He aha ēnei uaua kikorangi i roto i ō tātou tinana? Kia ako tātou mō ngā uaua i roto i tētahi huarahi māmā!

Kua whakaaro kē koe he aha aua uaua kikorangi i raro i tō kiri, me ā rātou mahi? I ētahi wā ka kitea e koe ina titiro koe ki ō ringaringa, ki ō waewae rānei, tika? Ko aua uaua ngā mea ka kōrerohia e tātou i tēnei rā. He wāhanga tino nui ēnei o tā tātou pūnaha tohanga toto, he mea nui mō te tohanga toto. Inaa, 75% o te toto i roto i tō tinana kei roto i ēnei uaua. Kāore i te mīharo?

Nā, he aha ēnei uaua?

I te whakarapopototanga, he momo oko toto ngā uaua e rere ana puta noa i te tinana. Ko tā rātou mahi matua he kohikohi i te toto kore-hāora mai i ngā wāhanga rerekē o te tinana, ka whakahokia ki te ngākau. Whakaarohia, ka whakamahia e ngā pūtau o roto i tō tātou tinana te hāora hei mahi. Ina whakamahia tēnā, me whakahoki te toto kore-hāora e toe ana ki te ngākau kia horoia. Koinei te mahi a ngā uaua. Mā ēnei uaua, me ētahi atu oko toto me te ngākau, ka rere te toto puta noa i te tinana.

He aha te momo toto e rere ana i roto i ngā uaua? He rerekē tēnei i ngā uaua?

Ae, he rerekētanga nui tēnei. Ko ngā uaua te nuinga o te wā e kawe ana i te toto whai hāora . Arā, ko te toto e kawe ana i te hāora mai i te ngākau ki te toenga o te tinana. Heoi, ko ngā uaua, e ai ki taku kōrero i mua ake nei, e kawe ana i te toto he iti ake te hāora . Heoi, kotahi te mea rerekē ki tēnei, he take motuhake. Ko ngā uaua pūkahukahu tēnā. Kei waenganui i tō ngākau me ō pūkahukahu ēnei. Ka whakahokia e ēnei uaua pūkahukahu e whā te toto whai hāora kua kohia i roto i ngā pūkahukahu ki te ngākau. Kātahi ka panaia e te ngākau taua toto ki te toenga o te tinana. Kei te mārama koe?

He aha ēnei uaua (venule)?

He tino iti, he angiangi ngā uaua toto. He rite ki ngā ara iti e hono ana ki ō tātou uaua nui. Ka hono ēnei uaua i te toto e puta mai ana i ngā uaua tino kikokore o tō tātou tinana ki ngā uaua nui. I roto i ngā uaua toto ka tukuna te hāora ki ō tātou pūtau, ā, ka tāpirihia ngā hua para me te hauhā waro ki te toto. Ko taua toto he iti ake te hāora me ngā hua para ka puta mai i roto i ngā uaua ki ngā uaua, ā, mai i reira ka hoki ki te ngākau. Ahakoa he whānui ake ēnei uaua i ngā uaua toto, he tino angiangi ake i ngā uaua. E kiia ana he 16 ngā wā iti iho i te uaua noa.

He aha te mea e tupu ana ki ngā uaua?

E rua ngā mahi matua o ngā uaua: 1. Hei kohi i te toto kore-hāora mai i te tinana katoa, ka whakahokia ki te ngākau. 2. Hei kawe i te toto whai hāora mai i ngā pukahukahu ki te ngākau. (Ko ngā uaua pūkahukahu anake e mahi ana i tēnei, kei te mahara koe?) Nō reira, ko te mahi a ia uaua kei te wāhi kei roto i te tinana. Ko te whatunga matatini o ēnei uaua katoa e kiia ana ko te pūnaha uaua .

He aha tēnei pūnaha uaua?

