Nā, kei te hōhipera koe, e aro ana ki te ahotea o tētahi āhuatanga ohorere hauora i kawea mai ai koe ki konei. Te āhua nei kāore he kōrero a te tākuta engari kua tonoa e ia ētahi whakamātautau whakaahua, pērā i te hihi-X o te uma, te karapa CT rānei.
Heoi anō, tera pea kua whakaritea he mammogram mō te wiki e tū mai nei, ā, kei te mahara koe ki te hihi-X niho i mahia e koe i ngā wā tata nei. Heoi anō, i muri i te tirotiro hauora o ia rā, ka tūtohu pea tō tākuta kia mahia he matawai PET nā te mea i puta mai tētahi mea rerekē.
Mena kua pāngia koe e tētahi o ēnei āhuatanga, kua whakaaro pea koe: Tērā pea ka nui rawa te pānga o te irahiko ki a koe? Tērā pea ka arahi tēnei ki te mate pukupuku? Ā, he mea tika rānei kia whakapuakina ō āwangawanga, ina koa kāore koe i te hapu?
E HIA TE NUI O TE HIRANGA E WHAKAPĀ ANA?
"Ka rerekē pea ngā taumata irahiko i runga i te whakamātautau," te whakamārama a te Ahorangi Tuarua a Lionel Cheng, he kaitohutohu matua me te upoko o te Tātaritanga Irahiko i te Hōhipera Whānui o Singapore.
Ko te nui o te irahiko e whakawhirinaki ana ki te whakamātautau whakaahua motuhake e whakamahia ana. Hei tauira, he iti ake te horopeta irahiko mai i te hihi-X noa, te matawai kiato wheua, te mammogram rānei i te matawai CT, PET rānei, e ai ki a Ahorangi Tuarua Cheng.
He tino iti te mōrearea o te hihi-X o ō niho, o tō uma, o ō peka rānei—tata ki te 1 i roto i te 1,000,000, he rite tonu ki te hihi ka tūtaki koe i roto i ētahi rā mai i ngā pūtake taiao. Ae, kei te pāngia tonu tātou katoa e te hihi taiao mai i te whenua, i te rangi, i ngā rauemi hanga, tae atu ki ngā hihi o te ao mai i te wāhi o waho.
Ahakoa he nui ake ngā taumata irahiko mai i te matawai CT, PET rānei, he iti noa te mōrearea ki te mate pukupuku, arā, 1 i roto i te 10,000 ki te 1 i roto i te 1,000. He rite tonu tēnei ki te torutoru tau o te pānga ki te irahiko taiao. E ai ki a Parkway Radiology, ko ētahi atu āhuatanga, pērā i te wāhi motuhake e whakaahuatia ana (pēnei i te ringa anake me tō tinana katoa) me te roa o te whakaahua, ka pā anō hoki ki te pānga katoa o te irahiko.
HE RERETANGA KI TE MAHA O NGĀ MATAWAI KA TAEA E KOE TE WHAKAMAHI I ROTO I TE TAU?
E ai ki a Ahorangi Tuarua Cheng, kāore he tau mōrahi kua whakaritea mō te maha o ngā matawai ka taea e te tangata te mahi i roto i te tau. "Ko ētahi tūroro he mate uaua, he mate urupare rānei, ka taea te whakahaere i ētahi rangahau whakaahua i roto i te wā poto, ko ētahi atu ia ka hiahia noa ki te kotahi, ki te rua rānei i roto i tētahi wā tau."
Engari i te arotahi ki tētahi tau motuhake, i whakanui ia he mea nui kia whakamōhio ngā tūroro ki ā rātou tākuta mēnā kua oti ā rātou tirotiro tata nei. "Mēnā i mahia ngā tirotiro i tētahi whare hauora, i tētahi hōhipera tūmatanui rānei, ka taea e te tākuta te uru atu ki aua tuhinga mā te pūnaha hauora tūmatanui, kia kore ai e tāruatia ngā whakamātautau, kia whakaritea ai hoki ngā tirotiro whai muri ina hiahiatia," te kī a Ahorangi Tuarua Cheng.
Heoi, kāore pea ngā matawai i mahia i ngā whare hauora tūmataiti, i tāwāhi rānei, e wātea ana i roto i ngā tuhinga haumanu a te tākuta. I roto i ēnei āhuatanga, i whakanuia e ia te hiranga o te whakarato a ngā tūroro i ēnei mōhiohio. "Mā tēnei ka taea e te tākuta te whakaaro ki ngā hua whakaahua o mua i te wā e whakatau ana i ngā whakamātautau whakaahua hauora anō," tana whakamārama.
