I ētahi wā, kāore e kitea te pūtake o ngā raruraru o te puku ahakoa kua oti kē te whakamātautau. Kua pā tēnei ki a koe? Ina kore e kitea te pūtake o tētahi mea pēnei i te mamae nui o te puku, te toto rānei kāore i te whakamāramatia, me tapahi e ngā tākuta te kiri o te puku, ā, me tirotiro ngā whekau o roto. Koinei te ingoa o tēnei pokanga tātaritanga, he 'Exploratory Laparotomy' . He mahi ngāwari tēnei e whakatuwhera ana i te puku, e rapu ana i te mate.
He aha te Laparotomy Tūhura? I roto i ēhea āhuatanga ka mahia?
He pokanga nui te 'laparotomy tūhura' e mahia ana e ngā tākuta hei tātaritanga i ngā raruraru o te puku, arā, te puku. E taunakihia ana tēnei pokanga ina kore e taea e ētahi atu whakamātautau, pērā i te matawai , te tautuhi i te raruraru.
He maha ngā take matua e whakatau ai te tākuta ki te mahi i tēnei momo pokanga:
- Ngā whara o te puku: Whakaarohia, mēnā he whara nui tō puku, pērā i te aituā motuka. Ka mahia tēnei pokanga hei tirotiro mēnā kua pakaru ētahi okana o roto, kei te puta rānei te toto.
- Te toto kāore i te mārama: Te toto e puta mai ana i roto i te puku, engari kāore i kitea te wāhi, te take rānei.
- Mamae nui, kore e taea te whakamanawanui: Ki te kore e kitea e koe te pūtake o te mamae puku nui i tētahi atu ara.
- Mena kei te whakapaetia kua horapa te mate pukupuku: Kimihia mēnā kua horapa te mate pukupuku ki ētahi atu okana o te puku.
He aha ngā mahi a ngā tākuta i te wā e pokangahia ana?
I tēnei tikanga, ka tapahia e te tākuta te kiri o te puku, ā, ka āta tirohia ngā whekau o roto i te puku. I reira, ka rapua e rātou te pūtake o te mamae, o te toto rānei. Ko ngā whekau matua ka tirohia pēnei ko:
- Ate
- Ngā whatukuhu
- Puku
- te whēkau
- Pancreas
- Ngā whēkau iti me ngā whēkau nui (Ngā whēkau)
- Ko ngā whekau whakaputa uri o ngā wāhine ko te kōpū, ngā ngongo fallopian , me ngā ovaries .
- Tāpiritanga
- Ngā oko toto me ngā kōpū lymph
I te wā o te pokanga, ka tangohia pea e te tākuta tētahi wahi kiko iti mai i tētahi wāhi e whakaaro ana ia he raruraru, ka tukuna ki te taiwhanga hei whakamātautau. Ka kiia tēnei he 'koiora' .
I ētahi wā, ina kitea te pūtake o te raruraru, ka taea e ngā tākuta te rongoā i te wā o te pokanga. Hei tauira, ki te mea he kōhao kei roto i te whekau, ka taea e rātou te tuitui, te whakamutu rānei i te toto.
| Ko ētahi o ngā mate ka taea te tautuhi mā tēnei pokanga ko: | |
|---|---|
| Matepukupuku | Ngā āhuatanga matepukupuku i roto i ngā whekau puku. |
| Te endometriosis | Ko te kiko e tika ana kia noho i roto i te kōpū ka tipu ki waho. |
| Mate pāwera | Hei tauira, te apendisitis. |
| kiko whara | Ngā koha i roto i te puku mai i ngā pokanga o mua. |
| Ngā kōhatu o te pūhā | Ngā raruraru e puta mai ana i ngā kohatu o te puku. |
| Te poka o ngā whekau | He kōhao i roto i te whekau. |
| Hapūtanga ectopic | He hapūtanga e puta ana i waho o te kōpū, i roto i te ngongo fallopian i te nuinga o te wā. |
Me pēhea tā tātou whakarite i mua i te pokanga?
Ka mahia tēnei pokanga i ētahi wā i roto i tētahi āhuatanga ohorere, pērā i muri i tētahi aituā. I roto i ēnei āhuatanga, kāore he wā hei whakarite. Heoi, ki te mea kua hoatu e te tākuta he rā i mua i a koe, ā, kei te whakamahere ia i te pokanga, tera ētahi mea ka taea e koe te mahi hei whakarite.
- Kati te kai hikareti: Ki te kai hikareti koe, he mea tino nui kia mutu te kai hikareti i mua i te pokanga i ētahi wiki. Mā tēnei ka tere ake tō ora.
- Te whakahaere i ētahi atu mate: Mena kei a koe ētahi atu mate, pēnei i te mate huka, te toto toto tiketike rānei, me whakahaere e koe i mua i te pokanga.
- Kōrerotia ki tō tākuta ngā rongoā e tangohia ana e koe: Me kōrero e koe ki tō tākuta ngā rongoā katoa e tangohia ana e koe, ahakoa he rongoā kua tohua e te tākuta, he rongoā kāore e taea te hoko, he huaora, he rongoā Ayurvedic rānei.
- Kia pono ki te waipiro: Ki te mea he inu waipiro koe, me kōrero pono ki tō tākuta .
- Kōrerotia tō tākuta mō tō hapūtanga: Mena he tūponotanga kei te hapū koe, me whakamōhio atu ki tō tākuta .
I te rā i mua i te pokanga, me whai tonu koe i te wā tika e kīia ana e tō tākuta kia mutu te kai me te inu. I te nuinga o te wā, ka kīia kia mutu te kai me te inu i roto i ngā haora 6-8 i mua i te pokanga.
