He aha te Colectomy? Te Whāinga, te Hātepe & te Oranga

Ko te colectomy he hātepe pokanga e tangohia ana tētahi wāhanga, te katoa rānei o tō pūwero (ngā whekau nui). Mā tēnei pokanga e āwhina ki te rongoā i ngā momo āhuatanga e pā ana ki tō pūwero, mai i ngā mate mumura ki te mate pukupuku, e whai wāhi ana koe ki te whakapai ake i tō hauora me te kounga o te oranga.

He aha te colectomy?

Ko te colectomy te tango pokanga i tētahi wāhanga, te katoa rānei o tō pūwero, arā, ngā whekau nui e tukatuka ana i ngā para i mua i te wehenga atu i tō tinana. Whakaarohia tō pūwero hei pokapū tukatuka e tango ana i te wai mai i ngā para me te hanga i te kūtae.

He rerekē ngā momo colectomy i runga i te nui o tō pūwero e hiahia ana kia tangohia. Ko te colectomy wāhanga e tango ana i te wāhanga mate anake, i te mea ko te colectomy katoa e tango ana i te pūwero katoa. Mā tō tākuta pokanga e whiriwhiri te huarahi e pai ana ki te whakatika i tō āhuatanga motuhake.

Ka taea te mahi i te pokanga mā te whakamahi i te pokanga tuwhera tuku iho, i ngā tikanga laparoscopic iti nei te pākia rānei. Ka mahi tō rōpū hauora ki a koe ki te whakatau ko tēhea huarahi e tuku ana i te putanga pai rawa atu mō tō āhuatanga.

He aha te take e mahia ana te colectomy?

Ka mahia te colectomy hei rongoā i ngā āhuatanga nui e pā ana ki tō pūwero kāore i whakahoki i ētahi atu rongoā. Ka tūtohu tō tākuta i tēnei pokanga i te wā e pai ana te huarahi ki te tiaki i tō hauora me te whakapai ake i tō kounga o te oranga.

Ko ngā take tino noa mō te colectomy ko te mate pukupuku pūwero, e hiahia ana ki te tango i te kiko mate pukupuku hei aukati i tōna horapa. Ko ngā mate mumura pūwero pēnei i te mate a Crohn, i te ulcerative colitis rānei, ka hiahia hoki ki te rongoā pokanga i te wā e kore ai e taea e ngā rongoā te whakahaere i ngā tohumate nui.

Koinei ngā āhuatanga matua e hiahia ana ki te colectomy, mai i ngā take noa ki ngā take iti nei te auau:

• Te mate pukupuku kōhau, ngā pōnihi rānei i mua i te mate pukupuku e kore e taea te tango i te wā o te kōhauhau
• Te mate puku mumura nui (te mate a Crohn, te mumura kōhau)
• Te diverticulitis me ngā raruraru pēnei i te poka, te puku rānei
• Te pāpāpā nui e kore e aro ki ētahi atu rongoā
• Te aukati i te puku i puta mai i te kiko kōpiko, ētahi atu aukati rānei
• Te familial adenomatous polyposis (FAP), he āhua ira onge
• Te toto nui mai i te kōhau e kore e taea te whakahaere
• Te wharanga, te whara rānei ki te kōhau

Ka āta arotakehia e tō tākuta tō āhua motuhake, ka tūhura i ētahi atu whiringa rongoā i mua i te tūtohu i te pokanga. Mā tēnei ka mōhio ai ko te colectomy te huarahi pai rawa atu mō tō hauora.

He aha te tikanga mō te colectomy?

Ko te tikanga colectomy e hāngai ana ki te tango āta i te wāhi pānga o tō kōhau i te wā e tiaki ana i te nui o te kiko hauora ka taea. Ka whakamahi tō rōpū pokanga i te pokanga tuwhera tuku iho, i ngā tikanga laparoscopic iti rānei.

I mua i te tīmatanga o te pokanga, ka whiwhi koe i te rongoā whānui kia tino pai koe, kia kore hoki he mamae. Ka āta aroturukihia koe e te rōpū rongoā i te wā o te tikanga katoa kia noho haumaru koe.

