He aha te Radiofrequency Ablation mō te Matepukupuku? Te Whāinga, te Hātepe & ngā Hua

Ko te radiofrequency ablation (RFA) he rongoā iti nei te wawaotanga e whakamahi ana i te kaha wera hei whakangaro i ngā pūtau matepukupuku. Whakaarohia he huarahi tika, whāinga hoki ki te "tunua" i te kiko puku mai i roto ki waho, mā te whakamahi i te kaha hiko ka huri hei wera mā te pūwero rite ngira.

E whai ana tēnei rongoā i te tūmanako mō te tokomaha o ngā tāngata e matepukupuku ana, ina koa kāore e taea te pokanga, ki te hiahia rānei koe ki te karo i ngā hātepe whānui ake. He tino whai hua mō ngā puku iti, ā, he maha ngā wā ka taea te mahi hei hātepe tūroro waho, arā, ka taea e koe te hoki ki te kāinga i te rā tonu.

He aha te radiofrequency ablation?

Ka mahi te radiofrequency ablation mā te tuku wera whakahaere tika ki roto i ngā pūtau matepukupuku mā te pūwero motuhake. Ka eke te wera ki ngā pāmahana tata ki te 212°F (100°C), e whakangaro ana i te kiko puku i te wā e whakaiti ana i te kino ki ngā wāhi hauora e tata ana.

Ka whakamahi te hātepe i te momo kaha kotahi e whakahaere ana i ngā ngaru irirangi, engari he mea whakatōpū, he mea whakahaere hoki hei waihanga i te wera rongoā. Ka ārahi tō tākuta i te hiko angiangi mā tō kiri tika ki roto i te puku mā te whakamahi i te arataki whakaahua pēnei i ngā karapa CT, i te ultrasound rānei.

Ka mimiti haere ngā pūtau matepukupuku kua whakangaroa e tō tinana i roto i ngā wiki ki ngā marama. He tūturu, he haumaru hoki tēnei hātepe, he rite ki te āhua e whakahaere ana tō tinana i ētahi atu kiko kua pakaru.

He aha te take e mahia ai te radiofrequency ablation?

E taunakitia ana te RFA ina taea e ia te rongoā i tō matepukupuku i te wā e tiaki ana i tō kounga o te oranga. He maha ngā wā ka whiriwhiria mō ngā tāngata kāore i te pai mō te pokanga nā te pakeke, ētahi atu āhuatanga hauora, te wāhi rānei o te puku.

Ka tūtohu pea tō tākuta i te RFA mēnā he puku kei roto i ngā okana pēnei i te ate, ngā pūkahukahu, ngā whatukuhu, i ngā wheua rānei. He tino whai hua mō te rongoā i te matepukupuku ate, ngā puku tuatahi me ērā kua horapa mai i ētahi atu wāhi o tō tinana.

I ētahi wā ka whakamahia te RFA me ētahi atu rongoā pērā i te rongoā matū, i te rongoā iraruke rānei. Ka āwhina hoki ki te whakahaere i ngā tohumate o te mate pukupuku, ina koa te mamae o te wheua mai i ngā puku kua horapa ki tō angaanga.

He pai ake te mahi o te tikanga nei mō ngā puku iti iho i te 2 inihi (5 cm) te whānui. Ko ngā puku nui ake pea me whai i ngā wāhanga rongoā maha, me te whakakotahi rānei i te RFA me ētahi atu huarahi.

He aha te tikanga mō te whakakorenga irirangi auau?

Ko te tikanga RFA te nuinga ka 1-3 haora te roa, ā, ka mahia e te tohunga iraruke whakataki. Ka whiwhi koe i te whakamaarama mā te mohio, i te rongoā whānui rānei hei whakamarie i a koe i te wā o te rongoā.

Ka horoi tō tākuta, ka whakapōkae i te kiri i te wāhi e whakaurua ai te pūwero. Mā te whakamahi i te ārahi whakaahua i te wā tūturu, ka āta ārahi rātou i te hiko mā tō kiri, ki roto tonu i te kiko puku.

Koinei te mea ka tupu i te wā o te rongoā:

1. Ka whakatakotoria te hiko ki roto tonu i te puku
2. Ka tukuna te pūngao irirangi auau mō te 10-30 meneti
3. Ka hangaia e te wera tētahi rohe o te kiko kua whakangaromia huri noa i te pūwero
4. Ka whakamahia pea ngā tūnga pūwero maha mō ngā puku nui ake
5. Ka whakapūmau te whakaahua i te rongoā katoa o te wāhi e whāia ana

I muri i te rongoā, ka aroturukihia koe i tētahi wāhi whakaora mō ētahi haora. Ko te nuinga o te tangata ka pōturi noa te mamae, ka taea te whakahaere mā te rongoā mamae e hokona ana.