Ko te pūnaha uaua ko te whatunga o ngā uaua i roto i tō tinana, me te hononga ki ētahi atu oko toto me ngā whekau. E rua ngā ara iahiko matua: 1. Ara iahiko pūnaha 2. Ara iahiko pūkahukahu Whakaarohia he ara reihi. Me haere te motuka reihi i te ara iahiko katoa. Engari kāore e taea te haere tonu me te kore e whakakī hinu, me te kore e mahi i te tiaki iti. Koinei te mahi a ō tātou toto. Me whakakī anō hoki te toto ki te hāora, me te tango atu i ngā hua para pēnei i te hauhā waro. Inaianei, me titiro tātou me pēhea te tupu o tēnei. Tuatahi, me titiro tātou ki te ara iahiko pūnaha . Koinei te ara iahiko nui e haere ana i roto i tō tinana, mai i ō ringa ki ō waewae. 1. Ka wehe te toto ma, he pai te hāora, i te ngākau ka haere ki roto i ngā uaua. 2. Ka wehea ngā uaua ki ngā awa iti ake, e kiia nei ko ngā arteriole, ā, hei whakamutunga ki ngā capillaries. 3. I roto i ngā capillaries, ka tukuna e te toto te hāora ki ngā kiko o te tinana, ka tangohia ngā hua para me te hauhā waro mai i reira. 4. Inaianei he iti te hāora o te toto, he nui ngā hua para. Nō reira me "whakakī hinu" anō. 5. Ka kohia tēnei toto i roto i ngā venule, ā, mai i reira ka haere ki ngā uaua. 6. Ka whakahokia mai e ngā uaua tēnei toto kore-hāora ki te ngākau. Ka tomo tēnei toto ki te ngākau mā roto i ngā uaua nui e rua. Ko te vena cava o runga me te vena cava o raro . Āe, kua tae te toto ki te ngākau, kua oti te ara iahiko o te tinana. Muri iho, me neke atu tātou ki te ara iahiko pūkahukahu . 1. I roto i tēnei ara iahiko, ka haere te toto kore-hāora kua uru ki te ngākau ki ngā pūkahukahu. 2. I roto i ngā pūkahukahu, ka whakahokia te hāora ki te toto (pērā i te whakakīia anō). 3. Ka hoki te toto ma, he nui te hāora ki te ngākau mā roto i ngā uaua pūkahukahu . (Koinei anake te wā e kawe ana ngā uaua i te toto nui te hāora!) 4. Kātahi ka panaia e te ngākau tēnei toto ma ki roto i te ara iahiko pūnaha, ka tīmata he huringa hou. He tikanga whakamiharo tēnei? Ka tupu tonu ēnei mea katoa, kāore e mutu, i roto i ō tātou tinana.

He aha te āhua o ngā uaua? He aha i kikorangi ai te āhua?

He whatunga toto ō uaua e rere ana puta noa i tō tinana. He rite tonu ki te waea i roto i te rorohiko, ki ngā manga rānei o te rākau e hurihia ana. I roto i ō waewae, he rite ki ngā manga nui e rua e peka ana ki ngā manga iti. He tokomaha e whakaaro ana he kikorangi ngā uaua nā te mea he kikorangi te āhua i raro i tō tātou kiri. Engari ehara tēnā i te pono. Koinei tonu te tirohanga a ō tātou kanohi.

He whero pouri te toto i roto i ngā uaua. He paku pouri ake i te toto i roto i ngā uaua, nā te mea he iti ake te hāora o te toto i roto i ngā uaua. Ko te take e ahua kikorangi ai i raro i tō tātou kiri nā te āhua o te mimiti o te māramatanga e tō tātou kiri. He whero tonu te toto, i roto i ngā uaua me ngā uaua.

He aha ngā mea e hangaia ai ngā uaua?

E toru ngā paparanga matua o te kiko e hangaia ana i ia uaua:

• Tunica adventitia: Koinei te paparanga o waho rawa. Mā tēnei ka hoatu te āhua me te hanganga ki te uaua.
• Tunica media: Koinei te paparanga o waenganui. Kei roto ngā pūtau uaua maeneene. Ka āwhina tēnei paparanga i te uaua kia whānui, kia whakawhāiti hoki i te rere o te toto.
• Tunica intima: Koinei te paparanga maeneene o roto rawa. Kei roto he momo pūtau motuhake e kiia nei ko ngā pūtau endothelial . Mā ēnei pūtau ka rere te toto i roto i te oko toto me te kore he aukati.

E toru ngā paparanga o ngā uaua toto, engari he rerekē ngā uaua toto i ētahi āhuatanga.

• Ngā takirere kotahi-ara: Ko ētahi uaua, inā koa ko ērā i roto i ngā waewae, he takirere e tuku ana i te toto kia rere i te taha kotahi anake . Mā ēnei takirere ka pupuri te toto kia rere tika ki te ngākau , ā, ka ārai i te rere whakamuri. Ina pakaru ēnei takirere, ka taea e te toto te rere whakamuri, ka puta ai ngā āhuatanga pēnei i ngā uaua varicose .
• Te matotoru o ngā pakitara: He angiangi ake ngā pakitara o ngā uaua i ngā pakitara o ngā uaua toto, ā, he iti ake hoki ō rātou uaua. Nā te mea he iti iho te pēhanga o te toto i roto i ngā uaua toto i ō roto i ngā uaua toto. Nō reira, kāore e hiahiatia kia matotoru rawa hei tu atu i taua pēhanga.

