He aha te pokanga tango pūpū (Cystectomy)? Te Whāinga, te Hātepe & te Whakaora

Ko te pokanga tango pūpū, e kiia ana ko te cystectomy, he tikanga ka tangohia e nga tākuta pokanga tetahi wāhanga, te katoa rānei o tō pūpū. Ka whai mana tēnei pokanga ina he kino nui tō pūpū i te mate pukupuku, ngā mate kino, ētahi atu āhuatanga rānei kāore e aro ki ētahi atu rongoā.

Ahakoa te whakaaro ki te pokanga pūpū ka pōuri, mā te māramatanga ki ngā mea e pā ana ki tēnei tikanga ka āwhina i te whakamāmā i ō āwangawanga. Kua noho haumaru ake te cystectomy i ngā tikanga pokanga hou, ā, he ngawari ake te whakaora i ngā wā o mua.

He aha te pokanga tango pūpū (cystectomy)?

Ko te Cystectomy he tikanga pokanga e tango ana i tetahi wāhanga o tō pūpū (cystectomy wāhanga) i tō pūpū katoa rānei (cystectomy radical). Whakaarohia he huarahi tēnei a tō rōpū hauora ki te whakakore i ngā kiko tūroro e whakatūpato ana i tō hauora.

I te wā o te cystectomy wāhanga, ka tangohia e ngā tākuta pokanga te wāhanga kua pā ki tō pūpū. Ka mahi tonu tō kiko pūpū e toe ana, ahakoa ka iti ake te mimi i mua. He pai ake tēnei huarahi ina pā te raru ki tētahi wāhi anake o tō pūpū.

Kei roto i te cystectomy radical te tango i tō pūpū katoa me ngā pona rākau tata. I ngā tāne, ka uru pea tēnei ki te prostate me ngā pūpū wairākau. I ngā wāhine, ka uru pea ki te kōpū, ngā ovaries, me tētahi wāhanga o te tara. I muri i te tango katoa i te pūpū, ka hangaia e ngā tākuta pokanga he huarahi hou mō tō tinana ki te penapena me te tuku mimi.

He aha te take i mahia ai te pokanga tango pūpū?

Ka tūtohu ngā tākuta i te cystectomy ina he mate nui tō pūpū e whakatūpato ana i tō hauora, ā, kāore e aro ki ngā rongoā iti ake te whakaeke. Ko te take tino nui ko te mate pukupuku pūpū kua tipu ki roto i te pakitara uaua o tō pūpū, kua hoki mai rānei i muri i te rongoā tuatahi.

Ka tūtohu pea tō rōpū hauora i tēnei pokanga mō ētahi atu āhuatanga nui e pā ana ki tō kounga o te oranga:

• Te mate pukupuku pūpū i uru ki te uaua kare i horapa ki ētahi atu okana
• Te mate pukupuku pūpū nui e hoki tonu ana ahakoa te rongoā
• Te kino nui o te iraruke ki tō pūpū mai i ngā rongoā mate pukupuku o mua
• Ngā mate pūpū roa e pā ana ki te mamae tonu, kare e ora
• Ngā hē whānau e pā ana ki te mahi o te pūpū
• Te pūpū neurogenic e pā ana ki te kino o te tākihi

I te nuinga o te wā, ka tūtohu pea ngā tākuta i te cystectomy mō ngā āhuatanga onge pēnei i te cystitis interstitial nui kare e aro ki ētahi atu rongoā. Ka tūtohu anake tō tākuta i tēnei pokanga nui ina nui ake ngā painga i ngā tūponotanga mō tō āhuatanga motuhake.

Ina kāore anō ētahi atu rongoā i whai hua

I mua i te whakaaro ki te cystectomy, ka whakamātau tō rōpū hauora i ētahi atu rongoā i te tuatahi. Ko ēnei pea ko te chemotherapy, te rongoā iraruke, te immunotherapy, me ngā rongoā hei whakahaere i te mahi o te pūpū.

Ka noho te pokanga hei kōwhiringa e tūtohutia ana ina kāore ēnei rongoā e whakahaere i te mate, i te wā rānei e tūpono ana tō āhuatanga ki ngā tākihi, ki te hauora whānui rānei. Ka whakamārama tō tākuta i te aha kāore ētahi atu kōwhiringa e tika ana mō tō keehi motuhake.

He aha te tikanga mō te pokanga tango pūpū?

