Kua rongo kē koe i tētahi ' taote pokanga toto '? Tērā pea he āhua rerekē te ingoa ki a koe, kāore rānei koe i te tino mōhio ko wai rātou. Engari he rōpū tākuta motuhake ēnei e whai wāhi nui ana ki te whakaora i ngā mate e pā ana ki te pūnaha toto i roto i tō tātou tinana. Nō reira, i tēnei rā ka kōrero tātou mō ēnei tāngata, ā, he aha tonu tā rātou mahi, me te aha ka puta mēnā ka tūtaki koe ki tētahi tākuta pēnei, he tino māmā noa iho.
Ko wai tēnei taote pokanga toto?
I te whakarapopototanga, he tākuta te taote pokanga toto e tātaritanga ana, e rongoā ana hoki i ngā mate e pā ana ki ngā oko toto i roto i tō tinana, engari ko ngā oko toto i roto i tō ngākau me tō roro. Whakaarohia, he whatunga oko toto kei roto i ō tātou tinana, e 60,000 maero te roa, arā, 96,000 kiromita te roa! Kei roto i ēnei ko ngā uaua toto - ngā oko toto e kawe ana i te toto mai i te ngākau ki te toenga o te tinana, ngā uaua toto - ngā oko toto e kawe ana i te toto mai i te tinana ki te ngākau, me ngā oko toto lymphatic - ngā oko toto e kawe ana i te wai lymph, e āwhina ana i te pūnaha ārai mate o te tinana.
Nō reira, ko ēnei taote pokanga toto ngā tohunga e mōhio hohonu ana ki ēnei oko toto katoa, me pēhea te mahi, me ngā mate ka pā ki roto. Mena he raruraru kei roto i ō oko toto, ka taea e ēnei tāngata te āwhina i a koe ki te whakahaere me te pupuri i tō hauora.
Tērā pea ka tūtaki koe ki tētahi o ēnei tākuta i roto i tō rātou tari, i roto rānei i te hōhipera, ahakoa me pokanga koe. He tino pūkenga ēnei tāngata ki te whakaoti rapanga hauora nui me te mahi me ngā hanganga uaua. Inaa, i ētahi wā ka kiia rātou ko te " taonga pokanga". Ko te tikanga tēnei, ki te pāngia koe e te toto ohorere, e te aukati rānei o ngā oko toto i roto i ētahi atu pokanga, ko ēnei taonga pokanga toto te hunga e haere mai ana ki te āwhina.
He aha te mahi a ēnei tākuta?
Āe, he aha rawa te mahi a te taote pokanga toto? Kia titiro tātou.
Ka rongoā ēnei tāngata i ngā tāngata e pāngia ana e ngā mate e pā ana ki ngā oko toto katoa, ehara i te mea ko tō ngākau, ko tō roro rānei anake.
- Ka aromatawaihia e rātou tō tuponotanga ki te whakawhanake i ngā raruraru o ngā oko toto .
- Te tautuhi i ngā mate.
- Kātahi ka hangaia he mahere maimoatanga e tika ana mōu.
Kei roto pea i tēnei mahere maimoatanga ngā rongoā me ngā huringa ki ō tikanga o ia rā – hei tauira, te whakakori tinana me te tupato ki tāu e kai ana, e inu ana hoki.
I ētahi wā ka taea e ēnei tākuta te āwhina ki te whakaora i tō peka , i ētahi wā ko tō ora . Ka taea e rātou te ārai i ngā āhuatanga pēnei i te whiu , te aukati i te pakaru o te aneurysm , me te whakamamae i te mamae i puta mai i ngā uaua kua āraia.
Hei tāpiri atu ki tēnā, ka mahia ngā momo tikanga me ngā pokanga hei rongoā i ngā mate o ngā oko toto. Kei roto i ēnei ko ngā maimoatanga iti rawa te whakaekenga , pērā i te whakamahi i te catheter, mā roto i ngā tapahi iti, tae atu ki ngā pokanga tuwhera uaua, e uru ana ngā tapahi nunui. I ētahi wā, ka whakahaerehia hoki e rātou ngā maimoatanga ranu e whakakotahi ana i ngā painga o ngā tikanga e rua.
