E hia te toto kei roto i tō tinana? Kia ako tātou mō te Whakamātautau i te Rōrahi Toto i roto i tētahi huarahi māmā!

Kua whakaaro koe ki te nui o te toto kei roto i tō tinana? Ehara i te mea he mōhio noa iho tēnei, engari i ētahi wā ka taea e ia te whakaatu i ngā kōrero tino nui mō tō hauora. Koinei te mea e kiia nei e mātou he "Whakamātautau Rōrahi Toto", he whakamātautau e ine ana i te nui o te toto. He "Whakamātautau Rongoā Karihi" tēnei, arā, he iti noa te rauemi irahiko e whakamahia ana hei tirotiro i te mahi a te tinana. Kaua e manukanuka, he tino haumaru tēnei. Me kōrero tātou mō tēnei mea me ētahi atu taipitopito, āe?

He aha te tikanga o te toto?

Ahakoa e kīia ana he "toto," he maha ngā momo mea kei roto. Hei whakamārama ake, anei ēnei:

• Pēra: Koinei te wāhanga wai o te toto. Kaua e miharo, neke atu i te 90% he wai!
• Ngā pereti toto: He pūtau iti ēnei e āwhina ana i te toto kia totoka. He mea tino nui ēnei hei aukati i te toto ina whara koe.
• Ngā Pūtau Toto Whero: He rite ēnei ki ngā pōro porowhita. Koinei ngā mea e kawe ana i te hāora ki ngā kiko puta noa i te tinana.
• Ngā Pūtau Toto Mā: He rite ēnei ki ngā kaitiaki haumaru o te tinana. Ko rātou te hunga e tiaki ana i a tātou mai i ngā iroriki me ngā mate urutā.

I mōhio koe ahakoa he mea nui rawa atu ēnei pereti toto me ngā toto mā, he iti iho i te 1% o te rahinga toto katoa e hangaia ana e rātou. Ko te "Whakamātautau Rahi Toto" te mea nui e ine ana i te nui o ngā toto toto plasma me ngā toto toto whero. Koia i ētahi wā ka kiia ko te "Whakamātautau Rahi Plasma" he "Whakamātautau Papatipu Pūtau Whero" rānei.

Me pēhea te whakahaere i te nui o te toto i roto i ō tātou tinana?

He tikanga tino whakamiharo tēnei. Kei te hanga tonu, kei te whakangaro hoki tō tātou tinana i ngā toto whero. Ka hangaia e tō tātou hinu wheua ngā toto whero , ā, ka whakangaromia e tō tātou ate. Engari he puhoi tēnei tukanga. Whakaarohia, ki te ngaro te nui o te toto nā te mate, te aituā, te whara rānei, ka roa pea ngā rā, ngā marama pea, ki te hanga i ngā toto whero hou.

Engari he tere ake te whakahaere i te toto toto. Nā te mea he wai te nuinga o te toto toto. Ka whiwhi te tinana i ōna wai mai i te wai e inuhia ana e tātou me te kai e kainga ana e tātou. Ka ngaro hoki ngā wai mā te mimi, te tūtae, te werawera, me te manawa. Ina ora koe, ka pupuri ō whatukuhu i te taurite o tēnei taumata wai.

He aha ngā mea e pā ana ki te nui o te toto? Kia pēhea te nui e tika ana kia nui i te nuinga o te wā?

E rima rita te toto kei roto i te tinana o te pakeke. Heoi, ka rerekē pea tēnei nui nā ngā take maha. I ētahi wā ka nui rawa te toto (Hypervolemia) ka iti rawa rānei (Hypovolemia).

Te nui haere o te toto (Hypervolemia)

Ko ētahi o ngā mea ka puta ai tēnei āhuatanga:

• Ētahi mate ngākau (Congestive Heart failure)
• Te kai nui rawa i te tote (konutai)
• Ngā raruraru tākihi, hei tauira, te ngoikore o te tākihi me te mate nephrotic
• Te ngoikore o te ate

Ina piki te nui o te toto (Hypervolemia), ka puta ngā tohu pēnei i:

• Te pupuhi me te mamae o te puku (Ascites)
• Te ngoikore o te ngākau
• Te toto toto tiketike
• He uaua ki te manawa nā te mea ka whakakīia ngā pukahukahu e te wai
• Pupuhi (Edema) – He maha ngā wā ka pupuhi ngā waewae, ngā pona, ngā ringaringa , te mata rānei.

Te whakahekenga o te nui o te toto (Hypovolemia)

E rua ngā take matua mō te iti o te toto:

• Te toto (ngā whara, te pokanga, te toto o roto)
• Te matewai – arā, kāore i te rawaka te wai i roto i te tinana.

Ki te tino heke te nui o tō toto, ka pāngia koe e tētahi āhuatanga morearea e kiia nei ko te "Hypovolemic Shock". Koinei te wā e mahi ai te tinana i ngā mea e whai ake nei hei utu mō te hekenga o te rere o te toto i roto i te tinana:

• Ka whakaheke i te toto toto.
• Ka whakanui ake i te tere o te ngakau.
• Ka whakanui ake i te tere o te manawa.

