Kua whakaaro koe me pēhea te nui o te kaha me te ora o ō waewae ina piki koe i ngā arawhata, ina hikoi roa rānei me tō kurī? I tēnei rā ka kōrero tātou mō tētahi uaua toto tino nui e āwhina ana i a tātou ki te oma, ki te peke, ki te kanikani, ā, e homai ana hoki te ora ki tō tātou tinana o raro, inā koa ō tātou waewae. Ko te Femoral Artery , i roto rānei i te reo Sinhala , ko te uaua matua o te huha . He rite tēnei ki tētahi paipa matua e whakarato ana i te wahie ki ō tātou waewae.
He aha te mahi a tēnei mea e kīia nei ko te uaua femur?
Hei whakarāpopototanga, ko tō uaua femur me ngā manga iti e peka mai ana i reira e tuku toto ana ki tō tinana o raro, mai i tō puku o raro ki ō matimati. Whakaarohia, me whai hāora me ngā matūkai ngā pūtau me ngā kiko katoa o tō tātou tinana kia mahi ai. Pērā i ā tātou waka e hiahia ana ki te penehīni me te tīhiera. Ko taua toto utu nui, he nui te hāora, he ma, he ki tonu i ngā matūkai, ka haria mai i te ngākau puta noa i te tinana e ngā uaua, arā, ngā uaua. Nō reira, ka mahi anō hoki tēnei uaua femur i taua mahi, inā koa mō ō tātou waewae.
E tata ana tēnei uaua femoral ki tētahi atu uaua nui, e whakarara ana rānei. Ka kiia e mātou ko te uaua femoral . Ko te uaua he uaua e kawe ana i te toto paru, arā, te toto kua whakamahia, kāore i te nui te hāora ki te ngākau. Nō reira, ko ēnei mea e rua, te uaua femoral me te uaua femoral , ka mahi tahi pērā i te tuakana, teina, ki te pupuri i te rere tika o te toto i roto i ō tātou waewae.
Kei hea te uaua femoral?
Āe, me titiro tātou kei hea tonu te tūnga o tēnei uaua femoral i roto i tō tātou tinana. I te tihi o tō huha, i raro noa i te hope, koinei te wāhi e mutu ai tō puku me te tīmatanga o ō waewae, he wāhi tapatoru iti. I roto i te rongoā, ka kiia e mātou ko te 'tapatoru femoral' . Koinei te wāhi e tīmata ai tēnei uaua femoral. Mai i reira, ka heke tika ki raro i te huha ka mutu ki muri i te turi. Tata ki te turi, ka huri tēnei uaua femoral hei ingoa anō, ko te 'uaua popliteal' ā, ka heke iho.
He aha ngā wāhanga matua o te uaua femoral?
Ahakoa he ngongo roa kotahi te uaua o te femur, he maha ngā wāhanga matua me ngā manga e manga mai ana i aua wāhanga, he rite tonu ki ngā manga e manga mai ana i te take o tētahi rākau nui.
Te uaua femur noa
Koinei te wāhanga tuatahi o te uaua femoral. Ka tīmata hei toronga o te 'Artery Iliac o Waho' i roto i tō tātou pelvis . He maha ngā manga iti e wehea ana mai i tēnei wāhanga ka tuku toto ki te pakitara o raro o te puku, te rohe o te hope, me ngā kiko e karapoti ana. Hei tauira,He manga ōna e kīia ana ko te Superficial Circumflex Artery, ko te Superficial External Pudendal Artery , me te Superficial Inferior Epigastric Artery .
Te uaua o te femur hohonu
He uaua tēnei e peka mai ana i te uaua femoral noa i whakahuatia i runga ake nei, ā, ka hohonu ake te haere. Ko tētahi atu ingoa mō tēnei ko te uaua femoris profunda . Ka peka atu anō hoki ki ētahi atu peka, pērā i te uaua circumflex medial me te uaua circumflex lateral . Mā tēnei uaua femoral hohonu e tuku toto ki ō tātou femur, hope, papa, me ngā kiko hohonu o te huha.
