Ka manawa tātou ki roto... ka manawa ki waho... he mea tēnei e tupu ana me te kore e mōhiotia e tātou, tika? Engari kua whakaaro kē koe ki te uaua me te mīharo o te tikanga kei muri i tēnei mahi ngāwari? He io motuhake kei roto i tō tātou tinana e whakahaere ana i tēnei tukanga katoa, e mahi ana pērā i te rangatira ngaro. I tēnei rā ka kōrero tātou mō taua toa wahangu, te io phrenic. Kāore pea koe i rongo mō tēnei ingoa, engari he mahi nui tēnei io māu i ia hēkona o tō oranga.
He aha te Nerve Phrenic? He aha tāna mahi?
Ki te kī ngāwari, ko te Phrenic Nerve te io e whakahaere ana i tō diaphragm. Tērā pea koe e pātai ana, "He aha tēnei diaphragm?" Ko te uaua nui, āhua-poupou tēnei e wehe ana i tō uma i tō puku. Ko te uaua matua tēnei e whakahaere ana i te wā e manawa ana koe ki roto, ki waho hoki.
Whakaarohia ko tō diaphragm he kaiwhakaari, ā, ko tō io phrenic he kaiwhakahaere. Kāore te kaiwhakaari e mahi whakaari kia tukuna rā anō e te kaiwhakahaere te tohu. Koia te āhua, ka tīmata te mahi a te diaphragm ina puta mai he tohu mai i te io phrenic.
Anei te āhua o te tupu:
1. Te manawa: Ka tukuna he tohu e te io phrenic ki te diaphragm, e mea ana, "Āe, whakawhāiti inaianei." Ina tae mai taua tohu, ka whakawhāiti te diaphragm, ka papatahi. Mā tēnei ka nui ake te wāhi i roto i te kōhao o te uma. Ka pupuhi ō pukahukahu, ka horomia te hau.
2. Te Whakaputa Manawa: Kātahi ka kī atu te io phrenic ki te diaphragm, "Āe, okioki inaianei." Kātahi ka hoki te diaphragm ki runga. I taua wā anō, ka hinga ngā pukahukahu, ka puta te hau i roto i a rātou.
Ahakoa kei te moe tātou, ka haere tonu tēnei tukanga, me te kore e mōhiotia e tātou. Ko te io Phrenic te kawenga mō tēnei. Ara, ko tēnei io tētahi o ngā kaiwhakahaere matua o tō pūnaha manawa.
Waihoki, ehara i te mea ko te mahi manawa anake te mahi a tēnei io. Ka āwhina hoki tēnei io i a tātou ki te pā me te mamae i ētahi wāhanga o tō tātou uma me tō tātou puku. Arā, ka whakaratohia he aro.
- Te diaphragm me ngā kiko e karapoti ana i a ia
- Ko te kiko e whakarārangi ana i te kōhao o te uma i waenganui i ngā pukahukahu e rua
- Ko te hipoki tiaki e karapoti ana i te ngākau (pericardium)
- Peritoneum (he arai tiaki i roto i te kōhao puku)
Ki te pāngia koe e te mamae, e te pēhanga rānei i ēnei wāhi, ka āwhina te Nerve Phrenic ki te kawe i taua tohu ki te roro.
Kei hea tēnei io whakamiharo?
Tērā pea kei te whakaaro koe kei hea i roto i tō tātou tinana te tūnga o tētahi io nui pēnei. Ka tīmata te io Phrenic i tō kaki. Hei whakamārama, ka tīmata i roto i ngā tuaiwi o tō kaki, arā, ko C3, C4, me C5.
Mai i reira, ka heke iho tēnei io. I a ia e haere ana, ka tika mā roto i tō tātou uma, ka pā ki te ngākau me ngā pukahukahu, ā, ka mutu ka hono atu ki te septum.
Ko te mea nui, kāore i a tātou te io Phrenic kotahi, engari e rua! Kotahi kei te taha maui, kotahi kei te taha matau. Ko te io Phrenic maui te kaiwhakahaere o te taha maui o te diaphragm. Ko te mea kei te taha matau te kaiwhakahaere o te taha matau. Mā ēnei mahi e rua ka tika te mahi a te diaphragm.
Ka aha mēnā ka pakaru tēnei io?
Kua mārama koe ki te hiranga o tēnei io. Whakaarohia te mea ka tupu mēnā ka pakaru tēnei io i tētahi mea. Mēnā ka pakaru te io phrenic, ka ngoikore, ka mutu rānei te tuku tohu ki te diaphragm. Kātahi ka kore e mahi tika te diaphragm. Arā, ka pararutiki. I roto i te rongoā, ka kiia tēnei he pararutiki diaphragm .
