He wā poto te manawa i ētahi wā, kāore he take, me te mea kei te hauhau koe? Tērā pea he uaua ki te manawa i a koe e piki ana i tētahi arawhata iti, e hikoi ana rānei i tētahi tawhiti poto. He maha ngā take mō tēnei. Engari ehara i te mea ko ō tātou pūkahukahu anake te raruraru. Kotahi te uaua matua, te uaua tino kaha e āwhina ana i a tātou ki te manawa, ko te diaphragm tēnā. Nō reira, i tēnei rā ka kōrero tātou mō tētahi whakamātautau motuhake, māmā hoki hei tirotiro mēnā kei te mahi tika tēnei diaphragm. Ko te 'Whakamātautau Hongi' te ingoa o tēnei.
He whakarāpopototanga noa iho, he aha tēnei 'Whakamātautau Hongi'?
Āe, me whakamārama ngāwari noa iho. Ko te 'whakamātautau hongi' he momo whakamātautau hihi-X motuhake. Ko te tikanga, ka tirohia te pai o te mahi a tō diaphragm.
Inaianei kei te whakaaro pea koe he aha tēnei diaphragm. Ko te uaua nui, papatahi e noho ana i waenganui i tō tātou uma me te puku. He rite ki te maru. Ko tēnei uaua te mahi matua i ia wā e manawa ana tātou. Nō reira, i roto i tēnei whakamātautau, ka tangohia e te tākuta, e te tohunga hangarau rānei he raupapa whakaahua X-ray, pērā i te ataata, i a koe e manawa ana ki roto, ki waho hoki. Mā te titiro ki aua whakaahua, ka taea e rātou te kī mēnā he ngoikore kei roto i tō diaphragm, he pararutiki rānei.
E rua atu ngā ingoa e whakamahia ana mō tēnei whakamātautau. Ko te Chest Fluoroscopy me te Diaphragm Fluoroscopy . Ki te rongo koe i ēnei ingoa e rua, ko te tikanga he whakamātautau kotahi tēnei.
Āhea me mahi te 'whakamātautau hongi'?
Mena kei te whakapae tō tākuta kei pāngia ngā io e whakahaere ana i tō manawa, ka tūtohu pea rātou i tēnei whakamātautau. He mea nui rawa tēnei mō ētahi mate pūnaha io.
Whakaarohia, kei reira tētahi tangata ko Nimal tōna ingoa. Kua roa ia e uaua ana ki te manawa. He maha ngā whakamātautau kua mahia e ngā tākuta, engari kāore anō kia kitea he tino take. Hei whakamutunga, e whakapae ana te tākuta kei te ngoikore ētahi io e whakahaere ana i tōna diaphragm. Ko te wā tēnā e tino whai hua ai tēnei 'whakamātautau hongi'.
E whakaatu ana te ripanga i raro nei i ētahi o ngā āhuatanga hauora e hiahiatia ana tēnei whakamātautau.
| Āhua | He whakamārama māmā |
|---|---|
| Te mate urutā taha amyotrophic (ALS) | He mate e ngoikore haere ana ngā pūtau io i roto i te roro me te taurakira. |
| Te polyneuropathy demyelinating mumura mau tonu (CIDP) | He mate roa e kino ai ngā pukupuku io o te tinana. |
| Te mate kiri | He āhuatanga e hua ai te ngoikore o te uaua me ngā mate kiri. |
| Te mate Guillain-Barré | He āhuatanga e whakaekea ai ngā io e te pūnaha ārai mate. |
| Te mate Lambert-Eaton | He āhuatanga e whakararuraru ana i te tuku tohu i waenga i ngā io me ngā uaua. |
| Te mate maha-sclerosis (MS) | He mate e pā ana ki te roro me te taurakira, ka pakaru ai ngā pukupuku io. |
| Te ngoikore o te uaua | He rōpū mate e ngoikore haere ai ngā uaua, e memeha haere ai hoki. |
| Te mate pāwera | He mate e whakararu ana i te hononga i waenga i ngā io me ngā uaua. |
| Mate Pompe | He āhuatanga ira e ngoikore ai ngā uaua nā te kohi o te huka i roto i ngā pūtau o te tinana. |
| Te mate muri-polio | Tērā pea ka pāngia te tangata kua pāngia e te mate pōrearea i mua e te ngoikore o te uaua i muri i ngā tau maha. |
| Te whara o te taurakira | Te whakararuraru i te mahi a ngā io nā te whara o te taurakira. |
Haunga ēnei āhuatanga hauora, ka taea te whakahaere i tēnei whakamātautau i roto i ētahi atu āhuatanga e rua:
