He aha te Ultrasound? Te Whāinga, te Hātepe & ngā Hua

He whakamātautau whakaahua haumaru, kore mamae te ultrasound e whakamahi ana i ngā ngaru oro hei hanga pikitia o roto o tō tinana. Whakaarohia he karapa ngawari e āwhina ana i ngā tākuta ki te kite i ō rātou okana, kiko, me te rere o te toto me te kore he hihi, he hātepe rānei e uru ana.

Kua āwhina tēnei taputapu rongoā noa i ngā kaiwhakarato hauora ki te tātai i ngā āhuatanga me te aroturuki i ngā hapūtanga mō ngā tau tekau. Kei te mōhio pea koe i te pai mai i ngā arowhai hapū, engari ka whakamahia ngā ultrasound ki te tirotiro i te maha o ngā wāhanga o tō tinana, mai i tō ngākau ki tō pūpū.

He aha te ultrasound?

Ka whakamahi te ultrasound i ngā ngaru oro auau-nui e pā ana ki ngā hanganga o tō tinana hei hanga pikitia i te wā tūturu i runga i te mata rorohiko. He wahangu rawa ngā ngaru oro ki ngā taringa tangata, karekau hoki he raruraru.

He taputapu iti e kīia ana he transducer e tuku ana i ēnei ngaru oro ki roto i tō tinana, ā, ka whiwhi i ngā oro e hoki mai ana. He rerekē te whakaata o ngā kiko rerekē i ngā ngaru oro, koinei te āhua e hanga ana e te mīhini ngā pikitia taipitopito. He rite ki te whakamahi a ngā aihe i te echolocation ki te whakatere i raro i te wai.

Ka puta tonu ngā pikitia i runga i te aroturuki, e āhei ana tō kaiwhakarato hauora ki te kite i ngā mea e pā ana ki roto i tō tinana i te wā tūturu. Ko tēnei urupare tonu ka tino whai hua ngā ultrasound mō te tātai me te aroturuki i ngā maimoatanga.

He aha te take e mahia ai te ultrasound?

E tūtohu ana ngā tākuta i ngā ultrasound ki te tirotiro i ngā okana, ki te tātai i ngā āhuatanga, me te aroturuki i tō hauora me te kore e whakaatu i a koe ki te hihi. Mā tēnei ka tino haumaru mō ngā wahine hapū me ngā tāngata e hiahia ana ki te whakaahua auau.

Ka tūtohu pea tō kaiwhakarato hauora i te ultrasound ki te tirotiro i ngā tohumate kāore i whakamāramahia pēnei i te mamae o te puku, te pūhi, te puku rānei. Ka taea hoki e rātou te whakamahi ki te ārahi i ngā hātepe pēnei i ngā biopsy, ki te arowhai rānei i te pai o te mahi o ngā maimoatanga.

Koinei ngā take noa e tono ana ngā tākuta i ngā ultrasound:

• Te aroturuki i te hapū me te whanaketanga o te pēpi
• Te tirotiro i ngā okana o te puku pērā i te ate, te pūpū, te tākihi rānei
• Te titiro ki te hanganga me te mahi o tō ngākau
• Te arotake i te rere o te toto i roto i ngā uaua me ngā uaua toto
• Te tātari i te mamae o te pūpū, i ngā āwangawanga rānei mō te hauora whakaputa uri
• Te ārahi i ngā koiora ngira, i ētahi atu tikanga rānei
• Te kite i ngā kōhatu pūpū, i ngā kōhatu tākihi rānei
• Te arotake i ngā puku thyroid, i ngā puku u rānei

I te nuinga o te wā, ka āwhina ngā ultrasound ki te tātai i ngā āhuatanga onge pērā i ētahi momo puku, i ngā hanganga uaua toto rerekē rānei. Ka whakamārama tō tākuta he aha rātou i tūtohu ai i tēnei whakamātautau motuhake mō tō āhuatanga.

He aha te tikanga mō te ultrasound?

He tika tonu te tikanga ultrasound, ā, e 15 ki te 45 meneti te roa, i runga i te wāhi e hiahia ana tō tākuta ki te tirotiro. Ka takoto koe i runga i te tēpu tirotiro, ā, ka mahia te karapa e tētahi tohunga hangarau whakangungu.

