I muri i te tirotiro i tō matawai X-ray, i kī atu rānei tō tākuta kia whakamātauria koe ki te EBUS? Tērā pea ka mataku koe ina rongo koe i te ingoa. "He aha te EBUS? Ka tukuna he mea ki roto i ō pukahukahu? Ka mamae?" He maha pea ngā pātai kei roto i tō hinengaro. Kaua e manukanuka. I tēnei rā ka kōrero tātou mō tēnei whakamātautau EBUS i roto i tētahi huarahi tino māmā, i roto i te reo e mārama ai koe.
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He aha te EBUS?
Whakaarohia kei te hiahia te tākuta ki te tirotiro tata atu i tētahi raruraru iti i roto i ōu pukahukahu. He whakamātautau tino matatau te EBUS (Endobronchial Ultrasound) e mahia ana i ēnei wā. I roto i tēnei, ka tukuna he ngongo tino angiangi me te rama me te kāmera iti i mua (e kiia ana tēnei he "bronchoscope") ki roto i ngā pukahukahu.
Engari ko te mea motuhake o tēnei, haunga te kāmera, kei reira anō hoki tētahi matawai "ultrasound" iti e piri ana ki te pito o te ngongo. Pērā i te matawai ultrasound e titiro ana ki tētahi pēpi i roto i te kōpū, ka taea e tēnei mīhini iti te kite mārama i ngā kiko me ngā pona lymph i roto me te taha o ngā pukahukahu. Ko te tikanga o tēnei ka taea e te tākuta te noho ki roto i ngā pukahukahu me te tango pikitia o roto.
He māmā noa iho, he tikanga matatau a EBUS e whakakotahi ana i te hangarau ultrasound me te kāmera e whakaurua ana ki roto i ngā pukahukahu (bronchoscopy) hei hanga i ngā tautuhi tika ake.
He aha ngā momo matua o ngā whakamātautau EBUS?
He maha ngā momo matua o ngā whakamātautau EBUS. Mā tō tākuta e whakatau ko tēhea momo te mea pai mōu i runga i tō āhua hauora.
| Momo EBUS | Whakaahuatanga |
|---|---|
| Te tirotiro irirangi EBUS (Radial probe EBUS - RP-EBUS) | Ka taea e tēnei te uru hohonu ki roto i ngā pukahukahu, tae noa ki ngā ara manawa angiangi. Ka puta he tirohanga mārama 360-tohu. Heoi, ki te hiahia koe ki te tango tauira kiko (biopsy) me tēnei tikanga, me whakamahi koe i tētahi taputapu motuhake mō tēnā. |
| Pūwero kōpiko EBUS (CP-EBUS) | Ka whakamahia tēnei hei tirotiro i ngā ara manawa nui pēnei i ngā ara manawa matua (te trachea me te bronchi). Ko te painga nui o tēnei ko te taea te tango tauira kiko i te wā e tirotirohia ana, mēnā e tika ana. |
| EBUS-TBNA | Ehara tēnei i te momo motuhake. E pā ana tēnei ki te tikanga o te tiki tauira kiko, tauira wai rānei (biopsy) mā te whakamahi i tētahi ngira angiangi i te wā o te whakamātautau CP-EBUS kua whakahuatia ake nei. Ka kiia tēnei ko te EBUS-Transbronchial Needle Aspiration (TBNA). |
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Check Availability →He aha koe i tonoa ai kia whakahaere i tētahi whakamātautau EBUS?
I te nuinga o te wā ka tūtohu te tākuta i tētahi EBUS hei tirotiro anō i tētahi mea i kitea i runga i te matawai X-ray, CT rānei. Ka taea e tēnei whakamātautau te tautuhi me te whakaū i ētahi mate.
- Hei tātaritanga i te mate pukupuku pūkahukahu me te whakatau i tōna wāhanga.
- Hei tautuhi i ngā raruraru i te wāhi i waenganui i ngā pukahukahu (te mediastinum).
- Hei tautuhi i ngā mate pukupuku me ngā whewhe.
- Hei tātaritanga i ētahi atu mate mumura o te pūkahukahu pērā i te Sarcoidosis me te Silicosis.
- Hei tirotiro i ngā āhuatanga pēnei i te whaiti o ngā ara manawa (stenosis).
- Hei tirotiro mō ngā puku iti i roto i ngā pukahukahu (ngā pona pūkahukahu).
Me pēhea taku whakarite mō tēnei whakamātautau?
Ka hoatu e tō tākuta he tohutohu motuhake ki a koe i mua i te whakamātautau. Kaua e wehi ki te pātai mēnā he mea kāore koe i te tino mārama. Ko te tikanga me mahi e koe ēnei e whai ake nei:
- Me mahi ētahi whakamātautau toto i mua i te whakamātautau.
- Kaua e kai me te inu mō ētahi haora i mua i te whakamātautau (nohopuku).
- Tērā pea ka kī atu tō tākuta kia mutu te tango i ētahi rongoā (ina koa ko ngā rongoā whakaiti toto) mō ētahi rā . Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā huaora.
