I kī atu te tākuta he pukupuku iti tōu, he polyp, kei roto i tō rectum? Ina rongo koe i tēnā, he maha ngā pātai whakamataku e puta ake ana ki tō hinengaro, pērā i te "Āe, me tapahi taku puku, kia pēhea te roa o taku noho ki te hōhipera, kia pēhea te mamae?" Engari kaua e mataku. I ēnei rā, kua tino matatau te rongoā. He tikanga motuhake kei reira hei tango i aua pukupuku me te kore e tapahia te puku, mā te whakauru i ngā taputapu iti mā roto i te rectum. Koinei tā tātou e kōrero nei i tēnei rā.
He aha rawa te TEMS?
Ki te whakarapopototanga, ko te Transanal Endoscopic Microsurgery (TEMS) he pokanga e whakaurua ai ngā taputapu pokanga iti rawa me te kāmera mā roto i tō nono, arā, mā te wāhi e puta mai ai te tūtae, hei tango i ngā pukupuku, ngā polyp, me ētahi atu i roto i te rectum, te wāhanga o raro rawa o te whekau nui.
Whakaarohia, i ngā wā o mua, hei tango i tētahi pukupuku pēnei i roto noa i te tō, me tapahi te puku, ā, me mahi he pokanga nui. Ka roa te wā e ora ai, ka tino mamae, ā, me noho koe ki te hōhipera mō ētahi rā.
Engari mā tēnei tikanga TEMS, ka taea e te taote pokanga te haere tika mā roto i te nono, me te kore e tapahia te puku, ka tae atu ki te pukupuku ka tangohia marietia. Ko te tikanga o tēnei ka iti ake te mamae ka pā ki a koe, ā, ka poto ake te wā whakaora.
He aha te rerekētanga i waenga i a TEMS me TAMIS?
Kua rongo pea koe i ngā TEMS me ngā TAMIS. He momo pokanga e rua e mahia ana mā te nono. Engari he iti noa ngā rerekētanga. Kia kite tātou he aha rāua.
| Āhuatanga | TEMS (Pokanga Maikoro Endoscopic Transanal) | TAMIS (Pokanga Whakaiti i te Urunga ā-Iwi) |
|---|---|---|
| Pūrere i whakamahia | Ka whakamahia he taputapu tika, mārō, rite tonu ki te ngongo (rectoscope). | E whakamahia ana he putanga porowhita, ngāwari, rite ki te tiēre. |
| Ngāwari | Nā te pakari o te taputapu, he uaua pea i ētahi wā te tae atu ki te pukupuku. | He ngāwari ake ngā taputapu, kia māmā ake ai te toro atu ki ngā wāhi rerekē o te tō. |
| Ngā taputapu pokanga | Mo tenei kaupapa, ka whakamahia nga taputapu pokanga moroiti motuhake. | Ka taea te whakamahi i ngā taputapu ōrite e whakamahia ana mō ngā pokanga laparoscopic. |
Mā tō taote pokanga e whakatau ko tēhea te tikanga pai mōu. Kei te wāhi, te rahi, me ētahi atu āhuatanga o te puku.
Ko wai te tangata e tika ana mō tēnei pokanga?
Ehara te pokanga TEMS i te mea mā te katoa, engari he kōwhiringa tino pai pea i roto i ngā take e whai ake nei:
- Mō te hunga e uaua ana ki te whakamanawanui i ngā pokanga nui e hiahia ana kia tapahia te puku nā ētahi atu raruraru hauora (hei tauira, te mate manawa, te mate huka).
- Mō te hunga kei ngā wāhanga tōmua o te mate pukupuku rectum.
- Mō te hunga he pukupuku kore-matepukupuku (pai), he polyp rānei ō rātou, inā koa ko te hunga rangatahi.
- Mō te hunga e hiahia ana ki te karo i ngā raruraru ka pā mai i muri i te pokanga nui.
He aha ngā mate e rongoātia ana e te pokanga TEMS?
