Te Tātaritanga Tuwhera o te Toracotomy - Te Utu, Ngā Tohu, Te Whakarite, Ngā Mōrearea, me te Whakaora

Ko te pokanga tuwhera o te uma he tikanga pokanga e uru ana ki te tapahi nui i te pakitara o te uma hei uru atu ki te kōhao uma. Mā tēnei huarahi ka taea e ngā taote pokanga te tiro me te mahi i ngā whekau i roto i te uma, tae atu ki ngā pukahukahu, te ngākau, me ngā uaua toto nui. Ko te kaupapa matua o te pokanga tuwhera o te uma he tātaritanga me te rongoā i ngā āhuatanga maha e pā ana ki ēnei hanganga ora.

I te wā o te mahi, ka tapahia e te taote pokanga te taha o te uma, i waenganui i ngā rara, ā, me horahia ngā rara, me tangohia rānei mō te wā poto kia uru atu ai. He maha ngā wā ka mahia te pokanga tuwhera i raro i te mate whakamoe whānui, kia mōhio ai te tūroro kāore he mamae, ā, kia kore hoki e māuiui i te roanga o te mahi.

He maha ngā wā ka whakamahia tēnei tikanga hei whakahaere i ngā mate kino o te uma. He maha ngā wā ka whakamahia hei rongoā i te mate pukupuku o te pūkahukahu, hei tango i ngā pukupuku, hei whakatika i ngā oko toto kua pakaru, hei rongoā rānei i ngā mate kino o te uma. Hei tāpiri, me mahi te pokanga tuwhera o te uma mō ngā whara, pērā i ngā mea i puta mai i ngā aituā motuka, i ngā hinganga rānei, ina hiahiatia he urunga wawe ki te kōhao uma hei whakahaere i te toto, hei whakatika rānei i ngā whara.

Ngā Hua o te Tuwhera o te Thoracotomy

He maha ngā whakapainga hauora matua me ngā putanga kounga o te oranga mā te whakatuwheratanga o te pokanga uma mō ngā tūroro e pāngia ana e ngā mate uma rerekē.

• Te Uru Tika ki ngā whekau o te uma: Mā tēnei tikanga ka taea e ngā taote pokanga te uru tika atu ki ngā pukahukahu, te ngākau, me ētahi atu hanganga uma, ka taea ai te rongoā whānui i ngā āhuatanga uaua.
• Te Tango Puku Whai Hua: Mā te whakatuwheratanga o te uma ka taea te uru tika atu ki ngā pukupuku uaua, nui rānei, ahakoa ka taea e ngā huarahi iti rawa te whakaeke te whakaputa i ngā putanga oncological rite tonu i ngā wā tōmua.
• Te Whakapai Ake i te Mahi Manawa: Mā te rongoā i ngā mate pukupuku, i ngā aukati rānei o te pukahukahu, ka ngāwari ake te manawa o ngā tūroro, ā, ka pai ake hoki te mahi a ngā pukahukahu.
• Te Kounga o te Ora: He tokomaha ngā tūroro ka hoki anō ki ngā taumata mahi, ā, ka iti ake ngā tohumate ka pā mai i muri i te whakaoranga.

Ngā Tohu: He aha i Mahihia ai te Tuwhera o te Thoracotomy

Ko te pokanga thoracotomy tuwhera te tikanga e taunakihia ana ina kore e tika, ina kore rānei e puta he hua tika mō ngā tikanga iti ake te whakaekenga, pērā i te pokanga thoracoscopic (e mōhiotia ana ko te pokanga thoracoscopic ataata-āwhina, VATS rānei). He maha ngā tohu me ngā āhuatanga ka ārahi pea ki te whakatau kia mahia he pokanga thoracotomy tuwhera.

Tērā pea ka pāngia ngā tūroro e te mamae tonu o te uma, te uaua ki te manawa, te hekenga taumaha rānei kāore i te māramahia, e tohu ana i ngā take matua pērā i te mate pukupuku o te pūkahukahu, i ngā mate kino rānei pērā i te niumōnia, i te empyema rānei. Mēnā he whara, ka puta pea ngā tohu pērā i te mamae nui o te uma, te uaua ki te manawa, i ngā tohu ohorere rānei, e hiahia ana kia pokanga tonutia.

