Ko tō repe adrenal te take o tō toto toto tiketike? Me kōrero tātou mō te Adrenal Venous Sampling (AVS)!

He toto toto tiketike tōu? Tērā pea kei te raru koe ki te whakahaere i tō toto toto ahakoa kua tangohia e koe ētahi rongoā kua tohua e tō tākuta. I ēnei wā, tera pea nā te huringa o te mahi a ngā repe iti e rua i roto i tō tinana. I tēnei rā, e kōrero ana tātou mō tētahi whakamātautau motuhake e kiia nei ko te Adrenal Venous Sampling, ko te AVS rānei, he whakamātautau hei āwhina i a koe ki te kimi i te take o tō toto toto.

He aha te Tātaritanga Uaua Adrenal (AVS)?

He whakarāpopototanga noa iho, he whakamātautau AVS e tirotiro ana mēnā kei te nui rawa te homoni e whakaputaina ana e tētahi, e rua rānei o ō repe adrenal. Kei runga ake i ō tātou whatukuhu ēnei repe, pērā i ngā potae e rua.

Ko tētahi homoni nui e whakaputaina ana e ēnei repe ko te aldosterone . He mea tino nui tēnei homoni mō te pupuri i te taurite o te toto toto me ngā electrolytes i roto i te tinana. Heoi, ki te nui rawa te whakaputanga o tēnei homoni aldosterone, ka piki ake tō toto toto, ā, ka heke iho hoki ngā taumata pāhare pāporo i roto i te toto.

I roto i te whakamātautau AVS, ka werohia e te tohunga hihi-X tētahi tae motuhake ki roto i ngā uaua e hono ana i ō repe adrenal, ā, ka tangohia e ia ētahi tauira toto e rua mai i aua uaua. Kātahi ka whakamatautauria ēnei tauira toto e rua kia kitea ai mēnā kei te ahu mai te aldosterone i te repe matau, i te repe maui rānei, i ngā mea e rua rānei. Ka whakamahia e tō tākuta ēnei hua hei whakatau i te maimoatanga ka hoatu e koe i muri mai.

He aha koe me mahi ai i tēnei whakamātautau AVS?

He maha ngā wā ka tūtohutia tēnei whakamātautau ina whakapaetia kei a koe tētahi āhuatanga e kiia nei ko te Aldosteronism Tuatahi (Conn's Syndrome) , he āhuatanga e puta mai ana i te nui rawa o te homoni aldosterone.

Mā tēnei, ina mōhio koe ki te wāhi tika o te raruraru, ka māmā ake te whakatau i te maimoatanga. I ētahi wā ka whakamahia hoki tēnei whakamātautau hei kite i ngā āhuatanga pēnei i te pheochromocytoma, he pukupuku onge e puta ana i roto i te repe adrenal.

Me pēhea taku whakarite mō tēnei whakamātautau?

He tikanga ā-waho te AVS e mahia ana i roto i te hōhipera, i te rūma pokanga rānei. Ka ara ake koe i te wā e mahia ana, engari kāore koe e mamae. Nā te mea ka mahia mā te whakamahi i te rongoā whakamoe ā-rohe, me ētahi wā he rongoā whakamoe hei whakamarie i a koe, hei whakamoe māmā hoki i a koe.

Ki te hoatu he rongoā whakamoe māmā ki a koe, he mea nui kia tae mai tētahi hei kawe i a koe ki te kāinga i muri i te whakamātautau.

Waihoki, ka tono pea tō tākuta kia mutu te tango i ētahi rongoā i ētahi rā i mua i te whakamātautau. Nō reira, me whakamōhio atu ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe. Me nohopuku koe i te ata o te whakamātautau.

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

I te wā o te whakamātautau, ka puta tetahi mea penei:

• Tuatahi, ka whakanohoia he cannula (raina IV) ki roto i tētahi uaua i tō ringa, hei hoatutanga i tētahi rongoā hei whakaoho i ō repe adrenal. Mēnā ka hoatu he rongoā hei whakamarie i a koe, ka hoatu hoki mā roto i tēnei.
• Kātahi ka whakangāwaritia te rohe o tō hope e whakaurua ana te catheter (ngongo angiangi) kia kore ai koe e mamae.
• Ka tapahia e te tohunga he wahi iti ki te kiri o te hope, kātahi ka whakaurua te catheter mā roto. Ka whakamahia he matawai ultrasound hei kimi i te uaua tika.
• Muri iho, ka werohia he wai motuhake (he rauemi whakawhiti) mā roto i tēnei catheter, ā, mā te āwhina o te hihi-X, ka arahina te catheter ki ngā uaua o ō repe adrenal.
• Kia kitea te uaua, ka tangohia he tauira toto iti mai i ngā uaua adrenal matau me maui.
• Hei whakamutunga, ka tangohia te catheter, ā, ka whakatakotoria he takai ki runga i te tapahi.

He mamae tēnei?

Kāo, kāore e mamae. Kāore koe e rongo i te mamae nā te mea he ngoikore. E ai ki ētahi, ina puta te wai motuhake i roto i ngā uaua, he rite ki te wera iti. Engari ka memeha haere i roto i ētahi hēkona.

He aha tā ngā hua e kī ana?

I muri i te tukunga o te tauira toto ki te taiwhanga me te whakamātautau, ka taea e tō tākuta te kī atu ki a koe kei hea te raruraru.

• Mena kotahi anake te repe adrenal e whakaputa ana i te nui rawa o te aldosterone, ka tūtohutia pea kia tangohia taua repe i te pokanga (adrenalectomy).
• Mena he nui rawa te aldosterone e whakaputaina ana e ngā repe e rua , ko te rongoā te maimoatanga pai rawa atu.

Ka whakawhirinaki tō mahere maimoatanga katoa ki tēnei hua.

He aha ngā mōrearea o tēnei whakamātautau?

He whakamātautau haumaru, he whakamātautau angitu hoki te AVS, engari, pērā i ngā tikanga hauora katoa, he iti noa ngā mōrearea.

Te wā whakaora me te wā hei toro atu ki te tākuta

Tērā pea ka roa ētahi rā kia tino ora ai koe i te whakamātautau AVS. He mea nui kia nui te okiokinga i tēnei wā. Ki te hoki wawe koe ki ō mahi o ia rā, ka puta pea ngā raruraru pēnei i te toto mai i te wāhi i tapahia ai.

Ka tohutohu pea tō tākuta kia karohia e koe ngā mea e whai ake nei mō te toru rā pea:

• Te taraiwa.
• Te whakahaere i ngā mīhini taumaha.
• Te hiki taumaha.
• Te whakakorikori tinana, te mahi uaua rānei.
• Ngā mea pēnei i te tomo ki te kaukau, te kaukau, me ētahi atu.
• Te hainatanga i ngā tuhinga ture (nā te rongoā e meinga ai koe kia hiamoe).

Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu.

Mena ka puta mai tētahi o ngā tohu e whai ake nei i muri i te whakamātautau, me whakamōhio wawe atu ki tō tākuta.

• Te toto e puta mai ana i te motu i te hope.
• Mena kei te kino haere te mamae.
• Te kirika.
• Whakapairuaki, ruaki rānei.

Ahakoa te āhua uaua o te whakamātautau AVS ki a koe, koinei te huarahi pai ki te mōhio mēnā ko ō repe adrenal te take o tō toto toto tiketike. Nō reira, kia tuwhera ki tō tākuta ngā pātai, ngā āwangawanga, ngā ruarua rānei e pā ana ki tēnei.