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

Ko te nephrectomy he tango pokanga i tētahi, i ngā pūkahukahu rānei e rua. Ka whai mana tēnei hātepe ina he nui te kino o te pūkahukahu, he mate, he tūpono rānei ki te hauora e kore e taea te whakahaere mā ētahi atu rongoā. Ahakoa te whakaaro o te tango i te pūkahukahu ka pōuri, he maha ngā tāngata e noho ana i te ora tonu, i te hauora me te pūkahukahu kotahi, ā, nā ngā tikanga pokanga hou i pai ake ai, i whai hua ake ai tēnei hātepe i mua atu.

He aha te nephrectomy?

Ko te nephrectomy he hātepe pokanga e tangohia ai e ngā tākuta te katoa, te wāhanga rānei o te pūkahukahu i tō tinana. Ka tūtohu tō tākuta i tēnei ina nui rawa te kino o te pūkahukahu kia kore e mahi tika, i te wā rānei ka tūpono tō hauora whānui ki te noho tonu.

He maha ngā momo hātepe nephrectomy, he mea whakarite ia ki ō hiahia rongoā. Ko te nephrectomy wāhanga e tango ana i te wāhanga mate anake o te pūkahukahu, e tiaki ana i te nui o te kiko hauora ka taea. Ko te nephrectomy ngāwari e tango ana i te pūkahukahu katoa, i te wā e tango ana te nephrectomy radical i te pūkahukahu me te kiko e tata ana, tae atu ki te repe adrenal me ngā pona rāpoi tata.

Ko te rongo pai ko te mea ka taea e koe te noho i te ora noa me te pūkahukahu hauora kotahi. Ka āta mahi tō pūkahukahu e toe ana i te mahi o ngā pūkahukahu e rua, ahakoa ka roa tēnei hātepe, ā, me tautoko tō tinana i te wā whakatikatika.

He aha te take e mahia ai te nephrectomy?

Ka tūtohu ngā tākuta i te nephrectomy ina nui ake te kino o te pupuri i te pūkahukahu i te tango. Kāore rawa tēnei whakatau e mahia mā te māmā, ā, ka tūhura tō rōpū rongoā i ētahi atu kōwhiringa rongoā i te tuatahi.

Ko ngā take noa mō te nephrectomy ko te mate pukupuku pūkahukahu, te kino nui o te pūkahukahu i te wharanga, me te mate pūkahukahu tawhito kua piki ake i tua atu i te rongoā. I ētahi wā, ka whiriwhiri ngā tāngata ki te koha i te pūkahukahu hei āwhina i tētahi atu, e kiia ana ko te nephrectomy kaiwhiwhi ora.

Me titiro ki ngā āhuatanga motuhake ka puta pea ki tēnei tikanga:

• Te mate pukupuku whatukuhu kāore anō i horapa ki ētahi atu okana
• Ngā kōhatu whatukuhu nui e aukati ana i te rere o te mimi
• Te mate whatukuhu polycystic e pā ana ki te mamae me ngā raruraru
• Te kino o te whatukuhu mai i te toto tiketike, te mate huka rānei
• Ngā mate whatukuhu nui kāore e aro ana ki te rongoā
• Te whara o te whatukuhu mai i ngā aitua, i te whara rānei
• He whatukuhu kāore e mahi ana e whakanui ana i te tūponotanga o te mate

I ngā wā onge, ka hiahiatia pea te nephrectomy mō ngā āhuatanga ira pēnei i te puku o Wilms i ngā tamariki, i ngā hē whānau nui rānei e pā ana ki te whanaketanga o te whatukuhu. Ka arotake tō tākuta i tō āhuatanga motuhake, ka kōrero mō te aha te nephrectomy te kōwhiringa pai mō tō hauora.

He aha te tikanga mō te nephrectomy?

Ko te tikanga nephrectomy te nuinga ka roa i te 2 ki te 4 haora, i runga i te uaua o tō keehi. Ka whiriwhiria e tō tākuta te huarahi pokanga pai rawa atu i runga i tō āhuatanga, tō hauora whānui, me te take mō te tikanga.

Ko te nuinga o ngā nephrectomies i tēnei rā ka mahia mā te whakamahi i ngā tikanga iti-whakauru e kiia ana ko te pokanga laparoscopic. Ka hanga e tō tākuta ētahi tapahi iti i tō puku, ka whakamahi i te kāmera iti me ngā taputapu motuhake hei tango i te whatukuhu. Ko tēnei huarahi ka iti ake te mamae, ngā kiko iti, me te whakaora tere atu i te pokanga tuwhera tuku iho.

