He aha te Matawai Iwi? Te Whāinga, te Hātepe me ngā Hua

He whakamātautau whakaahua karihi te matawai iwi e āwhina ana i ngā tākuta ki te kite i te pai o te mahi o ō iwi puta noa i tō tinana. E whakamahi ana i te iti o te rauemi iraruke hei hanga pikitia taipitopito o tō angaanga, e whakaatu ana i ngā wāhi kei te hanga anō ō iwi i a rātou anō, kei reira rānei ngā raruraru.

Whakaarohia he kāmera motuhake e taea ana te titiro ki roto i ō iwi ki te tirotiro i tō rātou hauora. Kāore i rite ki ngā hihi-X noa e whakaatu ana i te hanganga o te iwi anake, he matawai iwi e whakaatu ana i te mahi me te pākia o te iwi. Mā tēnei ka tino whai hua mō te kite i ngā take ka kore e puta i ētahi atu whakamātautau.

He aha te matawai iwi?

He whakamātautau rongoā karihi haumaru te matawai iwi e aroturuki ana i te āhua o te ngongo o ō iwi i tētahi tohu iraruke. Ko te tohu he iti o te rauemi iraruke ka werohia ki roto i ō toto ka haere ki ō iwi.

Ka ngongo noa ō iwi i tēnei tohu, ā, ko ngā wāhi e nui ake ana te mahi iwi ka nui ake te ngongo. Ka hopu tētahi kāmera motuhake i ngā whakaahua o te wāhi i kohia ai te tohu, e hanga ana i tētahi mahere o tō hauora iwi. Kāore te hātepe katoa e mamae, ā, he iti noa te pānga o te iraruke.

Ka karangahia te whakamātautau ko te scintigraphy iwi, te scintigraphy angaanga rānei. He rerekē i ētahi atu whakamātautau iwi nā te mea e whakaatu ana i te āhua o te mahi o ō iwi, kaua ko te āhua o te ahua.

He aha te take e mahia ai te matawai iwi?

E tūtohu ana ngā tākuta i ngā matawai iwi hei tātari i te mamae iwi kāore i whakamāramatia, hei kite i te horapa o te mate pukupuku ki ngā iwi, hei aroturuki rānei i ngā mate iwi. Koinei tētahi o ngā whakamātautau tino tairongo mō te kimi i ngā raruraru puta noa i tō angaanga katoa i te wā kotahi.

Ka tūtohu pea tō tākuta i tēnei whakamātautau mēnā he mamae iwi tonu tō, kāore he take mārama. Ka taea e ia te whakaatu i ngā whati i te pēhanga, ngā mate, ētahi atu take rānei ka ngaro i ngā hihi-X noa. He tino whai hua te whakamātautau nā te mea e tātari ana i tō tinana katoa i roto i te wā kotahi.

Koinei ngā take nui e tono ana ngā tākuta i ngā matawai iwi:

• Te kimi i te mate pukupuku kua horahia ki ngā kōiwi (bone metastases)
• Te kimi i ngā whati huna, ina koa ngā whati i te pēhanga
• Te tātai i ngā mate pāwera o ngā kōiwi (osteomyelitis)
• Te aroturuki i te piki haere o te rūmātiki
• Te arotake i te mamae kōiwi kāore i te whakamāramahia
• Te tirotiro mō ngā mate kōiwi pēnei i te mate a Paget
• Te aromatawai i te whakaora o ngā kōiwi i muri i te pokanga, i te wharanga rānei

He mea nui te whakamātautau mō ngā tūroro mate pukupuku nā te mea ka kitea te pānga o ngā kōiwi i mua i te puta o ngā tohu. Ko te kimi wawe ka hua te pai ake o ngā hua maimoatanga.

He aha te tikanga mō te karapa kōiwi?

E rua ngā wāhanga nui o te tikanga karapa kōiwi e horahia ana i roto i ngā hāora maha. Tuatahi, ka whiwhi koe i te werohanga o te tohu iraruke, katahi ka tatari koe i te wā e haere ana i tō tinana ki ō kōiwi.

