I kī koe e hiahia ana koe ki te titiro ki roto i tō uma? Me kōrero tāua mō te mediastinoscopy!

I ētahi wā, ina whakapae ngā tākuta kei te hē tō uma, arā, te wāhi i waenganui i ō pūkahukahu, ka whakahau rātou i tētahi whakamātautau motuhake hei kimi i te āhua o taua mea. Koinei te whakamātautau e kiia nei ko te mediastinoscopy. Tērā pea he ahua rerekē te ingoa, engari i tēnei rā ka kōrero mārama tātou mō ngā mea maha, pērā i te aha e pā ana ki tēnei, te take e mahia ai, me pēhea te mahi, me te mea me wehi koe i tēnei. Mēnā kua kīia atu hoki ki a koe e te tākuta me whai whakamātautau pēnei koe, e tino mōhio ana ahau he mea nui tēnei kōrero ki a koe.

He aha tēnei mahi tātaritanga mata (mediastinoscopy)?

He whakarāpopototanga noa iho, he tikanga pokanga te mediastinoscopy e āhei ai tō tākuta ki te tirotiro pai ake i waenganui o tō uma, te wāhi i waenganui i ō pukahukahu (e kiia nei e mātou ko te mediastinum i te taha hauora) . Kei roto i tēnei wāhi ngā whekau nui pēnei i tō ngākau, tō korokoro , me tō trachea .

Nā, me pēhea tāu titiro ki tēnei? Ka whakamahia e ngā tākuta tētahi taputapu motuhake e kiia nei ko te mediastinoscope . He rite ki tētahi ngongo angiangi. He rama iti kei roto, me tētahi kāmera kei tētahi pito. Ka taea e te tākuta te kite i ngā mea e kitea ana e te kāmera i runga i te aroturuki. Ko tētahi atu āhuatanga motuhake o tēnei taputapu ko te tango i tētahi tauira kiko , i tētahi kōpū lymph (koinei ngā wāhanga o te pūnaha e whawhai ana ki ngā mate i roto i tō tātou tinana), i tētahi atu mea rerekē rānei, pērā i te puku, ka tukuna ki te taiwhanga.

He aha te rerekētanga i waenga i te Mediastinotomy me te Mediastinoscopy?

Kua rongo pea koe i tētahi atu kupu, arā, te mediastinotomy. Ko ēnei tikanga e rua he tirotiro i te wāhi i waenganui o te uma e kiia nei ko te mediastinum, ā, ka tangohia he tauira mai i reira. Ka whakamahia hoki ēnei tikanga e rua hei rapu mēnā kua horapa tētahi mate pēnei i te mate pukupuku.

Engari he rerekētanga iti. I roto i te mediastinotomy, ka hangaia he kōhao iti ki roto tonu i te uma, ko te tikanga ka tapahia he kiri hei hanga i tētahi ara. I roto i te mediastinoscopy, ka hangaia he tapahi iti rawa, ā, ka whakauruhia te ngongo e kiia nei ko te mediastinoscope. Ahakoa ka taea e te taote pokanga te kite i tētahi wāhi nui ake mā te mediastinotomy, he nui ake te tapahi, ā, he roa ake te wā whakaora. I roto i te mediastinoscopy, he iti ake te tapahi, nō reira ka tere ake te whakaora.

He aha i mahia ai te mediastinoscopy?

Tērā pea he maha ngā take e tono ai te tākuta kia mahia tēnei whakamātautau ki a koe.

