Kua kī atu tētahi tākuta ki a koe kia mahi i te "ultrasound vascular" me te "mahere vascular" rānei? Kua pokangahia pea koe, kei te dialysis rānei nā te mea kua ngoikore ō whatukuhu. Ahakoa he ahua uaua te ingoa, he whakamātautau tino māmā, kāore he mamae. He tika ake, he "mahere" e whakaatu mārama ana i ngā uaua toto o tō tinana. Nō reira, me kōrero taipitopito tātou mō tēnei.
He aha te Mahere Arterial me te Venous?
Ko te tikanga o tēnei ko te 'Mahere Uaua'. He matawai ultrasound tēnei. Tērā pea kua kite koe i ngā pūrongo matawai a tētahi whaea e hapu ana, ā, koinei tonu te hangarau e whakamahia ana i konei. Ka tangohia e tēnei whakamātautau ngā whakaahua o ō uaua me ō uaua .
Hei whakarāpopototanga:
- He uaua toto nui ngā uaua e kawe ana i te toto ma mai i te ngākau ki ētahi atu wāhanga o te tinana.
- Ko ngā uaua he oko toto e kawe ana i te toto poke mai i ngā wāhanga rerekē o te tinana ki te ngākau.
Nō reira, ko tā tēnei whakamātautau he hanga i tētahi "mahere" o ngā uaua me ngā uaua i roto i tō ringa, i tō waewae rānei, tae atu ki te hauora o ngā uaua me ngā uaua, te tere o te rere o ō rātou toto, mēnā kei te aukatihia i hea, me te rahi. He mea tino nui tēnei mahere ki ngā tākuta, pērā i tētahi pukapuka ārahi.
He aha tātou i hiahia ai ki te mahi i tēnei momo whakamātautau?
E rua ngā take matua e mahia ai tēnei whakamātautau. Ko tētahi hei whakamahere i mua mō ētahi pokanga , ko tētahi hei tātaritanga tika i ētahi mate .
Kia mārama tātou he aha ēnei whai wāhitanga.
| Te wā | He aha te hiranga o te whakamātautau? |
|---|---|
| I mua i te pokanga arai uaua coronary | Ina āraia he oko toto i roto i te ngākau e ngā putunga ngako, me hanga he ara hou (ara ārai) hei karo i taua ara. Ka mahia tēnei mā te tango i tētahi oko toto hauora mai i tētahi atu wāhanga o te tinana (te waewae te nuinga) ka whakatōngia. Nō reira, i mua i tēnei pokanga, he mea nui tēnei mahere hei kimi i te oko toto pai rawa atu, kaha rawa atu, me te hauora rawa atu hei whakatōngia. |
| I mua i te tīmatanga o te maimoatanga dialysis (Dialysis) | Mō te tangata e pāngia ana e te ngoikore o ōna whatukuhu, me tango toto mai i te tinana, me horoi mā te mīhini, kātahi ka whakahokia ki te tinana. Me whai wāhi urunga tere te rere o te toto mō tēnei. Mō tēnei, ka honoa e ngā tākuta he uaua toto me te uaua i roto i tō ringa (he fistula). Nō reira, he tino āwhina tēnei whakamātautau ki te whiriwhiri i te uaua toto me te uaua pai rawa atu, kaha rawa atu mōna. |
| Pokanga Ārai Toto Āpiti | Pērā i te ngākau, ka āraia ngā oko toto i roto i ngā ringa me ngā waewae e ngā putunga ngako. Ka kiia tēnei ko te Peripheral Artery Disease (PAD). Mēnā koinei te āhua, ka mahia te pokanga bypass hei karo i te aukati. Ka mahia hoki tēnei whakamātautau hei kimi i tētahi oko toto hauora. |
| Hei tautuhi i ētahi mate | Ka whakamahia hoki hei tātaritanga i ētahi mate o ngā oko toto. Hei tauira, ka taea e ia te tirotiro i ngā āhuatanga pēnei i te putunga ngako i roto i ngā pakitara o te uaua (atherosclerosis) me ngā toto totoka i roto i ngā uaua (thrombosis uaua hohonu - DVT). |
Ko wai kei te mahi i tēnei whakamātautau?
Ka whakahaerehia tēnei whakamātautau e tētahi tohunga hangarau ultrasound kua whakangungua ki ngā matawai ultrasound. Ko ia te tangata e tango ana i ngā whakaahua e tika ana. Kātahi ka arotakehia e te rata toto ngā whakaahua, ā, ka whakaritea tō pūrongo, ka tukuna atu ki tō tākuta e rongoā ana.
Me pēhea te mahi a tēnei whakamātautau?
He tino māmā noa iho. Ka tukuna e te mīhini ultrasound ngā ngaru oro auau teitei kāore e taea te whakarongo mā roto i ngā kiko o te tinana. Ka pekepeke ngā ngaru oro mai i te tinana, ka pekepeke anō (ngā whakaata). Ka kohia e te mīhini ngā ngaru oro whakaata, ka hurihia hei whakaahua i runga i te mata rorohiko.
