E mōhio ana koe ki tēnei oko toto i muri i te turi (Popliteal Artery)? Te pānga ki ngā raruraru waewae!

I tēnei rā ka kōrero tātou mō tētahi wāhanga o ō tātou waewae he mea tino nui ki tō rātou hauora, engari he mea e warewarehia ana e tātou. He uaua toto e kiia nei ko te Popliteal Artery . Kāore pea koe i rongo mōna. Engari he mea nui mō te rere tika o te toto ki tō waewae o raro, i muri i tō turi. Nō reira, me titiro tātou ki te aha, ngā raruraru ka pā mai, me pēhea te pupuri i tōna hauora.

He aha te Popliteal Artery? Kei hea rātou e tū ana?

He whakarāpopototanga noa iho, ko te Popliteal Artery he uaua toto nui i roto i ō waewae. Hei whakamārama, he peka ia nō te uaua toto nui i roto i tō huha e kiia nei ko te Femoral Artery . Ka tīmata i waenganui o tō huha, kātahi ka haere ki muri o tō turi, ka kawe i te toto ki tō waewae o raro. Ka taea e koe, e te tākuta rānei te rongo i te Popliteal Pulse mā te whakatakoto i tō ringa ki muri tonu i tō turi.

Kei ō tātou waewae e rua, arā, te waewae matau me te waewae maui, tēnei uaua popliteal.

Ka wehea anō tēnei uaua?

Āe, i raro i te hononga turi, ka wehea te uaua popliteal ki ngā peka iti ake. Ko ngā peka matua ko te uaua tibial o mua me te pūtake tibioperoneal (e kiia ana i ētahi wā ko te pūtake tibiofibular ). Ko te pūtake tibioperoneal te mea e kawe ana i te toto ki te tuara o tō waewae me te wheua iti kei waho o tō waewae (te fibula).

Ka puta mai ēnei uaua toto iti katoa i tēnei ara, ā, i te mutunga ka huihui mai hei whakarato i te rere katoa o te toto ki ō waewae. Whakaarohia he rite ki tētahi rākau e puta mai ana i ngā pakiaka hei kawe i te wai ki ngā rau.

He aha te hiranga o te uaua popliteal?

He wāhanga tino nui te uaua Popliteal o te pūnaha tohanga toto o te tinana. Kei roto i te kāwai o ngā uaua peripheral . Arā, ko ngā uaua e kawe ana i te toto mai i te ngākau ki ngā wāhanga o te tinana e tawhiti ana.

Ko te uaua Popliteal te nuinga e tuku toto ana ki:

• Te wheua iti kei muri o tō waewae ('Fibula').
• Te poka i muri i te hononga turi me te taupoki turi ('Popliteal Fossa').
• Ki ngā uaua me ngā io o te waewae o raro.
• Te wheua nui kei roto o te waewae ('Tibia').
• Waihoki, mō ngā pona me ngā waewae.

Nō reira, ka kite koe i te hiranga o te uaua Popliteal ki te mahi hauora o ō tātou waewae. Mēnā he raruraru tēnei, ka heke te rere o te toto ki ngā waewae.

He aha ngā mate e pā ana ki ēnei uaua?

Engari, ka pāngia pea te uaua popliteal e ngā momo mate hauora. Me titiro tātou ki ēnei:

• Mate Pūkahukahu: He āhuatanga tēnei e puta ai he pūkahukahu i roto i te pakitara o te uaua popliteal. Ka whakawhāitihia te rere o te toto, ka whakaitihia hoki te rere o te toto. I roto i te wā, ka whakawhāitihia te uaua (Popliteal Artery Stenosis). He mea noa ake tēnei i roto i ngā tāne . Tērā pea ka pāngia koe e te mamae i te waewae o raro, inā koa i te wā e hikoi ana, e whakakorikori tinana ana rānei. Ka piki haere te mamae. Ka kiia tēnei tohu ko te Intermittent Claudication .

• Te Aneurysm o te Arteri Popliteal: Ko te aneurysm he wāhanga ngoikore o te pakitara o te uaua e pupuhi ana me te mea he poihau. Ka ngoikore te pakitara o te uaua e tēnei pupuhi, ā, ka nui ake te tūponotanga ka pakū. Mena ka puta he aneurysm i roto i te uaua popliteal, ka puta he toto toto ki roto. Mena ka ārai katoa te toto toto i te rere o te toto, me tapahi pea te waewae o raro mena kāore i kitea, i rongoatia hoki i te wā tika. Ko te Aneurysm o te Arteri Popliteal te tuarua o ngā momo aneurysm e tino kitea ana i muri i ngā Aneurysm o te Arteri Abdominal. He maha ake hoki ngā wā ka puta tēnei āhuatanga i roto i ngā tāne.

