He aha te Donor Nephrectomy? Te Whāinga, te Hātepe me te Whakaora

Ko te donor nephrectomy he hātepe pokanga e tangohia ai tētahi whatukuhu hauora mai i tētahi tangata ora hei whakawhiti ki tētahi tangata e kore nei e pai ana te whatukuhu. Mā tēnei pokanga whakaora-ora ka taea e koe te āwhina i tētahi tangata kia ora anō, i te wā e ora tonu ana koe i te ora noa me tō whatukuhu e toe ana.

Ko te koha whatukuhu ora e tohu ana i tētahi o ngā mahi atawhai nui rawa atu o te rongoā. Ka taea e tō whatukuhu hauora kotahi te mahi pai pērā i ngā whatukuhu e rua mō te nuinga o te tangata, e whai tikanga ana tēnei hātepe, he haumaru hoki.

He aha te donor nephrectomy?

Ko te donor nephrectomy te tango pokanga i tētahi whatukuhu hauora mai i tētahi kaiwhiwhi ora mō te whakawhitinga. Ko te tikanga, e 2-4 haora te roa o te hātepe, ā, ka taea te mahi mā te whakamahi i ngā tikanga iti-whakauru.

I te wā o te pokanga, ka ata tango tō tākuta i tētahi whatukuhu i te wā e tiaki ana i ngā hanganga katoa e tata ana. Ka urutau noa tō whatukuhu e toe ana ki te whakahaere i te mahi katoa, i roto i ngā wiki e whai ake nei i te pokanga.

Ko te nuinga o ngā donor nephrectomies i tēnei rā e whakamahi ana i ngā tikanga laparoscopic, arā, he iti ake ngā tapahi me te tere ake o te whakaora. Na tēnei huarahi i pai ake ai te koha whatukuhu i te pokanga tuwhera tuku iho.

He aha te take e mahia ana te donor nephrectomy?

Ka mahia te donor nephrectomy hei whakarato i tētahi whatukuhu hauora mō tētahi tangata e mate whatukuhu ana i te wā whakamutunga. Ko ngā whatukuhu mai i ngā kaiwhiwhi ora te tikanga e pai ake ana, e roa ake ana i ngā whatukuhu mai i ngā kaiwhiwhi kua mate.

He maha ngā tāngata e kōwhiri ana ki te koha nā te mea e hiahia ana rātou ki te āwhina i tētahi mema o te whānau, i tētahi hoa, i tētahi tangata ke rānei kia karo i te dialysis, kia whakapai ake rānei i tō rātou kounga o te ora. Ko te kaiwhiwhi te tikanga ka kite i te whakapai ake i tō rātou hauora me te taumata pūngao.

Ka taea hoki e te koha ora te pokanga i te wā pai mō te kaiwhiwhi me te kaiwhiwhi. Ko tēnei wātea o te wā e arataki ana ki ngā hua pai ake i te tatari mō tētahi whatukuhu mai i tētahi kaiwhiwhi kua mate.

He aha te tikanga mo te tangohanga whatukuhu mai i te kaiwhakawhiwhi?

Ka timata te tikanga tangohanga whatukuhu mai i te kaiwhakawhiwhi ki te rongoa rongoa whānui hei whakarite i to whakamarie katoa i te wa o te pokanga. Ka tino aro turuki tō tō rōpū tākuta i a koe i te wa katoa o te tukanga.

Anei ngā mea ka pā i te wā o te pokanga, i te taahiraa i muri i te taahiraa:

1. Ka mahia ngā tapahi iti ki tō puku mō ngā taputapu laparoscopic
2. Ka whakamahia te hau hauhā ki te hanga wāhi mō te tākuta pokanga ki te mahi marie
3. Ka ata wehea te whatukuhu mai i ngā kiko me ngā oko toto e tata ana
4. Ka hiritia, ka tapahia ngā oko toto me te ureter me te tika
5. Ka whakatakotoria te whatukuhu ki roto i te pēke whakamarumaru, ka tangohia mā te tapahi iti
6. Ka katia ngā tapahi katoa ki te tuitui, ki te kāpia pokanga rānei

Ka āta whakaritea te whatukuhu kua tangohia, ka whakawhitia tonutia ki te kaiwhiwhi, i roto i te rūma whakahaere tata tonu. Mā tēnei huringa tere e āwhina ki te whakarite i te putanga pai rawa atu mō korua tokorua.

