He mea e mahia ana e tātou katoa te manawa i ngā wā katoa, engari kāore tātou e tino whakaaro nui ki tēnā. Ka puta tēnei tukanga mai i te rā i whānau ai tātou tae noa ki te rā i mate ai tātou. Engari kua whakaaro kē koe ko wai te toa tūturu, te tohunga hangarau rānei, kei muri i tēnei tukanga manawa? Koinei te tangata ka kōrerohia e tātou i tēnei rā. Ko te diaphragm tēnā, arā, te ingoa Pākehā. Ehara tēnei i te uaua noa iho, engari he tangata tino nui, he tangata whakamiharo hoki i roto i tō tātou tinana.
He whakarāpopototanga, he aha tēnei diaphragm nui?
Whakaarohia he uaua angiangi, kaha i waenganui i tō uma me tō puku, he rite te āhua ki te maru. Ko te diaphragm tēnā. Kei raro i ō tātou pukahukahu me te ngākau.
Ehara tēnei uaua i te mea e iri noa ana. He hononga ki:
- Te wheua i waenganui o tō uma (sternum)
- Ki raro i tō pūaha rara
- Ki te whati tō tuara, ka whati anō hoki tō tuaiwi.
Ko tētahi o ana mahi matua he mahi hei pakitara i waenganui i te kōhao o tō uma (kei reira ō pūkahukahu me tō ngākau) me te kōhao o tō puku (kei reira ō whekau pēnei i tō puku, ō whekau, me te ate).
He aha te mahi a te diaphragm nui? He manawa noa iho?
Kāo, ko te manawa te mahi matua, ā, e mōhiotia ana e tātou katoa. He maha atu anō ngā mea nui hei tāpiri atu ki tēnā. Me titiro tātou ki ia mea, ia mea.
1. Te rangatira o te tukanga manawa
Koinei te mahi matua o te Taiepa Nui. He tino whakamiharo te āhua o tēnei mahi.
- Ina manawa koe: Ka kikī tō diaphragm, ka heke ki raro ki tō puku, pērā i te ararewa. Ka whakanuia ake te wāhi i roto i tō uma. Ka whakanuia ake te wāhi hei pupuhi i ō pukahukahu, ka taea ai e te hau te tomo ki roto i ō pukahukahu.
- Ina whakapūha koe: Ka mutu te whakawhāiti o te diaphragm, ka whakangāwari. Kātahi ka neke ake, ka anga atu ki te uma, ka hanga he āhua rite ki te maru. I tēnei wā, ka panaia te hau i roto i ngā pukahukahu ki waho.
He whakarāpopototanga noa iho, i ia manawa e tangohia ana e koe, ka neke ake, ka heke iho tēnei diaphragm nui. He rite ki te papu hau tūturu i roto i ō tātou tinana.
2. Ētahi atu mea nui hei mahi i tua atu i te manawa
Kāore te diaphragm e herea noa ki te tukanga manawa. He maha atu anō ngā mahi tino nui e mahia ana e ia.
- Te pikinga o te pēhanga o roto i te puku: Ina kuiti te diaphragm, ka hangaia he pēhanga ki roto i te puku. He maha ngā mea e āwhina ana i tēnei pēhanga ki a tātou. Hei tauira, he mea nui tēnei pēhanga mō ngā mea pēnei i te mimi me te tutae.
- Te ārai i te reflux waikawa:He raruraru e pāngia ana e te tini tāngata ko te gastritis, he mumura o te puku. Ko tētahi take mō tēnei ko te pikinga ake o te waikawa o te puku ki roto i te korokoro. Ko te ngongo e haere ai ā tātou kai (Esophagus) ka haere ki te puku mā roto i te diaphragm. He rite te diaphragm ki te here i tēnei ngongo kai, e ārai ana i te pikinga ake o te waikawa o te puku.
- Te whakatuwhera ara mō ngā io me ngā oko toto nui: Ko ētahi o ngā io, ngā oko toto, me ētahi atu hanganga nui o te tinana ka haere mā te septum.
| Te hanganga e whiti ana i te Great Barrier Reef | He māmā noa iho tana mahi. |
|---|---|
| Aorta | Ko te oko toto matua e kawe ana i te toto whai hāora mai i te ngākau ki te tinana katoa. |
| te korokoro | Ko te ngongo e kawe ana i te kai e kainga ana e tātou, e inu ana hoki i te korokoro ki te puku. |
| Vena Cava o raro | Ko te oko toto matua e whakahoki ana i te toto poke mai i ngā wāhanga o raro o te tinana ki te ngākau. |
| Io Phrenic | Ko te io e whakahaere ana i te nekehanga o te diaphragm, arā, ko tōna nekehanga ki runga, ki raro. He rite tēnei ki te mana mamao. |
| Puku Uma | He hongere e kawe ana i te wai e kiia nei ko te lymph, nō te pūnaha lymphatic o te tinana. |
| Io Vagus | He io e mahi ana i ngā mahi maha, tae atu ki te whakahaere i te pūnaha nakunaku. |
He aha ngā mate ka pā ki te diaphragm nui?
