Whakaarohia kei te toto tonu tetahi oko toto i roto i tō tinana, kei te nui haere rānei tetahi uaua e tuku toto ana ki te pukupuku i ia rā, i ia rā. I mua, me mahi he pokanga nui me te tapahi i te wāhi hei rongoā mō tēnei momo mea. Engari ināianei, nā te mea kua whanake haere te pūtaiao hauora , kei reira tētahi tikanga whakamiharo e taea ai e koe te tomo ki roto i te tinana mā roto i tētahi kōhao iti, ka 'ārai' i taua oko toto anake. I tēnei rā, e kōrero ana tātou mō tēnei tikanga maimoatanga e kiia nei ko te Embolization, he tikanga kāore anō kia rangona e te tini o te tangata, engari he mea tino nui.
He aha te tikanga o te embolization?
He tikanga hauora iti noa te whakaekenga o te embolization. Ko te tikanga he aukati, he kati rānei i tētahi oko toto motuhake i roto i te tinana. Whakaarohia ka makahia e tātou tētahi mea ki roto i tētahi paipa wai hei aukati i te rere o te wai. Āe, koinei te mea e tupu ana i konei.
He maimoatanga kua whakaritea i mua i ētahi wā tēnei. Arā, he mea ka mahia e te tākuta i muri i te tirotiro i a koe me te whakamahi i tētahi rārangi wā. Engari i ētahi wā, pērā i te wā ohorere, me mahi pea tēnei hei maimoatanga ohorere hei aukati i te toto nui.
He aha te āwhina ka riro mai i a tātou mai i te embolization?
Mā tēnei tikanga maimoatanga, ka taea e tātou te whiwhi otinga rangitahi, pumau rānei mō ngā raruraru maha o tō tātou tinana. Ko te hua nui o tēnei ko:
- Te wetewete i ngā oko toto e hono rerekē ana: I ētahi wā ka taea e ngā uaua toto me ngā uaua o te tinana te hono rerekē. Mā tēnei tikanga ka kati aua hononga raruraru.
- Te tapahi i te rere o te toto ki ngā pukupuku: Ina āraia ngā oko toto e tuku ana i ngā pukupuku matepukupuku me ētahi atu tipu rerekē, ka ngaro ngā matūkai i ngā pukupuku. Tērā pea ka mimiti, ka mutu rānei te tipu.
- Te aukati, te aukati rānei i te toto nui: He huarahi tino whai hua tēnei hei aukati i te toto nui, i roto, i waho rānei o te tinana.
He aha ngā āhuatanga e rongoatia ana e te embolization?
E whakamahia ana tēnei maimoatanga mō te whānuitanga o ngā āhuatanga ka pā ki te nuinga o ngā wāhanga o te tinana. Ka taea e koe te tiki whakaaro pai mōna mai i te ripanga i raro nei.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Ngā hononga rerekē o ngā uaua me ngā uaua (Arteriovenous malformations - AVM) | Ka raranga ngā uaua toto (ngā uaua toto me ngā uaua toto). Ka puta pea ēnei i roto i te roro, i tētahi atu wāhi rānei o te tinana. |
| Ngā aneurysms roro | He ngoikore te pakitara o te uaua toto i roto i te roro, ka pupuhi pērā i te poihau. He tino morearea tēnei mēnā ka pahū. |
| Ngā pukupuku toto me ētahi atu pukupuku | Ka toto te toto i ētahi mate pukupuku me ngā pukupuku. Ka whakahaerea te toto mā te kati i te uaua toto e tuku ana i te toto. |
| Te toto ihu auau (Epistaxis) | Te toto ihu nui, auau hoki, e kore nei e taea te whakahaere e ētahi atu maimoatanga. |
| Te toto o te puku | Te toto e puta mai ana i ngā āhuatanga pēnei i te mate puku, te diverticulosis rānei. |
| Te toto nui o te paheketanga | Te toto toto nui me te roa o te paheketanga i roto i ngā wāhine. |
| Ngā fibroids kōpū | He pukupuku kore-matepukupuku ēnei. Mā te aukati i ngā oko toto e tuku ana i aua oko ka whakaiti i ngā pukupuku. |
| Te toto o roto nā ngā aituā | Hei whakamutu i te toto i puta mai i ngā whara ki ngā whekau pēnei i te whēkau, te ate, me ngā pukahukahu. |
| Te pupuhi o ngā uaua i roto i ngā testicle (Varicocele) | He āhuatanga e pupuhi ai, e mamae ai hoki ngā uaua huri noa i ngā raho o ngā tāne. |
He pēhea te mahi a tēnei maimoatanga? Nā wai te mahi?
