Kua pāngia koe e te uaua ki te manawa, ki te mamae rānei o te uma, ā, i kī atu te tākuta kia mahia he matawai VQ? Tērā pea i mataku koe i tana kīnga i tēnā. "He aha tēnei matawai VQ?" "He aha te āhua?" "He mamae?" He maha ngā pātai ka puta ake pea ki te hinengaro. Kaua e manukanuka, ka kōrerohia e tātou tēnei i tēnei rā, i roto i tētahi huarahi e mārama ai koe.
He aha te matawai VQ?
He whakamātautau kore mamae te matawai VQ, e rua ngā wāhanga, e tango pikitia ana i te mahi a ō pukahukahu. Ko te nuinga o te mahi he tirotiro i te pai o te mahi a ō pukahukahu me te pai o te rere o ō toto i roto i aua pukahukahu .
Koinei te tikanga o ngā reta e rua i roto i tōna ingoa.
- Ko te reta "V" e tohu ana i te Whakahau . Koinei te tukanga e tomo ai, e puta ai hoki te hau i ngā pukahukahu ina manawa koe.
- Ko te reta "Q" e tohu ana i te Perfusion . E pā ana tēnei ki te nui me te rere o te toto e tukuna ana ki ngā oko toto iti i roto i ngā pukahukahu.
He rite tēnei ki te tirotiro mēnā kei te pai te āhua o ngā rori i roto i te tāone (ngā ara hau), me te kore he raruraru waka i aua rori (te tohanga toto).
He aha te take e taunaki ai te tākuta i tētahi matawai VQ?
Ko te take matua, me te take tino noa e whakahau ai te tākuta i tēnei whakamātautau, ko te wā e whakapae ana rātou he toto totoka kei roto i ngā pukahukahu. E mōhiotia ana tēnei āhuatanga hauora ko te pulmonary embolism (PE) . He āhuatanga tino morearea tēnei, nō reira he mea nui kia tere te tautuhi me te whiwhi maimoatanga.
Hei tāpiritanga, ka whakamahia tēnei matawai VQ i roto i ētahi atu āhuatanga:
- Kia mōhio ki te āhua o te "Chronic Thromboembolic Pulmonary Hypertension (CTEPH), he mate e whakapiki ana i te toto toto i roto i ngā pukahukahu.
- Tirohia te mahi a ngā pukahukahu i muri i te whakawhitinga pukahukahu.
- I mua i te tango i tētahi wāhanga, i te katoa rānei o te pukahukahu mā te pokanga, tirohia te mahi a te toenga o te pukahukahu.
- Aromatawai i te mahi a ngā pukahukahu i roto i tētahi atu mate pukahukahu, pērā i te COPD.
He aha te mea e tupu ana i tēnei whakamātautau?
Āe, kia kite tātou i ngā mea ka puta i roto i tēnei whakamātautau. E rua ngā wāhanga o tēnei mahi i te rā kotahi, ka oti tetahi wāhanga ina oti tetahi atu.
1. Wāhanga Tuatahi (Whakahauātanga - te tirotiro i te nekehanga o te hau):I roto i tēnei, ka mau koe i tētahi taputapu manawa motuhake (pērā i te kopare). Ka manawa koe mā roto. Ka tāpirihia he matū iti rawa, haumaru hoki e kiia nei ko te "tracer" ki te hau e manawahia ana e koe. He rite tēnei ki te whakatakoto i tētahi "tohu" iti ki te hau. Kātahi ka tangohia he pikitia e tētahi kāmera motuhake. Nā te "tohu", ka kitea mārama ngā wāhi e haere ana te hau mā roto i ō pukahukahu i roto i ngā pikitia.
2. Wāhanga 2 (Te Whakapūngao): I roto i tēnei, ka werohia he matū irahiko rite tonu te haumaru (te tohu) ki roto i tētahi uaua i roto i tō ringa. Ka haere tahi tēnei 'tohu' me te toto puta noa i tō tinana, tae atu ki ō pukahukahu. Ka tango pikitia anō te kāmera i whakamahia i mua. Ka whakaatu tēnei i te wāhi e rere ana te toto i roto i ō pukahukahu.