Pērā i ngā wāhanga kē atu o te tinana ka pāngia e ngā mate, ka taea hoki te pakaru o te diaphragm e ngā raruraru, ngā mate, me ngā aituā. Me titiro tātou ki ngā mea tino nui.
- Ngā Hernia:
- Hiatal Hernia: Koinei te momo tino noa. Koinei te wā e pana ake ai te wāhanga o runga o tō puku mā roto i tētahi kōhao i te diaphragm, ki roto i tō uma. Whakaarohia he rite ki tētahi poihau iti e puta ake ana. Ka puta pinepine tēnei āhuatanga i a koe e pakeke haere ana, e piki haere ana hoki tō taumaha.
- Hernia Diaphragmatic: Koinei te wā e pana ai tētahi atu okana i roto i te puku (pērā i te whekau) mā roto i tētahi kōhao i roto i te diaphragm ki roto i te uma. I ētahi wā ka kitea ēnei i te whānautanga, ka puta rānei i muri i tētahi aituā nui.
- Te Pakaru o te Io Phrenic: E ai ki tā tātou i kōrero ai i mua ake nei, ko tēnei io te kaiwhakahaere o te diaphragm. Mēnā ka pakaru tēnei io, e kore e taea e te diaphragm te mahi tika. Ka pakaru pea tēnei io i te mate pukupuku, i te pokanga (ina koa ko te pokanga whakawhiti ngākau), i ngā aituā, me ētahi mate pāwera.
- Ngā Āninitanga Uaua: Nā te mea he uaua anō hoki te diaphragm, ka taea e ia te ānini i ētahi wā. He āhuatanga tēnei e puta mai ana ina kaha rawa tā tātou whakakori tinana, ina oma rānei, ā, ko te mamae e puta mai ana i te taha o te puku, e kiia nei ko te "side stitch," ka whakamamahia mā te okioki mō tētahi wā.
- Te ngoikore, te pararutiki rānei: Ko ētahi mate io, pērā i te Multiple Sclerosis (MS) me te Amyotrophic Lateral Sclerosis (ALS), ka ngoikore, ka pararutiki rawa rānei te diaphragm. Ko te neuropathy mate huka, ngā whara o te taurakira, me ngā mate pūkahukahu pērā i te COPD ka ngoikore hoki te diaphragm.
He aha ngā tohu o te raruraru o te diaphragm nui?
Mena he raruraru kei te diaphragm nui, ka pāngia koe e ngā momo tohu. Tērā pea ka haere mai, ka ngaro atu mō tētahi wā, ka mau tonu rānei.
- Mamae te puku, te mamae o te uma, me te reka kawa i te korokoro (Te waikawa whakapūkara, te ngau o te uma).
- Te maremare pinepine me te uaua ki te horomi kai.
- Te rerekētanga o te kiri (i ētahi wā ka kikorangi te kiri).
- Te tere o te manawa, te mamae o te uma, te kikī rānei.
- Te poto o te manawa, ina koa i te takoto.
- Te mamae o te upoko.
- Ngā hiccups e haere mai ana, e haere atu ana, e mau tonu ana rānei, kāore e memeha.
- Te mamae, te pēhanga rānei i roto i te uma, te tuara, ngā taha, ngā pakihiwi, te puku rānei (ina koa i raro i te rara). Tērā pea ka kino ake tēnei mamae i muri i te kai.
- He rite ki te mamae o te puku i raro i ngā rara.
He mea tino nui: Ko ngā tohu pēnei i te mamae o te uma, te kikī o te uma, me te poto o te manawa ka rite ki ngā tohu o te mate manawa. Nō reira, ki te pāngia koe e tētahi o ēnei tohu, kaua e warewarehia, engari me noho ki te kāinga. Haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata. Tērā pea he āhuatanga ora, he mate rānei tēnei.
E hia te auau o ēnei āhuatanga?
