He maha ngā wā ka pāngia koe e te mamae o te puku, e te koretake rānei o te puku? He uaua rānei ki te horomi, he mamae tonu te puku, he whakapairuaki rānei? Mena kei a koe ēnei tohu, ka tūtohu pea tō tākuta i tētahi "Upper GI Series"
Āe, tera pea ka paku mataku koe nā te mea kāore koe i te mōhio he aha te mea. Engari kāore he take e manukanuka ai. He whakamātautau tino māmā tēnei, kāore he mamae. Me kōrero mārama tātou mō tēnei mea i tēnei rā.
He aha te tikanga o tēnei Upper GI Series?
He whakamātautau hihi-X tino motuhake tēnei. Kotahi te pikitia e tangohia ana e te hihi-X e mōhiotia whānuitia ana. Engari he rerekē tēnei. E whakamahia ana he hangarau e kiia nei ko te fluoroscopy . Whakaarohia he rite ki te hihi-X noa he whakaahua, engari he rite te fluoroscopy ki te ataata. Mā tēnei ka taea e koe te kite i te mahi a ngā okana i roto i tō tinana, arā, te nekehanga, i te wā tūturu, arā, i te wā kotahi.
Nā, kia tirohia te tikanga o te "Upper GI" i roto i tēnei ingoa. Ko te "GI" he tohu mō te "Gastrointestinal tract". He māmā noa iho, ko tō tātou pūnaha nakunaku . Ko te "Upper GI" e pā ana ki te wāhanga o runga o tēnei pūnaha nakunaku. Kei roto i te nuinga o te wā:
- Esophagus: Ko te ngongo e haere ai te kai ina horomia.
- Puku: Te wāhi e rongoatia ai, e nakunakutia ai hoki te kai.
- Duodenum: Ko te wāhanga tuatahi o te whekau iti te wāhi e haere ai te kai i muri i te puku.
Ko te tikanga o te kupu "raupapa" i tēnei whakamātautau, ka tangohia he raupapa whakaahua hihi-X, pērā i te ataata. Nō reira, ka whakakotahihia ēnei katoa, ka kiia ko te "Raupapa GI Runga".
He aha te take e taunaki ai te tākuta i tēnei whakamātautau?
Mena kei a koe ngā tohu e pā ana ki tō pūnaha nakunaku o runga, ka tūtohu pea tō tākuta i tēnei whakamātautau hei āwhina i te whakatau i te take. Ka tirohia te roto o tō korokoro, tō puku, me tō whekau iti, kia kitea ai mēnā he huringa kei roto i ō rātou kiko, he rerekētanga kei roto i ō rātou āhua, me te kite mēnā kei te mahi tika rātou. Ko tēnei whakamātautau te taahiraa tuatahi ki te kimi i te take.
| Ngā tohu ka pā mai pea ki a koe | He whakaahuatanga māmā |
|---|---|
| Ngā raruraru horomi | He kare ā-roto e kikī ana te korokoro, e mamae ana rānei i te horomitanga o te kai, o te inu rānei. |
| Ngau mamae | Ko te ngau o te uma he ahua wera i waenganui o te uma nā te pikinga ake o te waikawa o te puku ki te korokoro. E kī ana ētahi ka tae ki te korokoro. |
| Mamae puku | He mamae pumau, he mamae wā poto rānei, inā koa ki te puku o runga. |
| Whakapairuaki me te ruaki | Te whakapairuaki me te ruaki tonu, kāore he take. |
| Te koretake o te kai | Ka kī tonu koe i muri i te kai, me te whakaaro kāore tō puku e nakunaku tika ana. |
He aha ngā mate ka taea te kite mā tēnei whakamātautau?
Ka taea e tēnei whakamātautau te whakarato i ngā mōhiotanga mō ngā mea maha. Ka taea e te tākuta te tirotiro i ō whekau o roto, me te whakatau mēnā he raruraru.
Ko te mea nui, ahakoa te tohu o tēnei whakamātautau he raruraru, me whai atu pea ētahi atu whakamātautau hei whakaū i te tino take. He taahiraa nui tēnei i roto i te haerenga tātaritanga.
