He aha te Esophagectomy? Te Whāinga, te Hātepe me te Oranga

Ko te esophagectomy he hātepe pokanga hei tango i tetahi wahi, i te katoa ranei o to esophagus, te ngongo e kawe ana i te kai mai i to korokoro ki to puku. Ko te nuinga o te wa ka mahia tenei pokanga hei rongoa i te mate pukupuku esophageal, engari ka taea hoki te awhina i etahi atu mate kino e pa ana ki to kaha ki te horomia marie.

Ahakoa te whakaaro o tenei pokanga ka ahua nui, ma te mohio ki nga mea e uru ana ka awhina koe ki te pai ake te rite me te maia mo to haerenga maimoatanga. Ka arahi to roopu pokanga i a koe i nga taahiraa katoa o te tukanga.

He aha te esophagectomy?

Ko te Esophagectomy e uru ana ki te tango i te wahi mate o to esophagus me te hono ano i nga kiko hauora e toe ana. Whakaarohia he whakakapi i tetahi waahanga paipa kua pakaru i roto i te punaha paipa o to tinana.

I te wa o te tikanga, ka tangohia e to taote pokanga te wahi kua pa o to esophagus ka toia ake to puku, ka whakamahi ranei i tetahi wahi o to whekau hei hanga i tetahi huarahi hou mo te kai kia tae ki to puku. Ma tenei hanganga ka taea e koe te kai me te inu noa i muri i te whakaoranga.

Ka taea te mahi pokanga ma te whakamahi i nga huarahi rereke, tae atu ki te pokanga tuwhera ma to uma, puku ranei, i nga tikanga iti-whakaeke ranei ma te whakamahi i nga tapahi iti me nga kamera motuhake. Ka whiriwhiria e to taote pokanga te huarahi pai rawa atu i runga i to ahuatanga me to hauora katoa.

He aha te take i mahia ai te esophagectomy?

Ko te Esophagectomy te mea e taunakitia ana ina he mate pukupuku esophageal koe e hiahia ana kia tangohia katoatia. Ko tenei pokanga te mea pai rawa atu mo te oranga mo te wa roa ina mau wawe te mate pukupuku kia taea ai te tango i te pokanga.

I tua atu i te mate pukupuku, ka taea e tēnei pokanga te āwhina i te mate gastroesophageal reflux (GERD) kāore anō i whai hua ki ētahi atu rongoā, ā, kua pā kino ki tō kōiwi. I ētahi wā, ka taea e te waikawa reflux mo te wā roa te hanga kiko e uaua ana, e mōrearea ana rānei te horomia.

Ka tūtohu pea tō tākuta i te esophagectomy mō te Barrett's esophagus me te dysplasia nui, he āhuatanga kua huri te waikawa reflux i ngā pūtau e rārangi ana i tō kōiwi i ngā huarahi ka tūpono ka mate pukupuku. Ko ētahi atu āhuatanga onge ka hiahiatia tēnei pokanga ko te whara nui ki te kōiwi, ētahi puku pai rānei kāore e taea te tango i ētahi atu huarahi.

He aha te tikanga mō te esophagectomy?

Ko te tikanga esophagectomy te tikanga e 4 ki te 8 haora, i runga i te uaua o tō keehi. Ka whiwhi koe i te rongoā whānui, nō reira ka moe katoa koe i te wā o te pokanga.

Ka whakamahi tō tākuta i tētahi o ngā huarahi maha ki te tae atu ki tō kōiwi. Ko ngā tikanga tino noa ko te hanga i ngā tapahi i tō uma me te puku, i ētahi wā i tō puku anake. Ka whakamahi ētahi tākuta i ngā tikanga iti-whakauru me ngā tapahi iti me te āwhina robotic.

Anei te mea e pā ana i ngā mahi matua o te pokanga:

1. Ka tangohia e tō tākuta te wāhanga tūroro o tō kōiwi
2. Ka tangohia hoki ngā pona lymph tata ki te tirotiro mō te horapa o te mate pukupuku
3. Ka huri te puku ki roto i te ngongo, ka tōia ki runga ki te hono ki te kōiwi e toe ana
4. Mēnā kāore e taea te whakamahi i tō puku, ka whakamahia pea tētahi wāhanga o tō whekau nui
5. Ka whakamātauria te hononga hou kia mōhio ai he haumaru

I muri i te hanganga, ka waiho e tō tākuta ngā ngongo waipuke rangitahi hei āwhina i tō tinana ki te whakaora tika. Ko ēnei ngongo te tikanga ka noho i te wāhi mō ētahi rā ki te wiki i muri i te pokanga.