He pai te wāhanga karapa, me takoto marie koe i runga i te tēpu i te wā e neke ana te kāmera nui i tō tinana. E 3-4 hāora te roa o te katoa o te tukanga, engari ko te nuinga o taua wā he tatari mō te uru o te tohu.

Anei ngā mea ka pā i te wā o tō karapa kōiwi:

1. Ka whiwhi koe i te werohanga iti o te tohu iraruke ki roto i te uaua i tō ringa
2. Ka tatari koe mō te 2-3 hāora kia haere te tohu i tō toto ki ō kōiwi
3. Ka tonoa koe ki te inu wai nui i te wā tatari
4. Ka whakawātea koe i tō pūpū i mua tonu i te tīmatanga o te karapa
5. Ka takoto koe i runga i te tēpu karapa i te wā e tango ana te kāmera i ngā pikitia
6. E 30-60 meneti te roa o te tukanga karapa
7. Me huri pea koe i ngā tūnga i te wā karapa mō ngā tirohanga rerekē

He rite te werohanga ki te pū, ā, kāore he mamae o te karapa. Me noho marie koe i te wā o te whakaahua kia mārama ngā pikitia.

Me pēhea te whakarite mō tō karapa kōiwi?

He mea māmā te whakarite mō te karapa wheua, ā, he iti noa ngā huringa e hiahiatia ana ki tō mahi o ia rā. Ka taea e koe te kai noa, me te tango i ō rongoā o ia rā, ki te kore te tākuta e kī atu ki a koe.

Ko te whakarite nui ko te noho wai, me te tango i ngā mea whakarewa i mua i te karapa. Ka hoatu e tō tākuta ngā tohutohu motuhake ki a koe i runga i tō āhuatanga takitahi, engari ka taea e te nuinga o te tangata te pupuri i ā rātou mahi noa.

Anei me pēhea te whakarite mō tō karapa wheua:

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• Haere tonu te kai me te inu noa i mua i te whakamātautau
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• Tangohia ō rongoā o ia rā ki te kore e kī mai
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• Mau i ngā kākahu pai, whānui
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• Tangohia ngā whakapaipai, ngā mataaratanga, me ngā mea whakarewa
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• Kōrero atu ki tō tākuta mēnā kei te hapū koe, kei te whāngai ū rānei
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• Whakamōhio atu ki tō tākuta mō ngā rangahau pāhiu tata nei, ngā whakamātautau rongoā karihi rānei
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• Whakaritea mō te 3-4 haora te wā whakarite
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Mēnā he claustrophobic koe, whakamōhio atu ki tō tākuta i mua. He tuwhera ngā taputapu karapa, nō reira ka pai te nuinga o te tangata, engari ka taea e tō rōpū hauora te āwhina mēnā he āwangawanga ōu.

Me pēhea te pānui i ngā hua o tō karapa wheua?

E whakaatu ana ngā hua o te karapa wheua i ngā wāhi o te pikinga, te hekenga rānei o te tango tohu, e puta ana hei

• Ngā hua noa: He rite tonu te tohatoha o te tohu puta noa i ō wheua
• Ngā wāhi wera: Ngā wāhi e nui ake ana te mahi wheua (ka tohu pea i te whakaora, te mate, te mate pukupuku rānei)
• Ngā wāhi makariri: Ngā wāhi e iti ana te mahi wheua (ka tohu pea i te ngoikore o te tuku toto)
• Te tango arotahi: Te tohu i te wāhi motuhake
• Te tango marara: He nui te pikinga o te mahi

Ka whakamāramahia e tō tākuta te tikanga o ō hua motuhake me te hiahia koe ki ētahi atu whakamātautau. Kia mahara ko ngā hua rerekē kāore i te kī tonu he mea nui – e tohu ana i ngā wāhi e hiahia ana kia tino tirotirohia.

He aha te hua pai rawa atu o te karapa wheua?

Ko te hua pai rawa atu o te karapa wheua e whakaatu ana i te tohatoha noa, rite tonu o te tohu iraruke puta noa i tō angaanga. E tohu ana tēnei he hauora ō wheua me te mahi tika me te kore he wāhi e nui rawa ana te mahi, te kino rānei.

