Kua rongo pea koe i te tākuta e kī ana, "He wai kei roto i ō pūkahukahu" ina uaua koe ki te manawa. He mea noa te mataku ina rongo koe i tēnei. Engari kaua e manukanuka, he tikanga hauora tino māmā, haumaru hoki ka taea te mahi hei rongoā i tēnei mate me te kimi i te take. Koinei te mea e kiia nei e mātou he thoracentesis. I tēnei rā, ka kōrerohia e mātou i roto i te huarahi tino māmā, ngāwari ki te mārama.
He aha te Thoracentesis?
Ki te kī māmā noa, ko te thoracentesis te tukanga tango i te wai nui (te wai) mai i te taha o ō pukahukahu mā te whakamahi i tētahi taputapu rite ki te ngira.
Whakaarohia kei roto i tō tātou uma ō tātou pūkahukahu. He wāhi iti rawa te wāhi i waenganui i ēnei pūkahukahu me te pakitara o te uma. Ka kiia tēnei wāhi ko te wāhi pleural. E rua ngā kiriuhi angiangi rawa i roto i tēnei wāhi. Ina manawa tātou, ka whānui, ka kōpiri ō tātou pūkahukahu. Kia pai ai te haere o tēnei tukanga, me te kore e tukinga tetahi ki tetahi, me iti noa te wai i waenganui i aua kiriuhi e rua. Pērā i te paninga hinu iti ki runga i te inihi tatau ka māmā ake te whakatuwhera me te kati, ka āwhina tēnei nui o te wai i ō tātou pūkahukahu ki te mahi ngāwari.
Engari nā ētahi mate, ka nui ake te wai ka kohia ki tēnei wāhi i te mea e tika ana. I roto i ngā kupu hauora, ka kiia tēnei he pleural effusion . Ina kī te wai nei, kāore he wāhi e nui ai te whānui o ngā pukahukahu, ka puta ai ngā tohu pēnei i te uaua ki te manawa me te taumaha o te uma.
Nō reira, ko te mahi i roto i te maimoatanga thoracentesis ko te tango i tēnei wai taikaha.
Te rerekētanga i waenga i te Thoracentesis me te Paracentesis
He maimoatanga ēnei e rua e tango ana i te wai nui rawa atu i te tinana. Heoi, ka tangohia e te thoracentesis te wai mai i te uma, arā, i te taha o ngā pukahukahu. Ka tangohia e te paracentesis te wai kua kohia i roto i te puku (puku).
He pokanga nui te thoracentesis?
Kāore rawa. Ehara te thoracentesis i te pokanga nui. Ka kiia he tikanga 'iti rawa te whakaekenga', arā, he maimoatanga e iti ana te kino o te tinana. Kāore he motu nui, he patunga rānei. Nō reira, he poto rawa te wā whakaora, ā, he iti rawa ngā mōrearea.
He aha tātou e hiahia ai ki tēnei maimoatanga?
E rua ngā take matua mō te mahi i te thoracentesis.
1. Tātaritanga: Hei kimi i te take he wai kei roto i ngā pukahukahu. Ka tangohia he tauira o te wai ka tukuna ki te taiwhanga hei tirotiro mō te mate, ngā pūtau matepukupuku, ētahi atu tohu rānei o te mate.
2. Hei whakaora i ngā tohu (Whakaora): Mena kua nui te wai kua kohia ki ngā pukahukahu, ā, he uaua ki a koe te manawa, ka mahia tēnei maimoatanga hei tango i taua wai, hei whakaora hoki i a koe.
Me titiro tātou ki te ripanga i raro nei kia kite ai he aha ngā tino take o te rerenga wai i roto i te pleural.
| Ngā take pea o te pleural effusion (te kohikohinga wai huri noa i ngā pukahukahu) | |
|---|---|
| Te ngoikore o te ngākau | He take noa tēnei. |
| Matepukupuku | Tērā pea ka puta mai tēnei i te mate pukupuku o te pūkahukahu, i ētahi atu mate pukupuku rānei. |
| Ngā mate pūkahukahu me te niumōnia | Ka pā mai pea i ngā mate kitakita, huaketo, harore rānei. |
| Te mate kohi (TB) | He take e kitea whānuitia ana hoki i Sri Lanka. |
| Te toto totoka i roto i ngā pukahukahu (Pulmonary embolism) | He toto totoka i roto i te uaua toto. |
| Mate whatukuhu, mate ate rānei | Nā ngā panonitanga o te taurite wai o te tinana. |
| Ngā mate pūnaha ārai mate pēnei i te lupus/SLE | Te whakaekenga a te pūnaha ārai mate o te tinana i ōna ake pūtau. |
He pēhea te mahi a tēnei maimoatanga? He mea hei wehi māu?
Kāore he take e wehi ai koe i tēnei maimoatanga. Kia kite tātou i te aha ka tupu i ia taahiraa.
Te whakarite i mua i te maimoatanga
Ka hoatu e tō tākuta ētahi tohutohu ki a koe i mua i tēnei maimoatanga. Tērā anō ētahi mea hei whakamōhio atu māu ki tō tākuta.
- KoeMena kei te tango koe i ngā rongoā whakaiti toto, pērā i te aspirin rānei, kia mahara ki te whakahua i taua mea.
- Mena he mate toto totoka tōu , tena koa whakamōhio mai.
