Kua kōrerotia e tō tākuta ki a koe, ki tētahi atu rānei e mōhio ana koe, kei te pāngia koe e te mate pukupuku tōngāmimi? Tērā pea he maha āu pātai mō te pokanga TURBT. Kaua e wehi ki te whakaaro mō tēnei. He maimoatanga tino noa, ā, he angitu hoki. I tēnei rā, ka kōrero poto tātou mō te TURBT, me pēhea te mahi, me ngā mea me mōhio koe i mua me muri i te pokanga.
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He aha te TURBT?
Ko te ingoa katoa o TURBT ko Transurethral Resection of Bladder Tumor . Ahakoa te ahua uaua o te ingoa, he tino māmā noa iho. He tikanga e tautuhi ana, e rongoā ana hoki i te mate i roto i te pokanga kotahi.
Whakaarohia he pukupuku iti kei roto i tō pūkahukahu. Inaianei kei te hiahia te tākuta ki te mōhio mēnā he mate pukupuku, mēnā he pērā, te hohonu o tōna tipu ki roto i te pakitara pūkahukahu (wāhanga), me te rerekētanga o ōna pūtau mai i ngā pūtau noa (kōeke). Koia te take e mahia ai te pokanga TURBT.
Ko te tikanga o tēnei ko te whakauru i tētahi taputapu roa, angiangi me tētahi kāmera e piri ana (e kiia ana ko te cystoscope) mā roto i tō urethra ki roto i tō pūkahukahu, ka kitea te pukupuku, kātahi ka tapahia. Kāore he tapahi nui i waho o tō tinana . Ka puta ngā mea katoa mā roto i tō urethra. Kātahi ka tukuna te pukupuku kua tangohia ki tētahi taiwhanga kia tirohia e te tohunga mate.
He tino nui, he haumaru hoki te pokanga TURBT e whakamahia ana hei tango i te pukupuku tōngāmimi me te whakamātautau mō te mate pukupuku i te wā kotahi.
Me pēhea te whakarite i mua i te pokanga TURBT?
Ka hoatu e tō tākuta he tohutohu mārama ki a koe mō ngā mea hei mahi i mua i te pokanga. Mā te whai i ēnei tohutohu ka tino whakaiti i te tūponotanga o ngā raruraru kāore e hiahiatia.
| Me aha? | Whakaahuatanga |
|---|---|
| nohopuku | Kaua e kai, kaua e inu i tetahi mea mō te 8 hāora i mua i te pokanga, ki te kore koe e kīia kia tangohia te rongoā me te inu wai. |
| Te mōhiotanga ki ngā rongoā | Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā huaora me ngā rongoā otaota). Tērā pea me mutu te tango i ētahi rongoā (ina koa ko ngā rongoā whakaiti toto) i mua i te pokanga. Kaua e mutu te tango i tētahi rongoā me te kore he tohutohu a tō tākuta. |
| Te whakamahere kia ngāwari te hoki ki te kāinga | Whakaritea i mua i te wā kia haria koe e tetahi ki te kāinga i muri i te pokanga, nā te mea kāore e taea e koe te taraiwa nā te mea he rongoā whakamoe tō te rongoā. |
| Te horoi | Kaukau pai i mua i te haerenga ki te hōhipera. Engari kaua e whakamahi i ngā hinu kakara, hinu kakara, hinu whakawātea rānei i taua rā. |
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Check Availability →He aha ngā mea ka tupu i te wā o te pokanga?
I mua i te pokanga, ka tirohia koe e te tohunga whakamoe, ā, ka whakatau mēnā ka hoatu he whakamoe whānui ki a koe, arā, ka moe rawa koe, he whakamoe tuaiwi rānei, arā, ka whakangoikore noa i tō tuara o raro. I te nuinga o te wā, ka hoatu he whakamoe whānui ki a koe. Ko te tikanga o tēnei, kāore koe e rongo i tetahi mea i te wā o te pokanga.
I ētahi wā, ka tāpirihia pea e te tākuta he wai motuhake (tae) ki roto i tō pūkahukahu mā roto i tētahi ngongo (catheter) i te haora i mua i te mahi hei āwhina i te kite mārama ake i te pukupuku. Ka tiaho tēnei wai ina whakamahia he rama motuhake i te wā o te mahi, ā, ka taea e te tākuta te kite tika i te wāhi kei reira te pukupuku.
Ngā taahiraa o te pokanga
1. Te whakaurunga o te taputapu: Ka āta whakaurua e te tākuta te cystoscope mā roto i tō urethra ki roto i tō pūkahukahu.