Me pēhea te whakarite mō tō whakakorenga irirangi auau?

Ka whakawhirinaki tō whakarite ki te okana e rongoatia ana, engari e pā ana ētahi aratohu whānui ki te nuinga o ngā tikanga RFA. Ka hoatu e tō rōpū hauora ngā tohutohu motuhake i hangaia mō tō āhuatanga.

Me mutu te kai me te inu mō te 6-8 haora i mua i te tikanga. Ka āwhina tēnei whakatūpato ki te ārai i ngā raruraru ki te hiahia koe i te rongoā whānui, i te whakamaarama mā te mohio rānei.

Ka arotakehia e tō tākuta ō rongoā o nāianei, ā, tera pea e tono kia whakamutua ētahi mō tētahi wā, inā koa ngā rongoā whakaheke toto pēnei i te warfarin, i te aspirin rānei. Kaua e whakarerekē i ēnei mea me te kore tohutohu hauora, nā te mea me whakamutu ētahi rongoā i ngā rā i mua i te tikanga.

Whakaritea tētahi tangata hei taraiwa i a koe ki te kāinga i muri i te maimoatanga, nā te mea ka pā te rongoā whakamaimoa ki tō kaha ki te taraiwa haumaru. Me whakarite hoki kia noho tētahi tangata ki a koe mō te 24 haora tuatahi i muri i te tikanga.

Mau kākahu hāneanea, whānui, me te tango i ngā whakapaipai, i ngā mea whakarewa rānei ka raru pea i ngā taputapu whakaahua. Ka whakawhiwhia e tō rōpū hauora tētahi kākahu hōhipera mō te tikanga.

Me pēhea te pānui i ō hua whakakorenga irirangi?

Ko ngā hua RFA te tikanga ka arotakehia mā ngā rangahau whakaahua whai muri i mahia 1-3 marama i muri i tō maimoatanga. E whakaatu ana ēnei karapa mēnā i whakangaromia ngā pūtau mate pukupuku, ā, ka āwhina ki te kite i ngā toenga kiko puku ora.

Ko te maimoatanga angitu ka hanga i te mea e kīia ana e ngā tākuta he

He pēhea te whai hua o te whakakorenga irirangi auau mō te mate pukupuku?

He rerekē ngā reiti angitu o te RFA i runga i te rahi o te puku, te wāhi, me te momo mate pukupuku, engari he tino whakahihiri ngā hua whānui. Mō ngā puku ate iti (iti iho i te 2 inihi), he nui ake i te 90% ngā reiti angitu mō te whakangaromanga puku katoa.

He tino whai hua te tikanga mō te mate pukupuku ate tuatahi me ngā puku metastatic ate mai i te mate pukupuku colorectal. He tiketike hoki ngā reiti angitu mō ngā puku pūkahukahu, inā koa mō ngā puku iti iho i te 1.5 inihi te whānui.

He maha ngā āhuatanga e pā ana ki te pai o te mahi a te RFA mō tō āhuatanga motuhake:

• Te rahi o te puku - he tiketike ake ngā reiti angitu o ngā puku iti
• Te wāhi - he pai ake te urupare o ngā puku mai i ngā oko toto nui
• Momo mate pukupuku - he nui ake te tairongo o ētahi mate pukupuku ki te wera i ētahi atu
• Te hauora whānui - he pai ake te hauora whānui e tautoko ana i te whakaora me te whakaū

Ahakoa kāore te RFA e whakakore katoa i te mate pukupuku, he maha ngā painga nui e whakaratohia ana. He maha ngā tāngata e pā ana ki te whakaheke i ngā tohumate, te puhoi o te tipu o te puku, me te pai ake o te kounga o te oranga.

Ka taea te whakahoki anō i te tikanga ki te tika, ā, kāore e aukati i a koe ki te whiwhi i ētahi atu maimoatanga mate pukupuku ā muri ake nei. Mā tēnei ngāwari ka waiho te RFA hei kōwhiringa whai hua i roto i te manaakitanga mate pukupuku whānui.

He aha ngā āhuatanga tūpono mō ngā raruraru whakakorenga irirangi auau?

