Kua pā atu koe ki tētahi wheua iti, koi i te pūtake o tō rara, te wāhi e tūtaki ai ō rara? Ko ētahi e pā ana ki tēnei mea he puku iti. Ko te nuinga o te tangata kāore e mōhio ana ki tēnei mea, kāore hoki e whakaaro he ingoa tōna. I tēnei rā ka kōrero tātou mō tēnei wāhanga iti engari he mea nui o tō tātou tinana, e kiia nei ko te Tukanga Xiphoid i roto i ngā kupu hauora.
He aha te Tukanga Xiphoid?
I te whakarapopototanga, ko te tukanga xiphoid te wheua papatahi kei waenganui o tō uma, te wāhanga iti, koi kei raro o te sternum . Ko te pito raro o te sternum, he rite te āhua ki te reta T. I ētahi wā ka karangatia e ngā tākuta ko te 'xiphoid sternum'.
I roto i te rongoā, ko te 'tukanga' he wahi kiko e puta mai ana i tētahi wāhanga nui o te tinana. Nō reira i tapaina ai tēnei mea nā te mea e puta mai ana i raro i tō tātou sternum.
He aha te hiranga o tēnei i roto i te CPR?
He mea tino nui tēnei. Ina whakahaerehia te CPR (Cardiopulmonary Resuscitation) , he maimoatanga ohorere e hoatu ana ki te tangata kua ngaro te māramatanga, ka whakamahia tēnei tukanga xiphoid hei tohu hei kimi i te wāhi tika hei pēhi i te uma.
Whakaarohia me hoatu e koe he CPR ki tētahi. Me whakatakoto ō ringaringa tetahi ki runga i tetahi ki waenganui o te uma. Anei me pēhea te kimi i te wāhi tika:
1. Whakamahia ō maihao ki te toro atu ki waenganui o te uma o te tangata.
2. Ka rongo koe i te mutunga o te mārō o te wheua uma, arā, te wāhi kei reira te tukanga xiphoid.
3. Me whakatakoto ō ringaringa kia rua ngā maihao te whānui ki runga ake i taua wāhi, kātahi ka tīmata te pēhi i te uma.
Mā te mōhio tika ki tēnei tohu ka āwhina i te ārai i te kino o te tukanga xiphoid i te wā e pēhia ana te uma, nā te mea ki te pēhi kaha rawa i te wāhi hē ka whati tēnei wheua iti, ka kino hoki ngā whekau o roto.
He aha te painga o tēnei mea mō ō tātou tinana?
Ahakoa he wahi iti, he maha ngā mahi nui e mahia ana e ia i roto i ō tātou tinana. Ko te mea nui, ka tiakina e ia ētahi o ngā okana tino tairongo o tō tātou uma. He punga anō hoki e piri ai ngā uaua ki reira.
| Mahi | Whakaahuatanga |
|---|---|
| Te tiaki i ngā whekau o roto | Nā te mea he wāhanga ia o tō tātou sternum, ka mahi tahi me te whare rara hei tiaki i ngā whekau nui pēnei i te ngākau, ngā pukahukahu, me te diaphragm mai i ngā tūponotanga o waho. |
| Te hono i ngā uaua me ngā hononga | Ka piri ētahi o ngā uaua nui o tō tātou puku (puku) ki tēnei tukanga xiphoid, nō reira ka mahi hei punga hei pupuri i te pumau o ēnei uaua. |
Kei hea tēnei kei reira? He aha te āhua?
Hei whakamārama tika, kei waenganui o tō uma, i raro noa iho i te tūtakitanga o ō rara. Kei runga tonu i te diaphragm. I roto i te pakeke, he 1-2 inihi (2-5 henimita) te roa.
Mō te āhua o tēnei, he rite te koi o te nuinga ki te pito o te pene. Engari kāore i te katoa. He porotaka te pito o ētahi. Ko ētahi he paku piko ki te taha kotahi, kaua ki raro.
Ko te mea whakamiharo, ki te tirohia ngā hihi-X o te uma o tō whānau, he nui te tūponotanga ka rite te āhua o tō tukanga xiphoid. Ko te tikanga, tera pea i tukuna iho tōna āhua.
He wheua, he kiriuhi rānei te tukanga xiphoid?
Ko te whakautu ki tēnei pātai e whakawhirinaki ana ki tō tau, nā te mea ka rerekē tēnei wāhanga i te tau.
- I te whānautanga: Ina whānau mai he pēpi, ko tōna tukanga xiphoid he mea hanga katoa ki te kiripaka , he kiko ngāwari e rite ana ki te mea i roto i ō tātou taringa me te pito o tō tātou ihu.
- I te wā tamarikitanga me te taiohitanga: I a tātou e pakeke haere ana, ka tīmata te huri haere o tēnei kiriuhi hei wheua. Ka kiia tēnei tukanga ko te whakapūmautanga . I te nuinga o te wā ka tata katoa te wheua i waenga i te 5 me te 18 tau te pakeke.
- I te pakeketanga: Ahakoa he wheua katoa tēnei i te nuinga o te tangata, tera pea ētahi tāngata kāore i tino hangaia kia tae rā anō ki te 60 tau te pakeke.
