Me kōrero tātou mō tētahi uaua nui e rere ana i roto i tō hope: te Uaua Iliac o Waho!

I tēnei rā ka kōrero tātou mō tētahi uaua toto tino nui o roto i tō tātou tinana, kāore pea koe i rongo i tēnei, engari ko tōna ingoa ko te 'Wairua Iliac o Waho'. Kei roto i tō tātou hope (pelvis) tēnei uaua. Kia kite tātou he aha tēnei uaua, he aha te mea ka pā ki tēnei uaua, me ngā mea ka taea e tātou te mahi hei pupuri i tōna hauora.

He aha ngā uaua iliac o waho?

Ki te kī māmā noa, ko ngā uaua iliac o waho he uaua toto nui kei roto i tō hope. Whakaarohia ēnei hei uaua e kawe ana i te toto kua whakamahia, kāore i te nui te hāora mai i tō tinana o raro, arā, ō waewae, ki tō ngākau.

Ko ēnei ngā toronga o ngā 'Femoral Veins', arā, ngā uaua toto matua o ō huha. Ko te tikanga, ka puta te toto kore-hāora mai i ō waewae mā roto i ēnei 'Femoral Veins' ka hono atu ki ngā 'External Iliac Veins' i a ia e haere ana ki runga ki tō ngākau. Kei te mārama koe?

He rite tonu ngā uaua iliac o roto?

Āe, i tua atu i ngā 'Uaua Iliac o Waho', kei reira tētahi atu pūnaha uaua e kiia nei ko ngā 'Uaua Iliac o Roto'. He rite tonu te mahi a ēnei e rua. Heoi, ko ngā 'Uaua Iliac o Roto' te nuinga o te wā ka kohia te toto rawakore-hāora mai i ngā whekau o roto i tō kōhao hope. Arā:

• Mai i ō papa.
• Mai i ngā ira tāne o waho.
• I te taha o roto o ngā huha.
• me te wāhi i waenganui i te nono me ngā ira tangata ('Perineum').

Nō reira, ka huihui ēnei uaua iliac 'waho' me 'roto' ki te kohikohi i te toto rawakore hāora katoa i roto i te hope me ngā waewae, ā, ka hanga he ara hei tuku ki te ngākau.

Nā, he aha te mea e tupu ana ki te uaua iliac o waho?

He wāhanga tino nui ēnei 'uaua iliac o waho' o te pūnaha tohanga toto o tō tātou tinana. Ko tā rātou mahi matua he kawe i te toto kua pau te hāora ki te ngākau. Nō hea ēnei toto?

• Mai i te taha mua o tō puku me ētahi o ngā whekau i roto i tō puku.
• Mai i ngā waewae o raro (i raro i te turi).
• Mai i te pito me ngā whekau whakaputa uri.

Ko te toto iti-hāora e kohia ana mai i ēnei wāhi katoa ka haere ki te taha matau o te ngākau mā roto i ngā 'Uaua Iliac o Waho'.

I te tikanga o te toto iti te hāora? Koinei te tikanga o te "toto kikorangi"?

Kua rongo pea koe i ētahi wā e kīia ana ko te "toto kikorangi" ko te "toto kore-haora" rānei. Ehara i te kikorangi ō tātou toto. Engari koinei tōna āhua:

He mea hanga tō tātou pūnaha tohanga toto i ngā uaua toto, ngā uaua toto, me te maha atu o ngā uaua toto iti. I te nuinga o te wā, ko ngā uaua toto e kawe ana i te "toto pai" (toto whero), e kī ana i te hāora me ngā matūkai, puta noa i te tinana. Ko tēnei hāora te mea e hiahiatia ana e ia pūtau me ia kiko o roto i tō tātou tinana kia ora ai, kia mahi ai hoki.

Nō reira, i muri i te whakamahinga o tēnei hāora e ngā pūtau o te tinana, ka heke te taumata hāora i roto i taua toto. Ko taua toto kore-hāora te mea e hoki ana ki te ngākau mā roto i ngā uaua.Ka panaia e te ngākau te toto ki ngā pukahukahu (mā roto i ngā uaua pūkahukahu) hei tiki hāora hou. I ētahi wā ka kiia tēnei toto kore-hāora he "toto kikorangi" he "toto rawakore-hāora" rānei. Tērā pea nā te tae e puta mai ana i raro i te kiri i a ia e haere ana i roto i ngā uaua.

He aha te hononga o ēnei uaua iliaka ki te pūnaha tohanga toto?

He pātai tino nui. Kei te taha matau me te taha maui o tō tinana, kei reira te 'Uaua Iliac o Waho' me te 'Uaua Iliac o Roto'. Nā te mea kei tawhiti atu ēnei i te ngākau, ka kiia hoki ko ngā 'uaua toto taha'. I te taha o ēnei 'Uaua Iliac', kei reira ngā 'Uaua Iliac' e kawe ana i te toto whai hāora ki raro.