HE AHA I ĒTAHI WĀ KA TONO AI NGĀ TĀKUTA I NGĀ MOMO WHAKAMĀTAUTAU WHAKAATAU MAHA?
"Tērā ētahi wā kāore e ranea ngā mōhiohio mā te matawai kotahi hei tāutu i te mate tika," te whakamārama a Betty Matthew, te kaiwhakaahua irahiko matua i SATA CommHealth.
"Mā te whakamahi tahi i ngā momo tikanga whakaahua ka taea te aromatawai whānui ake, te whakarite i ngā tautuhi tika, ngā mahere maimoatanga whai hua, me te aroturuki whānui i te āhua o te tūroro."
Hei tauira, ka taea e te hihi-X te tautuhi i ngā whati wheua i puta mai i tētahi aituā, engari kāore e kitea te toto o roto, te kino rānei o ngā okana—ngā take ka kitea e te matawai CT, MRI rānei. Ka whakaratohia e Matthew ētahi atu tauira o ngā āhuatanga e hiahiatia ai ngā whakamātautau whakaahua maha:
Te Whakaū i te TātaritangaI roto i ngā take pēnei i te mate pukupuku pūkahukahu, ka kitea pea he puranga i roto i te uma mā te hihi-X, engari mā te matawai CT, MRI rānei ka kitea he tirohanga mārama ake, he tirohanga taipitopito ake. Mō ngā tūroro whiu, ka taea e te matawai CT te tautuhi i te toto i roto i te roro, engari mā te matawai MRI ka taea te aromatawai i te whānuitanga o te kino o te roro.
Te Aroturuki i te Haerenga o te MateKa whakamahia ngā tikanga whakaahua pēnei i te PET, CT, me te MRI hei aroturuki i te tipu o te pukupuku, te horapa rānei o te mate pukupuku. Mō ngā mate mau tonu pēnei i te multiple sclerosis, me whai tonu ngā matawai MRI hei aroturuki mō ngā whara hou.
Te Kite i te Mate Pukupuku, te Mumura rāneiMā ngā whakamātautau ultrasound, CT scan, PET scan rānei ka āwhina i te tautuhi i te pūtake o te mate, o te mumura rānei.
He aha te whakataurite o ngā matawai rerekē?
He aha pea ka tonoa ai he matawai CT i runga i te hihi-X? He teitei ake te taumata irahiko mō te mammogram i te hihi-X noa? Me tūhuratia ngā rerekētanga i waenga i ētahi o ngā whakamātautau whakaahua e whakamahia whānuitia ana.
1. Tomography Rorohiko (Matawai CT)
He aha te mea:
He maha ngā wā ka honoa ngā karapa CT ki tētahi mīhini nui, rite ki te mowhiti, e tuku ana i ngā hihi X-ray maha. Ka mahi tahi ēnei hihi ki te hanga i ngā whakaahua toru-ahu o ngā whekau o roto, e ai ki tā Tākuta Lee i whakamārama ai.
Ina Whakamahia:
He tino taipitopito ngā whakaahua o ngā matawai CT, ā, he mea tino whai hua mō te tiro i te nuinga o ngā whekau o roto. Nā te whanaketanga o te hangarau, ka taea e ngā tūroro te tirotiro i te tinana katoa i raro i te 20 hēkona, he maha ngā wā mā te pupuri manawa kotahi noa iho.
Mō wai kāore e tika ana:
Nā te mea he nui te hihi e hiahiatia ana mō ngā karapa CT, kāore e whakamahia mō ngā tamariki, ngā wāhine hapu, me ngā taiohi mēnā kāore e tino hiahiatia. Hei tāpiri, ko te hunga he mate huango, he mate pāwera, he raruraru tākihi rānei, kāore pea e pai mō tēnei momo karapa, nā te mea me whakamahi he tae rerekē, ka pā mai pea he tauhohenga. Heoi anō, ka āwhina pea ngā steroids ki te whakaiti i te mōrearea mō ēnei tūroro, ā, mēnā e tika ana, me whakamahi pea i tētahi atu tikanga whakaahua.