Tērā pea ka tohua te whakatuwheratanga o te thoracotomy mō ngā tūroro e pāngia ana e te pleural effusion, ina kohia te wai ki te wāhi pleural e karapoti ana i ngā pukahukahu, ka pāngia ai te manawa. Mena kāore e taea te tango tika i te wai mā roto i ngā tikanga iti ake te whakaekenga, me mahi pea he whakatuwheratanga o te thoracotomy hei tango i te wai me te whakatika i te take matua.

Hei whakarāpopototanga, ka mahia te pokanga tuwhera o te uma ina hiahiatia te urunga tika ki te kōhao uma hei tātaritanga, hei rongoā rānei i ngā mate hauora nui e kore e taea te whakahaere mā ngā tikanga iti rawa te whakaekenga.

He maha ngā āhuatanga haumanu me ngā kitenga tātaritanga ka taea te whakatau i te tūroro hei kaitono mō te pokanga tuwhera o te uma. He maha ngā wā ka puta mai ēnei tohu i ngā rangahau whakaahua, ngā whakamātautau tinana, me te āhua hauora whānui o te tūroro. Anei ētahi tohu noa mō te tikanga:

• Matepukupuku Pukahukahu: Ko ngā tūroro kua tāpaetia he mate pukupuku pūkahukahu, me whakatuwhera pea te uma hei tango i te pukupuku, ina koa mēnā he nui te pukupuku, kei tētahi tūranga rānei e uaua ai te tango mā te whakamahi i ngā tikanga iti rawa te whakaekenga.
• Te aitua: He maha ngā wā ka tūtohutia te pokanga tuwhera o te uma mō ngā whara kino o te uma, pērā i te whati o te rara, te motu o te pukahukahu, te whara nui rānei o ngā oko toto. I ēnei āhuatanga, he mea nui te urunga wawe atu ki te kōhao uma hei whakahaere i te toto me te whakatika i ngā hanganga kua pakaru.
• Whakahekenga Pleural: Ina puta mai he rerenga nui o te wai i roto i te pleural o te tūroro, ā, kāore e taea te tango tika mā te thoracentesis, mā te whakatakotoranga ngongo uma rānei, me tango pea te wai i roto i te thoracotomy hei tango i te wai, hei rongoā hoki i te pūtake, pērā i te mate pukupuku, i te mate pukupuku rānei.
• Inenga: Ko ngā mate kino o te uma, pērā i te empyema, i ngā whewhe pūkahukahu rānei, me whakatuwhera te thoracotomy hei tango i te wai me te tango i te wai. He pono rawa tēnei ina kore te mate e pai ki ngā paturopi, ki ngā tikanga tango wai rānei kāore i te tino kaha te whakaeke.
• Nga mate whanautanga: I ētahi wā, ko ngā tūroro he mate ngakau whānau mai, he mate uma rānei, ka hiahiatia he pokanga tuwhera mō te whakatikatika i te uma.
• Nga Tikanga ngakau: Tērā pea ka hiahiatia he tikanga tākihi mō ētahi pokanga ngākau, ahakoa ko te nuinga, pērā i te whakatikatika takirere, te whakakapinga takirere, me te tākihi arai uaua coronary (CABG), ka mahia mā te sternotomy. I ētahi wā, ka taea te whakamahi i te tākihi mō ngā huarahi iti rawa te whakaekenga, ngā huarahi motuhake rānei.
• Biopsy: Mēnā e hiahiatia ana he tautuhi tino tika, ka taea te whakahaere i tētahi pokanga tuwhera ki te tango i ngā tauira kiko mai i ngā pukahukahu, i te mediastinum rānei hei tātaritanga atu.

Hei whakamutunga, ko te whakatau kia haere tonu me te pokanga tuwhera o te uma i ahu mai i te huinga o ngā tohu haumanu, ngā kitenga tātaritanga, me te hiahia kia uru tika atu ki te kōhao uma hei rongoā tika i te mate taketake. He mea nui tēnei tikanga ki te whakahaere i ngā mate me ngā whara o te uma, ā, ka taea e ngā taote pokanga te mahi i ngā wawaotanga whakaora ora.