He maha ngā wā ka mahia tēnei pokanga hei tango i ngā pukupuku e tupu ana i roto i te tō. Me titiro tātou he aha ēnei.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Ngā pukupuku rectum pai | Ehara ēnei i te matepukupuku, engari ki te kore e tangohia, ka pā mai pea ngā raruraru ā muri ake nei. |
| Matepukupuku rectum | I ngā wāhanga tōmua o te mate pukupuku, he tino angitu tēnei pokanga mēnā he iti te puku, ā, kāore anō kia horapa. |
| Ngā polyp rectum | He tipu kikokiko iti e puta mai ana i roto i te koroni. He mea nui kia tangohia ētahi polyp nā te mea ka huri pea hei mate pukupuku i muri mai. |
| Te hekenga o te rectum | Ka whakamahia tēnei tikanga i ētahi wā hei whakatika i tētahi āhuatanga e puta mai ai tētahi wāhanga o te pūkahukahu mā te nono. |
| Ngā uauatanga o te rectum | Te uaua ki te tūtae nā te whaiti o te tō. |
| Ngā Fistula | Ngā ara iti kua pangia e te mate huri noa i te nono. |
Me pēhea te whakarite i mua i te pokanga?
He rite te whakarite mō tēnei ki te whakarite mō te colonoscopy. Ko te mea nui ko te horoi katoa i tō koroni. Mā tēnei ka taea e te taote pokanga te kite mārama i te roto o tō rectum.
He maha ngā wā ka hoatu e tō tākuta ēnei tohutohu ki a koe:
- Kaua e kai i ngā kai mārō i te rā i mua i te pokanga.
- Me inu noa i ngā wai (hūpa mārama, tī, wai) 12-24 hāora i mua i te pokanga.
- Kaua e kai, kaua e inu i tetahi mea i muri i waenganui pō i te rā o te pokanga.
- Ka hoatu he wai motuhake (whakamamae) hei inu māu hei horoi i ō whekau. Me haere tonu koe ki te wharepaku i muri i te inu, nō reira me whakamahere kia noho ki te kāinga i taua wā.
- He mea tino nui: Kia tino kōrero koe ki tō tākuta mō ētahi atu rongoā e tangohia ana e koe, inā koa ngā rongoā whakaiti toto. Tērā pea ka tonoa koe kia mutu te tango i ēnei rongoā i ētahi rā i mua i te pokanga.
Me pēhea te mahi i te pokanga?
Kāore he mea e wehi ai koe. I mua i te tīmatanga o te pokanga, ka tukuna he rongoā whakamoe whānui ki a koe. Ko te tikanga ka moe rawa koe, ā, kāore koe e rongo i tetahi mea. Anei ētahi mea ka puta i te wā o te pokanga:
1. Ka whakaurua e te taote pokanga tētahi taputapu motuhake (rectoscope) mā roto i tō pūkahukahu.
2. Kātahi ka whakakīia he hau iti ki roto, kia taea ai te titiro ki roto i te pūkahukahu, ka pupuhihia.
3. Inaianei, ka whakauruhia he kāmera iti rawa me ngā taputapu pokanga mā roto i taua taputapu, ā, i a ia e mātaki ana i runga i te aroturuki, ka tangohia te pukupuku, te polyp rānei, me tētahi wahi iti o te kiko hauora e karapoti ana.
4. Ka katihia te wāhi i tangohia ai te puku ki ngā tuitui wairewa, ki ngā topenga whakarewa iti rānei. Kātahi ka mimitia ēnei e te tinana, ka tukuna rānei ki roto i te tūtae.
He aha ngā painga o tēnei pokanga?
Ko te painga nui o te pokanga TEMS ko tōna kaha ki te toro atu ki ngā wāhanga o runga o te tō, me te kore e tapahia te puku. I mua, kia tae atu ki ēnei wāhi, me mahi pokanga nui koe. Tērā pea ka pā mai ngā pānga taha roa pēnei i te uaua ki te mimi, te koretake o te moepuku, me te hiahia ki te mau i tētahi pēke tūtae tuturu (colostomy).
Engari mā te tikanga TEMS, he iti noa te mamae, he tere te whakaoranga, ā, he maha atu anō ngā painga.
- He iti rawa te toto e rere ana.
- He tino iti te mōrearea o ngā raruraru pēnei i te mate urutā me te aukati o te puku.
