Kei te mamae tonu ō waewae? Kei te ahua ngoikore, kei te ngau rānei ō waewae ina hikoi koe mō te wā poto? He kikorangi rānei ō uaua waewae kua pupuhi? Kua tono pea tō tākuta kia "Vascular Ultrasound" koe, e mōhiotia ana rānei e tātou katoa, he "Doppler Scan". Tērā pea i mataku koe i tō rongonga i tēnei ingoa. He aha tēnei scan? He aha te āhua? He mamae? He mea hei wehi? I tēnei rā, ka kōrerohia e tātou tēnei mea kia tino māmā, kia mārama ai ō pātai katoa mōna.
He aha te tikanga o te Ultrasound Vascular?
He matawai haumaru, kāore he mamae o te Ultrasound Vascular. E kiia ana hoki ko te "Duplex Study," e whakamahi ana i ngā ngaru oro auau teitei hei tiki i te pikitia mārama o te rere o te toto i roto i ngā uaua me ngā uaua o roto i tō tātou tinana.
Whakaarohia he rite ki tētahi kāmera motuhake e mahi tahi ana me te oro hei tirotiro i roto i ō tātou tinana. He whakamātautau kore-whakaeke tēnei, arā, kāore he kino ki tō tinana, kāore he motu, kāore he werohanga, kāore he werohanga. Nō reira, kāore he take e mataku ai. Ko te nuinga o tēnei ka tirotiro mēnā kei te tika te rere o te toto i roto i ngā uaua toto i ngā wāhi pēnei i ō ringaringa, ō waewae, me tō kaki.
I roto i ēhea āhuatanga ka tūtohu te tākuta i tēnei matawai?
He maha ngā take ka tonoa ai e tō tākuta tēnei whakamātautau. Ko te mea nui, he whakapae ia kei te raru ō uaua toto. Me titiro tātou ki ētahi o ēnei āhuatanga mā te whakamahi i te ripanga i raro nei.
| Āhua | Hei whakarāpopototanga... |
|---|---|
| Ngā Pukupuku Toto - hei tauira, Te Thrombosis Utauta Hōhonu (DVT) | Ka puta ngā toto totoka i roto i ngā uaua hohonu o te tinana, inā koa i ngā waewae. He mea morearea tēnei. |
| Atherosclerosis - hei tauira, te mate o te uaua taha (PAD) | Ka whaiti ngā uaua toto e kawe ana i te toto ki ngā ringa me ngā waewae i te kohikohinga o te paraka, ka aukati i te rere o te toto. |
| Ngā Uaua Varicose me te ngoikore o te uaua mau tonu | Ka pupuhi ngā uaua o ngā waewae, ka kikorangi te āhua, ā, kāore te toto e pupuhi tika nā te ngoikore o ngā takirere uaua. |
| Te mate o te uaua carotid | Te whaiti o ngā uaua matua i ia taha o te kaki e tuku toto ana ki te roro nā ngā putunga ngako. Ka arahi pea tēnei ki te whiu. |
| Te atherosclerosis | Ka kohikohi te ngako me te cholesterol i roto i ngā pakitara o ngā uaua toto i ngā wāhi katoa o te tinana, ka mārō, ka whaiti hoki ngā uaua toto. |
Hei tāpiritanga,
- Tirohia mēnā he noa te rere o te toto ki tētahi okana i muri i te whakawhitinga okana.
- Tirohia te angitu o te pokanga bypass i muri i te whakahaerenga ki ngā uaua.
- Ka whakamahia hoki tēnei matawai hei whakatau mēnā e tika ana koe mō tētahi maimoatanga pēnei i te angioplasty.
He aha ngā tohu e hiahia ai koe ki tēnei matawai?
Mena kei a koe tētahi, ētahi rānei o ngā tohu i raro nei, he nui ake te tūponotanga ka tūtohu tō tākuta i tēnei matawai, nā te mea he tohu pea ēnei o te koretake o te tohanga toto.
| Te tohu e pā ana ki a koe | He aha te tikanga o tēnei |
|---|---|
| Te mamae o ngā waewae, inā koa ngā kuao kau, i te wā e hikoi ana (ka memeha i muri i te tū mō tētahi wā) | He tohu nui tēnei o te Mate Arteri Peripheral (PAD). Ka puta tēnei mamae ina kore e nui te rere o te toto i roto i ngā uaua i te wā e whakakorikori ana. |
| Te wera, te ngenge, te ngoikore rānei o ngā waewae | Ka puta pea ēnei tohu ina pāngia ngā io e te ngoikore o te tohanga toto. |
| Ngā mate pukupuku waewae | Me pai te rere o te toto i roto i te patunga kia ora ai. Ina heke te rere o te toto, ahakoa he patunga iti, kāore pea e ora mō tētahi wā. |
| He pupuhi ake tetahi waewae, he whero ake, he mahana ake rānei i tetahi atu | He tohu whakatūpato pea ēnei mō te toto totoka hohonu (DVT). |
| Te ahua kua maroke ngā uaua o ngā waewae (te ngoikore o te uaua) | Ina kore e nui te toto me te hāora e whiwhi ana i ngā poro mō tētahi wā, ka iti pea tō rātou rahi. |
Ko te mea nui, ki te pā mai ēnei tohu, kaua e rongoā ki te kāinga, engari me toro atu ki te tākuta mō ētahi tohutohu.
