He aha te Matawai VQ? Me kōrero māmā noa iho!

E mōhio ana koe, he maha ngā whakamātautau a ngā tākuta hei kimi i ngā raruraru i roto i ō tātou tinana. Tērā pea kua mōhio koe ki ngā mea pēnei i ngā hihi-X me ngā karapa CT. I tēnei rā ka kōrero tātou mō tētahi momo karapa rerekē e whakamahia ana hoki hei tirotiro hohonu i te mahi a ō tātou pukahukahu. Ka kiia tēnei he karapa VQ. Ahakoa he ahua uaua te ingoa, he tino māmā noa iho.

He aha te matawai VQ?

He whakamātautau wāhanga-rua te matawai VQ, kāore e whakaekea, e tango pikitia ana i ō pukahukahu, ā, e ine ana i te rere o te hau me te rere o te toto i roto i aua pukahukahu.

Ko te 'V' i roto i te ingoa e tohu ana i te Ventilation , arā, te nekehanga o te hau ki roto, ki waho hoki i ō pūkahukahu. Ko te 'Q' e tohu ana i te Perfusion , arā, te nui o te toto e rere ana ki ngā oko toto iti i roto i ō pūkahukahu. Nō reira, i ētahi wā ka kiia ko te Ventilation-Perfusion scan, te lung scan, te lung scintigraphy rānei.

I roto i ēhea āhuatanga ka whakamahia tēnei matawai?

He maha ngā wā ka whakamahia e ngā tākuta he matawai VQ hei tirotiro mō te toto totoka i roto i ōu pukahukahu (Pulmonary Embolism, PE rānei) . Ka taea e tēnei te whakararu i te ora mēnā kāore e tika te rongoā. Ka whakamahia hoki hei tātaritanga i te CTEPH (Chronic Thromboembolic Pulmonary Hypertension) , he āhuatanga e puta ai te toto toto tiketike i roto i ngā oko toto o ngā pukahukahu.

Ehara i te mea koinā anake, engari ka āwhina anō hoki tēnei matawai ki te tirotiro i te mahi a ōu pukahukahu i roto i ētahi atu huarahi.

• I muri i te whakawhitinga pukahukahu.
• I mua i te pokanga hei tango i te pukahukahu, i tētahi wāhanga rānei o taua pukahukahu.
• I te wā e tātaritangahia ana, e rongoātia ana rānei ētahi atu mate pūkahukahu, pērā i te COPD (Mate Pūkahu Ārai Mau Tonu) .

He aha te rerekētanga i waenga i te matawai VQ me te matawai CT?

Ahakoa e tango pikitia ana ngā momo matawai e rua i ngā pukahukahu, ā, e āwhina ana ki te kimi i ngā raruraru pēnei i te toto totoka, he mārama ngā rerekētanga i waenganui i ngā mea e rua. Me titiro tātou ki a rātou i roto i tētahi ripanga.

Me pēhea taku whakarite i mua i te matawai?

Kāore e hiahiatia he whakaritenga motuhake mō tēnei matawai. Ka taea e koe te kai noa me te tango i ō rongoā. Heoi anō, me kōrero koe ki tō tākuta mō ēnei mea e whai ake nei:

• Mena kei te hapu koe, kei te whakaaro rānei koe kei te hapu koe: He iti noa te irahiko e whakamahia ana i tēnei matawai, nō reira kāore i te haumaru mō te pēpi kāore anō kia whānau. I roto i ēnei āhuatanga, ka tūtohu pea tō tākuta i tētahi atu whakamātautau.
• Mena he whaea whāngai u koe: I te mea ka taea e te matū e whakamahia ana mō te matawai te uru ki roto i te waiū u, ka hoatu e tō tākuta he tohutohu motuhake mō te whāngai u i tō pēpi mō te rā kotahi, e rua rānei i muri i te matawai.
• Mena he uaua ki a koe te noho pūmau i tētahi tūranga mō ētahi meneti: Ki te neke koe i te wā e matawaihia ana, kāore e mārama ngā whakaahua. Nō reira, he mea nui kia whakamōhio mai koe ki a mātou i mua i tēnei.

