I whakanohoia e te tākuta te stethoscope ki tō kaki, ā, i kī atu ia i rongo koe i tētahi oro rerekē? Me kōrero tāua mō tēnei (Carotid Bruit)!

Kua kite koe i tētahi tākuta e whakarongo ana ki a koe me te stethoscope i ia taha o tō kaki? I a koe e whakarongo ana, ka rongo pea te tākuta i tētahi tangi "whooshing" mai i ngā uaua toto i roto i tō kaki , i tētahi tangi rānei pērā i te wai e rere ana i roto i aua uaua. Koinei te mea e kiia nei e mātou he "Carotid Bruit" (e kīia ana ko "carotid bruee"). Ehara tēnei i te mea hei wehi, engari he mea nui kia mōhio koe ki tēnei.

He aha tēnei oro rerekē e kiia nei ko te `(Carotid Bruit)`?

Ki te whakarapopoto, ko te `(Carotid Bruit)` he oro rerekē, he haruru e puta ana ina rere te toto i roto i tētahi, i ētahi rānei o ngā uaua toto matua o tō kaki, arā, te `(Carotid Artery)`. Whakaarohia, pērā i te awa marino e pā ohorere ana ki te toka, ā, ka tīmata te rere haruru. Koinei te ingoa o te `(Turbulent Flow)` ina rere te toto i roto i ngā uaua, kaua i te rere mārie me te kotahi te ara, engari i roto i te ahua pōrearea me te haruru . Ko ēnei uaua toto `(Carotid Artery)` ngā mea e kawe mai ana i te hāora me ngā matūkai e hiahiatia ana e tō roro . Nō reira, ki te mea he raruraru kei roto i ēnei uaua, ka pā ki te mahi a tō tātou roro.

Tērā pea ka rongo te tākuta i tēnei tangi `(Carotid Bruit)` i a koe e tirotirohia ana e te tākuta. Ko te rongonga i tēnei tangi he tohu pea kua whaiti tō `(Carotid Artery)` nā ngā putunga ngako (e kiia ana hoki tēnei ko `(Plaque)`) . Heoi, i ētahi wā ka rongo anō te hunga hauora he `(Carotid Artery)` tēnei tangi. Waihoki, kāore pea ētahi e rongo i tēnei tangi ahakoa he tino whaiti ō rātou uaua toto. Nō reira, ka whakamahia e te tākuta tēnei tohu `(Carotid Bruit)` hei wāhanga iti noa iho o tētahi panga nui ake. Arā, ko te rongonga i tēnei tangi anake ehara i te mea ka whakatau he mate kino tōu, he āwhina noa iho ki te whakatau mēnā me whai whakamātautau me te maimoatanga anō.

He aha te tangi o te `(Carotid Bruit)`?

He rite tēnei tangi `(Carotid Bruit)` ki te tangi o te awa e tere ana te rere , he tangi pērā i te "hush hush". Kāore e taea e koe te rongo i tēnei ko koe anake. Ka taea anake e koe te rongo i tēnei tangi ina pēhi mārire te tākuta i tana stethoscope (te taputapu e mau ana i tō uma, i tō tuara rānei) ki ngā wāhanga rerekē o tō kaki, ā, ka whakarongo. Tērā pea ka tono te tākuta kia manawa koe, ka pupuri mō tētahi wā. Arā, kia mārama te whakarongo ki te tangi o te toto e rere ana.

Ki te rongo te tākuta i tētahi "Carotid Bruit" pēnei, māna e whakamārama ki a koe, he aha te tikanga, me te mea me whai whakamātautau anō koe. Nō reira, kaua e manukanuka, kei te pai?

He aha te take e puta ai tēnei tangi i roto i te `(Carotid Artery)`? He aha ngā take?

Ko te tino take o tēnei "Carotid Bruit" he mate e kiia nei ko te "Atherosclerosis" .

Ko te atherosclerosis te hoariri matua!

He kupu hauora te kupu `( Atherosclerosis )`. Ki te whakarapopoto, ko tōna tikanga he matū ngako, arā, ko te `(Plaque)`, ka whakatakotoria ki roto i ngā uaua toto (ngā uaua toto) o tō tinana, ā, ka heke haere te wāhi mō te rere o te toto i roto i aua uaua toto (e kiia ana hoki ko `(Lumen)`). Whakaarohia i roto i te wā, ka nui haere te paru i roto i te paipa wai, ka ārai i te paipa, pērā anō hoki te nui haere o ēnei paparanga ngako `(Plaque)` i roto i ō tātou uaua toto, ka whakaiti i te wāhi mō te rere o te toto. Ka taea e tēnei `(Plaque)` te hanga i ngā toto totoka. Ka taea e tēnei toto totoka te aukati i te rere o te toto i te wāhi e hangaia ana, ka taea rānei te haere tahi me te toto, ka ārai i te uaua totoka i tētahi atu wāhi.

Nō reira, ina puta he paraka i roto i tō Carotid Artery, ā, ka whakawhāiti i te uaua, ka kiia tēnei he Carotid Artery Stenosis . Ko te rongonga i te Carotid Bruit he tohu pea kei a koe tēnei mate.