Ngā ārai mō te whakatuwheratanga o te thoracotomy

He tikanga pokanga nui te pokanga tuwhera o te uma, arā, ko te tapahi i te pakitara o te uma hei uru atu ki te kōhao uma. Ahakoa he oranga mōrearea pea, tera pea ētahi āhuatanga, ētahi āhuatanga rānei e kore ai e tika te mahi a te tūroro mō tēnei pokanga. He mea nui te mārama ki ēnei ārai mō ngā tūroro me ngā kaiwhakarato hauora.

• Mate Pūkahukahu Kino: Kāore pea ngā tūroro e pāngia ana e te mate pūkahukahu ārai mau tonu (COPD) me te mate huango kino e aro pai ki te tikanga. Ka taea e te ahotea o te pokanga me te rongoā whakamoe te whakanui ake i ngā raruraru manawa.
• Te koretake o te ngākau: Ko te hunga e pāngia ana e te mate manawa nui, pērā i te mate uaua ngakau kino, te ngoikore rānei o te ngakau, ka nui ake pea ngā mōrearea i te wā o te pokanga. Ko te taumahatanga o te ngakau i te wā o te pokanga, me muri hoki, ka arahi pea ki ngā raruraru.
• Nga mate o te Coagulation: Kāore pea i te tika ngā tūroro he mate toto tō rātou, he hunga rānei e rongoā ana ki te rongoā ārai toto. Ka tūpono pea te mate ki te nui o te toto i te wā o te pokanga, ā, i muri hoki i te pokanga.
• Te nui: Ka taea e te momona nui te whakararuraru i te huarahi pokanga, me te whakanui ake i te mōrearea o ngā raruraru muri i te pokanga, pērā i te mate urutā me te whakaroa i te whakaora.
• mate: Ka taea e ngā mate pāwera e kaha ana te mahi, inā koa i te uma, te whakararu nui. Mēnā kei te pāngia koe e te mate, ka taea e te pokanga te arahi atu ki ētahi atu raruraru me ngā hua kino.
• He kino te hauora katoa: Kāore pea ngā tūroro he maha ngā mate tāpiri, he ngoikore rānei, e kaha ki te tu atu i te ahotea o te pokanga. He mea nui kia aromatawaihia te hauora whānui i mua i te haere tonu.
• Te Pokanga Uma o Mua: Tērā pea he koha kei roto i ngā tūroro kua pokaina te uma, ā, kāore i te tino tika te pokanga tuwhera o te uma.
• Whakakahoretanga a te hunga mate: Mena kāore te tūroro e pai ki te mahi i te tikanga, kāore rānei i te mārama ki ngā mōrearea me ngā painga, kāore pea e tika kia haere tonu.
• Tau Ake: Ehara i te koroheketanga tonu engari ko te hauora whānui me te ngoikore te mea nui. Tērā pea ka nui ake ngā mōrearea o ngā tūroro kaumātua me ētahi atu raruraru hauora nui, nō reira he mea nui te tirotiro hauora hōhonu i mua i te pokanga.
• Te kore tautoko: Ko ngā tūroro kāore i te whai pūnaha tautoko e tika ana mō te whakaoranga, ehara pea i te hunga tino pai, nā te mea he mea nui te tiaki i muri i te pokanga mō ngā putanga angitu.

Me pēhea te whakarite mō te pokanga tuwhera o te thoracotomy?

He mea nui te whakarite mō te pokanga tuwhera o te uma kia pai ai ngā hua. Anei ngā mahi me ngā whakaaro mō ngā tūroro i mua i te mahi i tēnei tikanga:

• Whakawhitiwhitinga Mahi-mua: Ka tūtaki ngā tūroro ki tā rātou tīma pokanga ki te matapaki i te tikanga, tae atu ki ōna mōrearea, ōna painga, me ngā mea hei tumanakohia. He wā tēnei ki te pātai me te whakamārama i ngā āwangawanga katoa.
• Te arotake i nga hitori o te rongoa: Ka arotakehia te hītori hauora o te tūroro. Kei roto i tēnei ko te matapaki i ngā pokanga o mua, ngā rongoā o nāianei, ngā mate pāwera, me ngā āhuatanga hauora o nāianei.
• Te whakamātautau tinana: Mā te whakamātautau tinana katoa ka āwhina i te aromatawai i te hauora whānui o te tūroro, me te tautuhi i ngā raruraru pea ka pā ki te pokanga.
• Whakamātautau Tātaritanga: He maha ngā whakamātautau ka tukuna pea ki ngā tūroro, tae atu ki:
  • X-ray o te uma: Hei aromatawai i te hauora o ngā pukahukahu me te tautuhi i ngā āhuatanga rerekē.
  • Matawai CT: Hei whakarato i ngā whakaahua taipitopito o te uma, hei āwhina hoki ki te whakamahere i te huarahi pokanga.
  • Nga Whakamātautau Mahi Puka: Hei aromatawai i te kaha me te mahi o te huhu.
  • Ngā Whakamātautau Toto: Hei tirotiro mō te anemia, te mate pukupuku, me te mahi whānui o ngā whekau.
• Whakahaere rongoa: Me whakarerekē pea ngā tūroro i ā rātou rongoā i mua i te pokanga. Kei roto i tēnei ko te whakamutu i ngā rongoā whakaiti toto, i ētahi atu rongoā rānei ka piki ake te mōrearea o te toto. He mea nui kia whai i ngā tohutohu a te taote pokanga mō te whakahaere rongoā.
• Nga tohutohu nohopuku: I te nuinga o te wā ka tohutohuhia ngā tūroro kia kaua e kai, e inu rānei mō tētahi wā kua tohua i mua i te pokanga, ka tīmata i te pō i mua atu. He mea nui tēnei hei whakaiti i te mōrearea o te mimiti i te wā e whakamoea ana.
• Whakamutua te kai paipa: Mena he kaipaipa te tūroro, ka akiakihia rātou kia mutu, kia whakaiti rānei i te kaipaipa i mua i te mahi. Ka taea e te kaipaipa te whakararu i te whakaora me te whakanui ake i te tūponotanga o ngā raruraru.
• Whakaritea Tautoko: Me whakarite e ngā tūroro tētahi hei hoa haere mā rātou ki te hōhipera, hei āwhina hoki ki te kawe i a rātou ki te kāinga i muri i te tikanga. He mea nui te tautoko i a rātou i te wā e ora ana.
• Te Whakamahere i muri i te Tākutatanga: He mea nui te matapaki i te tiaki i muri i te pokanga, tae atu ki te whakahaere mamae, ngā here o te korikori tinana, me ngā wā whakarite. Mā te mārama ki ngā mea hei tumanako ka taea te whakamama i te manukanuka.
• Whakaritenga Kare-a-roto: He mea noa te manukanuka i mua i te pokanga. Me whakaaro ngā tūroro ki te kōrero mō ō rātou kare ā-roto ki ngā kaiwhakarato hauora, ki te rapu tautoko rānei i te whānau me ngā hoa.

Ngā Hipanga Tukanga Tuwhera o te Thoracotomy

Mā te mārama ki te tukanga taahiraa-i-te-taahiraa o te pokanga tuwhera ka āwhina i te whakamārama i te tikanga me te whakamama i te manukanuka. Anei ngā mea e tupu ana i mua, i te wā, me muri i te pokanga:

I mua i te hātepe:

• Te taenga ki te hohipera: Ka tae atu ngā tūroro ki te hōhipera i te rā o te pokanga. Ka takiuru rātou, ā, ka haria pea ki te wāhi i mua i te pokanga.
• Aromatawai o mua: Ka tirohia e ngā nēhi ngā tohu ora, ka arotake i ngā hītori hauora, ā, ka tīmata i te tukunga o ngā rongoā me ngā wai ki roto i te uaua (IV).
• Whakawhitinga Anestheia: Ka hui tahi te kaimätai whakamohoatanga me te manawanui ki te matapaki i nga whiringa whakamomori me te whakatika i nga awangawanga.
• Te Tohu i te Wāhi Pokanga: Ka tohua e te taote pokanga te wāhi ka tapahia kia tika ai.