I te wā o te tikanga, ka noho koe i raro i te rongoā whānui, nā reira kāore koe e rongo i tētahi mea. Ka momotu āta e tō tākuta te whatukuhu mai i ngā oko toto me te ureter (te ngongo e kawe ana i te mimi ki tō pūpū) i mua i te tango. Ka aroturukihia e te tīma pokanga ō tohu nui puta noa i te tukanga katoa.

I ētahi wā, tērā pea ka whakamahi tō tākuta i te pokanga tuwhera, e hāngai ana ki te tapahi nui ake. Ko tēnei huarahi i ētahi wā e tika ana mō ngā puku nui rawa atu, ngā kiko whara nui mai i ngā pokanga o mua, ngā āhuatanga rānei o te hauora e uaua ana, e tūpono ana te pokanga laparoscopic.

Me pēhea te whakarite mō tō nephrectomy?

Ko te whakarite mō te nephrectomy e hāngai ana ki ētahi mahi nui hei āwhina i te whakatutuki i te hua pai rawa atu. Mā te rōpū hauora koe e ārahi i ia mahi, engari mā te māramatanga ki ngā mea e tūmanakohia ana ka āwhina koe ki te whai māia me te whakarite.

Ka tīmata tō whakarite i ngā wiki i mua i te pokanga me ngā momo whakamātautau me ngā arotake hauora. Mā ēnei whakamātautau e āwhina tō tākuta ki te mārama ki tō hauora whānui me te whakamahere i te huarahi haumaru mō tō mahi.

Anei ngā mea e tūmanakohia ana i te wā o tō whakarite:

• Ngā whakamātautau toto hei tirotiro i te mahi tākihi me te hauora whānui
• Ngā rangahau whakaahua pēnei i ngā karapa CT, i ngā MRI rānei hei whakaatu i tō anatomi
• Ngā whakamātautau mahi ngākau me te pūkahukahu hei whakarite kua rite koe mō te pokanga
• Te tūtakitanga ki tō tākuta rongoā hei kōrero mō te whakahaere mamae
• Ngā whakatikatika rongoā, ina koa ngā whakaheke toto
• Ngā rāhui kai ka tīmata i te pō i mua i te pokanga
• Ngā whakaritenga mō te tiaki i muri i te pokanga me te kawe

Ka hoatu e tō tākuta ngā tohutohu motuhake mō te kai, te inu, me te tango rongoā i mua i te pokanga. Mā te whai i ēnei aratohu ka āwhina i te ārai i ngā raruraru me te whakarite kia haere tonu tō pokanga i te mea i whakamaherehia.

Me pēhea te pānui i ō hua nephrectomy?

Ko te māramatanga ki ō hua nephrectomy e hāngai ana ki te titiro ki te hua pokanga tonu me ngā pānga wā roa mō tō hauora. Mā tō tākuta e whakamārama ngā mea i kitea e rātou i te wā o te mahi me te aha te tikanga mō tō anamata.

Mēnā i mahia tō nephrectomy hei rongoā i te mate pukupuku, ka tirohia e tō rōpū tākuta te kiko whatukuhu i tangohia i raro i te karu whakanui. Ko tēnei tātaritanga, e kiia ana he pūrongo pathology, e whakarato ana i ngā kōrero taipitopito mō te momo me te wāhanga o te mate pukupuku, e āwhina ana ki te whakatau mēnā e hiahia ana koe ki te rongoā atu.

Ko te pūrongo pathology te tikanga e whakauru ana i ngā kōrero mō te rahi o te puku, te tohu (te āhua o te kaha o ngā pūtau mate pukupuku), me te horapa o te mate pukupuku ki ngā kiko tata. Ka whakamāramahia e tō tākuta ēnei kitenga i roto i ngā kupu māmā me te kōrero mō te aha te tikanga mō tō matapae me te mahere rongoā.

Mō ngā nephrectomies kore-mate pukupuku, ka huri te arotahi ki te pai o te mahi a tō whatukuhu e toe ana me tō whakatikanga whānui. Ka aroturukihia e tō rōpū hauora te mahi a tō whatukuhu mā ngā whakamātautau toto auau me te whakarite kia pai te urutau o tō tinana ki te kotahi whatukuhu.

Me pēhea te whakapai ake i tō whakaora i muri i te nephrectomy?

Ko te whakaora i muri i te nephrectomy he tukanga haere haere e hiahia ana kia manawanui me te whakapau kaha ki te whai i ngā tohutohu a tō rōpū hauora. Ko te nuinga o te tangata e tūmanako ana ki te hoki ki ngā mahi noa i roto i te 4 ki te 6 wiki, ahakoa ka ora katoa i runga i ō rātou ake tere.