Ko te pokanga tango pūpū te tikanga e 4 ki te 8 hāora, i runga i te hiahia kia tangohia te wāhanga, te katoa rānei. Ka whakamahi tō rōpū pokanga i te pokanga tuwhera tuku iho, i ngā tikanga iti rānei pēnei i te pokanga laparoscopic, robotic rānei.

I te wā o te tikanga, ka noho koe i raro i te rongoā whānui, nā reira kāore koe e rongo i te mamae, e mahara rānei ki te pokanga. Ka hanga e tō tākuta ngā tapahi hei uru atu ki tō pūpū, ka tango āta i te kiko mate i te wā e tiaki ana i ngā okana me ngā hanganga tata.

Ngā mahi i te wā o te cystectomy wāhanga

Mō te tango pūpū wāhanga, ka whai tō tākuta i tētahi raupapa āta hei tiaki i te nui o te kiko pūpū hauora ka taea:

1. Te hanga i tētahi tapahi iti ki tō puku o raro
2. Te tautuhi me te wehe i te wāhi tōtā o tō pūpū
3. Te tango i te kiko kua pā, me tētahi wāhi o te kiko hauora
4. Te tirotiro i ngā kōpuku tata mō ngā tohu o te mate
5. Te hanga anō i tō pūpū mā te tuitui i te kiko e toe ana
6. Te whakatakoto i tētahi katita hei āwhina i tō pūpū kia ora tika

Ko tēnei huarahi e tiaki ana i tō kaha tūturu ki te rongoa me te tuku mimi, ahakoa ka iti pea te kaha o tō pūpū. He pai te urutau a te nuinga o te tangata ki ēnei huringa i te roanga o te wā.

Ngā Hipanga i te wā o te cystectomy radical

Ko te tango katoa i te pūpū e hiahia ana i te pokanga nui ake, me te hanga anō hei waihanga i tētahi huarahi hou mō tō tinana ki te whakahaere i te mimi:

1. Te hanga i tētahi tapahi nui ake mai i tō wheua uma ki tō wāhi pubic
2. Te momotu āta i tō pūpū mai i ngā hanganga e tata ana
3. Te tango i tō pūpū katoa me ngā kōpuku tata
4. Te tango i ngā okana atu mēnā kua horapa te mate pukupuku ki te taha
5. Te waihanga i tētahi rerenga mimi hou mā te whakamahi i tētahi wāhi o tō whekau
6. Te hono i ō ureters ki te pūnaha mimi hou

Ka waihanga tō tākuta pokanga i tētahi o ngā momo rerenga mimi e toru i runga i tō hauora, tō tau, me ō hiahia whaiaro. He rerekē ngā painga me ngā whakaaro o ia kōwhiringa, ā, ka kōrerohia e tō rōpū hauora ki a koe i mua.

Ngā Momo o te hanga anō i te mimi

I muri i te tango katoa i te pūpū, ka waihanga ngā tākuta pokanga i ngā huarahi hou mō tō tinana ki te kohikohi me te whakakore i te mimi. E toru ngā kōwhiringa matua e mahi rerekē ana, ā, e hiahia ana i ngā taumata rerekē o te manaaki whaiaro.

Ka whakamahi te ara ika i tētahi wāhi iti o tō whekau iti hei waihanga i tētahi ara mai i ō whatukuhu ki tētahi wāhi tuwhera (stoma) i tō puku. Ka rere tonu te mimi ki roto i tētahi pēke kohikohi e whakawātea ana koe i te roanga o te rā. Ko te nuinga o te wā koinei te kōwhiringa māmā rawa atu mō ngā tūroro pakeke, mō te hunga rānei e whai ana i ētahi atu āhuatanga hauora.

He pūtea kiri e hanga ana i tētahi pūtea o roto mai i te kiko whekau me tētahi wāhi iti ki tō puku. Ka whakauru koe i tētahi ngongo angiangi (katita) mā tēnei wāhi i te maha o ngā wā i ia rā ki te whakaheke i te mimi. Mā tēnei kōwhiringa e whakakore te hiahia mō tētahi pēke o waho, engari me mahi koe i ngā katitahinga i ngā wā katoa.

He hanganga neobladder e hanga ana i tētahi pūpū hou mā te whakamahi i tētahi wāhanga o tō whekau e hono tika ana ki tō urethra. Mā tēnei ka taea e koe te mimi i te ara māori ake mā tō wāhi noa, ahakoa me whakamahi pea koe i ngā uaua puku ki te whakawātea katoa, ā, ka pā pea tētahi rerenga i te tīmatanga.