Ki te heke tonu te nui o te toto, ka pā he kino kino ki ō tātou whekau me te roro. Nō reira, ehara tēnei i te kata!

He hononga kei waenganui i te nui o te toto me te toto toto tiketike?

He tino pono! Ko te pēhanga i roto i ō tātou uaua toto te mea e rere ai te toto ki ngā kiko me ngā pūtau katoa o te tinana. Ina heke te rahinga o te toto, ka heke anō hoki te pēhanga toto. Kātahi ka ngana te tinana ki te whakahoki mai i te rere o te toto mā te mea kia kōpiri ngā uaua toto. Engari ki te nui te toto e ngaro ana (Severe Hypovolemia), kāore e taea e te tinana te whakahaere.

Waihoki, ina piki ake te rahinga o te toto, ka totorohia ō tātou uaua toto (ngā uaua me ngā uaua), ka piki ake te toto toto. He maha ngā wā ka puta te hypervolemia ina kore e taea e te tinana te whakahaere i te nui o te wai nā te ngoikore o te whatukuhu, te ate rānei.

Āhea me mahi tēnei (Whakamātautau Rahi Toto)?

Ka whakamahia tēnei whakamātautau e ngā tākuta, inā koa ki ngā tūroro i roto i ngā wāhanga tiaki nui . Hei tauira:

• Ngā tāngata kua ngaro te nui o te toto
• Ngā tāngata e matewai ana
• Ngā tāngata e ngoikore ana te ngākau
• Ngā tāngata e pāngia ana e te ngoikore o te whatukuhu, te ate rānei
• Ngā tāngata he nui ngā weranga
• Ngā tāngata i roto i te ohorere

Haunga tēnei, tera atu anō ngā wā ka whakamahia ai tēnei whakamātautau e ngā tākuta.

• Arotakehia mēnā he anemia.
• Kimihia te pūtake o te hemonga pinepine (syncope).
• Aromatawai mō te toto toto tiketike me te hypotension orthostatic.
• Hei whakamātautau "Tirohanga i mua i te pokanga" i mua i ētahi pokanga.

Kei hea tēnei whakamātautau e mahia ai?

Ka taea tēnei te mahi i a koe e takoto ana i te moenga hōhipera, ka taea rānei te mahi i roto i te "Tari Rongoā Karihi" o te hōhipera.

He pēhea te mahi a tēnei (Whakamātautau Rōrahi Toto)? He tino uaua?

Kāo, ehara i te mea uaua rawa. Ki te whakarāpopototanga, penei te āhua:

Hei ine i te nui o te toto i roto i tō tinana, ka werohia he nui motuhake o te iodine radioactive ki roto i tō uaua. Mā ēnei momo ine ka taea e ngā tākuta te tirotiro i ētahi mahi a te tinana.

Kia oti te whakaranu i tēnei "(Tracer)" ki tō toto, ka tangohia e te tākuta tētahi tauira toto mai i a koe, ka ine i te kaha o te irahiko i roto.

Ka tatauhia te nui o tō toto mā te whakamahi i tētahi whārite pāngarau māmā penei: `C1V1 = C2V2`.

Ko te tikanga tēnei:

• Ko te `C1` te kukū o te irahiko i roto i te `(Tracer)` i werohangahia.
• Ko te `V1` te rōrahi o te `(Tracer)` i werohia.
• Ko te `C2` te kukū o te irahiko i roto i tō toto i muri i te whakaranua o te `(Tracer)` ki tō toto.
• Ko te `V2` te nui o te toto i roto i tō tinana (koinei tā mātou e rapu nei).

Whakaarohia, ina hoatu e tātou he rongoā ki te tinana, ka tatauhia e tātou te nui o te toto katoa mā te titiro ki te nui o te ranunga ki te toto, ā, ka memeha haere.

Engari kia mōhio ai koe mēnā he noa, he teitei, he iti rānei te nui o te toto e inehia ana i tēnei ara, me whakarite e koe ki tō nui toto noa. He rerekē te nui o te toto o ia tangata. Ka tatauhia tō nui toto noa i runga i tō teitei, tō taumaha, me tō ira tangata.

Me pēhea te whakarite i mua i te whakamātautau?

Mā tō tākuta koe e tohutohu mō tēnei. Ko te tikanga, he pai ake kia kaua e kai, e inu rānei i tetahi mea mō ētahi haora i mua i te whakamātautau.

I te rā o te whakamātautau, me karo koe i te inu i ngā inu kei roto te kawheine (pēnei i te kawhe me te tī). He rongoā whakaheke toto te kawheine, arā, ka whakanui ake i te mimi me te tango i te wai mai i te tinana. Kei roto hoki i ētahi rongoā te kawheine. Nō reira, he mea pai kia kōrero koe ki tō tākuta mō ngā rongoā e tangohia ana e koe i mua i te whakamātautau, me te pātai atu mēnā me whakarerekē, mēnā e tika ana.

