Ina whakaaro koe ki tō uma, he aha te mea ka puta ake ki tō hinengaro? I te nuinga o te wā, ko tō ngākau me ōu pūkahukahu, tika? He pono tēnā. Engari i mōhio koe kei waenganui i ōu pūkahukahu, i waenganui tonu o tō uma, he wāhi motuhake kei reira tō ngākau, me ētahi atu okana me ngā uaua toto nui? I roto i te rongoā, ko te mediastinum te ingoa o tēnei wāhi. He rite ki tētahi hononga tino pukumahi, nui hoki i roto i tō tātou tinana. Me kōrero poto tātou mō tēnei i tēnei rā.
He aha tonu te mediastinum?
Ki te kī māmā noa iho, ehara te mediastinum i te okana, he wāhi noa iho. Hei whakamārama, he wāhanga ia o te kōhao o tō uma. Whakaarohia tō uma he whare e toru ngā rūma. Kei roto i tētahi rūma te pukahukahu maui, ā, kei roto i tētahi atu rūma te pukahukahu matau. Ko te wāhi i waenganui i ēnei rūma e rua, he rite ki te rūma noho, koia te mea e kiia nei e tātou ko te mediastinum.
Ka toro atu tēnei wāhi mai i te tihi o te uma ki raro, arā, mai i te pūtake o te kaki ki te diaphragm, mai i te sternum i mua ki te tuaiwi i muri. Nō reira, ehara tēnei i te wāhi takoto kau noa iho, engari he wāhi e tiaki ana i ngā mea maha e tika ana mō ō tātou oranga.
He aha kei roto i tēnei mediastinum?
He maha ngā mea kei roto i tēnei wāhi. Me wehewehe kia torutoru ngā wāhanga.
Ngā whekau me ngā hanganga nui
Kei roto i tēnei wāhi he maha ngā okana tino nui o tō tātou tinana.
| Okana/Hanganga | He aha te mea hei mahi noa |
|---|---|
| Ngākau | Ko tā mātou motuka matua e pupuhi ana i te toto puta noa i te tinana. Kei waenganui o te mediastinum. He mea karapoti e te kiriuhi tiaki (pericardium). |
| te korokoro | Ko te ngongo e kawe ana i te kai e kainga ana e tātou, e inuhia ana hoki e tātou mai i te korokoro ki te puku. Ka haere hoki tēnei mā te mediastinum. |
| Te rere o te roro | Ko te pūhā matua e kawe ana i te hau e manawahia ana e tātou ki ngā pukahukahu. Kei mua i te korokoro. |
| Te repe Thymus (Thymus) | He repe e āwhina ana i tō tātou pūnaha ārai mate. He tino kaha i a tātou e tamariki ana. Kei te taha whakarunga, ki mua o te mediastinum. |
Ngā Waka Nui
Kei roto hoki i tēnei mediastinum ngā oko toto nui rawa atu e hono ana ki te ngākau, arā, ko ērā e kawe ana i te toto ki roto, e kawe ana hoki i te toto i waho o te ngākau.
- Aorta: Ko te oko toto nui rawa atu o te tinana. Ka haria e ia te toto ma (he hāora) mai i te ngākau ki te tinana katoa.
- Te Vena Cava o Runga: Ka kawea te toto poke mai i te taha whakarunga o te tinana ( upoko , kaki, ringa) ki te ngākau.
- Puku Pūkahukahu: Ka hari i te toto mai i te ngākau ki ngā pukahukahu hei whiwhi hāora.
Hei tāpiritanga, he maha atu anō ngā uaua toto nui kei tēnei wāhi.
Ētahi atu mea
Haunga ēnei mea matua,
- Ngā pūnga lymph
- Ngā io
- Kī tonu hoki tēnei wāhi i ngā mea pēnei i te kiko ngako me ngā kiko honohono.
Nā, he aha te mahi a te mediastinum?
He maha ngā mahi matua o tēnei.
1. He whare haumaru: Ki te kī māmā, he rite tēnei ki tētahi whare haumaru mō te ngākau, mō ngā uaua toto nui, me ngā ara manawa. Ka āwhina i te pupuri i ēnei okana kia noho tahi, kia tika hoki.
2. Ka whakarato tiaki: Ko te kiko ngako me te kiko honohono i tēnei wāhi ka whakarato i te whakamarie me te tiaki pai mō ngā whekau o roto. Waihoki, ko te wheua uma (sternum) i mua ka tiaki i ēnei whekau nui mai i ngā whiu o waho.
3. He pokapū whakawhiti: He hononga nui tēnei, pērā i te Colombo Fort. Ko ngā mea katoa e neke ana mai i tētahi wāhi o tō tātou tinana ki tētahi atu ka haere mā tēnei wāhi. Hei tauira, ka haere te kai me te inu mai i te korokoro ki te puku mā te esophagus, e haere ana mā te mediastinum. Waihoki, ka haere ngā io me ngā uaua toto mai i te kaki ki te uma, ā, mai i te uma ki te puku, mā tēnei wāhi.
Ka wehea e ngā tākuta tēnei mediastinum kia rua ngā wāhanga?