Ko te mea nui, ka mōhio te taote pokanga toto ki a koe hei tangata takitahi, ā, ka tautoko i a koe mō te wā roa . Nā te mea he maha ngā wā ka roa te wā e hiahiatia ana te tiaki mō ngā tau. He maha ngā tāngata he raruraru toto kei a rātou anō ētahi atu raruraru hauora. Nō reira, ka uaua ake ā rātou mahere maimoatanga. I roto i ēnei āhuatanga, ka mahi tahi ngā taote pokanga toto me ētahi atu tohunga ki te whakarite i tō tiaki.
He aha ngā momo mate e rongoāhia ana e ēnei tāngata?
Nā, me titiro tātou ki ngā mate matua e rongoatia ana e ngā taote pokanga toto. Tērā pea he roa rawa tēnei rārangi, nā te mea he whānuitanga o ngā mate e rongoatia ana e rātou:
- Ngā aneurysms aortic - He pupuhi tēnei i te pakitara o tō aorta.
- Atherosclerosis - Koinei te momo atherosclerosis tino noa. Koinei te wā e pupū ake ai ngā putunga ngako i roto i ngā uaua, ka whakawhāiti i ngā oko toto.
- Ngā mate pūnaha ārai mate o ngā oko toto - arā, ngā mate e whakaekea ai e te pūnaha ārai mate ngā pūtau o te tinana.
- Ngā pūtoto toto - Ka puta ēnei i roto i ngā uaua toto, i ngā uaua rānei.
- Te mate o te uaua carotid - He aukati, he whaiti rānei tēnei o tētahi uaua nui i te kaki e tuku toto ana ki te roro.
- Mate pūkahukahu roro - he mate e pā ana ki ngā oko toto e tuku toto ana ki te roro.
- Ko te ischemia mau tonu e morearea ana ki te ora o te peka he mate morearea e puta mai ana i te ngoikore o te rere o te toto ki te peka.
- Te ngoikore mau tonu o ngā uaua i puta mai i te kino o ngā uaua i ngā waewae.
- Te toto toto o te uaua hōhonu (DVT) .
- Dialysis(Te Whakamahere me te Tiaki i te Wāhi Tātaritanga - He mea tika tēnei mā te hunga e pāngia ana e te ngoikore o te whatukuhu.
- Ngā mate pukupuku waewae e pā ana ki te mate huka .
- Te turuturu o te toto (te turuturu o te toto mai i te wāhi hē) whai muri i te maimoatanga iti rawa te whakaekenga mō te aneurysm.
- He āhuatanga i puta mai i te pēhanga o te uaua i roto i te puku (Median arcuate ligament syndrome - MALS) .
- Te whakahekenga o te rere o te toto ki ngā whekau (Mesenteric ischemia) .
- Te pēhanga o te uaua puku (Nutcracker syndrome) .
- Te pēhanga o ngā uaua toto me ngā io i te kaki me ngā ringa (Thoracic outlet syndrome) .
- Te whaiti o ngā uaua toto i ngā waewae (Te mate uaua toto peripheral - PAD) .
- Ngā aneurysms o te uaua taha me ngā uaua .
- Te mate mauhere o te uaua popliteal .
- Te pēhanga o te uaua i roto i te hope (te mate May-Thurner) .
- Te whiu - I ētahi wā ka puta tēnei i te aukati i roto i te uaua toto.
- Te totohu o roto o te uaua .
- Ngā uaua varicose .
Ina tirohia tēnei rārangi, ka kitea te whānuitanga o ngā mate e rongoatia ana e ēnei tākuta. Ko ēnei mate katoa i puta mai i tētahi raruraru o te pūnaha toto.
He aha ngā whakamātautau e whakamahia ana hei tautuhi i te mate?
He maha ngā momo whakamātautau e whakamahia ana e ngā taote pokanga toto me ā rātou tīma hei tātaritanga i ngā raruraru o ngā oko toto. Anei ētahi o aua whakamātautau:
- Taupū pona/taupū roro (ABI) - He whakamātautau māmā tēnei e whakataurite ana i te nui o te toto e rere ana ki ngā waewae ki te pēhanga toto i roto i te ringa.