Me pēhea te whakarite mō tō pokanga tango pūpū?

Ko te whakarite mō te cystectomy e whai ana i ētahi mahi nui hei āwhina i te whakapūmau i te putanga pai rawa atu. Mā tō rōpū hauora koe e ārahi i ia wāhanga whakarite, e tīmata ana i te rua wiki i mua i te rā pokanga.

Ka oti i tō tākuta te whakamātautau whānui tuatahi kia mōhio ai koe he pai tō hauora mō te pokanga nui. Ko te tikanga, kei roto i tēnei ngā whakamātautau toto, ngā rangahau mahi ngākau, ngā whakamātautau mahi pūkahukahu, me ngā karapa whakaahua hei tirotiro mō ētahi take hauora huna.

Ngā whakaritenga hauora i mua i te pokanga

He maha ngā mahi hauora hei whakapai ake i tō tinana mō te mahi e haere ake nei, me te whakaiti i te tūponotanga o ngā raruraru:

• Te whakamutu i ētahi rongoā e whakanui ana i te tūponotanga o te toto
• Te whakahaere i te mate huka, i te pēhanga toto rānei mā ngā rongoā kua whakatikatikahia
• Te rongoā i ētahi mate mā ngā paturopi
• Te whiwhi whakamātautau toto hei tirotiro i tō mahi whatukuhu me te ate
• Te whiwhi whakaaetanga ngākau mēnā he mate ngākau tō
• Te tūtaki ki tētahi kaiwhakawhiwhi rongoā hei kōrero mō te whakahaere mamae

Ka hoatu e tō rōpū pokanga ngā tohutohu motuhake mō ngā rongoā hei haere tonu me ngā rongoā hei whakamutu. Kaua rawa e whakamutu i ngā rongoā kua whakaritea me te kore e tirotiro tuatahi ki tō tākuta, i te mea me whakaiti haere ētahi.

Ngā whakaritenga oranga

Ma te whakarereke i ētahi āhuatanga o te oranga i mua i te pokanga ka tino pai ake tō wheako whakaora. Ka pai ake te rongoa o tō tinana ina pai ana te āhua i mua i te mahi.

Mēnā he kai paipa koe, ko te whakamutu i te iti rawa e rua wiki i mua i te pokanga ka tino whakaiti i tō tūponotanga ki ngā raruraru manawa, ā, ka āwhina i ō tapahi kia tere ake te rongoa. Ka taea e tō tākuta te whakahau rongoā, te tūtohu rānei i ngā hōtaka hei āwhina i a koe ki te whakamutu i te wā poto, i te wā roa rānei.

Ko te kai i te kai whai kiko i te pūmua ka āwhina i tō tinana ki te hanga i ngā rauemi e hiahiatia ana e ia mō te rongoa. Aronga ki ngā kai kikokore, ika, hua manu, pīni, me te nui o ngā hua me ngā huawhenua. Kia pai te wai inu mēnā kāore tō tākuta e whakatakoto herenga wai mōu.

Ko te whakakori tinana ngawari pēnei i te hīkoi ka pai ake te rere o te toto me te mahi o te pūkahukahu i mua i te pokanga. Heoi, karo i ngā mahi kaha ka whara pea. Ka ako pea tō kaimātai tinana i a koe i ngā whakakori manawa hei ārai i te pūkahukahu i muri i te pokanga.

Te whakarite pūwero

I te mea ka whakamahi pea tō tākuta i tētahi wāhanga o tō whekau mō te hanga anō, me horoi e koe tō pūnaha pūwero i mua i te pokanga. Ko tēnei tukanga, e kiia ana ko te whakarite pūwero, ka tīmata i te kotahi ki te rua rā i mua i tō mahi.

Ka whakawhiwhia e tō rōpū hauora ngā tohutohu motuhake mō te kai wai mārama me ngā rongoā whakarewa. Ahakoa he pārekareka te whakarite pūwero, ko te whai i ēnei tohutohu ka ārai i ngā mate, ā, ka whakarite kia whai te tākuta i te taiao mahi mā, ka taea.

E hia te roa o te whakaora i muri i te cystectomy?

