Te tango i te tākihi - Te utu, ngā tohu, te whakarite, ngā mōrearea, me te whakaora

Ko te tango i te puku (bulleectomy) he tikanga pokanga e tango ana i tētahi, neke atu rānei o ngā puku, arā, he wāhi nui kī tonu i te hau ka puta i roto i ngā pukahukahu. Ka puta pea ēnei puku i ngā mate pukahukahu maha, inā koa ko te emphysema, he momo mate pukahukahu aukati mau tonu (COPD). Ko te kaupapa matua o te tango puku he whakamama i ngā tohu, he whakapai ake i te mahi a ngā pukahukahu, me te whakarei ake i te kounga o te oranga mō ngā tūroro e pāngia ana e ngā raruraru manawa kino.

I roto i ngā pūkahukahu hauora, ka āwhina ngā pēke hau e kiia nei ko ngā alveoli ki te whakawhiti i te hāora me te hauhā waro. Heoi, i roto i ngā āhuatanga pēnei i te emphysema, ka taea e ēnei alveoli te pakaru ka hanumi hei hanga i ngā bullae. Ka taea e ēnei bullae te noho i te wāhi nui i roto i ngā pūkahukahu, ka heke te kaha o ngā pūkahukahu me te ngoikore o te manawa. Mā te tango i ēnei bullae, ko te whāinga o te tikanga bullectomy he whakaora i te mahi pūkahukahu noa ake me te whakamamae i ngā tohu pēnei i te poto o te manawa, te maremare mau tonu, me te ngenge.

Ka taea te mahi i te tikanga tango pokanga mā te whakamahi i ngā tikanga pokanga tuwhera tuku iho, ngā tikanga iti rawa rānei e whakaeke ana, i runga i te rahi me te wāhi o ngā kiko, me te hauora whānui o te tūroro. Ko te whiriwhiri i te tikanga ka arahina i runga i te tohungatanga o te taote pokanga me ngā āhuatanga motuhake o te āhua o te tūroro.
 

He aha i mahia ai te Bullectomy?

Ko te tango i te niho (bulleectomy) te tikanga e taunakitia ana mō ngā tūroro e pāngia ana e ngā tohumate manawa nui nā te kitea o ngā niho (bullae) i roto i ō rātou pukahukahu. Ko te mate tino noa e hiahiatia ana mō tēnei tikanga ko te emphysema, e puta pinepine ana i te roanga o te wā e pāngia ana e ngā mea whakapataritari pēnei i te paowa hikareti, te parahanga o te hau, te puehu mahi rānei.

Ka pāngia pea ngā tūroro e te emphysema e ngā tohu pēnei i:

• Te poto o te manawa, ina koa i te wā e mahi ana i te tinana
• Te maremare mau tonu e whakaputa ana i te hūpē
• Te whewhe, te tangi whiowhio rānei i te wā e manawa ana
• Te ngenge me te heke o te manawanui ki te whakakori tinana
• Nga mate manawa maha

Ina ngoikore haere ēnei tohu, ā, ka pā kino ki te kounga o te oranga o te tūroro, ka whakaarohia pea te tango i te puku. Ko te tikanga ka tūtohutia tēnei tikanga ina kāore i ranea te whakaora i ētahi atu maimoatanga, pērā i ngā rongoā, i te whakaora pūkahukahu rānei. Hei tāpiri, ka tohua pea te tango i te puku ina kitea he puku nui e whai wāhi ana ki ngā uauatanga manawa o te tūroro mā te whakamahi i ngā hihi-X o te uma, i ngā karapa CT rānei.

I ētahi wā, ka taea hoki te tango i te puku i te taha o ētahi atu pokanga, pērā i te pokanga whakaiti i te rahi o te pūkahukahu, hei whakapai ake i te mahi a te pūkahukahu me te whakamama i ngā tohu. Ko te whakatau kia haere tonu te tango i te puku ka mahia i muri i te aromatawai tupato a te tīma hauora, tae atu ki ngā tākuta pūkahukahu me ngā taote pokanga uma, e aromatawai ana i te hauora whānui o te tūroro, te mahi a te pūkahukahu, me ngā tohu motuhake.
 

Ngā tohu mō te tango i te pūkahukahu

He maha ngā āhuatanga haumanu me ngā kitenga tātaritanga e tohu ana he pai te tūroro mō te tango i te tākihi. 