Koinei te mea e tupu ana i te wā o te pokanga:

1. Ka hanga e tō tākuta pokanga he tapahi i tō puku (nui mō te pokanga tuwhera, iti mō te laparoscopic)
2. Ka wehea āta te wāhanga mate o tō kōhau mai i ngā kiko e tata ana
3. Ka hiritia, ka tapahia ngā oko toto e whakarato ana i taua wāhanga
4. Ka tangohia te wāhanga kōhau pānga
5. Ka honoa anō ngā pito hauora o tō whekau (anastomosis)
6. Ka tirohia e tō tākuta pokanga mō te whakaora tika me te mahi
7. Ka katia te tapahi ki te tūi, ki ngā tītina rānei

E rua ki te wha haora te roa o te tikanga katoa, i runga i te uaua o to keehi. Ka whakamōhio tō tākuta i tō whānau mō tō haere i te wā o te mahi.

I ētahi wā, tērā pea ka hiahia tō tākuta ki te waihanga i tētahi colostomy rangitahi, tūturu rānei. Ko te tikanga tēnei, ka kawea mai tētahi wāhanga o tō kōhauhau ki tētahi wāhi tuwhera i tō puku, kia taea ai te kohikohi para i roto i tētahi pēke motuhake. Ka kōrero tō rōpū hauora i tēnei tūponotanga ki a koe i mua atu mēnā e pā ana ki tō āhuatanga.

Me pēhea te whakarite mō tō colectomy?

Ko te whakarite mō te colectomy e whai ana i ētahi mahi nui hei whakarite kia pai te haere o tō pokanga, kia pai hoki tō whakaora. Mā tō rōpū hauora koe e ārahi i ia mahi whakarite.

Ko te tikanga ka tīmata tō whakarite i te wiki kotahi i mua i te pokanga. Me whakamutu e koe ētahi rongoā ka piki ake te tūponotanga o te toto, pēnei i te aspirin, i ngā rongoā whakaheke toto rānei. Ka hoatu e tō tākuta ngā tohutohu motuhake ki a koe mō ngā rongoā hei whakamutu me te wā.

I te rā i mua i te pokanga, me horoi katoa tō kōhauhau. Ko tēnei mahi, e kīia ana ko te whakarite i te whekau, ka āwhina i te whakaiti i te tūponotanga o te mate i te wā o te pokanga. Ka inu koe i tētahi otinga motuhake, ka whai i tētahi kai wai mārama.

Koinei ngā mahi whakarite matua me whai koe:

• Whakaoti i ngā whakamātautau katoa i mua i te pokanga (te mahi toto, te whakaahua, te arotake i te ngākau mēnā e hiahiatia ana)
• Kati te kai i ngā kai totoka 24 haora i mua i te pokanga
• Tangohia te otinga whakarite whekau i whakaritea i te ara i tohutohutia
• Kaukau ki te hopi patu huakita motuhake i te pō i mua i te pokanga me te ata o te pokanga
• Tangohia ngā whakapaipai katoa, ngā whakapaipai, me te peita whao
• Whakaritea tētahi tangata hei taraiwa i a koe ki te kāinga i muri i te pokanga
• Whakakīa ngā kākahu pai me ngā taonga whaiaro mō tō noho i te hōhipera

Ka whakawhiwhia koe e tō rōpū hauora ki ngā tohutohu taipitopito i tuhia, i hangaia mō tō āhuatanga motuhake. Kaua e whakaroa ki te waea mai mēnā he pātai āu mō te whakarite.

Me pēhea te pānui i ngā hua o tō colectomy?

Whai muri i tō colectomy, ka whakamārama tō tākuta pokanga i te āhua o te mahi me ngā mea i kitea i te wā o te pokanga. Ka tukuna te kiko i tangohia ki te taiwhanga pathology mō te tirotiro taipitopito i raro i te karuiti.

