Kei te whakapae tō tākuta kei te pāngia koe, tetahi rānei e tata ana ki a koe, e te mate pukupuku tōngāmimi? Kua whakaūtia rānei, ā, kua kīia atu ki a koe me pokanga koe e kīia nei ko 'TURBT'? Tērā pea ka mataku koe ina rongo koe i tēnei ingoa. Engari he maimoatanga tino noa, he haumaru hoki mō te mate pukupuku tōngāmimi. Nō reira, kaua e manukanuka. Me kōrero tātou mō te tikanga o tēnei pokanga TURBT, me pēhea te mahi, me pēhea te whakatau i tēnei i roto i te huarahi māmā, mārama hoki.
He aha te TURBT?
Ko te tikanga whānui o TURBT ko te Transurethral Resection of Bladder Tumor . He ingoa roa tēnei, kāore? Engari he tino māmā noa iho. He tikanga e rua ngā mahi i te wā kotahi. Arā, ka taea te tautuhi i te mate pukupuku o te pūkahukahu, ā, ka taea hoki te tango me te rongoā i te mate pukupuku.
Whakaarohia, ka mahia tēnei pokanga e te tākuta, kāore he tapahi i tō tinana. Me pēhea te mahi i tēnā?
Ka whakamahia e rātou he ngongo roa, angiangi, ngāwari hoki e kiia nei ko te resectoscope. Ka whakaurua tēnei taputapu ki roto i tō urethra, te ngongo e kawe ana i te mimi mai i tō pūkahukahu ki tō tinana. Kei te pito o tēnei taputapu he kāmera iti, he rama, me tētahi porowhita iti ka taea te whakamahi hei tapahi me te tango i te matepukupuku. Ka āta tangohia e te tākuta te matepukupuku i a ia e mātakitaki ana i ngā whakaahua mai i tēnei kāmera i runga i te aroturuki i roto i te rūma pokanga.
Nā te mea kāore tēnei tikanga e tapahi i te kiri, he iti noa te kino o te tinana. Koia i kiia ai he tikanga iti rawa te whakaekenga.
Ka kitea e te tākuta ētahi kōrero tino nui mai i tēnei pokanga.
- He aha te momo mate pukupuku?
- He aha te taumata o te mate pukupuku? (He iti te mōrearea, he nui rānei te mōrearea?)
- Te hohonu o te horapa o te mate pukupuku ki roto i te pakitara o te tōngāmimi (wāhanga).
I ētahi wā, ka taea te tango i te pukupuku matepukupuku katoa mā tēnei pokanga kotahi.
He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?
He tikanga tēnei mō te wā o waho. Ko te tikanga, ko te nuinga o te tangata ka whakaurua ki te hōhipera i te ata, ā, ka taea te hoki ki te kāinga i taua ahiahi anō i muri i te pokanga.
Koinei te huarahi hei whakarite i mua i te pokanga:
Ka tūtaki koe ki tō tākuta, ka waea ataata rānei i te wiki i mua i tō pokanga. Mā rātou e whakatau te momo rongoā whakamoe ka hoatu ki a koe. Tērā pea ka tonoa koe kia homai he tauira mimi.
I mua i te pokanga, ka hoatu e tō tākuta, e tō kaimahi hōhipera rānei ētahi tohutohu hei whai māu. He mea tino nui kia tino whai i ēnei tohutohu.