Ko te whakaora i te pokanga tango pūpū ka roa pea te maha o ngā marama, ā, ka hoki te nuinga o te tangata ki ngā mahi noa i roto i te 6 ki te 12 wiki. Ka whakawhirinaki tō wā rongoa ki ngā āhuatanga pēnei i tō hauora whānui, te momo pokanga i mahia e koe, me te pai o te whai i tō mahere whakaora.

I ngā rā tuatahi i muri i te pokanga ka noho koe i te hōhipera, kei reira te rōpū hauora e aroturuki ana i tō whakaora me te whakahaere i tō mamae. Ko te nuinga o ngā tāngata e noho ana i te hōhipera mō te 5 ki te 10 rā, i runga i te uaua o tā rātou pokanga me te tere o te hoki mai o ngā pūnaha o tō rātou tinana ki te mahi noa.

He aha te mea e tūmanakohia ana i te hōhipera

Ko te whakaora tonu e arotahi ana ki te āwhina i tō tinana ki te urutau ki ngā huringa me te ārai i ngā raruraru. I te wā o tō noho i te hōhipera, he maha ngā tukanga whakaora nui e tū ana.

Ka whai koe i ngā ngongo me ngā katita e āwhina ana ki te whakaheke i ngā wai me te tuku i ō wāhi pokanga kia ora tika. Kei roto pea i ēnei he katita mimi, ngongo whakaheke tata ki tō tapahi, me te ngongo nasogastric pea hei okioki i tō pūnaha kūnatu. Ahakoa he mea e kore e pai te tū, he mea nui ēnei mō te whakaora tika.

Ko te whakahaere mamae te mea matua i te wā o tō noho i te hōhipera. Ka whakamahi tō rōpū hauora i te huinga rongoā hei pupuri i a koe kia pai i te wā e tuku ana koe ki te hīkoi haere me te whai wāhi ki tō whakaora. Ko te nuinga o ngā tāngata e kite ana ka tino heke te mamae i ia rā.

Ko te whakatika i te moenga me te hīkoi i ngā tawhiti poto te tikanga ka tīmata i te rā i muri i te pokanga. Ko tēnei nekehanga e āwhina ana ki te ārai i ngā pūtau toto, te pūkahukahu, me ētahi atu raruraru. Ka āwhina ō nēhi me ō rātou kaiwhakaora tinana i a koe ki te whakanui haere i tō taumata mahi.

Te whakaora i te kāinga

Kia hoki koe ki te kāinga, ka haere tonu tō whakaora me te whakanui haere i te mahi me te ako ki te whakahaere i tō pūnaha mimi hou. E hiahia ana ngā wiki tuatahi kia manawanui i te urutau o tō tinana ki ngā huringa nui.

Me āwhina koe ki ngā mahi o ia rā mō te wiki tuatahi, e rua rānei i te kāinga. Whakaritea mō ngā mema o te whānau, mō ngā hoa rānei ki te āwhina i te tunu kai, te horoi, me te kawe ki ngā whakaritenga hauora. Kaua e hiki i tētahi mea e taumaha ana i te 10 pauna mō te 6 wiki.

He maha ngā wā ka tūtaki koe ki tō tākuta i te tīmatanga, ā, ka roa haere i te wā e ora ana koe. Mā ēnei tūpono ka taea e tō rōpū hauora te aroturuki i tō whakaoranga, te tango i ngā tūāhua, i ngā tūāhua rānei, me te whakatika i ngā āwangawanga kei a koe.

Te ako ki te whakahaere i ngā huringa mimi

Mēnā i tangohia katoatia tō pūpū, ko te ako ki te whakahaere i tō pūnaha mimi hou ka noho hei wāhanga nui o te whakaoranga. Ko ngā nēhi motuhake e kīia ana ko ngā nēhi ostomy, urology rānei, ka ako i a koe i ngā pūkenga e hiahiatia ana e koe.

Mō te hunga he ileal conduit, ko te ako ki te huri me te whakawātea i tō pēke kohinga ka noho hei mahi i roto i ngā wiki torutoru. He huna ngā taonga, ā, ka hoki te nuinga o te tangata ki ngā mahi katoa e mahia ana e rātou, tae atu ki te kauhoe me te whakakori tinana.

Ko te hunga he pūtea whenua ka ako ki te whakauru i ngā katetere me te whakawātea i tō rātou pōkahu o roto i te maha o ngā wā i ia rā. He mahi tēnei pūkenga, engari ka noho aunoa i te wā. He maha ngā tāngata e maioha ana ki te kore he pēke kohinga o waho.