Laparoscopic vs. Open Surgery

Ko te nuinga o ngā tangohanga whatukuhu mai i te kaiwhakawhiwhi ka mahia mā te laparoscopic i tēnei wā, arā, mā te whakamahi i ngā tapahi iti me te kāmera hei ārahi i te pokanga. Ko te tikanga nei ka iti ake te mamae, ka poto ake te noho i te hōhipera, me te tere ake te whakaora.

Ka tūtohu pea te pokanga tuwhera i ētahi wā, pērā i te wā ka uaua ake te pokanga laparoscopic i ngā āhuatanga anatomical. Ka kōrero tō tākuta pokanga i te huarahi pai rawa atu mō tō āhuatanga motuhake i te wā o tō aromātai.

Me pēhea te whakarite mō tō tangohanga whatukuhu mai i te kaiwhakawhiwhi?

Ko te whakarite mō te tangohanga whatukuhu mai i te kaiwhakawhiwhi ka uru ki te whakamātautau rongoa whānui hei whakarite kei te hauora koe mō te pokanga me te takoha. Ko te tikanga aromātai nei ka roa pea te maha o ngā wiki ki te whakaoti.

Ka uru tō whakarite ki ngā whakamātautau toto, ngā rangahau whakaahua, me ngā hui ki ngā mema rōpū hauora rerekē. Ka whiwhi hoki koe i ngā kōrero taipitopito mō ngā mea e tūmanakohia ana i mua, i te wā, me muri i te pokanga.

Anei ngā mahi whakarite nui me whakaoti e koe:

• Whakaoti i te hītori hauora me te whakamātautau tinana
• Ngā whakamātautau toto hei tirotiro i te mahi tākihi, te momo toto, me te hauora whānui
• Ngā rangahau whakaahua pēnei i te CT scan hei arotake i te hanganga o tō tākihi
• Te arotake hinengaro hei whakarite kei te rite koe i te taha kare-ā-roto
• Te tūtakitanga ki te rōpū whakawhiti hei kōrero mō ngā tūponotanga me ngā painga
• Te tohutohu pūtea kia mārama ki ngā utu e pā ana

Me whakarite hoki e koe tētahi tangata hei taraiwa i a koe ki te kāinga i muri i te pokanga, ā, hei āwhina i a koe i ngā rā tuatahi o te whakaoranga. Mā te whai i tēnei pūnaha tautoko ka pai ake ai tō whakaoranga.

Ngā Tohutohu i mua i te Pokanga

I ngā rā e tata ana ki tō pokanga, ka whiwhi koe i ngā tohutohu motuhake mō te kai, te inu, me ngā rongoā. Mā te whai i ēnei aratohu ka āwhina i te pokanga kia tino haumaru.

Me mutu te kai me te inu i muri i te pō waenga i mua i tō rā pokanga. Ka hoatu e tō rōpū hauora ki a koe tētahi wā-ā-rātaka taipitopito mō te aha me pēhea.

Me pēhea te pānui i ngā hua o tō nephrectomy kaiwhakarato?

I muri i te nephrectomy kaiwhakarato, ka inea te angitu o tō pokanga mā te ahunga whakamua o tō whakaoranga me te mahi o tō tākihi e toe ana. Ka aroturukihia e tō rōpū hauora ētahi tohu nui hei whakarite kei te pai te rongoa.

Ka tirohia te mahi o tō tākihi mā ngā whakamātautau toto e ine ana i ngā taumata creatinine. Ka paku teitei ake pea ēnei taumata i mua i te pokanga, engari he mea noa tēnei, ā, e tika ana me te tākihi kotahi.

Anei tā te rōpū hauora e aroturuki i te wā o te whakaoranga:

• Ngā taumata creatinine toto hei aromatawai i te mahi tākihi
• Ngā inenga pēhanga toto hei whakarite i te pumau
• Te whakaputa mimi hei whakapūmau i te mahi tākihi noa
• Te rongoa o te patunga i ngā wāhi tapahi
• Ngā taumata mamae me te whakamarie whānui
• Te hoki ki ngā mahi noa me ngā taumata pūngao

Te nuinga o ngā kaiwhakawhiwhi e kite ana i te pūmautanga o te mahi tākihi i roto i ngā wiki e whai ake ana i te pokanga. Ka piki haere te tākihi e toe ana ki te mahi katoa, ā, ka kaha ake tō pūngao i a koe e ora ana.

