Tērā pea kua mataku koe, kua pāngia rānei e te mataku, e te manukanuka rānei, ina kī mai te tākuta me whai ngongo manawa koe. Ko wai e kore e mataku ina kī mai, "Kei te whakaurua he ngongo ki roto i tō tuaiwi," tika? Kaua e manukanuka. I tēnei rā, ka kōrero māmā noa iho tātou, me te mea kei te kōrero tātou ki tētahi hoa, he aha te tikanga o tēnei, he aha te take i mahia ai, me pēhea hoki te mahi.
He aha te paipa wai o te hope?
I te whakarapopototanga, ehara i te mea kei roto noa i ō tātou tinana tō tātou roro me tō tātou tuaiwi, e rere ana i te tuaiwi. Kei roto rātou i tētahi wai motuhake, he rite ki te wai, hei tiaki i a rātou. Ka kiia tēnei ko te 'Wai Cerebrospinal' , ko te CSF rānei hei whakarapopototanga. Whakaarohia he rite ki te whakatakoto i tētahi taonga nui ki roto i tētahi pouaka, ā, ka whakatakotoria he mea kē atu ki te taha hei tiaki i a ia. Ka tiakina e tēnei wai CSF tō tātou roro me tō tātou tuaiwi.
Nō reira, he ngongo angiangi, ngāwari hoki te ngongo waikeri hope (catheter). Ka whakaurua ki roto i tō tuara o raro, i te rohe hope, ā, ka whakamahia hei tango i ētahi o te wai CSF i kōrerotia e au, hei whakahaere rānei i tōna pēhanga. He mahi wā poto tēnei, mō ētahi rā.
He aha koe i hiahia ai ki te mahi i tētahi mea pēnei?
He maha ngā take e taunaki ai te tākuta i tētahi mea pēnei. Me titiro tātou ki ngā take matua.
| Take | He whakamārama māmā |
|---|---|
| Mēnā ka turuturu te CSF | I muri i ētahi aituā, i ētahi atu take rānei, ka turuturu pea tēnei wai CSF i tōna wāhi. Ka whakamahia tēnei rerenga wai hei whakaiti i te pēhanga me te āwhina i te whakaora i te turuturu. |
| I roto i te take o te hydrocephalus | He āhuatanga tēnei e nui rawa ai te wai CSF e kohia ana i roto i te upoko. Ka puta he pēhanga koretake ki te roro (pēhanga intracranial). He mea tika tēnei hei tango i taua wai tāpiri me te whakahaere i te pēhanga. |
| I muri i te pokanga | Ka whakamahia hoki tēnei waikeri i muri i te pokanga roro, tuaiwi rānei hei whakaiti i te pēhanga ki te wāhi, hei āwhina hoki i te tere o te ora o te patunga. |
| Mō te tātaritanga | Pērā i te tango i tētahi toto iti hei whakamātautau hei kite i tētahi mate, ka taea hoki te tango i tētahi wai CSF iti hei whakamātautau hei kite i ētahi mate, pūtau rerekē, pūmua rānei. |
Me pēhea taku whakarite mō tēnei tukanga?
Ka tirotirohia koe e tō tākuta i mua i te mahi i tēnei.
- Kōrerohia tō hītori hauora katoa.
- Tērā pea ka tonoa koe kia whai i tētahi matawai MRI, CT rānei . Mā ēnei matawai ka taea e te tākuta te kite tika i ngā mea e tupu ana i roto i te tinana. Ka āwhina hoki ēnei ki te whakatau i te wāhi pai me te wāhi haumaru hei whakauru i te paipa.
- Tērā pea ka hoatu he rongoā paturopi ki a koe hei ārai i te mate, ā, tērā pea ka hoatu hoki he rongoā ki a koe hei whakahaere i te hanga o te CSF.
Ko te mea nui ko te pātai atu ki tō tākuta i ngā pātai, i ngā āwangawanga rānei e pā ana ki tēnei tikanga, me te kore e mataku . He tika ki a koe te mōhio mārama ki ngā mea ka puta, ki ngā mōrearea, me ngā painga.
He aha te mea ka tupu ina whakatūria he waikeri?
Ahakoa he mea nui tēnei, e 30 meneti pea te roa o te tukanga katoa, ā, ka mahia katoatia kia kore ai koe e mamae.
1. Te whakarerekē i te tūnga: Tuatahi, ka hurihia koe ki tetahi taha o te moenga, ka kumea ō turi ki tō uma, ā, ka meinga koe kia takoto.
2. Te horoi kiri: Ka horoia pai te tuara o raro kei reira te waikeri ki te wai patu huakita.
3. Whakangoikore: Muri iho, ka werohia he werohanga iti (whakangoikore ā-rohe) hei whakangoikore i te wāhi. Nō reira, kāore koe e rongo i te mamae. Tērā pea ka rongo koe i te pēhanga iti.
4. Te whakauru i te ngira: Kātahi ka āta whakaurua e te tākuta he ngira motuhake ki roto i te wāhi kei reira te wai CSF (te wāhi subarachnoid) . I ētahi wā ka mahia tēnei mā te awhina o te hihi-X hei tiro i te wāhi tika.
