Ina kī mai te tākuta he pukupuku kei roto i tō tinana, ko te wehi e puta ake ana ki te hinengaro ko, "Āe, me pokanga ahau?" Kāore tetahi o tātou e pai ki te tapahi i ō tātou tinana, ki te whara nui rānei. Engari ināianei, kua tino ahu whakamua te pūtaiao hauora. Kua rongo koe i tētahi hangarau ka taea te whakangaro i ngā pukupuku i roto i te tinana me te kore he patunga pokanga, pērā i te makutu? Koinei te mea e kiia nei e tātou ko te HIFU, arā, ko te High-Intensity Focused Ultrasound. I tēnei rā, ka kōrerohia e tātou tēnei mea mā te ngāwari, i roto i tētahi huarahi e mārama ai koe.
He whakarāpopototanga, he aha tēnei HIFU?
Āe, me mārama tātou ki te ingoa o tēnei. Te Ultrasound Arotahi Kaha-Teitei. Ko tōna tikanga he "ngaru oro arotahi kaha-teitei". Ahakoa he ahua uaua te ingoa, he tino māmā te mahi.
E mōhio ana te nuinga o tātou ki ngā matawai ultrasound. Ka mahia tēnei matawai hei tirotiro i te pēpi i roto i te kōpū o te whaea e hapu ana, hei tirotiro rānei i ngā whekau i roto i te kōpū. Ko te tikanga he tuku ngaru oro ki roto i te tinana, me te tirotiro i te pikitia e puta mai ana.
Engari he tino rerekē te HIFU. Engari ko te tango pikitia, ka whakamahia e ia ngā ngaru oro he mano ngā wā kaha ake i ngā ngaru ultrasound hei whakangaro i ngā kiko mate i roto i te tinana, pērā i te pukupuku.
Whakaarohia te whakamahi i tētahi takirua mōhiti hei arotahi i te hihi o te rā ki tētahi wāhi, hei tahu i tētahi pepa. Koinei te mea e tupu ana me te hangarau HIFU. E mano ngā ngaru oro e tukuna ana i te wā kotahi, ki te wāhi kotahi, arā, ki te wāhi tonu kei reira te pukupuku. Nā tēnei kaha nui ka piki ake te pāmahana o te kiko e whaihia ana, ka whakangaro i aua pūtau (koinei te mea e kiia nei e tātou ko te "ablation" i roto i te rongoā).
Ko te mea whakamiharo mō tēnei, ka puta ēnei ngaru oro mā roto i tō kiri me ō uaua, kāore e whara i ngā kiko hauora o waho, ā, ka mahi noa i te wāhi e hiahiatia ana. I te wā e whakahaerehia ana tēnei maimoatanga, ka whakamahia e ngā tākuta ngā matawai MRI (Magnetic Resonance Imaging) me ngā matawai Ultrasound hei kite i te wāhi tika o te ūnga. Koia te take he tino tika tēnei.
He aha ngā āhuatanga ka taea te rongoā mā te HIFU?
Kei te whakamahia te hangarau HIFU hei rongoā i te whānuitanga o ngā mate puta noa i te ao. He tino whai hua mō te rongoā i ngā pukupuku totoka e puta ana i ngā wāhi katoa o te tinana. Ka taea e ēnei pukupuku te kino (matepukupuku) te pai rānei (kore matepukupuku).
Ka kitea e koe tētahi whakaaro pai mō tēnei mea mai i te ripanga i raro nei.