| Tohutohu | Te hiranga me te whakaahuatanga |
|---|---|
| Kai me te wai | Kaua e kai i tetahi mea mō ngā hāora e waru i mua i te pokanga. Kaua e inu wai i muri i te waenganui pō i te rā i mua i te pokanga. |
| Ngā rongoā | Mena kei te tango koe i ngā rongoā whakaiti toto (pēnei i te aspirin, ibuprofen, naproxen rānei), me kōrero ki tō tākuta. Ka kī atu rātou kia mutu te tango i ēnei i te wiki i mua i te pokanga. Mena kei te tango koe i ētahi atu rongoā, me kōrero anō hoki ki tō tākuta mō ēnei. |
| He tangata hei āwhina | Whakaritea i mua i te wā kia haria koe e tetahi ki te kāinga i muri i te pokanga. Kāore e taea e koe te taraiwa nā te mea kei te rongoā whakamoe koe. |
| Te horoi | Kaukau pai i mua i te haerenga ki te hōhipera. Engari kaua e whakamahi i tētahi hinu whakangāwari, hinu kakara, hinu whakawātea rānei i taua rā. |
I te wā o te pokanga...
Ka tīmata te pokanga i muri i tō whakamoenga. I te nuinga o te wā, ka whakamoea koe (whakamoenga whānui). I ētahi wā, ka whakangāwarihia koe mai i te hope ki raro (whakamoenga tuaiwi). Heoi, kāore koe e rongo i te mamae .
Ko ngā mahi e whai ake nei:
1. Ka āta whakaurua e te tākuta te resectoscope ki roto i tō pūkahukahu mā roto i tō urethra.
2. I a rātou e titiro ana ki ngā whakaahua mai i te kāmera, ka kitea e rātou ngā wāhi kei reira ngā pukupuku matepukupuku.
3. Muri iho, whakamahia te koropiko i runga i te taputapu hei tapahi me te tango i ngā nati.
4. Mena ka puta te toto mai i te wāhi i tangohia ai te pukupuku, ka tahuna ngā uaua toto hei aukati i te toto.
5. Hei whakamutunga, ka taea te whakauru i tētahi katitere hei tango i te mimi me te toto mai i te pūkahukahu, hei ārai hoki i te pupuhi o te toto.
Ko te roanga o te pokanga i waenga i te 15 me te 90 meneti , i runga i te rahi, te maha, me te wāhi o ngā pukupuku.
He aha ngā mea hei tumanakohia i muri i te pokanga?
I muri i te pokanga, me noho koe ki te hōhipera mō ētahi haora. Tērā pea me noho koe mō te pō.
Te whakaoranga me ngā tohu
- Mamae: Tērā pea ka pāngia koe e te wera iti, te mamae rānei i a koe e mimi ana mō ētahi rā ki ngā wiki e rua i muri i te pokanga. He mea noa tēnei.
- Tae mimi: Tērā pea ka huri tō mimi hei māwhero nā te toto e toe ana i roto i te pūkahukahu. Kaua e mataku. He mea noa tēnei.
- Tātari: Mena kua whakanohoia e tō tākuta he tātari, ka tangohia ina mutu te toto o tō mimi. Tērā pea ka tangohia i te hōhipera, me waiho rānei ki te kāinga mō ētahi rā.
- Ētahi atu tohu: He mea noa te hiahia nui me te auau o te mimi i roto i ngā rā 48 tuatahi.
Ko te huarahi pai ki te whakaiti i ēnei tohu me te whakaora wawe ko te inu i te nui o te wai i te roanga o te rā .
Ko te mea nui: Kaua e hiki i ngā mea taumaha, kaua hoki e mahi i ngā mahi uaua mō ētahi wiki i muri i te pokanga. Kei roto i tēnei ko te hiki i ngā tamariki, i ngā mōkai, me ngā tueke. Ka tohutohu anō tō tākuta kia kaua e moe tāne mō tētahi wā.
I te nuinga o te wā ka ora te pūkahukahu i roto i ngā wiki e 2 ki te 4. Mena kei te mamae tonu koe, kei te wera, kei te toto rānei i roto i tō mimi i muri i taua wā, me whakamōhio atu ki tō tākuta.
Me whai maimoatanga anō rānei?
I ētahi wā ka taea e te TURBT te tango i te pukupuku katoa. Heoi, ka tūtohu pea tō tākuta i te chemotherapy hei patu i ngā pūtau matepukupuku e toe ana, hei whakaiti hoki i te tūponotanga o te hokinga mai o te matepukupuku.