- X-ray o te uma - He mea nui pea tēnei mō ētahi raruraru o ngā uaua toto.
- CT angiogram - He matawai CT motuhake tēnei ka taea te tango pikitia taipitopito, toru-ahu (3D) o ngā uaua toto.
- Angiogram aukume aukume (MRA) - He momo matawai anō tēnei hei tirotiro i ngā oko toto. Ka whakamahia he mīhini MRI.
- Te ine i te toto i roto i ngā oko toto me te ine i te toto i roto i ngā oko toto (Doppler ultrasound ) - Ka whakamahia ngā ngaru oro hei tirotiro i te rere o te toto i roto i ngā oko toto, me te kite mēnā he ārai kei roto i ngā oko toto. He whakamātautau haumaru, kāore he mamae.
Mā ēnei whakamātautau ka āwhina i ngā tākuta kia kitea ai te raru tuturu o ō uaua toto.
He aha ngā momo pokanga/maimoatanga e mahia ana e ēnei tāngata?
He kaha ngā taote pokanga toto ki te mahi i ngā momo maimoatanga me ngā pokanga. Ka mahia katoatia ēnei e rātou i runga i tō āhua, me te whiriwhiri i te tikanga e tika ana mōu. Anei ētahi o aua tikanga:
- Te pokanga mō ngā aneurysms arterial(Pokanga aneurysm) - Ka taea ēnei te whakamahi hei pokanga tuwhera tuku iho.
- Angioplasty - He tikanga hei tango i te paraka, i ngā toto totoka rānei i roto i te uaua toto, i te uaua rānei, hei whakatuwhera i te oko toto mā te pupuhi i te poihau. I ētahi wā ka whakauruhia he stent , he ngongo mata iti, hei pupuri i te oko toto kia tuwhera.
- Atherectomy - Te tango i ngā putunga ngako (pēka) mai i ngā oko toto me te iti noa o te whakaekenga.
- Endarterectomy - Ko tētahi atu tikanga pokanga mō te tango i ngā putunga ngako mai i ngā oko toto (hei tauira, carotid endarterectomy).
- Te whakatikatika endovascular o ngā aneurysms aorta puku, uma me te thoracoabdominal (EVAR, TEVAR) - He maimoatanga tēnei e whakauru ana i tētahi catheter mā roto i tētahi tapahi iti i te hope, ka haere mā roto i tētahi ngongo, me te kore e hanga i tētahi tapahi nui.
- Te pokanga karo mō ngā aukati i roto i ngā uaua nui me ngā uaua i roto i ngā peka - te karo i te aukati me te waihanga i tētahi ara hou mā te whakamahi i tētahi wahi uaua i tangohia mai i tētahi atu wāhanga o te tinana, i tētahi ngongo horihori rānei.
- Te pokanga mauhere popliteal .
- Te whakaurunga o te stent ki roto i ngā oko toto.
- Te whakatakotoranga o te tātari vena cava - He tātari iti e whakatakotoria ana ki roto i te uaua nui hei ārai i te rere o ngā toto totoka e puta ana i roto i ngā waewae ki te ngākau, ki ngā pukahukahu rānei.
- Te whakaora toto i roto i ngā uaua toto o te kaki (TCAR) hei whakapai ake i te rere o te toto i roto i ngā uaua toto o te kaki.
- Te pokanga putanga o te uma hei whakatika i te pēhanga o ngā oko toto me ngā io i te kaki me ngā ringa.
- Te whakarite me te tiaki i ngā ara urunga (hei tauira, te fistula, te graft) mō te dialysis .
- Ko te thrombectomy te tango i ngā toto totoka mai i ngā uaua toto, i ngā uaua rānei.
- Te hoatu rongoā hei whakarewa i ngā toto totoka (whakaora thrombolytic - te whakakore i ngā toto totoka) .
- He pokanga tuwhera hei whakatika i te mate o te median arcuate ligament syndrome .
- He pokanga tuwhera hei whakatika i te kōpae herniated (Nutcracker syndrome) .
