Created at:1/13/2025
He matū rongoā motuhake te kaihoko radiopaque e āwhina ana i ngā tākuta ki te kite i roto i tō tinana i ngā hihi-X, ngā karapa CT, me ētahi atu whakamātautau whakaahua. Ko ēnei kaihoko, e kīia ana ko te pāpāho rerekē, e aukati ana i ngā hihi-X mai i te haere mā roto i ngā kiko, e whiti ana ngā wāhi i runga i ngā whakaahua rongoā kia mārama ai ngā tākuta ki te āhua o roto i a koe.
Ko ngā kaihoko radiopaque he matū kei roto ngā mea pēnei i te iodine, te barium rānei e aukati ana i ngā hihi-X. Ki te noho ēnei kaihoko i roto i tō tinana, ka hangaia e rātou te rerekētanga i waenga i ngā kiko me ngā okana i runga i ngā whakaahua rongoā, e āwhina ana i ngā tākuta ki te kite i ngā raruraru e kore e kitea.
Whakaarohia me te mea e whakanui ana i te tuhinga i runga i te whārangi. Ka whakanui te kaihoko rerekē i ngā wāhi motuhake o tō tinana kia taea ai e ngā tākuta te tirotiro i ngā oko toto, i te ara kūnatu, i ētahi atu okana rānei kia mārama ake. Ki te kore ēnei kaihoko, he uaua ake te tātaritanga tika i ngā āhuatanga rongoā.
E whakawhirinaki ana te wheako ki te āhua o te hoatutanga o te kaihoko ki a koe. He iti noa iho te āhua o te nuinga o te tangata i te wā o te tukanga, ahakoa ka kite ētahi i ngā āhuatanga ngawari he mea noa.
Ki te tangohia mā te waha, he maha ngā wā ka pangia e ngā kaihoko i runga i te barium te kirikiri, te whakarewa rānei, he rite ki te kirikiri wai. Ka paku ki tonu, ka pupuhi rānei koe i te wā e haere ana te matū mā roto i tō pūnaha kūnatu. Ko te tikanga ka ngaro tēnei āhuatanga i roto i ngā hāora ruarua i muri i tō whakamātautau.
Ki te whiwhi koe i te kaihoko rerekē IV, ka pāngia pea e koe te āhuatanga mahana, te whero e horahia ana mā roto i tō tinana mō te 30 hēkona. E kī ana ētahi tangata he rite te āhua ki te hiahia ki te mimi, ahakoa kāore. He mea noa ēnei āhuatanga, ka ngaro wawe.
E whakamahi ana ngā tākuta i ngā āpiha irarangi-āhua ina hiahia ana rātou ki te kite i ngā kiko ngawari, ngā oko toto, ngā okana rānei kāore e puta pai ana i ngā hihi-X noa. Ka tūtohu pea tō tākuta i te whakaahua rerekē hei tirotiro i ngā tohu, hei aroturuki rānei i ngā āhuatanga e noho ana.
Koinei ngā take tino nui e hiahia ai koe ki tētahi rangahau rerekē:
E āwhina ana ēnei āpiha i ngā tākuta ki te whakatau i ngā tātaritanga tika, me te waihanga i ngā mahere maimoatanga pai rawa atu mō tō āhuatanga motuhake.
E āwhina ana ngā āpiha irarangi-āhua i ngā tākuta ki te tātaritanga i te whānuitanga o ngā āhuatanga e pā ana ki ngā wāhanga rerekē o tō tinana. Ko te āpiha motuhake me te ara e whakawhirinaki ana ki te wāhi e hiahia ana ki te tirotiro.
Mō ngā raruraru o te pūnaha kūnatu, ka taea e ngā rangahau pāriamu te whakaatu:
I te wā e tirotiro ana i ngā oko toto me ngā okana, ka taea e ngā āpiha rerekē IV te kite:
I te nuinga o te wā, ka āwhina ngā rangahau rerekē motuhake ki te tātaritanga i ngā āhuatanga o te tuaiwi pērā i ngā kōpae herniated, i te kōpeketanga o te tuaiwi rānei i te wā kāore ētahi atu tikanga whakaahua e rawaka ana.
Ko te nuinga o nga paanga taha ngawari mai i nga matū radiopaque ka ngaro noa i roto i te 24 ki te 48 haora i te wa e tukatukahia ana e to tinana, e whakakorehia ana te matū. Ka tātarihia e ō tākihi te nuinga o nga matū rerekē, i te mea ka haere te barium mā tō pūnaha kūnatu.