Ina kore te diaphragm e kōpiri, e whakangā rānei, kāore e taea e ngā pukahukahu te mimiti me te whakaputa hau tika. He tino take tēnei o ngā uauatanga manawa.
Ka pāngia pea te taha kotahi anake e tēnei ngoikoretanga (kotahi te taha). Arā, ko te taha matau, ko te taha maui rānei o te diaphragm nui anake e ngoikore ana. I ētahi wā ka pāngia ngā taha e rua (kotahi te taha). Mena ka ngoikore ngā taha e rua, he mate tino kino tēnei. Mena ka tupu tēnei, kāore pea e taea e te tūroro te manawa ko ia anake. I roto i ēnei āhuatanga, me hono pea ia ki tētahi taputapu manawa horihori, arā, he mīhini manawa, hei āwhina i a ia ki te manawa.
He aha ngā take o te ngoikore o te Diaphragm Nui?
Kāore he take kotahi mō tēnei, engari he maha ngā āhuatanga ka whai wāhi ki tēnei. Tērā pea nā tētahi mea e kino tika ana ki te io phrenic, nā tētahi mate rānei e pā ana ki te pūnaha io.
| Take | He whakamārama māmā |
|---|---|
| Pokanga, aituā rānei | Ka pakaru pea tēnei io i te wā e pokangahia ana te kaki, te uma rānei, nā te aituā rānei i pā ki aua wāhi. |
| Ngā mate o te taurakira | Ka pā te pēhanga io nā te whara o te taurakira, te mate pukupuku waha o te kaki, ngā pukupuku rānei i te tuaiwi. |
| Ngā mate o te pūnaha io | Ka taea e ngā mate e pā ana ki te pūnaha io, pērā i te ALS (Amyotrophic Lateral Sclerosis) me te MS (Multiple Sclerosis), te whakararu i te pūnaha io. |
| Ngā mate pūnaha ārai mate | I roto i ngā mate pēnei i te mate Guillain-Barré, ka whakaekea e te pūnaha ārai mate o te tinana ngā io. Ka taea hoki e tēnei te kino i te io phrenic. |
| Matepukupuku | Ka taea e te mate pukupuku pūkahukahu, te mate pukupuku horapa rānei te pēhi, te kino rānei i te io. |
| Ngā raruraru i te whānautanga | I ētahi wā, ka pāngia te io phrenic o te pēpi e ngā raruraru i te wā e whānau ana. |
He aha ngā tohu o te kore mahi tika o te esophageal?
Ko te raruraru nui o tēnei, kāore e kitea ngā tohu i ētahi wā. Ina koa mēnā kotahi anake te taha o te diaphragm e kore e mahi tika, kāore pea te tangata e tino mamae i a ia e mahi ana i ngā mahi o ia rā. Heoi anō, tera pea ka puta ētahi tohu.
| Tohu | Whakaarohia tēnei mō tētahi wā poto. |
|---|---|
| Te poto o te manawa | Ka uaua pea te manawa, inā koa i te takoto kau, i te takoto kau rānei. Ka puta tēnei nā te mea kei te pēhi ngā whekau o te puku ki te diaphragm. |
| Te niumōnia auau | He nui te mōrearea o te mate nā te mea kāore ngā pukahukahu e mahi tika ana. Nō reira, ka pā pinepine pea ngā mate pukahukahu me te niumōnia. |
| Ngā raruraru moe | Tērā pea ka ara ake ngā raruraru moe hou, pērā i te hiamoe kore me te ngongoro hou. |
| Te tangi rerekē i roto i ngā pēpi nohinohi | Ina tangi te pēpi me tēnei mate, tera pea ka ngoikore rawa te tangi. Nā te mea kāore e taea e rātou te whakahaere tika i ō rātou manawa. |
Ki te pāngia koe e te poto o te manawa, e te mamae rānei o te uma, kaua e warewaretia. Me toro atu ki te tākuta mō ētahi tohutohu.
He aha te hononga i waenga i te hīkoi tonu me tēnei io?
Ka pāngia tātou katoa e te hūpē, tika? Ka memeha haere i roto i ētahi meneti. Engari i mōhio koe, ka pāngia ētahi tāngata e te hūpē mō ngā rā, ngā wiki, ngā marama rānei? Ka kiia tēnei he hūpē pumau .
Ko tētahi take mō tēnei he raruraru ki te Io Phrenic. Mēnā ka riri tēnei io mō tētahi take, arā, ki te whakaohohia i tētahi ara, ka tīmata te tuku tohu hē ki te diaphragm. Kātahi ka tīmata te diaphragm ki te whakawhāiti me te kore e taea te whakahaere. Koinei te mea e rongohia ana e tātou ko te hiccups.