Me pēhea taku whakarite i mua i te matawai?
Koinei te wāhanga pai rawa atu. Kāore he whakaritenga motuhake e hiahiatia ana mō te Ultrasound Vascular. Kāore koe e hiahia ki te nohopuku, ki te tango rānei i tētahi rongoā motuhake. Heoi, he iti noa ngā mea hei maumahara:
- Kākahu: Mauria he kākahu wetekina, he kākahu whakamarie. He pai ake mēnā ka taea e koe te whakaatu ngāwari i te wāhi e matawaihia ana (hei tauira, te waewae, te ringa). Tērā pea ka tonoa koe kia whakawhiti ki te kākahu hōhipera.
- Whakapaipai: He pai ake te waiho i ngā taonga pēnei i ngā whakapaipai ki te kāinga i te rā o te matawai.
- Wā: Kia tae ki te hōhipera, ki te wāhi matawai rānei, 15 meneti i mua i tō wā kua whakaritea. Mā tēnei ka taea e koe te whakaoti i ngā pepa e tika ana me te kore he raruraru.
He aha ngā mea ka tupu i te wā o te matawai?
Āe, kia kite tātou i te aha ka puta ina oti te matawai. He tino māmā te tukanga.
1. Te takoto: Tuatahi, ka meinga koe kia takoto pai ki runga i te tēpu whakamātautau.
2. Te paninga o te kirimi:Kātahi ka pania he kirimi wai ki te wāhi e mahia ai te matawai (hei tauira, tō waewae). He paku makariri, engari kāore i te whakamā. Ka pania tēnei kirimi hei āwhina i ngā ngaru oro kia puta mā roto i tō kiri, me te kore he ārai.
3. Matawai: Muri iho, ka tangohia e te tohunga hangarau oro-oro motuhake he taputapu iti rite ki te hopuoro e kiia nei ko te transducer ka whakatakotoria ki runga i te kiri kua pania ki te tiēre, ka nekehia whakamuri, whakamuri.
4. Te rongo i te tangi: I tēnei wā, ka rongo koe i te pēhanga iti, engari kāore e mamae. Tērā pea ka rongo koe i te tangi 'whoosh whoosh' i runga i te mata rorohiko, he rite ki te manawataki o tō ngākau e patupatu ana. Kaua e manukanuka, koinei te tangi o te toto e rere ana i roto i ō uaua. Koinei te mea e hoatu ana ki ngā tākuta he whakaaro mō te tere me te tauira o te rere o te toto.
5. Kua Oti: Kia oti te tirotiro i ngā wāhi katoa e tika ana, ka murua e te tohunga hangarau te hinu i pania ki tō tinana. E 30-60 meneti pea te roa o te tukanga katoa.
He aha ngā mea ka tupu i muri i te matawai? Me pēhea taku tiki i ngā hua?
Kia oti te matawai, ka taea e koe te whakatika, te whakawhiti kākahu, me te mahi i ō mahi o ia rā. Kāore he take ki te hoki ki te kāinga, ki te mahi rānei. Kāore koe e pāngia e ngā pānga taha, e te mamae rānei o tēnei whakamātautau.
Ka tirotirohia ngā whakaahua me ngā raraunga mai i te matawai e te tohunga hihi-X . Ka tātarihia e ia ngā whakaahua, ka whakatauhia te tere o te rere o te toto, me te mea he aukati, he whaiti rānei, kātahi ka whakarite i tētahi pūrongo. Kātahi ka tukuna te pūrongo ki te tākuta nāna i tono te whakamātautau. Ko ngā hua ka puta i roto i te rā, i ngā rā e rua rānei.
Ka arotakehia e tō tākuta te pūrongo, ka whakarite ki ō tohumate, ā, ka whakamārama atu ki a koe he aha tō āhua me te maimoatanga e hiahiatia ana.
Karere Tangohia ki te Kāinga
- He whakamātautau tino haumaru, kore mamae hoki te Ultrasound Vascular (Doppler scan) e tirotiro ana i te rere o te toto i roto i ō uaua toto.
- Mena kei a koe ngā tohu pēnei i te mamae, te pupuhi, te patunga kāore e ora, te ngoikore rānei o ō waewae, me kōrero koe ki tō tākuta.
- Kāore he whakaritenga motuhake e hiahiatia ana mō tēnei matawai, nō reira, ki te whakahaua tēnei whakamātautau e te tākuta, kaua e wehi, kaua hoki e mangere ki te mahi.
- He tino āwhina tēnei ki te kite wawe i ngā mate hauora nui pēnei i te toto totoka me te whaiti o ngā uaua toto, ā, ki te tīmata i te maimoatanga tika.
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