E mōhio ana tātou katoa ki ngā whekau nui o roto i tō tātou tinana pērā i te ngākau, ngā pukahukahu, me ngā whatukuhu. Engari ki te rongo koe i te kupu "spleen," kāore pea koe e mōhio nui. Engari he whekau iti tēnei e mahi puku ana i tētahi mahi tino nui i roto i tō tātou tinana. Heoi, ko tētahi tūponotanga ki a ia ka waiho hei tūponotanga nui ki te ora. I tēnei rā ka kōrero tātou mō te pakaru o te spleen.
He whakarāpopototanga, he aha tēnei whēkau?
Kei te taha maui o runga o tō puku te whēkau, i raro noa iho i tō rara. He okana iti rawa tēnei, tata ki te rahi o tō ringa. Ko tana mahi matua he penapena me te tātari toto. E penapena ana i te 25% o ngā toto whero me ngā pereti toto i roto i tō tātou tinana i tētahi wā. Ka āwhina hoki ki te hanga toto mā hei whawhai i te mate.
Whakaarohia he rite ki te tātari e horoi ana i te toto. Ko te wāhanga ngohengohe o roto i te ate e mahi ana i tēnei mahi kua hipokina e te paparanga uaua angiangi. Engari nā te mea he tino ngawari, ka taea te whara ngāwari ahakoa he iti noa te aituā.
Nā, he aha te pakaru o te whēkau?
Mena, nā tētahi aituā, nā tētahi atu take rānei, ka pakaru te hipoki angiangi e karapoti ana i te whēkau, ka kiia tēnei he pakaru whēkau. Ina tupu tēnei, ka tīmata te turuturu o te toto nui i roto i te whēkau ki roto i te puku. He āhuatanga ohorere hauora tēnei ka puta he toto tino morearea ki roto , tae atu ki te mate. Nō reira, he mea nui kia mōhio koe ki tēnei me te rapu maimoatanga i te wā e taea ai.
He aha te take o te pakaru o te ate?
I te nuinga o te wā, ko te tino take o te pakaru o te ate he whara kino o waho.
- Ngā aituā motuka: O ēnei, 50% - 75% i puta mai i ngā aituā motuka.
- Ngā aituā hākinakina: He nui rawa tēnei mōrearea i ngā hākinakina pāngia e ngā mate pēnei i te whutupōro me te whutupaoro.
- Ngā Whakaeke: He whana, he wero, he pupuhi rānei ki te puku ki te ringa mārō.
- Hinga: He rite ki te hinganga mai i te teitei.
I ētahi wā ka pakaru tonu te ate i muri i te aituā. Engari i ētahi wā, ka pupuhi te ate i muri i te aituā, ā, ka pakaru ahakoa i muri i ngā haora.
Ka taea e te ate te pakaru me te kore he mōrearea?
Ae, he tino onge, engari ka taea. Ka kiia ko te pakaru ohorere o te whēkau . Ka puta tēnei ina nui haere te whēkau, ka pupuhi, ā, ka ngoikore tōna uhi o waho nā tētahi atu mate hauora o te tinana, ka pakaru ohorere. Anei ētahi āhuatanga pea:
- Matepukupuku: Ngā āhuatanga matepukupuku pērā i te lymphoma.
- Ngā mate urutā: Ngā mate urutā pērā i te mononucleosis, te malaria rānei.
- Ētahi atu mate: Ngā mate mau tonu pērā i te mate ate (Hepatitis) me te pancreatitis rānei.
He aha ngā tohu o te pakaru o te ate?
Ko te mea nui ka pā ki a koe ina pakaru tō ate ko te mamae nui i te taha maui o runga o tō puku . Engari whakaarohia mēnā i pāngia koe e te aituā, ā, whati ana tētahi rara, tera pea he uaua ki te wehewehe i waenga i taua mamae me te mamae o tō ate.
Ko tētahi atu āhuatanga ko te mamae ka rite ki te haere ki tō pakihiwi maui i muri i tētahi wā. Ka kiia tēnei ko te tohu Kehr i roto i ngā kupu hauora. I roto i ngā kupu māmā, ina toto te whēkau, ka pēhia he io e rere ana mai i te kaki ki te uma (io phrenic). Koia te take e rite ana te mamae ki tō pakihiwi. Tērā pea ka rite koe ki te kaha haere o te mamae ina manawa koe.
Haunga tēnei mamae matua, ka puta pea ētahi atu tohu i te toto e puta ana i roto i te tinana me te hekenga ohorere o te toto toto.
| Tohu | Whakaahuatanga |
|---|---|
| Pōuri me te ngoikore | Te pōuriuri, te kore e taea te tū. |
| Pōhēhētanga | Kāore e taea te mārama ki te mea e tupu ana, he hinengaro pōuri. |
| Te tirohanga pōuri | Te tirohanga pōuri. |
| Te mā me te ngaro o te māramatanga | Ka mā, ka kōmā te tae o te kiri, ā, te āhua nei kei te ngaro haere tō māramatanga. |
| Te kore okiokinga me te manukanuka | He kare ā-roto rerekē o te manukanuka me te wehi. |
| Whakapairuaki | Te āhua e hiahia ana koe ki te ruaki. |
Ki te whakapae koe kua pakaru te ate, me aha tonu!