Ko te hunga he neobladders ka ako i ngā tikanga mimi hou me ngā whakakori tinana o te papa pelvic hei whakapai ake i te mana. Ka roa pea te maha o ngā marama ki te whakatutuki i te mana katoa, ā, me mau pea e ētahi tāngata ngā papa whakamarumaru i te tīmatanga.

He aha ngā tūponotanga me ngā raruraru o te cystectomy?

Pērā i ngā pokanga nui katoa, ka mau te cystectomy i ngā tūponotanga noa e pā ana ki te maha o ngā tāngata me ngā raruraru onge e puta ana i te wāhi iti. Mā te māramatanga ki ēnei mea ka āwhina koe ki te whakatau i ngā whakatau mōhio me te mohio ki ngā tohu e hiahia ana ki te aro mai o te rongoā.

Ka whai ngā tō rōpū pokanga i te maha o ngā whakatūpato hei whakaiti i ēnei tūponotanga, ā, ka ora te nuinga o te tangata me te kore he raruraru nui. Heoi, mā te mōhio ki ngā raruraru ka āwhina koe ki te whai wāhi kaha ki tō whakaoranga me te rapu awhina ina hiahiatia.

Ngā tūponotanga noa i te wā poto

He maha ngā raruraru ka puta i ngā rā me ngā wiki i muri tonu i te pokanga, ahakoa ka taea te whakahaere i te nuinga me te manaaki rongoā tika:

• Te toto e hiahia ana kia whakawhitia te toto
• Te mate i te wāhi pokanga, i tō pūnaha tōngā rānei
• Ngā kōpuku toto i ō waewae ka taea te haere ki ō pūkahukahu
• Te pūkahukahu mai i te manawa pāpaku i muri i te rongoā
• Te hoki pōturi mai o te mahi noa o te whekau
• Te rerenga mai i ngā hononga pokanga e ora ana i te wā

E mātakitaki ana tō rōpū hauora i a koe mō ēnei raruraru, ā, ka rongoā wawe rātou i a rātou. He nui ngā tūponotanga ka heke nui i te wā e kaha ake ana tō neke, ā, ka hoki mai anō ō pūnaha tinana ki te mahi noa.

Ngā raruraru wā-roa hei mātakitaki

Ka taea e ētahi raruraru te puta i ngā marama, i ngā tau rānei i muri i te pokanga, e hiahia ana kia mātakitaki tonu, me ētahi rongoā anō. Mā te mōhio ki ēnei tūponotanga ka āwhina i a koe ki te pupuri i te hauora pai mō te wā-roa.

Ka taea e ngā raruraru tākihi te puta mēnā kāore tō pūnaha tōngā hou e rere tika ana, mēnā rānei ka haere ngā mate ki runga mai i tō huringa tōngā. Kei roto i ngā tūhono whai-muri auau ngā whakamātautau hei mātakitaki i tō mahi tākihi, me te hopu i ngā raruraru i te wā wawe.

Ka puta pea te ngoikoretanga o te Vitamin B12 nā te mea ka tangohia e te pokanga tētahi wāhi o tō whekau e ngongo ana i tēnei huaora. Ka mātakitaki tō tākuta i ō taumata B12, ā, ka tohutohu i ngā tāpiringa mēnā e hiahiatia ana. He māmā te whakahaere i tēnei mā ngā werohanga auau, i ngā tāpiringa waha rānei.

Ka pā ngā huringa mahi tāngata ki te nuinga o ngā tāngata i muri i te cystectomy, otirā ki ngā tāne ka pā pea te korenga o te tū. Ka pā pea te maroke o te tara, te mamae rānei ki ngā wāhine. Ka taea e tō rōpū hauora te kōrero mō ngā rongoā me ngā rautaki hei whakatika i ēnei āwangawanga.

Ngā raruraru onge engari nui

Ahakoa te kore noa, me whai āwhina hauora tonu ētahi raruraru nui, ā, me pokanga anō pea hei whakatika:

• Te nui o te toto e kore e mutu mā te rongoā ngawari
• Te aukati katoa o tō ara mimi
• Te mate kino e horapa ana puta noa i tō tinana
• Te whakaeke ngākau, te whiu rānei i te wā, i muri rānei i te pokanga
• Ngā tauhohenga mate pāwera nui ki te rongoā whakamoe, ki ngā rongoā rānei
• Te whara i ngā okana e tata ana i te wā o te pokanga

He onge ēnei raruraru, ka puta i roto i te iti iho i te 5% o ngā tūroro, engari mā te mōhio ki ā rātou tohumate ka āwhina i a koe ki te rapu āwhina tonu mēnā ka puta. Ko te wheako o tō rōpū pokanga me ngā tikanga aroturuki hou kua waiho ēnei raruraru nui kia kore e pā noa atu i ngā wā o mua.