Titiro inaianei, ki te wāhanga o raro rawa o tō tuaiwi, ki te wāhi e hono ai te sacrum ki te pelvis, i te hononga Sacroiliac (SI), ka huihui ēnei uaua iliac o waho me o roto hei hanga i ngā uaua iliac matau me maui .

Kātahi, i te taha tuarima o ngā tuaiwi o tō tuaiwi, ka honoa ēnei uaua Iliac matau me maui hei hanga i te uaua nui rawa atu o tō tātou tinana, ko te Inferior Vena Cava. Ko taua Inferior Vena Cava te mea e kawe ana i ngā toto kore-hāora katoa mai i te tinana o raro ki te atrium matau o te ngākau. He tikanga whakamiharo tēnei?

Kei hea tonu ngā uaua iliac o waho?

Kei roto i tō hope ēnei 'Uaua Iliac o Waho'. E ai ki te kōrero i mua ake nei, he toronga whakarunga ēnei o ngā 'Uaua Femoral' i roto i ō huha. Hei whakamārama tika:

• Ka tīmata ēnei i raro i tō pito, i muri i ngā whitiki kiko e rua e kiia nei ko ngā Inguinal Ligaments i roto i tō rohe hope. Ka hono tēnei hononga i ō uaua puku ki tō hope.
• Kātahi ka haere ēnei uaua ki runga, whakarara ki ngā uaua Iliac, e kawe ana i te toto whai hāora ki ngā waewae, te rohe hope, me ngā whekau whakaputa uri.
• Ka rere i te taha whakarunga o tō hope (pelvic brim) ki te sacrum.
• I tēnei haerenga, ka haere te mimi mā roto i ngā ngongo e kawe ana i te mimi mai i ngā whatukuhu ki te pūhā ('ureters') me ngā vas deferens i ngā tāne, i ngā ovaries rānei i ngā wāhine.
• Hei whakamutunga, ka honoa ngā 'Uaua Iliac o Roto' hei hanga i ngā 'Uaua Iliac Noa', ā, ka hangaia e rātou te 'Vena Cava o Raro'.

He uaua iti anō kei reira e kohi toto ana mai i ngā uaua iliac o waho?

Ae, he maha atu ngā uaua iti e kohi ana i te toto kore-hāora ki roto i ngā 'Uara Iliac o Waho'. Anei ētahi tauira:

• Te uaua epigastric o raro : Ka kohia te toto mai i ngā uaua o mua o te puku i runga ake i te hononga inguinal.
• `He Uaua Iliac Hōhonu` : Ka haere tēnei mā te `Arete Iliac o Waho` ka kohi toto mai i te `Uaua Iliac o Waho`.
• `Uea Pubic` : Ka kohia te toto mai i te pito.

He aha ngā āhuatanga ka pā ki ngā uaua iliac o waho?

Heoi anō, he maha ngā āhuatanga hauora ka pā ki ēnei uaua nui. Kia mōhio tātou ki tēnā anō hoki.

1. Te Thrombosis o te Uaua Hōhonu (DVT)

He āhuatanga tēnei kua rongohia e te tini tāngata, ā, he āhua kino pea. Ko te 'Deep Vein Thrombosis', ko te 'DVT' rānei, ko te puta mai o tētahi, neke atu rānei o ngā totoka i roto i tētahi uaua hohonu o ō waewae. Ka taea e tēnei totoka ('thrombus') te aukati katoa, te aukati rānei i te rere o te toto i roto i te uaua.

He mea nui: Kāore pea te toto totoka (`Trombus`) i roto i te waewae e tino mōrearea ki te ora i tēnei wā tonu. Heoi, me tere te rongoā kia memeha ai te toto totoka. Ki te kore, ka pakaru, ka huri hei `Embolus` e rere ana i roto i te toto.

2. Ngā toto totoka e haere ana ki ngā pukahukahu (Pulmonary Embolism)

He tino kino tēnei hua o te `DVT`. Mēnā ka pakaru te toto totoka `DVT` i roto i te waewae, ka piki ake ki te toto, ka noho ki roto i ngā uaua e kawe ana i te toto ki ngā pukahukahu (`Pulmonary Arteries`), ka kiia tēnā ko te `Pulmonary Embolism`.

He tino mōrearea tēnei āhuatanga. Nā te mea ka heke te nui o te toto me te hāora e tae atu ana ki ngā pukahukahu, ā, ka piki ake te pēhanga i roto i ngā uaua pukahukahu. Ka pā kino pea tēnei ki te ngākau me ngā pukahukahu. He āhuatanga ohorere tēnei e hiahia ana kia arohia tonutia e te rata.

3. Te ngoikore o te uaua mau tonu (CVI)

He iti ngā takirere o roto i ngā uaua waewae hauora. Ka āwhina ēnei i te rere o te toto kore-hāora ki te ngākau, arā, te wāhanga o runga o te tinana, me te kore e hoki ki raro. Heoi, ki te pakaru ēnei takirere, ka tīmata te turuturu o te toto ki raro. Kātahi ka pupū te toto ki ngā waewae o raro, ka pupuhi, ka taumaha, ka mamae. Ka kiia tēnei ko te 'CVI'. Ka taea e te 'DVT', te toto toto tiketike, ngā pukupuku pelvis, me ngā hapa o te pūnaha toto te puta.

