Kua rongo koe i tētahi pokanga ohorere hei whakamama i te pēhanga i roto i te roro? Mēnā i haria teretia tētahi o ō whanaunga, tētahi hoa rānei ki te hōhipera nā te whara o te upoko, kua rongo pea koe i ngā tākuta e kōrero ana mō tēnei tikanga. Ko te kupu hauora mō tēnei ko Ventriculostomy . Ahakoa te ahua uaua o te ingoa, me kōrero tātou mō ngā mahi e pā ana ki tēnei i roto i tētahi huarahi māmā, ngāwari hoki.
He aha tonu te Ventriculostomy?
Ki te kī ngāwari, he tikanga pokanga te ventriculostomy i hangaia hei tango i te wai nui mai i roto i te roro, kia pai ai te whakaiti i ngā taumata pēhanga morearea.
Whakaarohia tō roro he mea tino utu nui, he pakarukaru hoki. Hei tiaki i a ia, he mea whakangāwari ki tētahi paparanga wai. I roto i ngā kupu hauora, ka kiia tēnei ko te Wai Cerebrospinal (CSF) . Ka karapotia tō roro me tō tuaiwi e tēnei wai, ka mahi hei ārai i te ru.
Heoi, nā ngā whara (pēnei i te whiunga ki te mahunga), te toto o te roro, ngā āhuatanga ira rānei, ka nui rawa te whakaputanga o tēnei CSF, ka kore rānei e rere tika te toto, ka noho pūmau. Ina tupu tēnei, ka tīmata te pēhi i te roro ki te angaanga. Koinei te mea e kīia nei e tātou he pikinga o te pēhanga o roto o te angaanga .
He āhuatanga ohorere hauora nui te pikinga o te pēhanga ki te roro . Mēnā kāore e rongoatia, ka tūpono pea te ora. He pokanga nui te ventriculostomy e whakamahia ana i roto i ēnei āhuatanga ohorere hei whakaiti i taua pēhanga me te whakaora i ngā oranga.
He aha ngā āhuatanga e hiahiatia ana he Ventriculostomy?
Ko te tikanga, ka mahia tēnei pokanga hei rongoā i tētahi mate e whakapiki ana i te pēhanga o roto o te angaanga. Anei ngā āhuatanga matua e hiahiatia ai tēnei tikanga:
| Āhua | Whakamārama Māmā |
|---|---|
| Te waikura o te upoko | He putunga rerekē o te CSF i roto i te roro. He mea kitea pinepine tēnei i roto i ngā pēpi. |
| Te toto i roto i te angaanga | Te toto i roto i te roro, i ngā kiriuhi rānei e karapoti ana, e puta pinepine ana i te toto toto tiketike, i te whara rānei. |
| Te Pēhanga I roto i te Angaanga kua Piki Ake | Te pēhanga teitei i puta mai i ngā āhuatanga o runga ake nei, i ētahi atu āhuatanga rānei pēnei i te pukupuku roro. |
| Whara Roro Mamae | Te pupuhi o te roro me te kohikohi wai i muri i tētahi aituā, pērā i te hinganga, i te tukinga motuka rānei. |
Ngā momo matua e rua o tēnei tukanga
E rua ngā huarahi matua hei mahi i te ventriculostomy. Mā tō taote pokanga e whiriwhiri te tikanga e tino tika ana mō ō hiahia haumanu.
1. Te Wairewa o te Puku o Waho (EVD)
I tēnei huarahi, ka hangaia e te taote pokanga he kōhao iti ki roto i te angaanga, ka whakaurua he catheter — he ngongo angiangi, ngāwari — ki roto i te rūma kī tonu i te wai (ventricle) o te roro. Ka tangohia te pito kē atu o tēnei ngongo i te tinana, ka honoa ki tētahi pūnaha rerenga wai motuhake. Mā tēnei ka taea te mimiti haere i te CSF nui ki roto i te putea, ka whakaheke i te pēhanga o te roro. He otinga rangitahi noa iho tēnei.
2. Te Endoscopic Tuatoru Ventriculostomy (ETV)
He huarahi rerekē tēnei. Ka tapahia he wahi iti e te taote pokanga, ka whakauru i tētahi endoscope — he ngongo angiangi kei roto he kāmera iti me te mārama — ki roto i te roro. Kātahi ka hangaia he kōhao iti ki te papa o te ventricle tuatoru. Mā tēnei ka taea te rere o te CSF kua mau ki waho, ka mimitihia e ngā kiko e karapoti ana, ka whakahokia mai te rere tūturu. He otinga ā-roto pumau ake tēnei.
He aha ngā mea ka tupu i mua i te pokanga?
Nā te mea he āhuatanga ohorere tēnei, kāore pea he nui o te wā hei whakarite. Kia tae atu koe ki te Rūma Ohorere (ER), ka arotakehia wawetia tō āhua e te tīma hauora, ā, ka whakatau i te pokanga.
I mua i te tikanga, ka whakamārama te tīma hauora i te pokanga me ōna mōrearea ki a koe, ki tō kaitiaki rānei, ā, ka tonoa koe kia haina i tētahi puka whakaae. Tērā pea ka tono atu rātou ki a koe kia:
- Tangohia ngā rongoā motuhake (ina koa ko ngā paturopi ) e ai ki te whakahaunga.
- Whakamutua mō tētahi wā poto ngā rongoā whakaiti toto e tangohia ana e koe.
