I ētahi wā, ina kī mai tō tākuta me pokanga koe, tētahi mema rānei o te whānau, ka whakamahia pea e rātou te kupu "Thoracotomy." He mea noa te rongo i te manukanuka, i te taumaha rānei ina rongo i tēnei. He mea noa ngā pātai noa pēnei i te "He aha te momo pokanga tēnei?", "He morearea?", "Ka mamae rānei?". I Nirogi Lanka , e hiahia ana mātou ki te āwhina i a koe kia mārama he aha te thoracotomy, he aha i mahia ai, me ngā mea katoa e hiahia ana koe ki te mōhio mō te tikanga.
He aha tonu te mahi tango i te thoracotomy?
Ki te kī māmā noa, he tapahi pokanga te thoracotomy i waenganui i ō rara e te taote pokanga hei tuku i te urunga atu ki ngā whekau o roto i tō uma mō te tirotiro, mō te maimoatanga rānei. Whakaarohia he rite ki te whakatuwhera i te uhi o tētahi pukapuka hei pānui i ngā whārangi; kia tae atu ai ki ngā whekau o roto i te kōhao o te uma, me hanga e te taote pokanga he wāhi tuwhera.
Ko ngā okana matua e uru atu ana i tēnei tukanga ko:
- Ngā pūkahukahu
- Te ngākau me ngā oko toto nui e pā ana (pērā i te aorta)
- te korokoro
- Te pūhā (te pūhā o te korokoro)
I ētahi wā, ka whakamahia hoki tēnei tikanga hei uru atu ki te taha o mua o te tuaiwi. Ko te tapahi ka mahia i te taha maui, i te taha matau rānei o te uma, i runga i te taha e hiahia ana kia rongoatia. Ko te tapahi ka tīmata i te uma ka toro atu ki te rohe i raro i te ringa me te taha ki muri. Ka rerekē te rahi me te wāhi o te tapahi i runga i te momo pokanga motuhake. I ētahi wā, me tapahi, me tango rānei e te taote pokanga tetahi rara kia tika ai te uru atu. E mōhiotia ana hoki tēnei tikanga ko te "pokanga tuwhera".
He aha te take e hiahiatia ai te tango i te thoracotomy?
He maha ngā take e taunakihia ai te pokanga thoracotomy. I ētahi wā, ka mahia hei tiki tauira kiko (biopsy) hei tātaritanga tika i tētahi mate. I ētahi atu wā, ka mahia hei maimoatanga tuatahi mō tētahi mate. Me tūhuratia ngā take matua e mahia ai tēnei pokanga.
| Take mō te Pokanga | Whakamārama Māmā |
|---|---|
| Te koiora | Hei tiki tauira kiko hei tautuhi tika i te mate o te pukahukahu ina whakapaetia he mate pūkahukahu. |
| Matepukupuku Pūkahukahu | Hei tango i ngā pukupuku matepukupuku, i tētahi wāhanga rānei o te pukahukahu. |
| Ngā Āhuatanga o te Ngākau | Hei rongoā i ngā raruraru e pā ana ki te ngākau, ki ōna oko toto nui rānei. |
| Pūkahukahu Hinga | Hei rongoā i te Pneumothorax e kiia nei e te hauora, i te wā kua hinga te pukahukahu. |
| Te Kohikohi Wai | Hei tango i te wai huri noa i ngā pukahukahu (Pleural Effusion) me te ngākau (Cardiac Tamponade) , inā koa mēnā he mate pāwera te take. |
| Ngā mate o te korokoro | Hei rongoā i ngā āhuatanga matepukupuku, kore-matepukupuku rānei e pā ana ki te korokoro. |
He aha ngā mea ka tupu i mua i tō pokanga?
Nā te mea he tikanga nui tēnei, me rongoā whakamoe whānui koe. Mā tō rōpū hauora koe e whakarite kia ora pai mō tēnei, ā, mā rātou anō hoki e hoatu he tohutohu mō te wā me mutu ai te kai me te inu i mua i tō pokanga.
He Whakamaumaharatanga Hira: Me whakaatu e koe ngā rongoā katoa, ngā huaora, me ngā tāpiringa e tangohia ana e koe—tae atu ki ērā e hokona ana i te toa rongoā—ki tō tākuta. Me whakamutu ētahi rongoā, inā koa ngā rongoā whakaiti toto, i mua i te pokanga. Me whai i ēnei tohutohu kia tika.
Mena he mea whiriwhiri noa iho tō pokanga, ka tino tohutohu tō tīma hauora kia mutu te kai paipa , he mea nui hoki tēnei hei āwhina i tō oranga.
He aha ngā mea ka tupu i te wā e pokangahia ana koe?
I te wā o te tikanga, ka noho humarie koe ki tō taha me te ringa kotahi e ara ake ana i runga ake i tō mahunga.