He aha ngā mea ka tupu i mua i te whakamātautau?

Ka inehia e te tohunga hangarau tō teitei me tō taumaha. Kātahi ka whakaurua he aho werohanga (IV) ki roto i tētahi uaua i roto i tō ringaringa, i tō ringaringa, i tō hope rānei. He taputapu rite ki te cannula tēnei.

He aha te mea ka tupu ina mahi koe i te whakamātautau?

Ko ngā mea e whai ake nei ka puta i te wā o te whakamātautau:

• Ka meinga koe kia takoto ki runga i te tēpu whakamātautau.
• Ka werohia e te tohunga hangarau tētahi matū irahiko e kīia nei ko te Iodine-131 Human Serum Albumin (HSA) mā te aho IV.
• Kātahi ka tatari koe mō te 12 meneti kia pai te ranunga o te `(Tracer)` ki te toto.
• Whai muri i tēnā, ka tangohia he maha ngā tauira toto, tata ki ia ono meneti, kātahi ka tukuna ki te taiwhanga.
• Kāore e neke atu i te 90 meneti te roa o te whakamātautau katoa.

I muri i te whakamātautau?

Ka tangohia e te tohunga hangarau te IV, kātahi ka taea e koe te hoki ki te kāinga. Ka puta ētahi o te matū irahiko i roto i tō mimi, ā, ka pakaru noa te toenga i roto i tō tinana.Me inu nui koe i te wai i muri i te whakamātautau, mā tēnei ka āwhina i te matū whai tohu kia tere te wehe atu i tō tinana.

He tūponotanga kei roto i tēnei?

• Ehara i te mea pai kia whakamātauria tēnei whakamātautau mēnā kei te hapu koe, kei te whāngai u rānei. Nō reira, ka hiahia pea tō tākuta ki te whakamātau i te haputanga i mua i te whakamātautau.
• He iti noa te tūponotanga ka pāngia koe e te mate pāwera. Me kōrero koe ki tō tākuta mēnā he mate pāwera koe ki te iodine, ki te kaimoana, ki ngā hua manu rānei. Mēnā he mate pāwera koe, tera pea ka taea e tō tākuta te whakarerekē i te whakamātautau kia kore ai e pāngia koe e te mate pāwera.
• Ka taea e te iodine irirangi ``(Tracer)`` te kino i tō repe tairoiti. Hei ārai i tēnei, ka hoatu e te tākuta he pire iodine ki a koe i mua i te whakamātautau. Kia mimitihia e tō repe tairoiti te iodine, ka mutu te mimiti i te iodine irirangi.

He aha tā ngā hua e kī ana? Me aha koe ki aua mea?

Mā ngā hua o te whakamātautau e whakaatu mēnā he noa, he iti, he teitei rānei tō tatau toto. Ka taea e tō tākuta te whakamahi i ēnei mōhiohio hei aromatawai i tō āhua me te whakatau ko tēhea maimoatanga e hiahiatia ana.

He whakarāpopototanga noa iho, ka ine te "Whakamātautau Rōrahi Toto" mēnā he noa te nui o te toto i roto i tō tinana. He maha ngā mate e pā ana ki ngā panonitanga o te rōrahi toto, ā, ka taea e ēnei te arahi ki ngā raruraru nui. He maha ngā wā ka mahia tēnei whakamātautau ki ngā tūroro i roto i ngā wāhanga tiaki nui. Ka taea e ia te āwhina i a rātou ki te whakahoki i ō rātou taumata wai ki te noa, me te āwhina i a rātou kia tere ake te ora.

Karere Tangohia ki te Kāinga

• Ko te "Whakamātautau Rahi Toto" he whakamātautau e ine ana i te nui katoa o te toto i roto i tō tinana.
• Ko te nuinga o tēnei ka tirohia te nui o ngā toto toto me ngā toto whero.
• Ka pā mai ngā raruraru hauora i te pikinga o te rahinga toto (Hypervolemia) me te hekenga o te rahinga toto (Hypovolemia).
• Ka whakamahia e ngā tākuta tēnei whakamātautau hei tātaritanga i ngā momo mate hauora me te whakarite maimoatanga, inā koa i ngā wā ohorere.
• Ahakoa he iti noa te rauemi irahiko (Radioactive Tracer) e whakamahia ana i roto i te whakamātautau, he haumaru tonu. Heoi, kāore e tika ana mō ngā whaea hāpu me ngā whaea whāngai u.
• Mena he mate pāwera tōu, kaua e wareware ki te kōrero ki te tākuta i mua i te wā.

Nō reira, koinei ngā mea tino nui me mōhio koe mō te `(Whakamātautau Rōrahi Toto)`. Mena he pātai anō āu mō tēnei, kaua e wehi ki te pātai ki tō tākuta, kei te pai?

` Te nui o te toto, Te nui o te toto, Te whakamātautau nui o te toto, Te nui o te ngako toto, Te iti o te ngako toto, Te toto toto whero, Ngā whakamātautau hauora