Kua kī atu tō tākuta kia whai 'tirotiro tairoi' koe? Tērā pea ka mataku koe ina rongo koe i te ingoa. He mea noa te mataku ina rongo koe i ngā kupu pēnei i te 'radioactive'. Engari he whakamātautau tino haumaru, he mea noa te mahi. Nō reira, i tēnei rā, me kōrero tātou mō te aha tēnei Tirotiro me te Tirotiro Tairoi, te take i mahia ai, me pēhea te whakarite mōna.
He aha te Uptake me te Matawai o te Tairoiro?
He whakarāpopototanga noa iho tēnei, he whakamātautau whakaahua motuhake tēnei e tirotiro ana i te mahi a te repe tairoiti i roto i tō kaki. Ka kiia tēnei he whakaahua rongoā karihi. Kaua e mataku ki te ingoa. Ko te werohanga he matū iti rawa, haumaru hoki (radiotracer) ki roto i tō tinana, me te tango pikitia o tō repe tairoiti mā te whakamahi i tētahi kāmera motuhake.
Whakaarohia, mā te whakamahi i te ultrasound thyroid auau ka taea te tirotiro i te āhua me te rahi o te repe. Engari mā tēnei Thyroid Uptake and Scan, ka taea e koe te tiki atu i ētahi atu kōrero, arā, me pēhea te mahi a te repe . He rite ki te titiro ki ngā mea e tupu ana i roto i te miihini o te motuka, kaua ki te titiro ki waho.
'Whakaurunga' me 'Matawai' - he aha te rerekētanga i waenganui i ngā mea e rua?
He tukanga rua ēnei e rua, engari he mahi tahi tonu i te nuinga o te wā. Ki te mārama koe ki te rerekētanga i waenganui i ngā mea e rua, ka ngaro tō wehi ki te whakamātautau.
| Wāhanga whakamātautau | Hei whakarāpopototanga... |
|---|---|
| Te tangohanga o te tairoi | Mā tēnei ka ine i te 'hiakai' o tō repe tairoiti. Arā, te nui o te iodine irirangi e 'kai' ana (e mimitia ana) e te repe. Mā tēnei ka taea te mōhio mēnā he nui rawa te mahi a te repe, he iti rānei te mahi . Kāore he whakaahua e tangohia ana i konei, he ine noa iho. |
| Matawai Tairoiti | He 'wāhanga whakaahua' tēnei. Nā te mea kua mimiti te repe i ngā rauemi irahiko, ka kitea te āhua me te rahi o te repe, tae atu ki ngā wāhanga o te repe e mahi nui ana, me ngā wāhanga e iti ana te mahi, i roto i ngā pikitia. He rite ki te 'mahere mahi' o te repe. |
Ki te kī māmā noa, ka ine te 'Uptake' i te mahi whānui o te repe, ko te 'Scan' ia ka tango pikitia o taua mahi kua horapa puta noa i te repe.
He aha mātou me mahi ai i tēnei whakamātautau?
He maha ngā take ka tonoa ai tēnei whakamātautau e te tākuta. Ko ngā take matua ko:
- Tirohia mēnā kei te tika te mahi a tō repe tairoi: Mā tēnei matawai ka āwhina koe ki te whakatau i te tino take, inā koa mēnā kua tāpaetia koe he mate hyperthyroidism.
- Kimihia ētahi atu kōrero mō ngā pona tairoi: I muri i te kitenga o te matawai ultrasound i tētahi pona i te kaki, he mea nui kia mōhiotia mēnā he pona 'wera' te pona e whakaputa ana i ngā homoni, he pona 'mātao' rānei kāore e whakaputa ana i ngā homoni.
- Tirohia ngā hua o te maimoatanga: Ka mahia hoki tēnei whakamātautau hei tirotiro mēnā kua puta he huringa i roto i te mahi a te repe i muri i te whakamahinga o te rongoā mō te mate tairoi, i muri rānei i te pokanga.
Me pēhea tā tātou whakarite i mua i te whakamātautau?
He iti noa ngā mea me mōhio koe, ā, me kōrero ki tō tākuta i mua i tēnei whakamātautau. He mea nui te whai i ēnei tohutohu kia tika ai te whakamātautau.
- He mea tino nui: Mena kei te hapu koe, kei te whakaaro kia hapu, kei te whāngai u rānei, me kōrero koe ki tō tākuta me te tangata e whakahaere ana i te whakamātautau i mua i te whakamātautau.
- Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe: Mena kei te tango koe i ētahi rongoā, inā koa ko ngā rongoā tairoi, pērā i te Methimazole, te Propylthiouracil (PTU rānei), ma tō tākuta koe e tohutohu kia hia ngā rā i mua i te whakamātautau me mutu te tango i aua rongoā.
- Kōrero mai mō ētahi atu mate hauora me ngā mate pāwera: Kōrero mai mō ētahi atu mate hauora kei a koe me ō mate pāwera.
- Kōrero mai ki a mātou mō ngā karapa i mahia e koe i ēnei rā tata nei: Mena kua mahia e koe tētahi mea pērā i te karapa CT i ngā rā tata nei, arā, i roto i ngā marama e rua kua pahure ake nei, e uru ana ki te werohanga o tētahi rauemi ārai kanohi kei roto he iodine, me whakamōhio mai hoki ki a mātou mō tēnā. Ka taea e te iodine te whakararuraru i tēnei whakamātautau.