Mā te whakataurite i ēnei whakaahua e rua, ka whakatauhia e te tākuta mēnā he raruraru kei ō pukahukahu.
He aha te rerekētanga o te matawai VQ i te matawai CT?
He pātai tēnei nā te tini o te tangata. Ahakoa ka tangohia ngā whakaahua o ngā pukahukahu e ngā matawai VQ me ngā matawai CT, he rerekētanga nui kei waenganui i ngā mea e rua.
| Āhuatanga | Matawai VQ | Matawai CT |
|---|---|---|
| He aha te mea e whakamahia ana | Ka tukuna he matū irahiko (te tohu irahiko) mā te manawa me te werohanga. | Ka tukuna he tae motuhake (Contrast Dye) mā te werohanga. |
| Taumata irahiko | He iti iho te irahiko i te matawai CT. | He teitei ake te irahiko i te matawai VQ. |
| Mō ngā tūroro whatukuhu | He tino haumaru mō te hunga e pāngia ana e te ngoikore o te whatukuhu. | He mea morearea te tae e whakamahia ana i roto i ngā matawai CT nā te mea ka pā ki ngā whatukuhu. |
| Mō te hunga mate pāwera ki ngā tae | He tino haumaru , nā te mea kāore i whakamahia te momo tae i whakamahia i roto i te karapa CT. | Mena he mate pāwera koe ki ngā tae, kāore e taea e koe te whakamahi. |
Me whakarite ahau i mua i te whakamātautau?
Koinei te mea pai rawa atu. Kāore he whakaritenga motuhake e hiahiatia ana mō te matawai VQ. Ka taea e koe te kai, te inu, me te tango i ō rongoā pērā i ngā wā katoa. Heoi, he iti noa ngā mea me kōrero e koe ki tō tākuta:
- Mena kei te hapu koe, kei te whakaaro rānei koe kei te hapu koe: Ka tūtohu pea tō tākuta i tētahi atu whakamātautau, nā te mea ka pā pea te irahiko ki te tamaiti i roto i te pēpi.
- Mena he whaea whāngai u koe: I te mea ka taea e te irahiko te tuku ki tō pēpi mā te waiū u, ka tonoa pea koe kia mutu te whāngai u mō ētahi haora, mō te rā rānei i muri i te whakamātautau, ā, me whakaputa te waiū u, ka maka atu. Ma tō tākuta koe e tohutohu mō tēnei.
- Mena he uaua ki te noho puku mō te wā roa: He pai ake kia kaua e nekeneke i te wā e tango pikitia ana. Mā te mahi pēnā ka pōuriuri ngā whakaahua, ā, ka kino te pūrongo.
I te nuinga o te wā, ka mahia he hihi-X o te uma 24 hāora i mua i te matawai VQ. Mā ngā mōhiohio ka riro mai i tēnei ka āwhina i te mārama ki te pūrongo matawai VQ.
He aha ngā mea ka tupu i te wā o te whakamātautau?
E 30 ki te 60 meneti te roa o te whakamātautau katoa.
Wāhanga Tuatahi: Matawai Whakahauora
I tēnei, ka noho koe ki runga i tētahi tūru, ka takoto rānei i runga i tētahi tēpu. Ka hoatu he kopare, he waha rānei ki a koe hei manawa māu. Kātahi ka tangohia e te kāmera ngā whakaahua i a koe e manawa ana māu. Tērā pea ka hurihia koe ki ngā taha rerekē hei tango whakaahua.
Wāhanga Tuarua: Matawai Toto
Ka tīmata tēnei ina oti te wāhanga tuatahi. Ko te whakauru i tētahi IV ki roto i tētahi uaua i tō ringa, me te werohanga i tētahi matū irahiko mā roto. Kātahi, pērā i mua, ka tangohia ngā whakaahua ki tētahi kāmera.