I te nuinga o te wā ka tonoa he hihi-X o te uma i roto i ngā haora 24 i muri i te matawai VQ. Mā ngā mōhiohio ka riro mai i tēnei ka āwhina i te tākuta ki te mārama ki ngā hua o te matawai VQ.

He aha ngā mea ka tupu i te wā o te matawai?

E 30 ki te 60 meneti te roa o tēnei whakamātautau. E rua ngā wāhanga. Kotahi noa te wāhanga ka oti i ētahi tāngata, engari ko te nuinga ka oti i a rātou ngā wāhanga e rua i te rā kotahi.

Wāhanga Tuatahi: Matawai Whakahauora

Ko te tikanga o tēnei he tirotiro i te urunga o te hau ki roto i ōu pukahukahu.

1. Tuatahi, ka whakakakahuria koe ki tētahi waha, ki tētahi kopare rānei hei taupoki i tō waha me tō ihu. Me tāpiri pea he topenga iti ki tō ihu kia mā roto noa i tō waha ka manawa koe.

2. Kātahi ka tāpirihia he iti noa iho o te matū irahiko (tracer) ki te hau e manawahia ana e koe mā roto i tētahi ngongo e hono ana ki tēnei taputapu. Whakaarohia he rite ki te whakatakoto i tētahi tohu tae iti ki runga i te hau e manawahia ana e koe.

3. Ka meinga koe kia takoto ki runga i tētahi moenga motuhake, ka tukuna ki roto i tētahi mīhini he rite te āhua ki tētahi rango. Ki te kore, ka meinga koe kia noho ki runga i tētahi tūru, ka whakanohoia ki mua i te kāmera.

4. I a koe e manawa ana mā roto i tēnei kopare, ka tangohia e tētahi kāmera motuhake ngā whakaahua o ō pukahukahu. Tērā pea ka hurihia koe ki ngā tūranga rerekē hei tango i ngā whakaahua e tika ana.

Wāhanga Tuarua: Matawai Toto

Ka oti tēnei wāhanga i te otinga o te matawai manawa. Ka tirohia e tēnei wāhanga te rere o te toto ki ngā pukahukahu.

• I tēnei wā, kāore te matū irahiko (tracer) e hongia ana. Engari, ka werohia ki roto i tētahi uaua i roto i tō ringa mā te IV .
• Kātahi ka tangohia ngā whakaahua o te toto e rere ana i roto i ō pukahukahu mā te whakamahi i te kāmera kotahi anō i mua.

Me pēhea taku tiki i ngā hua i muri i te matawai?

Ka taea e koe te hoki ki ō mahi o ia rā i muri i te matawai. Ka puta noa mai ngā rauemi irahiko i werohia ki roto i tō tinana mā roto i tō manawa, i tō mimi, me tō tūtae i roto i ētahi haora, i ētahi rā rānei. I te nuinga o te wā ka puta ō hua i roto i ngā haora 24.

Mena kei te pūrongo hua te kī "Noa" me te "Tino Tūponotanga" rānei, ko te tikanga kāore he toto totoka. Mena kei te kī "Tino Tūponotanga Waenga," ko te tikanga kāore i te mārama, ā, me nui ake ngā whakamātautau. Mena kei te kī "Tino Tūponotanga," ko te tikanga he nui te tūponotanga o te toto totoka, ā, ka kōrero tō tākuta ki a koe mō te maimoatanga e hiahiatia ana e koe.

Āhea koe me toro atu ki te tākuta kia tere tonu ai?

Ki te puta ngā tohu o te toto totoka i roto i ōu pukahukahu (pulmonary embolism) , he āhuatanga ohorere tēnā.Waea atu ki tō tākuta tonu atu, haere rānei ki te rūma ohorere (ETU) o te hōhipera tata rawa atu. Kia mataara ki ēnei tohu:

• Te uaua ohorere ki te manawa.
• Te mamae nui i te uma, i te ringa, i te pakihiwi, i te kaki, i te kauae rānei.
• Te maremare me te toto, kāore rānei.
• He kiri mā, he werawera piri.
• Te tae kikorangi o te kiri, o ngā ngutu, o ngā maikuku rānei (cyanosis).
• Ka piki ake te tere o te manawa.
• Te werawera nui.