| Te āhua e rongoatia ana | Ētahi atu kōrero |
|---|---|
| Ngā mate pukupuku me ngā pukupuku o ngā whekau rerekē | Ka rongoā i ngā mate pēnei i te wheua, te roro, te ū, te whatukuhu, te ate, te repeure, inā koa te mate pukupuku repeure. |
| Ngā Fibroids Kōpū | Ka whakamahia te HIFU hei rongoā i tēnei mate, he mea noa i waenga i ngā wāhine, me te kore pokanga. |
| Te wiri nui | Ka taea te whakamahi i te HIFU hei rongoā i tētahi wāhanga motuhake o te roro hei whakaora i te wiri nui o ngā ringaringa kāore e taea te whakahaere ki te rongoā. |
| Te mate a Parkinson | Ko te wiri te tohu matua o tēnei mate, ā, ka whakamahia anō hoki te HIFU hei whakahaere i taua āhuatanga. |
| Te mamae o te mate pukupuku kua horapa ki ngā wheua | Ka whakamahia hoki tēnei tikanga hei whakamamae i te mamae nui i puta mai i te tipu o te wheua kua horapa ina horapa te mate pukupuku ki ngā wheua. |
| Ngā pona tairoi | Ka whakamahia hoki hei tango i ētahi puku e puta mai ana i te repe tairoi i te kaki. |
Haunga tēnei rārangi, kei te rangahau tonu ngā tākuta mēnā ka taea e te HIFU te rongoā i ngā mate maha atu. Nō reira, he hangarau tēnei e whakapai haere ana i ia rā, i ia rā.
He aha mātou i whiriwhiri ai i te maimoatanga HIFU? He aha ngā painga?
Tērā pea koe e whakaaro ana, "He aha koe me mahi ai i tēnei tikanga mēnā ka taea te mahi pokanga?" He maha ngā take mō tēnā.
Ko te painga tuatahi me te mea nui ko te kore e pokanoa.Arā, kāore he motu, kāore he patunga nui, kāore hoki he tuitui. Koia te take he tino iti te mōrearea o te pangia.
Ko te take tuarua he tino tika tēnei rongoā arotahi . E ai ki te kōrero i mua ake nei, nā te mea ko ngā pūtau mate anake ka arotahi, ka whakangaro hoki, kāore ngā kiko hauora e karapoti ana e pakaru. Waihoki, nā te mea kāore e whakamahia te irahiko, kāore he pānga taha e pā ana ki te rongoā irahiko.
Kāore e hiahiatia he noho hōhipera mō tēnei maimoatanga. Ka taea e koe te hoki ki te kāinga i taua rā anō i muri i te maimoatanga (tukanga hōhipera). He poto rawa te wā whakaora. Ka taea e koe te hoki ki ō mahi o ia rā i roto i ētahi rā.
Engari me maumahara tātou ki tētahi mea. Kāore e taea te rongoā i ngā pukupuku katoa, i ngā matepukupuku rānei ki te HIFU. Hei tauira, ka whakamahia noa tēnei maimoatanga mō te matepukupuku repeure mēnā kei roto i ōna wāhanga tōmua, kāore anō kia horapa ki tua atu i te repe, ā, ka kitea mārama i runga i te MRI, i te Ultrasound rānei. Mā tō tākuta e whakatau mēnā he pai tēnei maimoatanga māu, kāore rānei.
He aha ngā mahi i mua atu, ā, i te wā e rongoatia ana?
Hei āwhina i a koe ki te mārama ake ki tēnei tikanga maimoatanga, me titiro tātou ki ngā mahi e whai wāhi ana ki tēnei tukanga.
I mua i te maimoatanga
I muri i te whakatau ki te whai maimoatanga HIFU, ka tono tuatahi tō tākuta kia whai MRI, kia whai ultrasound rānei koe. Mā tēnei ka āwhina i te whakatau i te wāhi tika o te puku me tōna rahi. Kātahi ka hoatu he tohutohu motuhake ki a koe (hei tauira, me pēhea te whakahaere i tō kai) hei whai māu i te tīmatanga o te rā i mua i te maimoatanga. He mea tino nui kia tino whai i ēnei tohutohu.