Ko nga paanga o te wa poto noa ko te ngau ngawari, te reka konganuku i roto i tō waha, te paku mahana rānei i muri i te rerekētanga IV. Ko enei kare e ngaro ana i roto i te haora, e rua ranei i muri i tō tikanga.
Mēnā i whiwhi koe i te barium mā te waha, mā te tūāpapa rānei, tērā pea ka kite koe i ngā tūtae mārama ake mō te rā, e rua rānei. He mea noa tēnei i te wa e puta ana te barium i tō pūnaha. Ko te inu wai atu ka āwhina i te tere o tēnei tukanga.
Ka taea e ngā mehua tiaki kāinga ngawari te āwhina i a koe kia pai ake te noho i muri i te whiwhinga i ngā matū radiopaque. Ko te nuinga o te tangata e hiahia ana ki te tiaki tautoko noa i te wā e wehe ana te matū i tō rātou tinana.
Mō te ngau ngawari, te puku rānei i muri i ngā rangahau barium, whakamātauhia ēnei huarahi ngawari:
I muri i ngā rangahau rerekē, ko te whakanui i tō inu wai ka āwhina i tō tinana ki te whakakore i te matū i runga i te pai ake. Ki te kore ō tākuta e tohutohu ana, whāia kia inu wai atu i te rā i muri i tō tikanga.
Ko te nuinga o te tangata kāore e hiahia ana ki te rongoā hauora i muri i te whiwhinga i ngā matū radiopaque. Heoi, kei te rite tonu ngā kaiwhakarato hauora ki te whakahaere i ngā tauhohenga ka puta i te wā, i muri rānei i tō tikanga.
Mō ngā tauhohenga pānga mate pāwera ngawari pēnei i te kiri pāwera, te mānukanuka rānei, tērā pea ka hoatu e ngā tākuta he antihistamines pēnei i te Benadryl. Ka āwhina ēnei rongoā ki te whakaiti i te urupare pānga mate pāwera o tō tinana, me te whakangāwari i a koe.
I ngā wā onge ka nui ake te pānga kino o tētahi tangata, he tikanga ā-roto ā ngā rōpū hauora. Ka whakatakoto pea rātou i ngā wai IV, i ngā rongoā hei tautoko i te pēhanga toto, i ētahi atu rānei rongoā i runga i ō hiahia motuhake. Koinei te take e mahia tonu ana ngā rangahau rerekē i ngā whare hauora me ngā kaimahi whakangungu.
Me whakapā atu koe ki tō kaiwhakarato hauora mēnā ka pā mai ētahi tohumate e ahua rerekē ana, e māharahara ana rānei i muri i tō rangahau rerekē. Ahakoa he mea noa ngā pānga kino, he mea nui kia mōhio koe āhea koe e rapu awhina ai.
Waea atu ki tō tākuta mēnā ka puta mai ēnei tohumate i roto i ngā hāora 24 o tō tikanga:
Rapua he manaakitanga ohorere tonu mēnā ka pā mai te pōka o tō mata, ngā ngutu, te korokoro rānei, mēnā rānei he uaua ki a koe te hā. Koinei pea ngā tohu o te pānga mate pāwera nui e hiahia ana ki te rongoā wawe.
Ka taea e ētahi āhuatanga te whakanui i tō mōrearea ki te pānga ki ngā ākena radiopaque. Mā te māramatanga ki ēnei āhuatanga mōrearea ka āwhina tō rōpū hauora ki te whakatakoto i ngā whakatūpato tika i te wā o tō tikanga.
Ka nui ake pea tō mōrearea mēnā kei a koe:
He mea nui hoki te pakeke, nā te mea he nui ake te tairongo o ngā pakeke me ngā tamariki nohinohi ki ngā āpiha rerekē. Ka arotakehia e tō rōpū hauora tō hītori hauora, ā, ka whakatikatika i tā rātou huarahi i runga i ō āhuatanga tūpono takitahi.
Ahakoa te nuinga o te tangata e pai ana ki ngā āpiha irarangi, he mea nui kia mōhio ki ngā raruraru ka puta mai kia taea ai e koe te whakatau i ngā whakataunga mō tō tiaki. He onge ngā raruraru nui engari ka puta mai.
Ko te raruraru tino noa ko te nephropathy i puta mai i te rerekē, e pā ana te āpiha ki te mahi o te whatukuhu. He nui ake tēnei i roto i ngā tāngata kua raru kē i te whatukuhu, kua maroke rānei. Ka whakatau te nuinga o ngā keehi i a rātou anō me te wai tika.