Te uaua o te femur o runga
Koinei te wāhanga e heke iho ana i muri i te uaua femoral noa. Ahakoa e kīia ana "papa", kei te hohonu ake tōna wāhi. Ka tukuna te toto ki ngā wāhanga o raro o te waewae, arā, ngā uaua i mua o te huha me te wāhanga o te turi.
Kia pēhea te rahi o te uaua femoral?
Ko te uaua femur noa, i kōrerotia i mua ake nei, he whā henimita te roa (tata ki te inihi me te hawhe). Kātahi ka heke ngā wāhanga hohonu me ngā wāhanga o waho ki raro i te waewae. Ka rerekē te whānui, te matotoru rānei, o tēnei uaua i ia tangata, i ia tangata. He rerekē te matotoru i runga i ngā āhuatanga pēnei i te ira tangata, te taumaha, te teitei, me te iwi. Engari he 7 ki te 8 mirimita te matotoru (tata ki te hauwhā inihi).
Nā te whānui o te uaua femoral noa, he mea whai hua tēnei i roto i ētahi tikanga hauora, inā koa ngā tikanga endovascular . Ka taea e te taote pokanga te whakauru i tētahi ngongo angiangi, ngāwari, e kiia nei ko te catheter , mā roto i te uaua femoral kia tae atu ai ki ētahi atu uaua toto o te tinana, inā koa ko ērā e tata ana ki te ngākau.
He aha ngā paparanga o te pakitara o te uaua femoral?
Pērā i ngā uaua katoa o te tinana, e toru ngā paparanga matua o te pakitara o te uaua femoral:
- Tunica intima: Koinei te paparanga o roto rawa. Koinei te mea e āwhina ana i te rere o te toto kia pai, kia kore ai e aukati. Ka āwhina hoki ki te whakahaere i te toto toto , te ārai i te toto e totohu ana, me te aukati i te kohikohinga o ngā paitini i roto i te toto.
- Pāpāho: Koinei te paparanga o waenganui. He paku pīwariwari. Nō reira, ka āwhina i te rere o te toto ki te taha kotahi. Ko tēnei paparanga anō hoki e kiia nei ko te pāpāho ka āwhina i ngā uaua toto ki te whakawhāiti me te whakawhānui ina hiahiatia.
- Adventitia:Koinei te paparanga o waho rawa. Mā tēnei e hoatu te āhua me te kaha ki ngā oko toto. Kei roto i tēnei paparanga ngā oko toto ririki, e whakarato ana i te hāora me ngā matūkai ki ngā pakitara o te uaua femoral.
He aha ngā āhuatanga noa e pā ana ki te uaua femoral?
Engari, ka pāngia hoki tō tātou uaua femur e ngā mate maha. Ko ngā mate matua ko:
- Mate Puku Ā-Taiao (PAD): Koinei te mate tino noa e pā ana ki te pūku ā-whatu. Ka puta mai i te kohikohinga o ngā putunga ngako (e kiia ana ko ngā papa atheroma ) i roto i ngā pakitara o te pūku ā-whatu, ka whakawhāiti i te pūku ā-whatu.
- Ngā totoka: Ka taea e te totoka te hanga i roto i te uaua ka aukati.
- Ngā Aneurysm : Koinei te wā e ngoikore ai te pakitara o te uaua toto, ka pupuhi pērā i te poihau. Ka pakū pea tēnei, he tino morearea.
He aha ngā āhuatanga noa o ēnei āhuatanga?
Mena he raruraru kei roto i tō uaua femoral, ka pāngia pea koe e ēnei tohu:
- Te mamae me te ngenge i ngā waewae, inā koa ngā kuao kau, ina hikoi. Ka memeha haere tēnei i muri i te okiokinga poto.
- Ka pupuhi te waewae, ka pēhia rānei te waewae me te mea he pēhanga kei roto.
- He roa te wā e ora ai ngā patunga o ngā waewae, inā koa ngā waewae.
- Ka huri te tae o te kiri o te waewae (ka mā, me te mea kei te kikorangi).
- Ka ngoikore ngā waewae, ka mātao rānei te tinana.
He mea nui: Ki te pāngia koe e tētahi o ēnei tohu, me toro atu ki te tākuta. He mea tino nui kia rongoātia ēnei i mua i te kino haere.