Kia maumahara, ko te `(Carotid Artery)` te mea e whāngai ana i te toto whai hāora ki tō tātou roro . Nō reira, ki te āraihia tēnei uaua e te `(Plaque)`, ka nui ake tō tūponotanga ki te pāngia e te `(Transient Ischemic Attack - TIA)` (e kiia ana hoki tēnei he motumotu wā poto o te tuku toto ki te roro, ko ētahi e kī ana he "mini stroke"), he `(Ischemic Stroke)` rānei (he pararutiki nā te aukati i te oko toto e whāngai ana i te roro). I ēnei āhuatanga e rua, ka whakaitihia, ka ngaro katoa rānei te rere o te toto ki te roro.

Koia te mea nui kia mōhio koe mēnā kei a koe te ` (Carotid artery stenosis) `, ā, mēnā kei a koe, te kaha o tōna kino. He tohu whakatūpato noa iho te `(Carotid Bruit)`, kāore e whakaatu tika ana i te nui o te `(Plaque)` kei a koe. Nō reira, e kore te tākuta e whakatau kei a koe te `(Carotid Artery Stenosis)` mā te `(Carotid Bruit)` noa iho, engari ka whakamahia hei taahiraa tuatahi ki te tirotiro atu.

Tērā pea he take kē atu anō?

Ahakoa ko te hanga papaka te tino take o te pupuhi carotid, ka taea hoki e ngā huringa o te hanganga o ngā oko toto te puta. Hei tauira, ko te hunga whai mate onge pēnei i te Fibromuscular Dysplasia (FMD) ka rongo pea i te pupuhi carotid. Ka arotakehia e tō tākuta tō hītori hauora hei whakatau i te take o tō pupuhi carotid.

He mea nui te pāngia e te `(Carotid Bruit)`?

He tohu ētahi o te "Carotid Bruit" mō tētahi raruraru nui.Ka taea pea tēnei, engari kāore i te tupu i ngā wā katoa. He rite tonu ki te rama whero e kī ana kei a koe pea te `(Carotid Artery Stenosis)`. Mena he kino rawa tō `(Stenosis)`, te whaiti rānei o te uaua, tera pea me rongoā koe hei whakaiti i tō tūponotanga ki te pāngia e te `(TIA)`, e te `(Stroke) rānei. Mā tō tākuta koe e kī atu mēnā he kino tō mate, ā, mēnā me rongoā koe. Nō reira kaua e mataku, whakarongo pai ki ngā kōrero a tō tākuta.

He mea noa te "Carotid Bruit"?

Āe, ko te rongonga i te `(Carotid Bruit)` ehara i te mea kei a koe tonu te `(Carotid Artery Stenosis)`. Ko ētahi tāngata he `(Carotid Bruit)` kāore pea he `(Plaque)` nui kei roto i ō rātou oko toto, ā, tera pea kei te hauora rātou. Ko ētahi tāngata he rerekē te hanganga o ō rātou oko toto, he mea noa pea, he mea rānei nā te āhua pēnei i te `(FMD)`. Koia te take ko te `(Carotid Bruit)` te taahiraa tuatahi noa iho i roto i te tukanga tātaritanga me te rongoā i ngā mate e pā ana ki te `(Carotid Artery)`.

Ki te mea te tākuta he "Carotid Bruit" kei reira, he aha te mea ka tupu i muri mai?

Ki te rongo tō tākuta i te "Carotid Bruit", he tohu pea tēnei kei te hē tetahi mea. Kātahi ka tonoa pea e te tākuta ētahi atu whakamātautau hei whakatau i te āhua tuturu o tō "Carotid Artery".

He aha ngā whakamātautau anō?

Ko te whakamātautau e tino whakamahia ana i tēnei wā ko te Carotid Duplex Ultrasound . He whakamātautau kore mamae tēnei, kāore e pokanoa. Ka taea e ia te tirotiro i te rere o te toto i roto i tō Carotid Artery, mēnā kua whaiti te uaua, ā, mēnā koinā, he pēhea tōna whaiti. He rite ki te matawai ultrasound e mahia ana mō ngā whaea hapū, engari ko tēnei ka mahia ki te kaki.

Ka pāngia anō hoki e ngā āhuatanga mōrearea?

Āe, ki te mea he `(Carotid Bruit)` tōu, ā, i te wā kotahi, kotahi, neke atu rānei ngā āhuatanga mōrearea mō te `(Carotid Artery Stenosis)`, ka tino whakahau te tākuta i tētahi whakamātautau pērā i te `(Carotid Duplex Ultrasound)` i whakahuatia i mua ake nei. Ko ēnei āhuatanga mōrearea ko:

• Mena kei a koe te mate uaua o te ngakau .
• Mena he mate huka tōu (Momo 1, Momo 2 rānei).
• Mena kua pāngia tetahi o te whānau e te whiu i mua.
• Mena he toto toto tiketike tōu .
• Mena he nui te cholesterol i roto i tō toto .
• Mena kua pakeke ake koe (neke atu i te 65 tau te pakeke, neke atu rānei i te 55 tau te pakeke mena he āhuatanga mōrearea anō kei reira).
• Te Mate o te Arorangi Peripheral, he mate e whaiti ai ngā oko toto i roto i ngā waewae, i ngā ringa rāneiMena kei reira.
• Te whakamahi tupeka me te hikareti .