Ahakoa te nuinga o te wā he haumaru te RFA, ka taea e ētahi āhuatanga te whakanui i tō tūponotanga ki ngā raruraru. Mā te māramatanga ki ēnei ka āwhina i a koe me tō rōpū hauora ki te whakatau i ngā whakataunga mōhio mō tō maimoatanga.

He mea nui te pakeke me te āhua hauora whānui ki te whakatau i tō taumata tūpono. Ko ngā tāngata neke atu i te 70 tau, ērā rānei e maha ana ngā āhuatanga hauora, ka tūpono pea ki ngā tūponotanga iti ake, ahakoa he maha tonu te wā he haumaru ake te RFA i te pokanga nui.

He nui te pānga o te wāhi o te puku ki ngā taumata tūpono. Ko ngā puku e tata ana ki ngā oko toto nui, te diaphragm, ētahi atu hanganga nui rānei, e hiahia ana kia nui ake te tūpato me te mātanga i te wā o te maimoatanga.

He maha ngā āhuatanga tūpono e tika ana kia aro nui:

• He pokanga puku i mua pea i hanga kiko kōpiko
• Ngā mate pūhui toto, te whakamahi rānei i ngā rongoā whakaheke toto
• He mate ngākau, he mate pūkahukahu rānei
• Ngā mate kaha, te pūnaha ārai mate rānei kua ngoikore
• Te hapū (Kāore te RFA e mahia ana i te wā e hapū ana)

Ka āta arotakehia e tō rōpū hauora ēnei āhuatanga i mua i te tūtohu i te RFA. Ka tūtohu pea rātou i ētahi atu whakatūpato, i ētahi atu rongoā rānei mēnā he tiketike rawa tō tūponotanga.

He aha ngā raruraru ka puta mai i te whakakorenga auau irirangi?

He pai te nuinga o te tāngata ki te RFA, engari pērā i ētahi atu tikanga rongoā, he tūponotanga kei roto. Ko te rongo pai he onge ngā raruraru nui, ka puta i roto i te iti iho i te 5% o ngā tūponotanga.

He nui ake te pānga o ngā raruraru iti, ā, ka tere te ngaro me te manaaki tika. Ko te tikanga, kāore ēnei e hiahia ana ki te hōhipera, ā, ka taea te whakahaere i te kāinga me te āwhina mai i tō rōpū hauora.

Ngā raruraru iti noa:

• He mamae ngawari ki te āhua i te wāhi rongoā
• He kirika rangitahi mō te 1-2 rā i muri i te rongoā
• Te ngenge pea e roa ana mō ētahi rā
• He toto iti, he pānga rānei i te wāhi whakauru o te pūwero
• He whakapairuaki rangitahi, ina koa i muri i ngā rongoā ate

He wāhanga ēnei tohu o te urupare whakaora noa o tō tinana, ā, ka pai ake i roto i ētahi rā. Ka hoatu e tō tākuta ngā tohutohu motuhake mō te whakahaere i ētahi āhuatanga e kore e pai.

He onge ngā raruraru nui engari me āta rongoā tonu. Ahakoa he onge, he mea nui kia mōhio ki ēnei mea ka taea kia rapua he āwhina i te wā tika mēnā e tika ana.

Ngā raruraru onge engari nui pea:

• Te mate i te wāhi rongoā, i te okana rānei i rongoāhia
• Te wharanga ki ngā okana tata, ki ngā oko toto rānei
• Pneumothorax (pūkahukahu kua hinga) i ngā rongoā pūkahukahu
• Te wharanga i te ara pūngāwerewere i ngā rongoā ate
• Te toto nui e hiahia ana ki te whakawhitinga toto

E whakamahi ana tō rōpū hauora i ngā whakatūpato nui hei whakaiti i ēnei tūponotanga. E whakamahi ana rātou i te ārahi whakaahua matatau, ā, he tikanga ā rātou hei whakahaere i ngā raruraru ka puta.

Āhea ahau e kite ai i te tākuta i muri i te whakakorenga auau irirangi?

Whakapā atu ki tō tākuta tonu mēnā ka pā mai te mamae nui kāore e pai ake i ngā rongoā kua tohua, mēnā rānei ka puta ngā tohu o te mate pērā i te kirika i runga ake i te 101°F (38.3°C), te mīti, te whero rānei e piki ana i te wāhi rongoā.

