Ina kī atu te tākuta ki a koe, ki tētahi rānei e mōhio ana koe me "pokanga uma" koe, he mea noa te mataku. Ko te whakaaro mō te "pokanga nui hei tango i te uma" te mea e puta ake ana ki te hinengaro. Engari i ēnei rā, kua tino whanake te pūtaiao hauora. Koia te take ināianei he tikanga "pokanga kōhao kī" hei rongoā i ngā mate maha o te uma, e mahia ana mā roto i ngā kōhao iti me te kore e hanga i ngā tapahi nunui. Koinei te mea e kiia nei e mātou ko te VATS.
He aha rawa te Taake Taapiri Moni (VAT)?
Ko te tikanga o te VATS ko te Video-Assisted Thoracic Surgery . He mahi pokanga tēnei e mahia ana i roto i te uma mā te whakamahi i tētahi kāmera ataata. Ko te "Thoracic" e pā ana ki te wāhanga o te uma i waenganui i te kaki me te puku. Kei konei ngā whekau nui pērā i te ngākau, ngā pukahukahu, me te esophagus.
Whakaarohia... I roto i tēnei pokanga, hei utu mō te tapahi nui i tō uma, ka tapahia e te tākuta he tapahi iti rawa i waenganui i ō rara e rua, ka whakaurua he ngongo angiangi me te kāmera iti (e kiia ana tēnei he thoracoscope ) mā roto. Ka whakaaturia ngā whakaahua mai i tēnei kāmera ki runga i te mata nui (aroturuki). Kātahi ka mahia tētahi, e rua rānei ngā tapahi iti, ā, ka whakaurua ngā taputapu ātaahua e hiahiatia ana mō te pokanga mā roto i aua tapahi. Ināianei ka taea e te tākuta te titiro ki ngā whakaahua i runga i taua mata, ā, ka rongoā tika i te raruraru i roto i te uma.
He pokanga iti rawa te whakaekenga o tēnei. Ko te tikanga he iti ake te kino, te mākūkū, me te mamae o te tinana i ngā pokanga tuku iho.
I roto i ēhea āhuatanga e hiahiatia ai te pokanga VATS?
Ko te VATS te mea matua e whakamahia ana hei tātaritanga me te rongoā i te mate pukupuku pūkahukahu me te mate pukupuku kua horapa, engari e whakamahia ana hoki mō te maha atu o ngā āhuatanga.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Matepukupuku Pūkahukahu | Hei tautuhi i tētahi pukupuku matepukupuku (biopsy) hei tango rānei. |
| Te mate pukupuku o te korokoro, o te repe thymus rānei | Hei rongoā i ngā mate pukupuku i roto i ēnei whekau. |
| Te Pupuhi o te Pleural | Mēnā he nui te wai e kohia ana i te taha o ngā pukahukahu, kimihia te pūtake ka tangohia te wai. |
| Ngā mate pūkahukahu pērā i te COPD | I roto i ngā mate pūkahukahu mau tonu, hei tango i ngā wāhanga pūkahukahu kua pakaru. |
| Te Hiperukarōhio | Hei rongoā mō te werawera nui. |
| Te Maistenia Gravis | Hei tango i te repe thymus i roto i tēnei mate e ngoikore ai ngā uaua. |
Ngā momo matua o ngā pokanga VATS
- Te tango i te pūkahukahu VATS: Ko te tango i tētahi wāhanga mate o te pūkahukahu ka taea te tango. Tērā pea ka tangohia he wāhanga iti ('wedge resection'), he wāhanga katoa ('lobectomy'), te pūkahukahu katoa rānei ('pneumonectomy').
- Te tango i te esophagus: Te tango i te wāhanga mate o te esophagus.
- Thymectomy: Te tango i te repe thymus mate.
- Te whakapaipai: Te tango i ngā kiriuhi pangia, i ngā kiko koha rānei e karapoti ana i ngā pukahukahu.
Me pēhea taku whakarite i mua i te pokanga?
He mea tino nui tēnei. Me whai tika koe i ngā tohutohu a tō tākuta .
- Ka tonoa koe kia nohopuku (kia kaua e kai, kia kaua e inu) mō ētahi haora i mua i te pokanga.
- Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā, huaora me ngā hua otaota mō tētahi wā .
- Mena he kaipaipa koe, me mutu rawa atu .