• Ko te take matua he tirotiro marie mēnā he raruraru kei te wāhi i waenganui i ngā pukahukahu e rua (mediastinum).
• Tangohia ngā kōpū waikura i reira ka tirohia mēnā he mate pukupuku.I ētahi wā ka mahia hoki tēnei hei tirotiro mēnā kua horapa te mate pukupuku mai i tētahi atu wāhi ki ēnei pona lymph.
• Mena he mate pukupuku tōu i roto i ōu pukahukahu, i te repe thymus (he repe iti anō hoki i te uma o runga), i te korokoro rānei, ka taea e tēnei whakamātautau te āwhina ki te whakatau i te kaha, te wāhanga rānei, o te mate pukupuku .
• Ahakoa kāore i te nuinga o te wā, ka taea tēnei te mahi i ētahi wā mēnā kei te whakapae koe he mate kei roto i ō pukahukahu .
• Ka taea hoki e ia te kite i ngā mate pēnei i te lymphoma, te sarcoidosis (he mate e puta ai ngā pupuhi iti i ngā wāhanga rerekē o te tinana), te mesothelioma rānei (he momo mate pukupuku pūkahukahu) .

He tāngata kei reira kāore e hiahia ki te mahi i tēnei whakamātautau?

Āe, kāore e taea e te katoa te mahi i te mediastinoscopy. Tērā pea ētahi tāngata kāore e tika mō tēnei tikanga. Hei tauira:

• Ko te hunga he pukupuku nui rawa tō rātou kāore e taea te mahi pokanga, ā, kāore e taea te tango.
• Te hunga kua oti kē te mahi i te tātaritanga o te puku (mediastinoscopy) i mua (nā te mea ka uaua ake pea i te wā tuarua).
• Ngā tāngata kua whiwhi i te rongoā irahiko ki te uma (nā te mea kua rerekē pea te kiko o taua wāhi).

Mō ēnei take, kei te tākuta te whakatau mēnā he tika tēnei whakamātautau māu.

Ko wai ka mahi i tēnei mediastinoscopy?

Ka mahia tēnei e te taote pokanga manawa, te taote pokanga whānui rānei . Ka mahia hoki i roto i te rūma pokanga . Nā te mea, ki te puta ohorere mai tētahi mea, pērā i te toto nui atu i te mea i whakaarohia, me rite koe ki te haere ki tētahi pokanga nui hei whakahaere i tēnā (arā, he pokanga e tapahi ana i te wheua waenga o te uma - sternotomy , he pokanga rānei e tapahi ana i waenganui i ngā rara - thoracotomy) . Nō reira, ka mahia tēnei i tētahi wāhi kei reira ngā taputapu pēnei.

Me pēhea tāu whakarite mō tēnei?

Kia whakaritea tō wā mō te mediastinoscopy, me whakarite e koe ētahi mea i mua i te rā.

• Me whai koe i ngā whakamātautau ka whakahaua e tō tākuta, tae atu ki te X-ray o te uma, te matawai CT, me te whakamātautau mahi a te pūkahukahu .
• Mena kei te tango koe i ngā rongoā whakaiti toto, tera pea ka kī atu tō tākuta kia mutu te tango i aua rongoā i ētahi rā i mua i te whakamātautau . Pātai atu ki tō tākuta mō ngā tohutohu motuhake.
• Ka tonoa koe kia mutu te kai me te inu mō ētahi haora i mua i te whakamātautau. Ko te tikanga me noho puku kau koe.

Mā tō tākuta, mā tō nēhi rānei ēnei mea katoa e whakamārama ki a koe. He mea tino nui kia whai tika koe i aua tohutohu.

He whakamātautau tēnei i taua rā anō?

Ae, i te nuinga o te wā ka taea e koe te hoki ki te kāinga i te rā kotahi i tō mediastinoscopy (tukanga tūroro) . Engari i mua i tō hokinga ki te kāinga, ka tirohia e tō tākuta mēnā ka taea e koe te mahi i ēnei mea:

• Ka taea e koe te hikoi me te kore he āwhina?
• Ka taea e koe te inu i ngā wai pēnei i te wai ?
• Ka taea e koe te mimi noa?
• Ka taea e koe te whakahaere i tō mamae ? (Arā, kua whakaitihia te mamae e te rongoā e tangohia ana e koe?)

Ki te pai ēnei mea, ka tukua koe e ahau kia hoki ki te kāinga.