• Te Mate Maukati o te Arorangi Popliteal (PAES): Koinei te wā e pēhia ai te arārangi popliteal e ngā uaua me ngā uaua o te turi. Ka puta te mamae o te uaua me te kōpiripiri i te turi i te wā e mahi ana i te tinana, pērā i te hikoi. Ka kiia hoki tēnei ko te claudication intermittent . Ko tēnei āhuatanga, e kiia ana ko te PAES , ka kitea pinepine i roto i ngā kaitākaro, inā koa i roto i ngā kaitākaro tāne kei raro iho i te 30 tau te pakeke. Whakaarohia he rite ki te pēhi i tētahi paipa wai ka mutu te rere.

• Te Mate Atherosclerotic o te Arorangi Popliteal: Koinei te mate kua rongohia e te tini tāngata. Ka puta mai i ngā putunga ngako (pēka) me ngā toto totoka e hanga ana i roto i ngā arorangi, ka whakawhāitihia, ka āraihia hoki (aukati). Ka taea e tēnei te arahi ki te whakahekenga o te rere o te toto, te gangrene (te mate o te kiko), me te pikinga o te mōrearea o te tapahi. Pērā i ētahi atu mate arorangi ā-rohe , he nui ake te tūponotanga ka puta i roto i ngā kaipaipa, ngā mate huka, ngā tāngata neke atu i te 65 tau te pakeke, me te hunga he nui te cholesterol.

• Te toto o te uaua popliteal: He whara kino ki te turi, hei tauiraNā te mea pērā i te he o te turi, ka pakū te uaua popliteal, ka toto hoki.

• Te Pūwero Popliteal, te Pūwero Baker rānei: He mate tino noa tēnei. Ka taea te kite ngāwari mā te whakamahi i te ultrasound . He pūwero kī tonu i te wai tēnei e puta ana i muri o te turi. Ka mamae, ka pupuhi hoki. Ka uaua hoki te piko me te neke i te turi. Ko te take o tēnei Pūwero Baker ko te pānga ki te hononga turi, ahakoa nā te mate rumatiki , nā te kino rānei o te meniscus . Ahakoa kei muri o te turi tēnei pūwero, kāore e pā ki te mahi a te uaua popliteal.

He aha ngā take me ngā āhuatanga mōrearea mō te mate o te uaua popliteal?

He maha ngā āhuatanga mōrearea ka whai wāhi ki te whanaketanga o ēnei mate e pā ana ki te uaua popliteal. Ko ēnei:

• Kei te pāngia koe e te mate uaua o te ngakau .
• Mate huka (Diabetes Mellitus).
• Te toto toto tiketike.
• Te nui o te cholesterol.
• He tāne (he nui ake te kitea o ētahi mate i roto i ngā tāne).
• Te momonatanga.
• Te momi hikareti, te whakamahi rānei i ngā hua tupeka.

Mena kei te noho ēnei mea, he pai ake kia tupato, tika?

He aha ngā tohu? Me pēhea tātou e mōhio ai ki a rātou?

I te nuinga o ngā wā o te mate pūkahukahu popliteal, ko te tohu matua ko te mamae, te taumaha rānei o ngā waewae, inā koa i te wā e hikoi ana, e mahi ana rānei i ētahi atu mahi tinana . Ka ngaro atu tēnei mamae, te kōpiripiri, me te taumaha i te wā e okioki ana. Ka kiia tēnei āhuatanga e ngā tākuta ko te intermittent claudication .

Haunga tēnā, tera pea ka pāngia koe e ngā tohu pēnei i:

• Te pupuhi (edema) i te waewae o raro.
• Ngā patunga kore e ora i ngā waewae (ngā mate pukupuku waewae).
• Te mamae i te fossa popliteal, i muri i te turi, i te waewae rānei.
• Te ngenge, te makariri rānei o ngā waewae.
• He panoni i te tae o te kiri o te waewae.

Ki te pā mai tētahi āhuatanga pēnei ki a koe, he pai ake te toro atu ki te tākuta i te wā e taea ai.

Me pēhea te tautuhi i tēnei mate? He aha ngā momo whakamātautau e mahia ana e ngā tākuta?

Ina kite koe i tētahi tākuta, ka pātai atu ia ki a koe mō ō tohumate, ā, ka tirotirohia koe. Hei tāpiri, ka whakahaerehia pea ēnei whakamātautau hei whakatau mēnā he mate kei a koe e pā ana ki te uaua popliteal:

• Ngā Hopu Rekoata Rōrahi Pā (PVR): Ka whakamahia he aroturuki toto me tētahi taputapu e kiia nei ko te Doppler hei whakatau i te nui o te toto e rere ana ki ō waewae.Ka tatauhia te uara Ankle-Brachial Index (ABI).
• Te Ine-ā-Utauta: Ka taea e tēnei te tirotiro i te rere o te toto i roto i ō waewae. He rite ki te matawai e mahia ana mō ngā whaea hapū, engari he mea motuhake tēnei ki ngā uaua toto.
• Angiogram: He maha ngā momo o tēnei. Hei tauira, ka taea e koe te whai i tētahi Angiogram Resonance Magnetic (MRA) i tētahi Angiogram CT rānei (CTA) . Ka tirohia e tēnei ngā wāhi e heke ana te rere o te toto i roto i ō waewae.
• Angiography Catheter: He whakamātautau uaua ake tēnei. Mā te whakauru i tētahi catheter ki roto i te tinana ka mahia. I te nuinga o te wā ka mahia i muri i te otinga o ētahi atu whakamātautau, ā, me whai atu kōrero.

