He mea noa te mataku me te manukanuka ina kī atu tō tākuta kia "tangohia he wāhanga iti o tō ate hei whakamātautau" (Liver Biopsy). Ko wai kāore e pai ki te whakarongo ki ngā kupu "wero i te ngira," tika? Engari ehara tēnei i te mea whakamataku pērā i tā tātou e whakaaro nei. Mā tēnei ka āwhina i a koe ki te kimi i te āhua o te mate o tō ate. Nō reira, me kōrero tātou mō tēnei mai i te tīmatanga.
He aha te koiora ate?
He whakarāpopototanga noa iho, he tikanga te tango i tētahi wāhanga kiko iti rawa (tauira kiko) mai i tō ate mā te whakamahi i tētahi ngira motuhake. Kātahi ka tirohia tēnei tauira kiko i raro i te karuārai kiko e tētahi tākuta tohunga ki ngā kiko, e kiia nei ko te tohunga mate. Mā tēnei whakamātautau ka āwhina i te tautuhi i te momo mate o tō ate.
I te nuinga o te wā, ka whakamoea katoatia koe, arā, kāore koe e tukua kia moe. Heoi, ki te mea kei te manukanuka koe, kei te manukanuka rānei, ka hoatu pea he rongoā whakamoe (he rongoā whakangāwari) hei āwhina i a koe kia marino. Mā tēnei ka taea e koe te mahi i tēnei me te kore e tino māharahara.
He aha koe me whai koiora ate ai?
He maha ngā take ka tukuna pea koe e te tākuta mō tēnei whakamātautau.
- Mena ka whakaatuhia e ngā hua o te whakamātautau toto he nui tonu ngā whākōkī ate e kore e ōrite te teitei.
- Mena kua kōwhai tō kiri, kāore he take e kitea ana, ko te tikanga he jaundice tōu.
- Mena ka kitea he hapa i roto i tō ate i te matawai o te ultrasound, CT scan rānei, pērā i te pukupuku,
- Mena kua pupuhi te ate, kua rahi hoki, kāore he take.
Ka taea e tēnei whakamātautau te tautuhi tika i ētahi mate e pā ana ki te ate. Hei tauira:
- Matepukupuku ate
- Mate ate momona
- Tirohia te kino o ngā mate pēnei i te Hepatitis B me te C
- Tirohia mēnā kua pāngia te ate e te cirrhosis, ā, mēnā kua pāngia, ki tehea whānuitanga.
Waihoki, mēnā kei te whiwhi maimoatanga kē tetahi mō te mate ate, ka taea e tēnei whakamātautau koiora te āwhina ki te whakatau mēnā kei te angitu te maimoatanga.
He tino mamae tēnei?
Koinei te pātai nui rawa atu kei roto i te hinengaro o te katoa. He mea noa te whakaaro ki te mamae ina rongo koe i te kupu "te wero i te ngira me te tango i tētahi wahi." Engari ko te pono, kāore koe e rongo i te mamae ina werohia te ngira koiora ki roto i te ate.
Ka werohia tuatahitia e te tākuta he rongoā whakamoe ā-rohe ki te wāhi kiri e werohia ana te ngira. He rite tēnei ki te whakangāwari i ngā kapia i mua i te tangohanga o te niho. Tērā pea ka pāngia koe e te wera iti i te wā e werohia ana, engari ka tino ngāwari te wāhi i roto i te meneti. Kātahi, ina werohia te ngira koiora, ka pāngia koe e te pēhanga iti, ehara i te mamae.
He aha ngā tikanga hei whakahaere i te koiora ate?
He maha ngā huarahi hei mahi i te koiora ate. Mā tō tākuta e whakatau ko tēhea te tikanga e pai ana mō tō āhuatanga.
| Tikanga koiora | Me pēhea te mahi i te mea ngāwari noa iho |
|---|---|
| Te Kohikohi Kiri-ā-Kiri | Koinei te tikanga e whakamahia whānuitia ana, ā, ko te tikanga māmā rawa atu hoki. Whai muri i te whakangāwari i te kiri, ka werohia he ngira mā te kiri o te puku ki roto i te ate, kātahi ka tangohia he wahi kiko. |
| Biopsy kua monokia | Pērā anō i runga ake nei, engari i muri i te tangohanga o te kiko, ka purua te ngira ki tētahi kirimi motuhake. Ka whakamahia tēnei tikanga mō te hunga e tino mōrearea ana ki te toto. |
| Te koiora Laparoscopic | Ka tapahia he kōhao iti rawa ki te puku, ā, ka whakaurua he ngongo me te kāmera (laparoscope). Ka tirohia te ate e te kāmera, ka tangohia he kiko mai i te wāhi e hiahiatia ana. Ka whakamoea katoatia koe mō tēnei. |
| Te Kohikohi ira-ā-uaua / ira-ā-huka | Ka whakamahia tēnei tikanga mō te hunga he raruraru toto totoka. Ka tukuna he ngongo tino angiangi (catheter) mā roto i tētahi oko toto nui i te kaki (uaua jugular) ki roto i te ate, ā, ka tukuna he ngira koiora mā roto i taua ngongo hei tango i tētahi wahi kiko. |
Me pēhea taku whakarite i mua i te mahi koiora?
He iti noa ngā mea me mahi e koe i mua i tēnei whakamātautau. He mea tino nui kia tino whai koe i ēnei.