Āhea au tūpono ai ki te kite i te tākuta i muri i te cystectomy?

Mā te mōhio ki te wā ki te whakapā atu ki tō rōpū hauora i muri i te pokanga tango pūpū, ka āwhina i te whakaora tika me te ārai i ngā take iti kia kore e hōhonu. E hiahia ana ō tākuta ki te rongo mai i a koe mēnā he āwangawanga ōu, ahakoa te iti o te ahua.

Me waea tonu koe ki tō tākuta pokanga mēnā ka pū te kirika i te 101°F (38.3°C), te mamae nui o te puku e kore e pai ake mā ngā rongoā kua whakaritea, te nui rānei o te toto mai i tō tapahi, i tō ara mimi rānei. Ka tohu pea ēnei tohumate i te mate, i ētahi atu raruraru rānei e hiahia ana kia tere te rongoā.

Ngā tohu e hiahia ana kia tere te āwhina hauora

Ko ētahi tohumate e hiahia ana kia tere te āwhina hauora ohorere nā te mea ka tohu pea i ngā raruraru nui ka raru pea i tō hauora:

• Te mamae o te uma, te uaua rānei ki te hā e tohu ana i ngā toto toto
• Kāore he mimi i puta mō te neke atu i te 6 hāora
• Te nui o te whakapairuaki me te ruaki e ārai ana i a koe ki te pupuri wai
• Ngā tohu o te maroke nui pēnei i te whāwhā, i te rangirua rānei
• Te mamae nui ohorere i tō puku, i tō tuarā rānei
• Te whero, te mahana, te pūhi rānei e rere ana mai i tō tapahi

Kaua e whakaroa ki te waea atu ki te 911, ki te haere rānei ki te ruma ohorere mēnā ka pā ki a koe ēnei tohu. Ko te rongoā wawe i ngā raruraru ka ārai i ngā raruraru nui ake, ā, ka āwhina i a koe kia hoki ki te ara o tō whakaora.

Ahea te wā ki te whakarite i ngā whai-whai-ā-mua

He mea nui ngā whakaritenga whai-whai-ā-mua i ngā wā katoa mō te aroturuki i tō hauora i te wā roa, me te hopu i ngā raruraru pea i mua i te pūroto. Ka whakarite tō rōpū hauora i ēnei haerenga i ngā wā motuhake i runga i ō hiahia takitahi.

Ko ngā hōtaka whai-whai-ā-mua e pā ana ki ngā haerenga i ngā wiki e 2, 6 wiki, 3 marama, 6 marama, ā, ia tau. Kei roto i ēnei whakaritenga ngā whakamātautau tinana, ngā whakamātautau toto hei tirotiro i tō mahi tākihi, me ngā rangahau whakaahua hei aroturuki i te hokinga mai o te mate pukupuku mēnā e tika ana.

Me whakapā atu anō koe ki tō tākuta mēnā ka kite koe i ngā huringa haere i roto i tō putanga mimi, te mamae tonu e ahua kino ana, i ngā tohu hou rānei e pā ana ki a koe. Kei te tautoko tō rōpū hauora i a koe puta noa i tō haerenga whakaora katoa.

Ngā pātai e pātai pinepine ana mō te pokanga tango pūpū

Q.1 Ko te cystectomy anake te kōwhiringa rongoā mō te mate pukupuku pūpū?

Kāore i te wā katoa ko te cystectomy te rongoā tuatahi, te rongoā anake rānei mō te mate pukupuku pūpū. Ka whakaarohia e tō rōpū hauora te maha o ngā āhuatanga tae atu ki te wāhanga o te mate pukupuku, te wāhi, me tō hauora whānui i te wā e tūtohu ana i ngā kōwhiringa rongoā.