- Hei tāpiritanga, he maha ngā whakamātautau ka tonoa i mua i te pokanga, pēnei i:
- Ngā whakamātautau toto - hei tauira, he tatau toto katoa (CBC).
- Ngā whakamātautau e tirotiro ana i te mahi a te ngākau - pērā i te "(EKG)".
- Ngā whakamātautau whakaahua pēnei i te hihi-X o te uma, te matawai CT, te matawai PET rānei.
- Te whakamātautau mahi a te pūkahukahu.
- Ngā whakamātautau pēnei i te 'Upper Endoscopy'.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
He painga me he mōrearea kei roto i tētahi pokanga, engari he nui ake ngā painga me ngā mōrearea o te pokanga VATS i te pokanga tuwhera tuku iho ('thoracotomy').
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| He iti ake te wā e noho ana i te hōhipera. | Ngā koretake o te pā o te ngakau (Arrhythmias). |
| He iti ake te mamae me te koha i muri i te pokanga. | Te toto totoka, te whiu rānei. |
| Ka hoki wawe te tukanga manawa ki te āhua noa. | Te pūkahukahu. |
| He iti te mōrearea o te pangia. | Te toto o roto, te mate pāwera rānei. |
| Ka taea e koe te hoki wawe ki ngā mahi o ia rā. | Ngā raruraru manawa pērā i te niumōnia. |
He aha ngā mea ka tupu i muri i te pokanga? Kia pēhea te roa o te wā e ora ai?
I muri i te pokanga, ka noho koe ki te hōhipera mō te kotahi, e rua rānei ngā rā. I roto i tēnei wā:
- Ka hoatu he rongoā ki a koe hei whakahaere i te mamae .
- Whakatenatenahia ngā mahi manawa hōhonu me te hikoi. Mā tēnei ka whakaiti i te tūponotanga o ngā raruraru.
- Ka tangohia te ngongo uma i whakaurua i te wā o te pokanga i mua i tō hokinga ki te kāinga.
Ko te roa o te wā whakaora ka whakawhirinaki ki te momo pokanga i mahia ki a koe. E rua wiki pea te roa kia tino ora ai koe. I ētahi wā ka tae ki te waru wiki . I muri i tō hokinga ki te kāinga, he mea tino nui kia ata whai i ngā tohutohu a tō tākuta.
- Whakarerekētia ngā takai ki ngā motu ina hiahiatia.
- Kaua e hiki i ngā taumaha.
- Kaua e taraiwa, kaua hoki e haere ki te mahi tae noa ki te wā kua whakaritea.
- Tangohia te rongoā kia rite ki te mea i tohua e te tākuta.
- Hīkoi kia toru ngā wā i te rā, kia kore ai e totohu ngā waewae.
He aha ngā tohu e hiahia ana koe ki te waea atu ki tō tākuta i taua wā tonu?
Ki te puta mai tētahi o ēnei tohu i muri i tō hokinga ki te kāinga, me whakamōhio tonu atu koe ki tō tākuta .
- Mamae nui o te uma
- Te uaua ki te manawa
- Ka whero te wahi i tapahia, ka pupuhi, ka puta rānei he rerenga kōwhai.
- Kirika
He wā uaua te whiwhi tātaritanga matepukupuku mō te tangata. I tēnei wā, he mea nui te whakaoranga mai i te maimoatanga. He tikanga hou te VATS, he iti ake te mamae, ā, ka tere ake te ora i te pokanga tuwhera. Mā tō tākuta koe e whakamārama mēnā he tika tēnei māu. Kaua e mangere ki te pātai atu ki tō tākuta mēnā he pātai āu.
Karere Tangohia ki te Kāinga
- Ko te VATS he tikanga "pokanga kōhao" e whakamahia ana hei rongoā i ngā mate o te uma.
- Nā te mea kāore he motu nunui, he iti ake te mamae, te koha, me te roa o te wā e noho ana i te hōhipera.
- Ka whakamahia tēnei tikanga hei rongoā i ngā mate maha o te uma, tae atu ki te mate pukupuku o te pūkahukahu.
- He mea nui kia tere te ora me whai i ngā tohutohu a te tākuta i mua atu, ā, i muri hoki i te pokanga.
- Ki te pā mai ētahi tohu rerekē ki a koe (mamae o te uma, uaua ki te manawa) i muri i te pokanga, rapua tonutia he tohutohu hauora.
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