Me ako tātou mō te 'Aorta heke' i roto i tō tinana.

Kua whakaaro kē koe me pēhea te rere o te toto i roto i ō tātou tinana? He oko toto matua kei reira e kawe ana i te toto whai hāora mai i tō tātou ngākau ki tō tātou tinana katoa. Ko te aorta te ingoa. I tēnei rā ka kōrero tātou mō tētahi wāhanga tino nui o tēnei aorta, arā, te aorta heke. He rite ki te paipa wai nui rawa atu i roto i tō tātou tinana!

He kotahi, he rua rānei tēnei 'aorta heke'?

Ko te tikanga, he oko toto roa kotahi tēnei 'aorta heke'. Engari, pērā i te rerekētanga o te ingoa o taua ara i ia tāone ki ia tāone, ka rerekē anō hoki ngā ingoa o tēnei oko toto i a ia e haere ana i roto i ngā wāhanga rerekē o te tinana. Whakaarohia, ina heke iho tēnei aorta mā roto i tō uma, ka kiia e mātou ko te ' Aorta Tuara Hinga '. Ko te 'Thoracic' he kupu e whakamahia ana e ngā tākuta mō ngā mea e pā ana ki te uma. Kātahi, ina haere tēnei aorta mā roto i tō diaphragm, ka rerekē anō tōna ingoa. Ko te wāhanga i raro i te diaphragm ka kiia ko te ' Aorta Puku Hinga '. Koinei te mea e haere ana mai i te tihi o tō puku ka mutu ki te taha o tō pito.

Nō reira, he rite tonu te 'Aorta Thoracic' me te 'Aorta Descending'?

Kāo, ehara i te mea kotahi. Ina kīia te 'aorta thoracic', ko te wāhanga katoa o te aorta e rere ana i roto i tō uma. He maha ngā wāhanga:

• Pūtake Aorta: Koinei te wāhanga e hono ana ki te ngākau.
• Aorta piki: Koinei te wāhanga e piki ake ana i te ngākau.
• Āwhata Aorta : Koinei te wāhanga e hoatu ana ki te aorta tōna āhua piko, pērā i te tokotoko.
• Aorta thoracic heke: Koinei te wāhanga o te 'aorta heke' kei roto i te uma.

Kātahi, ko te 'aorta heke' te wāhanga e toro atu ana ki raro i muri i te āwhata aorta. Ka haere mā roto i te uma (aorta thoracic heke) me te puku (aorta abdominal heke). He rerekē te 'aorta thoracic' me te 'aorta heke'. Heoi anō, kei roto anō i te 'aorta thoracic' tētahi wāhanga o te 'aorta heke'. Kua mārama?

He aha te rerekētanga i waenganui i te 'Aorta Piki' me te 'Aorta Heke'?

He tino māmā hoki tēnei. Ko tō 'Aorta Piki' te wāhanga e piko ake ana i tō ngākau ki te āwhata aorta. Kei roto i tō uma anake. Heoi, ka tīmata te 'Aorta Piki' i tērā taha o te āwhata aorta, ka piko ki raro. Ka rere mai i tō uma ki raro ki tō puku.

He aha te mahi a tēnei 'aorta heke'? He aha te hiranga o tēnei mahi?

Ko te 'Aorta e heke ana' he oko toto e kawe ana i te toto ma, he toto whai hāora ki roto i tō tātou tinana. Pērā i te huarahi nui, koinei te uaua matua e kawe ana i te toto mā roto i tō uma me tō puku. Mai i konei ka peka mai ngā uaua iti, ka tuku toto ki ō whekau me ō kiko. Tirohia te maha o ngā mea e tukuna ana e tēnei 'aorta e heke ana' me ōna peka:

• Ki ngā pakitara o tō uma
• Te pūnaha nakunaku (arā, tō korokoro , puku , whekau iti me te whekau nui)
• Mō ngā whatukuhu
• Mō ngā waewae
• Ngā pūnga lymph
• Ki ngā whekau whakaputa uri (arā, ngā poro i roto i ngā tāne me ngā ovaries i roto i ngā wāhine)
• Ki te pūnaha manawa
• Taura tuaiwi
• Ki te pūnaha mimi

Whakaarohia te maha o ngā mea ka pāngia mēnā kāore tēnei uaua toto kotahi e mahi tika ana!

Kei hea tonu tēnei 'uaua nui e heke iho ana'?

