He aha te Talc (Te Ara Intrapleural): Ngā Whakamahinga, Te Inenga, Ngā Pānga Taha me Ētahi Atu

Ko te talc e whakawhiwhia ana mā te ara intrapleural he tikanga rongoā e whakaurua ai te paura talc koretake ki te wāhi i waenga i ō pūkahukahu me te pakitara o tō uma. Mā tēnei rongoā e ārai te wai kia kaua e kohikohi anō i taua wāhi, he mea e māmā ake ai te hā ki ngā tāngata e pā ana ki ētahi mate pūkahukahu.

He mea whakamataku pea te tikanga nei, engari kua whakamahia marie mō ngā tekau tau hei āwhina i ngā tāngata ki te hā pai ake me te pai ake te ngākau. Mā te rōpū rongoā koe e ārahi i ia wāhanga, me te whakarite kia mārama koe ki ngā mea e pā ana me te aha i whai hua ai tēnei rongoā mō tō āhuatanga motuhake.

He aha te Talc (Te Ara Intrapleural)?

Ko te rongoā talc intrapleural e whai pānga ana ki te whakatakoto i te paura talc rongoā ki roto i te wāhi pleural, koinei te wāhi angiangi i waenga i tō pūkahukahu me te pakitara o roto o te uma. Ko te tikanga he iti noa te wai kei roto i tēnei wāhi hei āwhina i ō pūkahukahu kia neke marie i te wā e hā ana koe.

Ko te mahi a te talc he whakaputa i te mumura i raro i te mana whakahaere e pā ana ki te piri ngātahi o ngā paparanga e rua o te kiko, e ārai ana i te wai kia kaua e kohikohi anō. Whakaarohia me te mea e hanga ana i te hīra e ārai ana i te wai e kore e hiahiatia kia kohikohi me te pēhi ki tō pūkahukahu.

He rerekē tēnei rongoā i te paura talc noa ka kitea e koe i ngā toa. He mea whakarite motuhake, he mea koretake, ā, he mea whakamātau te talc rongoā kia mōhio ai he haumaru mō te whakamahi i roto i tō tinana.

He aha te Talc (Te Ara Intrapleural) e whakamahia ana mō?

Ko tēnei rongoā te mea nui e whakamahia ana hei ārai i ngā pleural effusions, e pā ana ki te kohikohi nui rawa atu o te wai i waenga i tō pūkahukahu me te pakitara o tō uma. Ka uaua pea te hā i te wai nui, ka pā mai te mamae o te uma, te kore rānei o te pai.

Koinei ngā āhuatanga nui ka tūtohu pea tō tākuta i tēnei rongoā:

• Te wai i roto i te pūkahukahu (te kohikohi wai i puta mai i te mate pukupuku)
• Te wai i roto i te pūkahukahu e hoki tonu ana
• Pneumothorax (te pūkahukahu kua hinga) e puta pinepine ana
• Te wai i roto i te pūkahukahu i puta mai i te ngoikoretanga o te ngakau karekau e aro ki ētahi atu rongoā

Ko te whāinga he ārai i ēnei raruraru kia kore ai e puta anō, kia māmā ake ai tō manawa, kia pai ake ai tō noho i ia rā.

Me pēhea te mahi a te Talc (Intrapleural Route)?

Ka mahi te talc mā te waihanga i tētahi tukanga e kiia nei ko te pleurodesis, e piri tahi ai ngā paparanga e rua o te kiko huri noa i tō pūkahukahu. He whakautu whakaora tēnei e whakahaerehia ana, e whai hua ana, e ārai ana i te wai kia kohikohi anō i taua wāhi.

Inā ka whakaurua te talc, ka puta he mumura ngawari e akiaki ana i ngā kiko kia tipu tahi. Mā tēnei ka waihanga i tētahi hīra e whakakore ana i te wāhi e kohikohi ai te wai, pērā i te hīra i tētahi āputa kia kore ai te wai e kohikohi i reira.

E kiia ana he rongoā kaha, he whai hua hoki tēnei nā te mea e whakarato ana i tētahi otinga tūturu. Ko te nuinga o te tangata ka kite i te whakapai ake i tō rātou manawa, ā, kāore e hiahia ana ki ngā tukanga tukurua hei whakaheke i te wai.

Me pēhea taku tango i te Talc (Intrapleural Route)?