I te tukanga:

• Whakahaere Whakamaoritanga: Kia tae ki te rūma pokanga, ka pangia te tūroro ki te rongoā whakamoe whānui, kia mōhio ai rātou kāore he mamae, kāore hoki he mōhiotanga i te wā e pokangahia ana.
• Werohanga: Ka tapahia e te taote pokanga he tapa nui i te taha o te uma, i waenganui i ngā rara, hei uru atu ki te kōhao uma.
• Te Whakauru ki ngā Pūkahukahu, ki te Ngākau rānei: I runga i te take o te pokanga, me tango pea e te taote pokanga tetahi wāhanga o te pukahukahu, me whakatika te takirere o te ngākau, me whakatika rānei ētahi atu raruraru o te uma.
• wawaotanga pokanga: Ka rerekē te tikanga motuhake i runga i te tātaritanga. Tērā pea ko te tango i ngā pukupuku, te tango wai, te whakatika rānei i ngā kiko kua pakaru.
• Ko te kopiri: Kia oti te pokanga, ka kati te pokanga i te tapahi mā te whakamahi i ngā tuitui, i ngā staples rānei. Tērā pea ka whakatakotoria he ngongo uma hei āwhina i te tango i te wai, i te hau rānei e kohia ana.

I muri i te tikanga:

• Rūma Whakaora: Ka nukuhia ngā tūroro ki tētahi wāhi whakaora, ā, ka tirotirohia rātou i a rātou e ara ake ana i muri i te rongoā whakamoe. Ka āta tirohia ngā tohu ora.
• Whakahaere mamae: Ka tukuna ngā rongoā hei whakaora i te mamae, ā, ka akiakihia ngā tūroro ki te kōrero mai i ngā mamae katoa e pā ana ki a rātou.
• Te Whakahaere i te Ngongo Uma: Mena i whakatakotoria he ngongo uma, ka aroturukitia mō te rerenga wai, ā, ka noho pea ki tōna wāhi mō ētahi rā.
• Whakanekeneke Ataata: Ka akiakihia ngā tūroro kia tīmata te neke ina tau te noho. Ka āwhina tēnei ki te ārai i ngā raruraru pēnei i te toto totoka, ā, ka whakatairanga i te mahi a ngā pukahukahu.
• Noho hōhipera: Ka rerekē te roa o te noho i runga i te oranga o te tangata takitahi, engari i te nuinga o te wā mai i ētahi rā ki te wiki.

Te Whakaora i muri i te Tuwhera o te Thoracotomy

He tukanga nui te whakaora i muri i te pokanga tuwhera o te puku e hiahia ana ki te manawanui me te piri ki ngā tohutohu hauora. Ka rerekē pea te wā whakaora e tumanakohia ana i runga i ngā āhuatanga hauora o ia tangata, te whānuitanga o te pokanga, me ngā raruraru ka puta. I te nuinga o te wā, ka noho pea ngā tūroro ki te hōhipera mō te 5 ki te 7 rā i muri i te pokanga, i runga i te ahunga whakamua o tō rātou whakaoranga. I ētahi wā, ka pāngia pea ngā tūroro e ngā huringa roa o te mahi a ngā pukahukahu, e te hokinga mai rānei o te mate taketake, i runga i te mate e rongoatia ana.

Raina Wā Whakaora Manakohia:

• Wiki Tuatahi: Ka pāngia ngā tūroro e te mamae me te kore whakamarie, ā, ka taea te whakahaere i ēnei mā te rongoā kua tohua. E akiakihia ana ngā mahi manawa me te whakaohooho wawe hei ārai i ngā raruraru pēnei i te niumōnia.
• Ngā wiki 2-4: Ka taea e te tini o ngā tūroro te whakanui haere i ā rātou taumata mahi. Ka taea te whakauru i ngā mahi māmā pēnei i te hikoi, engari me karohia te hiki taumaha me te whakakori tinana kaha.
• Ngā wiki 4-6: I tēnei wā, ka taea e te nuinga o ngā tūroro te hoki ki ngā mahi māmā, ki ngā mahi o ia rā rānei. Heoi, ka roa pea te ora katoa ki te toru marama, inā koa mō te hunga he nui ake ngā pokanga.