Ko ētahi o ēnei:

1. Te Emphysema Nui: Ka whai hua pea te tango i te pūkahukahu ki ngā tūroro e pāngia ana e te emphysema kua pāngia e te mate pukupuku nui, ā, he nui ngā pūkahukahu e noho ana i tētahi wāhanga nui o te pukahukahu. Ka taea e te noho mai o ngā pūkahukahu te arahi ki te pupuhi nui o ngā pukahukahu, ka uaua ai te manawa pai mō ngā tūroro.
2. Tohu Tonu: Mena ka pāngia te tūroro e ngā tohumate pumau me te ngoikore, pērā i te poto o te manawa, te maremare roa rānei, ahakoa te whakahaerenga hauora pai, ka whakaarohia pea te tango i te tākihi hei otinga pea.
3. Te ngoikore o te mahi a te pūkahukahu: Mā ngā whakamātautau mahi a te pūkahukahu e whakaatu ana i te hekenga nui o te kaha o te pūkahukahu, te aukati rānei o te rere o te hau, ka tohu pea tēnei he āwhina pea te tango i te pūkahukahu ki te whakapai ake i te mahi a te pūkahukahu me te hauora manawa whānui.
4. Nga kitenga whakaahua: Ka taea e ngā rangahau whakaahua, inā koa ngā karapa CT teitei te whakaatu i te rahi me te wāhi o ngā kiko pūkahukahu. Mena ka whakaatuhia e ēnei rangahau he kiko nui e pēhi ana i te kiko pūkahukahu hauora, tera pea he tika kia tangohia te kiko.
5. Te pakeke me te hauora katoa: Ko te tikanga, he pai ake te tango i te tākihi mō ngā tūroro kei te hauora pai, ā, he roa te roa o te oranga. Ka whakaarohia te pakeke, ngā mate tāpiri, me te kaha o te tūroro ki te manawanui ki te pokanga ina whakatau ana i te tika.
6. Kore o etahi atu maimoatanga: Mena kua whiwhi ngā tūroro i ētahi atu maimoatanga, pērā i ngā rongoā whakawātea i te pūkahukahu, ngā corticosteroids, te whakaora rānei i ngā pūkahukahu, ā, kāore i tino kitea te whakapainga, ka taea te tirotiro i te tango i te pokanga hei taahiraa e whai ake nei.
7. Ngā Whakaaro mō te Kounga o te Oranga: Hei whakamutunga, ko te whakatau kia haere tonu me te tango i te pokanga ka pāngia e te pānga o ngā tohu manawa ki te kounga o te oranga o te tūroro. Mena he nui te pānga o ngā tohu ki ngā mahi o ia rā me te oranga whānui, tera pea he tika te pokanga.

Hei whakarāpopototanga, ko te tango i te niho i roto i te pokanga he kōwhiringa pokanga mō ngā tūroro e pāngia ana e ngā tohumate manawa nui nā te nui o ngā niho i roto i te waha, inā koa i roto i te horopaki o te emphysema. Ko te whakatau ki te mahi i tēnei tikanga e ahu mai ana i te huinga o ngā tohumate haumanu, ngā kitenga tātaritanga, me te āhua hauora whānui o te tūroro. Mā te aro atu ki ngā take matua i puta mai i ngā niho i roto i te waha, ko te whāinga o te tango i te niho i roto i te pokanga he whakapai ake i te mahi a ngā pukahukahu me te whakarei ake i te kounga o te oranga mō te hunga e pāngia ana.
 

Ngā ārai mō te tango i te tākihi

Ahakoa he pai te tango i te pokanga mō te tini o ngā tūroro e pāngia ana e ngā mate pēnei i te emphysema, te mate pūkahukahu bullous rānei, tera pea ētahi āhuatanga e kore ai e pai te mahi a tēnei pokanga. He mea nui te mārama ki ēnei ārai mō ngā tūroro me ngā kaiwhakarato hauora kia pai ai ngā putanga.

