I tukinotia te hope o tētahi kuri Labrador retriever, ko Ava tōna ingoa, mā te awhina a ngā tākuta kararehe o Te Whare Wānanga o Texas A&M, te whakamahere i raro i te maru o te rorohiko (CT) me te hangarau tā 3D. Kātahi ka hoki ki te oma me te tākaro me tō whānau.
I te wā i tawhito ai ngā hononga hope e rua i riro i a Ava i a ia e tamariki kurī iti ana i te tau 2020, ka tangohia e ngā tākuta kararehe o Texas A&M ngā hononga tawhito ka whakakapia ki ngā mea hou, mā te whakamahi i te whakamahere CT-directed, ngā tauira wheua tānga-3D me ngā pokanga whakaharatau kia pai ai te haere o te pokanga, kia kore ai he mamae.
Kāore i te maha ngā kurī e wha ngā pokanga whakakapinga hope (THR) i roto i ō rātou oranga, engari he mea motuhake a Ava.
"I tae mai a Ava ki a mātou i a ia e ono marama te pakeke, ā, ko mātou ngā mātua kurī whāngai e noho ana i Illinois," te kī a te rangatira o Ava, a Janet Dieter. "Whai muri i te tiaki i ngā kurī neke atu i te 40, ko ia tā mātou 'kurī ngaro' tuatahi i tangohia e mātou. I taua wā anō, i whai Labrador pango anō hoki mātou, ko Roscoe te ingoa, i āta wehe atu i ngā kurī whāngai, engari i aroha tonu ki a Ava, ā, i mōhio mātou me noho tonu ia."
Ka haria tonutia e Janet rāua ko tana tāne, a Ken, ā rāua kurī ki te kura ngohengohe, ā, kāore a Ava i rerekē. Heoi, i reira ka tīmata te tokorua ki te kite i tētahi mea rerekē mōna.
"I puta ake te kaupapa mō te aukati i tō kurī kei peke ki runga i a koe, ā, i mōhio mātou e kore rawa a Ava e peke ki runga i a mātou," te kī a Janet. "I haria ia e mātou ki te rata kararehe o te rohe, ā, i mahia he hihi-X e whakaatu ana kua hē te hope o Ava."
I tukuna te whānau Dieters ki tētahi taote pokanga whakakapinga hope mātau, ā, nāna i mahi te pokanga whakakapinga hope o Ava i te tau 2013 me te 2014.
"He tino mīharo tōna manawanui," te kī a Janet. "I puta atu ia i te hōhipera me te mea kāore he mea i tupu."
Mai i taua wā, kua āwhina a Ava i ngā kurī whāngai a te tokorua e kai ana i ngā kai iti ki te kimi i ētahi tāngata hei takaro mā rātou. I te nekenga o te whānau o Dieter mai i Illinois ki Texas i ētahi tau kua pahure ake nei, i āta tangohia e ia te huringa.
"I roto i ngā tau, kua pakaru te arai kirihou e tiaki ana i ngā pakitara whakarewa o ngā hononga whakarewa i ngā pōro horihori," te kī a Tākuta Brian Sanders, he ahorangi mō ngā mahi tiaki wheua kararehe iti, me te kaiwhakahaere o ngā ratonga tiaki wheua kararehe iti i te Hōhipera Whakaako Kararehe. "Kātahi ka pakaru te turanga whakarewa i te pōro horihori, ka pakaru katoa."
Ahakoa he onge te pakaru katoa o te hononga hope i roto i ngā kurī, ka puta pea tēnei ina whakakapia he hononga kua maha ngā tau e whakamahia ana.
"I te wā i whakauruhia ai te hope taketake o Ava, kāore i tino whanake te whakakī i te hononga whakakapinga pērā i nāianei," te kī a Sanders. "Kua neke haere te hangarau ki te wāhi kāore e tino kitea tēnei raruraru. He onge ngā raruraru pēnei i a Ava, engari ina puta, me whakamahi hangarau matatau kia angitu ai te putanga."
Haunga te nekenekehanga o te hononga, nā te mimiti o ngā pakitara whakarewa o te hope o Ava i kohikohi ai ngā matūriki whakarewa ririki huri noa i te hononga me roto i te awa pelvic, ka hanga he granulomas.
"Ko te granuloma he putea kiko ngohengohe e ngana ana ki te pupuri i ngā kongakonga whakarewa," te kī a Sanders. "He granuloma whakarewa nui tā Ava e aukati ana i te urunga atu ki tōna hononga hope, ā, e pā ana ki ōna whekau o roto. Tērā pea ka ārai tōna tinana i ngā whakaurunga prosthetic THR."