Tohutohu mo te tiaki i muri:

• Whakahaere mamae: Whāia ngā tohutohu a tō tākuta mō ngā rongoā mamae. He mea nui kia whakahaerea pai te mamae kia māmā ake ai ngā mahi manawa.
• Nga Mahi Manawa: He mea nui ngā mahi manawa hōhonu me te maremare hei ārai i ngā raruraru o te pukahukahu. Whakamahia he ine manawa whakatenatena mēnā e wātea ana.
• Tiaki Taonga: Kia ma, kia maroke te waahi pokanga. Kia mataara mo nga tohu o te mate, penei i te piki haere o te whero, te pupuhi, te rere ranei.
• Kaikai: Mā te kai taurite e nui ana te pūmua ka āwhina i te whakaora. Kia mau te wai, ā, whakaarohia kia kai iti, kia auau hoki hei whakahaere i te nakunaku.
• Whakaritenga Whaiwhai: Haere ki nga haerenga whai muri kua whakaritea hei aroturuki i to whakaoranga me te whakatika i nga awangawanga.

Āhea ka taea te tīmata anō i ngā mahi noa?

Ka taea e te nuinga o ngā tūroro te hoki ki ā rātou mahi noa i roto i ngā wiki e 6 ki te 12, engari he rerekē tēnei. Whakawhitiwhiti kōrero ki tō kaiwhakarato hauora mō ngā tohutohu whaiaro i runga i tō ahunga whakamua whakaora.

Ngā Tūponotanga me ngā Āhuatanga o te Tuwhera o te Thoracotomy

Pērā i ngā tikanga pokanga katoa, he mōrearea kei roto i te pokanga tuwhera. Ahakoa he maha ngā tūroro e pokanga ana me te kore he raruraru, he mea nui kia mōhio ki ngā mōrearea noa me ngā mōrearea onge.

Mōrearea noa:

• mamae: E tūmanakohia ana te mamae i muri i te pokanga, ā, ka taea te whakahaere mā te rongoā.
• mate: Tērā pea ka pāngia te wāhi i tapahia ai, i roto rānei i ngā pukahukahu e te mate. Tērā pea ka hoatu he rongoā paturopi hei whakaiti i tēnei tūponotanga.
• Pato: He mea noa te toto i ētahi wā, engari ko te toto nui rawa me whai wawaotanga anō.
• Nga Poauautanga Manawa: Tērā pea ka uaua te manawa o ngā tūroro, ka pāngia rānei e te niumōnia, inā koa mēnā kua pāngia rātou e te mate pūkahukahu.
• Nga Toto Toto: Tērā te mōrearea o te whakawhanaketanga o ngā toto totoka i roto i ngā waewae, ka ara ake pea ēnei raruraru kino atu mēnā ka haere ki ngā pukahukahu.

Morearea onge:

• Nga mate whakamohoatanga: Ahakoa he onge, ka pāngia pea ētahi tūroro e ngā urupare kino ki te rongoā whakamoe, tae atu ki ngā mate pāwera, ngā raruraru manawa rānei.
• Te whara okana: He iti noa te mōrearea o te whara i ngā whekau e karapoti ana, pērā i te ngākau, ngā pukahukahu, ngā uaua toto nui rānei.
• Te mamae mau tonu: Tērā pea ka pāngia ētahi tūroro e te mamae tonu i te wāhi i tapahia, e mōhiotia ana ko te mamae post-thoracotomy.
• Pneumothorax: He āhuatanga onge engari he kino tēnei, ka turuturu te hau ki roto i te āputa i waenganui i te pukahukahu me te pakitara o te uma, ka hinga te pukahukahu.
• Ngā Huringa Mahi o te Pūkahukahu mō te Wā Roa: I ētahi wā, ka pāngia pea ngā tūroro e ngā panonitanga o te mahi a ngā pukahukahu, inā koa mēnā ka tangohia tētahi wāhanga nui o te kiko o te pukahukahu.
• Nga Putanga Waa-roa: Tērā pea ka hoki anō ētahi tūroro ki ngā āhuatanga taketake (pērā i te hokinga mai o te pukupuku, te mate pūmau rānei) me ngā huringa pumau rānei o te mahi a ngā pukahukahu, i runga i te mate e rongoatia ana.

