Created at:1/13/2025
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Ko te tātari mō te mate pukupuku pūkahukahu he whakamātautau rongoā i hangaia hei kimi i te mate pukupuku pūkahukahu i roto i ngā tāngata kāore anō kia puta he tohu. Whakaarohia he arotake hauora whai hua e taea ai te hopu i ngā raruraru pea i te wā wawe, i te wā e whai hua ana te rongoā.
Ko te tikanga tātari e whakamahia ana ko te momo motuhake o te karapa CT e kiia nei ko te low-dose computed tomography (LDCT). Ka tangohia e tēnei karapa ngā pikitia taipitopito o ō pūkahukahu mā te whakamahi i te iti rawa o te iraruke i te karapa CT noa. I hangaia motuhake hei kite i ngā puku iti, i ngā tipu rānei, he iti rawa pea te kite.
Kotahi te whāinga nui o te tātari mō te mate pukupuku pūkahukahu: ki te kimi i te mate pukupuku pūkahukahu i mua i tō pōuri, i te kite rānei i ngā tohu. Ka taea e te kitenga wawe te whai pānga nui ki ngā kōwhiringa rongoā me ngā putanga.
Ko te nuinga o ngā mate pukupuku pūkahukahu kāore e puta he tohu i ō rātou wāhanga tuatahi. I te wā ka kite pea koe i te maremare tonu, te mamae o te uma, te poto rānei o te manawa, kua tipu pea te mate pukupuku, kua horapa rānei. Ka āwhina te tātari ki te whakaiti i tēnei āputa mā te hopu i ngā mate pukupuku pea i te wā e iti ana tonu ana, e ngāwari ana te rongoā.
E tino taunakitia ana tēnei tātari mō ngā tāngata e nui ake ana te tūponotanga ki te whakawhanake i te mate pukupuku pūkahukahu. Ka whakaarohia e tō tākuta ngā āhuatanga pēnei i tō tau, te hītori pōkai hikareti, me te hauora whānui hei whakatau mēnā he tika te tātari mōu.
He tika te hātepe tātari mō te mate pukupuku pūkahukahu, ā, tata ki te 10-15 meneti te roa. Ka takoto koe ki runga i te tēpu e paheke ana ki roto i te karapa CT, he rite ki te mīhini nui ā-āhua rite ki te donut.
I te wā o te karapa, me pupuri tō manawa mō ngā wā poto i te wā e tango ana te mīhini i ngā pikitia. Mā te tohunga hangarau koe e ārahi i tēnei hātepe, e whakamōhio ana ki a koe i te wā tika ki te manawa me te wā ki te noho pūmau. Ko te wā karapa tonu he iti iho i te 30 hēkona.
He iti rawa te horahinga o te hihi i te whakamahinga o te rorohiko CT iti-horopeta i te rorohiko CT paerewa. Ahakoa kei te pa tonu koe ki etahi hihi, he rite te nui ki te mea ka whiwhi koe mai i te taiao i roto i nga marama maha.
He ngawari te whakarite mo te tirotiro mate pukupuku pūkahukahu, karekau hoki e hiahia kia nui nga huringa o te oranga. Ka taea e koe te kai noa me te tango i o rongoa i nga wa katoa ki te kore to taakuta e korero motuhake ki a koe.
Me mau koe i nga kakahu pai, whanui, karekau he patene whakarewa, he kumemau, he paraihe ranei. Ka taea e enei mea whakarewa te whakararuraru i te kounga o te karapa. He maha nga whare e whakarato ana i nga kakahu hōhipera ki te hiahiatia.
I mua i to whakaritenga, kohia nga hua whakaahua pouaka i mua i a koe. Ka awhina enei i nga tohunga iraruke ki te whakataurite i to karapa o naianei ki nga mea tawhito, ka taea te whakarato horopaki whai hua mo te whakamaori i o hua.
Ko nga hua o te tirotiro mate pukupuku pūkahukahu ka uru ki tetahi o nga waahanga maha. Ko te hua kino te tikanga kaore i kitea he waahi whakapae, koinei te putanga ka whiwhi te nuinga o nga tangata.