E whakarato ana te pūrongo pathology i ngā kōrero nui mō tō āhua me te āwhina i te ārahi i tō maimoatanga a muri ake nei. Mēnā i reira te mate pukupuku, ka whakaahua te pūrongo i te momo, te wāhanga, me te mō te horapa atu ki ngā pona rākau tata.

Ko te tikanga, kei roto i ngā hua o tō pathology ētahi kōrero nui. Ka whakaahua te pūrongo i te rahi me te wāhi o ngā puku, te tohu (te āhua o te rere kē o ngā pūtau), me te mō te mārama o ngā taha pokanga i te mate.

Mō ngā āhuatanga mumura pēnei i te mate a Crohn, ka whakapūmau te pūrongo pathology i te tātaritanga me te whakaahua i te whānuitanga o te mumura. Ka āwhina tēnei kōrero i tō tākuta ki te whakamahere i tō maimoatanga e haere tonu ana me te aroturuki i tō āhua.

Ka whakarite tō tākuta i tētahi tūpono whai muri ki te kōrero taipitopito i ō hua. Ka whakamārama rātou i te tikanga o ngā kitenga mō tō hauora me ngā mahi e whai ake nei i roto i tō mahere tiaki.

Me pēhea te ora i muri i te colectomy?

Ko te whakaora mai i te colectomy he tukanga haere haere e mau ana i te maha o ngā wiki ki te marama. E hiahia ana tō tinana i te wā ki te whakaora mai i te pokanga me te urutau ki ngā huringa i roto i tō pūnaha kūnatu.

Ko te tikanga, e 3 ki te 7 ngā rā e noho ana koe i te hōhipera, i runga i te momo pokanga i mahia e koe. I te wā o tēnei wā, ka aroturukihia e tō rōpū hauora tō whakaora, ka whakahaere i tō mamae, me te āwhina i a koe ki te tīmata ki te kai anō.

I ngā rā tuatahi i muri i te pokanga, ka arotahi ki te whakakorikori i a koe i runga i te haumaru me te whakarite kia timata ano to punaha keri kai ki te mahi. Ka timata koe ki ngā wai mārama, ka ahu whakamua ki ngā kai totoka i te wa e kaha ana tō tinana ki te whakahaere.

Anei te mea e tūmanakohia ana i te wā o tō rārangi wā whakaora:

• Rā 1-3: Okioki i te moenga me te neke haere haere, ngā wai mārama anake
• Rā 4-7: Te hikoi nui ake, te whakauru i ngā kai ngawari, te tuku i te kāinga
• Wiki 2-4: Te hoki haere ki ngā mahi noa, te karo i te hiki taumaha
• Wiki 4-6: Te nuinga o ngā mahi noa kua timata anō, te kai katoa e manakohia ana
• Wiki 6-12: Te whakaora katoa, te hoki ki ngā mahi katoa tae atu ki te whakakori tinana

Ka tere ake, ka puhoi ake rānei tō whakaora i runga i tō hauora whānui, te whānuitanga o tō pokanga, me te pai o tō whai i ngā tohutohu tiaki. Ka ora te katoa i runga i tōna ake tere, ā, he tino noa tērā.

He aha ngā āhuatanga tūpono mō ngā raruraru o te colectomy?

Ahakoa te haumaru o te colectomy, ka taea e ētahi āhuatanga te whakanui i tō tūponotanga ki ngā raruraru. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe me tō rōpū hauora ki te whai i ngā mahi hei whakaiti i ngā raruraru pea.

Ko te pakeke me te mana hauora whānui ngā āhuatanga tūpono nui rawa atu. Ko ngā pakeke me ngā tāngata e maha ana ngā āhuatanga hauora ka tūpono pea ki ngā tūponotanga nui ake, engari kāore tēnei e kī ana kāore he painga o te pokanga mō rātou.