Ka tīmata tō 'aorta heke' i roto i tō uma, te wāhi e mutu ai te āwhata aorta. Hei whakamārama, kei muri noa iho i te wāhi e wehea ai tō uaua subclavian maui mai i te aorta. Kei te taumata o tō tuawhā o ngā wheua thoracic (he wheua i roto i tō tuaiwi) tēnei, i waenganui o tō tuaiwi. Mai i reira, ka heke iho mā roto i tō uma, kātahi mā roto i tō diaphragm, kātahi ki roto i tō puku. Ka mutu tēnei 'aorta heke' i te taha o tō puku. I reira, ka wehea kia rua ngā uaua, arā, ko ngā uaua iliac matau me maui. Ka tapaina tēnei wehenga e ngā kaipūtaiao ko te aortic bifurcation . Nā te mea ka wehea te aorta kia rua ngā ara hou mō te haere o te toto. Kātahi ka wehea ēnei uaua iliac ki ētahi atu peka e tuku toto ana ki ō waewae me ō waewae. He rite tēnei wehenga ki te Y kua hurihia ki raro.

He aha ngā manga e peka mai ana i te 'uaua nui e heke ana'?

E ai ki tā mātou i kōrero ai i mua ake nei, he maha ngā manga o te aorta heke e kawe ana i te toto ki ngā wāhanga rerekē o te tinana. He rite ki te pūtake rākau me ngā manga iti. Ko ētahi o ngā manga matua e peka mai ana i te aorta thoracic heke ko:

• Ngā uaua pūkahukahu
• Ngā uaua o te korokoro
• Ngā uaua mediastinal
• Ngā uaua pericardial
• Ngā uaua phrenic o runga

Tērā anō hoki ētahi peka nui e peka mai ana i te aorta puku heke. Hei tauira:

• Ngā uaua o te puku celiac
• Ngā uaua gonadal
• Ngā uaua iliac (koinei te mea whakamutunga ka wehea)
• Ngā uaua phrenic o raro
• Ngā uaua whatukuhu maui me matau (ngā uaua e haere ana ki ngā whatukuhu)
• Ngā uaua lumbar

Kāore koe e hiahia ki te maumahara ki ēnei ingoa katoa. Ko te mea nui kia mārama koe he āwhina ia o ēnei uaua iti ki te whāngai i ngā wāhanga rerekē o tō tātou tinana.

He aha te āhua o tēnei 'aorta heke'? He pēhea te rahi?

He rite te aorta katoa ki te rākau he kakau piko tōna. Ko te aorta piki me te āwhata aorta te wāhanga kakau o te rākau. Ko te aorta heke te wāhanga tuatahi i muri i te āwhata, e heke tika ana ki raro. Mō tōna rahi, ka rerekē te whānui (arā, te whānui o te wāhanga whakawhiti) o te aorta i runga i tō tau, te horahanga o te mata o te tinana, me te ira tangata. Engari koinei ngā uara toharite e whakaaetia ana e ngā kairangahau:

• Ko te rahi toharite o te aorta heke thoracic he iti iho i te 1.6 henimita ia mita pūrua o te mata o te tinana.
• Te rahi noa o te aorta heke o te puku: iti iho i te 3 henimita (tata ki te 2 henimita te whānui).

Koinei te uaua nui rawa atu o tō tātou tinana!

Me pēhea te hanganga o ngā pakitara o te 'aorta heke'?

Ki te titiro koe ki te pakitara o tēnei aorta, e toru ngā paparanga kiko. He rite ki te pakitara o tētahi ngongo, engari he tino uaua ake.

• Tunica intima: Koinei te paparanga o roto rawa. Ka rere tō toto mā roto i tēnei. Ka whakahaere tēnei paparanga i te pēhanga toto , ka ārai i te toto kia kaua e totoka, ā, ka ārai hoki i ngā paitini kia kaua e uru ki te toto.
• Pāpāho: Koinei te paparanga o waenganui. Kei roto ngā uaua iti e āwhina ana i te toto kia neke i te taha kotahi mā te whakawhāiti. Kei roto hoki ngā muka pīwariwari. Ka ngoikore pea ēnei i roto i te wā.
• Adventitia: Koinei te paparanga o waho rawa. Mā tēnei ka kaha, ka hanganga hoki te aorta. E hono ana hoki ki ngā io me ngā kiko e karapoti ana.

He aha ngā mate e pā ana ki tēnei 'aorta heke'?

