Kei te pēhea tō ate me tō whēkau? (Matawai Ate me te Whēkau)

Kia ora! Tērā pea i pōuri koe, i mataku hoki i te wā i kī atu ai te tākuta kia mahia he matawai motuhake hei tirotiro i tō ate me tō whēkau, he "Matawai Ate me te Whēkau", tika? Tērā pea i tino hiahia koe ki te mōhio he aha te take o tēnei. Nō reira, kaua e manukanuka. Me kōrero tātou mō tēnei mea i roto i ngā taipitopito, i roto i ngā kōrero māmā noa iho, i tēnei rā. Ka whakamāramahia e au ngā mea katoa i roto i te huarahi e mārama ai koe.

He aha te Matawai Ate me te Whatukuhu?

He whakarāpopototanga noa iho tēnei, he whakamātautau whakaahua motuhake mō te rongoā karihi . Ko te nuinga o te wā ka tirohia ngā whekau e rua, ko tō ate me tō whēkau. Kei te taha whakarunga o tō tātou puku ēnei whekau e rua. Ko te mea nui, ki te mea he raruraru kei tētahi o ēnei whekau, ka pā anō hoki ki tētahi atu. He rite rāua ki ngā hoa pai e rua.

I roto i tēnei whakamātautau, ka werohia he iti noa o te rauemi irahiko (he tohu irahiko) ki roto i tō tinana. Kātahi ka whakamahia he taputapu motuhake e kiia nei ko te kāmera gamma hei mātakitaki i te mimiti o te rauemi e tō ate me tō whēkau. Mā tēnei ka taea e ngā tākuta te kite i te pai o te mahi a ō whekau e rua, me te mea he kino kei roto. He hangarau whakamiharo tēnei?

He aha ahau i hiahia ai ki te mahi i tētahi matawai pēnei?

Tērā pea kei te whakaaro koe, "He aha ahau i tonoa ai kia mahi i tēnei momo matawai?" He momo matawai anō hei tirotiro i te ate me te whēkau. Engari ko te mea motuhake mō tēnei `(Matawai Ate me te Whēkau)` ko te kite i te kaha o ngā pūtau i ngā wāhanga rerekē o ngā whekau me te pai o tā rātou urupare .

Mā tēnei ka āwhina i a koe ki te kimi i ngā wāhi rerekē o tō ate, o tō whēkau rānei, e kiia nei ko ngā 'ngoikoretanga', kua rerekē te kiko, ā, kāore e mahi tika ana. Ka taea hoki e ia te rapu i ngā mea pēnei i te fibrosis, te pupuhi, ngā huringa o te rere o te au, me ngā huringa o te rere o te toto. Nō reira, he mea tino nui kia aromatawaihia te kino o ngā whekau.

He aha te whakamahinga o tēnei matawai?

Tērā pea ka tūtohu tō tākuta i tēnei matawai mō ētahi take. Me titiro tātou ki ēnei:

• Tirohia te āhua o te mate ate roa (`(mate ate mau tonu)`).
• I te wā e rongoā ana koe i tētahi mate, tirohia mēnā ka ora, ka whakapai ake rānei i te āhua.
• Ina pakaru te ate, te whēkau rānei, pērā i tētahi aituā, aromatawaihia te nui o te kino.
• Kimihia mēnā he whara, he kiko rerekē rānei (ngā whara) kei roto i ēnei whekau.
• I ētahi wā ka mamae te puku o runga, engari kāore e kitea te pūtake. I aua wā, mā tēnei ka āwhina i a tātou ki te kimi i te pūtake.
• Tirohia mēnā he raruraru pūnaha e pā ana ki te ate me te whēkau.

He aha ngā momo mate hauora ka taea te tautuhi mā tēnei matawai?

Mā ngā hua o tēnei matawai ka taea te whakarato i ngā tohu mō ngā momo āhuatanga hauora. Anei ētahi tauira:

• Ko te mumura o te ate, koinei te mate e kiia nei e tātou ko te "hepatitis".
• He whara o te ate, he fibrosis, ā, tera pea he cirrhosis.
• Ko te mate ate momona te kohikohinga o te ngako i roto i te ate.
• Kua rahi noa iho te ate?
• Kua rahi te ate?
• Kei te kaha rawa te mahi a te whēkau, ko te tikanga he mate kei te kiia ko te "hypersplenism"?
• He pikinga o te toto toto i roto i ngā uaua o te ate, e mōhiotia ana ko te "Portal hypertension".
• He āhuatanga e kiia nei ko te "mate Budd-Chiari", e aukatia ana, e whaitihia ana rānei ngā uaua o te ate.
• He aneurysm o te uaua splenic (`(Aneurysm o te uaua splenic)`)?
• Kua pakaru te whēkau?
• He kiko kei roto i te whēkau kua mate (`(Splenic infarction)`)?
• Kua ngoikore te mahi a te ate (`(Te ngoikore o te ate)`)?
• Tetahi puku, te tipu rānei i roto i te ate. Hei tauira, he whēwhe, he pukupuku pai, he hemangioma ate, he whēwhe ate rānei.
• Te mate pukupuku o te ate, o te whēkau rānei.
• Kua horapa atu rānei tētahi mate pukupuku i ahu mai i tētahi atu wāhanga o te tinana ki ēnei whekau (mate pukupuku horapa)?
• Ngā mate ira pēnei i te mate Gaucher e pā ana ki ēnei whekau.