Me pēhea te whakarite mō tō esophagectomy?

He maha ngā mahi nui hei whakarite mō te esophagectomy hei āwhina i te whakatutukitanga pai. Mā te rōpū hauora koe e ārahi i ia wāhanga whakarite i ngā wiki i mua i tō pokanga.

Tērā pea ka tūtohu tō tākuta kia whakamutu koe i te kai paipa i te iti rawa 2-4 wiki i mua i te pokanga, nā te mea ka nui ake te tūponotanga o ngā raruraru mā te kai paipa. Mēnā e inu waipiro ana koe i ngā wā katoa, me whakamutu hoki te inu i mua i te mahi.

He mea nui te whakarite kai mai i te mea ka uaua te kai i muri i te pokanga. Tērā pea ka tūtohu te rōpū hauora ki:

• Te tūtakitanga ki tētahi tohunga kai hei whakapai ake i ō kai i mua i te pokanga
• Te tango i ngā tāpiringa huaora me ngā kohuke
• Te kai i te kai nui pūmua hei tautoko i te whakaora
• Te piki i te taumaha mēnā he iti tō taumaha
• Te ako mō ngā huringa kai i muri i te pokanga

Me whakaoti hoki e koe ētahi whakamātautau hauora, tae atu ki te mahi toto, ngā whakamātautau mahi ngākau me te pūkahukahu, me ngā rangahau whakaahua. Tērā pea ka hiahia ētahi tāngata ki ngā mahi manawa, ki te rongoā tinana rānei hei whakakaha i ō rātou pūkahukahu me ō rātou tinana i mua i te pokanga.

Me pēhea te pānui i ō hua esophagectomy?

I muri i te esophagectomy, ka kōrero tō tākuta pokanga i ngā kitenga ki a koe i te wā i tirotirohia ai te kiko i tangohia e tētahi tohunga pathology. E whakarato ana tēnei whakamātau i ngā kōrero nui mō tō āhuatanga me te āwhina i te ārahi i tō maimoatanga anamata.

Mēnā i pokangia koe mō te mate pukupuku, ka kōrero te pūrongo pathology ki a koe i te wāhanga o te mate pukupuku, mēnā kua horapa ki ngā pona rākau tata, me mēnā i taea e te tākuta pokanga te tango i ngā kiko mate pukupuku katoa e kitea ana. Ko te tikanga o ngā tapa mārama i tangohia e te tākuta pokanga ngā mate pukupuku katoa i kitea e rātou.

Ka aroturuki hoki tō rōpū pokanga i tō ahunga whakamua whakaora mā ngā momo mehua. Kei roto i ēnei ko te pai o tō whakaora, tō kaha ki te horomia i ngā wai me te kai totoka i te mutunga, me te mōhio mēnā kei te pupuri koe i ngā kai tika.

Ko ngā tohu whakahoki mai i te nuinga o te wā ko te tīmatanga ki ngā wai mārama, te anga whakamua ki ngā kai ngawari, ā, ka hoki anō ki te kai noa kua whakarerekētia. Ka aroturukihia tō taumaha, te kaha o tō tinana, me te kaha whānui i a koe e ora ana.

Me pēhea te ora mai i te esophagectomy?

Ko te ora mai i te esophagectomy he tukanga haere haere e pā ana ki te maha o ngā marama. Ko te nuinga o te tangata e noho ana i te hōhipera mō te 7-14 rā i muri i te pokanga, i reira ka tino aroturukihia e tō rōpū hauora tō oranga me te āwhina i a koe ki te tīmata ki te kai anō.

Ka tino huri ō tikanga kai i muri i tēnei pokanga. Me kai koe i ngā kai iti, i ngā kai auau, me te ngaungau tino pai i ō kai. He maha ngā tāngata e kite ana he tere ake te pūngao i mua i te pokanga.