Kāore tēnei i te mea ka tangohia e koe i te kāinga pērā i te rongoā auau. Ka mahia te tukanga i roto i te hōhipera e ngā tākuta whakangungu, te nuinga he pulmonologist, he tākuta pokanga rānei.

Anei te mea e puta ana i te wā o te tukanga:

1. Ka whiwhi koe i te rongoā whakamomori ā-rohe, me te whakangāwari pea kia pai ai tō noho
2. Ka whakaurua tētahi ngongo iti (ngongo pouaka) i waenga i ō rara ki roto i te wāhi pleural
3. Ka whakahekehia te wai nui i te tuatahi
4. Ka whakaurua te talc whaiāhua mā te ngongo
5. Ka noho pea te ngongo mō te rā, e rua rānei hei aroturuki i te whakahekenga

Kāore koe e hiahia ki te whakarite i ngā kai, inu rānei motuhake, engari ka hoatu e tō tākuta he tohutohu motuhake ki a koe mō te kai me te inu i mua i te tikanga. Ka taea e te nuinga o te tāngata te hoki ki ngā mahi noa i roto i ngā rā torutoru ki te wiki.

Kia Pēhea te Roa e Tango ai au i te Talc (Te Ara Intrapleural)?

Ko te tikanga nei he tikanga kotahi anake, kaua ki te rongoā tonu. Kia whakatakotoria te talc, ka puta te pleurodesis, ko te nuinga o ngā pānga he pumau.

E pā ana ki te 2-4 wiki te roa o te tukanga whakaora kia piri katoa ngā kiko. I tēnei wā, ka pā pea ki a koe te mamae o te uma, te mamae ngawari rānei, he mea noa tēnei, e whakaatu ana kei te pai te rongoā.

Ka aroturukihia e tō tākuta tō haere mā ngā tūhono whai muri me ngā hihi-X o te uma pea hei whakarite kia angitu te rongoā. Kāore te nuinga o te tāngata e hiahia kia tōruitia te tikanga, ahakoa i ngā wā onge, ka hiahiatia pea he rongoā atu.

He Aha ngā Pānga Taha o te Talc (Te Ara Intrapleural)?

Pērā i ngā tikanga rongoā katoa, ka taea e te talc pleurodesis te pānga taha, ahakoa ka pai te nuinga o te tāngata ki te aro atu. Mā te māramatanga ki ngā mea e tūmanakohia ana ka āwhina i a koe kia pai ake te whakarite me te mōhio ki te wā hei whakapā atu ki tō rōpū hauora.

Ngā pānga taha noa ka pā pea ki a koe ko:

• Te mamae o te uma, te mamae rānei mō ngā rā maha i muri i te tikanga
• Te kirika, te nuinga he ngawari, he wā poto
• Te poto o te manawa e pai haere ana
• Te ngenge i te wā e whakaora ana tō tinana
• Te mare e whakaputa ana i te wai iti

Ko te nuinga o ēnei tohumate ka taea te whakahaere mā te rongoā mamae me te okiokinga. Ka hoatu e tō tākuta ngā tohutohu motuhake mō te whakahaere i te mamae i te wā o te whakaora.

He onge ngā raruraru nui, engari ka uru:

• Te mate i te wāhi tikanga
• Te nui o te toto
• Te pūkahukahu
• Te raruraru manawa e hiahia ana kia āwhina tonu te rongoā
• I ngā wā onge rawa, te mate ohorere o te manawa (ARDS)

Ka mātakitaki pū te rōpū hauora i a koe i muri i te mahi kia kite wawe i ngā raruraru. Ko te nuinga o te tangata ka ora me te kore raruraru nui, ā, ka pai ake te tū o te tinana ina oti te whakaora.

Ko wai e kore e tango i te Talc (Ara Intrapleural)?

Ahakoa he tino whai hua tēnei rongoā, kāore e tika ana mō te katoa. Ka āta arotake tō tākuta mō te pai o tō tūnga i runga i tō hauora whānui me tō āhuatanga hauora motuhake.

Kāore pea koe e tika ana mō tēnei mahi mēnā kei a koe:

• He mate pūkahukahu nui e whakatūpono ana i te mahi
• He mate pāwera i roto i tō uma, i te wāhi pleural rānei
• He ngoikore ngākau nui kāore i te pai te whakahaere
• Ngā mate toto e piki ai te tūponotanga o te toto
• Ngā tauhohenga pāwera nui ki te talc i mua
• He tino rawakore te hauora whānui e whakatūpono ana i ngā mahi katoa

Ka whakaaro hoki tō tākuta ki tō roanga o te ora me ngā whāinga o te kounga o te ora i te whakatau mēnā e tika ana tēnei rongoā. Ka whakatauria ngātahi tonu te whakatau, me te whakaaro ki ngā mea e tino nui ana ki a koe me tō whānau.