He maha ngā āhuatanga ka whakanui i tō tūponotanga ki ngā raruraru, ahakoa te nuinga o ngā tāngata e pai ana ahakoa ēnei āhuatanga tūpono:

• Te pakeke (nui ake i te 70 tau)
• Te momona, ka uaua ake ai te pokanga
• Te mate huka, ka puhoi ai te whakaora
• Te mate ngākau, te mate pūkahukahu rānei
• Ngā pokanga puku o mua e hanga ana i te kiko kiko
• Te kai paipa, e pā ana ki te whakaora patunga me te whakanui i te tūponotanga ki te mate
• Te kore kai, te mate nui rānei i mua i te pokanga
• Ngā āhuatanga pokanga ohorere

Ka āta aromatawai tō rōpū tākuta i ō āhuatanga tūpono takitahi, ā, ka whai i ngā whakatūpato e tika ana. He maha ngā āhuatanga tūpono ka taea te whakapai ake i mua i te pokanga, pēnei i te whakapai ake i tō kai, i te whakahaere pai ake rānei i te mate huka.

He aha ngā raruraru ka puta i te colectomy?

Pērā i ētahi atu pokanga nui, ka puta pea ngā raruraru i te colectomy, ahakoa he mea noa ngā raruraru nui. He maha ngā whakatūpato ka mahia e tō rōpū tākuta hei ārai i ngā raruraru, ā, ka āta tirotiro i a koe kia kitea wawe ngā take.

He maha ngā tāngata ka ora mai i te colectomy kāore he raruraru nui. Heoi, he mea nui kia mōhio ki ngā raruraru ka puta, kia mōhio ai koe ki ngā tohu, ā, kia rapu awhina ai koe ki te hiahiatia.

Koinei ngā raruraru ka puta, kua rārangihia mai i te mea e pā ana ki te mea e kore e pā:

• Te mate i te wāhi pokanga, ka taea te rongoā ki ngā paturopi
• Te toto e hiahiatia ana he whakawhitinga toto, he pokanga anō rānei
• Te turuturu anastomotic, kāore i te pai te rongoā o te hononga i waenga i ngā wāhanga whekau
• Te aukati whekau mai i te hanganga o te kiko kiko
• Ngā toto toto i roto i ngā waewae, i ngā pūkahukahu rānei
• Te pūkahukahu mai i te iti o te mahi i muri i te pokanga
• Te whara i ngā okana tata pēnei i te pūpū, i te whekau iti rānei
• Ngā raruraru nui e hiahiatia ana he pokanga ohorere, he noho roa rānei i te hōhipera

Ka kōrero tō rōpū tākuta mō ō āhuatanga tūpono motuhake, me ngā mahi ka mahia e rātou hei ārai i ngā raruraru. Ko te nuinga o ngā raruraru ka taea te rongoā pai, ina koa ka kitea wawe.

Āhea au e kite ai i te tākuta i muri i te colectomy?

Me whakapā atu koe ki tō tākuta tonu ki te pā mai ētahi tohu e pā ana ki a koe i muri i te colectomy. Mā te mōhio wawe me te rongoā i ngā raruraru ka ārai i ngā raruraru nui.

Ko ētahi tohu e hiahia ana kia whai wāhi tonu te rongoā, i te wā e kōrerohia ana ētahi atu ki tō tākuta i roto i te rā, e rua rānei. Whakapono ki ō pūngao – ki te kore e pai te ahua, he pai ake te waea atu me te pātai.

Whakapā atu ki tō tākuta tonu mēnā ka pā ki a koe ēnei tohu whakatūpato:

• Kirika neke atu i te 101°F (38.3°C)
• Te mamae nui o te puku e kaha haere ana
• Te ruaki e kore e mutu
• Karekau he nekehanga whekau mo te neke atu i te 3 ra
• Ngā tohu o te mate i te taha o tō tapahi (te whero nui ake, te mahana, te pū)
• Te mamae o te uma, te uaua rānei ki te manawa
• Te pūhi o te waewae, te mamae rānei e tohu ana i ngā kōpuku toto
• Te kore e taea te pupuri wai

Me waea atu anō koe ki tō tākuta mō ngā āwangawanga iti ake te ohorere pēnei i te whakapairuaki tonu, ngā huringa i ō tikanga whekau, i ngā pātai rānei mō tō whakaora. E hiahia ana tō rōpū hauora ki te āwhina i a koe kia whai whakaora pai rawa atu.