He pēhea te roa o te wā whakaora i muri i te pokanga?
I te nuinga o te wā, e 4 ki te 6 wiki te roa hei whakaora katoa i muri i te pokanga tirotiro.
Te whakaora i te hōhipera
Kāore e taea e koe te kai, te inu rānei i te āhua noa mō ētahi rā i muri i te pokanga. Nā te mea he roa te wā ka hoki anō ō whekau ki te āhua noa. Me noho koe ki te hōhipera kia taea rā anō e koe te kai me te inu ko koe anake.
- Ka hoatu he rongoā ki a koe hei whakahaere i te mamae me te ārai i te mate urutā.
- Ka whakauruhia he ngongo hei tango i te mimi. Ka kiia e mātou he 'catheter' .
- Tērā pea ka whakatakotoria he ngongo iti (he paipa wai) hei tango i te wai nui mai i te tapahi.
I te nuinga o te wā, me noho koe ki te hōhipera mō te whitu ngā rā i muri i tēnei pokanga.
Te whakaora i te kāinga
Kia whakatau tō tākuta ka taea e koe te hoki ki te kāinga, me whai koe i āna tohutohu katoa. Tangohia ō rongoā katoa i te wā tika. Tērā pea ka kī atu tō tākuta kia kai koe i tētahi kai muka nui hei āwhina i te neke tika o ō whekau. Kaua e hiki i te neke atu i te 5 pauna (2.3 kg) mō ngā wiki e 6.
| Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu. | |
|---|---|
| Mena he kirika, he makariri rānei tōu | |
| Mena he mamae, he whero, he pupuhi, he pūkahukahu rānei i te wāhi i tapahia ai | |
| Mena he mamae nui tōu, ā, kāore e memeha ahakoa kua tangohia he rongoā | |
| Mena kua pupuhi te puku | |
| Mena he mate korere koe mō ngā rā e rua neke atu | |
| Mena he toto kei roto i te tūtae | |
| Mena he uaua ki te mimi, he mamae rānei i te wā e mimi ana | |
| Mena he mamae tō uma, he maremare rānei | |
| Mena kei te whakapairuaki koe, kei te ruaki rānei | |
| Mena kei te pōuri koe, kei te ngoikore, kei te pupuhi/mamae rānei ō waewae | |
He aha ngā mōrearea o tēnei pokanga?
He pokanga nui te Laparotomy tūhura. Pērā i ngā pokanga nui katoa, he mōrearea anō hoki.
Ngā mōrearea whānui:
- Te toto
- Ngā mate urutā
- Te tauhohenga ohorere ki te rongoā whakangote (rongoā whakangote)
- Te whakaroa i te whakaora o te patunga
Ngā tūponotanga motuhake e pā ana ki tēnei pokanga:
- I ētahi wā, ahakoa i muri i te pokanga , kāore e taea te kimi i te pūtake o te mate . Mēnā koinei te āhua, me whai atu pea ētahi atu whakamātautau.
- He iti noa te tūponotanga ka pakaru ngā whekau, ētahi atu okana rānei i roto i te puku.
- Tērā pea ka puta he hernia i te wāhi i tapahia ai.
He aha te 'Laparoscopy' hei whakakapi mō te Laparotomy?
He tikanga anō tēnei mō te rapu i ngā raruraru o te puku. Engari he māmā ake i te Laparotomy. Ka kiia tēnei ko te 'Exploratory Laparoscopy' .
Ko te mea ka tupu i tēnei, kaua e tapahia he tapahi nui ki te puku, engari ka tapahia e te tākuta tētahi, ētahi rānei tapahi tino iti.Ka whakauruhia he ngongo iti me te kāmera e piri ana ki roto i te puku. Ka tirohia ngā whakaahua mai i te kāmera i runga i te aroturuki hei tirotiro i ngā whekau i roto i te puku. Ka kiia hoki tēnei ko te 'pokanga kōhao kī'.
He rerekē te laparoscopy i te laparotomy i ngā huarahi e whai ake nei:
- He pokanga tēnei e āhei ai koe ki te hoki ki te kāinga i taua rā anō, me te kore e noho ki te hōhipera.
- E rua wiki pea te roa hei whakaora.
- He iti rawa te koha.
Heoi, kāore e taea e te katoa te mahi laparoscopy. Mā tō tākuta e whakatau ko tēhea pokanga te mea pai mō tō āhua.
Karere Tangohia ki te Kāinga
- He pokanga nui te Laparotomy tūhura hei kimi i te pūtake o te raruraru i roto i te puku. He pokanga nui tēnei.
- He mea tino nui kia ata whai i ngā tohutohu a tō tākuta, i mua atu, i muri mai hoki i te pokanga.
- I a koe e ora ana, kia tūpato ki ngā tohu whakatūpato pēnei i te kirika, te mamae e kore e taea te tu, me te pupuhi i te taha o te motu. Mēnā ka pāngia koe e tētahi o ēnei, whakamōhio atu ki tō tākuta tonu.
- He tikanga pokanga anō kei te kiia ko te Laparoscopy hei huarahi kē atu ki tēnei pokanga. Kōrero ki tō tākuta mō te tikanga e tika ana mō tō āhuatanga.
Te Tātaritanga Laparotomy, Te Pokanga Puku, Te Pokanga Puku, Te Tātaritanga Laparoskopi, Te Mamae Puku, Te Whakaora i Muri i te Pokanga, Te Pokanga
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