Ka mahia tēnei maimoatanga e tētahi Kaimātai Irirangi Wawao . Arā, he tohunga e whakamahi ana i ngā hangarau matawai pēnei i ngā hihi-X hei tiro i roto i te tinana, ā, ka whakauru i ngā taputapu tino ngawari ki roto i te tinana hei mahi maimoatanga me te kore e hiahiatia he pokanga nui.
Ki te kī ngāwari, ka hangaia e ia he kōhao iti rawa ki roto i tō kiri, pērā i tō ringaringa, tō hope, tō kaki rānei. Kātahi, mā roto i taua kōhao, ka mirohia he ngongo angiangi, ngāwari hoki e kiia nei ko te catheter mā roto i te uaua toto ki te wāhi e hiahia ana kia rongoatia. Ka mahia katoatia tēnei i raro i te arataki a te mata rite ki te hihi-X. Kia tika te arotahi, ka werohia ngā matū motuhake (ngā kaiāwhina embolic) mā roto i te catheter hei hiri i te uaua toto.
He aha ngā rongoā embolic e whakamahia ana hei aukati i ngā oko toto?
Ka rerekē te rauemi e whakamahia ana i runga i tō āhua hauora me te āhua o te uaua toto e tika ana kia kati.
- Poihau: He poihau tino iti ka taea te pupuhi ka whakauru ki roto i te uaua toto. Ka whakamahia ēnei hei kati i te uaua mō te wā poto, mō te wā roa rānei.
- Pahuka tīratini: He mea rite ki te hautai ka memeha i roto i te tinana i roto i ētahi rā.
- Kāpia wai: He momo kāpia motuhake e tere whakapakeke ana, ā, e whakamahia ana hei hiri i ngā oko toto rerekē.
- Ngā porowhita whakarewa: He porowhita waea tino angiangi i hangaia ki te maitai kore waikura me te konukawata. Ka taea te whakanoho tika i ēnei hei aukati i te uaua.
- Ngā matūriki: He matūriki porowhita o ngā rahi rerekē. Ka ārai tūturu ēnei i ngā oko toto iti.
He aha ngā mea ka tupu i te wā e rongoatia ana, ā, i muri hoki i te rongoā?
Me aha ahau i mua i te maimoatanga?
Tērā pea ka tonoa e tō tākuta ētahi matawai, pērā i te ultrasound, te CT scan, te MRI rānei , kia pai ake ai te mārama ki ō uaua toto me te rere o te toto i mua i te maimoatanga. Waihoki, ki te mea kei te tango koe i ētahi rongoā, pērā i ngā rongoā whakaiti toto , ka tonoa pea koe kia mutu te tango i aua rongoā i ētahi rā i mua i te maimoatanga.
He aha ngā mea ka tupu i te wā e rongoatia ana?
1. Tuatahi, ka hoatu he rongoā whakamoe mārie ki a koe hei whakamoe mārire i a koe. Kātahi ka whakangāwarihia te wāhi e whakaurua ai te catheter.
2. Kātahi ka tapahia e te tohunga he kiri iti ki te ringa, ki te hope, ki te kaki rānei.
3. Ka whakaurua te katitere ki roto i te oko toto mā roto i taua kōhao, ā, ka arahina ki te wāhi e hiahiatia ana mō te maimoatanga, mā te whakamahi i te hangarau hihi-X e kiia nei ko te fluoroscopy .
4. Hei kite mārama i ngā oko toto me te rere o te toto, ka werohia he tae motuhake (tae rerekē) mā te catheter.
5. Kātahi ka werohia te kaiāwhina toto i kōrerotia e tātou i mua ake nei (he mea pēnei i te koiri waea, te kapia, ngā matūriki) ā, ka whakaūtia te toto.
6. Kia oti te tikanga, ka tangohia te catheter, ā, ka tāpirihia he takai iti ki te wāhi i werohia. Kāore e hiahiatia he tapahi nui, he tuitui rānei.
Kāore koe e tino mamae i te wā e rongoatia ana. Tērā pea ka paku mākūkū koe ina werohia te rongoā whakangoikore. Tērā pea ka paku mahana koe ina uru te tae ki roto i tō tinana.
Ngā painga me ngā mōrearea o te maimoatanga embolization
He aha ngā painga o tēnei maimoatanga?
He nui ake te whai hua o te maimoatanga embolization i te pokanga tuwhera noa.
- Ka taea te whakahaere wawe i te toto, ā, ka tino angitu te maimoatanga.
- He iti ake te pānga ki te tinana i te pokanga tuwhera. He kōhao iti, kaua he tapahi nui, nō reira he iti noa te toto e puta.