He mea nui: Kaua e mataku ki tēnei rārangi, āe? Kāore tēnei matawai e mahia hei tirotiro mēnā kei a koe ēnei mate katoa. Ka mahia i runga i ō tohu me ngā whakapae a te tākuta.

He pēhea te mahi a tēnei matawai ate me te whēkau? He tino māmā noa iho!

Whakaarohia tētahi "tutei" iti e tukuna ana ki roto i tō tinana. Ehara tēnei i te tutei tūturu. Ka werohia he rongoā iti, he tohu irahiko, ki roto i tētahi uaua i roto i tō ringa. Ahakoa he irahiko, kāore he mea e wehi ai, he iti noa iho, he nui te irahiko kua whakahaeretia , ā, ka puta atu i tō tinana i muri i tētahi wā.

Ka haere tēnei rongoā mā roto i tō toto, ka mimiti ki roto i tō ate me tō whēkau. Kātahi, ka "pānui" te kāmera gamma i kōrerotia e au i mua ake nei i ngā hihi gamma e tukuna ana e tēnei rongoā. Arā, ka kitea te wāhi kei reira te rongoā, me te nui o taua mea kei reira.

Kātahi ka honoa ngā whakaahua i tangohia e te kāmera gamma ki ngā whakaahua toru-ahu (`3D`) o ō whekau. Ka tangohia ēnei whakaahua toru-ahu mā te whakamahi i tētahi tikanga e kiia nei ko te ``SPECT/CT scan``. Ko te ``(SPECT)`` he tohu mō te ``(single-photon emission computed tomography)`` ā, ko te ``(CT)`` he tohu mō te ``(computed tomography)``. Ina honoa ēnei katoa, ka whiwhi ngā tākuta i tētahi pikitia tino mārama o tō ate me tō whēkau.

Me pēhea taku whakarite i mua i te matawai?

Kāore e nui te whakarite e hiahiatia ana mō tēnei.

• Mā te tākuta tēnei whakamātautau e whakamārama ki a koe, kātahi ka tonoa koe kia haina i tō whakaaetanga.
• Me mau koe i tētahi kākahu hōhipera motuhake.
• Me tango e koe ngā whakapaipai whakarewa katoa kei tō tinana, pērā i ngā hei kaki, ngā poroporo, me ngā whakakai taringa, nā te mea ka taea e te matawai te tango atu.
• Ki te mea kei te āwangawanga koe, kei te manukanuka rānei mō tēnei mea, ka taea e koe te tono ki te tākuta mō tētahi rongoā whakamoe. Mā tēnā koe e āwhina kia marino ake.

Kia pēhea te roa o tēnei matawai?

Ko te roanga o te whakamātautau katoa e pā ana ki te haora .

I muri i te werohanga, me tatari koe mō te 15 ki te 30 meneti kia mimiti te rongoā e te ate me te whēkau. Kātahi ka tīmata te tango pikitia. E 15-20 meneti pea te roa o te tango pikitia me te kāmera gamma, ā, e 15-20 meneti anō hoki te roa o te tango pikitia me te matawai `(CT)`.

He aha ngā mea ka tupu i te wā o te matawai?

Āe, kia kite tātou he aha tonu te mea ka puta ina oti te matawai.

1. Tuatahi, ka werohia e te tohunga hangarau irahiko he tohu irahiko motuhake (ko te tikanga he Tc-99m whanariki colloid) ki roto i te uaua i roto i tō ringa me te weronga iti (mā te IV). Ka rongo koe i te ngau iti ina werohia te ngira, he mea noa tēnā.

2. Kātahi ka tatari koe mō tētahi wā (mō te 15-30 meneti pea) kia mimiti te rongoā ki roto i tō tinana.

3. Muri iho, ka meinga koe kia takoto ki runga i te moenga i roto i te matawai. Ka whakanohoia te matawai āhua-tōnati kia piri pai ki runga i tō puku.

4. Ka matawai tuatahi te kāmera i tō tinana katoa ki ngā hihi gamma. Kātahi ka huri mārire ki te taha o koe, ka tango whakaahua toru-ahu (3D).

5. Tērā pea ka tono te tohunga hangarau kia tahuri koe ki te tango pikitia kia pai ai te titiro a te kāmera. Ko te mea nui kia noho pūmau koe i ngā tūranga katoa. Mā tēnei ka mārama ai ō pikitia.

6. Kia oti te matawai, ka tangohia te IV. Kātahi ka taea e koe te whakatika me te kakahu i ō kākahu.

He tūponotanga kei roto i tēnei?