He aha ngā momo matua o ngā uaua?

E toru ngā momo uaua e āwhina ana i tā tātou pūnaha tohanga toto kia mahi tika: 1. Ngā uaua hōhonu: Kei roto i ō tātou uaua ēnei, kei roto hoki i ō tātou wheua. Ko ēnei uaua hōhonu te mahi nui rawa atu o te whakahoki mai i te toto kore-hāora ki te ngākau. Tata ki te 90% o te toto e haere ana ki te ngākau, inā koa mai i ō waewae, ka haere mā roto i ēnei uaua hōhonu. Kei roto i ēnei ngā takirere i kōrerotia e au i mua ake nei e tuku ana i te toto kia rere i te taha kotahi anake. 2. Ngā uaua o waho: He iti ake ēnei i ngā uaua hōhonu. Pērā i ngā uaua hōhonu, he takirere anō hoki ō rātou. Engari kāore i te karapotia e te uaua pērā i ngā uaua hōhonu. Engari, kei raro noa iho i te kiri. Koia koe ka kite ngāwari ai. Koinei ngā uaua kikorangi e kitea ana e koe i raro i te kiri o ō ringaringa me ō waewae. Ka kohia e ēnei uaua o waho te toto mai i ngā kiko e tata ana ki te kiri ka tukuna ki ngā uaua hōhonu (mā roto i ngā uaua hono motuhake). Engari ka puhoi te rere o tēnei toto, nā te mea kāore e pēhia e ngā uaua e karapoti ana. Ko te uaua nui rawa atu i roto i tō tātou tinana he uaua o waho. Ka kiia ko te uaua saphenous nui . Ka rere mai i tō pona ki tō huha i ia waewae. 3. Ngā uaua poka: Ka kiia ēnei he uaua poka. He uaua poto rawa ēnei. Ka tangohia te toto mai i ngā uaua o waho, ka hono atu ki ngā uaua hohonu. He takirere anō hoki ō ēnei uaua poka. Ina kōpiri ō uaua kuao kau, ka kati ēnei takirere. Kātahi ka mutu te rere o te toto mai i ngā uaua hohonu ki roto i ngā uaua o waho.

Me pēhea te rere o te toto i roto i ngā uaua? Kāore i te rawaka te pupuhi o te ngākau?

Ahakoa e pupuhi ana te ngākau i te toto, ka uru ki roto i ngā uaua toto. Hei whakahoki i te toto i roto i ngā uaua toto ki te ngākau, me āwhina te kaha o waho.

• Te āhua o tō manawa: Ina manawa koe, ka whānui ō pūkahukahu, ā, ka neke ake, ka heke iho hoki tō diaphragm . Ka hangaia he kaha momi e āwhina ana ki te pana i te toto rawakore hāora i roto i ō uaua ki tō ngākau.
• Te nekehanga o ngā uaua: Ina koa ko ngā uaua o ō waewae! I mōhio koe ka āwhina ngā uaua o ō waewae ki te pupuhi toto ki runga i te ātete ki te kaha ā-papa, koia te take i huaina ai ngā uaua o ō waewae ko tō "ngākau tuarua".

He aha tēnei "ngākau tuarua"?

Kāore pea koe e mōhio, engari ko ngā uaua o tō waewae o raro, inā koa ko ngā uaua o tō hope, he rite ki te papu kaha. Ka panaia e rātou ngā uaua hohonu o tō waewae o raro. Ka tīmata te mahi a tēnei "ngākau tuarua" (ngākau taha) i ia wā ka hikoi koe.

• Ina takahia tō waewae ki te whenua, ka pēhia ngā uaua hōhonu o ō waewae o raro e te taumaha o tō tinana. Kātahi ka panaia te toto i roto i aua uaua ki runga, ki te rohe o te hope.
• Kātahi ka hiki ake ō rekereke , ka kikī ngā uaua o tō kuao kau, ka pēhi i ngā uaua hohonu o reira. Kātahi ka neke te toto ki runga, ki ngā huha.

Mā tēnei pūnaha whakamiharo ka taea e te toto i roto i ō waewae te ara ake ki te ātete ki te kaha ā-papa, ka hoki atu ki tō ngākau.