- Kōrero mai ki a mātou mō ētahi atu rongoā, huaora, tāpiringa rānei e tangohia ana e koe.
- Kōrero atu ki tō tākuta mēnā he mate pāwera koe ki tētahi rongoā (ina koa ko ngā rongoā whakangote), ki te rapa, ki te rīpene rānei .
- Me kōrero mai hoki koe mēnā kei te hapu koe, kei te tūpono rānei ka hapu koe.
He aha ngā mea ka tupu i te wā e rongoatia ana?
I te nuinga o te wā ka mahia tēnei maimoatanga i roto i te hōhipera. E 15 meneti te roa o te tukanga katoa.
1. Tūnga: Ka tonoa koe kia noho ki runga i tētahi tūru, kia okioki ki tētahi tēpu kei mua i a koe, ā, kia whakatakotoria ō ringa ki runga i ō hope. Mā tēnei tūnga ka kitea tō tuara. Ki te uaua ki a koe te noho, ka taea hoki tēnei mā te okioki ki tō taha.
2. Te Whakarite: Ka horoia pai te wāhi i tō tuara e hiahia ana koe ki te tango i te wai ki te wai patu paturopi, kātahi ka hipokina ki te kakahu.
3. Whakangoikore: Muri iho, ka whakamahia he ngira iti rawa hei wero i tētahi rongoā whakangoikore ki te wāhi. I tēnei wā, ka rite ki te ngau a tētahi pōpokorua iti i a koe, engari kātahi ka whakangoikore rawa te wāhi.
4. Te tango i te wai: Ka werohia e te tākuta tētahi atu ngira ki te wāhi i waenganui i ō rara, i raro noa i te kiri, kei reira te wai. I ētahi wā, ka whakamahia he matawai ultrasound hei āwhina i te ārahi i te wāhi. Ka ringihia te wai tāpiri mā roto i tētahi ngongo e piri ana ki te ngira.
5. Mutunga: Kia tangohia te nui o te wai e hiahiatia ana, ka tangohia te ngira, ā, ka tāpirihia he takai iti ki te wāhi.
Ko te mea nui kia tino mārama koe i te roanga o tēnei maimoatanga. Kāore koe e mamae. Tērā pea ka pēhia, ka kore rānei e pai te āhua ina tangohia te wai, engari kāore e mamae.
I muri i te maimoatanga
I muri i te maimoatanga, tera pea ka whai koe i tētahi atu hihi-X, i tētahi atu matawai rānei hei tirotiro i te āhua o ō pukahukahu. Ka aro turukihia tō manawa me tō toto toto mō ētahi haora i mua i tō tukunga ki te kāinga.
He mea noa te maremare mō te haora pea i muri i te maimoatanga. Nā te mea kei te whānui anō ngā pukahukahu i muri i te ma o te wai.
Te mōrearea me te wā whakaora
He tino haumaru te mahi tango i te thoracentesis. He tino iti te mōrearea o ngā raruraru. Anei ētahi o ngā mōrearea ka taea:
- Te toto: Ki te pā te ngira ki tētahi uaua toto iti, tera pea he toto iti kei roto. I te nuinga o te wā ka mutu noa iho tēnei.
- Mate urutā:Pērā i ngā motu katoa o te kiri, he iti noa te tūponotanga ka uru mai ngā iroriki ka pangia.
- Pneumothorax: He tino onge, ka werohia te pukahukahu e te ngira, ka puta he kōhao iti, ka puta te hau. Ka taea e tēnei te hinga o te pukahukahu.
- Te pupuhi pūkahukahu: Ki te tangohia he nui te wai i te tere rawa, ka kī tonu ngā pūkahukahu i te wai.
Kāore e roa te ora. Ka kī atu te tākuta kia kaua e mahi i tētahi mahi uaua mō ngā rā e rua . Ka taea te tango i te takai i roto i te 24 hāora.
Mena ka puta ēnei tohu i muri i te maimoatanga, me toro atu ki te tākuta tonu.
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i tō hokinga ki te kāinga i te maimoatanga, waea atu ki tō tākuta tonu atu.
- Kirika
- Te whero, te pupuhi, te toto rānei/te wai kē atu i te wāhi i werohia ai te ngira
- Te mamae o te uma , te mamae rānei i te manawa hohonu
- Te mare toto (Hemoptysis)
- Te uaua ohorere ki te manawa
Ki te pāngia koe e te uauatanga o te manawa, he mea nui kia haere koe ki te Tari Whawhati Tata (ETU) o te hōhipera tata.
Karere Tangohia ki te Kāinga
- He tikanga hauora tino haumaru, tino māmā hoki te thoracentesis e tango ana i te wai nui kua kohia huri noa i ngā pukahukahu.
- Ka mahia tēnei hei kimi i te pūtake o te pupū wai (tātaritanga) hei whakaiti rānei i te uauatanga o te manawa (whakamarie).
- Ehara tēnei i te pokanga nui. E 15 meneti pea te roa, me te rongoā whakangoikore, ā, kua ara koe.
- He tino iti te mōrearea, engari he mea nui kia mōhio ki ngā tohu whakatūpato ka puta i muri i te maimoatanga.
- Tērā pea ka puta te pupuri wai i te tinana nā tētahi mate hauora kei raro iho. Kōrero ki tō tākuta mō tēnei.
- Mena he pātai, he āwangawanga rānei āu mō tēnei mea, kōrerohia ki tō tākuta.
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