Me pēhea te pupuri i te hauora pai i muri i te tangohanga tākihi?

Ko te pupuri i tō hauora i muri i te tangohanga tākihi e hāngai ana ki te whai i ngā tohutohu oranga hauora e whai hua ana ki te katoa. Ka taea e tō tākihi e toe ana te whakahaere i ngā mahi o te oranga noa me te kore he here motuhake.

Me whai koe i ngā arotake auau hei aroturuki i te mahi o tō tākihi, he maha ake i te tau tuatahi i muri i te takoha. Ka āwhina ēnei haerenga ki te whakarite kia noho hauora tō tākihi me te hopu i ngā āwangawanga i te wā wawe.

Anei ngā huarahi matua hei tautoko i tō hauora wā roa:

• Kia pai te wai mā te inu wai nui i te roanga o te rā
• Kia mau ki te kai taurite me te kai pūmua ngawari
• Whakangungu tinana i ngā wā katoa hei tautoko i te hauora ngākau me te toto
• Kia mau te pēhanga toto i roto i te awhe hauora
• Kaua e paowa me te whakaiti i te inu waipiro
• Tangohia ngā rongoā i te mea kua whakaritea, me te karo i ngā rongoā mamae kore e tika ana

Te nuinga o ngā kaiwhakawhiwhi tākihi e ora ana i te oranga noa me te kore he here kai, he here mahi rānei. Ka tino kaha tō tākihi e toe ana ki te tautoko i ngā hiahia katoa o tō tinana.

He aha ngā āhuatanga mōrearea mō ngā raruraru o te tangohanga tākihi?

Ahakoa te nuinga o te wā he tino haumaru te tangohanga tākihi, ka piki ake ētahi āhuatanga i tō mōrearea o ngā raruraru. Ko te māramatanga ki ēnei āhuatanga ka āwhina i a koe me tō rōpū hauora ki te whakatau i ngā whakataunga pai mō tō atawhai.

Ko te pakeke, te āhua o te hauora whānui, me te hanganga o te tākihi e whai wāhi ana ki te whakatau i tō taumata mōrearea takitahi. Ka āta arotakehia e tō rōpū whakawhiti ēnei āhuatanga i te wā o tō tukanga arotake kaiwhakawhiwhi.

Ngā āhuatanga mōrearea noa ka piki ake ngā raruraru ko:

• Te pakeke (ahakoa he maha ngā pakeke hauora e angitu ana te koha)
• Te momomo, te tino taumaha rānei o te tinana
• Te toto tiketike, te mate huka rānei
• Ngā pokanga puku o mua i hanga i te kiko kiko
• Ngā hanganga tākihi rerekē, ngā rerekētanga rānei o ngā oko toto
• Te kai paipa, ētahi atu whakamahi rānei i te tupeka

Ahakoa he ētahi āhuatanga tūpono kei a koe, kei te pai tonu pea koe hei kaitono koha. Ka mahi tahi tō rōpū hauora ki a koe kia pai ai tō hauora i mua i te pokanga, me te whakaiti i ngā tūponotanga ka puta.

Ngā Āhuatanga Tūpono Kōhiko

Ko ētahi āhuatanga kāore i te pōturi pea ka pā ki tō tūnga hei kaitono koha. Kei roto i ēnei ko ētahi āhuatanga ira, ngā mate ārai-a-tinana, he hītori whānau rānei mō te mate tākihi.

Ka uru tō aromatawai ki te tātari mō ēnei āhuatanga kōhiko kia mōhio ai he haumaru te koha mō te wā roa. Ko te whāinga tonu ko te tiaki i tō hauora i te wā e āwhina ana i tētahi atu.

He aha ngā raruraru ka puta i te tangohanga tākihi mai i te kaitoha?