He rerekē tēnei ngākau tuarua i te ngākau i roto i tō uma, ka tīmata noa te pupuhi o tēnei ngākau tuarua ina neke ō waewae. Ā, ka rerekē te tere o tana pupuhi i runga i te tere o tō nekehanga i ō waewae. Ina oma koe, ka tere ake te pupuhi o ō uaua i te toto i tō hikoi.

Heoi, ko tēnei ngākau tuarua te mea e āhei ai te toto ki te rere puta noa i tō tinana, kia mau tonu ai te hāora me ngā matūkai ki ō whekau me ō kiko, kia tika ai te mahi.

He aha ngā mate e pā ana ki ngā uaua toto?

He maha ngā mate ka pā mai ina kore e mahi tika ngā uaua. Ko ētahi o ēnei:

• Te toto toto totoka o te mata : Koinei te wā e puta ai he toto totoka i roto i te uaua i raro i te kiri. Kāore tēnei toto totoka e haere ki ngā pukahukahu i te nuinga o te wā. Heoi, ka taea pea tēnei mēnā ka haere te toto totoka ki te uaua hohonu.
• Te Thrombosis Utauta Hōhonu ( DVT ): He mate kino tēnei.Ko te DVT te hanganga o ngā toto totoka (thrombi) i roto i ngā uaua hohonu. Ko te nuinga o te wā ka puta tēnei i ngā waewae, i te hope rānei. Ki te pakaru mai tēnei toto totoka i te uaua ka haere tahi me te toto ki ngā pukahukahu, ka puta he mate morearea e kiia nei ko te pulmonary embolism .
• Ngā uaua varicose: He uaua ēnei e ahua pupuhi ana, e piko ana. Ahakoa kāore pea e pā kino nui, ka taea e rātou te arahi ki ngā raruraru nui, pērā i te toto totoka.
• Te ngoikore o ngā uaua mau tonu: Ina pakaru ngā takirere o ō waewae e pupuri ana i te rere o te toto i te taha kotahi, kāore e taea e rātou te pana tika i te toto ki tō ngākau. He maha ngā wā ka puta tēnei i te DVT.

He aha ngā tohu e tohu ana i te raru o ngā uaua?

Ka rerekē pea ngā tohu i runga i tō āhua. Ko ngā tohu noa ko:

• Te pupuhi (edema) o ngā waewae, ngā pona waewae, me ngā kapu waewae, inā koa i muri i te tū roa.
• Mamae, ngawari rānei ina pāngia.
• Te ngenge , te mamae, me te ngoikore o ngā waewae.
• Ka rite te kiri o ngā waewae ki te hiako.
• He kiri maroke, he kiri pakarukaru o ngā waewae, o ngā kapu rānei o ngā waewae, he mākūkū rānei.

Mena kei a koe tētahi o ēnei tohu, ki te kite rānei koe i ētahi uaua he papura, he pupuhi rānei kāore i pā ki a koe i mua, me toro atu ki te tākuta tonu. He maha ngā mate uaua ka taea te rongoā pai mena ka kitea wawetia. He mea tino nui kia kitea he mate pēnei i te DVT i mua i te huri hei embolism pūkahukahu.

He aha ngā whakamātautau e mahia ana hei tirotiro i te hauora o ngā uaua?

Ka kōrero tō tākuta mō tō hītori hauora, ā, ka whakahaere i tētahi whakamātautau tinana. Tērā pea ka tonoa e rātou he whakamātautau Doppler ultrasound me ngā whakamātautau toto hei tirotiro i ngā mate pēnei i te DVT.

He aha ngā maimoatanga mō ngā raruraru uaua?

Ko te maimoatanga mō ngā mate uaua ko te whakaiti i te mōrearea o ngā toto totoka, te whakarewa i ngā toto totoka o nāianei, me te whakaiti i ngā tohu.

• Ngā rongoā ārai toto toto: He mea noa ēnei hei rongoā i te DVT me te ārai i te pulmonary embolism. Hei tauira, ko te warfarin, te rivaroxaban, me te apixaban. Ka whakamātauhia e tō tākuta ō toto kia kitea ai te pai o te mahi a te rongoā, ā, ka whakatikatikaina te horopeta kia rite. Ka whakaitihia te horopeta i ngā wā katoa e taea ai hei whakaiti i te mōrearea o te toto.
• Ngā rongoā whakarewa toto totoka: Kāore ēnei e whakamahia noa. Ka tino whai hua mēnā ka hoatu i roto i ngā haora 48 o te hanganga o te toto totoka.
• Ngā tikanga pokanga :He onge te mahi i ēnei, engari mō te hunga kāore e taea te tango i ngā rongoā whakaiti toto, he kōwhiringa pai pea te whakauru i tētahi tātari vena cava .