Ngā whakamātautau noa e tirotiro ana i te hauora o te uaua femoral
Haunga te tirotiro a te tākuta i a koe, ka taea te whakahaere i ngā whakamātautau e whai ake nei hei whakatau i te āhua tuturu o te uaua femoral:
- Taupū pona-pūngoi (ABI): Ka ine tēnei i te toto i roto i te waewae me te ringa.
- Te tuhi i te rōrahi o te pā: Ka ine i te nui o te toto e rere ana i roto i te waewae.
- Te orooro Doppler: He matawai tēnei e taea ai te tirotiro i te rere o te toto i roto i ngā uaua toto, me te tirotiro mēnā he aukati kei reira.
- Angiogram CT (Angiogram Tomography Rorohiko): He matawai motuhake anō hoki tēnei. Ka taea te tango whakaahua taipitopito o ngā uaua toto.
- MRA (Angiogram Resonance Aukume): He matawai anō hoki tēnei e whakamahi ana i ngā ngaru aukume.
- Whakamātautau D-dimer: Ka mahia tēnei whakamātautau toto mēnā kei te whakapaetia he toto totoka.
He aha ngā maimoatanga mō te uaua femoral?
He rerekē ngā kōwhiringa maimoatanga i runga i te raruraru o te uaua femoral. Ko ētahi o ngā maimoatanga noa ko:
- Ngā Rongoā: Ngā rongoā mō te toto toto tiketike ( ngā rongoā whakaheke toto ), ngā rongoā whakaiti toto , me ngā rongoā whakaheke cholesterol.
- Korikori tinana: Whakakorikori tinana kia rite ki ngā tohutohu a te tākuta.
- Angioplasty: Ko te whakauru i tētahi poihau iti ki roto i te uaua kua āraia, ka pupuhihia hei whakawhanui i te uaua. I ētahi wā ka whakaurua he hanganga iti rite ki te mata e kiia nei ko te stent hei ārai i tōna ārai anō.
- Pokanga karo i te uaua ā-taha: He pokanga e hanga ana i tētahi ara hou mō te rere o te toto huri noa i tētahi uaua kua āraia.
- Te tango pokanga i te toto totoka, i ngā putunga ngako rānei (te paraka).
- Mena he aneurysm, ka whakatikatikahia mā te pokanga.
Me pēhea taku pupuri i te hauora o te uaua femoral?
"He pai ake te ārai i te rongoā." Arā, he pai ake te ārai i tētahi mate i te rongoā i muri i tōna putanga mai. Nō reira, anei ētahi mea ka taea e koe te mahi hei pupuri i te hauora o te uaua femur, tae atu ki ngā oko toto katoa o tō tātou tinana:
- Kai hauora: Kai i ngā kai he iti te tote, te cholesterol, me te ngako kukū, engari kia nui hoki ngā hua me ngā huawhenua.
- Whakakorikori tinana auau: Mahihia tētahi mea pēnei i te hikoi mō te 30 meneti pea i te rā.
- Whakahaerehia tō toto toto tiketike: Ki te mea he toto toto tiketike tōu, tangohia tō rongoā kia tika, ā, whai i ngā tohutohu a tō tākuta.
- Kaua e whakamahi i ngā hua tupeka: He tino kino te momi hikareti ki ngā oko toto.
- Whakaitihia te inu waipiro: Kaua e inu waipiro i ngā wā katoa e taea ana.
- Kia mau tonu te taumata huka toto hauora: Ki te mea he mate huka koe, me whakahaere pai.
- Kia mau tonu te taumaha tinana hauora.
Ka aha mēnā ka āraia katoatia te uaua femur?
He āhuatanga ohorere hauora te aukati ohorere o te uaua femoral. Mēnā ka puta tēnei, me haere tonu koe ki te hōhipera. Tērā pea ko ēnei tohu:
- Kua ngoikore ōku waewae, kāore e taea te neke.
- Kei te wiriwiri ōku waewae.
- He mamae nui tōku waewae, kāore e taea te manawanui.
- Ka mātao whakarere te waewae me te mea he hukapapa.
- Ka huri whakarere te kiri o te waewae hei mā, hei kikorangi rānei.
