Kia ako tātou mō te pokanga karetao whakawhiti-waha (TORS) i roto i tētahi huarahi māmā!

Ka mataku te katoa ina rongo rātou mō te pokanga i ngā wāhi pēnei i te korokoro, te tuara o te waha, te turanga rānei o te arero, tika? Engari kua tino matatau te hangarau ināianei. He huarahi hei mahi i tēnei momo pokanga i roto i te waha, me te kore e tapahia nui te kaki me te kauae pērā i mua. Ko tēnei tikanga hou, e mahia ana me te āwhina o te karetao, e kiia ana ko TORS, ko tōna tikanga Transoral Robotic Surgery. I tēnei rā, ka kōrerohia tēnei i roto i ngā kupu māmā noa iho.

He aha te TORS?

Ko te TORS he tikanga e whakamahia ana e te taote pokanga he pūnaha rorohiko hei whakahaere i ngā ringa karetao. Whakaarohia he kāmera iti me ngā taputapu pokanga e whakaurua ana mā roto i tō waha, ā, ka heke ki raro i tō korokoro. Ka whakahaerehia e te tākuta ngā ringa karetao mai i te papatohu rorohiko i a ia e mātakitaki ana i te tirohanga 3D mārama mai i te kāmera.

He rite ēnei ringa karetao ki te toronga o ngā ringaringa o te tākuta. Engari he mea hanga kia ngawari ake, kia pumau, kia ngāwari ake i te ringaringa tangata. Mā tēnei ka taea e rātou te tango i ngā pukupuku matepukupuku i roto rawa i te waha, pērā i ngā mea i roto i te korokoro me te pūtake o te arero, he uaua ki te toro atu, me te kore e tapahia i waho. Ko te hangarau e whakamahia whānuitia ana mō tēnei ko te `(da Vinci® Surgical System)`.

He aha ngā āhuatanga e rongoatia ana e te pokanga TORS?

Ahakoa ko te pokanga TORS te nuinga o te wā e whakamahia ana mō ngā mate pukupuku o te upoko me te kaki, kua whānuitia te whakamahinga inaianei mō ngā āhuatanga ehara i te mate pukupuku.

Ko wai te tangata e tika ana mō tēnei pokanga?

Ehara te pokanga TORS i te mea mā te katoa. Mā tō tākuta koe e whakatau mēnā he pai koe mō tēnei. He maha ngā mea ka whakaarohia e rātou, tae atu ki tō hauora whānui, te hanganga o tō mahunga me tō kaki, me te whānuitanga o te mate pukupuku .

Kāore i te tūtohutia tēnei pokanga mō te hunga whai āhuatanga e whai ake nei:

• Mena kua horapa te mate pukupuku ki te wāhi e kore e taea te tango mā te pokanga.
• Mena he mōrearea te rongoā whakamoe nā te uaua ki te manawa.
• Mena he uaua ki te whakauru i ngā taonga puoro nā te iti rawa o te waha, nā tētahi atu take rānei.
• Mena he tūponotanga kei te nui rawa te toto e puta i te wā e pokanga ana.

Ka tūtohu noa te tākuta e tirotiro ana i a koe i te TORS mēnā e tino mōhio ana ia koinei te maimoatanga tino haumaru me te tino whai hua mōu, i muri i te whakaaroaro i ēnei mea katoa.

Te āhua o te pokanga me te wā whakaora

Te whakarite i mua i te pokanga

Ka whakahau tō tākuta i ngā whakamātautau pēnei i ngā matawai hei whakarite i tō pokanga. Me toro atu pea koe ki tētahi tohunga reo kōrero hei āwhina i a koe ki te whakahaere i ngā uauatanga horomi i muri i te pokanga. Ka hoatu hoki e tō tākuta he tohutohu ki a koe kia kaua e kai, e inu rānei i muri i te waenganui pō i te pō i mua i te pokanga, me te whakamutu i ētahi rongoā, pēnei i ngā rongoā whakangawari toto.

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

Ka mahia te pokanga i a koe e whakamoea ana (e whakamoea ana). Nō reira, kāore koe e mamae. Ka whakaurua e te tākuta he kāmera karetao me ngā taputapu ki roto i tō waha, ka mātaki i runga i te mata rorohiko kia tangohia katoatia te mate pukupuku. I ētahi wā, ka tapahia pea he tapahi iti ki te kaki hei tirotiro mēnā kua horapa te mate pukupuku ki ngā kōpū lymph i te kaki, ā, ka mahia pea he "tapahi kaki" hei tango i ētahi kōpū lymph .

E 1.5 - 2 hāora te roa o te pokanga tonu, ā, e 4-5 hāora pea te roa o te tukanga katoa.

Kia pēhea te roa o te wā e ora ai?

Koinei tētahi o ngā painga nui o te TORS. I te nuinga o te wā ka taea e koe te hoki ki te kāinga i muri i ngā rā e 2-3 i te hōhipera. Ka taea e koe te tīmata anō i ō mahi o ia rā i roto i ētahi wiki.

• Tērā pea ka mamae te korokoro, ka uaua hoki te horomi mō te 2-3 wiki i muri i te pokanga.
• I tēnei wā, me whiwhi pea koe i te kai e hiahiatia ana e koe, ā, me whakauru pea he ngongo whāngai rangitahi mā roto i tō ihu.
• He rerekē te whakaoranga mō te katoa, nō reira he mea nui kia whakarongo ki tō tinana, kia whai wā hoki ki te whakaora.

He aha ngā painga matua o te pokanga TORS?

He maha ngā painga o te TORS ki te whakataurite ki te pokanga tuwhera tuku iho.

• Teitei o te tika: Nā te mea he tino ngāwari te ringa karetao, ka taea e ia te tango i ngā pūtau matepukupuku anake me te tino tika, ka whakaitihia te kino ki ngā kiko hauora e karapoti ana.
• Te tere ake o te ora me te poto ake o te noho hōhipera: I mua, me noho koe ki te hōhipera mō te 1-2 wiki, inaianei ka taea e koe te hoki ki te kāinga i roto i ngā rā e 2-3.
• Kāore he koha e kitea ana: Nā te mea ka mahia katoatia te pokanga i roto i te mangai, kāore he koha nui i te kaki, i te mata rānei.
• Te whakaiti i ngā pānga taha: He tino iti te mōrearea o te toto nui, ngā raruraru roa ki te kōrero me te horomi.
• Te whakaiti i te hiahia mō ngā maimoatanga tāpiri: Ka whakaitihia pea, ka whakakorea rawatia rānei te nui o te irahiko, te chemotherapy rānei e hiahiatia ana i muri i te pokanga.

Ngā tūponotanga me te wā e tika ai kia kite i te tākuta

Pērā i ngā pokanga katoa, he maha ngā mōrearea o te TORS. Heoi, he iti iho ēnei i te pokanga tuwhera. He maha ngā mōrearea, pērā i te toto nui (he totohu), te mimiti o te kai, o te wai rānei ki roto i ngā pukahukahu, me te uaua ki te manawa. Ka whakaitihia anō ēnei mōrearea e te taote pokanga mātau.

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i tō pokanga, me whakamōhio tonu atu ki tō tākuta, me haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.

• Ngā tohu o te mate pāwera pērā i te kirika.
• Ngā tohu o te matewai pērā i te waha maroke me te mimi pouri.
• Te toto e puta mai ana i te wāhi i pokangahia.
• Te uaua nui ki te manawa, ki te horomi rānei.
• Whakapairuaki me te ruaki.
• Pupuhi rerekē.