I te wā o te maimoatanga
I te rā o te maimoatanga, ko ēnei mahi te tikanga e whaihia ana:
1. Te Whakarite: Ka meinga koe kia takoto ki runga i tētahi moenga motuhake. I runga i te wāhanga o te tinana e rongoatia ana, ka taea te whakamahi i tētahi taputapu motuhake (taputapu whakau) hei pupuri i taua wāhanga kia marino. Hei tauira, ki te rongoatia te roro, ka taea te whakamahi i tētahi anga upoko (anga upoko) hei pupuri i te upoko kia marino.
2. Whakamoemiti: I runga i te wāhi i rongoatia ai te maimoatanga me tō āhua, tera pea kei te mōhio koe, ka tukuna he rongoā whakamoe māmā, ka whakamoea katoatia rānei (whakamoemiti whānui).
3. Te arotahi: Ka whakamahia e te tākuta he mīhini MRI, he mīhini ultrasound rānei hei kimi i te kiko tika e hiahia ana kia rongoatia.
4. Tīmatanga o te maimoatanga: Kātahi ka whakatakotoria te pūwero oro o te mīhini HIFU ki runga i tō kiri, kia tika ai te aro ki te wāhi e hiahiatia ana. (Mēnā kei te rongoāhia te repeure, ka whakauruhia he pūwero rite te rahi ki te maihao mā roto i te pūwero.)
5. Te tuku i ngā ngaru oro:Kātahi ka tukuna ngā ngaru oro kaha-teitei i ia hēkona ruarua, hei whakamahana, hei whakangaro hoki i ngā pūtau e whaihia ana. Ka mahia mārire tēnei, kia kapi katoa rā anō te pukupuku.
6. Tirotiro whakamutunga: I te mutunga o te maimoatanga, ka mahia tētahi atu matawai hei whakaū kua angitu te whakangaromanga o te pukupuku.
Ka rerekē te roa o te wā e pau ana mō tēnei tukanga katoa i runga i te rahi me te wāhi o te puku. I te nuinga o te wā, ka taea te whakaoti i te maimoatanga i roto i te wā kotahi.
He tūponotanga, he raruraru rānei kei roto i tēnei?
Pērā i ngā maimoatanga hauora katoa, he iti noa te mōrearea o te HIFU. Heoi, ki te whakaritea ki ngā tikanga pēnei i te pokanga, he tino iti te mōrearea o ngā raruraru.
He tino onge pea te puta o ngā wera kiri papatahi. Waihoki, ka puta pea ngā pānga taha motuhake i runga i te wāhi i rongoatia. Hei tauira, i muri i te maimoatanga HIFU mō te mate pukupuku repeure, ka pāngia pea ētahi tāngata e ngā raruraru mimi wā poto, e te ngoikore rānei o te ure.
Ko te mea nui ko te kōrero tuwhera ki tō tākuta mō ngā painga me ngā huakore o tēnei maimoatanga, tae atu ki ngā pānga taha pea, i mua i tō tīmatanga. Kātahi ka taea e koe te whakatau whai whakaaro.
He rerekē te roa o te wā whakaora i ia tangata, i ia tangata, engari i te nuinga o te wā ka taea e koe te hoki ki tō oranga noa i roto i te wā poto, tata ki te wiki.
Karere Tangohia ki te Kāinga
- He maimoatanga hou, haumaru hoki te HIFU e whakamahi ana i ngā ngaru oro arotahi kaha-teitei hei whakangaro i ngā pukupuku i roto i te tinana, me te kore e haehae i te tinana.
- He iti noa te kino o tēnei tikanga ki te kiko hauora, ā, kāore e uru ki te pānga o te irahiko.
- E whakamahia ana tēnei hangarau hei rongoā i ngā mate maha, pērā i te mate pukupuku, te fibroids uterine, me te wiri.
- He poto ake te wā whakaora i tērā o te pokanga noa, ā, he iti ake anō hoki te mōrearea o ngā pānga taha.
- Kāore tēnei maimoatanga e pai mō ngā tūroro katoa. Mā tō tākuta e whakatau mēnā he pai mōu.
- Kōrerohia ō pātai, ō āwangawanga, ō ruarua rānei mō tēnei mea ki tō tākuta.
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