Kia tirohia mai i te ripanga i raro nei he aha ngā raruraru matua ka taea te tautuhi mai i tēnei.
| Momo raruraru | Ngā tauira me te whakamārama māmā |
|---|---|
| 1. Ngā Huringa o te Kiko | |
| Mumura, mate pāwera rānei | Te pupuhi, te whero rānei o ngā pakitara o roto o te puku (Gastritis) te esophagus rānei (Esophagitis). |
| Te Mate Pukupuku Peptic | Ngā mate pukupuku kei te pakitara o roto o te puku, o te whekau iti rānei. |
| Te kino o te reflux waikawa | Te kino ki ngā kiko o te korokoro i puta mai i te roanga o te wā e pāngia ana e te waikawa o te puku. |
| 2. Ngā Raru Hanganga | |
| Hernia Hiatal | He wāhanga o te puku e pūwero ana ki roto i te uma. |
| Ngā Whakaititanga o te Esophagus | Te aukati i te ara kai nā te whaiti o te korokoro. |
| Ngā Polyps, ngā Pukupuku rānei | Ngā tipu rerekē i ngā pakitara o roto o ngā whekau (tērā pea he mate pukupuku ēnei, kāore rānei. Me whai whakamātautau anō hei whakaū i tēnei). |
| 3. Ngā Raru Mahi | |
| Te uaua ki te horomi (Dysphagia) | Ka whakararuraruhia te tukanga horomitanga nā te kore e mahi tika ngā uaua o te korokoro. |
| Te whakaroa i te whakawātea o te puku (Gastroparesis) | Te whakaroa i te tukunga o te kai ki te whekau nā te ngoikore o ngā uaua o te puku. |
| Ngā aukati | He ārai i tētahi wāhi o te ara kai. |
He aha te rerekētanga i waenga i te Upper GI Series me te Endoscopy?
Kua rongo pea koe i te kōrero mō te endoscopy . Ahakoa e titiro ana ēnei whakamātautau ki te wāhanga o runga o te pūnaha nakunaku, he rerekē rawa ēnei whakamātautau e rua.
- Raupapa GI o Runga: He whakamātautau kore-whakaeke tēnei. Ko te tikanga kāore he taputapu e whakaurua ki roto i te tinana. Ka tukuna ngā hihi-X mai i waho hei tango pikitia o roto.
- Endoscopy: He whakamātautau whakaeke tēnei. I konei, ka whakauruhia he ngongo angiangi, ngāwari me te kāmera e piri ana mā te waha, ā, ka whakamahia hei tirotiro tika i te roto o te korokoro, te puku, me te whekau iti. I te nuinga o te wā ka whakamoea koe mō tēnei. Ko te painga o te endoscopy ko te mea mēnā he wāhi whakapae, ka taea te tango i tētahi wahi kiko (biopsy) hei tirotiro.
Ki te kī māmā noa, he rite te Rarangi GI o Runga ki te titiro ki tētahi whare mai i waho. He rite te Endoscopy ki te haere ki roto i te whare, ka titiro mai i tētahi rūma ki tētahi rūma. Nō reira, ka mahi tuatahi ngā tākuta i te Rarangi GI o Runga, ā, ki te kitea he raruraru, ka tūtohu kia mahia he Endoscopy hei whakaū.
He aha i huaina ai tēnei wai ko 'Barium' hei inu?
I ngā whakaahua X-ray, ka kitea mārama ngā mea totoka pēnei i ō tātou wheua i te mā, engari ko ngā whekau i hangaia ki te kiko ngohengohe pēnei i te korokoro me te puku kāore e kitea mārama.
Hei tiki pikitia mārama o ēnei okana, ka whakamahia he matū e kīia nei ko te barium . Ka kīia tēnei he ātete rerekē . Whakaarohia kei te tae koe i tētahi mea ki te mā kia pai ake ai te tū i roto i tētahi pikitia pango me te mā. He rite tonu te mahi a te barium.
Ina inu koe i tēnei wai barium, ka pania ngā pakitara o roto o tō korokoro, tō puku, me tō whekau iti. Kātahi, ina tangohia he hihi-X, ka kitea mārama ngā wāhi kua pania te barium ki te mā. Kātahi, ka taea e koe te tautuhi i te āhua o aua whekau, ngā whara, ngā puku rānei kei reira.
He matotoru tēnei wai barium, ā, he rite te reka ki te kōhatu, engari kāore i te tino kino ki te inu nā te mea he mea kakara kei roto.
Me pēhea te whakarite i mua i te whakamātautau?
Me tino takoto kau tō puku i mua i tēnei whakamātautau. Ki te kore, kāore e mārama ngā whakaahua nā te kai. Nō reira, kia tino whai i ēnei mahi.
- Kai me te Inu: Kaua e kai, kaua e inu i tetahi mea i muri i waenganui pō i te pō i mua i te whakamātautau.Kāore i te pai te inu wai ahakoa he iti noa iho.
- Ngā Rongoā: Kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe. Tērā pea me mutu te tango i ētahi rongoā (ina koa ko ērā mō te gastritis) i te rā i mua i te whakamātautau.