Hei whakamutunga, ahakoa he tikanga tino nui te pokanga tuwhera o te uma mō ngā momo mate uma, mā te mārama ki ngā ārai, ngā mahi whakarite, ngā taipitopito tikanga, me ngā mōrearea pea ka taea e ngā tūroro te whakatau whai whakaaro mō ō rātou hauora. Me kōrero tonu ki ngā tohunga hauora kia pai ai ngā putanga.

Te Pokanga Tuwhera o te Uma me te Pokanga Ataata-Āwhina o te Uma (VATS)

Ahakoa he tikanga tuku iho te pokanga thoracoscopic tuwhera, he huarahi iti rawa te whakaekenga te pokanga thoracoscopic ataata (VATS). Anei te whakataurite i ngā tikanga e rua:

Te utu mō te whakatuwheratanga o te thoracotomy i Inia

Ko te utu toharite mō te pokanga pokanga tuwhera i Inia kei waenga i te ₹1,00,000 ki te ₹3,00,000. Ka rerekē ngā utu i runga i te hōhipera, te tāone, me te uauatanga. Me toro atu ngā tūroro ki tā rātou hōhipera e rongoā ana mō ngā whakatau tata whaiaro.

Ngā Pātai Auau mō te Tuwhera o te Thoracotomy

He aha taku e kai ai i muri i te pokanga tuwhera o te thoracotomy? 

I muri i te pokanga, arotahi ki tētahi kai taurite e whai kiko ana i te pūmua, ngā huaora, me ngā kohuke hei āwhina i te whakaora. He pai ngā kai pēnei i te mīti kikokore, te ika, te hua manu, te miraka, ngā hua rākau, me ngā huawhenua. Kia mau te wai, ā, whakaarohia kia kai iti, kia auau hoki ngā kai hei karo i te mamae.

Kia pehea te roa ka noho ahau ki te hohipera? 

Ko te nuinga o ngā tūroro e noho ana i te hōhipera mō te 5 ki te 7 ngā rā i muri i te pokanga tuwhera o te uma. Tērā pea ka rerekē te roa o te wā e rongoatia ana i runga i te ahunga whakamua o tō whakaoranga me ngā raruraru ka puta mai.

Ka taea e au te taraiwa i muri i te pokanga? 

Ko te tikanga, me karo te taraiwa mō te iti rawa 4 ki te 6 wiki i muri i te pokanga, kia whakaaetia rānei koe e tō tākuta. Hei whakarite kia tere tō urupare mēnā ka puta he āhuatanga ohorere, me te kore e mamae, e kore hoki e māharahara.

He aha ngā mahi ka taea e au te mahi i te wā whakaora? 

E akiakihia ana ngā mahi māmā pēnei i te hikoi hei whakatairanga i te tohanga toto me te mahi a ngā pukahukahu. Heoi, karohia te hiki taumaha, te whakakori tinana taumaha, me ngā mahi katoa e whakararu ana i tō uma mō te iti rawa o te 6 wiki.

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 hei āwhina i te whakaiti i te pupuhi me te mamae, me te mahi i ngā mahi manawa hohonu hei whakamama i te mamae.

Ahea ahau ka hoki mai ki te mahi? 

He rerekē te wā mō te hoki ki te mahi. Ka taea e te nuinga o ngā tūroro te hoki anō ki ngā mahi māmā i roto i ngā wiki e 6 ki te 12 engari me whakapā atu ki tō kaiwhakarato hauora mō ngā tohutohu whaiaro i runga i tō whakaoranga.

He aha nga tohu o te mate me titiro ahau? 

Aroturukihia te wāhi i tāngia ai koe mō te whero haere, te pupuhi, te mahana, te rerenga rānei. Ko te kirika, te makariri, te mamae kino rānei, tera pea he tohu mate. Whakapā atu ki tō tākuta mēnā ka kite koe i tētahi o ēnei tohu.

Ka taea e au te kaukau i muri i te pokanga? 

I te nuinga o te wā ka taea e koe te kaukau i muri i te whakaaetanga a tō tākuta, i ētahi rā i muri i te pokanga. Kaua e rumakina te motu ki te wai kia ora rawa rā anō.