Kāore he mōrearea hauora mō tēnei puhoi o te hanganga wheua. He mea noa, he mea ā-taiao. E kore rawa koe e rongo i tēnei āhuatanga, ki te kore koe e pāngia e te aituā, ā, ka tangohia he hihi-X.
He aha ngā mate e pā ana ki tēnei wāhanga?
I te nuinga o te wā, ki te mamae koe, ki te pupuhi rānei i te rohe kei reira tō tukanga xiphoid, ko te take he nui ake te tūponotanga he raruraru ki ngā kiko, wheua, uaua rānei e karapoti ana i te raruraru ki te tukanga xiphoid tonu.
Tērā tētahi āhuatanga e kīia ana ko te 'Xiphoid process syndrome', ka pupuhi, ka mamae hoki tēnei wāhi. Engari he tino onge. Ko te nuinga o te wā, ka puta te mamae o tēnei wāhi i ngā āhuatanga i raro nei.
| Āhua | Hei whakarāpopototanga... |
|---|---|
| Te mate pukupuku o te korokoro | Te pupuhi o te kiriuhi e hono ana i ngā rara ki te wheua sternum i roto i te uma. Ka taea e tēnei te whakararu i te mamae o te uma. |
| Pectus carinatum | Te pūwero o te wheua sternum i roto i te uma (uma kūkupa). |
| Te whati o te sternum | Te whati o te wheua matua o te uma nā te aituā, te hinganga, te whiunga kino rānei. |
| Ngā whati rara | Ka taea hoki te mamae i tēnei wāhi i te whati o tētahi, neke atu rānei o ngā rara. |
| Ngā taumahatanga uaua | E mamae ana i te kumenga o te uaua i te uma, i te puku rānei nā te hiki taumaha, te whakakori tinana ohorere rānei. |
Ko te mea nui, ki te pāngia koe e te mamae o te uma, kaua rawa e warewaretia.I ētahi wā he tohu pea tēnei mō te mate manawa. Nō reira, ki te mamae tō uma, ki te piri, ki te kōpiri rānei, me toro atu ki te tākuta tonu. Ki te whakapae koe kei te pāngia koe e te mate manawa, me haere tonu ki te Tari Ohotata o te hōhipera (ETU) .
He aha ngā maimoatanga mō ēnei mamae e pā ana?
Ka whakatauhia te maimoatanga i muri i te whakatau a te tākuta i te pūtake o tō mamae. Ka rerekē te maimoatanga i runga i te pūtake.
- Tērā pea ka kīia atu ki a koe kia okioki , kia mutu hoki te mahi taumaha, te whakakori tinana rānei mō tētahi wā .
- Ka taea te hoatu i ngā rongoā mamae pēnei i te NSAID (Nonsteroidal anti-inflammatory drugs) hei whakaiti i te mamae me te pupuhi.
- Mena he take nui te take, pērā i te whati wheua, me whai maimoatanga motuhake.
Engari kia maumahara, me tīmata noa i runga i te tohutohu a tō tākuta te whakamahi i ēnei maimoatanga. Mā te tango rongoā i a koe anō ka kino ake te raruraru.
Ka taea e tātou te ora me te kore te tukanga xiphoid?
Āe, e taea ana. Ahakoa e tautoko ana te tukanga xiphoid i ngā uaua o tō tātou tinana, ehara i te mea he okana nui e kore e taea e tātou te ora me te kore. E kīia ana ēnei wāhanga o te tinana he hanganga toenga e ngā tākuta.
I te whakarapopototanga, ko tōna tikanga he wāhanga o te tinana i tino whai hua i mua i roto i tō tātou whanaketanga, ā, ināianei kāore he mahi tūturu. Nō reira, ka taea e tātou te noho noa me te kore taua mea.
Mena ka whati tēnei wāhanga i roto i tētahi aituā, ā, kei te tūpono ka kino ngā whekau o roto (pērā i te ngākau me ngā pukahukahu) i ngā wahi whati, ka whakatau pea ngā tākuta ki te tango i tēnei wāhanga mā te pokanga.
Nō reira, kāore pea koe i mōhio kei a koe tēnei wāhanga o tō tinana tae noa ki tō panuitanga i tēnei tuhinga. Engari ināianei kua mōhio koe ka āwhina puku tēnei wahi wheua iti ki te tiaki i tō tātou tinana me te mahi i ō tātou uaua.
Karere Tangohia ki te Kāinga
- Ko te Tukanga Xiphoid te pito koi, raro rawa o te wheua sternum i waenganui o tō uma.
- He kiriuhi tēnei ina whānau mai koe, engari i a koe e pakeke haere ana, ka huri haere hei wheua. He mea noa tēnei.
- Mena ka pā te mamae ki tēnei wāhi, ko te mea pea he raruraru kei ngā uaua e karapoti ana, he kiriuhi, he rara rānei, kaua ki te raruraru o te tukanga xiphoid tonu.
- Ko te mea nui: Kaua rawa e warewarehia te mamae o te uma, te kore whakamarie rānei.He tohu pea tēnei mō tētahi mate kino, inā koa he mate manawa. Tirohia tō tākuta tonu.
- Ka whakamahia tēnei hei tohu nui hei kimi i te wāhi tika i ngā wā maimoatanga ohorere pēnei i te CPR.











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