Me pēhea te mahi i tēnei mediastinoscopy?

Nā, kia titiro tātou me pēhea te mahi i tēnei whakamātautau taahiraa i te taahiraa.

1. Tuatahi, ka tukuna he rongoā whakamoe whānui ki a koe. Ko te tikanga ka moe rawa koe, ā, kāore koe e rongo i tetahi mea i te wā katoa o te mahi. Ka hoatu tēnei rongoā mā te cannula kua whakanohoia ki roto i te uaua i tō ringa.

2. Kātahi ka whakauruhia he ngongo manawa mā roto i tō korokoro . Ko te tikanga ka mahi te mīhini i tō manawa i te wā o te whakamātautau.

3. Muri iho, ka tapahia e te taote pokanga he tapahi iti rawa, tata ki te inihi te roa, i runga ake i tō uma, i raro iho i tō kaki.

4. Mā roto i taua tapahi , ka whakaurua te taputapu e kiia nei ko te mediastinoscope i kōrerotia ake nei.

5. Kātahi ka āta haria ki te wāhi e hiahia ana koe kia kite.

6. Mā te whakamahi i ngā taputapu iti i runga i te taputapu, ka taea te tango tauira mai i ngā kōpū waikura, i ētahi atu wāhi rānei e āhua rerekē ana te āhua, ka taea rānei te tango katoa i tētahi puku iti.

7. Kia oti te mahi, ka tangohia te mediastinoscope.

8. Taupokina taua motu iti ki te miro rewa, ki te pāreti piri rānei.

9. Kātahi ka whakaarahia koe i te rongoā whakamoe, ā, ka tangohia te ngongo manawa.

Whakaarohia, ka puta ēnei mea katoa i a koe e moe pai ana. Nō reira, kāore koe e rongo i tetahi mea.

Kia pēhea te roa o tēnei?

E tata ana ki te haora te roa o te mahi i te mediastinoscopy. Heoi, i ētahi wā ka roa ake te wā mena me tirotiro hohonu ake te tākuta, me tango atu i ētahi atu tauira, me puta rānei he raruraru ohorere (pēnei i te toto) ā, me pokanga nui, pērā i te sternotomy, te thoracotomy rānei kua whakahuatia ake nei, hei whakahaere i tēnei.

He aha te roa o te wā whakaora i muri i te whakamātautau?

Ka hiamoe tonu koe mō ētahi haora i muri i tō oho ake i te rongoā whakamoe.He mea noa tēnei. Mēnā kāore koe i te tino mamae i muri i te whakamātautau, ka taea e tētahi mema o te whānau, e tētahi hoa rānei te taraiwa i a koe ki te kāinga. Kāore e taea e koe te taraiwa i taua rā nā te mea kei raro koe i te rongoā whakamoe.

Ka paku mārō tō waha me tō korokoro mō ētahi haora. Nā te ngongo manawa tēnei. Hei haumaru mōu, kāore ngā tākuta e tuku i a koe kia kai, kia inu rānei kia memeha ra ano te mārō. I te aonga ake, tera pea ka maremare koe, ka pāorooro, ka mamae te korokoro, me te mamae hoki i te wāhi i tapahia . Ka memeha haere ēnei i roto i ētahi rā.

I ētahi wā, i muri i te whakamātautau, ka whiwhi pea koe i tētahi hihi-X o tō uma hei tirotiro kāore he raruraru ki ō pukahukahu.

He mamae tēnei?

Ae, tera pea he mamae i te wāhi i mahia ai te whakamātautau. Nō reira me tango e koe he rongoā mamae mō ētahi rā. Mā te tākuta e tohu te rongoā e tika ana māu. Ki te tangohia e koe te rongoā i te wā tika, ka taea te whakahaere i te mamae ki te whānuitanga nui.

He aha ngā mōrearea?