He kōhiko ngā raruraru i te tangohanga tākihi mai i te kaitoha, engari he mea nui kia mārama koe ki ngā mea ka puta kia taea ai e koe te whakatau whakatau mōhio. Ko te nuinga o ngā kaitoha ka ora pai, kāore he raruraru nui.

Ka taea te wehewehe i ngā raruraru pokanga ki ngā take i muri tonu i te pokanga, me ngā āwangawanga mō te wā roa. Ka āta aroturuki tō rōpū hauora i a koe mō ngā tohu o ngā raruraru i roto i tō whakaoranga.

Ko ēnei ngā raruraru ka puta tonu:

• Te toto i te wāhi pokanga e hiahia ana ki te rongoā atu
• Te mate i ngā wāhi tapahi, te mate rānei i roto
• Ngā toto toto i ngā waewae, i ngā pūkahukahu rānei
• Ngā urupare ki te rongoā whakamoe, ki ngā rongoā rānei
• Te whara i ngā okana tata i te wā o te pokanga
• Te huri mai i te pokanga laparoscopic ki te pokanga tuwhera ki te hiahiatia

Ko ēnei raruraru ka puta tonu i roto i te iti iho i te 5% o ngā tangohanga tākihi mai i te kaitoha. Ki te puta, he mea ngāwari te whakahaere mā te āwhina hauora wawe.

Ngā raruraru wā-roa

He onge ngā raruraru wā-roa i muri i te tangohanga pūkahukahu mai i te kaiwhakawhiwhi, engari ka uru pea ki te paku pikinga o te tūponotanga o te toto tiketike, o ngā kōhatu tākihi rānei. Mā te tiaki whai-muri i ngā wā katoa e āwhina ana ki te kite me te whakahaere i ēnei take i te wā wawe.

Ka pā pea te mamae mau tonu ki ētahi kaiwhakawhiwhi i ngā wāhi tapahi, ahakoa he mea pāwera tēnei ki ngā tikanga pokanga hou. Ko te nuinga o ngā pānga wā-roa he iti, ā, kāore e tino pā ana ki te kounga o te oranga.

I ngā wā onge, ka whanake pea te mate tākihi i roto i te tākihi e toe ana i ngā tau, i ngā tekau tau rānei i muri mai. Heoi, he paku tiketike noa iho tēnei tūponotanga i te taupori whānui, ā, he maha ngā wā e pā ana ki ētahi atu āhuatanga hauora.

Āhea au e kite ai i te tākuta i muri i te tangohanga pūkahukahu mai i te kaiwhakawhiwhi?

Me whakapā atu koe ki tō rōpū hauora tonu mēnā ka pā ki a koe ētahi tohumate e pā ana i muri i te tangohanga pūkahukahu mai i te kaiwhakawhiwhi. Mā te wawaotanga wawe e ārai ai ngā take iti kia kore e noho hei raruraru nui.

Ka hoatu e tō rōpū whakawhiti i ngā tohutohu motuhake ki a koe mō te wā ki te waea atu me ngā kōrero whakapā ohorere. Kaua e ruarua ki te whakapā atu mēnā e māharahara ana koe ki tētahi mea i te wā o tō whakaora.

Waea atu ki tō tākuta tonu mēnā ka pā ki a koe:

• Te kirika i runga ake i te 101°F (38.3°C) rānei, te wiri rānei
• Te mamae nui, te mamae rānei e kaha haere ana, kāore e pai ake ana ki te rongoā
• Te whero, te pūpū, te rerenga wai rānei mai i ngā wāhi tapahi
• Te uaua ki te mimi, ngā huringa nui rānei i te whakaputa mimi
• Te pāhoahoa me te ruaki e ārai ana i te pupuri wai
• Te poto o te manawa, te mamae rānei o te uma
• Te pūpū i ngā waewae, te pikinga ohorere rānei o te taumaha

Kāore ēnei tohumate e kī ana he mea nui kei te he, engari e hiahia ana rātou ki te arotake hauora wawe. He pai ake ki tō rōpū hauora te tirotiro i a koe me te kore take i te ngaro i tētahi mea nui.

Tiaki Whai-muri i ngā Wā Katoa

I tua atu i ngā āwangawanga ohorere, ka whai wātea koe ki ngā whakaritenga whai-muri hei aroturuki i tō whakaora me te hauora mo te wā roa. He mea nui ēnei haerenga hei whakarite kia noho hauora tonu tō pūkahukahu e toe ana.