Tuatahi, ka whakamahi te tohunga hangarau i tētahi hāora mārama, i runga i te wai ki tō kiri i runga i te wāhi e tirotirohia ana. Ka āwhina tēnei hāora i ngā ngaru oro kia pai ake te haere, ā, ka whakakore i ngā pūhui hau ka raru i ngā whakaahua.

Muri iho, ka neke mārire rātou i te transducer i runga i tō kiri, me te pēhi mārire kia whiwhi i ngā whakaahua pai rawa atu. Ka pōhēhē pea koe i te pēhitanga kaha ake o te transducer i ētahi wāhi, engari kāore tēnei e tika kia mamae.

I te wā o te karapa, ka tonoa pea koe ki te huri i ō tūnga, ki te pupuri i tō manawa mō te wā poto, ki te inu wai rānei kia kī tō pūpū. Ka āwhina ēnei mahi ki te hanga whakaahua mārama ake o ngā okana motuhake. Ka whakamārama te tohunga hangarau i tā rātou e mahi ana puta noa i te tukanga.

Mō ētahi momo ultrasound, pērā i ngā karapa transvaginal, transrectal rānei, ka whakaurua tētahi transducer i hangaia motuhake ki roto i te tinana. Ahakoa ka pōhēhē pea tēnei, ka whai whakaahua mārama ake o ētahi okana, ā, e kiia ana he tino haumaru tonu.

Me pēhea te whakarite mō tō ultrasound?

He iti noa te whakarite e hiahiatia ana e te nuinga o nga ultrasound, he mea watea mo nga arowhai i nga wa katoa me nga ahuatanga hauora ohorere. Ka hoatu e to kaiwhakarato hauora ki a koe nga tohutohu motuhake i runga i te momo ultrasound e mahia ana e koe.

Mo nga ultrasound puku, me nohopuku koe mo te 8 ki te 12 haora i mua. Ko te tikanga karekau he kai, he inu ranei engari ko te wai, e awhina ana ki te hanga whakaahua marama ake o ou okana ma te whakaiti i te hau i roto i ou whekau.

Mena kei te mahi koe i te ultrasound pelvic, me inu koe i te 32 hekere wai tata ki te haora i mua i to wa whakarite, me karo hoki te mimi. Ka panaia e te pukupuku ki tonu i etahi atu okana, ka hanga whakaahua pai ake o ou okana whakaputa uri.

Anei nga mea ka taea e koe te tumanako mo te whakarite i runga i nga momo ultrasound rereke:

• Ultrasound puku: Noho puputu mo te 8-12 haora, mau kakahu pai
• Ultrasound pelvic: Inu wai me te pupuri i te pukupuku ki tonu
• Ultrasound haputanga: I te nuinga o te wa karekau he whakarite motuhake e hiahiatia ana
• Ultrasound ngakau: Karekau he whakarite e hiahiatia ana, mau he koti e tuwhera ana i mua
• Ultrasound thyroid: Karekau he whakarite e hiahiatia ana, karo i te mau tahei

Mau kakahu pai, ngawari hoki ka taea e koe te whakatika, te tango ranei ina tika. Ka hoatu pea he kakahu hōhipera hei mau i te wa o te tikanga.

Me pehea te panui i o hua ultrasound?

Ka whakamaoritia o hua ultrasound e te tohunga iraruke, he taote e tohunga ana ki te panui i nga whakaahua rongoa. Ka hangaia e ratou he purongo taipitopito ka arotakehia e to kaiwhakarato hauora ki a koe, i roto i nga ra torutoru.

Ka whakaahua te purongo i nga mea i kitea e te tohunga iraruke, tae atu ki te rahi, te ahua, me te ahua o ou okana, kiko ranei. Ka tuhia e ratou nga mea katoa e ahua noa ana, ka whakaatu i nga waahi e hiahia ana kia aro nui, kia whai ranei.

Ko te tikanga o ngā hua noa he mea hauora ō pūngao, ā, e tika ana te mahi, kāore he tohu o te mate, o ngā mea rerekē rānei. Ka whakamāramahia e tō tākuta te ahua o te noa mō tō āhuatanga me tō tau.