1. Mate Pukahukahu Tino: Kāore pea ngā tūroro e pāngia ana e te mate pūkahukahu ārai mau tonu (COPD) me ētahi atu mate pūkahukahu kino e pai ana mō rātou. Mēnā ka tino ngoikore te mahi a ngā pūkahukahu, ka nui ake pea ngā mōrearea o te pokanga i ngā painga ka puta.
2. He kino te hauora katoa: Ko te hunga whai mate tāpiri nui, pērā i te mate manawa, te mate huka kāore i te taea te whakahaere, me ētahi atu mate pūnaha rānei, ka nui ake pea ngā mōrearea pokanga. He mea nui te aromatawai hōhonu i te hauora whānui i mua i te whakaaro ki te tango i te tākihi.
3. mate: Ka uaua pea te pokanga i ngā mate pāwera o ngā pukahukahu, o ētahi atu wāhanga rānei o te tinana. Me noho kore mate ngā tūroro hei whakaiti i te tūponotanga o ngā raruraru i muri i te pokanga.
4. Smoking: Ko te tikanga, me mutu te kaipaipa i mua i te tango i te pūmua. Ka taea e te kaipaipa te whakararu i te whakaora me te whakanui ake i te tūponotanga o ngā raruraru. Tērā pea ka tūtohutia he kaupapa whakamutu kaipaipa i mua i te pokanga.
5. Te nui: Ka uaua pea ngā mahi pokanga me te whakaora i te tinana nui rawa. Me whakaiti pea te taumaha o ngā tūroro he nui ake te taupū papatipu tinana (BMI) i tētahi paepae i mua i te whakaarohia kia tangohia te tākihi.
6. Te kore tautoko: Kāore pea i te tika ngā tūroro kāore i te whai pūnaha tautoko e tika ana mō te whakaoranga. He mea nui te tiaki i muri i te pokanga mō te angitu o te whakaoranga, ā, ki te kore he tautoko ka ārai i tēnei tukanga.
7. Nga Take Hinengaro: Kāore pea i te tika ngā tūroro he raruraru hauora hinengaro kāore anō kia rongoatia, he hunga rānei kāore pea i te tino mārama ki te tikanga me ōna pānga, hei kaitono. Tērā pea me whai aromatawai hinengaro kia rite ai rātou mō te pokanga.
8. Nga Manakohanga Tikanga: Kāore pea ngā tūroro e whai tumanakohanga koretake mō ngā hua o te tango i te tākihi i te hunga tika. He mea nui kia mārama ngā tūroro ki ngā mea ka taea, me ngā mea kāore e taea e te tikanga.
    

Me pēhea te whakarite mō te tango i te pūkahukahu

He taahiraa nui te whakarite mō te tango i te tākihi, ā, ka pā nui tēnei ki te angitu o te tikanga. Anei ngā tohutohu, ngā whakamātautau, me ngā whakatūpato matua i mua i te tikanga hei whai mā ngā tūroro:

1. Whakawhitiwhiti me te Kaituku Hauora: Whakaritea he hui kōrero hōhonu ki tō kaiwhakarato hauora hei matapaki i te tikanga, ōna painga, me ngā mōrearea pea. Koinei hoki te wā hei pātai i ō pātai.
2. Whakamātautau o mua: Tērā pea ka tonoa e tō tākuta ētahi whakamātautau hei aromatawai i te mahi a tō pukahukahu me tō hauora whānui. Kei roto i ēnei ko:
   • Ngā whakamātautau mahi a ngā pūkahukahu hei ine i te kaha o te pūkahukahu me te rere o te hau.
   • Ngā rangahau whakaahua, pērā i ngā hihi-X o te uma, ngā karapa CT rānei, hei tiro i ngā pukahukahu me te tautuhi i te rahi me te taunga o ngā bullae.
   • Ngā whakamātautau toto hei aromatawai i te hauora whānui me te tirotiro mō ngā mate pukupuku.
3. Ngā rongoā: Kōrerohia ngā rongoā katoa e tangohia ana e koe me tō kaiwhakarato hauora. Tērā pea me whakarerekē, me whakamutu rānei ētahi rongoā i mua i te pokanga, inā koa ngā rongoā whakaiti toto.
4. Whakamutua te kai paipa: Mena he kaipaipa koe, he mea nui kia mutu te kaipaipa i mua i te mahi i ētahi wiki pea. Ka taea e tō kaiwhakarato hauora te tūtohu rauemi me ngā kaupapa hei āwhina i a koe ki te whakamutu.
5. Nga Rahui Kai: Tērā pea ka tohutohuhia koe kia whai i ngā aratohu kai motuhake i mua i te pokanga. Kei roto i tēnei ko te karo i ngā kai mārō mō tētahi wā i mua i te pokanga me te piri ki ngā tohutohu nohopuku.
6. Te Whakaritenga Waka: I te mea ko te tango i te tākihi i raro i te mate whakamoe whānui te tikanga, me whai tangata koe hei taraiwa i a koe ki te kāinga i muri i te tikanga. Whakaritea ngā whakaritenga i mua i te wā.
7. Mahere Tiaki Whaimuri: Kōrerohia tō mahere whakaora me tō kaiwhakarato hauora. Kei roto i tēnei ko te mārama ki ngā mea hei tumanakohia i muri i te pokanga, te whakahaere mamae, me ngā wā whakarite whai muri.
8. Whakaritenga Kare-a-roto: He rite tonu te hiranga o te whakarite hinengaro mō te pokanga ki te whakarite tinana. Whakaarohia te kōrero mō ngā manukanuka me ngā āwangawanga ki tō kaiwhakarato hauora, ki tētahi tohunga hauora hinengaro rānei.
    