Ko te hua pai ehara i te mea he mate pukupuku koe. Ko te tikanga i kitea e te tohunga iraruke tetahi mea e hiahia ana kia nui ake te tirotiro, penei i te kohinga iti, i te waahi ranei. He maha o enei kitenga ka puta he ahuatanga pai (kaore i te mate pukupuku) penei i nga mate tawhito, i nga kiko whara ranei.
Mena ka kitea tetahi mea whakapae, ka matapaki to taakuta i nga mahi e whai ake nei me koe. Ka uru pea tenei ki etahi atu whakaahua i roto i etahi marama kia kite mena ka huri tetahi mea, i etahi wa ranei he koiora kia whiwhi whakautu tino tika. Ko te whai-ake motuhake ka whakawhirinaki ki nga mea e whakaatuhia ana e te karapa me to ahuatanga takitahi.
Ma te māramatanga ki ngā āhuatanga mōrearea o te mate pukupuku pūkahukahu ka āwhina i a koe me tō tākuta ki te whakatau mēnā he tika te tātari māu. Kāore ēnei āhuatanga e taurangi ka whanake koe i te mate pukupuku pūkahukahu, engari ka whakanui i ō tūponotanga.
He maha ngā āhuatanga ka pā ki tō tūponotanga ki te whanake i te mate pukupuku pūkahukahu, ā, mā te mōhio ki a rātou ka āwhina i ngā whakataunga tātari:
He maha ngā wā e mahi tahi ana ēnei āhuatanga mōrearea, nō reira ko te whai i ngā āhuatanga maha ka whakanui i tō mōrearea whānui. Ka whakaaro tō tākuta ki tō pikitia katoa i te wā e tūtohu ana i te tātari.
Ahakoa te nuinga o te wā he haumaru te tātari mate pukupuku pūkahukahu, he mea nui kia māramahia ngā raruraru ka puta pea kia taea ai e koe te whakatau mā te mōhio. Kāore te nuinga o ngā tāngata e pā ana ki ngā raruraru mai i te tukanga tātari.
Ko te nuinga o ngā āwangawanga ka puta mai i ngā hua pai teka, kaua i te karapa tonu. Ki te kitea e te tātari tētahi mea e mōrearea ana, engari he pai noa iho, ka pā te āwangawanga, ā, ka puta he whakamātautau anō kāore pea koe i hiahia.
Koinei ngā raruraru matua hei mōhio:
Ahakoa ēnei raruraru pea, e whakaatu ana ngā rangahau, mō ngā tāngata whai-tūponotanga nui, he nui ake te painga o te tātari i ngā tūponotanga. Mā tō rōpū hauora koe e āwhina ki te whakatau i ēnei āhuatanga i runga i tō āhuatanga whaiaro.
Me kōrero koe mō te tātari mate pukupuku pūkahukahu ki tō tākuta ki te tutuki koe i ētahi paearu tūponotanga nui. Ko te kōrero te mea e tika ana ki te mea kei waenga koe i te 50-80 tau te pakeke me te hītori pōkai paipa nui.
I te nuinga o te wā, e taunakitia ana te tātari ki te mea he kai-paipa koe i tēnei wā, kua mutu rānei i roto i ngā tau 15 kua hipa, me te hītori pōkai-tau 20. Ko te pōkai-tau te tikanga e pōkai ana i tētahi pōkai i ia rā mō te tau kotahi, nō reira ko te 20 pōkai-tau ka taea te pōkai i tētahi pōkai i ia rā mō ngā tau 20, e rua rānei ngā pōkai i ia rā mō ngā tau 10.
Me kōrero anō koe ki tō tākuta mēnā he ētahi atu āhuatanga tūpono pēnei i te nui o te pānga ki te mahi, te hītori o te whānau mō te mate pukupuku pūkahukahu, te rāhiko i te pouaka. Ahakoa kāore koe e tutuki i ngā paearu tātari paerewa, ka taea e tō tākuta te āwhina i te aromatawai i tō tūponotanga takitahi.
