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He aha tonu te Ventriculostomy?
I te whakarapopototanga, he tikanga pokanga te Ventriculostomy e tango ana i te wai nui mai i te roro, ā, e whakamama ana i te pēhanga ki runga i te roro. Whakaarohia tō tātou roro he mea tino nui, he mea pakarukaru. Heoi anō, hei tiaki i tēnei roro nui, he wai kei te taha e taupoki ana. I roto i ngā kupu hauora, ka kiia tēnei ko te Wai Cerebrospinal (CSF) . Ka karapotia e tēnei wai CSF tō tātou roro me te taurakira hei urunga hei tiaki. Heoi anō, i ētahi wā, nā te aituā (hei tauira, he whara o te upoko), te toto i roto i te roro, ngā āhuatanga ira rānei, ka tīmata te whakaputa nui o tēnei wai CSF, ka kohia rānei ki te wāhi kotahi, kaua ki te rere noa. Ina tupu tēnei, ka tīmata te pēhi o te roro i roto i te angaanga. Koinei te mea e kiia nei e tātou he pēhanga nui ake i roto i te angaanga .He tino morearea tēnei pikinga o te pēhanga i roto i te roro . Ki te kore e tere te rongoā, ka taea te whakararu i te ora. He tino nui te pokanga ventriculostomy e mahia ana i roto i tēnei āhuatanga ohorere hei whakaiti i te pēhanga i roto i te roro, hei whakaora hoki i ngā ora.
He aha ngā āhuatanga e mahia ai te pokanga ventriculostomy?
Ko te tikanga, ka mahia tēnei pokanga hei rongoā mō tētahi āhuatanga e whakanui ana i te pēhanga ki te roro. Me titiro tātou ki ngā āhuatanga matua e tika ai tēnei pokanga.| Āhua | He whakamārama māmā |
|---|---|
| Te waikura o te upoko | He kohinga rerekē o te wai CSF i roto i te roro. He mea tino kitea tēnei i roto i ngā pēpi nohinohi. |
| Te toto i roto i te angaanga | Te toto e rere ana ki roto i te roro, ki ngā kiriuhi rānei e karapoti ana. Ka puta pea tēnei i te toto toto tiketike, i ngā aituā rānei. |
| Te pikinga o te pēhanga o roto o te angaanga | Te pikinga ake o te pēhanga i roto i te roro nā tētahi o ngā take o runga ake nei, nā tētahi atu take rānei, pērā i te pukupuku roro. |
| Whara Roro Mamae | Te pakaru o te roro nā te aituā motuka, te hinganga rānei, ka pupuhi, ka kohia hoki te wai CSF. |
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E rua ngā tikanga matua mō te mahi ventriculostomy. Mā tō tākuta e whiriwhiri te tikanga e tino tika ana māu i runga i tō āhua.1. Te Wairewa o te Puku o Waho (EVD)
I tēnei tikanga, ka hangaia e te taote pokanga he kōhao iti rawa ki te angaanga, ka whakaurua he catheter , he ngongo angiangi, ngāwari, ki roto i te ventricle i roto i te roro kua whakakiia ki te CSF. Ka tangohia te pito kē atu o te ngongo i te tinana, ka honoa ki tētahi pūnaha me tētahi putea motuhake. Mā tēnei ka kohia te CSF nui ki roto i te putea, ka whakaiti i te pēhanga ki runga i te roro. He otinga rangitahi noa iho tēnei i te nuinga o te wā.2. Te Whakatinanatanga Tuatoru o te Ventriculostomy (ETV)
He tikanga rerekē tēnei. I konei, ka tapahia he wahi iti e te taote pokanga, ka whakaurua he endoscope , he ngongo angiangi me te kāmera me te mārama kei mua, ki roto i te roro. Kātahi ka hangaia he kōhao iti ki raro i te ventricle tuatoru o te roro. Mā tēnei kōhao ka taea te mimiti i te wai CSF kua mau, ā, ka mimiti ki roto i ngā kiko e karapoti ana. Mā tēnei ka taea te mimiti noa i te wai.He aha ngā mea ka tupu i mua i te pokanga?
He pokanga ohorere tēnei i te nuinga o te wā, nō reira kāore he nui o te wā hei whakarite. Ina whakaurua koe ki te Tari Ohorere (ETU), ka arotake wawe ngā tākuta i tō āhua, ā, ka whakatau mēnā ka pokanga koe. Heoi, i mua i te pokanga, ka whakamārama te tīma hauora i te pokanga me ōna mōrearea ki a koe, ki tō kaitiaki rānei, ā, ka tono atu kia hainatia e koe he puka whakaae. Tērā pea ka tonoa koe kia mahi i ēnei e whai ake nei i mua i te pokanga:- Tangohia ētahi rongoā (ina koa ko ngā paturopi ) i whakaritea e tō tākuta.