Ko tō whakaora tonu ka arotahi ki te whakahaere i te mamae, te ārai i ngā raruraru, me te tuku i tō tinana kia ora. Tērā pea ka noho koe i te hōhipera mō te 1 ki te 3 rā i muri i te pokanga laparoscopic, i te 3 ki te 5 rā i muri i te pokanga tuwhera.

Anei ngā āhuatanga matua o te whakaora angitu:

• Te tango i ngā rongoā mamae kua tohua i runga i te tohutohu
• Te whakanui haere i te mahi tinana e tīmata ana me ngā hīkoi poto
• Te karo i te hiki taumaha mō te 4 ki te 6 wiki
• Te pupuri i ngā tapahi pokanga kia mā me te maroke
• Te haere ki ngā whakaritenga whai-ake katoa
• Te noho wai me te kai i ngā kai whai kiko
• Te aroturuki i ngā tohu o ngā raruraru pēnei i te kirika, te mamae nui rānei

Ka āta whakahaere te pūkahukahu e toe ana i te mahi o ngā pūkahukahu e rua, he mahi ka roa pea te maha o ngā marama. I tēnei wā, he mea nui kia tiakina tō hauora pūkahukahu mā te noho wai, te kai i te kai taurite, me te karo i ngā rongoā ka pā kino ki ō pūkahukahu.

He aha te putanga pai i muri i te nephrectomy?

Ko te putanga pai i muri i te nephrectomy ko te whakaora katoa me te kore raruraru me te urutau angitu ki te ora me te pūkahukahu kotahi. Ko te nuinga o te tangata ka tutuki i tēnei whāinga, ka haere tonu ki te ora i te ora noa, te ora hauora.

Ko te angitu i muri i te nephrectomy he rerekē ngā tikanga i runga i te take i whai ai koe i te tikanga. Mēnā he mate pukupuku tō, ko te angitu ko te tango katoa i te puku me te kore e hiahiatia he rongoā atu. Mō ētahi atu āhuatanga, ko te angitu ko te whakawātea i ngā tohumate me te whakapai ake i te kounga o te ora.

Ko te angitu wā-roa ko te pupuri i te hauora pūkahukahu pai mā ngā whiringa oranga me te tiaki hauora auau. Ka taea e tō pūkahukahu e toe ana te whakahaere i te mahi o ngā pūkahukahu e rua, engari he mea nui kia tiakina mai i te kino mā te kai tika, te wai, me te karo i ngā mea ka pā kino ki te mahi pūkahukahu.

Ko te nuinga o te tangata ka hoki ki ngā mahi noa katoa, tae atu ki te mahi, te whakakori tinana, me ngā hākinakina, i roto i ngā marama i muri i te pokanga. Mā te tiaki tika, me mahi pai tō pūkahukahu e toe ana mō ngā tau maha e haere ake nei.

He aha ngā āhuatanga tūpono mō ngā raruraru nephrectomy?

Ko te māramatanga ki ngā āhuatanga tūpono mō ngā raruraru nephrectomy ka āwhina i a koe me tō rōpū hauora ki te mahi i ngā mahi hei whakaiti i ngā raruraru pea. Ahakoa te nuinga o te wā he haumaru te nephrectomy, ka taea e ētahi āhuatanga te whakanui i te tūponotanga o ngā raruraru.

Ko te pakeke me te āhua o te hauora whānui he āhuatanga nui e pā ana ki tō tūponotanga. Ko ngā pakeke me ngā tāngata he maha ngā āhuatanga hauora ka tūpono pea ki ngā tūponotanga nui ake, engari kāore tēnei e kī ana kāore he haumaru te pokanga - ko te tikanga ka whai ngā tō rōpū hauora i ngā whakatūpato atu.

Koinei ngā āhuatanga tūpono nui hei mōhio:

• Te pakeke (nui atu i te 70 tau)
• Te mate ngakau, te mate pūkahukahu rānei
• Te mate huka, te toto tiketike rānei
• Te momomo
• Ngā pokanga puku o mua
• Te kai paipa, te inu waipiro nui rānei
• Ngā raruraru pūwhā toto
• Te mate tākihi roa i te tākihi e toe ana

Kāore te whai i ngā āhuatanga tūpono e kī ana ka whai raruraru koe – he mea noa tēnei e mātakitaki tata ana tō rōpū hauora i a koe, ā, ka whai i ngā mahi hei pupuri i a koe kia noho haumaru. He maha ngā tāngata whai i ngā āhuatanga tūpono maha i whai i ngā nephrectomies angitu, kāore he raruraru.