Engari, ahakoa he uaua toto nui pēnei, ka pāngia pea koe e te tini o ngā mate. Ko te mea tino noa o ēnei mate ko ngā aneurysms aortic . Ko te aneurysm he wāhi ngoikore i roto i te pakitara o te uaua, ka pupuhi, ka pupuhi hoki te uaua. He maha ngā momo aneurysms ka pā ki te aorta heke:

Ngā momo Aneurysms Aorta

• Te aneurysm aorta o te uma (TAA): Ka puta tēnei i te wāhanga o runga o te aorta e rere ana i roto i te uma. Ko te nuinga o te wā ka puta mai i te toto toto tiketike , i te whara rānei o te uma. Ko te hunga whai mate hononga kiko, pērā i te Marfan syndrome, he nui ake te mōrearea ki te pāngia e tēnei.
• Te aneurysm aorta puku (AAA): Koinei te momo aneurysm aorta tino noa . Ka puta i te wāhanga o te aorta e rere ana i roto i te puku. (AAA) ka pā ki te hunga neke atu i te 65 tau te pakeke. He nui ake te tūponotanga ka puta i roto i ngā tāne kua whakamahi tupeka i mua. Ko te Atherosclerosis, te kohikohinga o ngā putunga ngako i roto i ngā pakitara o te uaua, te tino take.
• Te aneurysm aorta thoracoabdominal (TAAA): He aneurysm tēnei e toro atu ana i te uma ki te puku.

He mea nui: Mena he aneurysm tōu i roto i te aorta heke, ka tirotirohia e tō tākuta mō te wā roa. Mena ka tino nui, me rongoā pea koe hei ārai i ngā raruraru e morearea ana ki te ora. Hei tauira:

Ngā āhuatanga mōrearea ka puta mai i ngā aneurysms

• Pakaru o te aneurysm: Koinei te wā e puta ai he kōhao i te pakitara (ngā paparanga e toru) o te aorta. Ka taea e tēnei kōhao te whakaputa toto nui ki roto i te tinana, ka tere tonu te noho hei mōrearea ki te ora.
• Momo B te tapahi aorta: He haehae tēnei i te paparanga o roto o te 'aorta heke'. Kātahi ka whakakīia te āputa i waenganui i ngā paparanga o roto me waenganui e te toto. Ka taea hoki e tēnei te pakaru o te uaua ka mutu te rere o te toto ki ētahi okana.

Kia maumahara, he āhuatanga ohorere te pakaru o te aneurysm, te tapahi rānei o te aorta e hiahia ana kia arohia tonutia e te hauora!

Ētahi atu āhuatanga pea

Haunga ēnei aneurysms, kei reira ētahi atu āhuatanga ka pā ki te 'aorta heke':

• Te atherosclerosis o te aorta: Ngā putunga ngako puta noa i te aorta.
• Mate ārai o te aorta: Ka āraihia te wāhanga o raro o te aorta (e tata ana ki te wehenga o te aorta) me ngā uaua iliac e ngā putunga ngako.

He aha ngā tohu noa o te mate 'descending aorta'?

He mea tino nui tēnei. Tērā pea kāore he tohu o te mate heke o te uaua o te ngākau. Ko te tikanga, kāore pea koe e mōhio kei te hē tetahi mea tae noa ki te wā e pāngia ai koe e te mate ohorere.Koia te take e taunaki ana ngā tākuta kia tirotirohia koe i ia wā. Koinei te wā ka kitea ai ngā tohu tōmua o te mate manawa. Ahakoa he aneurysm kei roto i tō aorta heke, kāore pea koe e kite i tētahi tohu tae noa ki te tata pahū. Anei ētahi tohu whakatūpato ka puta i mua i te pahūtanga:

• Kei te kī tonu koe ahakoa kāore anō kia nui te kai.
• Te mamae mau tonu, te mamae mutunga kore i te tuara, i te papa, i te hope, i te waewae, i te puku rānei.
• Te rongo i te pao o te ngakau i te rohe o te puku.
• Te uaua ki te manawa, te wheezing rānei.

Kia tūpato! He āhuatanga ohorere ēnei!

He āhuatanga ohorere hauora te pakaru o te aneurysm, te tapahi rānei o te aorta, e hiahia ana kia tere te aro atu ki te taote . Mēnā kei a koe ētahi o ēnei tohu , waea atu ki te 1990 (Sri Lanka's Suwaseriya Ambulance Service) tonu atu:

• Te mamae puku kino ohorere.
• He mamae ohorere, koi, nui hoki i te uma, i te tuara rānei o runga. Ka rite ki te haehae, ki te wero rānei.
• Te werawera makariri, te werawera mākū.
• Pōhēhētanga.
• Pōuriuri, ngoikore rānei.
• Ka piki ake te tere o te manawa.
• Whakapairuaki me te ruaki.
• Te uaua ki te manawa.
• Te uaua ki te kōrero.
• Te ngaronga, te pōuri rānei o te tirohanga.
• Te ngoikore, te ngoikore rānei i tetahi taha o te tinana.

Kaua e moumou tetahi hēkona i tēnei wā!

Me pēhea te tautuhi i ngā mate o te 'aorta heke'?