Me rapu hoki koe i te āwhina hauora tonu mēnā ka kite koe i ēnei tohu whakatūpato:

• Te uaua ki te manawa, te mamae rānei o te uma
• Te ruaki tonu, te kore rānei e taea te pupuri wai
• Te toto nui, ngā pāpā rānei nui i te wāhi rongoā
• Te ngoikore nui, te whanoke rānei
• Te kōwhai o te kiri, o ngā kanohi rānei (ina koa i muri i te rongoā ate)

Mō te aroturuki i ngā wā katoa, ka kite koe i tō tākuta i roto i te 1-2 wiki i muri i te tikanga. Mā tēnei haerenga e āhei ai rātou ki te tirotiro i tō ahunga whakamua, ki te whakatika hoki i ngā āwangawanga kei a koe.

Ko tō hōtaka aroturuki i ngā wā katoa ka uru ki ngā rangahau whakaahua i ia wā hei aroturuki i te whai huatanga o te rongoā. He mea nui ēnei whakaritenga mō te whai i tō ahunga whakamua, mō te whakamahere hoki i ētahi atu rongoā mēnā e hiahiatia ana.

Ngā pātai e pātai pinepine ana mō te whakakorenga auau irirangi

Q1: He mamae te whakakorenga auau irirangi?

Ko te nuinga o te tangata e pā ana ki te mamae ngawari ki te āhua i te wā, i muri hoki i te RFA. Ka whiwhi koe i te whakamaungia, i te rongoā rānei i te wā o te tikanga, nō reira kāore koe e rongo i te mamae i te wā e tū ana.

I muri i te rongoā, ka pāngia pea e koe te mamae, he rite ki te mamae uaua hōhonu i te wāhi i rongoāhia. Ko te tikanga ka roa tēnei i te 1-3 rā, ā, ka pai te urupare ki ngā rongoā mamae e hokona ana i te tākaro, pērā i te acetaminophen, te ibuprofen rānei.

Q2: E hia te roa o te whakaora mai i te RFA?

He rerekē te wā whakaora i runga i te wāhi me te rahi o te puku i rongoāhia, engari ka hoki te nuinga o te tāngata ki ngā mahi noa i roto i te 2-7 rā. Ka pāngia pea e koe te ngenge i ngā rā tuatahi, he mea noa tēnei.

Me karo i te hiki i ngā mea taumaha me ngā mahi kaha mō te wiki. Ka hoatu e tō tākuta ngā aratohu motuhake i runga i tō āhuatanga whaiaro me te wāhi o tō rongoā.

Q3: Ka hoki mai pea te mate pukupuku i muri i te whakakorenga auau irirangi?

Ahakoa he tino whai hua te RFA, ka hoki mai pea te mate pukupuku i te wāhi rongoā, i ētahi atu wāhi rānei. Ka puta te hokinga mai i te wāhi i rongoāhia i roto i te 5-10% o ngā tūāhua, i runga i te momo me te rahi o te puku.

Ka āwhina te whai i ngā whakaahua i te wā katoa ki te kite wawe i ngā hokinga mai, i te wā e taea ana te rongoā. Ki te hoki mai te mate pukupuku, ka taea te whakahoki anō i te RFA, ka taea rānei te whakamahi i ētahi atu rongoā.

Q4: He pai ake te whakakorenga auau irirangi i te pokanga?

He painga tō te RFA me te pokanga i runga i tō āhuatanga. He iti ake te pākia o te RFA, he poto ake te wā whakaora, ā, ka taea te whakahoki anō ki te tika. He pai ake pea te pokanga mō ngā puku nui ake, i te wā e tika ana te tango i ngā kiko katoa.

Ka āwhina tō tākuta mate pukupuku ki a koe ki te whakatau i ngā painga me ngā tūponotanga o ia kōwhiringa i runga i ngā āhuatanga o tō puku, te hauora whānui, me ngā hiahia whaiaro. I ētahi wā, ka whai hua te whakakotahi i ngā huarahi.

Q5: E hia ngā rongoā RFA e hiahiatia ana e au?

He maha ngā tāngata e hiahia ana kia kotahi noa te rongoā RFA kia oti te whakangaromanga o te puku. Heoi, ko ngā puku nui ake, ngā puku maha rānei, ka hiahiatia pea ētahi wāhanga i te wā e maha wiki ana.

Ka whakatau tō tākuta i te mahere maimoatanga pai rawa atu i runga i ngā hua o tō whakaahua me te pai o tō urupare ki te maimoatanga tuatahi. E whai hua ana ētahi tāngata ki te whakakotahi i te RFA me ētahi atu rongoā mō te huarahi whānui rawa atu.