He pai ake te whai i te nephrectomy wāhanga, i te nephrectomy katoa rānei?

Ko te whiriwhiri i waenga i te nephrectomy wāhanga me te nephrectomy katoa e whakawhirinaki ana ki tō āhuatanga hauora motuhake, me te mea e tino haumaru ana mō tō hauora wā-roa. Ki te taea, ka pai ake ngā tākuta pokanga i te nephrectomy wāhanga nā te mea e tiaki ana i te nui ake o te mahi tākihi.

He maha ngā wā ko te nephrectomy wāhanga te kōwhiringa pai mō ngā puku tākihi iti, ētahi momo mate tākihi, rānei, ki te kotahi anake tākihi e mahi ana. Ko tēnei huarahi e tango ana i te wāhanga mate anake, me te tiaki i te nui o te kiko tākihi hauora ka taea.

Ka whai mana te nephrectomy katoa ki te mate te tākihi katoa, ki te nui rawa ngā puku mō te tango wāhanga, ki te whakatū tōtō te tākihi i te tūponotanga hauora kāore e taea te whakahaere i ētahi atu huarahi. Ka āta arotake tō tākuta pokanga i tō āhuatanga, ā, ka tūtohu i te huarahi e whai ana i te taurite pai o te haumaru me te whai hua.

Ka whakaarohia hoki te mahi tākihi katoa, me te mea ka nui te kiko tākihi e toe ana hei pupuri i tō hauora. Ka kōrerohia e tō rōpū hauora ēnei āhuatanga ki a koe, ā, ka whakamārama he aha rātou i tūtohu ai i tētahi huarahi motuhake.

He aha ngā raruraru ka puta i te nephrectomy?

Ahakoa te haumaru o te nephrectomy i te nuinga o te wā, pērā i ngā pokanga katoa, ka puta pea ngā raruraru. Mā te māramatanga ki ēnei tūponotanga ka āwhina i a koe ki te mōhio ki ngā tohu whakatūpato me te rapu awhina wawe ki te hiahiatia.

Ko te nuinga o ngā raruraru he iti noa iho, ā, ka whakatikahia mā te rongoā tika. He onge ngā raruraru nui, ina koa ka mahia te pokanga e ngā tākuta whai wheako i ngā whare rongoā whai taputapu pai.

Anei ngā raruraru ka puta pea hei mōhio:

• Te toto i te wā o te pokanga, i muri rānei
• Te mate i te wāhi pokanga
• Ngā pūhui toto i ngā waewae, i ngā pūkahukahu rānei
• Te whara i ngā okana tata i te wā o te pokanga
• Hernia i te wāhi tapahi
• Te mamae roa, te ngū rānei
• Ngā huringa o te mahi tākihi i te tākihi e toe ana

Ko ngā raruraru onge engari nui pea ko te nui o te toto e hiahia ana ki te whakawhitinga toto, te pūkahukahu, te kore rānei o te tākihi i te tākihi e toe ana. Ka mātakitaki tata tō rōpū hauora i a koe mō ēnei take, ā, ka mahi tonu rātou ki te puta mai.

Ko te nuinga o te iwi ka ora mai i te nephrectomy kāore he raruraru nui. Ka kōrero tō tākuta pokanga i ō āhuatanga tūpono takitahi, ā, ka whakamārama i ngā mahi e mahia ana e rātou hei whakaiti i ngā raruraru ka puta.

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

Me whakapā atu koe ki tō tākuta tonu ki te pōturi koe i ngā tohu e pā ana i muri i te nephrectomy. Ahakoa he mea noa te kore mārie i te wā o te whakaora, ko ētahi tohu pea e tohu ana i ngā raruraru e hiahia ana ki te aro mai o te rongoā.

Ka whakarite tō rōpū hauora i ngā tūponotanga whai muri i te wā hei mātakitaki i tō whakaora me te tirotiro i tō mahi tākihi. He mea nui ēnei tūponotanga ki te hopu i ngā raruraru ka puta i te wā, me te whakarite i tō hauora mo te wā roa.

Whakapā atu ki tō tākuta tonu ki te pōturi koe:

• Te kirika i runga ake i te 101°F (38.3°C)
• Te mamae nui, te mamae rānei e kaha haere ana
• Te nui o te toto, te wai rānei e puta mai ana i ngā tapahi
• Ngā tohu o te mate, pērā i te whero, te mahana, te pūhi rānei
• Te uaua ki te hā, te mamae rānei o te uma
• Te pūhi o te waewae, te mamae rānei
• Te whakapairuaki me te ruaki e kore e mutu
• Ngā huringa i ngā tauira mimi

He mea nui te aroturuki wā-roa. Me haere koe ki ngā arowhai auau hei aroturuki i te mahi o ō tākihi, te pēhanga toto, me te hauora whānui. Mā ēnei haerenga e āwhina kia noho hauora tonu tō tākihi e toe ana, me te kite i ngā raruraru i mua i te pūroto.