Ko te tino take o ngā raruraru manawa ko te pakaru o te io manawa, mā te pokanga, mā te aituā rānei. Tata ki te 20% o ngā tūroro ka pakaru pea tēnei io i muri i te pokanga arai manawa.
He tino noa hoki te āhua i kōrerotia e tātou, arā, ko te `(Hiatal Hernia)`. He tino noa i waenga i te hunga neke atu i te 50 tau te pakeke me te hunga taumaha rawa. E ai ki ngā rangahau, tata ki te 55% o te hunga neke atu i te 50 tau te pakeke, arā, tata ki te kotahi i roto i te tokorua, ka pāngia pea e te `(Hiatal Hernia)`.
Me pēhea tātou e pupuri ai i te hauora o te Moana-nui-a-Kiwa?
He uaua anō hoki te diaphragm. Nō reira, pērā i ngā uaua kē atu o tō tātou tinana, ka taea e tātou te whakapakari mā te whakakorikori. He mahi manawa motuhake kei reira mōna. Ka kiia ēnei ko ngā '(Ngā mahi manawa diaphragmatic)'. Ka āwhina ēnei i te diaphragm kia pai ake te mahi. Ka taea hoki e ēnei mahi te whakaiti i te ahotea hinengaro.
Hei tāpiritanga, whai i ēnei mahi hei pupuri i te hauora o tō diaphragm:
- Kaua e kai nui i te wā kotahi. Kai i ngā kai iti kia maha i te rā. Āta karo i ngā kai hinuhinu, kai raukikī, kai kawa hoki ka pā kino ki te puku.
- Kia mau tonu te taumaha tinana hauora. Ka pēhia te uaua o te uaua ina nui rawa te taumaha.
- Whakamahanahia te tinana i mua i te whakakori tinana. Mā tēnei ka whai wā tō uaua puku me ētahi atu uaua ki te whakarite mō te whakakori tinana.
- I a koe e whakakorikori tinana ana, kaua e whakakorikori rawa i a koe anō i te wā kotahi. Whakanuia mārire te kaha o tō whakakorikori tinana.
- Mena he mate hauora tōu (hei tauira, te mate huka, te mate pūkahukahu) e whakanui ake ai i te mōrearea o te whakawhanake i ngā raruraru ki tō diaphragm, me tirotiro hauora koe i ia wā.
Āhea ahau me toro atu ki te tākuta?
Mena kei a koe ētahi o ngā tohu i kōrerotia i mua ake nei, he pai ake te toro atu ki te tākuta kia tirohia. Ko ētahi tohu he tohu pea nō ētahi atu mate, nō reira he mea nui kia tika te tātaritanga.
Ka whakamahara atu anō ahau ki a koe,Ki te mamae tō uma, ki te pēhanga tō uma, ki te uaua rānei te manawa, he āhuatanga ohorere tēnei. Haere tonu ki te Tari Ohorere o te hōhipera (ETU).
Tērā pea ka piki ake tō tuponotanga ki te pāngia e tētahi raruraru ki tō diaphragm mēnā kei a koe tētahi o ēnei āhuatanga e whai ake nei:
- Ngā mate pūnaha ārai mate, pērā i te Lupus
- Ngā mate pūkahukahu pērā i te COPD me te mate pukupuku pūkahukahu
- Te mate ngakau e hiahia ana ki te pokanga
- Te mate Lyme
- Ngā mate pūnaha io, hei tauira, MS
- Momonatanga
- Ngā mate urutā pēnei i te HIV
Karere Tangohia ki te Kāinga
- He uaua nui te diaphragm e wehe ana i te uma me te puku, he mea nui hoki mō te manawa.
- Haunga te manawa, he mahi anō tāna pēnei i te āwhina i te nakunaku me te ārai i ngā waikawa o te puku kei uru ki te korokoro.
- Ka pā pea te hernia, te pakaru o ngā io, me ētahi āhuatanga hauora ki te mahi a te diaphragm.
- Ki te pāngia koe e ngā tohu pēnei i te mamae o te puku, te uaua ki te manawa, me te mamae o te uma, kaua e warewaretia.
- He āhuatanga ohorere te mamae o te uma me te uaua ki te manawa e hiahia ana kia rongoatia tonutia. Haere ki te Tari Ohorere (ETU) o te hōhipera tata.
- Ka taea te pupuri i te kaha o te diaphragm mā roto i ngā mahi manawa motuhake me te oranga hauora.
- Mena kei a koe ētahi tohu, me toro atu ki tō tākuta kia whiwhi ai koe i ngā tohutohu me te maimoatanga tika.
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