- Ko te mea nui: Nā te mea kāore e taea e koe te taraiwa i muri i te whakamātautau, whakaritea kia taraiwahia koe e tetahi ki te kāinga i mua i te wā.
He aha ngā mea ka tupu i te wā o te whakamātautau?
Ahakoa he ahua whakamataku tēnei, he mea tēnei e mahia ana me te tino haumaru, ā, kāore he mamae.
I mua i te whakamātautau
- Ka meinga koe kia takoto ki runga i te moenga, ā, ki te tika, ka āwhinahia koe ki te tū tika.
- Ka whakanohoia he cannula iti ((IV)) ki roto i tētahi uaua i roto i tō ringa, hei mā rotoKa hoatu he rongoā whakamoe, he rongoā whakamoe whānui rānei ki a koe kia marino ai koe. Mā tēnei ka ārai i a koe i te mamae.
- Ka pania he rehu whakangote ki tō waha, ki tō ihu rānei. Mā tēnei ka āwhina i te whakaiti i te mamae ka pā ki a koe ina whakaurua te ngongo.
I te wā o te whakamātautau
I muri i te whakamoenga, ā, kua kore he manawa o tō waha/korokoro, ka āta whakaurua e te tākuta manawa he bronchoscope mā roto i tō waha, i tō ihu rānei, ka uru ki roto i ō pukahukahu. I a rātou e mātakitaki ana i te matawai, ka tirohia te wāhi. Mena e tika ana, ka tangohia he wahi kiko iti (biopsy) hei tirotiro. Ka roa pea te tukanga katoa i waenga i te 30 me te 90 meneti. Ka āta tangohia te ngongo ina oti te tukanga.
He aha tāu e tumanako ai i muri i te whakamātautau?
I muri i te whakamātautau, ka puritia koe i raro i te tirotiro a te rata mō te haora, e rua rānei. Kia hoki mai tō māramatanga, ā, kia tino mōhio koe kāore he uauatanga ki te horomi, ka taea e koe te hoki ki te kāinga.
Tērā pea ka puta ngā mamae iti pēnei i ēnei mō te rā kotahi, e rua rānei i muri i te whakamātautau:
- He korokoro mamae
- Te pāorooro o te reo
- He maremare iti
He mea nui: He mea noa te maremare i te iti o te toto i muri i te whakamātautau. Ka memeha haere tēnei i roto i ētahi haora, i te rā rānei. Heoi, ki te haere tonu te toto mō ētahi rā, ki te nui rānei te toto, whakamōhio atu ki tō tākuta tonu.
He aha ngā mōrearea me ngā painga o tēnei whakamātautau?
He tino iti te mōrearea o te tikanga EBUS. Heoi, pērā i ngā tikanga hauora katoa, tera pea ētahi raruraru onge ka puta. Heoi, he nui atu ngā painga o tēnei tikanga i ērā.
| Ngā Painga | Ngā Tūponotanga - (onge noa iho) |
|---|---|
| Ko te kaha ki te haere ki ngā wāhi katoa o roto i ngā pukahukahu, me te tiki whakaahua tino mārama. | Te toto. |
| Te āheinga ki te whakahaere i te whakamātautau me te koiora i te wā kotahi, me te kore e rua ngā tikanga motuhake. | Ngā āhuatanga pangia. |
| Te whakahaere i te tikanga me te kore e tapahia he tapahi nui pērā i te pokanga, ā, he iti noa te pānga ki te tinana ('he iti noa te whakaekenga'). | Puku pūkahukahu kua hinga. |
| Te āheinga ki te hoki ki te kāinga i taua rā anō me te kore e noho ki te hōhipera (tukanga tūroro o waho). | Te uaua ki te manawa. |
Āhea ahau me kite i te tākuta?
Mena he āwangawanga, he tohu rerekē rānei āu, waea atu ki tō tākuta. Rapua he tohutohu hauora tonu, inā koa mēnā kei a koe ētahi o ēnei tohu e whai ake nei:
- Kirika
- Mamae o te uma
- Te uaua ki te manawa
- Te uaua ki te horomi i tetahi mea
- Te maremare toto tonu
- Te kore e taea te mimi
Karere Tangohia ki te Kāinga
- He whakamātautau tino haumaru, he whakamātautau matatau hoki te EBUS e whakamahia ana hei tautuhi i ngā mate pūkahukahu, inā koa ngā āhuatanga pēnei i te mate pukupuku.
- Ka mahia tēnei whakamātautau i raro i te rongoā whakamoe, nō reira kāore koe e rongo i te mamae.
- Ehara tēnei i te pokanga. He iti rawa te mōrearea nā te mea kāore he tapahi nui i te tinana.
- He mea tino nui kia whai i ngā tohutohu a tō tākuta i mua atu, i muri mai hoki i te whakamātautau.
- Mena he pātai, he āwangawanga rānei āu, kōrerotia mā te mahorahora ki tō tākuta. He tino whakamarie te mōhio ki ngā mea katoa.
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