Ko te tikanga, ka uru mai ngā haerenga whai-muri ki te 1 wiki, 1 marama, 6 marama, me te 1 tau i muri i te pokanga. I muri i tērā, he nui te tirotiro ā-tau mō te nuinga o ngā kaiwhakawhiwhi.

Ngā pātai e pātai pinepine ana mō te tangohanga pūkahukahu mai i te kaiwhakawhiwhi

Q.1 He haumaru te tangohanga pūkahukahu mai i te kaiwhakawhiwhi mō te kaiwhakawhiwhi?

Āe, he tino haumaru te tangohanga pūkahukahu mai i te kaiwhakawhiwhi mō ngā kaiwhakawhiwhi kua āta tātarihia. He iti iho i te 1% te tūponotanga o ngā raruraru nui, ā, ka ora katoa te nuinga o ngā kaiwhakawhiwhi i roto i te 4-6 wiki.

He rite te roa o te oranga o ngā kaiwhakawhiwhi ora ki te taupori whānui. Ka urutau tō pūkahukahu e toe ana ki te whakahaere i te mahi katoa, ā, ka taea e koe te noho i te oranga noa me te kore here.

Q.2 He raruraru hauora mo te wā roa ka puta mai i te kotahi pūkahukahu?

Ko te nuinga, kāore te kotahi pūkahukahu e puta mai i ngā raruraru hauora nui mō te wā roa mō te nuinga o ngā kaiwhakawhiwhi. Ka taea e tō pūkahukahu e toe ana te mahi i ngā mahi katoa e tika ana, ā, ka mau tonu te mahi pūkahukahu noa i te nuinga o ngā kaiwhakawhiwhi i ō rātou oranga katoa.

Tera pea he paku pikinga o te tūponotanga o te toto tiketike, o ngā kōhatu pūkahukahu rānei i te roanga o te wā, engari he iti ēnei tūponotanga, ā, ka taea te whakahaere mā te tiaki hauora auau.

Q.3 Kia pēhea te roa o te whakaora i muri i te tangohanga pūkahukahu mai i te kaiwhakawhiwhi?

Ka hoki te nuinga o ngā kaiwhakawhiwhi ki ngā mahi noa i roto i te 4-6 wiki i muri i te tangohanga pūkahukahu mai i te kaiwhakawhiwhi laparoscopic. Ko te tikanga, ka noho koe i te hōhipera mō te 1-2 rā, ā, ka taea te hoki ki te mahi tēpu i roto i te 2-3 wiki.

Me karo te hiki i ngā mea taumaha me ngā mahi kaha mō te 6 wiki kia pai ai te whakaora. Ka hoki haere ō taumata pūngao ki te noa i te urutau o tō tinana ki te kotahi pūkahukahu.

Q.4 Ka taea e au te whakakori tinana me te tākaro hākinakina i muri i te whakahere pūkahukahu?

Āe, ka taea e koe te hoki ki ngā mahi whakakori tinana me ngā hākinakina katoa i muri i te otinga o tō whakaora. Kāore te kotahi whatukuhu e aukati i ō kaha tinana, i ō mahi hākinakina rānei.

Me karo koe i ngā hākinakina whakapā atu me te mōrearea whara nui ki tō whatukuhu e toe ana, engari he ārai tēnei, ehara i te whakaritenga tino tika. He tino haumaru te kauhoe, te oma, te eke paihikara, me te nuinga atu o ngā mahi.

Q.5 Me whai manaakitanga hauora motuhake au mō te toenga o tōku oranga?

Me whai koe i ngā arotake auau hei aroturuki i te mahi o tō whatukuhu, engari kāore koe e hiahia ki ngā rongoā motuhake, ki ngā rongoā rānei. He nui te haere ki te tākuta me ngā whakamātautau toto i te tau kotahi.

Ka taea e tō tākuta tiaki tuatahi te whakahaere i te nuinga o tō manaakitanga whai muri, me ngā haerenga i ētahi wā ki te pokapū whakawhiti. Ka noho koe pērā i ētahi atu, kotahi noa te whatukuhu, kaua ko te rua.