Mā tō kaiwhakamoe, he tohunga ki te pokanga uma, e whakahaere tō manawa mā te whakamahi i te whakapūngao kotahi o te pukahukahu . Mā tēnei ka taea e te pukahukahu e pokaina ana te okioki mō te wā poto, i te mea ka pupuri te pukahukahu kē atu i a koe ki te manawa. Mā tēnei ka hoatu ki te taote pokanga te wāhi e tika ana hei mahi haumaru.
Kātahi ka tapahia e te taote pokanga he rara i waenganui i ō rara, ā, ka whakamahia he taputapu motuhake (ngā taputapu whakakoi) hei uru atu ki te wāhi e pāngia ana, hei rongoā hoki.
Kia oti te pokanga, ka whakatakotoria he ngongo uma hei tango i te wai me te hau mai i te kōhao o tō uma i a koe e tīmata ana ki te ora.
He aha te mea ka tupu i muri i te pokanga, ā, kia pehea te roa o te whakaoranga?
E tumanakohia ana ka noho koe ki te hōhipera mō te wiki pea, me te pupuri tonu i te ngongo uma mō ētahi rā. Mā tō tīma hauora e whakahaere tō mamae me ngā rongoā e tika ana.
He mea nui tō whai wāhi kaha kia pai ai te whakaoranga:
- Mā tō tīma koe e akiaki kia maremare, kia manawa hōhonu hoki i ngā wā katoa.
- Ka tonoa koe kia whakamahi i tētahi ine manawa whakatenatena hei mahi i ngā mahi whakakorikori manawa.
- Ka akiakihia koe kia hikoi me te āwhina i te wā e taea ai.
Ahakoa he uaua pea ēnei mahi i te tīmatanga, he mea nui ēnei hei ārai i ngā raruraru pēnei i te niumōnia. Kia hoki koe ki te kāinga, e rua pea ngā marama ka roa hei whakaora katoa, hei tīmata anō i ngā mahi o ia rā. Tena koa kōrero ki tō tākuta mō te wā ka taea e koe te hoki haumaru ki te hiki taumaha, ki ngā hākinakina rānei.
He aha ngā mōrearea o tēnei pokanga?
Pērā i ngā tikanga nui katoa, he tūponotanga kei roto i te pokanga niho. I Nirogi Lanka, ka mahi tā mātou tīma hauora i ngā mahi katoa hei whakaiti i ēnei raruraru pea:
- Ngā Mōrearea Pokanga Whānui: Ngā raruraru e pā ana ki te rongoā whakamoe, te mate urutā, te toto, me te mamae.
- Ngā raruraru i muri i te pokanga:
- Pneumonia: He mate pūkahukahu.
- Atelectasis: Te hinganga wāhanga, te piri rānei o ngā wāhanga o te pukahukahu.
- Te mamae o muri i te pokanga: He mamae roa ka roa pea mō ngā marama i muri i te pokanga.
Āhea koe me toro atu anō ki tō tākuta?
I muri i tō putanga mai i te hōhipera, ka tukuna atu he rā motuhake mō ō haerenga ki te whare hauora. Heoi, whakapā atu ki tō tākuta tonu mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei:
- Ka pāngia koe e te kirika.
- Ka kite koe i te toto hou mai i te wāhi i tapahia, ka tīmata rānei te maremare toto.
- Ka pāngia koe e te uaua ki te manawa.
- Ka whakaatuhia te wāhi i tapahia ai he pupuhi, he whero, he tae rānei te tae.
- Ka kore e taea te whakahaere i tō mamae ahakoa kua tangohia e koe te rongoā kua tohua.
Mēnā ka pā mai he āhuatanga ohorere, pērā i te uaua ki te manawa, te toto nui rānei kāore e taea te whakahaere, rapua tonutia te āwhina i te Tari Ohorere (ED) tata atu, waea atu rānei ki te 911 .
Karere Kawea ki te Kāinga mai i Nirogi Lanka
- He tikanga nui te tango i te uma mai i te uma hei rongoā i ngā mate o roto i te uma. Ahakoa he mea maori te manukanuka, kia mahara he mahi hauora whakaora ora tēnei, he mea nui hoki.
- Me whai i ngā tohutohu a tō tākuta i mua i te pokanga, inā koa mō te whakamutu kai paipa me te whakaatu i ngā rongoā katoa e tangohia ana e koe i tēnei wā.
- I muri i te pokanga, he mea nui te whakahaere tika i te mamae me te mahi i ngā mahi manawa hōhonu kia pai ai te whakaoranga me te ārai i ngā raruraru pēnei i te niumōnia.
- I a koe e ora ana, ki te puta he āwangawanga, he tohu whakatūpato rānei, me whakamōhio tonu atu ki tō rōpū hauora.
te tango i te uma, te whakaora i te uma, te pokanga o te uma, te pokanga o te pūkahukahu, te pokanga o te ngākau, te aratohu pokanga o te uma, ngā tikanga pokanga, te ngongo uma, te tiaki i te uma, te pokanga matepukupuku pūkahukahu, te tango i te uma, te tango i te uma