Te tango i te pūkahukahu: Te tikanga taahiraa-i-te-taahiraa

Mā te mārama ki te tikanga tango i te tākihi ka āwhina i te whakaiti i te manukanuka, me te whakarite hoki i a koe mō ngā mea ka tūpono mai. Anei tētahi tirohanga whānui o te tukanga:

1. Whakaritenga o mua i te mahi: I te rā o te pokanga, ka tae atu koe ki te hōhipera, ki te pokapū pokanga rānei. Ka tirohia koe, ā, ka arotakehia e te nēhi tō hītori hauora, ka whakaū i tō tuakiri me te tikanga.
2. Anestheia: I mua i te tīmatanga o te pokanga, ka whiwhi koe i te rongoā whakamoe. Ko te nuinga o ngā tūroro ka whiwhi i te rongoā whakamoe whānui, arā, ka kore rawa koe e mōhio i te wā e whakahaerehia ana te pokanga. Ka aroturukihia e te tohunga whakamoe ō tohu ora puta noa i te pokanga.
3. Werohanga: Kia tukuna koe ki raro i te rongoā whakamoe, ka tapahia tō uma e te taote pokanga. Ko te wāhi me te rahi o te tapahi ka whakawhirinaki ki te rahi me te wāhi o te kiko e tangohia ana.
4. Te tango i te Bullae: Ka āta tirohia e te taote pokanga ngā kiko o tō pukahukahu, ā, ka tangohia atu. Tērā pea ka tangohia tetahi wāhanga o te kiko o te pukahukahu e karapoti ana i ngā kiko kia tino tangohia katoatia.
5. Hanga Anō: I muri i te tango i ngā kiko o te uma, ka hangaia anō e te taote pokanga te kiko o te pukahukahu, ā, ka whakamahia pea he tuitui hei kati i te tapahi. I ētahi wā, ka whakanohoia pea he ngongo uma hei āwhina i te tango i te hau, i te wai rānei i roto i te kōhao o te uma.
6. Te kati i te Werohanga: Kia oti te mahi, ka kati te taote pokanga i te tapahi ki ngā tuitui, ki ngā staples rānei. Ka tāpirihia he takai parakore hei tiaki i te wāhi.
7. Rūma Whakaora: I muri i te pokanga, ka haria koe ki tētahi rūma whakaora, ā, ka tirotirohia koe e ngā kaimahi hauora i a koe e ara ake ana i muri i te rongoā whakamoe. Tērā pea ka pōuri koe, ka pōhēhē hoki i te tīmatanga, he mea noa tēnā.
8. Te Aroturuki Whaimuri: Ka tirotirohia koe mō ngā tohu ora, ngā taumata mamae, me ngā tohu raruraru. Ka whakaratohia te whakahaere mamae ina hiahiatia.
9. Noho hōhipera: I runga i tō whakaoranga, ka noho pea koe ki te hōhipera mō ētahi rā. I tēnei wā, ka aromatawaihia e ngā kaiwhakarato hauora te mahi a ō pukahukahu me tō whakaoranga whānui.
10. Nga Tohutohu Tukunga: I mua i tō wehenga atu i te hōhipera, ka whiwhi koe i ngā tohutohu taipitopito mō te tiaki i tō tapahi, te whakahaere i te mamae, me ngā mahi hei karo i te wā e ora ana koe.
11. Whakaritenga Whaiwhai: He mea nui kia tae atu koe ki ngā wā tirotiro katoa hei aroturuki i tō whakaoranga me te mahi a ōu pukahukahu. Mā tō kaiwhakarato hauora koe e ārahi mō te wā tika hei hoki atu mō ēnei haerenga.
     