Ki te mamae nui koe i te taha maui o runga o tō puku i muri i tētahi aituā, ki te mea rānei kei te horapa te mamae ki tō pakihiwi maui, haere tonu ki te Tari Ohotata (ETU) o te hōhipera. Waea atu ki tētahi waka āwhina mēnā e tika ana.
Ehara tēnei i te mea ka taea e koe te tatari noa ki te kāinga. Tērā pea ka mate, ka ora rānei te toto o roto. Nō reira, he mea nui kia rapu awhina hauora i te wā e taea ai.
Ina haere koe ki te hōhipera, me kōrero mārama ki ngā tākuta mō ō tohumate, ō whara o nā tata nei, me ētahi atu mate hauora kei a koe. Mēnā e tika ana, ka tukuna e te tīma hauora he tote, he whakawhiti toto rānei hei whakahaere i te toto toto iti nā te toto.
Me pēhea te kitenga a ngā tākuta i tēnei?
Mena he noa tō toto toto me tō tere o te manawa, ka tirohia koe e te tākuta i te tuatahi. Kātahi ka whakahaerehia he matawai ultrasound motuhake (FAST ultrasound), e whakamahia ana i ngā wā ohorere. Mā tēnei ka taea te kite wawe i te toto i roto i te puku.
Mena ka kitea te toto i roto i te matawai, ā, he tino kino tō āhua, ka mōhio ngā tākuta he pakaru te ate, ā, me tere tonu te rongoā. Mena kei te pumau tō āhua, engari kei te whakapaetia kua pakaru tō ate, ka taea te mahi i tētahi matawai CT hei tirotiro i te kino o te whara. Ka whakarōpūtia te kaha o te whara mā te whakamahi i ngā tau mai i te I ki te V.
Me pēhea te rongoā?
Ko te maimoatanga e whakawhirinaki ana ki te kaha o te whara. Tērā pea ka ora ake ētahi motu iti i a rātou anō. Heoi, me whiwhi maimoatanga ohorere ngā motu nui. Ko ngā motu tino kino (taumata V) me tango pea te whēkau.
| Tikanga maimoatanga | Hei whakarāpopototanga... |
|---|---|
| Te whakapūngao | Ehara tēnei i te pokanga. Mā te whakamahi i te matawai, ka tukuna e te tākuta tohunga he ngongo angiangi mā roto i tētahi o ō uaua toto ki roto i tō whēkau, ā, ka whakaurua he taputapu iti rite ki te pītiti ki te wāhi e toto ana hei whakamutu i te toto. |
| Te Splenorrhaphia | He mahi pokanga tēnei. Ko te tikanga he tuitui i te ate kua pakaru, he tahu ki te taputapu hiko (electrocautery), he paninga rānei i tētahi wai motuhake hei whakamutu i te toto. Mēnā ka angitu tēnei, ka taea te whakaora i te ate me te kore e tangohia. |
| Te tango i te pūkahukahu | Ki te kore e taea te aukati i te toto i tētahi ara, ā, kāore e taea te whakaora i te whēkau, ka tangohia te katoa, te wāhanga rānei o te whēkau mā te pokanga. Tata ki te 20% o ngā pakaru whēkau ka mutu pēnei. |
Ka taea e koe te ora tonu i muri i te tango i tō ate?
Ae, e tino taea ana. Ka taea e koe te ora me te kore he whēkau. Engari ka pā ki tō pūnaha ārai mate . Nā te mea ka tiakina tātou e te whēkau mai i ngā mate, mā te tango i taua whēkau ka paku whakanui ake i te tūponotanga o te whakawhanake i ngā mate.
Nō reira, i muri i te pokanga, ka tohutohu te tākuta kia whiwhi koe i ētahi kano ārai mate motuhake. Waihoki, ki te puta he mate, ka tohutohu ia kia tango tonu koe i ngā paturopi i te wā tonu.
Ka rerekē te wā whakaora mai i te 3 ki te 12 wiki i runga i te kaha o te whara. Mena ka pokangahia koe, me noho pea koe ki te hōhipera mō ētahi rā.
Karere Tangohia ki te Kāinga
- He mate kino te pakaru o te ate, he mate morearea pea e hiahia ana ki te maimoatanga hauora ohorere.
- Ki te pāngia koe e te mamae nui i te taha maui o runga o tō puku i muri i tētahi aituā, ki te rite rānei te mamae ki tō pakihiwi maui, he tohu pea tēnei kua pakaru te ate.
- Ki te pā mai ēnei tohu, kaua e whakaroa, me haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
- Mena ka kitea wawetia te mate, ka rongoatia hoki, he maha ngā wā ka taea te whakaora i te ate me te kore e tangohia.
- Ahakoa ka tangohia te ate, ka taea tonu e koe te noho i te oranga noa. Heoi anō, me tino tupato koe kia rite ki ngā tohutohu a te taote hei tiaki i a koe mai i ngā mate urutā.
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