Ka taea e te pokanga, ngā pukupuku i roto i te uma, me ētahi atu, te whakararuraru i te io phrenic, ā, ka puta ai tēnei momo hūpē tonu. He tino hoha tēnei āhuatanga. Ka taea e ia te whakararuraru i ngā mea pēnei i te kōrero, te kai, me te moe.
He maha ngā momo maimoatanga e taunakihia ana e ngā tākuta mō tēnei mate:
- Ngā rongoā: Ngā rongoā pēnei i te Chlorpromazine, Baclofen, Gabapentin.
- Ngā aukati io: Ka werohia he werohanga ki roto i te io hei aukati i ngā tohu hē kei haere ki te diaphragm.
- Pokanga: He tikanga tino onge tēnei. Ko te tikanga he tapahi i te io phrenic me te whakakore i tetahi taha o te septum mō ake tonu atu. Ka kiia tēnei he phrenicotomy.
Me pēhea te pupuri i te hauora o tō tātou pūnaha io?
He wāhanga anō hoki te io phrenic o tō tātou pūnaha io katoa. Nō reira, he mea tino nui te pupuri i te hauora o te pūnaha io katoa mō te hauora o tēnei io. He iti noa ngā mea ngāwari ka taea e tātou te mahi hei whakatutuki i tēnā.
- Kia mau ki te kai pai: He mea tino nui te kai i ngā kai totika me te pupuri i te taumaha hauora e tika ana mōu.
- Kia nui te moe: Kia pai te moe mō te 7-8 hāora i te rā.
- Korikori tinana: Kia kaha tonu te mahi i ia rā. Ahakoa he mea ngāwari pēnei i te hikoi, te oma rānei, he pai tonu.
- Te whakahaere i ētahi atu mate: Mena kei a koe ngā mate pēnei i te mate huka, te toto toto tiketike rānei, me whakahaere pai aua mate, nā te mea ka taea e ēnei mate te kino i ngā io.
- Whakahaerehia te ahotea: Kāore te ahotea i te pai mō te pūnaha io. Ka taea e ngā mahi pēnei i te whakaaroaro me te yoga te āwhina ki te whakaiti i te ahotea.
- Kaua e kai hikareti: Ka kino te kai hikareti me ētahi atu hua tupeka ki ngā io me te tinana katoa.
Mena kei a koe ēnei tohu, me tino toro atu koe ki te tākuta.
Kaua rawa e warewarehia te uaua ki te manawa. Tērā pea he raruraru kei te io phrenic, he take nui rānei. Nō reira, ki te pāngia koe e tētahi o ngā tohu i raro nei, kaua e whakaroa, me toro atu ki tō tākuta.
| Āhuatanga hei aro atu | Whakaahuatanga |
|---|---|
| Ngā hīkoi tonu | Ki te kore ngā hūpē e mutu i muri i te rā kotahi, e rua rānei. |
| Te uaua ki te manawa | Ina koa mēnā he uaua ki a koe te manawa i a koe e takoto ana, ā, me moe koe me tō mahunga kia teitei ake me te maha o ngā urunga. |
| Ngā raruraru moe | Mena kua tīmata noa koe ki te ngongoro, ki te oho ake koe i te moe me te kore e manawa, ki te tino ngenge rānei koe i te awatea (ngā tohu o te moe pōrearea). |
| Ētahi atu tohu kāore i te whakamāramatia | Mena ka pāngia koe e te mamae o te pakihiwi, te ngoikore rānei o te ringa, me te uaua ki te manawa. |
He wāhanga nui te io Phrenic o tō oranga. Koinei te mea e āhei ai ō pūkahukahu ki te mahi tika. Kāore pea koe e whakaaro ki tēnei io. Heoi, ki te kite koe i tētahi huringa, i tētahi mamae rānei i roto i tō āhua manawa, kaua rawa e warewaretia. Ahakoa ehara i te raruraru o te io Phrenic, he āhuatanga uaua ki te manawa e hiahia ana kia arohia e te rata.
Karere Tangohia ki te Kāinga
- Ko te io phrenic te io matua e rere ana mai i te kaki ki te diaphragm, ā, koia hoki te io e whakahaere ana i te manawa.
- Mā tēnei io ka tohu te diaphragm kia kuiti ina manawa mai, kia wātea hoki ina tuku atu.
- Ki te pakaru tēnei io, ka pararutiki te diaphragm, ā, ka puta he raruraru nui ki te manawa.
- Ko te hūpē tonu e mau ana mō ngā rā ka puta pea i te raruraru o te io phrenic.
- He mea nui kia toro atu ki te tākuta tonu atu mēnā ka pāngia koe e te uaua ki te manawa, inā koa i te takoto, i ngā raruraru moe rānei.
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