He aha ngā rongoā mō ēnei mate?

He rerekē te maimoatanga mō te mate pūkahukahu popliteal i runga i te āhua o te mate. Ko ngā maimoatanga matua ko:

• Ngā Rongoā: Ka taea te hoatu rongoā hei whakaheke i te toto toto, hei whakaheke i te cholesterol, me te ārai i te totoka.
• Te Angioplasty Catheter me te Stenting: Ko te mahi ko te pupuhi i tētahi uaua kua purua ki tētahi taputapu rite ki te poihau, kātahi ka whakauru i tētahi stent ( he taputapu rite ki te mata) hei ārai i te aukati anō.
• Te Tāruatanga Ārai: Te waihanga i tētahi ara hou mō te rere o te toto mā te karo i te uaua kua āraia, ka hono i tētahi wāhanga hou o te uaua toto (he 'tāruatanga'). He rite ki te tango i tētahi ara rerekē ina āraia te huarahi.
• Pokanga: I ētahi wā, me pokanga hei tango i ngā pukupuku kua whakahuatia ake nei, hei tuku rānei i ngā uaua, i ngā uaua rānei e pēhi ana i te uaua popliteal.

Me pēhea te pupuri i te hauora o te uaua popliteal? Ngā tikanga ārai

"He pai ake te ārai i te rongoā," te kī a rātou. Nō reira, anei ētahi mea ka taea e koe te mahi hei pupuri i te hauora o tō uaua popliteal, tae atu ki tō pūnaha tohanga toto katoa:

• Ki te mea he kai paipa koe, kati rawa. Pērā anō hoki te whakamahi i ngā hua tupeka.
• Whakakorikori tinana i ngā rā maha i te wiki. He pai hoki te hikoi mō te 30 meneti pea i te iti rawa i te rā.
• Kai i ngā kai hauora mō te ngākau, he iti te cholesterol, te ngako, me te tote. Kai atu i ngā huawhenua, ngā hua rākau, me ngā witi katoa.
• Kia mau tonu te taumaha hauora.
• Mena kei a koe ngā mate pēnei i te mate huka, te cholesterol teitei, te toto toto tiketike rānei, kia pai te whakahaere i aua mate. Tangohia ngā rongoā i tohua e tō tākuta i te wā tika.

Āhea koe me rapu tohutohu hauora? He aha ngā tohu e tika ana kia akiaki i a koe ki te toro atu ki te tākuta?

Mena kei a koe tētahi o ēnei tohu, me toro atu ki te tākuta mō ētahi tohutohu:

• Ngā patunga kore e ora i te waewae, i te waewae rānei.
• Mena ka pāngia koe e te mamae i a koe e hikoi ana, he uaua rānei ki te hikoi, ki te neke rānei i tō waewae.
• Mena ka pupuhi ō waewae, kāore he take.
• Mena he rerekētanga kei te pāmahana, kei te tae rānei o te waewae (hei tauira, he āhua makariri ake tetahi waewae i tetahi atu, he āhua mā rānei).
• Mena kei te mamae ō waewae ahakoa kei te okioki koe.

Ki te mea he ruarua āu mō ēnei mea, kaua e warewarehia. Mā te rapu tohutohu hauora i te wā wawe ka āwhina i a koe ki te whakahaere i te āhuatanga i mua i te nui haere o te raruraru.

Karere Tangohia ki te Kāinga

Āe, kua mārama kē koe ki te uaua Popliteal i kōrerohia e tātou i tēnei rā. He uaua toto tino nui ēnei e rere ana mai i tō tātou huha, ka haere ki muri i te turi, ka tuku toto ki ngā wāhanga o raro o te waewae.

Ka raru pea te rere o te toto i te mate pūkahukahu popliteal, pērā i te claudication intermittent (te mamae e puta ana i te wā e hikoi ana koe, ā, ka memeha i te okiokinga). I ētahi wā kino, ka taea e ia te arahi ki te ngaronga o te waewae.

Nō reira, he mea tino nui te whai i tētahi momo noho hauora (kai pai, whakakori tinana, me te whakamutu i te momi hikareti) me te whakahaere i ngā āhuatanga mōrearea . Mena ka puta he tohumate, kaua e mangere ki te rapu tohutohu hauora. Kātahi ka taea te whakahaere i ngā whakamātautau e tika ana, ā, ka taea te tīmata i te maimoatanga tika.

` Te uaua Popliteal, Te uaua Popliteal, Te uaua i muri i te turi, Te tohanga toto o te waewae, Te mamae o te waewae, Te Claudication Intermittent, Te Aneurysm o te uaua Popliteal