He tino iti ngā mōrearea nui o tēnei whakamātautau. Heoi, he mea nui kia whakamōhio atu koe ki tō tākuta mō ēnei mea e whai ake nei:

• Mena kei te hapu koe: Ahakoa he iti noa te nui o te irahiko e whakamahia ana, ka pā pea ki te pēpi kāore anō kia whānau.
• Mena he whaea whāngai u koe: Ka taea e te rauemi irahiko te uru ki roto i tō waiū. Nō reira ka kī atu tō tākuta kia mutu te whāngai u mō ētahi rā.
• Mena he mate pāwera koe ki te rauemi irahiko (whanariki-korori). He tino onge tēnei, engari ki te pāngia koe e tētahi, me whakamōhio mai koe i mua i te wā.

Ka pā mai rānei tetahi mea ki ahau?

• Ina werohia he IV ki tō ringa, e rite ana ki te werohia he ngira iti.
• Kāore koe e rongo i tetahi mea i te wā o te matawai, engari tera pea ētahi tāngata e pōuri ana ina noho puku mō tētahi wā.
• Kāore koe e rongo i te werohanga o te rauemi irahiko ki roto i tō tinana. Heoi, hei āwhina i a ia kia tere te wehe atu i tō tinana, me inu koe i te nui o te wai mō ngā haora 24 e whai ake nei i muri i te matawai.

Me pēhea te whakaatu i ngā hua? He aha ēnei "wāhi wera" me ngā "wāhi makariri"?

I muri i te urunga o te matū irahiko (`radionucleotide`) ki roto i tō uaua, ka haere tika atu ki tō ate me tō whēkau. Ka mimitihia te matū e ēnei whekau e rua.

Inaianei kei roto i ngā pikitia,

• Tērā ētahi wāhi e āhua kanapa ake ana i ētahi atu. Ka kiia ēnei he "wāhi wera". Ko te tikanga kua mimiti pai te matū ki aua wāhi.
• He wāhi pōuri te āhua o ētahi wāhi. Ka kiia ēnei ko ngā "wāhi makariri". Ko te tikanga tēnei kāore te matū i mimiti tika ki roto i aua wāhi.

Ka whakatauritea hoki e te tohunga hangarau te nui o te matū kua mimitihia e ēnei whekau e rua. Ko te tikanga, ko te ate te mea e mimiti ana i te nui ake o te matū i te whēkau.

Heoi, ki te iti iho te mimiti a te ate i te mea e tika ana, ā, he nui ake te mimiti a te whēkau, ka kiia tēnei he "nekehanga koloid." He tohu tēnei kua heke te mahi a te ate.

He aha te mea ka tupu i muri i te taenga mai o aku hua?

Kia puta mai ngā hua o tō "Matawai Ate me te Whatuwha", ka tirohia e te tākuta, ā, ka puta he whakatau mō tō āhua.

• Tērā pea ka taea e ēnei hua te whakarato i tētahi tautuhi tino tika . Mena koinā, ka matapakihia e te tākuta ngā mahi maimoatanga e whai ake nei ki a koe.
• I ētahi wā, ka whakahaerehia pea ētahi atu whakamātautau hei whakaū i ngā mōhiohio i whiwhi mai i tēnei matawai.

Heoi, mā te tākuta e whakamārama ngā mea katoa ki a koe.

He aha atu ngā momo matawai hei rapu i ngā raruraru ate?

Haunga tēnei `(Matawai Ate me te Whatu)`, kei reira anō ētahi atu momo whakamātautau whakaahua hei tirotiro i te āhua o te ate me te whatu. Ko ētahi tauira ko:

• Matawai CT ate (`(Matawai CT ate)`)
• Matawai CT o te whēkau (`(Matawai CT o te whēkau)`)
• Matawai i te puku mā te whakamahi i te ultrasound (`(Te ultrasound puku)`)
• Te elastography ate (e mōhiotia ana ko te MRE, te FibroScan® ultrasound rānei).
• Matawai MRI ate/whekau (`(MRI ate/whekau)`)

Mā tō tākuta e whakatau ko tēhea whakamātautau te mea tino tika māu.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He taputapu whai hua tēnei matawai ate me te whēkau rongoā karihi e āwhina ana i ngā tākuta ki te titiro ki ēnei okana hoa e rua i tētahi huarahi hou, me te mārama ki tā rāua mahi. Ka taea e tēnei matawai te āwhina ki te tautuhi i ngā āhuatanga e pā ana ki ngā okana e rua, te aromatawai i te kino, te kite mēnā kei te haere whakamua, kei te puhoi rānei te mate, me te aroturuki i te ahunga whakamua o te whakaora.

Mena he pātai, he āwangawanga rānei āu mō tēnei whakamātautau, mō ngā hua rānei,Kaua e wehi ki te kōrero ki tō tākuta. Kātahi ka taea e koe te whakamārama i ngā mea katoa. Kia ora tonu!

` Ate, whēkau, matawai, rongoā karihi, tātaritanga, mate ate, puku