1. Mena he uaua ki te manawa (dyspnea) kāore i te mārama te take.
2. Hei tirotiro i te mahi a te diaphragm i mua atu, i muri rānei i tētahi pokanga .
He pēhea rawa te mahi a tēnei 'whakamātautau hongi'?
He tukanga tino whakamere tēnei. Whakaarohia kei te tū koe i mua i tētahi mīhini hihi-X. Ka tohutohu te tākuta, te tohunga hangarau rānei i a koe kia manawa i ngā huarahi rerekē. I taua wā, ka taea e te kāmera hihi-X te kite i te roto o tō uma, inā koa te diaphragm, e neke ora ana.
Ko ngā mea ēnei e kīia ana kia mahia e koe:
- Mānu mārire, kia rite hoki ki te tikanga .
- Tāia te manawa ki roto kia hōhonu rawa .
- Puha katoatia te manawa i te mea e taea ana.
- Mānu tere mā roto i tō ihu . Me te mea kei te mānu koe ki roto, ā, kāore e hongi i tetahi mea. Koinei te mea e kiia nei ko te "hongi". Ka kiia tēnei whakamātautau ko te "whakamātautau hongi" nā tēnei mahi.
Nā, he aha ngā mea ka kitea e koe i roto i tēnei?
I te nuinga o te wā, ina manawa te tangata hauora, ka neke te diaphragm ki raro (ki te puku) ka papatahi. Mā tēnei ka taea e ngā pukahukahu te whakakī ki te hau. I te wā e manawa ana, ka neke ake anō te diaphragm (ki te uma) ka huri hei āhua porowhita (āwhati).
Heoi, ki te kore te diaphragm e heke iho i te wā e manawa ana te tangata, engari ka piki ake (kia teitei) , ko te tikanga he raruraru pea kei te diaphragm, kei te io phrenic rānei e whakahaere ana i taua mea. Ko taua nekehanga rerekē te mea matua e tirohia ana e tēnei whakamātautau.
Me pēhea taku whakarite mō tēnei whakamātautau?
Koinei te mea pai rawa atu. Kāore e hiahiatia he whakaritenga motuhake mō tēnei whakamātautau. Kāore koe e hiahia ki te nohopuku, ki te tango rānei i tētahi rongoā motuhake. Ka taea e koe te mahi i ō mahi o ia rā, ka haere ki te hōhipera i te wā kua whakaritea mō te whakamātautau.
He aha ngā mea ka tupu i te wā o te whakamātautau?
Ina haere koe ki te rūma whakamātautau, ko ēnei mahi te tikanga:
1. Te whakatikatika i te tū:Ka tono te tohunga hangarau kia tū koe ki mua i te kāmera hihi-X. Mēnā he uaua ki a koe te tū, ka tonoa koe kia noho ki runga i te tūru, kia takoto rānei ki runga i tētahi tēpu e piko ana. Tērā pea ka whakamahia he whitiki hei pupuri i a koe kia mau, hei ārai hoki i a koe kei paheke. Kaua e manukanuka ki tēnā.
2. Ngā tohutohu manawa: Muri iho, ka tohutohu rātou i a koe kia manawa i ngā huarahi rerekē (hei tauira, te manawa noa, te manawa hōhonu, te manawa whakapū, te hongi tere). He mea tino nui kia piri tonu te whai i ā rātou tohutohu .
3. Te tango whakaahua hihi-X: I a koe e manawa ana pēnei, ka haere tonu rātou ki te tango whakaahua hihi-X.
He poto noa te wā e pau ana ki tēnei tukanga katoa, tata ki te 15 meneti , nō reira kāore he take e manukanuka ai ki te wā.
He tūponotanga, he pānga taha rānei kei roto i tēnei?
Kāore he pānga taha o tēnei whakamātautau, ā, kāore he mamae.