- Te tango i ngā uaua ngoikore i roto i te uaua endovascular - He maimoatanga tēnei mō ngā uaua ngoikore, turuturu i roto i ngā waewae mā te whakamahi i ngā taiaho, i ngā ngaru auau irirangi rānei.
He aha koe i tukuna ai ki tētahi taote pokanga toto?
Tērā pea ka tukuna koe e tō kaiwhakarato tiaki tuatahi ki tētahi taote pokanga toto mēnā he mate tōu e kore ai e mahi tika ō oko toto. Whakaarohia, ka haria e ngā oko toto hauora te toto ki ngā wāhanga katoa o tō tinana. Nō reira, ki te pakaru tētahi oko toto, ka pā ki te tinana katoa. Koia te take he tino nui te mahi a ngā taote pokanga toto ki te kimi i te he me te whakatika.
I te nuinga o te wā, ka tūtaki tuatahi te tangata ki tētahi taote pokanga toto ina hiahia rātou ki tēnei momo tiaki motuhake. Heoi, i ētahi wā, pērā i te wā ohorere hauora, ka tūtaki pea koe ki tētahi i te kore e tūmanakohia.
He ahua whakamataku te kupu 'taote pokanga'. Kāore te nuinga o te tangata e mōhio he aha te taote pokanga toto tae noa ki te wā e hiahiatia ana. Engari i roto i te ao tūturu, he nui atu ngā mahi a ēnei taote i te mahi pokanga noa iho. He maha ngā raruraru ka rongoatia e rātou mā te rongoā, te whakarerekētanga o te momo noho, me ngā tikanga iti rawa te whakaekenga.
Heoi, ki te mea ka pokangahia koe, me haere tonu koe ki te toro atu ki tēnei tākuta hei aroturuki i tō āhua i muri mai. Kātahi ka taea e kōrua ko te tākuta te mahi tahi ki te aroturuki i ngā raruraru hou ka puta ake.
Mena kua tukuna koe e tō tākuta ki tētahi taote pokanga toto, tera pea he maha āu pātai. 'He aha ahau me toro atu ai ki tēnei tākuta?', 'He aha te mea ka tupu i muri mai?', 'Me pokanga ahau?' Kia maumahara nā te mea he maha ngā momo mate e rongoatia ana e ngā taote pokanga toto, ā, he maha hoki ā rātou whiringa maimoatanga, kāore pea koe e hiahia ki te pokanga. Heoi, ki te hiahiatia he pokanga, ka whakamāramahia e tō tākuta te take me te aha tonu ka tupu. Kōrerohia ō pātai, ō āwangawanga rānei ki a rātou. Pērā ai, ka taea e koe te whiwhi i te tiaki e tika ana māu, mai i te tātaritanga ki te whakaoranga.
Kia mahara ki te wā poto.
Āe, kia maumahara poto tātou ki ētahi mea nui māu mai i ngā mea kua kōrerohia e tātou:
- He tohunga te taote pokanga toto e rongoā ana i ngā mate o ngā oko toto katoa engari ko tō ngākau me tō roro.
- Kāore ēnei tāngata e mahi pokanga noa iho. He maha ngā mea e whakamahia ana e rātou pērā i te rongoā, te whakarerekētanga o te momo noho, me ngā maimoatanga iti.
- Ki te whakaaro koe he raruraru tōu i roto i ngā oko toto , ki te tohutoro rānei tō tākuta i a koe ki tētahi tohunga pērā, kaua e mataku.
- Akohia tō āhua me tō maimoatanga. He mea tino nui kia kōrero noa koe ki tō tākuta.
- He mea tino nui te hauora o ngā oko toto mō te hauora o te tinana katoa , nō reira he mea tika kia tiakina.
Nō reira, ko tāku tumanako kua mārama ake koe ki ngā taote pokanga toto. Mena he pātai āu mō tēnei, kaua e mangere ki te kōrero ki te tākuta!
` Taonga Taote Toto, Ngā Mate Toto, Ngā Uaua, Ngā Uaua, Te Pokanga, Te Rere Toto











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