Mō te mate pukupuku pūpū i te wāhanga tuatahi kāore anō i tipu ki roto i te pakitara uaua, ka whakamātau ngā tākuta i ngā rongoā pēnei i te chemotherapy, immunotherapy, i te radiation therapy tuatahi. He tino whai hua ēnei huarahi iti ake te whakaeke mō ētahi momo mate pukupuku pūpū. Ka noho te pokanga hei kōwhiringa e tūtohutia ana i te wā kua tipu te mate pukupuku ki roto i te pakitara pūpū, i te wā rānei kāore anō ngā rongoā kē atu i te whakahaere i te mate.

Q.2 Ka taea e au te noho i te ora noa i muri i te pokanga tango pūpū?

Āe, ka hoki te nuinga o te tangata ki te oranga whai hua, kaha i muri i te pokanga tango pūpū, ahakoa he whakarerekētanga hei mahi. Ko te mea nui ko te ako ki te whakahaere i tō pūnaha mimi hou me te whakarereke i ētahi āhuatanga o te oranga.

He ramai te tangata ka hoki ki te mahi, te haere, te whakakori tinana, me te pārekareka ki ngā mahi whakangahau pērā i mua i te pokanga. Ko ngā hākinakina, te kauhoe, me ētahi atu mahi tinana ka taea i te nuinga o te wā i muri i tō whakaora katoa. Ko te whanaungatanga tūturu pea me whakatika ētahi mea, engari ka kitea e te nuinga o ngā tokorua ngā huarahi ki te pupuri i ngā whanaungatanga pai me te tautoko mai i tā rātou rōpū hauora.

Q.3 Kia pehea te roa o te noho o ngā huringa mimi?

Ko ngā huringa mimi i hangaia i te wā o te cystectomy i hangaia kia noho tonu mō te toenga o tō oranga me te manaaki tika me te aroturuki. Ko ngā tikanga pokanga hou e hanga ana i ngā hononga roa e kore e hiahiatia he whakakapinga.

Heoi, pērā i ētahi atu pūnaha tinana, ka hiahia pea ngā huringa mimi ki te tiaki, ki te whakatikatika rānei i ia wā. Ka whanake pea ētahi tāngata i ngā here (whaiti) e hiahia ana ki ngā tikanga iti hei whakatika. Ko ngā whakaritenga whai-whai i ngā wā katoa ka āwhina ki te hopu me te whakatika i ēnei take i te wā, me te whakarite kia pai tonu te mahi o tō pūnaha mimi mō ngā tau maha.

Q.4 Me whai kai motuhake au i muri i te cystectomy?

Ka taea e te nuinga o te tangata te hoki ki te kai noa, hauora i muri i te whakaora mai i te cystectomy, ahakoa me whakarereke ētahi mea i runga i tō momo huringa mimi. Ka whakawhiwhia e tō rōpū hauora ngā tohutohu kai motuhake i runga i tō āhuatanga takitahi.

Mēnā i whakamahia tētahi wāhanga o tō whekau mō te hanga anō, me karo pea koe i ētahi kai ka puta he aukati, he hau nui rānei. Ko ngā tāngata e whai ngā ara ikae ka hiahia pea ki te whakawhāiti i ngā kai nui i roto i te oxalates hei aukati i ngā kōhatu whatukuhu. Ka āwhina tō kaiwhakarite kai i a koe ki te whakawhanake i tētahi mahere kai e tautoko ana i tō hauora i te wā e taea ai e koe te pārekareka ki te maha o ngā kai.

Q.5 He aha ngā rauemi tautoko e wātea ana mō ngā tūroro cystectomy?

He maha ngā rauemi tautoko hei āwhina i a koe ki te whakatere i te oranga i muri i te pokanga tango pūpū. He tākuta nēhi motuhake pea tō hōhipera e ako ana i te tiaki rerenga mimi, ā, e hono ana i a koe ki ngā rōpū tautoko.

Ko ngā whakahaere ā-motu pēnei i te United Ostomy Associations of America e whakarato ana i ngā rauemi mātauranga, ngā huinga ipurangi, me ngā rōpū tautoko ā-rohe e taea ai e koe te hono atu ki ētahi atu he rite ō rātou wheako. He nui te whakamarie me ngā tohutohu whai hua ka kitea e te nuinga o te tangata mai i te kōrero ki ētahi atu kua urutau pai ki te oranga i muri i te cystectomy. Ka taea e tō kaimahi pāpori te āwhina i a koe ki te hono atu ki ēnei rauemi whai hua me ngā hōtaka āwhina pūtea e hiahia ana koe.