Ngā Tūponotanga me ngā Āhuatanga o te Bullectomy

Pērā i ngā tikanga pokanga katoa, he tūponotanga me ngā raruraru pea kei te tango i te tākihi. Ahakoa he maha ngā tūroro e pāngia ana e ngā hua pai, he mea nui kia mōhio ki ngā tūponotanga noa me ngā tūponotanga onge e pā ana ki te pokanga.
 

Mōrearea noa:

1. mamae: He mea noa te mamae i muri i te pokanga, ā, ka taea te whakahaere mā te rongoā. He mea nui kia kōrero koe ki tō kaiwhakarato hauora mō te nui o tō mamae.
2. mate: Tērā pea ka pāngia te wāhi i tapahia ai, i roto rānei i ngā pukahukahu. Ko ngā tohu o te mate ko te kirika, te mamae nui, te rerenga wai rānei mai i te wahi i tapahia ai.
3. Pato: E tūmanakohia ana ētahi toto i muri i te pokanga, engari me wawao anō pea te toto nui rawa. He mea nui te aroturuki i te pupuhi rerekē, i te marō rānei.
4. Nga Poauautanga Manawa: Tērā pea ka pāngia ngā tūroro e te uaua ki te manawa, e ētahi atu raruraru manawa rānei i muri i te pokanga. Mā te aroturuki tata i roto i te hōhipera ka āwhina i te whakahaere i ēnei raruraru.
5. Pneumothorax: He āhuatanga tēnei e turuturu ai te hau ki roto i te āputa i waenganui i te pukahukahu me te pakitara o te uma, ka pakaru pea te pukahukahu. Tērā pea me whai maimoatanga tāpiri, pērā i te whakatakotoranga o te ngongo o te uma.
    

Morearea onge:

1. Nga mate whakamohoatanga: Ahakoa he onge, ka puta mai nga raruraru mai i te rewharewha, tae atu ki nga tauhohenga mate mate, nga raru manawa ranei.
2. Pawera Pukahukahu: Tērā pea ka puta he koha ki roto i ngā pukahukahu i muri i te pokanga i ētahi tūroro, ka pā kino pea tēnei ki te mahi a ngā pukahukahu.
3. Te mamae mau tonu: Tērā pea ka pāngia tētahi rōpū iti e te mamae mau tonu i te wāhi i tapahia, i te uma rānei.
4. Te hiahia mo etahi atu pokanga: I ētahi wā, ka hiahiatia ētahi atu pokanga mēnā ka puta he raruraru, kāore rānei i te hua e hiahiatia ana i te tikanga tuatahi.
5. Te mate: Ahakoa he tino onge, he mōrearea te mate i roto i tētahi pokanga, inā koa mō ngā tūroro he nui ngā mate tāpiri.

Hei whakamutunga, ahakoa ka taea e te tango i te tākihi te whakaora nui i ngā tūroro e pāngia ana e ngā mate pūkahukahu, he mea nui kia mārama ki ngā ārai, ngā mahi whakarite, te tikanga tonu, me ngā mōrearea e pā ana. Mā te whakawhitiwhiti kōrero tuwhera ki ngā kaiwhakarato hauora me ngā aromatawai hohonu i mua i te pokanga ka āwhina i te whakarite kia angitu te putanga.
 

Te Whakaora i muri i te Bullectomy

He wāhanga nui te whakaoranga i muri i te tango i te pokanga, ā, he pānga nui tēnei ki te angitu whānui o te tikanga. Ka rerekē pea te roanga o te wā whakaora e tumanakohia ana i ia tūroro, engari i te nuinga o te wā, ka taea e koe te tumanako ka hoki mārire ki ngā mahi o ia rā i roto i ētahi wiki.
 