Kaua e tatari mēnā kei te pā koe i ngā tohu pēnei i te maremare tonu, te mamae o te pouaka, te poto o te manawa, te maremare toto rānei. E tika ana kia whai wāhi tonu te rongoā ahakoa te tika o te tātari.
He tino whai hua te tātari mate pukupuku pūkahukahu ki te kite i te nuinga o ngā momo mate pukupuku pūkahukahu, engari kāore i te tino tika. He pai rawa ngā karapa CT iti-pānga ki te kimi i ngā mate pukupuku pūkahukahu kore-iti-pūtau, e hanga ana i te 85% o ngā mate pukupuku pūkahukahu katoa.
Ko te tātari te mea pai rawa atu mō ngā puku totoka e puta ana hei pūpū rānei, hei papatipu rānei i runga i te whakaahua. Ko ētahi mate pukupuku tino kaha e horapa ana i te tere, e puta ana rānei hei mumura, kaua hei papatipu motuhake, he uaua ake pea te hopu mā te tātari anake.
Āe, ka pā te wā i mutu ai koe te kai paipa i ngā tūtohutanga tātari, engari kāore i te wā tonu. E tūtohu ana ngā aratohu tātari o nāianei kia haere tonu te tātari ā-tau mō te 15 tau i muri i tō mutu i te kai paipa, me te whakaaro kei te tutuki tonu koe i ētahi atu paearu.
Mēnā i mutu koe i te kai paipa neke atu i te 15 tau ki muri, kāore koe e whakaarohia he nui te tūponotanga mō te tātari auau. Heoi anō, ka tūtohu pea tō tākuta i te tātari i runga i ētahi atu āhuatanga tūpono, i tō hītori rongoā takitahi rānei.
Mēnā ka tutuki koe i ngā paearu mō te tātari mate pukupuku pūkahukahu, ka mahia i te nuinga o te wā kotahi i te tau. Ka taea e te tātari ā-tau te āwhina i ngā tākuta ki te aroturuki i ngā huringa i roto i ō pūkahukahu i te roanga o te wā, me te hopu i ngā raruraru pea i te wā wawe.
E taurite ana te hōtaka ā-tau i ngā painga o te aroturuki i ngā wā katoa me te whāinga kia iti te pānga o te iraruke. Mēnā e whakaatu ana tō karapa tuatahi i tētahi mea e hiahia ana kia mātakitakihia, ka tūtohu pea tō tākuta kia maha ake ngā karapa whai muri kia makona rā anō rātou kāore he āwangawanga.
E kore te arotake mō te mate pukupuku pūkahukahu e ārai i te mate pukupuku pūkahukahu kia whanake, engari ka taea e ia te whakapai ake i ngā putanga mā te kimi i te mate pukupuku i te wā wawe i te wā e tino taea ana te rongoā. Whakaarohia he pūnaha whakatūpato wawe, kaua hei tikanga ārai.
Ko te huarahi pai rawa atu ki te ārai i te mate pukupuku pūkahukahu ko te karo i te kai paipa, te mutu rānei mēnā kei te kai paipa koe i tēnei wā. He whatunga haumaru whai hua te arotake mō ngā tāngata kei te tūpono nui ake nā te kai paipa o mua, o nāianei rānei.
E tūtohu ana ngā aratohu o nāianei i te arotake mō te mate pukupuku pūkahukahu mō ngā tāngata kei waenga i te 50 me te 80 tau e tutuki ana i ētahi atu paearu tūpono. E whakaatu ana te awhe tau i te wā e nui ana te tūpono o te mate pukupuku pūkahukahu ki te whakatika i te arotake i te wā e ora tonu ana koe ki te whai hua mai i te rongoā.
Ka taea tonu e ngā tāngata neke atu i te 80 tau te whai wāhi mō te arotake i ētahi wā, ina koa kei te pai te hauora me te kaha ki te tautoko i te rongoā mēnā ka kitea te mate pukupuku. Ka whakaarohia e tō tākuta tō mana hauora whānui me te roa o te ora i te wā e whakatakoto ana i ngā tūtohutanga.