He aha ngā mea ka tupu i muri i te whakamātautau? He aha ngā kōrero o te pūrongo?
Kia oti te whakamātautau, ka taea e koe te mahi i ō mahi o ia rā. Ka puta noa mai ngā matū irahiko i tukuna ki roto i tō tinana i roto i tō mimi me tō paru i roto i ētahi haora, i ētahi rā rānei.
I te nuinga o te wā ka tae mai te pūrongo i roto i ngā hāora 24. Me titiro noa tātou ki tā te pūrongo e kī ana.
| Ngā kupu ka puta pea i roto i te pūrongo | He aha te tikanga o tēnā? |
|---|---|
| Ki te kore koe e kite i te toto totoka... | |
| Noa / Tūponotanga iti / Kore PE | He noa te rere o te hau me te toto i roto i ngā pukahukahu. He iti rawa, he kore rānei te tūponotanga o te totoka. |
| Ki te ruarua koe... | |
| Tūponotanga Waenga / Kāore i te Taurite | Kāore e taea te kī tino tika mai i ēnei karapa mēnā he toto totoka. Tērā pea me whai atu whakamātautau. |
| Mena he tūponotanga ka totoka te toto... | |
| Te tūponotanga nui / kei te wātea te PE / pai te PE | He tino tūpono kei roto i ōu pūkahukahu he toto totoka. Ka kōrero te tākuta ki a koe mō te maimoatanga e hiahiatia ana e koe. |
He mōrearea kei roto i tēnei?
He iti rawa ngā mōrearea o te matawai VQ. Ko ngā mōrearea pea ko:
- Te pānga ki te irahiko: He iti noa iho te nui o te irahiko e whakamahia ana, he haumaru hoki. Ka tangohia katoatia mai i te tinana i roto i ngā rā torutoru.
- Te mate pāwera: He iti rawa te mōrearea o te pāngia e te mate pāwera ki te kano kano, engari he ngawari noa iho.
- He mamae iti: Tērā pea ka pāngia koe e te mamae iti i te wā e werohia ana, ā, me noho puku koe i te wā e whakamātautauhia ana.
I tehea wā me toro atu koe ki te tākuta kia tere tonu ai?
Mena kei a koe ēnei tohu e whai ake nei, he tohu pea tēnei nō te toto totoka i roto i ngā pukahukahu (Pulmonary Embolism). Mēnā he pēnei , haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata.
- Te poto ohorere o te manawa
- Te mamae nui i te uma, te ringa, te pakihiwi, te kaki, te kauae rānei
- Te maremare me te toto, kāore rānei
- Kiri mā, me te werawera
- Te tae kikorangi o te kiri, ngutu, ngā maikuku rānei (Cyanosis)
- Ngā tere o te ngakau
- Te werawera nui
He āhuatanga ohorere hauora ēnei tohu, nō reira mā te rapu tohutohu hauora i te wā e taea ai, me te kore e moumou taima, ka ora ai koe.
Karere Tangohia ki te Kāinga
- He whakamātautau haumaru, kore mamae te matawai VQ e tirotiro ana i te rere o te hau me te toto i roto i ngā pukahukahu.
- Ka whakamahia nuitia tēnei hei kite i te toto totoka i roto i ngā pukahukahu (embolism pūkahukahu).
- He iti ake te hihi e whakamahia ana i te matawai CT. He pai ake mō te hunga whai mate tākihi me te hunga mate pāwera ki ngā tae CT.
- Mena kei te hapu koe, kei te whāngai u rānei, me kōrero ki tō tākuta i mua i te whakamātautau.
- Ki te pāngia koe e ngā tohu pēnei i te poto o te manawa me te mamae o te uma, he āhuatanga ohorere tēnei. Haere tonu ki te Tari Ohorere o te hōhipera (ETU).
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