Me kōrero tāua mō te tangohanga transurethral o te mate pukupuku tōngāmimi (TURBT)?

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.

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.

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.

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.