Ko te tikanga o ngā hua rerekē kāore i te kī tonu he mea nui kei te he. He maha ngā kitenga rerekē he pai, ko te tikanga kāore i te mate pukupuku, kāore rānei i te mōrearea tonu. Ka whakamāramahia e tō kaiwhakarato hauora te tikanga o ngā kitenga me te hiahia o ētahi atu whakamātautau, maimoatanga rānei.

I ngā wā onge, ka kitea e ngā ultrasound ngā kitenga e kore e tatarihia, pērā i ngā tipu rerekē, te kohinga wai, te rerekētanga hanganga rānei. Ka kōrerohia e tō tākuta ēnei hua ki a koe, ā, ka tūtohu i ngā mahi e whai ake nei, arā, ko ētahi atu whakaahua, kōrero rānei ki ngā tohunga.

He aha ngā āhuatanga mōrearea mō te hiahia ki te ultrasound?

Ko ētahi āhuatanga ka nui ake te tūponotanga ka tūtohu tō tākuta i te ultrasound hei wāhanga o tō manaakitanga hauora. Ko te tau tētahi mea hei whakaaro, i te mea ka nui ake te noa o ētahi āhuatanga i te wā e pakeke ana tātou.

He wāhi anō tō hītori whānau. Mēnā he āhuatanga ō ngā whanaunga tata pērā i te kōhatu pūpū, te mate ngākau, ētahi mate pukupuku rānei, ka whakamahia pea e tō tākuta ngā ultrasound mō te kitenga wawe, te aroturuki rānei.

Koinei ngā āhuatanga noa ka arahi ki ngā tūtohutanga ultrasound:

• Te hapū, ina koa kei runga ake koe i te 35 tau, he āhuatanga mōrearea rānei tōna
• Hītori whānau o te mate ngākau, te kōhatu pūpū, ētahi mate pukupuku rānei
• Ngā tohu pērā i te mamae puku, te pūhi rānei kāore i te whakamāramahia
• Te toto tiketike, te mate huka rānei
• Hītori o mua o te kōhatu tākihi, te kōhatu pūpū rānei
• Ngā puku, ngā papatipu rerekē rānei i kitea i ngā whakamātautau tinana
• Ngā hua whakamātautau toto rerekē e hiahia ana kia nui ake te tirotiro

I te nuinga o te wā, ka nui ake pea te hiahia mō te aroturuki ultrasound i ngā āhuatanga ira, te pānga rānei ki ētahi rongoā. Ka whakaaro tō kaiwhakarato hauora ki ō āhuatanga mōrearea takitahi i te wā e tūtohu ana i ngā whakamātautau whakaahua.

Āhea ahau tūpono ai ki te tākuta mō te ultrasound?

Me whakapā atu koe ki tō kaiwhakarato hauora mēnā ka pā mai ngā tohumate e mau tonu ana, ā, tērā pea ka hiahiatia he arotake ultrasound. Kaua e tatari mēnā kei te pā mai te mamae nui, ina koa i tō puku, i tō uma rānei.

Rapua te āwhina hauora i te wā tonu mēnā ka kite koe i ngā puku hou i hea rānei i tō tinana, te pūhi ohorere i ō waewae, i tō puku rānei, i te poto o te manawa kāore i whakamāramahia. Ko ēnei tohumate tērā pea e tohu ana i ngā āhuatanga ka taea e te ultrasound te āwhina ki te tātai.

Anei ngā tohumate e tika ana kia arotakehia e te ultrasound:

• Te mamae puku e mau tonu ana, te kōpiko rānei
• Te pūhi kāore i whakamāramahia i ō waewae, i tō puku, i tō kaki rānei
• Ngā puku hou, ngā papatipu rānei ka taea e koe te rongo
• Te toto rere rereke i te tara, te mamae rānei i te puku
• Te mamae uma, te poto rānei o te manawa
• Ngā mamae mahunga nui me ngā huringa o te tirohanga
• Ngā tohu o te hapū, ngā āwangawanga rānei mō te whānau

I ngā tūāhuatanga ohorere, pērā i te mamae puku nui, te mamae uma, ngā tohu rānei o te whiu, rapua te āwhina hauora i te wā tonu. He maha ngā wā ka whakamahia e ngā tari ohorere te ultrasound ki te tātai tere i ngā āhuatanga nui.

