Kei te wehi koe i te pokanga tango i te uma (Thoracotomy)? Me kōrero noa tātou mō tēnei

I ētahi wā, ina kī atu te tākuta ki a koe, ki tētahi rānei o tō whānau me pokanga uma koe, ka whakahuatia pea e rātou te kupu "thoracotomy." He mea noa te mataku me te manukanuka ina rongo koe i tēnei kupu. "He aha te momo pokanga?", "He morearea?", "Ka tino mamae?", koinei ngā pātai e puta ake ana i roto i te hinengaro. Nō reira, i tēnei rā, me kōrero tātou mō te tikanga o tēnei pokanga thoracotomy, ngā take i mahia ai, me ngā mea katoa e hiahia ana koe ki te mōhio mōna.

He aha tonu te mahi tango i te thoracotomy?

Ki te kī māmā noa, ko te thoracotomy he tapahi ka mahia e te taote pokanga i waenganui i ngā rara e rua hei tiro, hei rongoā rānei i ngā whekau o roto i tō uma. Whakaarohia he rite ki te whakatuwhera i te uhi o tētahi pukapuka hei tiro i ngā whārangi, me whakatuwhera e te taote pokanga te uma kia tae atu ai ki ngā whekau o roto i te uma.

Ko ngā whekau matua ka kitea ina whakatuwheratia te uma i tēnei ara ko:

• Ngā pūkahukahu
• Te ngākau me ōna oko toto nui e pā ana (hei tauira, te aorta)
• te korokoro
• Te rere o te roro

I ētahi wā ka whakamahia tēnei tikanga hei toro atu ki mua o te tuaiwi. Ko te tikanga ka mahia tēnei tapahi ki te taha maui, ki te taha matau rānei o te uma. Kei te taha o te okana e rongoatia ana tēnei. Ka tīmata te tapahi i te uma, ka heke ki muri i raro i te kēkē. Ka rerekē te rahi me te wāhi o te tapahi i runga i te momo pokanga e mahia ana. I ētahi wā, me whati, me tango rānei e te taote pokanga tētahi rara. Ka kiia hoki tēnei ko te 'pokanga tuwhera' .

He aha i hiahiatia ai te mahi tango i te thoracotomy?

He maha ngā take e taea ai te mahi i te tango i te puku. I ētahi wā ka mahia hei tiki tauira kiko (biopsy) hei tautuhi i tētahi mate. I ētahi wā anō, ka mahia hei rongoā mō tētahi mate. Me titiro tātou ki ngā take matua mō tēnei pokanga.

He aha ngā mea ka tupu i mua i te pokanga?

He pokanga nui tēnei, ā, me noho koe i raro i te mate whakamoe whānui. Nō reira, me hauora koe kia taea ai e koe te manawanui ki tēnei momo mate whakamoe. Mā te tīma hauora koe e tohutohu mō te wā e mutu ai te kai me te inu i mua i te pokanga.

Ki te kore he pokanga ohorere, ka tino kī atu ngā tākuta kia mutu te kai paipa . He tino āwhina tēnei i te tukanga whakaora.

He aha ngā mea ka tupu i te wā o te pokanga?

I te wā o te pokanga, ka tahuri te tīma hauora i a koe ki tetahi taha ka whakanoho i a koe ki tētahi tūranga whakamarie me te ringa kotahi ki runga ake i tō mahunga.

Ko te tohunga whakamoe i a koe i tēnei pokanga he tohunga ki te pokanga uma. Māna e whakahaere tō manawa kia kotahi anake te pukahukahu e mahi (te whakapūngao kotahi te pukahukahu) . Ko te tikanga o tēnei ka whakawetohia te pukahukahu i te taha o te pokanga mō te wā poto, ā, ka whakaaetia koe kia manawa mai i tētahi atu pukahukahu anake. Mā tēnei ka māmā ake te mahi a te taote pokanga.

Kātahi ka tapahia e te taote pokanga he rara i waenganui i ngā rara e rua, ka whakamahia he taputapu motuhake (ngā taputapu hoki) hei whakawhānui i te tapahi, ā, ka tirohia ngā whekau o roto, ka mahia rānei te maimoatanga e tika ana.

Kia oti te pokanga, kia katia hoki te tapahi, ka whakauruhia he ngongo uma hei tango i te wai me te hau kua kohia ki roto. He rite tēnei ki te ngongo.

He aha te mea ka tupu i muri i te pokanga, ā, kia pehea te roa o te wa e ora ai?

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 hoatu e te tīma hauora he rongoā ki a koe hei whakahaere i tō mamae.

He mea tino nui hoki tō takoha ki te tukanga whakaora.

• Mā te tīma hauora koe e akiaki kia maremare, kia manawa hōhonu hoki .
• E taunaki ana rātou kia whakamahia he taputapu e kiia nei ko te 'incentive spirometer' mō ngā mahi whakakori manawa.
• Ka tono ia kia hikoi paku me te āwhina.

Ahakoa he uaua pea ēnei mea i te tīmatanga, he mea nui ēnei hei ārai i ngā mate pūkahukahu (pērā i te niumōnia).

I muri i tō hokinga atu i te hōhipera, e rua marama pea te roa hei whakaora katoa i a koe, hei hoki anō ki ngā mahi o ia rā. Pātai atu ki tō tākuta āhea koe ka taea ai te hoki anō ki ngā mahi pēnei i te hiki taumaha me te tākaro hākinakina.

He aha ngā mōrearea o tēnei pokanga?

Pērā i ngā pokanga katoa, he mōrearea anō hoki kei roto i te pokanga tango i te uma. Kaua e manukanuka, ka whakapau kaha te tīma hauora ki te whakaiti i ēnei mōrearea.

• Ngā mōrearea noa e pā ana ki te pokanga: ngā raruraru ki te rongoā whakamoe, te mate urutā, te toto, me te mamae.
• Ngā raruraru pea i muri mai:
• Pneumonia: He mate pūkahukahu.
• Atelectasis: Te hinganga, te hinganga rānei o ngā wāhanga o te pukahukahu.
• Te mamae o muri i te pokanga: Te mamae e mau tonu ana mō ngā marama i muri i te pokanga.

Āhea koe e hiahia ana ki te kite anō i te tākuta?

I muri i tō wehenga atu i te hōhipera, ka whakamōhiotia koe mō ngā rā me hoki koe ki te whare hauora. Heoi, ki te puta mai tētahi o ngā tohu e whai ake nei i a koe, me waea atu tonu koe ki tō tākuta .

• Ki te pāngia koe e te kirika.
• Mena ka tīmata anō te toto o te motu, ka puta mai rānei te toto i a koe e maremare ana.
• Mena he uaua ki te manawa.
• Mena kei te turuturu te waikura i te wāhi i tapahia, he pupuhi, he whero, he kohakore rānei te tae.
• Ki te kore e taea e koe te whakahaere i te mamae ahakoa i muri i te tango rongoā.

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