Āe. Hei tohu i te wāhi tika o te raruraru, ka wehea e ngā tākuta tēnei wāhi e kiia nei ko te mediastinum kia iti ake ngā wāhanga. Ko te tikanga hou rawa atu e whakamahia ana i tēnei wā ko te whakarōpūtanga o ngā wāhanga e toru i runga i ngā whakamātautau toru-ahu (3D) pērā i ngā matawai CT.
| Wāhanga | Te wāhi me ngā ihirangi |
|---|---|
| Wāhanga mua-toto | Ko te wāhanga kei mua o te ngākau, kei muri i te wheua uma. Kei konei te repe thymus, ngā kōpū lymph, me te kiko ngako. |
| Wāhanga Waenga (Visceral) | Kei roto ngā mea pēnei i te ngākau me ōna uaua toto nui, te trachea, me tētahi wāhanga o te esophagus. |
| Wāhanga o muri (Paravertebral) | Ko te wāhanga kei muri i te ngākau, kei mua hoki i te tuaiwi. Koinei te wāhi kei reira ngā io me ngā kiko ngohengohe. |
Mā te kōrero mō tēnei i ngā wāhanga pēnei, he tino āwhina mō ngā tākuta ki te matapae kei hea te pukupuku, te raruraru rānei, me te momo pea.
He aha ngā āhuatanga ka pā ki te mediastinum?
He maha ngā āhuatanga ka pā ki tēnei wāhi nui. Tērā pea ka tīmata ētahi i te mediastinum tonu (hei tauira, ngā pukupuku), ko ētahi ka ahu mai i tētahi atu wāhi ka horapa ki konei (hei tauira, te matepukupuku).
- Ngā pukupuku mediastinum: Ko ngā pukupuku e puta ake ana i ngā kiko o tēnei wāhi. Tērā pea he matepukupuku ēnei, kāore rānei.
- Mediastinitis: Te mate urutā, te pupuhi rānei i tēnei wāhi.
- Lymphoma: He momo mate pukupuku e puta ana i roto i ngā kōpuku lymph.
- Ngā mate o te aorta: Ngā āhuatanga morearea pēnei i te pupuhi o te aorta (Thoracic aortic aneurysm) te pakaru rānei o tōna pakitara (Aortic dissection).
- Matepukupuku korokoro
- Te tamponade o te ngākau: He āhuatanga e kī ana te pēke e karapoti ana i te ngākau i te wai, ka pēhi i te ngākau.
He aha te 'Mediastinum Whānui'?
Kua kite koe i tētahi pūrongo hihi-X o te uma e kī ana "whanui te mediastinum"? Kāore tēnei e pā ana ki tētahi mate. He tohu tēnei e kitea ana e te tākuta i roto i te hihi-X.Ko te tikanga he whānui ake te ahua o te mediastinum i te mea noa.
He maha ngā take mō tēnei. Tērā pea nā te raruraru o te aorta kua whakahuatia ake nei, he pukupuku, he mate, he whara rānei o te uma. Mēnā ka kitea tētahi mea pēnei, ka whakahau te tākuta i ētahi atu whakamātautau, pērā i te matawai CT, kia kitea ai te tino take.
Me pēhea te pupuri i te hauora o te mediastinum?
Nā te mea he wāhi te mediastinum, ko te pupuri i tōna hauora ko te pupuri i ngā okana o roto kia ora. He mea tino nui te tiaki i tō ngākau me ō uaua toto.
- Kaua rawa e kai hikareti. He tino kino te kai hikareti ki te ngākau, ki ngā uaua toto, me ngā pukahukahu.
- Kai i ngā kai hauora mō te ngākau. Kai i ngā kai iti te hinu, te tote, me te huka, ā, kai nui hoki i ngā hua me ngā huawhenua.
- Whakakorikori tinana i ia wā. Kōrero ki tō tākuta i mua i te tīmatanga o tētahi kaupapa whakakorikori tinana.
- Whakawhāitihia te inu waipiro.
- Whakamahia ngā rongoā i tohua ki a koe kia rite tonu ki te mea i tohua (hei tauira, mō te toto toto tiketike, te mate huka, te cholesterol).
- Me tirotiro hauora koe i te iti rawa kotahi i te tau.
Mā te mahi i ēnei mea ka whakaiti i te mōrearea o ngā āhuatanga maha e pā ana ki te mediastinum.
Karere Tangohia ki te Kāinga
- Ehara te mediastinum i te okana, engari he wāhi nui i roto i tō uma i waenganui i ō pukahukahu.
- He maha ngā mea e tika ana mō te ora, pērā i tō ngākau, ngā uaua toto nui, te trachea, me te esophagus, e tiakina ana i roto i tēnei wāhi.
- Ko te mahi matua o te mediastinum he whakarato i tētahi kāinga haumaru mō ēnei okana me tētahi ara mō ngā mea nui hei haere.
- He tohu te 'whanuitanga o te mediastinum' e kitea ana i runga i te hihi-X, ehara i te mate. Me whai whakamātautau anō kia kitea ai te pūtake.
- Ko te huarahi pai ki te pupuri i tēnei wāhi kia ora ko te whai i tētahi momo noho hauora mō te ngākau. Mena he pātai āu mō tēnei, kōrero ki tō tākuta.
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