- Mena kei te tango koe i ngā rongoā whakaiti toto , ka tonoa koe kia mutu te tango i aua mea mō tētahi wā.
- Tērā pea ka mahia ētahi atu whakamātautau (pēnei i ngā whakamātautau toto me ngā karapa CT) mēnā e hiahiatia ana mō te pokanga.
He aha ngā mea ka tupu i te wā o te pokanga?
I mua i te tīmatanga o te pokanga, ka hoatu e te tohunga whakamoe te rongoā whakamoe ki a koe. Tērā pea ka hoatu he rongoā whakamoe whānui ki a koe, ka moe rawa koe. Tērā pea ka hoatu he rongoā whakamoe ā-rohe ki a koe, ka whakangāwari noa i te wāhi o tō mahunga e mahia ai te pokanga. Heoi, kāore koe e rongo i te mamae. Kātahi ka tangohia e te tīma pokanga he iti noa te huruhuru mai i te wāhi e mahia ai te pokanga. Kāore tēnei e rerekē nui ki tō āhua. He māmā noa ngā mahi e whai wāhi ana ki te pokanga:- Ka hangaia he kōhao iti rawa ki te angaanga mā te whakamahi i tētahi wiri pokanga motuhake.
- Ka āta whakaurua he catheter , he endoscope rānei mā roto i taua kōhao ki roto i te roro.
- Ka tukuna ki roto i te ventricle, he rūma kī tonu i te wai CSF, me te kore e kino te kiko o te roro.
- Ka hangaia he whakatuwheratanga hei tuku i te wai nui kia rere.
- Kia oti te mahi, ka tangohia ngā taputapu, kātahi ka katihia te kōhao i hangaia ki te tumuaki me te tapahi kiri ki ngā tuitui, ki ngā tīpare rānei.
He aha ngā mea ka tupu i muri i te pokanga? Me ngā tūponotanga pea
I muri i te pokanga, ka whakawhitia koe ki te wāhanga tiaki nui (ICU) ki tētahi wāhanga motuhake rānei, ā, ka tirotirohia kia ngaro rā anō ngā pānga o te rongoā whakamoe. Ina ara ake koe, ka paku pōuri koe, ka ngenge hoki. Ka pātai atu te tīma hauora ki a koe, ka tono kia nekehia ō waewae, ka tirohia mēnā kei te pai te mahi a tō roro. Me noho koe ki te hōhipera mō ētahi atu rā. I muri i tō hokinga ki te kāinga, ka hoatu he tohutohu ki a koe mō te tiaki i te patunga pokanga me tō hauora.Pērā i ngā pokanga katoa, he tūponotanga kei reira, engari ka whakapau kaha ngā tākuta ki te whakaiti i ēnei tūponotanga.
| Mōrearea Pea | He whakamārama māmā |
|---|---|
| Te toto | Te toto i te wāhi i pokangahia, i roto rānei i te roro. |
| Mate pāwera | Te whara, te mate rānei o ngā kiriuhi o te roro (hei tauira, te Ventriculitis) |
| Te hē o te whakaurunga o te catheter | Kāore te wai o te cSF e mimiti tika ana nā te mea kāore te ngongo i whakaurua ki te wāhi tika. |
| Te turuturu o te CSF | Te turuturu o te wai o te CSF i roto i te patunga. |
| Te nui rawa o te rerenga wai CSF | I ētahi wā, ka puta mai ētahi atu raruraru nā te tangohanga o te wai nui atu i te mea e tika ana. |
Ina hiahia koe ki te toro atu ki te tākuta i te wā e taea ai
I muri i te hokinga ki te kāinga, ki te pāngia koe e tētahi o ngā tohu i raro nei, waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata.- Te kirika.
- He toto, he wai rānei rite ki te pupuhi kōwhai e turuturu ana mai i te patunga pokanga.
- Te pupuhi o te patunga.
- Te ānini, te mamae rānei e kore e taea te manawanui.
- Te pōhēhē, te heke o te māramatanga, te ngaro rānei o te mahara.
Karere Tangohia ki te Kāinga
- He tino mahi pokanga whakaora ora te ventriculostomy ina nui haere te pēhanga i roto i te roro .
- He mea tēnei me mahi tonu tonu i te nuinga o te wā nā te mea kua pā mai he aituā, he mate rānei.
- Pērā i ngā pokanga katoa, he tūponotanga kei reira, engari ka mahi ngā tākuta i ngā mahi katoa e tika ana hei whakaiti i aua tūponotanga.
- Tērā pea ka roa pea ētahi wiki kia tino ora ai i muri i te pokanga, ā, he mea tino nui kia whai i ngā tohutohu a tō tākuta.
- Mena he pātai āu, he pātai rānei a tō kaitiaki mō te pokanga, kaua e wehi ki te pātai ki tō tākuta. Kei te rite tonu tō tīma hauora ki te tautoko i a koe.
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