- He poto te wā whakaora, ā, ka taea e te nuinga o te tangata te hoki anō ki ā rātou mahi o ia rā i roto i te wiki .
- He poto te wā e noho ana i te hōhipera.
He tūponotanga kei roto i tēnei maimoatanga?
Pērā i ngā maimoatanga hauora katoa, kei reira ētahi mōrearea. Heoi, kāore pea ēnei e puta. Mā tō tākuta ēnei mea katoa e whakamārama ki a koe i mua i te wā.
| mōrearea pea | He whakamārama māmā |
|---|---|
| Mate pāwera ki te tae | Tērā pea ka pāwera ētahi tāngata ki te tae rerekē e whakamahia ana i te wā e maimoatanga ana. |
| Te toto, te maru rānei i te wāhi i werohia ai | Tērā pea ka puta he toto, he maru rānei i te wāhi i werohia ai te catheter. |
| Te haere o te kaihoko embolic ki te wāhi hē | He tino onge te pakaru o te rauemi e whakamahia ana hei hiri i te uaua toto ka haere ki tētahi atu wāhi. |
| Ngā mate urutā | Pērā i ngā tikanga hauora katoa, he iti noa te mōrearea o te pangia. |
| Te pakaru o te io (Neuropathy) | He iti noa te tūponotanga ka pakaru tetahi io e tata ana ki te wāhi e rongoatia ana. |
| Te whiu, te matapo rānei | Mena ka uru he matū embolic ki roto i te oko toto i roto i te roro i te wā e rongoatia ana te mahunga, he tino onge pea te puta o te whiu, te ngoikore rānei o te tirohanga. |
He aha ngā mea me aro atu koe i te wā whakaora?
He maha ngā wā ka noho koe ki te hōhipera mō te pō kotahi pea i muri i te maimoatanga. I tēnei wā, ka hoatu he rongoā whakamamae ki a koe.
Kia tae koe ki te kāinga, me okioki pai koe mō ētahi rā, me te whakawhāiti hoki i ngā mahi ā-tinana.
- Mena he wero tō hope: Whakaitihia ō mahi pēnei i te piki me te heke i ngā arawhata.
- Mena he wero tō ringaringa: Kati te mahi i ngā mahi uaua pēnei i te tuhituhi me te patopato mō ētahi rā.
Me karo rawa i ngā mahi taumaha pēnei i te hiki taumaha. Heoi, mā te hikoi poto i ia rā ka āwhina i te ārai i ngā raruraru pēnei i te toto totoka. He mea nui anō hoki te pania o te huka ki te wāhi i werohia hei whakaiti i te pupuhi me te pupuri i te ma o te patunga.
Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu!
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te hokinga mai i te maimoatanga ki te kāinga, me whakamōhio tonu koe ki tō tākuta . Mēnā he āhuatanga ohorere, haere ki te Tari Ohorere (ETU) o te hōhipera tata.
| Ngā tohu whakatūpato hei tirotiro māu | |
|---|---|
| Ngā tohu o te mate urutā | Te kirika, te whero, te mahana rānei i te wāhi i rongoatia. |
| Ngā tohu o te toto totoka | Te whero, te pupuhi, te mamae rānei i te hope, i te waewae rānei. |
| Te toto nui | Te toto e kore e taea te aukati mai i te wāhi i werohia ai. |
| Te uaua ki te manawa | Te uaua ohorere ki te manawa. |
| He puku i hangaia ai te werohanga | He puku mamae, he puku tere rānei e tupu tata ana ki te wāhi i werohia ai. |
| Whakapairuaki me te ruaki tonu | Whakapairuaki me te ruaki ā tae noa ki te wāhi kāore e taea te pupuri i te kai, i te inu rānei. |
Karere Tangohia ki te Kāinga
- He tikanga maimoatanga tino matatau, angitu hoki te embolization e aukati ana i tētahi oko toto motuhake o te tinana, me te kore e tapahia he wahi nui.
- He rongoā tēnei mō ngā momo āhuatanga, tae atu ki te toto toto nui, ngā pukupuku matepukupuku, ngā fibroids uterine, me ngā AVM.
- Nā te mea he iti ake tōna pānga ki te tinana i tērā i te pokanga tuwhera, he iti ake te mamae, he poto ake hoki te wā whakaora.
- Pērā i ngā maimoatanga hauora katoa, he tūponotanga anō kei reira, nō reira kia mōhio koe ki te kōrero i ēnei ki tō tākuta i mua i te tīmatanga o te maimoatanga.
- Mena ka puta mai ētahi tohu rerekē i muri i te maimoatanga, he mea tino nui kia rapu tohutohu hauora tonu atu.
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