Ngā pātai e pātai pinepine ana mō te colectomy

Q.1 He whai hua te colectomy mō te rongoā i te mate pukupuku kōhauhau?

Āe, ko te colectomy te nuinga o te wā te rongoā tino whai hua mō te mate pukupuku kōhauhau, ina koa ka kitea te mate pukupuku i te wā wawe. Ka tangohia e te pokanga te kiko mate pukupuku me ngā pona rākau tata, ka taea te rongoā i te mate pukupuku, te whakapai ake rānei i tō matapae.

Ko te angitu o te colectomy mō te mate pukupuku e whakawhirinaki ana ki ētahi mea, tae atu ki te wāhanga o te mate pukupuku i te wā i kitea ai. He pai rawa atu ngā reiti rongoā o te mate pukupuku kōhauhau i te wāhanga wawe me te pokanga anake, i te mea ka hiahia pea ngā mate pukupuku matatau ake ki ngā rongoā atu pēnei i te chemotherapy.

Q.2 Ka pā te colectomy i ngā huringa tūturu ki ngā tikanga whekau?

Ka pā te nuinga o te tangata i ētahi huringa i ō rātou tikanga whekau i muri i te colectomy, engari ko ēnei huringa te nuinga o te wā ka taea te whakahaere me te pai ake i te roanga o te wā. Ka urutau tō kōhauhau e toe ana ki te utu mō te wāhanga i tangohia.

Ka nui ake pea ō nekehanga whekau i te tīmatanga, ina koa he nui te wāhanga o tō kōhauhau i tangohia. I te roanga o te wā me ngā whakatikatika kai, ka whakawhanake te nuinga o te tangata i tētahi tauira hou e pai ana mō tō rātou oranga.

Q.3 Ka taea e au te noho i te ora noa i muri i te colectomy?

Āe, ka hoki te nuinga o te tāngata ki ā rātou mahi noa, ā, ka koa ki te kounga pai o te oranga i muri i te colectomy. Ahakoa me whakarereke pea koe i ō kai, ka taea e koe te kai i te nuinga o ngā kai, te whakakori tinana, te mahi, me te whai wāhi ki ngā mahi e pai ana ki a koe.

He wā te tukanga whakaora, engari he tokomaha ngā tāngata e kite ana ka pai ake ā rātou tohumate i muri i te pokanga. Ka āwhina tō rōpū hauora i a koe ki te whakawhanake i ngā rautaki hei whakahaere i ngā wero e haere tonu ana.

Q.4 Me whai pēke colostomy au i muri i te colectomy?

Ko te nuinga o te tāngata e whai colectomy ana, kāore e hiahia ana ki te pēke colostomy tūturu. I te nuinga o ngā wā, ka taea e tō tākuta te hono anō i ngā wāhanga hauora o tō whekau, e āhei ai koe ki te whai i ngā nekehanga whekau noa.

I ētahi wā e hiahiatia ana he colostomy rangitahi kia pai ai te whakaora o ō whekau, engari ka taea te whakahoki i tēnei i roto i te pokanga tuarua. Ka kōrero tō tākuta mō te mea e tika ana he colostomy i tō āhuatanga motuhake.

Q.5 Kia pēhea te roa o te whakaora katoa i te colectomy?

Ko te whakaora katoa i te colectomy te tikanga 6 ki te 12 wiki, ahakoa ka pai ake koe i roto i tēnei wā. Ka taea e te nuinga o te tāngata te hoki ki te mahi tēpu i roto i te 2 ki te 4 wiki, me te whakahoki i ngā mahi noa katoa i te 6 ki te 8 wiki.

Kei te whakawhirinaki tō wā whakaora ki ngā mea pēnei i tō hauora whānui, te whānuitanga o tō pokanga, me te mea ka pā mai ētahi raruraru. Mā te whai i ngā tohutohu a tō tākuta me te tiaki i a koe anō ka āwhina i te whakaora pai rawa atu.