I te nuinga o te wā, kāore he raruraru nui e puta mai i te mediastinoscopy. Heoi, he tino onge, ka pāngia ētahi tāngata e ēnei e whai ake nei:

• Te niumōnia (te mate o ngā pukahukahu).
• Pneumothorax (he pukahukahu e kī ana i te hau, ā, ka iti iho i te mea noa. Tērā pea me whakauru he ngongo iti hei tango i te hau.)
• Te toto. (He iti noa iho te nuinga o te wā, engari he onge noa iho te toto e hiahiatia ana kia pokangahia.)
• Patunga pangia.

Ki te kōrero tātou mō te mōrearea o te mate i tēnei take, he iti noa iho, tata ki te 0.09 ōrau. Ko te tikanga he iti iho i te kotahi i roto i te tekau mano tāngata e whai wāhi ana ki tēnei whakamātautau (tata ki te iwa i roto i te tekau mano) he tino mōrearea. Nō reira, kāore he mea hei manukanuka. Heoi, nā te mea he iti noa te mōrearea o tētahi pokanga, he mea pai kia mōhio ki tēnā.

He aha te raruraru tino noa?

He raruraru noa ake te toto i ētahi atu raruraru, engari he maha ngā wā ka taea te whakahaere.

He aha te āhua o ngā hua? He aha tā rātou e kī mai ana ki a tātou?

Mā ngā mōhiohio ka riro mai i muri i te tango i te tauira koiora i te wā o tō mediastinoscopy ka tukuna ki te taiwhanga hei whakamātautau māu ka āwhina i tō tākuta ki te whakatau i te taumata o tō matepukupuku. Ko te taumata o tō matepukupuku ko te rahi o te pukupuku me te mea kua horapa ki ngā rohe tata, ki ngā rohe tawhiti rānei. Mā ēnei mōhiohio ka āwhina i tō tākuta ki te whakatau ko tēhea te maimoatanga pai mōu.

Kia pēhea te roa ka mōhiotia ai ngā hua?

E hia pea ngā rā ka roa hei tātaritanga i ngā tauira kiko i roto i te taiwhanga.Kātahi, ki te whakaūtia kei a koe te mate pukupuku, ka hiahia te tākuta ki te wā anō hei waihanga i tētahi mahere maimoatanga e pai ana mōu i runga i aua hua. Nō reira, me manawanui koe kia tae rā anō ki te putanga mai o ngā hua.

Āhea koe me waea atu ki te tākuta?

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i tō hokinga ki te kāinga, waea atu ki tō tākuta tonu atu, haere rānei ki te hōhipera tata.

• Mena ka piki ake te mamae o te uma, ka puta mai rānei he mamae hou o te uma.
• Ki te pāngia koe e te kirika kino.
• Ki te uaua te manawa, ki te rite ki te kirika.
• Mena he whero rawa te wāhi i tapahia, he pupuhi, ā, kei te puta mai he palu.

Kaua e warewarehia ngā mea pēnei.

Nā, he aha ngā mea tino nui hei maumahara mā tātou i tēnei?

Āe, ki taku whakaaro kua mārama ake koe inaianei ki te mahi tātaritanga i kōrerohia e tātou i tēnei rā.

Kia maumahara, he whakamātautau haumaru tēnei i te nuinga o te wā. Ka whakahaua tēnei e te tākuta kia mārama ai koe ki tō āhua, ā, kia hoatu ai hoki ki a koe te maimoatanga pai rawa atu e hiahiatia ana e koe.

Mena he pātai, he āwangawanga rānei āu mō tēnei mea, kaua e wehi ki te kōrero ki tō tākuta. Mā rātou e whakamārama ngā mea katoa ki a koe. Ko te mea nui ko te whai i ngā tohutohu a te tākuta kia tika. Kātahi ka pai ngā mea katoa. Kia tere tō ora!

` Mediastinoscopy, Whakamātautau pūkahukahu, Pokanga uma, Ngā kōpū lymph, Te tautuhi mate pukupuku, Ngā mate manawa