"Ko te whakatakotoranga whakarewa—he tukanga pirau e hua ai te kohikohi o ngā kongakonga whakarewa i roto i ngā granuloma—ka puta ai ngā huringa pūtau ka mimiti, ka memeha rānei te wheua huri noa i te hope hou. He rite ki te whakanoho i te tinana ki te aratau tiaki hei tiaki i a ia anō mai i ngā mea o waho," tana kī.
Nā te uaua o te pokanga e hiahiatia ana hei tango i te granuloma me te whakatika i te hope o Ava, i tūtohu te rata kararehe o Diters kia kite rāua i tētahi tohunga wheua i Te Whare Wānanga o Texas A&M.
Hei whakarite i te angitu o te mahi uaua, i whakamahia e Sanders te whakamahere pokanga matatau e arahina ana e te CT me te hangarau tā 3D.
"Ka whakamahia e mātou te tauira rorohiko 3D hei whakatau i te rahi me te tūnga o ngā tāpiringa prosthetic," te kī a Saunders. "I tāia e mātou he tauira tuturu o te hope o Ava kua pakaru, ā, i whakamaheretia me pēhea te mahi pokanga whakatikatika mā te whakamahi i te tauira 3D o te wheua. Inaa, i whakahoromatahia e mātou ngā tauira kirihou, ā, i whakamahia i roto i te rūma pokanga hei āwhina i te pokanga hanga anō."
"Ki te kore āu ake kaupapa tā 3D, me whakamahi koe i tētahi tukanga utu-mō-te-ratonga hei tuku i ngā matawai CT ki tētahi kamupene tuatoru. He uaua pea te wā whakaoti, ā, he maha ngā wā ka ngaro te kaha ki te whai wāhi atu ki te tukanga whakamahere," te kī a Sanders.
He tino āwhina te whai i tētahi tauira o te papa o Ava i te mea kei te uaua haere te āhua nā te granuloma o Ava.
"Hei karo i te whakakorenga o te THR, ka whakamahia e mātou he matawai CT, ka mahi tahi me tētahi rōpū taote kiko ngohengohe ki te tango i te nui o te granuloma whakarewa mai i te awa pelvic e taea ana, kātahi ka hoki mai mō te arotakenga THR. Kātahi ka oti te arotakenga, ka taea e mātou te whakaoti i te pokanga i tērā taha mā te tango i te granuloma e toe ana i tētahi taha," te kī a Sanders. "Ko te whakamahi i ngā tauira 3D mō te whakamahere me te mahi tahi me te rōpū kiko ngohengohe he mea nui e rua mō tō mātou angitu."
Ahakoa i pai te haere o te pokanga whakahou hope tuatahi a Ava, kāore anō kia mutu tana whakamātautau. I muri i ētahi wiki i te pokanga tuatahi, ka pakaru te papa THR a Ava, ā, ka hē te hononga. I hoki ia ki VMTH mō te whakahounga tuarua o te hope.
"He waimarie, kāore te tuarua o ngā hope i tino pakaru pērā i te tuatahi, ā, kua riro mai i a mātou he tauira 3D o tōna angaanga mai i tana pokanga tata nei, nō reira he māmā ake te pokanga whakahou hope tuarua," te kī a Saunders.
"Kei te oma tonu ia i te kāinga o muri me tā mātou papa tākaro," te kī a Janet. "I peke atu ia i te tūru."
"I te tīmatanga o tana whakaatu i ngā tohu tuatahi o te kakahu i ōna hope, i mahara mātou ko te mutunga pea tēnei, ā, i ohorere mātou," te kī a Ken. "Engari nā ngā tākuta kararehe i Texas A&M i homai he oranga hou ki a ia."
E ai ki ngā tohunga kararehe i Te Whare Wānanga o Texas A&M, ko te whakarato i tētahi "rohe haumaru" mō ngā ngeru te mea nui mō te whakaurunga angitu o ngā ngeru ki tētahi kararehe hou.
He ngāwari te ngenge o ngā tohunga kararehe, ā, e rima ngā wā ka nui ake te mate o te hunga e mate ana i te whakamomori i tō te taupori whānui.
Ka mahi ngā kaipūtaiao ki te mārama me pēhea te horapa o te huaketo e hua ai te COVID-19 i waenga i ngā tia, me tōna pānga ki tō rātou hauora whānui.
Ka tātarihia e Drew Kearney '25 ngā raraunga o te tīma hei whakapai ake i ngā rautaki whakawhanake kaitākaro.
E ai ki ngā tohunga kararehe i Te Whare Wānanga o Texas A&M, ko te whakarato i tētahi "rohe haumaru" mō ngā ngeru te mea nui mō te whakaurunga angitu o ngā ngeru ki tētahi kararehe hou.
Wā tuku: Hakihea-18-2023