- Me whai i ngā whakamātautau tātaritanga e tika ana, pērā i te mahi toto , te matawai CT rānei.
Mena he pātai āu, kaua e mangere ki te pātai ki tō tākuta. He mea noa te manukanuka i roto i tēnei āhuatanga.
He aha ngā mea ka tupu i te wā o te pokanga?
I mua i te tīmatanga o te pokanga, ka tukuna e te tohunga whakamoe te rongoā whakamoe. I runga i tō āhuatanga, ka tukuna pea koe kia moe katoa ( Whakamoe Whānui ) ka whakangāwari rānei i te wāhi motuhake o tō tumuaki ( Whakamoe Ā-Rohe ). Ahakoa pēhea, kāore koe e mamae i te wā o te pokanga.
Ā muri iho, ka heua e te tīma pokanga he wahi iti noa o te huruhuru i te wāhi i tapahia. Kāore tēnei e pā nui ki tō āhua whānui.
Ko ngā mahi o te pokanga e whai ake nei:
- Ka whakamahia he wiri pokanga motuhake hei hanga i tētahi kōhao iti rawa i roto i te angaanga.
- Ka arahina marietia te catheter , te endoscope rānei ki roto i te roro.
- Ka tukuna te taputapu ki roto i te ventricle me te kore e kino te kiko o te roro.
- Ka hangaia te whakatuwheratanga e tika ana, ka whakatūria rānei te waikeri hei whakahaere i te wai.
- Kia oti te mahi, ka tangohia ngā taputapu, kātahi ka katihia te tapahi ki ngā tuitui, ki ngā tīpare hauora rānei.
Ko te roanga o tēnei tukanga katoa he tata ki te haora.
He aha ngā mea ka tupu i muri i te pokanga? Ngā tūponotanga me te whakaoranga pea
I muri tonu i te tikanga, ka nekehia koe ki te Wāhanga Tiaki Kaha (ICU) ki tētahi wāhanga motuhake rānei, ka tirotirohia koe e tā mātou tīma i a koe e ara ake ana i te rongoā whakamoe. Ina ara ake koe, he mea noa te ahua o te hiamoe, te ngenge rānei. Ka pātai atu tō tīma hauora ki a koe i ētahi pātai māmā, ka tono atu hoki kia nekehia ō ringaringa me ō waewae kia mau ai te mahi a tō roro, kia tere ai te aro atu.
Tērā pea me noho koe ki te hōhipera mō ētahi atu rā. I mua i tō hokinga ki te kāinga, ka whiwhi koe i ngā tohutohu mārama mō te tiaki i tō wāhi pokanga me te whakahaere i tō whakaoranga tonu.
Pērā i ngā pokanga katoa, he tūponotanga kei roto. Heoi anō, kia mārama koe kei te tino whakangungua tā mātou tīma pokanga, ā, e whakapau kaha ana ki te mahi i ngā mahi ārai katoa hei whakaiti i ēnei tūponotanga mōu.
| Mōrearea Pea | Whakamārama Māmā |
|---|---|
| Te toto | Te toto i te wāhi i pokangahia, i roto rānei i te roro. |
| Mate pāwera | Te mate i te wāhi i tapahia, i ngā kiriuhi roro rānei (hei tauira, te Ventriculitis). |
| Te hē o te whakaurunga o te catheter | Kāore pea te ngongo i te tūranga pai rawa atu, ā, ka pā kino ki te rerenga tika o te CSF. |
| Te turuturu o te CSF | Te turuturu o te wai cerebrospinal mai i te wāhi i tapahia ai. |
| Te nui rawa o te rerenga o te CSF | Te nui rawa o te wai e tangohia ana, ka ara ake pea tēnei i ētahi atu raruraru. |
Āhea te rapu awhina hauora tere
I muri i tō hokinga ki te kāinga, ki te pāngia koe e tētahi o ngā tohu kua whakarārangihia i raro nei, whakapā atu ki tō tākuta tonu atu , toro atu rānei ki te Tari Ohotata (ED) tata atu.
- Te whanaketanga o te kirika.
- Te toto, te rerenga rānei o te pirau mai i te wāhi i tapahia ai te pokanga.
- He pupuhi nui huri noa i te patunga.
- Te mamae nui o te upoko, kāore e taea te whakamanawanui, te mamae kino rānei.
- Te pōhēhē, te heke o te mataara, te ngaro rānei o te mahara.
Karere Tangohia ki te Kāinga
- He tikanga pokanga whakaora ora te Ventriculostomy e mahia ana hei whakahaere i te pikinga o te pehanga intracranial .
- He maha ngā wā ka mahia hei wawaotanga ohorere i muri i te whara, i te mate hauora ohorere rānei.
- Ahakoa he mōrearea kei ngā pokanga katoa, ka whai tō tīma hauora i Nirogi Lanka i ngā tikanga tino pakari hei whakarite i tō haumaru me te whakaiti i ēnei mōrearea.
- E hia pea ngā wiki ka roa te ora katoa; he mea nui te whai i ngā tohutohu a tō tākuta i muri i te pokanga mō tō hauora.
- Mena he pātai āu, he pātai rānei ā ō kaitiaki mō tō whakaoranga, kaua e mangere ki te pātai atu ki tō tīma hauora. Kei konei mātou hei tautoko i a koe i ia taahiraa o te ara.