Tērā atu anō ngā mea ka taea e koe te mahi i te kāinga. Tērā pea ka kī atu tō tākuta kia mau koe i ngā tōkena pēhi . Ka āwhina ēnei ki te whakapai ake i te rere o te toto i roto i ō waewae. He rerekē te nui o te pēhanga e tukuna ana e ngā momo tōkena rerekē. Ka taea e tō tākuta te āwhina i a koe ki te whiriwhiri i te takirua tika māu. He tikanga maimoatanga neke atu i te 2,000 tau te pakeke o te rongoā pēhi!

He aha taku e taea ai kia ora tonu ai ōku uaua?

He maha ngā mea ka taea e koe te mahi hei pupuri i te hauora o ō uaua. Mena kei a koe ngā raruraru uaua, kei a koe rānei ētahi āhuatanga mōrearea, he mea nui kia mahia ēnei mea:

• Kaua e noho roa i te tūnga kotahi. Ki te noho koe mō te nuinga o te rā, whakatika, ka hikoi haere mō te rua ki te toru meneti i ia hāora. I a koe e noho ana, hiki ake ō waewae, ka piko ō pona waewae. Mā te neke haere o ō waewae, ka nui ake te whakawhanuitanga o ō uaua i ngā uaua, ka panaia hoki te toto ki tō ngākau.
• Kia mau tonu te akuaku o ō waewae hei ārai i ngā mate. Ko te tikanga o tēnei me pupuri ō waewae kia ma, kia maroke hoki. Ka taea hoki e koe te whakamahi i te hinu whakamakuku hei ārai i te pakaru me te toto.
• Kōrero ki tō tākuta kia mōhio ai koe mēnā he pai ngā rongoā whakaiti toto māu. Me kōrero anō hoki ki tō tākuta mēnā he rerekētanga kei roto i ō tohumate.

Ahakoa kāore he raruraru uaua ōu, ka taea e koe te mahi i ēnei mahi māmā i ia rā hei pupuri i te hauora o ō uaua:

• Whakatika, nekeneke haere i ngā wā katoa e taea ana i te roanga o te rā, kia mau tonu hoki te nekeneke o tō tinana. Mā tēnei ka pai ake te rere o te toto.
• Haere ki te hikoi (kia rima ngā rā o te wiki, kia 30 meneti pea te iti rawa).
• Kai i ngā kai hauora mō te ngākau, ā, ka taea e koe te pupuri i tō taumaha hauora.
• Ina haere koe i ngā tawhiti roa mā runga motuka, mā runga waka rererangi rānei, whakatika ake i muri i tētahi wā, hikoi haereere, ka totoro i tō tinana.
• Ki te kite koe i ētahi tohu o te raruraru uaua, ahakoa he iti noa te āhua, me toro atu ki te tākuta tonu. Mā te tautuhi wawe i ngā raruraru ka āwhina i te ārai i te kino haere.

Karere Tangohia ki te Kāinga

He maha ngā wā kāore tātou e whakaaro ki te kaha o te mahi a ō tātou ngākau me ngā oko toto i a tātou e noho noa ana, koia rā? Kia noho ora ai koe, me mahi tonu tō pūnaha tohanga toto. Koia te mea nui kia tiakina tō tinana i roto i tētahi huarahi e āwhina ana i te rere o tō toto kia maeneene, kia pai hoki.

He wāhanga nui, he wāhanga tino hira hoki ngā uaua o tō pūnaha tohanga toto. I te taha o te ngākau, ngā uaua toto, me ngā kapitiora, ka mahi ngā uaua i ia rā ki te kawe i ō toto puta noa i tō tinana.

I a koe e haere roa ana, kaua e wareware ki te whakatika me te neke haere i ngā wā katoa e taea ana. Ahakoa te hiki noa i ō waewae me te piko i ō pona waewae ka taea te āwhina i ngā uaua o ō waewae ki te whakahoki i te toto ki tō ngākau. Ki te whakaaro koe he raruraru uaua tōu, me toro atu ki te tākuta tonu, me te kōrero mō ō tohumate. He maha ngā raruraru uaua ka taea te rongoā mēnā ka kitea wawe!