- Te Hapūtanga: He mea tino nui tēnei. Mena kei te hapu koe, kei te whakapae rānei koe kei te hapu koe, me kōrero koe ki tō tākuta me ngā kaimahi e mahi ana i te hihi-X . Kāore tēnei whakamātautau e mahia ki ngā wāhine hapu nā te mea ka kino pea te hihi-X ki te pēpi i roto i te kōpū.
- Ētahi atu āhuatanga hauora: Mena kei a koe te mate tākihi, te mate huka, ētahi atu āhuatanga hauora kino rānei, me whakamōhio atu ki tō tākuta i mua i te wā.
He aha ngā mea ka tupu i te wā o te whakamātautau?
Ahakoa i paku mataku ahau mō te whakamātautau, he tukanga māmā noa iho.
1. Tuatahi, ka hoatu he kākahu hōhipera ki a koe hei kakahu.
2. Kātahi ka haria koe ki te rūma hihi-X. He moenga motuhake kei reira ka taea te whakatītaha ki mua, ki mua, te hiki me te tuku iho.
3. Ka meinga koe kia tū, kia takoto rānei i runga i te moenga, ā, ka herea ki te moenga mā ngā whitiki.
4. Kātahi ka hoatu he wai whakapūkara hei inu māu. Me inu pea e koe he wai matotoru, he wai angiangi hoki.
5. I a koe e inu ana i te barium, ka tahuri te tohunga hihi-X i te mīhini ka mātakitaki i te wai e heke ana i raro i tō korokoro i runga i te mata.
6. Ka hurihia te moenga e takoto ana koe, ka whakatītahahia kia horahia te barium kia ōrite. I ētahi wā ka tonoa koe kia huri ki ngā tūranga rerekē. I ētahi wā ka pēhia mārire tō puku.
7. Ka roa pea tēnei tukanga katoa mai i te 30 meneti ki te 2 hāora, i runga i te tere o te haere o te barium mā roto i tō tinana.
He aha ngā mea ka tupu i muri i te whakamātautau? He aha ngā tūponotanga?
Ka taea e koe te kai me te inu i muri i te whakamātautau, engari tera pea ka pā mai ētahi mamae iti.
- Tae o te tūtae: Nā te mea kāore te barium e mimitihia e te tinana, ka tukuna ki roto i te tūtae. Nō reira, tera pea he mā, he mārama rānei te tae o tō tūtae mō te rā kotahi, e rua rānei i muri i te whakamātautau. He mea noa tēnei, kaua e manukanuka.
- Te kōroke: Ka pā te pēra ki ētahi tāngata. Hei ārai i tēnei , inuhia he nui te wai . He mea nui kia inuhia kia 2-3 rita wai ia rā. Ki te kore koe e tūtae i muri i ngā rā e rua, e toru rānei, kōrero ki tō tākuta.
- Te Whakamārama i te Irahiko: He irahiko ngā irahiko-X. Heoi, he tino iti te horopeta o te irahiko e whakamahia ana i tēnei whakamātautau, ā, e kiia ana he haumaru. Heoi, ahakoa tēnei horopeta iti, kāore e tika ana mō ngā wahine hapu.
- Mate pāwera:He tino onge te mate pāwera ki te barium. Mēnā ka pā mai, he maha ngā whare rongoā kei te hōhipera hei rongoā.
Kāore tēnei whakamātautau e tūpono ana ki tētahi tūponotanga nui ki te tangata hauora whānui. Heoi, kāore e tika ana mō te hunga e mate ana i te whatukuhu, te mate puku kino, me ngā wāhine hapu.
Karere Tangohia ki te Kāinga
- He whakamātautau hihi-X māmā, kore mamae te Raupapa GI o Runga e tirotiro ana i te wāhanga o runga o tō pūnaha nakunaku (esophagus, puku).
- He rite tēnei ki tētahi ataata nekeneke, kaua ki tētahi whakaahua kore e nekeneke.
- Ka hoatu he wai motuhake e kīia nei ko te barium hei inu kia mārama ai te whakaahua o ngā whekau o roto.
- Mā tēnei ka āwhina i te kimi i te pūtake o ngā mea pēnei i te mamae o te uma, te uaua ki te horomi, me te mamae o te puku mō te wā roa.
- Kaua e kai, kaua e inu i tetahi mea i te pō i mua i te whakamātautau. Me whakamōhio atu ki tō tākuta mēnā kei te hapu koe, kei te whakapae rānei koe kei te hapu koe.
- Inumia he nui te wai i muri i te whakamātautau hei ārai i te mate pāwera.
- Koinei te taahiraa tuatahi i te tautuhi i tētahi mate. I runga i ngā hua, ka whakamāramahia e tō tākuta te mea hei mahi i muri mai.

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