2. Te tango i te whē: Kei roto i te pūkahukahu te whē, ā, ka tapatapahia mā te whakamahi i tētahi taputapu tapahi iti.
3. Te whakamutu i te toto: Mena ka puta te toto mai i te wāhi i tangohia ai te pukupuku, tahuna te wāhi ki tētahi taputapu hiko iti hei whakamutu.
4. Te whakaurunga o te catheter: I muri i te pokanga, ki te tika, ka whakatakotoria he catheter hei tango i te mimi me te toto mai i te pūkahukahu. Ka āwhina hoki tēnei ki te ārai i te toto e pupuhi ana. I ētahi wā, ka tukuna te tote mā roto i tēnei ngongo hei horoi i te pūkahukahu. Kāore e hiahiatia ana he catheter mō te katoa.
He aha te mea ka tupu i muri i te pokanga?
Kāore koe e rongo i te mamae i te wā e pokangahia ana. Heoi, i muri i te pokanga, tera pea ka pāngia koe e te mamae iti, e te wera rānei mō te wiki, e rua rānei, inā koa i te wā e mimi ana. He mea noa tēnei. Tērā pea ka kitea he toto iti i roto i tō mimi. Ka memeha haere anō hoki tēnei i roto i ētahi rā.
Me whai chemo ahau i muri i te TURBT?
Ka hiahia pea ētahi tāngata ki te rongoā chemotherapy i muri i te TURBT. Mēnā kāore anō te mate pukupuku kia horapa ki waho o te pūkahukahu, ka tūtohu pea tō tākuta i te rongoā chemotherapy ā-roto, ka hoatu tika ki roto i te pūkahukahu mā te ngongo. Ka taea te hoatu i te horopeta tuatahi i te wā kotahi o te pokanga. Mēnā kua horapa te mate pukupuku (kua horapa) ki ētahi atu wāhanga o te tinana, me hoatu pea te rongoā chemotherapy mā te uaua. Ka whakatauhia katoatia tēnei i runga i ngā hua o tō koiora.
Me noho tonu koe ki te hōhipera?
Ka puritia koe ki te hōhipera hei tirotiro māu mō ētahi hāora i muri i te pokanga. Ka tangohia te catheter i mua i tō tukunga ki te kāinga. Heoi, ki te nui te pukupuku, ki te nui rānei te toto, ka tukuna pea koe ki te kāinga me te catheter mō ētahi rā.
I muri i te hokinga ki te kāinga:
- Inumia he nui te wai e ai ki tā te tākuta i kī ai.
- Ka taea e koe te kai me te inu i te ahua noa.
- Kati te hiki i ngā taumaha me te mahi i ngā mahi uaua mō ētahi wiki.
- Ka waea atu te tākuta ki a koe ina tae mai tō pūrongo koiora. Pātai atu i mua i te wā ka tae atu ai, ā, me pēhea hoki.
Āhea te wā hei kōrero ki te tākuta
Ki te pāngia koe e tētahi o ēnei tohu i muri i te pokanga, waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera.
- Kirika .
- Te puta o te toto nui , ngā toto toto toto nui rānei i roto i te mimi.
- He kakara kino , he reka kino rānei tō te mimi.
- Mamae ohorere, kāore i te tumanakohia.
- Te uaua ki te mimi.
I ētahi wā, 4-6 wiki i muri i te pokanga tuatahi, me mahi anō pea koe i tētahi atu pokanga (he 'tirohanga tuarua') hei whakarite kua tangohia katoatia te pukupuku. Mā tō tākuta ēnei mea katoa e whakamārama ki a koe.
Karere Tangohia ki te Kāinga
- He pokanga haumaru te TURBT e mahia ana hei tātaritanga me te rongoā i te mate pukupuku tōngāmimi i te wā kotahi.
- Kāore e tapahia i waho o te tinana mō tēnei. Ka puta ngā mea katoa mā roto i te urethra.
- Whāia ngā tohutohu a te tākuta (te nohopuku, ngā tohutohu rongoā) i mua tonu i te pokanga.
- He mea noa te pāngia e te mamae iti i te wā e mimi ana, me te iti o te toto i roto i te mimi mō te wiki, e rua rānei i muri i te pokanga.
- Mena ka puta mai ngā tohu pēnei i te kirika, te toto nui, te mamae nui rānei, me toro atu ki tō tākuta tonu.
- Ka whakatauhia tō whakaoranga me tō maimoatanga ā muri ake nei e te pūrongo koiora ka riro i a koe i muri i te pokanga. Nō reira, kia maia, kia kaua e mataku ki te aroaro o te maimoatanga.
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