I te wā o tō oranga, ka taea e koe te tūmanako ki te wheako i ētahi huringa noa:

• Te pūngao i muri i te kai i ngā kai iti
• Me kai 6-8 ngā kai iti ia rā hei utu mō te 3 ngā kai nui
• Te roa ake o te kai
• Te karo i te inu wai me ngā kai
• Te moe me tō upoko e ara ana hei ārai i te rerenga

Ka piki haere te mahi tinana i a koe e ora ana. Ka tīmata koe ki te hikoi ngawari me ngā mahi manawa, ka hoki pōturi anō ki ngā mahi noa i roto i te 6-8 wiki.

He aha ngā āhuatanga mōrearea mō ngā raruraru esophagectomy?

He maha ngā āhuatanga ka piki ake te mōrearea o ngā raruraru mai i te esophagectomy. Ko te pakeke tētahi whakaaro, i te mea ko ngā tāngata neke atu i te 70 tau te pakeke ka nui ake te mōrearea o ētahi raruraru, ahakoa he maha ngā pakeke e pai ana ki tēnei pokanga.

He nui te pānga o tō hauora whānui ki te putanga o tō pokanga. Ko te mate ngākau, ngā raruraru pūkahukahu, te mate huka, me te mate tākihi ka pā ki tō oranga. Heoi, ka mahi tō rōpū pokanga ki te whakapai ake i ēnei āhuatanga i mua i tō tukanga.

Ngā āhuatanga o te noho e piki ake ai tō mōrearea ko:

• Te kai paipa o nāianei, he hītori tata rānei o te kai paipa
• Te nui o te inu waipiro
• Te kore kai pai, te tino whakaheke taumaha rānei
• Ngā pokanga i te uma, i te puku rānei i mua
• Ētahi rongoā e pā ana ki te whakaora

Ka āta arotakehia e tō tākuta pokanga ēnei āhuatanga katoa, ā, ka mahi tahi me koe ki te whakaiti i ngā tūponotanga i ngā wā katoa ka taea. He maha ngā āhuatanga tūpono ka taea te whakapai ake i mua i te pokanga mā te whakarite tika.

He aha ngā raruraru ka puta i te esophagectomy?

Ahakoa te nuinga o te wā he haumaru te esophagectomy ina mahia e ngā tākuta pokanga mōhio, he mea nui kia mōhio ki ngā raruraru ka puta kia taea ai e koe te whakatau tika mō tō maimoatanga.

Ko te raruraru tino nui engari he mea pāwhara he rerenga i te wāhi hononga i reira e honoa ai tō puku, tō whekau rānei ki tō esophagus e toe ana. Ka puta tēnei i roto i te 5-10% o ngā tūāhua, ā, tērā pea ka hiahiatia he pokanga anō, he wā whakaora roa rānei.

Ngā raruraru e pā ana, e whakaoti ana mā te maimoatanga tika, ko:

• Pneumonia, ētahi atu raruraru rānei o te pūkahukahu (10-20% o ngā tūāhua)
• Te rītima ngākau kōaro (10-15% o ngā tūāhua)
• Te mate i te wāhi tapahi (5-10% o ngā tūāhua)
• Ngā pūhui toto i ngā waewae, i ngā pūkahukahu rānei (2-5% o ngā tūāhua)
• Te uaua ki te horo i te wā tuatahi (ka pā tēnei ki te nuinga o te tangata i te tīmatanga)

Ngā raruraru wā-roa ka uru ki te rerenga tonu, ngā huringa i te āhua o te putanga o tō puku, ngā wero kai rānei. Heoi, ka pai te urutau o te nuinga o te tangata ki ēnei huringa mā te tautoko tika me ngā whakarerekētanga kai.

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

Ka whai koe i ngā whakaritenga whai-muri auau me tō rōpū pokanga, engari he mea nui kia mōhio koe āhea te rapu āwhina hauora tonu. Whakapā atu ki tō tākuta i te wā tonu ki te pā mai te mamae nui o te uma, te uaua ki te hā, ngā tohu rānei o te mate pērā i te kirika me te wiri.

Mena ka pōturi te horomitanga, te ruaki tonu, te kore rānei e taea te pupuri wai, he take anō tēnei hei waea tonu atu ki tō rōpū hauora. E tohu ana pea ēnei tohumate i tētahi raruraru e hiahia ana kia tere te rongoā.