Ko ngā raruraru iti noa iho engari he nui ake te kino ko:
Ka aroturukihia koe e tō rōpū hauora i te wā me muri i ngā tikanga rerekē kia kite wawe i ngā raruraru. Kua whakangungua rātou ki te whakahaere i ēnei āhuatanga i te wā e puta mai ana.
Ka taea tonu e ngā tāngata e mate whatukuhu ana te whiwhi āpiha irarangi, engari e hiahia ana rātou ki ngā whakatūpato me te aroturuki motuhake. Ka āta whakatau tō tākuta i ngā painga o ngā mōhiohio tātaritanga ki ngā tūponotanga ka puta ki te mahi o tō whatukuhu.
Mēnā he mate whatukuhu tō, ka whai pea tō rōpū hauora i ēnei mahi hei tiaki i a koe:
I ētahi wā, ka tūtohu pea tō tākuta i ētahi atu tikanga whakaahua kāore e hiahia ana ki ngā kaihoko rerekē, pēnei i te ultrasound, te MRI rānei kāore he rerekētanga. Kei runga i ngā pārongo e hiahiatia ana mō tō tātaritanga te whakatau.
I ētahi wā ka pōhēhēhia ngā āhua noa mai i ngā kaihoko iraruke ki ētahi atu raruraru hauora. Mā te māramatanga ki te mea noa ka āwhina i a koe ki te karo i te māharahara kore e tika ana, i te wā e mōhio ana koe ki te wā e hiahia ana tētahi mea ki te aro.
Ko te āhua mahana, te whero mai i te rerekētanga IV ka pōhēhēhia ki te kirika, te uira wera rānei. He mea noa tēnei āhua, ā, he iti iho i te meneti te roa. Kāore i rite ki te kirika, kāore he tohu pēnei i te wiri, te werawera rānei.
Ko te reka konganuku e pā ana ki ētahi tāngata ka pōhēhēhia ki te raruraru niho, te pānga rongoā rānei. Ko te tikanga ka ngaro tēnei reka i roto i te haora, ā, kāore e tohu ana i tētahi raruraru ki ō niho, ō waha rānei.
Ko te whakapairuaki ngawari i muri i ngā rangahau barium ka rite ki te paitini kai, te rewharewha puku rānei. Heoi, ko te whakapairuaki e pā ana ki te rerekētanga ka pai ake i roto i ngā hāora ruarua, ā, kāore e haere tahi ana me ētahi atu tohu keri kai pēnei i te pāhau, te kōpū nui rānei.
Ka waiho te nuinga o ngā kaihoko iraruke i tō tinana i roto i te 24 ki te 48 hāora. Ka tātarihia ngā kaihoko rerekētanga IV e ō whatukuhu, ā, ka whakakorea i roto i tō mimi, i te nuinga o te wā i roto i te 24 hāora. Ka haere ngā kaihoko i runga i te barium mā tō pūnaha keri kai, ā, ka whakakorea i roto i tō kūtae i roto i te rā kotahi ki te rua rā.
I te nuinga o te wa ka taea e koe te hoki ki te kai noa i roto i etahi haora i muri i to tikanga, ki te kore to taakuta e hoatu ki a koe etahi tohutohu motuhake. Me timata ki nga kai mama, ngawari ki te rongo koe i te nausea, katahi ka hoki haere ki to kai noa i te wa e pai ake ana koe.
Ka karo nga taakuta ki te whakamahi i nga kaihoko irarangi i te wa e hapu ana ki te kore e tino tika na te awangawanga o te whakakitenga iraruke. Mena ka hiahia koe ki te whakaahua ohorere, ka whakamahi to roopu rongoa i te horopeta iti rawa ka taea me te whai i nga whakatupatotanga motuhake. Me korero tonu ki to kaiwhakarato hauora mena kei te hapu koe.
Ko te nuinga o nga rongoa karekau e pa ana ki nga kaihoko irarangi. Heoi, ki te tango koe i te metformin mo te mate huka, ka tono pea to taakuta ki a koe kia whakamutua mo te wa poto i mua me muri i nga rangahau rereke hei tiaki i ou whatukuhu. Me whakarato tonu i te rarangi katoa o au rongoa ki to roopu hauora.
Ka taea e te nuinga o nga tangata te taraiwa ki te kainga i muri i te whiwhinga i nga kaihoko irarangi, na te mea karekau enei matū e puta te hiamoe, e whakararu ranei i to kaha ki te taraiwa haumaru. Heoi, ki te rongo koe i te whanoke, te nausea, te kore ranei i muri i to tikanga, he pai ake te whai i tetahi atu ki te taraiwa i a koe ki te kainga.