Ngā pātai e pātai pinepine ana mō ngā ultrasound

Q.1 He pai te whakamātautau ultrasound mō te kite i te mate pukupuku?

Ka taea e ngā ultrasound te kite i ētahi momo mate pukupuku, engari ehara i te taputapu tātari tuatahi mō te nuinga o ngā mate pukupuku. He tino pai rātou mō te kimi i ngā puku i roto i ngā okana pērā i te ate, te ovaries, te thyroid, ā, ka taea te āwhina ki te wehe i waenga i ngā papatipu mārō me ngā pūpū wai.

Heoi anō, he here anō ō ngā ultrasound. Kāore e taea e rātou te kite i roto i te kōiwi, i ngā okana rānei e kī ana i te hau, nō reira tērā pea ka ngaro i a rātou ngā mate pukupuku i ngā wāhi pērā i ngā pūkahukahu, i te koroni rānei. Ka whiriwhiria e tō tākuta te whakamātautau whakaahua pai rawa atu i runga i ō tohumate me te momo mate pukupuku e pā ana ki a rātou.

Q.2 He pānga taha ō te ultrasound?

E kiia ana he tino haumaru te rāpoi oro, kāore he pānga kino, he mōrearea rānei e mōhiotia ana i te wā roa. Kāore i rite ki ngā hihi X, ki ngā karapa CT rānei, kāore rātou e whakamahi i te iraruke, e haumaru ana mō ngā wahine hapū me ngā tāngata e hiahia ana ki te whakaahua pinepine.

Ko te mamae iti noa pea ka pā ki a koe, nō te mea he makariri te hāteke i runga i tō kiri, he pēhi ngawari rānei mai i te pūwhiti. E kite ana ētahi tāngata he paku raruraru te rāpoi oro o roto, engari kāore rātou e mamae, ā, he wā poto noa te raruraru.

Q.3 E hia te tika o ngā hua o te rāpoi oro?

Ka whakawhirinaki te tika o te rāpoi oro ki te āhuatanga e arotakengia ana me te pūkenga o te tohunga hangarau me te tohunga iraruke. Mō te whakatau i te wā hapū me te aroturuki, he tino tika te rāpoi oro, ina koa i te wā tuatahi.

Mō te kite i ngā kōhatu pūkahukahu, i ngā kōhatu tākihi rānei, tata ki te 95% te tika o te rāpoi oro. Heoi, ka ngaro pea i a rātou ngā kōhatu iti rawa, ērā rānei e huna ana i muri i te hau, i ētahi atu okana rānei. Ka tūtohu pea tō tākuta i ētahi atu whakamātautau mēnā e hiahia ana rātou ki ētahi atu kōrero taipitopito.

Q.4 Ka taea e au te kai i mua i te rāpoi oro?

Ka whakawhirinaki mēnā ka taea e koe te kai i mua i te rāpoi oro ki te momo e whai ana koe. Mō te nuinga o ngā rāpoi oro puku, me nohopuku koe mō te 8 ki te 12 hāora i mua kia mārama ai ngā whakaahua.

Mō ngā rāpoi oro hapū, ngā rāpoi oro ngākau, i ngā rāpoi oro thyroid rānei, ka taea e koe te kai noa i mua i tō whakaritenga. Me whai tonu i ngā tohutohu motuhake ka hoatu e tō kaiwhakarato hauora ki a koe, i te mea he rerekē ngā whakaritenga.

Q.5 E hia te roa ki te tiki i ngā hua o te rāpoi oro?

E wātea ana te nuinga o ngā hua rāpoi oro i roto i te 1 ki te 3 rā pakihi. E hiahia ana te tohunga iraruke ki te wā ki te arotake i ō whakaahua, ki te tuhi i tētahi pūrongo taipitopito mō tō kaiwhakarato hauora.

I ngā tūāhua ohorere, ka wātea pea ngā hua i roto i ngā hāora. Ki te mea kei te hōhipera koe, kei te tari ohorere rānei, ka taea e ngā tākuta te tiki i ngā hua tuatahi tonu hei āwhina i tō rongoā. Ka whakapā atu tō kaiwhakarato hauora ki a koe i te wā e whiwhi ana rātou i te pūrongo whakamutunga.