5. Te whakauru i te katitere: Ka whakaurua te ngongo angiangi, ngāwari mā roto i te ngira.
6. Te tango i te ngira: Kia mau te ngongo ki tōna tūranga, ka tangohia marietia te ngira.
7. Te hono atu ki te putea kohikohinga:Ka honoa te pito o waho o te ngongo ki tētahi putea motuhake hei kohi i te CSF.
8. Te whakapiri ki te kiri: Hei whakamutunga, ka herea te ngongo ki te kiri mā te whakamahi i te pāreti, i ētahi tuitui iti rānei hei ārai i te taka ki waho, kātahi ka pania he takai hei pupuri i te wāhi kia ma.
Me noho tonu ahau ki te moenga i muri i te whakatakotoranga o te paipa wai?
Āe, me noho koe ki te hōhipera mō ētahi rā i muri i te whakatūnga o te paipa wai. Ā, ka kīia atu kia okioki koe i te moenga i te nuinga o te wā. Tuatahi, ka meinga koe kia takoto ki tō taha, ki tō puku rānei.
Ko te mea nui: I mua i tō ara ake, i mua i tō ara ake i te moenga , me kōrero koe ki te hunga nēhi. Nā te mea, ina ara ake koe, me whakahaere e koe te rere o te wai mai i te paipa. Ki te kore, ka puta te nui rawa o te wai, ā, ka puta he raruraru pēnei i te mamae o te upoko. Nō reira, me whai i ā rātou tohutohu kia tika.
He aha ngā painga me ngā raruraru pea o tēnei?
Pērā i ngā tikanga hauora katoa, he pai ngā painga, engari he iti noa ngā mōrearea.
| Ngā Painga Matua | Ngā raruraru pea |
|---|---|
| Te aukati i ngā turuturu o te CSF. | Ngā mate pāwera huakita. |
| Whakahaerehia te pēhanga ki runga i te roro, ā, āraihia te kino. | Te ānini, te whakapairuaki me te ruaki. |
| Te whakarato i ngā mōhiohio tino nui mō te tautuhi mate. | Te toto e puta mai ana i te wāhi i whakaurua ai te ngongo. |
| Tērā pea ka whakaora i tētahi ora. | Te maringi nui rawa o te wai CSF (te maringi nui rawa). |
| Te whakatakoto i te ara mō ētahi atu pokanga, maimoatanga rānei. | Tērā pea ka neke te ngongo, ka marere rānei i tōna wāhi. |
Engari ka whakapau kaha tō tīma hauora ki te whakaiti i te mōrearea o ēnei raruraru, nō reira he mea nui kia tino whai i ā rātou tohutohu.
Kia pēhea te roa e mau tonu ai te waikeri ki tōna tūranga? He aha te mea ka tupu i muri i tērā?
I te nuinga o te wā ka waihotia ki roto mō ētahi rā, engari i te nuinga o te wā kāore e neke atu i te 5 rā. Nā te mea ka piki ake te mōrearea o te mate mēnā ka waihotia ki roto mō te wā roa atu i tērā. Kia tau te taumata me te pēhanga o tō CSF, ka tangohia katoatia e tō tākuta te waikeri. Whai muri i te tangohia, ka tonoa koe kia takoto mō tētahi wā. Mā tēnei ka āwhina i te ārai i te ānini. Ahakoa kua hoki koe ki te kāinga, me karo koe i te hiki i ngā mea taumaha, i te mahi uaua rānei kia kīia rā anō e tō tākuta.
Ki te pāngia koe e tetahi mamae hou, he ānini nui, he whakapairuaki rānei i a koe e noho ana i te hōhipera, me whakamōhio tonu atu ki ngā kaimahi. Waihoki, ki te pāngia koe e tētahi o ēnei tohu i muri i tō hokinga ki te kāinga, me waea atu koe ki tō tākuta tonu.
Karere Tangohia ki te Kāinga
- He ngongo angiangi te paipa o te hope e whakamahia ana hei tango, hei tirotiro rānei i te wai tāpiri (CSF) e karapoti ana i te roro me te taurakira.
- Ka mahia tēnei tikanga mā te hoatu rongoā hei whakangāwari i te wāhi kia kore ai koe e mamae.
- He mea tino nui kia okioki i te hōhipera, me te whai i ngā tohutohu hauora i ngā rā torutoru i muri i te whakatakotoranga o te paipa.
- He maha ngā painga nui o tēnei, pērā i te aukati i ngā turuturu o te CSF, te whakahaere i te pēhanga i roto i te roro, ā, i ētahi wā ka āwhina pea ki te whakaora oranga.
- Ki te pāngia koe e ngā tohu pēnei i te ānini nui, te whakapairuaki, te kirika, te whero, te pupuhi rānei i te wāhi e pupuhi ai te wai i muri i te hokinga ki te kāinga, me whakamōhio tonu atu ki tō tākuta.
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