Ko te karapa noa te tikanga e mimiti ana ō wheua i te tohu i ngā taumata e tūmanakohia ana, e kī ana i te pai o te pākia wheua me te rere o te toto. Kāore koe e kite i ngā wāhi wera, i ngā wāhi makariri rānei e tohu ana i ngā raruraru.

Heoi, he mea nui kia mōhio ko ngā karapa wheua he whakamātautau tino tairongo. I ētahi wā ka kitea e rātou ngā tukanga noa pēnei i te whakaora, i ngā huringa e pā ana ki te pakeke kāore i te mōrearea engari ka puta pea he rerekētanga ngawari.

He aha ngā āhuatanga mōrearea mō ngā karapa wheua rerekē?

He maha ngā āhuatanga ka piki ake te tūponotanga o te karapa wheua rerekē. He āhuatanga nui te pakeke, i te mea he nui ake te tūponotanga o ngā pakeke ki te huri i ngā wheua mai i te mau me te haehae, i ngā āhuatanga rānei kei raro.

He mea nui te hītori hauora ki te whakatau i tō mōrearea. Ko ngā tāngata e whai ana i ētahi mate pukupuku, mate wheua, i ngā wharanga o mua rānei, he nui ake te tūponotanga ki te whai hua rerekē.

Ngā āhuatanga mōrearea noa mō ngā karapa wheua rerekē ko:

• Hītori o te mate pukupuku, ina koa te u, te pūkahukahu, te pūkahukahu, te whatukuhu rānei
• Ngā whatiwi, ngā whara rānei o mua
• Te mamae koiwi, te mamae tahi rānei mō te wā roa
• Neke atu i te 50 tau te pakeke
• Hītori o te whānau mō ngā mate koiwi
• Ētahi rongoā e pā ana ki te hauora o te koiwi
• Ngā mate koiwi metabolic
• Te pokanga koiwi, ngā tikanga rānei i tērā wā

Kāore i te kī ana te whai i ēnei āhuatanga tērā ka whai koe i te karapa kōaro, engari ka whakaaro tō tākuta ki a rātou i te wā e whakamārama ana i ō hua.

He aha ngā raruraru ka puta mai i ngā karapa koiwi?

He tino haumaru ngā tikanga karapa koiwi, he iti noa iho ngā raruraru. He iti te nui o te iraruke ka whiwhi koe, ā, he rite tonu ki ētahi atu whakamātautau whakaahua rongoā pēnei i ngā karapa CT.

Ka puta noa te tohu iraruke i tō tinana mā te mimi i roto i ngā rā torutoru. Kāore te nuinga o te tangata e pā ana ki ngā pānga taha mai i te tikanga.

Ngā raruraru ka puta mai, he:

• Te pānga pāwera ki te tohu (tino onge)
• He paku pānga, he mamae rānei i te wāhi werohanga
• He iti rawa te tūponotanga mai i te iraruke
• Te raruraru mai i te takoto tonu i te wā e karapa ana

He iti noa te iraruke mai i te karapa koiwi, ā, e whakaarohia ana he haumaru mō te nuinga o te tangata. Ka whakakore tō tinana i te tohu i te wā tere, ā, kāore koe e iraruke ana ki te pā ki ētahi atu i tō taha.

Āhea ahau e kite ai i te tākuta mō ngā hua karapa koiwi?

Me whai koe i tō tākuta i te wā i whakaritea ai ki te kōrero mō ō hua karapa koiwi, ahakoa he noa, he kōaro rānei. Ka whakamārama tō tākuta i te tikanga o ngā kitenga mō tō āhuatanga motuhake.

Mēnā e whakaatu ana ō hua i ngā kōaro, kaua e mataku. He maha ngā kitenga kōaro e hiahia ana ki ētahi atu whakamātautau hei whakatau i tō rātou hiranga. Ka ārahi tō tākuta i a koe mā ngā mahi e whai ake nei, arā, ko te whakaahua kōrero, ngā whakamātautau toto rānei.