- Kōrerotia ngā mea katoa ki tō tākuta: Mena kei te hapu koe, he mate manawa, he mate pūkahukahu rānei, he mate pāwera koe ki ētahi rongoā, he raru toto rānei, me kōrero wawe atu.
- Kōrero mai ki a mātou mō ngā rongoā katoa e tangohia ana e koe:Kōrerotia ki tō tākuta ngā rongoā katoa, ngā huaora, me ngā tāpiringa e tangohia ana e koe. He mea nui rawa kia kōrerotia ki tō tākuta mēnā kei te tango koe i ngā rongoā whakaiti toto, pērā i te aspirin, clopidogrel (Plavix), warfarin (Coumadin), apixaban (Eliquis) rānei . Tērā pea ka tono atu tō tākuta kia mutu te tango i ēnei rongoā i ētahi rā i mua i te tangohanga toto.
- Pātai atu: Kōrero ki tō tākuta mō ngā pātai, ngā āwangawanga rānei e pā ana ki tēnei mea.
- Te whakamutu i te kai me te inu: Mā tō tākuta koe e kī atu kia hia ngā hāora i mua i te tangohanga o te kopa me mutu te kai me te inu. Me whai i taua wā kia tika.
- He tangata hei taraiwa i a koe ki te kāinga: Nā te mea kāore e taea e koe te taraiwa i a koe anō i muri i te kohi kiko, me kawe mai he tangata hei taraiwa i a koe ki te kāinga.
He aha ngā mea ka tupu i te rā o te koiora?
Ko te tikanga o tēnei tukanga he pēnei.
I mua i te koiora
Ka whakamārama anō te tākuta i te tukanga katoa ki a koe, ka kōrero atu ki a koe mō ngā raruraru pea, ā, ka tono whakaaetanga mai. Mēnā e tika ana, ka hoatu e rātou he rongoā whakamoe hei āwhina i a koe kia marino. Tērā pea ka whakahaerehia e rātou he tirotiro ultrasound hei kimi i te wāhi tika hei whakauru i te ngira.
Ina oti te mahi i te koiora
Ka hoatu he kākahu hōhipera ki a koe, ā, ka tonoa koe kia takoto ki runga i te moenga. He maha ngā wā, ka tonoa koe kia takoto me tō ringa matau i raro i tō mahunga, me tō tuke matau ki waho. He mea nui kia noho tūpato tonu koe i tēnei wā. Ka horoia e te tākuta te wāhi, ka hoatu he rongoā whakangoikore, ka tapahia he wahi iti, ka whakauruhia he ngira koiora, ā, i roto i ētahi hēkona, ka tangohia he wahi kiko. Tata ki te 15-30 meneti te roa o te tukanga katoa.
I muri i te koiora
Kātahi ka puritia koe ki te rūma whakaora mō te 2-4 hāora hei tirotiro mēnā he noa tō toto toto me tō pātaki manawa.
- Tērā pea ka pāngia koe e te mamae iti i te wāhi i werohia ai, me te mamae anō hoki i tō pakihiwi, i tō tuara rānei. Ka hoatu he rongoā whakamamae mēnā e tika ana.
- Kaua e hiki i ngā taumaha, kaua hoki e mahi i ngā mahi whakakori tinana uaua mō te wiki i muri i te tango i te kopa.
- Kaua e tango i ngā rongoā whakaiti toto pēnei i te aspirin me te kore he tohutohu a tō tākuta. Ka taea e koe te tango i te paracetamol (acetaminophen) mēnā e tika ana.
- Mā te tākuta e whakamārama ki a koe ina tae mai tāu pūrongo whakamātautau i roto i ētahi rā.
He tūponotanga kei roto i tēnei?
I te nuinga o te wā, kāore he raruraru. Heoi, he mea pai kia mōhio ki ngā āhuatanga tino onge ka puta.
- Te toto: Tērā pea kei roto koe i te toto. Ka tirotirohia koe i te hōhipera hei tirotiro mō tēnei.
- Te turuturu o te au: Ka turuturu te au mai i te ate, i te pūkahukahu rānei.
- Ngā raruraru e pā ana ki te pūkahukahu:He tino onge te pānga o te ngira koiora ki te pleura, ka pakaru ai te pukahukahu (pneumothorax).
Ki te puta mai ēnei tohu, waea atu ki tō tākuta tonu atu, haere rānei ki te ETU.
Mena ka puta tētahi o ngā tohu e whai ake nei i roto i ngā haora 72 o te tangohanga o te kiko, waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
- Te kirika, te makariri rānei
- Pōuriuri
- Te uaua ki te manawa
- Mamae o te uma
- Te pupuhi o te puku, te kī tonu rānei
- Te whakanui ake i te mamae o te puku
- Te whero, te pupuhi, me te mamae nui i te wāhi i werohia ai
Ki te mamae tō uma, ki te uaua rānei te manawa, waea atu ki te 1990 tonu atu.
Karere Tangohia ki te Kāinga
- He tino haumaru te Biopsy Ate, he whakamātautau e mahia whānuitia ana hei aromatawai tika i te hauora o tō ate.
- Nā te mea kua ngenge te kiri ina mahi koe i tēnei, kāore e tino mamae pērā i tō whakaaro. Ka rongo noa koe i te ngau kino.
- He mea tino nui kia whai i ngā tohutohu a te tākuta i mua atu, i muri mai hoki i te whakamātautau, kia haumaru ai koe.
- Ki te puta mai ētahi tohu rerekē (te kirika, te mamae nui, te uaua ki te manawa) i muri i te whakamātautau, me rapu tohutohu hauora tonu.
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