Ngā pātai auau mō te nephrectomy

Q.1 He pai te nephrectomy mō te mate pukupuku tākihi?

Āe, ko te nephrectomy te nuinga o te wā te rongoā whai hua mō te mate pukupuku tākihi, ina koa ka noho te mate pukupuku ki roto i te tākihi. Ko te tango i te pokanga te mea pai rawa atu mō te rongoā i te nuinga o ngā tūponotanga o te mate pukupuku tākihi.

Kei te whakawhirinaki te momo nephrectomy ki te rahi me te wāhi o te puku. He pai ake te nephrectomy wāhanga mō ngā puku iti, i te mea ka hiahia pea te tango katoa i te tākihi mō ngā mate pukupuku nui ake, kaha ake rānei. Ka mahi tō tākuta mate pukupuku me tō tākuta pokanga ki te whakatau i te huarahi pai rawa atu mō tō āhuatanga motuhake.

Q.2 Ka pā mai ngā raruraru hauora i te kotahi tākihi?

Ko te nuinga o te tangata e kotahi ana te tākihi e noho ana i te ora noa, hauora, kāore he raruraru hauora nui. Ka āta whakahaere tō tākihi e toe ana i te mahi o ngā tākihi e rua, ā, ka taea e ia te whakahaere i tēnei kawenga mahi kua piki ake.

He mea nui ki te tiaki i tō tākihi e toe ana mā ngā whiringa oranga hauora. Kei roto i tēnei ko te noho wai, te kai i te kai taurite, te whakakori tinana i te wā katoa, me te karo i ngā mea ka pā kino ki te mahi tākihi. Mā ngā arowhai hauora auau e āwhina ki te aroturuki i tō hauora tākihi i te wā.

Q.3 E hia te roa ki te ora mai i te nephrectomy?

He rerekē te wā whakaora i runga i te momo o te pokanga me tō hauora whānui. Ka taea e te nuinga o te tangata te hoki ki ngā mahi māmā i roto i te 1 ki te 2 wiki, ā, ka hoki ki ngā mahi noa i roto i te 4 ki te 6 wiki i muri i te nephrectomy laparoscopic.

Ko te pokanga tuwhera te tikanga e hiahia ana i te wā whakaora roa ake, arā, 6 ki te 8 wiki i mua i te hokinga ki ngā mahi katoa. Ka hoatu e tō tākuta pokanga ngā aratohu motuhake i runga i tō tikanga me te ahunga whakamua o te whakaora. He mea nui kia kaua e tere te whakaora me te whai i ngā tohutohu katoa i muri i te pokanga.

Q.4 Ka taea e au te whakakori tinana i muri i te nephrectomy?

Āe, ka taea e koe te whakakori tinana i muri i te nephrectomy, ā, he pai te mahi tinana i te wā katoa mō tō hauora whānui me te mahi o te whatukuhu. Heoi, me tīmata mā te pōturi, ā, me whakanui haere i tō taumata mahi i te wā e whakaora ana koe.

Tīmata mā te hikoi marie i te wā e whakaae ana tō tākuta, te tikanga i roto i ngā rā torutoru i muri i te pokanga. Kaua e hiki i ngā mea taumaha me ngā mahi kaha mō te 4 ki te 6 wiki. Kia ora katoa koe, ka taea e koe te hoki ki ngā mahi katoa e pai ana ki a koe, tae atu ki ngā hākinakina me ngā mahi whakangungu i te whare takaro.

Q.5 Ka nui ake taku whatukuhu e toe ana i muri i te nephrectomy?

Āe, ka nui haere tō whatukuhu e toe ana i te rahi me te mahi hei utu mō te whatukuhu i tangohia. Ko tēnei tukanga, e kiia ana ko te hypertrophy compensatory, he mea noa, he hauora hoki.

Ka nui ake pea tō whatukuhu i te rahi e 20 ki te 40 ōrau i roto i ngā marama maha i te wā e urutau ana ki te whakahaere i te pōkai mahi nui ake. Ko tēnei whakanui he tohu kei te angitu tō whatukuhu ki te tango i te mahi o ngā whatukuhu e rua, ā, ehara i te take e māharahara ai.