Me aha ahau mēnā he uaua ki ahau te manawa? 

Mena he uaua ki te manawa, whakapā atu ki tō kaiwhakarato hauora tonu. He mea nui kia aro atu ki ngā raruraru manawa i te wā tonu, nā te mea ka tohu pea ēnei i ngā raruraru.

He herenga kai i muri i te pokanga? 

Ahakoa kāore he here kai tino pakari, he pai ake te karo i ngā kai taumaha, hinuhinu hoki ka pā kino pea ki te tinana. Kia arotahi ki tētahi kai totika hei tautoko i te whakaora.

Me pehea taku tautoko i taku whakaoranga? 

Whakakorikori tinana māmā, whai i ngā tohutohu a tō tākuta, pupuri i te kai hauora, me te noho wai. Ka taea hoki e te tautoko kare ā-roto mai i te whānau me ngā hoa te āwhina i tō whakaoranga.

He aha mehemea he ahua o mua ahau? 

Me whakamōhio atu ki tō kaiwhakarato hauora mō ngā mate kua pā ki a koe, nā te mea ka pā pea ēnei ki tō oranga. Mā tō rōpū hauora e whakarite tō mahere tiaki kia rite ki tēnā.

Ka taea e au te haere i muri i te pokanga? 

He mea tika kia kaua e haere tawhiti mō te iti rawa o ngā wiki e ono i muri i te pokanga. Kōrerohia ō mahere haere me tō tākuta kia noho haumaru ai mōu.

Me aha ahau mēnā kei te āwangawanga ahau mō te whakaoranga? 

He mea noa te manukanuka i muri i te pokanga. Whakaarohia te kōrero mō ō kare ā-roto ki tō kaiwhakarato hauora, ki tētahi tohunga hauora hinengaro rānei. He pai hoki ngā rōpū tautoko.

E hia nga wa ka hiahia au ki te whai i nga huihuinga? 

Ko ngā wā tirotiro whai muri ka whakaritea i ia wiki torutoru mō ngā marama tuatahi i muri i te pokanga. Ka aroturukihia tō whakaoranga e tō tākuta, ā, ka whakarerekētia tō mahere tiaki ina hiahiatia.

Ka taea e au te whai wāhi atu ki te whakaora tinana? 

Ae, he pai te whakaora tinana mō tō oranga. Tērā pea ka tūtohu tō tākuta i tētahi kaupapa kua whakaritea hei āwhina i a koe ki te whakahoki mai i te kaha me te nekenekehanga.

Ā, mehemea he tamariki āku? 

Mena he tamariki āu, whakaritea he āwhina i a koe e ora ana. Whakaitihia ngā mahi ā-tinana me rātou kia kaha ake rā anō koe, kia kōrerotia rā anō ō hiahia ki tō whānau.

He mea noa te ngenge i muri i te pokanga? 

Ae, he mea noa te ngenge i muri i te pokanga. Kei te ora tō tinana, ā, he mea nui kia okioki koe, kia whai wā hoki kia ora katoa ai.

Me aha ahau mēnā ka pāngia ahau e te mamae o te uma? 

Ki te pāngia koe e te mamae o te uma, whakapā atu ki tō kaiwhakarato hauora tonu. Ahakoa he mea noa te mamae, me arotake te mamae nui, te mamae kino rānei.

Me pehea taku whakarite i taku kainga mo te whakaora? 

Whakaritea tō kāinga mā te whakarite kia ngāwari te uru atu ki ngā mea nui, te tango i ngā tūponotanga o te hinga, me te whakarite āwhina mō ngā mahi o ia rā. Ka taea e te wāhi whakaora whakamarie te āwhina i tō tukanga whakaora.

Opaniraa

He tikanga pokanga nui te pokanga tuwhera o te uma, ka taea te whakapai ake i ngā putanga hauora mō ngā tūroro e pāngia ana e ngā mate uma rerekē. Mā te mārama ki te tukanga whakaora, ngā painga, me ngā huarahi kē atu ka taea e ngā tūroro te whakatau whai whakaaro mō tā rātou tiaki. Me kōrero tonu ki tētahi tohunga hauora hei matapaki i tō āhuatanga motuhake, kia pai ai te putanga.