Mena kei roto tonu te mate pukupuku i te pūkahukahu, ka kiia te maimoatanga he 'intravesical chemotherapy'. Ko te tikanga o tēnei ka tukuna he rongoā chemotherapy wai ki roto i te pūkahukahu, ka waiho mō tētahi wā, kātahi ka tangohia anō. I ētahi wā ka taea tēnei te mahi i te wā kotahi me te pokanga TURBT.
He tūponotanga kei roto i tēnei pokanga?
He tikanga tino haumaru, he tikanga angitu hoki te TURBT. He iti iho i te 10% te mōrearea o ngā raruraru. Heoi anō, he iti noa ngā mea ka tino onge te tupu:
- Te toto kāore e taea te whakahaere: He tino onge tēnei. Mēnā ka puta, me mahi anō pea koe i tētahi atu pokanga hei whakamutu i te toto.
- Te pokanga o te pūkahukahu: I te wā e pokanga ana, ka mau pea te taputapu ki roto i te pakitara o te pūkahukahu, ka puta he kōhao iti. He tino onge hoki tēnei, ā, ka taea te rongoā.
- Ngā mate urutā:He iti noa te tūponotanga ka pāngia koe e te mate mimi i muri i te pokanga. He ngāwari noa te rongoā i tēnei mate.
He aha te ia o te whakaoranga mai i te mate pukupuku?
He pātai tēnei nā te tini o te tangata. Ahakoa he tikanga te TURBT e mahia ana e te nuinga o te tangata, ko te tūponotanga o te ora katoa o te mate pukupuku e whakawhirinaki ana ki te taumata o te mate pukupuku. Ko te tikanga o ngā tākuta he kōrero mō te "rēti ora mō ngā tau e rima". Ko te tikanga o tēnei, i roto i te 100 o ngā tūroro he taumata motuhake o te mate pukupuku, e hia kei te ora tonu i muri i te 5 tau. Ehara tēnei i te kī ka mate rātou i roto i ngā tau e 5. He tatauranga noa iho tēnei.
| Wāhanga Matepukupuku | Te auau oranga mō ngā tau e rima |
|---|---|
| Wāhanga 0 (ka kitea te mate pukupuku i te mata anake) | 97% |
| Wāhanga I-II (horapa ki roto i te pūkahukahu) | 72% |
| Wāhanga III (horapa ki ngā kiko e karapoti ana) | 40% |
| Wāhanga IV (horapa ki ngā whekau tawhiti) | 9% |
Kaua e mataku i ēnei tatauranga. Ko te wawe o te kitenga o te mate pukupuku, ko te nui ake o te tūponotanga ka ora . Koia te mea nui kia rapu tohutohu hauora i te wā tonu ka puta mai ngā tohu.
Karere Tangohia ki te Kāinga
- He pokanga haumaru, he iti noa te whakaekenga a te TURBT e whakamahia ana hei tātaritanga me te rongoā i te mate pukupuku tōngāmimi.
- Kāore he mamae i te wā e pokangahia ana. Ko te pupuhi me te mamae e puta mai ana i muri i te pokanga ka memeha haere i roto i ngā wiki e 2-4.
- He mea noa te huri o tō mimi ki te māwhero i muri i te pokanga. Kaua e manukanuka. Engari inuhia he nui te wai.
- Kia tino whai i ngā tohutohu a tō tākuta, ina koa mō te karo i ngā mahi taumaha me te tango i ō rongoā.
- Ahakoa i muri i te pokanga, tera pea e hiahiatia he maimoatanga tāpiri (pēnei i te chemotherapy) hei ārai i te hokinga mai o te mate pukupuku.
- Kaua e whakama ki ō pātai, ki ō wehi rānei, ā, kōrero noa ki tō tākuta.
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