Ko te mahere uaua ko te tuku i ēnei ngaru oro ki te wāhi kei reira ō uaua toto. Ka peke atu ēnei ngaru oro i ngā toto whero e haere ana i roto i ngā uaua toto, ka peke atu anō.Ka ine te mīhini i te tere o te rere o te toto, ā, ka hangaia he ahua mārama o ngā uaua toto ki te mata. Ka taea e ia te kite i ngā mea katoa mai i te rahi o ngā uaua toto, tōna āhua, me te tere o te rere o te toto.
Me whakarite e au tetahi mea i mua i te whakamātautau?
Kāo, kāore he whakaritenga motuhake e hiahiatia ana. Ka taea e koe te kai me te inu i te āhua noa.
Engari he iti noa ngā mea hei maumahara māu:
- Me mau koe i te kākahu hōhipera i mua i te whakamātautau.
- Me tango atu e koe ngā whakapaipai katoa e mau ana koe, nō reira he pai ake te waiho i te kāinga mēnā ka taea.
- I te nuinga o te wā ka mahia tēnei whakamātautau i roto i tētahi pokapū whakaahua motuhake i te hōhipera, i te pokapū hauora rānei.
I te nuinga o te wā, ka roa pea tēnei whakamātautau katoa i waenga i te 30 me te 90 meneti .
He aha ngā mea ka tupu i te wā o te whakamātautau?
Kia titiro tātou ki ngā mea e tupu ana i tēnei wā, i ia taahiraa.
1. Tuatahi, me takoto koe ki runga i te tēpu whakamātautau.
2. Muri iho, ka pania e te tohunga hangarau he kirimi wairewa-wai ki te kiri o te wāhi e whakamatautauria ana (ringa, waewae rānei). E kore tēnei kirimi e whara i te kiri, e kore hoki e poke i ngā kākahu.
3. Muri iho, ka tangohia e ia tētahi taputapu iti e kiia nei ko te transducer ka whakatakotoria ki runga i te wāhi kua pania ki te gel, ka nekehia whakamuri, whakamuri. Ka tukuna e tēnei taputapu ngā ngaru oro, ka kohia hoki ngā ngaru e hoki mai ana. I taua wā anō, ka hangaia he whakaahua o ō uaua toto ki runga i te mata rorohiko.
4. Ka puritia e te tohunga hangarau tēnei taputapu ki te kiri kia whiwhi rā anō ia i ngā mōhiohio katoa e hiahiatia ana e ia.
5. He mea nui: Mena kei te whakahaerehia tēnei whakamātautau i mua i te pokanga, ka tohua pea e te tohunga hangarau ētahi wāhi o tō kiri ki te pene . Ka hangaia ēnei tohu hei āwhina i te taote pokanga ki te kimi i te wāhi tika o te uaua toto. Kaua e horoia ēnei tohu i mua i te pokanga mō tetahi take . Mena ka memeha ngā tohu i muri i te kaukau, ka hoatu pea e te taote pokanga he pene ki a koe, ā, ka tono kia pania anō e koe.
He mōrearea kei roto i tēnei?
Kāo. Koinei te mea pai rawa atu mō tēnei whakamātautau. Kāore he pānga kino kino e puta mai i te mahere uaua.
He whakamātautau tino kore mamae, kore mōrearea, ā, he haumaru hoki tēnei. Nō reira, kāore he take e mataku ai.
Kāore he ngira, he tae, he rongoā whakamoe, he tapahi kiri rānei i roto i tō tinana. Kāore he pānga o te irahiko, pērā i ētahi atu matawai, pērā i ngā hihi-X.
Āhea ahau ka whiwhi i te pūrongo?
I muri i te whakamātautau, ka murua e te tohunga hangarau te kirimi i tō kiri. Kātahi ka taea e koe te whakakakahu i ō kākahu, ka hoki ki te kāinga, ka haere rānei ki te mahi. Kāore he wā okiokinga e hiahiatia ana.
Ka arotakehia ō matawai e te tohunga toto, ka whakarite i tētahi pūrongo katoa, ka tukuna atu ki tō tākuta e rongoā ana. I roto i ētahi rā torutoru ka whiwhi tō tākuta i tēnei pūrongo. A te wā ka kite anō koe i a ia, ka whakamāramahia e ia ngā hua ki a koe.
Heoi, i ētahi wā, ki te whakapaetia he mate ohorere, he mate morearea (pēnei i te DVT), ka taea e te tākuta te whakahaere i tēnei whakamātautau i te wā ohorere. Mēnā koinei te āhua, ka taea e koe te mōhio tonu ki ngā hua.
Karere Tangohia ki te Kāinga
- He matawai ultrasound māmā noa iho te Mahere Arterial me te Venous, kāore he mamae, e tirotiro ana i te hauora o ō uaua toto (ngā uaua me ngā uaua).
- Mā tēnei ka hangaia he "mahere" o ō uaua toto, he mea tino nui tēnei mā ngā tākuta ki te whakamahere i ngā pokanga me te tautuhi i ngā mate.
- He mea nui pea tēnei whakamātautau i mua i te tīmatanga o te maimoatanga dialysis, inā koa mō te pokanga bypass ngākau .
- Kāore he mōrearea, he pānga taha, he irahiko rānei e pā ana ki tēnei whakamātautau, nō reira kaua e manukanuka.
- I muri i te whakamātautau, kōrero mārire ki tō tākuta mō ō hua me ngā mahi e whai ake nei. Kaua e mangere ki te pātai atu i ō pātai.
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