Mā ngā whakamātautau whakaahua maha ka tātarihia e ngā tākuta ngā mate o te aorta heke. He tikanga ēnei e tango pikitia ana i roto i te tinana. Anei ētahi tauira:

• Te tirotiro i te puku
• Angiography CT (angiography tomography rorohiko - CTA)
• MRI (Whakaahua aukume - MRI)
• Te ine i te ngākau o te puku o te esophagus

Mā tō tākuta e whakatau te whakamātautau e tino tika ana māu.

He aha ngā maimoatanga mō ēnei āhuatanga?

Ka aroturukihia tō āhua e tō tākuta, ā, ka tūtohu i tētahi maimoatanga mēnā e tika ana. Ko ētahi o ngā kōwhiringa maimoatanga mō te aneurysm i roto i te aorta heke ko:

• Pokanga aneurysm: He tikanga pokanga tēnei hei tango, hei whakatika rānei i te wāhanga pupuhi o te aneurysm.
• Te whakatikatika i te aneurysm endovascular (EVAR):Ko te tikanga o tēnei ko te whakauru i tētahi taputapu rite ki te stent ki roto i te uaua toto mā roto i tētahi ngongo iti (catheter) me te kore e tapahia he mea nui, ā, me te whakapakari i te wāhi kua pupuhi. He tikanga hou tēnei.
• Ngā rongoā hei whakahaere i te whakanui o te aneurysm: Kei roto pea i tēnei ko ngā rongoā hei whakaheke i te toto totoka, i te cholesterol rānei.

Ko te mea nui ko te whai i ngā tohutohu a te taote me te whakamātautau i te wā tika.

Me pēhea taku pupuri i te hauora o taku 'aorta heke'?

Āe, he pātai tino pai tēnei. Tērā ētahi mea ka taea e koe te mahi hei ārai, hei whakaroa rānei i te tīmatanga o te mate aorta. Ko te mea nui ko te whai i tētahi momo oranga hauora mō te ngākau. Anei ētahi tohutohu hei mahi i tēnā:

• Whakaitihia te inu waipiro: Kaua e neke atu i te rua ngā waeine waipiro paerewa mō ngā tāne i te rā. Kaua hoki e neke atu i te kotahi te waeine waipiro paerewa mō ngā wāhine i te rā.
• Kai i tētahi kai hauora, taurite hoki, he iti te konutai (tote), te cholesterol, me te ngako kukū.
• Whakakorikori tinana i ngā wā katoa: Whai kia 150 meneti te iti rawa o te whakakorikori tinana kaha-waenga ia wiki (hei tauira, te hikoi tere, te eke pahikara).
• Whakahaerehia te ahotea: Ka āwhina pea ngā mahi pēnei i te yoga me te whakaaroaro.
• Kati rawa te momi hikareti me te whakamahi i ngā hua tupeka! He mahi nui tēnei.

He uaua tino nui tō aorta heke e āwhina ana ki te kawe toto puta noa i tō tinana. Nō reira, he mea tino nui kia mahia e koe ngā mea katoa hei pupuri i tōna hauora. Mā te kai pai, te whakakori tinana, me te karo i te tupeka ka āwhina i te tiaki i a koe mai i te mate aorta. Kaua hoki e wareware ki te tirotiro hauora i te iti rawa kotahi i te tau.

Nā, he aha ngā mea tino nui hei maumahara mā tātou i roto i ēnei mea katoa?

Āe, hei whakarāpopototanga, ko ngā kōrero matua hei maumahara māu i roto i ngā mea kua kōrerohia e tātou ko:

• Ko te 'Aorta e heke ana' he wāhanga nui o te uaua nui rawa atu o te tinana, e kawe ana i te toto whai hāora mai i tō ngākau ki raro mā tō uma me tō puku.
• Koinei te mea e whāngai toto ana ki te nuinga o ngā whekau i roto i tō uma, puku, me ngā waewae.
• Ka taea e tēnei uaua te whakawhanake i ngā mate pēnei i te aneurysm me te atherosclerosis.
• He maha ngā wā, kāore ēnei mate e whakaatu i ngā tohu i ngā wāhanga tōmua, nō reira he mea nui kia tirotirohia e te rata i ia wā.
• Ki te pāngia koe e ngā tohu pēnei i te mamae ohorere o te uma, o te puku rānei, te uaua ki te manawa, te hemo rānei, tera pea he āhuatanga ohorere tēnei. Rapua tonutia he awhina hauora.
• He mea nui te whai i tētahi momo noho hauora (te kai pai, te whakakori tinana, me te kore e momi hikareti) hei pupuri i te hauora o tēnei uaua.

Nō reira, kaua e wareware ki te tiaki i tēnei 'huarahi' o tō tinana, kei te pai?

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Aorta, Aorta e heke iho ana, Mate Manawa, Mate Pūkahukahu, Aneurysm, Tohanga Toto