Raina Wā Whakaora Manakohia:

• Wiki Tuatahi: I muri i te pokanga, tera pea ka noho koe ki te hōhipera mō ētahi rā hei aroturuki. Ko te whakahaere mamae te mea nui, ā, tera pea ka tohua he rongoā hei āwhina i te mamae. I tēnei wā, he mea nui te okioki, ā, me karo koe i ngā mahi uaua.
• Ngā wiki 2-3: Ka taea e te nuinga o ngā tūroro te hoki ki te kāinga i roto i te wiki. I tēnei wā, ka taea e koe te tīmata i ngā mahi māmā, engari me karo tonu te hiki taumaha me te whakakori tinana kaha. Ka whakaritea he wā tirotiro anō me tō kaiwhakarato hauora hei aroturuki i tō ahunga whakamua i te whakaora.
• Ngā wiki 4-6: I tēnei wā, ka taea e te tini o ngā tūroro te hoki anō ki ngā mahi noa, tae atu ki te whakakori tinana māmā. Heoi, he mea nui kia whakarongo ki tō tinana, kaua hoki e tere te whakaora. Ma tō tākuta e tohutohu te wā ka taea e koe te hoki haumaru ki te mahi me ētahi atu mahi o ia rā.
   

Tohutohu mo te tiaki i muri:

• Tiaki Taonga: Kia ma, kia maroke hoki te wāhi i pokangahia. Whāia ngā tohutohu a tō taote pokanga mō te tiaki i te motu hei ārai i te mate.
• Whakahaere mamae: Tangohia ngā rongoā mamae kua tohua e koe kia rite ki ngā tohutohu. Mēnā ka piki ake te mamae, te kore rānei e pai ki a koe, whakapā atu ki tō kaiwhakarato hauora.
• Kaikai: Mā te kai taurite e nui ana ngā huaora me ngā kohuke ka āwhina i te whakaora. Kia mau ki te inu wai, ā, whakaarohia te whakauru i ngā kai e nui ana te pūmua hei tautoko i te whakaora.
• Mahinga Tinana: Whakanuia haeretia tō taumata mahi kia rite ki ngā tohutohu a tō tākuta. Mā te hikoi mārie ka pai ake te rere o te toto me te whakaora.
• Whakaritenga Whaiwhai: Haere ki nga tirotirohanga katoa kua whakaritea hei whakarite i te whakaora tika me te whakatika i nga awangawanga.
   

Ina Ka Taea Nga Mahi Punoa ki te Whakahou:

Ka taea e te nuinga o ngā tūroro te hoki ki ngā mahi māmā i roto i ngā wiki e rua ki te toru i muri i te pokanga, engari ko ngā mahi uaua ake ka roa pea mō ngā wiki e whā ki te ono. Me kōrero tonu ki tō kaiwhakarato hauora mō ngā tohutohu whaiaro i runga i te ahunga whakamua o tō whakaoranga.
 

Ngā Hua o te Whakakorenga o te Pūkahukahu

He maha ngā painga matua o te bullectomy mō ngā tūroro e pāngia ana e te mate pūkahukahu pēnei i te emphysema, te mate pūkahukahu bullous rānei. Anei ētahi o ngā painga matua:

1. Kua Pai ake te Mahi Pukahukahu: Mā te tango i ngā kiko nui e noho ana i te wāhi o roto i ngā pukahukahu, ka taea e te tango i te kiko te whakarei ake i te kaha me te mahi whānui o ngā pukahukahu. Ka taea e tēnei te arahi ki te ngāwari ake o te manawa me te pai ake o te hāora.
2. Tohu Whakaiti: He maha ngā tūroro e pāngia ana e te hekenga nui o ngā tohu pēnei i te poto o te manawa, te maremare mau tonu, me te mamae o te uma. Ka taea e tēnei te arahi ki tētahi momo noho kaha ake, me te whakapai ake i ngā mahi o ia rā.
3. Te Kounga o te Ora: Mā te pai ake o te mahi a ngā pukahukahu me te whakaiti i ngā tohu, he maha ngā wā ka kīia he pai ake te kounga o te oranga o ngā tūroro. Tērā pea ka māmā ake ki a rātou te whai wāhi atu ki ngā mahi pāpori, te whakakori tinana, me te mahi i ngā mahi o ia rā, me te kore e pāngia e ngā herenga o tō rātou mate.
4. He iti ake te mate o nga raruraru: I ētahi wā, ka taea e te tango i te pūkahukahu te whakaiti i te mōrearea o ngā raruraru e pā ana ki ngā pūkahukahu nunui, pērā i te pneumothorax (te hinga o te pukahukahu). Mā tēnei huarahi matatau ka ārai i ngā āhuatanga ohorere me te whakapai ake i ngā putanga hauora mō te wā roa.
5. Te Pūmanawa mō te Whakaiti i te Whakamahinga Rongoā: Mā te whakapai ake i te mahi a ngā pukahukahu me te whakamamae i ngā tohu, ka kitea pea e ētahi tūroro ka taea e rātou te whakaiti i tō rātou whakawhirinaki ki ngā rongoā, ka iti ake ai ngā pānga taha me ngā utu hauora.
    

