Kei te hiahia anō koe ki te mōhio mō te matawai MAG3 mō ngā whatukuhu? (Matawai MAG3 Whatukuhu) Me kōrero māmā noa iho tēnei!

Kua kī atu te tākuta ki a koe, ki tāu tamaiti rānei, kia tirotirohia ngā whatukuhu e te `MAG3`? I mataku koe, i hiahia rānei koe ki te mōhio i te rongonga i taua ingoa? He mea noa te mataku o te tangata, inā koa ka kīia he matū `irahiko` hei whakamātautau. Kaua e manukanuka. He whakamātautau tino haumaru tēnei, ā, he nui ngā kōrero whai hua e homai ana ki a tātou mō te mahi a ngā whatukuhu. I tēnei rā, ka kōrero tātou mō te tikanga o tēnei tirotiro `MAG3`, te take e mahia ai, me pēhea te mahi, me ngā mea katoa e hiahia ana koe ki te mōhio mō tēnei mea i roto i te huarahi tino māmā, i roto i te huarahi e mārama ai koe.

He aha te matawai MAG3?

He whakamātautau motuhake te matawai `MAG3` hei tirotiro i te pai o te mahi a ō whatukuhu. Nō roto i tētahi wāhanga e kiia nei ko te Rongoā Karihi. Nā, ki te rongo koe i taua ingoa, tera pea ka nui ake tō mataku, engari kaua e mataku.

He tino māmā noa iho te mea e tupu ana i konei. Ka werohia he matū iti rawa, kāore he kino (e kiia ana e mātou he 'tracer', he 'radiotracer' rānei) ki roto i tō uaua. Kātahi, mā te whakamahi i tētahi kāmera motuhake, e kiia nei ko te 'gamma camera', ka tangohia e te tākuta ngā whakaahua o te rongoā i a ia e haere ana i roto i ō whatukuhu.

Whakaarohia he rite ki te mātaki i tētahi ataata 'ora' o ngā mea e tupu ana i roto i ō whatukuhu. Ka taea e tēnei kāmera te mātaki i te 'ara' e haere ana i roto i ō whatukuhu, mai i reira ki tō mimi. Mā tēnei ka taea e ō tākuta te whiwhi pikitia mārama mō te mahi a ō whatukuhu.

He aha ngā momo mea ka whakamahia e ngā tākuta i tēnei matawai hei tirotiro?

He maha ngā take e taunaki ai te tākuta i tēnei matawai. Ko ngā take matua ko te kimi mōhiohio mō:

• Te mahi whānui a ō whatukuhu: Ka taea e koe te tirotiro i te pai o te mahi a tētahi, e rua rānei o ō whatukuhu, me te pure i ō toto.
• Mēnā he aukati kei tētahi wāhi o te pūnaha mimi: Mā tēnei ka āwhina ki te kimi mēnā he aukati kei roto i ngā ngongo e kawe ana i te mimi mai i ngā whatukuhu ki te pūkahukahu (ngā ureter) ki tētahi atu wāhi rānei.
• Te rerenga wai: I ētahi wā ka noho tonu te mimi ki roto i te whatukuhu, kaua e rere tika ki raro. Ka āwhina tēnei ki te tautuhi i ēnei āhuatanga.
• Te rere o te toto ki ngā whatukuhu: He mea nui anō hoki tēnei matawai hei tirotiro mēnā kei te whiwhi ngā whatukuhu i te nui o te toto e hiahiatia ana, me te mea hoki he raruraru kei ngā uaua toto.
• Aromatawai i ngā whakawhitinga whatukuhu: Whai muri i te whakawhitinga whatukuhu, ka whakamahia hoki tēnei whakamātautau hei tirotiro i te pai o te mahi a te whatukuhu hou i roto i te tinana.

He mea tino nui hoki te matawai `MAG3` mō te tautuhi tika i ētahi mate hauora. Hei tauira:

• Te Hydronephrosis: He kīanga māmā noa iho, he āhuatanga tēnei kāore e rere tika te mimi, ā, ka kohia ki roto i te whatukuhu, ka pupuhi te whatukuhu.
• Te mate pukupuku whakapeka: Te pakaru o ngā ngongo angiangi i roto i te whatukuhu.
• Te whakatōtōtanga o te uaua whatukuhu: He whaiti o te uaua toto matua e tuku toto ana ki te whatukuhu.

He aha te rerekētanga i waenga i ngā matawai MAG3 me ngā matawai DTPA?

Kua rongo pea koe i te matawai `DTPA`. He whakamātautau rongoā karihi ēnei e rua e tirotiro ana i ngā whatukuhu. Engari ko te rerekētanga matua i waenganui i ngā mea e rua ko te `radiotracer` e whakamahia ana, he rongoā motuhake.

He tohu tātai anō hoki te DTPA e whakamahia ana i roto i ēnei whakamātautau. Heoi, mō ētahi tāngata, inā koa ko ngā tamariki nohinohi me te hunga he ngoikore rawa te mahi a ō rātou whatukuhu , kāore i te tino mārama ngā whakaahua i puta mai i te DTPA.