He iti noa iho te nui o te irahiko ka pā ki tō tinana i te whakamātautau hihi-X. Engari he tino iti, he iti noa iho. E taunaki ana tō tākuta i tēnei whakamātautau nā te mea he nui ake te uara me ngā painga o ngā mōhiohio i whiwhi mai i tēnei whakamātautau i te iti o te mōrearea. Nō reira, kāore he take e manukanuka nui ai mō te irahiko.
Me pēhea te mārama ki te pūrongo 'whakamātautau hongi'?
He tino māmā noa iho te hua o te 'whakamātautau hongi'. He pai, he kino rānei.
| Hua | Te tikanga māmā |
|---|---|
| Pai (+ ) | Ko te tikanga o tēnei, ka neke haere tō diaphragm ki runga i te āhua rerekē ina manawa koe. Tērā pea he tohu tēnei kua pararutiki tō diaphragm i tētahi wāhanga, i te katoa rānei. |
| Kino (-) / Noa | Ko te tikanga o tēnei kei te neke tika tō diaphragm, e tika ana. Ko te tikanga kāore he raruraru ki tana mahi. |
Tērā pea ka taea e tō tākuta te whakamōhio atu i ngā hua i taua wā tonu. Tērā pea ka roa pea ētahi rā mā te tohunga hihi-X hei arotake i ngā whakaahua, hei whakarite i tētahi pūrongo, ā, hei tuku atu ki tō tākuta.
Kia maumahara ki tētahi mea nui.
I ētahi wā, he iti noa te tūponotanga o te 'hē pai' (inā kāore he raruraru, engari te āhua nei kei reira) me te 'hē kino' (inā he raruraru, engari kāore e whakaatuhia ana e te whakamātautau). Nō reira, e kore te tākuta e whakatau i runga i tēnei pūrongo anake. Ka whakaarohia e ia ngā mea katoa, tae atu ki ō tohu me ētahi atu hua whakamātautau, kia tae atu ai ki tētahi whakatau whakamutunga.
Mena he rerekē ngā hua, he aha te mea ka tupu i muri mai?
Ki te puta he hua pai i roto i tō whakamātautau hongi, arā, he hua rerekē, kaua e manukanuka. Ka kōrero tō tākuta ki a koe, ka whakamārama hoki i te tikanga o te hua e pā ana ki tō āhuatanga.
Ehara tēnei i te whakataunga i ahu mai i tētahi rangahau kotahi. He wāhanga noa iho tēnei o tētahi tirohanga whānui.
Ka whakaritea e tō tākuta tēnei pūrongo ki ō tohumate me ētahi atu whakamātautau hei whakatau i ngā mahi hei whai ake. Tērā pea ka tono ia i ētahi atu whakamātautau, ka tīmata rānei i tētahi mahere maimoatanga. Ko te mea nui ko te kōrero ki tō tākuta mō tēnei, me te pātai atu i ō pātai katoa.
He huarahi tere, kore mamae hoki te whakamātautau hongi mō tō tākuta ki te kite i te mahi a ngā io me ngā uaua e āwhina ana i a koe ki te manawa. Mā tēnei ka āwhina i te tautuhi i te pūtake o ō raruraru manawa i te wā wawe, kia taea ai te rongoā, te whakahaere rānei i te haere whakamua o te mate.
Karere Tangohia ki te Kāinga
- He whakamātautau hihi-X māmā noa iho te 'Whakamātautau Hongi', kāore he mamae, e tirotiro ana i te mahi a tō diaphragm, te uaua matua e āwhina ana i a koe ki te manawa.
- E 15 meneti pea te roa o tēnei, ā, kāore he whakaritenga motuhake e hiahiatia ana i mua i te whakamātautau.
- He mea tino nui tēnei whakamātautau mō te tautuhi i ngā uauatanga manawa kāore i te mārama te take me ētahi mate pūnaha io.
- Kaua e whakatau tere mō te hua o te whakamātautau (pai, kino rānei) i a koe anō. Pātai atu ki tō tākuta mō tētahi whakamārama katoa, me te aha hoki hei mahi i muri mai.
- He tino iti te pānga o te irahiko mai i tēnei whakamātautau. He nui ake ngā painga o te whakamātautau i te iti o te mōrearea.
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