Ngā Ingoa Waitohu Talc

Ko te talc rongoā e whakamahia ana mō ngā mahi intrapleural e tohaina ana hei paura talc pokea, kaua i raro i ngā ingoa waitohu motuhake. Ko ngā whakaritenga e whakamahia nuitia ana ko te paura talc pokea e tutuki ana i ngā paerewa rongoā tino kaha.

Ka whakamahi pea ētahi hōhipera i ngā hua talc rongoā motuhake pēnei i te Steritalc, i ētahi atu whakaritenga rongoā. Heoi, ko te mea nui ehara i te ingoa waitohu, engari me mōhio kei te tika te whakakore i te talc, me te tutuki i ngā paerewa haumaru mō te whakamahi rongoā.

Ka whakamahi tō rōpū hauora i te talc rongoā e wātea ana i tō hōhipera, ā, ka mahi ngātahi ngā whakaritenga katoa i whakaaetia kia tutuki te pleurodesis.

Ngā Kōwhiringa Talc

Mena kāore te talc pleurodesis e tika ana mōu, he maha atu ngā kōwhiringa rongoā hei āwhina i te whakahaere i ngā wai i roto i te pūkahukahu me ngā raruraru manawa e pā ana. Ka kōrero tō tākuta i ēnei kōwhiringa kē atu i runga i tō āhuatanga motuhake.

Ētahi atu ākena pleurodesis e mahi ana i te ara rite ki te talc ko:

• Bleomycin (he paturopi e pā ana ki te piri o te kiko)
• Doxycycline (tētahi atu kōwhiringa paturopi)
• Ngā otinga i runga i te iodine

Ngā kōwhiringa kē atu kāore i te matū ko:

• Pleurodesis mīhini (te whakamahi i ngā tikanga pokanga hei whakapiri i ngā kiko)
• Ngā katheta pleural e noho ana mō te rerenga wai tonu
• Thoracentesis (te rerenga wai) i te wā e hiahiatia ana
• Pokanga thoracic āwhina-ataata (VATS) mō ngā take uaua ake

Ko te kōwhiringa pai rawa atu e whakawhirinaki ana ki ngā mea pēnei i tō hauora whānui, te take i raro i te wai i roto i te pūkahukahu, me ō hiahia whaiaro mō ngā huarahi rongoā.

He Pai Ake Te Talc I Te Bleomycin?

He rongoā whai hua te talc me te bleomycin mō te aukati i ngā wai i roto i te pūkahukahu, engari he rerekē ō rāua painga. Ko te kōwhiri i waenga i a rāua e whakawhirinaki ana ki tō āhuatanga hauora motuhake me te mea e whakaaro ana tō tākuta ka pai rawa atu mōu.

He maha ngā wā e pai ana te talc nā te mea he kaha ake te aukati i te hokinga mai o te wai. E whakaatu ana ngā rangahau he 90-95% te angitu o te talc pleurodesis, i te mea ko te bleomycin te tikanga e 80-85% te angitu.

Heoi, ka kōwhiria pea te bleomycin mēnā he ētahi āhuatanga hauora ōu e kore ai e tika te talc. Ka iti ake pea te bleomycin ki te pā ki ētahi o ngā raruraru manawa e puta ana i te wā e tino onge ana ki te talc.

Ka whakaaro tō tākuta ki ngā mea pēnei i tō tau, te mahi o te pūkahukahu whānui, te take o tō wai i roto i te pūkahukahu, me ō ētahi atu āhuatanga hauora i te wā e tūtohu ana i te kōwhiringa rongoā pai rawa atu mōu.

Ngā Pātai Auau Mō Te Talc (Ara Intrapleural)

He Haumaru te Talc mō te Hunga Mate Kākano?

Āe, he mea whakamahi noa te talc pleurodesis, ā, e whakaarohia ana he haumaru mō te hunga mate kākano e pūhia ana te wai i roto i te pūkahukahu. Inaha, ko te pūhia wai kino i roto i te pūkahukahu tētahi o ngā take tino nui e mahia ana tēnei tikanga.