- Nohopuku: Ka tohutohuhia pea koe kia kaua e kai, e inu rānei mō ētahi haora i mua i te whakamātautau.
Mena he pātai āu mō tēnei, kaua e wehi ki te pātai ki tō tākuta. Me whai i āna tohutohu kia tika.
He aha ngā mea ka tupu i te wā o te whakamātautau?
E ai ki tā tātou i kōrero ai i mua ake nei, e rua ngā tukanga 'Uptake' me te 'Scan'. Me titiro tātou me pēhea te mahi i ēnei mea e rua.
Me pēhea te tango i te Thyroid Uptake
He tukanga tino māmā tēnei, kāore he mamae.
| Ngā Hipanga | He aha te mea e tupu ana? |
|---|---|
| Hipanga 1 | Ka hoatu he pire, he wai rānei hei inu māu kei roto he iodine radioactive (radiotracer). Kāore he reka o tēnei. |
| Hipanga 2 | Kia oti te inu, ka taea e koe te hoki ki te kāinga. Ka tonoa koe kia hoki mai ki te hōhipera i roto i ngā haora 4 ki te 6. |
| Hipanga 3 | Ka meinga koe kia takoto ki runga i te moenga, ā, ka whakatakotoria he taputapu iti e kiia nei ko te ine gamma ki tō kaki hei ine i te nui o te irahiko e mimitihia ana e tō repe tairoi. E kore e neke atu i te 5 meneti te roa o tēnei. |
| Hipanga 4 | I ētahi wā, ka tonoa pea koe kia hoki mai i muri i ngā haora 24 ki te tango i tēnei inenga. |
Me pēhea te mahi i te matawai tairoiti
Ka taea tēnei 'Matawai' i muri i te ine 'Whakaurunga', i tētahi atu rā rānei.
| Ngā Hipanga | He aha te mea e tupu ana? |
|---|---|
| Hipanga 1 | I te nuinga o te wā, ka werohia he matū irahiko (radiotracer) ki roto i tētahi uaua i roto i tō ringa. |
| Hipanga 2 | I muri i te tukunga i te matū kia mimitihia e te repe tairoi mō tētahi wā poto, ka meinga koe kia takoto ki runga i te moenga. Me piko tonu tō kaki ki muri. |
| Hipanga 3 | Ka whakanohoia he kāmera motuhake ki tō kaki, ka tango whakaahua mai i ngā koki rerekē. He mea tino nui kia noho puku koe i tēnei wā. |
| Hipanga 4 | E 30 meneti pea te roa o tēnei tukanga katoa. I ētahi wā, ki te hiahia koe ki ētahi pikitia mārama ake, me tango pea e koe ētahi atu pikitia. Kaua e manukanuka ki tēnā, he mea noa iho. |
He aha tāu mahi i muri i te whakamātautau?
I muri i te whakamātautau, ki te kore e kīia atu e tō tākuta, ka taea e koe te mahi i ō mahi o ia rā. Ko te mea nui ko te inu i te nui o te wai . Mā te mahi pera ka āwhina i te tango wawe i te iti rawa o te rauemi irahiko i roto i tō tinana mā roto i tō mimi.
He mōrearea kei roto i tēnei?
Ka mataku te katoa i te kupu 'irahiko'. Engari i roto i te ao tūturu, he iti noa te nui o ngā rauemi irahiko e whakamahia ana i tēnei whakamātautau. He iti noa te nui o te irahiko e pāngia ana e tō tinana.
Kia maumahara, he iti noa te nui o te rauemi irahiko e whakamahia ana i tēnei whakamātautau, nō reira he nui ake ngā painga o te mōhio tika ki te hauora o tō tairoi i tēnei mōrearea iti.
Heoi, e ai ki te kōrero i mua ake nei, ka pā pea tēnei irahiko ki te tamaiti i roto i te kōpū o te whaea hāpu, ki te tamaiti rānei i whānau mai i te whaea whāngai u, nō reira he mea nui kia whakamōhiotia rātou.
Ko ētahi atu raruraru pea, engari he tino onge, ko:
- Tērā pea ka pā he mamae iti ki te wāhi i werohia ai te rongoā. Ka memeha haere tēnei i roto i te rā kotahi, e rua rānei.
- He mate pāwera ki te rauemi irahiko. He tino onge tēnei, engari he mate pāwera ngawari noa iho.
Āhea ahau ka whiwhi i te pūrongo?
Ka arotakehia ngā whakaahua me ngā inenga i tangohia i te wā o te whakamātautau e te tohunga rongoā karihi (kaimātai irahiko) ā, ka whakaritea he pūrongo. Ka tukuna te pūrongo ki tō tākuta nāna i tono te whakamātautau. Kātahi ka whakamāramahia e tō tākuta ngā taipitopito o te pūrongo ki a koe.
Karere Tangohia ki te Kāinga
- He whakamātautau haumaru, he whakamātautau whai hua hoki te Thyroid Uptake and Scan hei ako mō te mahi me te hauora o tō repe tairoi.
- I mua i te whakamātautau, me kōrero koe ki tō tākuta mēnā kei te hapu koe, kei te whāngai u rānei.
- Me whakamōhio atu ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe me ngā karapa CT kua oti i a koe.
- He mea tino nui kia noho puku koe i te wā o te whakamātautau kia mārama ai ngā whakaahua.
- Inumia he nui te wai i muri i te whakamātautau.
- Mena he pātai, he āwangawanga rānei āu mō tēnei whakamātautau, kaua e mangere ki te kōrero ki tō tākuta.
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