4. Te Matepukupuku o Mei-Thurner

Ka kiia hoki tēnei ko te 'Iliac Vein Compression Syndrome'. I tēnei wā, ka pēhia te 'Iliac Artery' matau (artery) me te 'Iliac Vein' maui (vein) ki te tuaiwi. Ina pēhia tēnei, kāore e taea e te toto te rere tika mā taua uaua ki te ngākau. Ka taea e te toto te kohikohi ki te wāhi kotahi, ka pupuhi ngā waewae, ā, i ētahi wā ka puta hoki te 'DVT'.

Me pēhea te pupuri i te hauora o ōku uaua iliac o waho?

Waimarie, kei reira ētahi mea ka taea e tātou te mahi hei pupuri i te hauora o ēnei uaua nui, hei whakaiti hoki i te mōrearea o te toto totoka.

• Kaua e noho roa i te tūnga kotahi. Whakaitihia te tū me te noho mō te wā roa. Ka piki ake te tūponotanga o te toto totoka. Whakatika, hikoi haere, me te neke haere i te iti rawa i te kotahi i te haora mēnā ka taea. Ngāna kia kaha te tinana i te nuinga o ngā rā o te wiki.
• Kai i ngā kai hauora mō te ngākau. Kai i ngā kai totika, he iti te ngako me te cholesterol. Kia mau ki te taumaha hauora.
• Whakahaerehia te ahotea. Whakangāwarihia tō hinengaro mā te whakaaroaro, te hikoi rānei me te hoa.
• Whakahaerehia ngā mate e kino ai ngā oko toto. Mena kei a koe ngā mate pēnei i te 'Diabetes Mellitus', te toto toto tiketike, me te taumata cholesterol tiketike, whakahaeretia pai kia rite ki ngā tohutohu a te taote.
• Kati rawa te momi hikareti me ngā hua tupeka. Ka kino te whakamahi tupeka i ngā uaua me ngā uaua toto.
• Me mau he tōkena pēhi mēnā ka tūtohutia e tō tākuta. Ka āwhina ēnei ki te ārai i te toto kei pupū i roto i ō waewae, kei hanga hoki he toto totoka.

Āhea koe me toro atu ki te tākuta?

Mena kei a koe tētahi, ētahi rānei o ngā tohu kua whakarārangihia i raro nei, me toro atu ki te tākuta tonu. He tohu pea ēnei mō tētahi mate kino i ētahi wā.

• Te mamae nui, kāore i te mārama te take, i te uma, i ngā pakihiwi, i te tuara, i te kauae rānei.
• Mena kei te maremare toto koe.
• Mena he uaua ki te hikoi, ki te mamae rānei koe i a koe e hikoi ana, e moe ana rānei.
• Mena ka pāngia koe e te whanoke, te hemo rānei (syncope).
• Mena he pupuhi ('Edema') he rerekē rānei te tae o ngā waewae.
• Ki te nui rawa tō werawera.
• Mena he tere te pao o te ngakau.
• Mena he mate pukupuku kāore e ora i ō waewae, i ō waewae rānei.
• Ki te mā te kiri, ka mātao, ka kikorangi.
• Mena he uaua ki te manawa, he wheezing rānei.

Karere Tangohia ki te Kāinga

Ko ngā 'Uaua Iliac o Waho' he pūnaha uaua e kawe ana i te toto rawakore hāora mai i ngā wāhanga o raro o te tinana ki te ngākau. Ka honoa ēnei uaua ki ngā 'Uaua Femoral' me ngā 'Uaua Iliac o Roto' hei hanga i te 'Vena Cava o Raro', te uaua nui rawa atu o te tinana.

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Ka taea e ngā toto totoka i roto i ngā uaua hohonu o ngā waewae (DVT) me aua totoka e haere ana ki ngā pukahukahu (Pulmonary Embolism) te arahi ki ngā āhuatanga morearea. Nō reira, he mea tino nui mō tō hauora te rapu awhina hauora tonu mēnā ka pāngia koe e ngā tohu e pā ana ki ngā uaua. Ka taea hoki e te whai i tētahi momo oranga hauora te tiaki i tēnei pūnaha uaua.

Kia maumahara, he mea nui te tiaki i tō tinana, me te tūpato ki ngā tohumate katoa. Ko te mōhio ki tō hauora te huarahi pai ki te noho ora.

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` Uaua Iliac o Waho, Uaua Iliac o Roto, Pelvis, Ngā Uaua, Te Tohanga Toto, DVT, Te Pupuhi Pūkahukahu, Ngā Pupuhi Toto, Te Pupuhi Waewae, Te Mate Uaua