Ko ētahi atu tohu whakatūpato e tika ana kia tere te rongoā ko:

• Te mamae nui o te puku kāore e pai ake i te rongoā mamae
• Ngā tohu o te maroke pēnei i te whanoke, te mangai maroke, te iti o te mimi
• Te mare toto, te toto rānei i roto i tō ruaki
• Te whero, te pūpū, te wai rānei e puta mai ana i ngā wāhi tapahi
• Te pūpū o te waewae, te mamae rānei e tohu ana i ngā toto toto

Kia mahara, he mea noa te kore mārie me ngā wero kai i muri i tēnei pokanga, engari kei reira tō rōpū hauora hei āwhina i a koe ki te wehe i waenga i te whakaora noa me ngā tohumate e pā ana ki te āwangawanga.

Ngā pātai e pātai pinepine ana mō te esophagectomy

P.1 He whai hua te esophagectomy mō te rongoā i te mate pukupuku esophageal?

Āe, ko te esophagectomy te rongoā tino whai hua mō te mate pukupuku esophageal i te wāhanga tuatahi. Ki te mau te mate pukupuku i mua i te horapa ki ētahi atu wāhi o tō tinana, ka taea e te pokanga te whai wāhi pai ki te oranga roa me te rongoā.

E whakawhirinaki ana te angitu ki ētahi mea, tae atu ki te wāhanga o tō mate pukupuku, tō hauora whānui, me te pai o tō urupare ki ētahi atu rongoā pēnei i te chemotherapy, te radiation rānei. He maha ngā tāngata e ora ana, e ora ana i muri i te whakaora mai i tēnei pokanga.

P.2 Ka taea e au te kai noa i muri i te esophagectomy?

Ka taea e koe te kai i te nuinga o ngā kai i muri i te whakaora, engari ka huri tonu ō tauira kai. Me kai koe i ngā kai iti, i ngā kai auau, me te ngaungau i ō kai kia tino pai, nā te mea he iti ake tō puku, ā, he rerekē te tūnga.

He pai te urutau o te nuinga o ngā tāngata ki ēnei huringa i roto i ētahi marama. Mā te mahi tahi me tētahi tohunga kai ka āwhina i a koe ki te ako i ngā rautaki mō te pupuri i te kai pai me te pai ki ngā kai anō.

Q.3 E hia te roa o te whakaora mai i te esophagectomy?

Ko te whakaora tuatahi e 6-8 wiki te roa, i roto i tenei wa ka hoki haere koe ki nga mahi o ia ra. Heoi, ko te whakaora katoa, tae atu ki te urutau ki o tauira kai hou me te whakahoki mai i to kaha katoa, ka roa pea te 3-6 marama.

Ka ora katoa nga tangata i runga i o raatau ake tere, a ko nga mea penei i to tau, to hauora whanui, me te hiahia ranei koe ki etahi atu maimoatanga ka pa ki to wa whakaora. Ka aroturukihia e to roopu hauora to ahunga whakamua me te whakatika i to mahere whakaora i te wa e tika ana.

Q.4 Me hiahia etahi atu maimoatanga i muri i te esophagectomy?

Kei runga i to ahuatanga motuhake me nga mea i kitea i te pokanga etahi atu maimoatanga. Mena i pokanga koe mo te mate pukupuku, tera pea ka hiahia koe ki te rongoa matū, ki te rongoa iraruke ranei i mua, i muri ranei i te pokanga hei whakaiti i te tupono ka hoki mai te mate pukupuku.

Ka matapakihia e to tohunga oncology nga hua pathology ki a koe me te taunaki i te mahere maimoatanga whai muri pai rawa atu. Ko etahi tangata e hiahia ana ki te aroturuki i nga wa katoa, ko etahi atu ka whai hua mai i etahi atu rongoa.

Q.5 Ka taea te mahi esophagectomy ma te whakamahi i nga tikanga iti-whakaeke?

Ae, he maha nga esophagectomies ka taea te mahi ma te whakamahi i nga tikanga iti-whakaeke, robotic ranei. Ko enei huarahi e whakamahi ana i nga tapahi iti me nga kamera motuhake, ka iti ake te mamae, ka poto ake te noho i te hōhipera, me te tere ake o te whakaora.

Heoi, ehara i te katoa te kaitono mo te pokanga iti-whakaeke. Ka arotakehia e to taote pokanga to ahuatanga motuhake me te taunaki i te huarahi e tino haumaru ana, e whai hua ana mo to ahuatanga.