Engari ina whakamahia he `tracer` e kīia nei ko `MAG3` (ko te ingoa matū mō tēnei ko `mercaptoacetyltriglycine` - kāore au e hiahia ki te maumahara ki te ingoa, i whakahuatia noa e au), ka taea te tiki whakaahua tino mārama, taipitopito hoki o aua tāngata. Koia te take e taunaki pinepine ai ngā tākuta i ngā matawai `MAG3` hei tirotiro i ngā whatukuhu o ngā tamariki nohinohi, kaua ki ngā pakeke.

Me pēhea taku whakarite i mua i te matawai?

Koinei te wāhanga pai rawa atu. Kāore e hiahiatia he whakaritenga motuhake mō te matawai `MAG3`.

• Ka taea e koe te kai me te inu i te ahua noa.
• Mena kei a koe ētahi rongoā e tangohia ana e koe i ia rā, ka taea e koe te tango i aua rongoā pērā i ngā wā katoa, ki te kore e tohua tētahi atu e tō tākuta.

Mena kei te tirotirohia tāu tamaiti...

Ka mataku pea te tamaiti ina kōrerotia ki a ia tēnei momo whakamātautau. Nō reira, he mea nui kia whakamāramahia i roto i te huarahi māmā kia mārama ai rātou. Ka taea e koe te kī i tētahi mea māmā pēnei i te, "Kei te tirohia e te tākuta ngā whatukuhu pēpi i roto i tō puku me te kāmera iti kia kite ai mēnā kei te mahi tika."

• Mauria mai tētahi mea pērā i te taonga takaro, i te pukapuka rānei tino pai a tāu tamaiti.
• He maha ngā hōhipera e tuku ana i ngā tamariki kia mātaki i tā rātou pakiwaituhi tino pai.
• Ko te mea nui, ka taea e koe te noho tahi me tāu tamaiti puta noa i te whakamātautau katoa. He kaha nui tēnā mō te tamaiti.

Mena he whaea hāpu koe, kia mōhio koe ki te whakamōhio atu ki te hunga hauora. Ka hoatu e rātou he tohutohu motuhake ki a koe hei whakaiti i te pānga o te irahiko kāore e tika ana.

He aha ngā mea ka tupu i te wā o te matawai?

Me titiro tātou i ia taahiraa ki ngā mahi e tū ana i te rā o te whakamātautau. He tukanga tēnei e roa ana i waenga i te haora me te rua.

I ētahi wā, ki te hiahia te tākuta ki te kite i te tere o te putanga o te mimi i roto i ngā whatukuhu, ka hoatu pea e ia he rongoā e kiia nei ko te diuretic (e puta ai te nui o te mimi i roto i te wā poto) mā te IV, ā, ka tangohia he whakaahua i te wā kotahi. Mā tō tākuta tēnei e whakamārama i mua.

Kia ako tātou mō ngā mōrearea me muri i te matawai.

Kia oti te matawai, ka arotakehia ngā whakaahua e te tohunga hangarau. Mēnā he pai ngā mea katoa, ka taea e koe te hoki ki te kāinga. Ka taea e koe te tīmata anō i ō mahi o ia rā.

Nā, me kōrero tātou mō te pātai kei roto i te hinengaro o te katoa: He mōrearea kei roto i tēnei?

Ka kore e mahi tēnei 'ara' i roto i te tinana i roto i ētahi haora, ā, ka tino tangohia atu i te tinana i roto i tō mimi. Nō reira, mā te inu i te nui o te wai i te awatea i muri i te matawai ka tere ake te tukanga.

He mamae tēnei? He tino haumaru rānei?

Kāo. Ehara te matawai `MAG3` i te whakamātautau mamae. Ko te mamae anake ka pā ki a koe ko te werohanga iti i te wā tuatahi ka whakaurua te cannula ki tō ringa. Whai muri i tēnā, kāore koe e mamae i te roanga o te whakamātautau. Kāore te kāmera e pā ki tō tinana.

Mō te haumaru, he iti rawa te mōrearea o tēnei whakamātautau. Kāore te kāmera gamma e tuku i tētahi irahiko. He iti rawa hoki te kaha o te irahiko o te kaitātari. Ina hoatu ki te horopeta tika, he haumaru tēnei kaitātari mō ngā pēpi, ngā tamariki nohinohi, me ngā pakeke.

He mea noa te mataku ina kīia atu me whai matawai MAG3 koe. Engari kia maumahara, he whakamātautau haumaru, kāore he mamae. Ka hoatu hoki ki tō tākuta he kōrero whai hua mō te hauora o tō pūnaha mimi. I runga i aua kōrero, ka taea e rātou te āwhina ki te whakatau mēnā me hiahia koe ki te maimoatanga, ā, mēnā koinā, he aha te momo.