwhera te thoracotomy e mahia ana mā te tapahi i te uma i waenganui i ngā rara.
- Ka mahia tēnei hei rongoā i ngā whekau pēnei i ngā pukahukahu me te ngākau, hei tautuhi rānei i tētahi mate.
- Me ata whai i ngā tohutohu a tō tākuta i mua i te pokanga, inā koa mō te whakamutu i te kai paipa.
- I muri i te pokanga, he mea nui te whakahaere i te mamae, te maremare pai, me te manawa hōhonu hei ārai i ngā raruraru o te pukahukahu.
- Ka roa pea te wā whakaora. Tērā pea ka roa pea ētahi marama kia tino ora ai, nō reira kia manawanui.
- Ki te puta he tohu whakatūpato pēnei i te kirika, te mamae nui, te uaua rānei ki te manawa, me whakamōhio tonu atu ki tō tākuta.
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