2. Whakaahua Aukume (MRI)
He aha te mea:
He rerekē ngā karapa CT, he karapa porotaka nui ngā MRI, ā, he roa ake te wā e pau ana i ngā tūroro ki roto. Ka mahi te MRI mā te whakaputa i ngā ngaru hikohiko e whakaputa ana i ngā whakaahua tino taipitopito, toru-ahu o ngā whekau o roto, ā, koinei te mea tino teitei o ngā tikanga whakaahua katoa.
Ina Whakamahia:
Ko te MRI te tikanga e whakamahia ana mō ngā āhuatanga motuhake pēnei i te aromatawai i te pēhanga io i roto i te tuaiwi, te kimi i ngā pukupuku iti i roto i ngā whekau pēnei i te ate, te tirotiro rānei i ngā hanganga ngawari pēnei i te ara mimi me ngā awa waikura.
Mō wai kāore e tika ana:
Kāore ngā matawai MRI i te pai mō ngā tūroro e pāngia ana e te claustrophobia, e kore rānei e taea te noho puku mō ngā wā roa, nā te mea ka roa pea te tukanga mai i te 15 meneti ki te 30 meneti, i runga i te wāhi e matawaihia ana. Hei tāpiri, ko ngā tūroro he mea whakauru whakarewa (hei tauira, he stent ngākau, he topenga, he mea whakarewa rānei) kāore pea e pai mō ngā MRI nā te kaha o te papa aukume e whakamahia ana i te wā o te tukanga.
Ngā Painga:
Kāore e whakamahia he irahiko ki te MRI, nō reira he kōwhiringa pai ake mā ngā tūroro taitamariki me te hunga e hapu ana. He tino haumaru ngā rongoā whakawhiti MRI hou, ahakoa mō te hunga he mate tākihi.
3. X-Ray
He aha te mea:
Ka whakamahia e ngā hihi-X te irahiko hikohiko kaha-teitei hei hanga whakaahua taipitopito o ngā hanganga o roto o te tinana. Ahakoa kei roto ngā irahiko whakakoiora, ka āta whakahaeretia te pānga o ngā hihi-X kia iti ai te mōrearea.
Ina Whakamahia:
He mea noa te whakamahi i ngā hihi-X hei tātaritanga i ngā whati, ngā hononga kua nekehia, ngā mate pūkahukahu pērā i te niumōnia, me ētahi mate puku.
Mō wai kāore e tika ana:
Ahakoa he haumaru te whakamahi i ngā hihi-X mō ngā reanga katoa, kāore e tūtohutia kia tangohia ngā hihi-X i ngā wāhine hāpu nā te mea ka pāngia te whanaketanga o te tamaiti i roto i te kōpū. Heoi, ka tonoa noa ngā hihi-X ina nui ake ngā painga pea o te whakaahua i ngā mōrearea.
Hei whakarāpopototanga, he āhuatanga motuhake, he painga, he herenga hoki tō ia tikanga whakaahua. Mā te mārama ki ngā momo matawai me ō rātou mōrearea ka āwhina i ngā tūroro ki te whakatau whai whakaaro, me te whakarite kia whiwhi rātou i te tiaki tika rawa atu.
4. Whakamātautau-ā-oro
Tirohanga Whānui:
He mea nui te whakamahi i te ultrasound hei aroturuki i ngā pēpi i te wā e hapu ana, ā, he take pai tēnei. E ai ki tā Matthew, "He tikanga whakaahua haumaru, kāore e uru ki te whakaekenga, kāore hoki e whakamahia he irahiko."
Engari ko te whakamahi i te irahiko, ka whakawhirinaki te ultrasound ki ngā ngaru oro auau-teitei hei whakaputa whakaahua wā-tūturu o ngā whekau o roto me ngā uaua toto o te tinana. Hei hopu i ēnei whakaahua, ka pania he tiēre ki te kiri, ā, ka nekehia he taputapu iti ki runga i te wāhi e hiahiatia ana, pērā i te puku, i te tuara rānei.
Ina Whakamahia:
He maha ngā whakamahinga o te ultrasound i roto i ngā mahi whānau me te tākuta wahine hei aroturuki i te whanaketanga o te kukune. He mea nui hoki mō te aromatawai i ngā momo mate hauora. "He tino pai ki te aromatawai i ngā kiko ngohengohe, te aroturuki i te haputanga, te aromatawai i ngā whekau puku, te tautuhi i ngā kōhatu pūkahukahu, me te tirotiro i te rere o te toto i roto i ngā oko toto," te kī a Matthew. Hei tāpiri, ka whakamahia te ultrasound mō ngā tikanga ārahi pēnei i te biopsy.