Ka taea e te tikanga te whakapai ake i te kounga o te oranga mō ngā tūroro mate kākano mā te aukati i te kohikohi wai e pā ana ki te uaua o te manawa. Ka mahi tō rōpū oncology me te pulmonologist ki te whakarite i te wā tika, me te kaha hoki mō te tikanga.

He maha ngā wā ka nui ake ngā painga i ngā tūponotanga, ina koa ka pūhia te wai i roto i te pūkahukahu e pā ana ki ngā raruraru manawa nui e pā ana ki āu mahi o ia rā me te whakamarie.

Me Pēhea Taku Mahi Mēnā Ka Pātai te Mamae Nui o te Uma i Muri i te Tikanga?

He mea noa te mamae o te uma i muri i te talc pleurodesis, engari me arotake wawe te mamae nui, te mamae rānei e kaha haere ana. Whakapā atu ki tō rōpū hauora tonu mēnā ka pātai te mamae koi, te mamae rānei o te uma, te uaua nui ki te manawa, te mamae rānei kāore e pai ake i ngā rongoā kua whakaritea.

Ka hoatu e tō tākuta ki a koe ngā tohutohu motuhake mō te taumata o te mamae e tūmanakohia ana, me te wā hei karanga mō te āwhina. Kaua e ruarua ki te whakapā atu mēnā e māharahara ana koe mō ētahi tohumate.

Ngā tohu ohorere e hiahia ana kia āwhina tonu i te rongoā ko te poto o te manawa, te mamae o te uma me te whanoke, ētahi tohumate rānei e kaha haere ana, kāore e pai ake.

Me Pēhea Taku Mahi Mēnā Ka Pātai te Kirika i Muri i te Rongoā?

He mea noa te kirika ngawari (tae atu ki te 101°F, 38.3°C rānei) mō ngā rā tuatahi i muri i te talc pleurodesis i te wā e whakautu ana tō tinana ki te tikanga. He mea noa tēnei, ā, e whakaatu ana kei te mahi te tukanga whakaora.

Heoi, whakapā atu ki tō tākuta mēnā he nui ake tō kirika i te 101°F, e roa ana i te 3-4 rā, e haere tahi ana rānei me te wiri, te ngenge nui, te kino rānei o ngā raruraru manawa. Koinei pea ngā tohu o te mate e hiahia ana ki te rongoā.

Ka hoatu e tō rōpū hauora ngā aratohu motuhake ki a koe mō te pāmahana hei mātakitaki me te wā hei waea atu ki a rātou. Kia mau ki tō pāmahana me ētahi atu tohumate hei pūrongo i ngā waea whai muri.

Āhea Āhei Ai Au ki te Hoki ki ngā Mahi Auau?

Ka taea e te nuinga o te tangata te hoki pōturi ki ngā mahi māmā i roto i ngā rā torutoru ki te wiki i muri i te talc pleurodesis. Heoi, ko te whakaora katoa me te hoki ki ngā mahi auau katoa ka roa te 2-4 wiki.

Tīmatahia ki ngā mahi ngawari pēnei i ngā hīkoi poto me ngā mahi whare māmā. Kaua e hiki i ngā mea taumaha, kaua e whakangungu kaha, kaua rānei e mahi i ngā mahi e pā ana ki te mamae nui o te uma mō te 2-3 wiki pea, kia whakaaetia rānei e tō tākuta.

Ka rerekē pea tō wā whakaora i runga i tō hauora whānui, te āhuatanga e rongoatia ana, me te pai o tō whakaora. Ka hoatu e tō tākuta ngā aratohu motuhake i runga i tō āhuatanga takitahi.

Me Whai X-ray Uma Whai Muri Au?

Āe, ka tono tō tākuta i ngā X-ray uma i ngā wāhanga auau hei arotake i te angitu o te tikanga me te whakarite kia kore he raruraru e puta. Ko te X-ray tuatahi ka mahia i roto i ngā rā torutoru i muri i te tikanga.

Ka āwhina te whakaahua whai muri ki te whakapūmau kei te mahi te pleurodesis me te kore e kohikohi wai anō. Ka whakaritea pea ngā X-ray atu i te 1-2 wiki, 1 marama, ā, ka hiahiatia i ia wā.

He mea nui ēnei hui whai muri mō te whakarite i te putanga pai rawa atu me te hopu i ngā take i te wā wawe mēnā ka puta. Ka whakamāramahia e tō tākuta te hōtaka whai muri me te aha e tūmanako i ia haerenga.