Whakapā atu ki tō tākuta i te wā tonu mēnā ka pā ki a koe:

• Te mamae wheua nui, te kino rānei i muri i te karapa
• Ngā tohu o te mate i te wāhi weronga
• Ngā tohu rerekē e māharahara ana koe
• Ngā pātai mō ō hua, mō te manaaki whai muri rānei

Kia mahara he taputapu tātaritanga ngā karapa wheua e āwhina ana i ngā tākuta ki te whakatau whakatau mō ō manaaki. Ko te whai i te whakamātautau he mahi pai ki te māramatanga me te pupuri i tō hauora wheua.

Ngā pātai e pātai pinepine ana mō ngā karapa wheua

Q1: He pai te whakamātautau karapa wheua mō te kite i te osteoporosis?

Kāore ngā karapa wheua i te whakamātautau pai mō te tātaritanga i te osteoporosis. Ahakoa ka taea e rātou te whakaatu i ētahi huringa wheua, ko te karapa DEXA (dual-energy X-ray absorptiometry) te paerewa koura mō te ine i te kiato wheua me te tātaritanga i te osteoporosis.

He pai ake ngā karapa wheua ki te kite i ngā tukanga wheua kaha pēnei i te whati, te mate, te horapa rānei o te mate pukupuku. Ki te whakapae tō tākuta i te osteoporosis, ka tohutohu pea rātou i te karapa DEXA hei utu, e ine ana i te kiato kohuke wheua.

Q2: Ko te karapa wheua rerekē te tikanga he mate pukupuku tonu?

Kāore, ko te karapa wheua rerekē kāore i te tikanga he mate pukupuku tonu. He maha ngā āhuatanga pai ka taea te whakaputa i ngā hua rerekē, tae atu ki te rūmātiki, te whati, te mate, te tukanga whakaora noa rānei.

Ka taea e ngā wāhi wera i ngā karapa wheua te tohu i ngā āhuatanga rerekē pēnei i te whati o te ahotea, te mate wheua, ngā wāhi rānei o te piki ake o te huri wheua. Ka whakaaro tō tākuta ki ō tohu, te hītori rongoā, me ētahi atu hua whakamātautau hei whakatau i te take o te rerekētanga.

Q3: Kia pēhea te roa o te noho o te tohu iraruke i tōku tinana?

He wā poto te haurua o te tohu iraruke e whakamahia ana i ngā karapa wheua, ā, ka wehe atu i tō tinana i roto i te 2-3 rā. Ko te nuinga o te reira ka whakakorea mā tō mimi i roto i ngā haora 24 tuatahi.

Ka taea e koe te āwhina i te tere ake o te tukanga whakakore mā te inu i te wai nui me te mimi pinepine i muri i te whakamātautau. He iti noa te pānga iraruke, ā, e whakaarohia ana he haumaru mō ngā kaupapa tātaritanga.

Q4: Ka taea e au te rāpoi wheua mena kei te hapū au?

Kāore i te tohutohutia ngā rāpoi wheua i te wā e hapū ana, nā te mea ka pā te pānga o te rāpoi ki te pēpi e tipu ana. Ki te hapū koe, ki te whakaaro rānei kei te hapū koe, kōrero atu ki tō tākuta i mua i te mahi.

I ngā wā ohorere me tino tika te rāpoi wheua, ka whakataurite tō tākuta i ngā painga ki ngā tūponotanga. Heoi, he pai ake te whakamahi i ētahi atu tikanga whakaahua i te wā e hapū ana.

Q5: Ka rāpoi au i muri i te rāpoi wheua?

He iti noa te rāpoi i roto i tō tinana i muri i te rāpoi, engari he iti rawa ngā taumata, kāore hoki e mōrearea ki ētahi atu. Ka tere te heke o te rāpoi, ā, kua ngaro te nuinga i roto i te 24-48 haora.

Kāore koe e hiahia ki te karo i te whakapā atu ki ngā mema o te whānau, ki ngā mokai rānei i muri i te whakamātautau. Heoi, e tūtohu ana ētahi whare hauora kia whakawhāiti i te whakapā tata ki ngā wāhine hapū me ngā tamariki iti mō ngā haora tuatahi hei whakatūpato.