Ko wai me karo:
Heoi, he iti noa iho ngā herenga o te ultrasound. Kāore e taea te uru ki roto i te wheua, nō reira kāore e taea te tiro i ētahi wāhi. He uaua hoki ki te hau, ko te tikanga he iti ake te whai huatanga mō te tirotiro i ngā whekau pēnei i te puku, i ngā whekau rānei. Tērā pea he uaua ki te aromatawai i ngā kiko hohonu ake, pēnei i te pancreas, i te aorta rānei, inā koa i ngā tūroro momona nā te ngoikore o ngā ngaru oro i a rātou e haere ana i roto i ngā kiko o te tinana.
5. Mammogram
Tirohanga Whānui:
He hihi-X motuhake te mammogram o ngā ū i hangaia hei kite i ngā āhuatanga rerekē, i mua i te putanga mai o ngā tohu. "He mea nui ki te whakapai ake i ngā putanga maimoatanga mā te tautuhi wawe i ngā raruraru," te kī a Matthew.
He tere te matawai tuturu, he torutoru hēkona noa iho te roa. Heoi, ko te whakanoho i te ū kia pai ai te whakaahua ka roa pea mō te 5 ki te 10 meneti, i runga i te maha o ngā whakaahua e hiahiatia ana. "I te mea e hiahiatia ana te pēhitanga kia mārama ai ngā whakaahua, tera pea ka pāngia ngā tūroro e te mamae," te tāpiri a Tākuta Lee.
Ina Whakamahia:
Ehara i te mea ko ngā mammogram anake te mea e whakamahia ana mō te tirotiro noa iho, engari e whakamahia ana hoki hei tirotiro i ngā tohu pēnei i ngā puku, i te mamae rānei o te ū kia kitea ai ngā raruraru pea.
Ko wai me karo:
Nā te nui o te irahiko e pā ana ki tēnei mate, kāore i te tūtohutia kia mahia ngā mammogram mō ngā wāhine taitamariki kia tae rā anō ki te tau e taunakitia ana mō ngā tirotiro auau, e ai ki tā Tākuta Lee.
6. Matawai i te Kiato o te Wheua
Tirohanga Whānui:
E ai ki tā Tākuta Lee, ko te matawai kiato wheua "he hihi-X motuhake e whakamahia ana hei aromatawai i te kaha o te wheua." Ko te tikanga ka arotahi ki te hope, ki te ringaringa rānei, ā, he torutoru meneti noa iho te roa o te tukanga matawai.
Ina Whakamahia:
E ai ki a Tākuta Lee, he mea noa tēnei whakamātautau mō ngā tūroro kaumātua e mōrearea ana ki te osteoporosis. Heoi anō, tera pea e tika ana mō ngā tūroro taitamariki e tango ana i ngā rongoā e pā ana ki te kiato o te wheua.
Ko wai me karo:
Me karohia tēnei matawai e ngā wāhine hapu nā te mea he pānga o te irahiko. Hei tāpiri, ko te hunga kua pokangahia te tuaiwi tata nei, kua pāngia rānei e ngā mate kino o te tuaiwi, pērā i te scoliosis, kāore pea i te pai mō rātou, nā te mea ka hē pea ngā hua.
7. Matawai i te Tomography Tukunga Positron (PET)
Tirohanga Whānui:
He tikanga whakaahua matatau te matawai PET e whakarato ana i te matawai tinana katoa. "Ko te werohanga he tae irahiko motuhake, ā, i te mea ka mimitia te tae e ngā whekau rerekē, ka kitea e te matawai," te whakamārama a Tākuta Lee.
E rua ki te toru hāora te roa o te tukanga nā te mea he roa te wā e mimiti ai te tae ki roto i ngā whekau i mua i te whakahaerenga o te matawai.
Ina Whakamahia:
Ko te whakamahinga matua o ngā matawai PET he kimi i te mate pukupuku me te aromatawai i tōna horapa. Heoi anō, ka taea hoki e ēnei te āwhina ki te tautuhi i ngā pūtake o te mate.
Ko wai me karo:
Nā te nui o te irahiko e pā ana ki tēnei, kāore i te tūtohutia ngā matawai PET mō ngā tamariki me te hunga hapū, e ai ki tā Tākuta Lee.
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Wā tuku: 23-Pepuere-2025