I roto i te wā, i te mea ka āta whaiti haere te uaua, ka pāngia pea koe e te mamae me te ngenge i a koe e hikoi ana, ka rite ki te mea kei te marere ō makawe. I ētahi wā tino kino, ki te aukatihia te uaua e tuku toto ana ki te waewae mō te wā roa, ka mate pea ngā kiko i te kore o te hāora. Ki te tupu tēnā, me tapahi pea ō matimati, ō waewae, tae noa ki tō waewae katoa ( amputation) . Koia te mea nui kia mōhio koe ki tēnei.
Ka aha mēnā ka tapahia, ka pakaru rānei te uaua femur?
He uaua nui te uaua o te femur, nō reira, ki te whara, ki te motu rānei, ka nui te toto e puta. He āhuatanga ohorere hauora anō hoki tēnei. Ki te tere te whiwhi maimoatanga, ka taea e ngā tākuta te whakatika i te uaua o te femur me te whakaora i te waewae. Heoi, ki te motuhia te rere o te toto ki te waewae, ka mate te kiko me te kore he hāora, ā, ka ngaro pea te waewae, ā, ka taea e te toto nui te whakararu i te ora.
He aha te āhua o te mamae o te uaua femoral?
Ina āraia te uaua femur, kāore e nui te hāora e whiwhihia ana e ngā uaua e karapoti ana, ā, ka mamae. I te mea ka āraia haeretia te uaua, ka puta tuatahi te mamae i te wā e whakakorikori tinana ana (pērā i te hikoi). Ā muri ake nei, ka puta anō te mamae ina hiki ake te waewae i te pō. Heoi, ki te āraia ohorere te uaua, ka nui ake te mamae. Tērā pea ka rite te mamae ki te mea kei te pēhia te roto o te waewae e tetahi, ki te mea rānei kei te unuhia te huruhuru. Tērā pea ka haere tahi me te ngoikore, te mā, me te uaua ki te neke i te waewae.
Hei whakamutunga, kia mahara ki tēnei.
Kāore pea tātou e tino whakaaro nui ki te uaua o te femur i roto i ō tātou oranga o ia rā, engari ki te mamae ō waewae i a koe e hikoi ana, tera pea nā te raruraru o tō uaua o te femur. Ki te aukatia tēnei uaua toto nui, ka heke te nui o te toto e tae atu ana ki ō waewae.
Engari he rongo pai tēnei! Mā te whakahaere i tō toto toto, te noho kaha, te kai i ngā kai totika, te pupuri i te taumaha hauora, te whakahaere i tō mate huka, me te whakamutu i te kai hikareti, ka taea e koe te whakaiti i tō tupono ki te pāngia e ngā raruraru uaua femoral. Kei roto i ō ringaringa tō hauora! Nō reira, whakaarohia ō waewae. Ka haria koe e rātou ki ngā wāhi katoa!
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He uaua toto nui te uaua femur i roto i te tinana?
Āe! Koinei te uaua matua me te uaua nui rawa atu e tuku toto ana ki ō tātou waewae. Ka tīmata i roto i tō tātou hope. Mai i reira, ka haria te hāora me ngā matūkai ki raro i te huha.
💬 He mea morearea mēnā ka tapahia tēnei uaua i roto i tētahi aituā?
Tino morearea! Nā te nui o tēnei uaua femur, ā, he nui te pēhanga o te toto e haria ana e ia, ki te tapahia, ka taea e te toto katoa o te tinana te mimiti i roto i te 3, 4 rānei meneti, ka mate tonu te tangata.
💬 Ina whakahaerehia e ngā tākuta te pokanga ngākau (Bypass/Stent), ka whakauruhia he tokotoko rino mai i te hope ki roto i tēnei uaua?
I te nuinga o te wā, āe (engari ināianei kei te whakaurua ā-ringa hoki). I roto i tētahi mahi e kiia nei ko te Angioplasty, e whakamahia ana hei whakatuwhera i tētahi aukati i roto i te ngākau me te whakauru i tētahi stent, ka tukuna e ngā tākuta he waea (catheter) mā roto i te uaua femoral i roto i te hope tae noa ki te uma (ngākau).
` Uaua femur, uaua femur, ngā oko toto, mamae waewae, PAD, toto totoka, hauora











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