Te tango i te pūkahukahu me te tikanga rerekē

Ahakoa he tikanga pokanga noa te tango i te pūkahukahu (bullectomie), ko tētahi atu tikanga e whakatauritea ana ko te pokanga whakaiti i te rahinga o te pūkahukahu (LVRS). Kei raro nei he whakataurite i ngā tikanga e rua:

Te utu o te tango i te pūkahukahu i Inia

Ko te utu toharite mō te tango i te niho i Inia kei waenga i te ₹1,00,000 me te ₹3,00,000. Mō te whakatau tata tika, whakapā mai ki a mātou i tēnei rā.
 

Ngā Pātai Auau mō te tango i te pūkahukahu

He aha ngā kai me kai e au i mua i taku tango i te tākihi? 

He mea nui kia mau tonu te kai taurite e nui ana i ngā hua, ngā huawhenua, me ngā pūmua kikokore i mua i tō pokanga. Āta karohia ngā kai taumaha i te pō i mua atu, ā, whai i ngā tohutohu a tō tākuta mō te nohopuku i mua i te pokanga.

Ka taea e au te tango i aku rongoa i mua i te pokanga? 

Kōrerohia ngā rongoā katoa ki tō kaiwhakarato hauora. Tērā pea me whakarerekē, me whakamutu rānei te whakamahinga o ētahi rongoā i mua i te pokanga, inā koa ngā rongoā whakaiti toto.

He aha taku e tumanako ai i te wā whakaora? 

Me tumanako ka pā mai te mamae me te kore whakamarie i muri i te pokanga, ā, ka taea te whakahaere i ēnei mā te whakamahi i ngā rongoā kua tohua. Me whakawhāiti hoki tō korikori tinana, me te whai i ngā tohutohu tiaki motuhake i muri mai hei whakatairanga i te whakaora.

Kia pehea te roa ka noho ahau ki te hohipera i muri i te mahi? 

Ko te nuinga o ngā tūroro ka noho ki te hōhipera mō te 2-5 ngā rā i muri i te pokanga, i runga i te ahunga whakamua o tō rātou whakaoranga me ngā raruraru ka puta mai.

Āhea ahau ka taea te hoki ki te mahi i muri i te tango i te tākihi? 

He rerekē te wā mo te hokinga ki te mahi i runga i te tangata takitahi. I te nuinga o te wā, ka taea te tīmata anō i ngā mahi māmā i roto i ngā wiki e 2-3, engari ko ngā mahi uaua tinana ka roa pea mō te 4-6 wiki, neke atu rānei.

He here kai kei muri i te tango i te tākihi? 

I muri i te pokanga, arotahi ki tētahi kai totika hei āwhina i te whakaora. Āta karohia ngā kai taumaha, hinuhinu i te tīmatanga, ā, me toro atu ki tō tākuta mō ngā tohutohu kai whaiaro.

He aha nga tohu o nga raruraru me titiro ahau? 

Kia tūpato ki ngā tohu o te mate, pērā i te whero haere, te pupuhi, te rere mai rānei i te wāhi i tapahia, tae atu ki te kirika tonu, te mamae kino haere rānei. Whakapā atu ki tō kaiwhakarato hauora mēnā ka kite koe i ētahi tohu whakararuraru.

Ka taea e au te whakakorikori tinana i muri i taku tango i te tākihi? 

E akiakihia ana te hikoi māmā i muri tata mai i te pokanga hei whakatairanga i te tohanga toto. Heoi, karohia ngā mahi uaua mō te iti rawa 4-6 wiki, ā, whai i ngā tohutohu a tō tākuta mō te wā tika hei tīmata anō i te whakakori tinana.

He haumaru te tango i te tākihi mō ngā tūroro kaumātua? 

Ka taea te tango i te pokanga i runga i ngā tūroro kaumātua, engari ka whakaarohia te āhua hauora o ia tangata me ōna mate tāpiri. He mea nui te aromatawai hōhonu a te kaiwhakarato hauora kia mōhio ai koe he pai te tango.

Ā, mēnā he tamariki āku? Ka taea e au te tiaki i a rātou i muri i te pokanga? 