- He poto te noho ki te hōhipera (he rā, he rā e rua rānei te nuinga).
- Kāore e roa ka ora ake koe, ā, ka taea e koe te hoki ki ngā mahi o ia rā.
He tūponotanga, he raruraru rānei kei reira?
Pērā i ngā pokanga katoa, he iti noa ngā mōrearea. Heoi, ki te whakaritea ki te tummy tuck, he iti ake ngā mōrearea. Ko ngā raruraru iti pea ka puta ko:
- Te toto
- He mate pāwera
- Mamae o te rectum, o te puku rānei
- Te uaua ki te mimi (Te pupuri mimi)
- Te hiahia ohorere ki te tūtae (te hiahia ohorere ki te tūtae)
Mena ka puta he āhuatanga pēnei, ka whakaratohia e tō tākuta te maimoatanga e tika ana.
Kia pēhea te roa o te wā e ora ai?
Ko tētahi atu āhuatanga pai tēnei mō tēnei pokanga.
- Ka taea e koe te ara ake me te hikoi i taua rā anō e mahi ana koe i te pokanga.
- I muri i tō hokinga ki te kāinga, ka taea e koe te hoki anō ki ō mahi o ia rā i roto i te kotahi , i ngā rā e rua rānei .
Tērā pea ka paku mārō ō tūtae mō ētahi wiki i muri i te pokanga. He mea noa tēnei. Me toro atu pea koe ki tētahi tohunga kai, ki tētahi tohunga kai rānei, kia huri ai tō kai kia hoki rā anō te mahi a tō puku ki te āhua noa.
Ngā āhuatanga me toro atu koe ki te tākuta tonu
Ina hoki koe ki te kāinga i muri i te pokanga, he mea nui kia tere te kite i ngā raruraru. Mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu , haere rānei ki te Tari Ohotata (ETU) o te hōhipera mō te maimoatanga.
| Ngā tohu whakatūpato hei tirotiro māu | |
|---|---|
| 🔴 | Te toto nui rawa atu i te pūkahukahu. |
| 🔴 | Te mamae nui o te puku, te mamae rānei o te tuara. |
| 🔴 | Te kirika, te makariri rānei. |
| 🔴 | Te uaua ki te mimi, te kore rānei e puta he mimi. |
Koinei anake te pokanga mō te mate pukupuku o te kōpū?
He raruraru tēnei mō te tini o te tangata.
Mena kei te tīmatanga tonu te mate pukupuku, arā, he iti te puku, ā, kāore anō kia horapa ki ētahi atu wāhi, kāore pea he maimoatanga anō e hiahiatia ana i muri i te tango katoatanga o te puku mā te pokanga TEMS.
Heoi, i ētahi wā, hei tāpiri atu ki te pokanga, me whakamahi pea ētahi atu maimoatanga pēnei i te chemotherapy , te radiation therapy rānei. Ko te mea pai ko te whakatau ngātahi a tō tākuta e rongoā ana me te tohunga pukupuku.
He mea noa te mataku ina kitea he pukupuku tōu. Engari kia maumahara, nā te hangarau matatau o ēnei rā, kei reira ngā pokanga ka taea te mahi me te kore e tapahia te puku, me te iti o te mamae, me te tere ake o te ora. Ko TEMS tētahi o ngā tikanga maimoatanga tino haumaru me te whai hua.
Karere Tangohia ki te Kāinga
- He tikanga pokanga tino matatau te TEMS e tango ana i ngā pukupuku mā te tuku taputapu mā roto i te tuku, me te kore e tapahia te puku.
- He iti ake te mamae o tēnei tikanga, he poto ake te wā e noho ai koe ki te hōhipera, ā, ka taea e koe te hoki wawe ki te oranga noa.
- He tikanga tino whai hua tēnei mō te tango i ngā wāhanga tōmua o te mate pukupuku o te kōpū me ngā pukupuku ehara i te mate pukupuku.
- He mea tino nui kia whai i ngā tohutohu a tō tākuta i mua atu, ā, i muri hoki i te pokanga.
- Ki te pā mai ētahi raruraru i muri i te pokanga, pērā i te kirika, te mamae nui, te toto rānei, rapua tonutia he tohutohu hauora.
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