I muri i te tango i te pūkahukahu, me āwhina pea koe ki te tiaki tamariki mō ngā wiki tuatahi, ina koa mēnā me mahi ā-tinana, me hiki rānei āu tamariki. Whakamaherehia he tautoko i a koe i te wā e ora ana koe.

Me pehea taku whakahaere i te mamae i muri i te pokanga? 

Whāia te mahere whakahaere mamae a tō tākuta, tae atu ki ngā rongoā kua tohua. Whakamahia he putea hukapapa ki te wāhi pokanga, ā, whakaharatauhia ngā mahi manawa hōhonu hei āwhina i te whakamama i te mamae.

Me whai rongoā tinana ahau i muri i te tango i te tākihi? 

Tērā pea ka whai hua ētahi tūroro i te whakaora tinana hei whakapai ake i te mahi a ngā pukahukahu me te kaha whānui i muri i te pokanga. Kōrerohia tēnei kōwhiringa ki tō kaiwhakarato hauora i runga i te ahunga whakamua o tō whakaoranga.

Ka taea e au te haere i muri i taku tangohanga o te tākihi? 

He mea tika kia kaua e haere tawhiti mō te iti rawa 4-6 wiki i muri i te pokanga. Mena e tika ana kia haere, me toro atu ki tō tākuta hei tohutohu me ngā mahi whakatūpato.

He aha te tūponotanga ka hiahiatia he pokanga tuarua? 

Ahakoa he maha ngā tūroro e kite ana i te whakapainga nui i muri i te tango i te pokanga, ko ētahi pea me whai tikanga tāpiri mēnā ka puta he pokanga hou, mēnā rānei ka mau tonu ngā tohu. He mea nui te aroturuki auau hei aroturuki.

Kia pēhea te roa o ngā painga o te tango i te tākihi? 

Ka roa pea ngā painga mō ngā tau, engari he rerekē ngā putanga mō ia tangata. Mā te pupuri i tētahi momo noho hauora me te whai i ngā taunakitanga a tō tākuta ka āwhina i te whakaroa i ngā pānga pai o te pokanga.

Me aha ahau mena ka awangawanga ahau mo te pokanga? 

He mea noa te awangawanga i mua i te pokanga. Matapakihia o maaharahara me to kaiwhakarato hauora, ka taea e ia te whakamaarama me nga rautaki hei awhina i te awangawanga.

Ka pā mai he koha ki ahau i muri i te tango i te tākihi? 

Ae, ka kitea he koha i te wāhi i tapahia ai. Heoi, tera pea ka pai ake te āhua o te koha i roto i te wā. Whāia ngā tohutohu tiaki a tō tākuta i muri mai hei whakatairanga i te whakaora tika.

Ka taea e au te momi hikareti i muri i taku tangohanga i te tākihi? 

Me karo katoa te kai hikareti i muri i te pokanga, nā te mea ka ārai i te whakaora me te pā kino ki te mahi a ngā pukahukahu. Mena kei te hiahia āwhina koe ki te whakamutu, kōrero ki tō kaiwhakarato hauora mō ngā rauemi.

He aha mehemea he mate kee taku? 

Me whakamōhio atu ki tō kaiwhakarato hauora mō ētahi atu āhuatanga hauora kei a koe, nā te mea ka pā pea ēnei ki tō pokanga me tō whakaoranga. Mā te aromatawai whānui ka āwhina i a koe ki te whakarite i tō mahere maimoatanga.

Me pehea taku tautoko i taku whakaoranga i te kainga? 

Me whakarite kei a koe he wāhi whakaora whakamarie, me whai i ō tohutohu tiaki i muri i te pokanga, me kai hauora, me noho wai hoki. Rapua he āwhina mai i te whānau, i ngā hoa rānei mō ngā mahi o ia rā ina hiahiatia.
 

Opaniraa

He tikanga pokanga nui te tango i te pūkahukahu, ka taea te whakapai ake i te mahi a ngā pūkahukahu me te kounga o te oranga mō ngā tūroro e pāngia ana e te mate pūkahukahu pūkahukahu. He mea nui te mārama ki te tukanga whakaora, ngā painga, me ngā mōrearea pea hei whakatau whai whakaaro mō tō hauora. Mena kei te whakaaro koe, kei te whakaaro rānei tētahi o tō whānau ki te tango i te pūkahukahu, he mea nui kia kōrero koe ki tētahi tohunga hauora ka taea te tuku tohutohu me te tautoko whaiaro puta noa i te haerenga.