Ka nui ake ēnei āhuatanga mōrearea kei a koe, ka nui ake tō tupono ki te whakawhanake i te "Carotid Artery Stenosis".

Waihoki, ki te mea kua whakaritea koe kia pokangahia tō ngākau pērā i te `(Coronary Artery Bypass Grafting - CABG)` , ka hiahia pea tō tākuta ki te tirotiro i te āhua o tō `(Carotid Artery)` i mua i te pokanga. Nā te mea ki te mea he `(Carotid Artery Stenosis)` tōu, he nui ake tō tūponotanga ki te pāngia e te `(Stroke)` i te wā, i muri rānei i ētahi pokanga ngākau. Ki te pērā, ka taea te rongoā i mua i te pokanga hei whakaiti i taua tūponotanga.

He aha te rongoā mō tēnei?

Ehara i te mea ko te katoa e pāngia ana e te `(Carotid Bruit)` e hiahiatia ana he maimoatanga. Heoi, me hiahia ētahi tāngata ki te maimoatanga hei whakaiti i tō rātou tūponotanga ki te pāngia e te `(TIA)` me te `(Stroke)` rānei. Ko te whāinga matua o te maimoatanga he whakapai ake i te rere o te toto i roto i tō `(Carotid Artery)`.

Whakahaerehia mā te rongoā

I te nuinga o te wā, inā koa kāore tō uaua carotid i tino whaiti, ko ngā rongoā te maimoatanga tuatahi. I runga i tō āhua, ka tūtohu pea tō tākuta i tētahi, i ētahi rānei o ngā rongoā e whai ake nei:

• Rongoā toto toto tiketike .
• Rongoā whakaheke cholesterol .
• I ētahi wā ka whakamahia ngā rongoā pēnei i te aspirin, e ārai ana i te toto e totohu ana.

He mea tino nui ngā huringa o te āhua noho!

Mā te whakarerekē i tō momo noho ka āwhina nui ki te whakahaere i te hanga o te paraka i roto i ō uaua toto. Kia mahara ki te whakamātau i ēnei mea:

• Āta karohia te momi hikareti me ngā hua tupeka katoa. He tino kino te tupeka mō ō uaua toto. Ka whakanui ake hoki i te tūponotanga o te maha o ngā mate, tae atu ki te mate manawa. Ki te hiahia āwhina koe ki te whakamutu momi hikareti, pātai atu ki tō tākuta, he maha ngā huarahi hei mahi i tēnā.
• Kai i ngā kai hauora mō te ngākau . Ko te tikanga tēnei kia iti ake te kai i te ngako kukū, te konutai, me te huka. Whakakapia te mīti whero ki ngā mīti kikokore pērā i te heihei, te tāki, me te ika. Kai atu i ngā huawhenua, ngā hua rākau, ngā pīni, me ngā nati.
• Whakakorikori tinana i ngā wā katoa . Kaua e tīmata nui rawa i te wā kotahi. Tīmata iti, kia 150 meneti pea te roa o te whakakorikori tinana kaha-waenga ia wiki. He mea pai kia pātai atu ki tō tākuta he aha te mea tika, he mea haumaru hoki māu i mua i te tīmatanga o tētahi mahere whakakorikori tinana hou.

Pokanga, ētahi atu tikanga rānei

Mena he kino rawa atu tō "Carotid Artery Stenosis", me mahi pea koe i tētahi pokanga, i ētahi atu tikanga motuhake rānei. Ko ētahi o ēnei ko:

• `(Te tango i te uaua o te carotid)`He pokanga tēnei. Kei roto i tēnei ko te whakatuwhera i te `(Carotid Artery)` me te tango i te `(Plaque)` kua hangai ki roto.
• `(Carotid Angioplasty and Stenting)` : I tēnei, ka whakauruhia he taputapu iti rite ki te poihau ki roto i te `(Carotid Artery)` kua whaiti, ā, ka pupuhihia hei whakawhānui i te uaua. Kātahi ka whakanohoia he ngongo mata iti e kiia nei ko te `(Stent)` ki roto i te uaua hei ārai i tōna whaiti anō.

Engari kia maumahara, ehara i te mea ko te katoa he "Carotid Bruit" he toto totoka, ā, me rongoā. Kōrero ki tō tākuta kia mōhio ai koe ki te pānga o tō "Carotid Bruit" ki a koe.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Ki te kī atu tō tākuta kei a koe te "(Carotid Bruit)", kaua e mataku, kaua hoki e mataku . Ehara i te mea kei roto koe i te mōrearea nui. He tohu noa iho tēnei e whakamahia ana e te tākuta hei tirotiro i te hauora o ō uaua toto.

Nō reira, kōrero ki tō tākuta mō tēnei mea, kia mōhio ai koe ki ētahi atu kōrero. Kimihia hoki ngā āhuatanga mōrearea mō te atherosclerosis (te whakapakeketanga o ngā uaua toto) me ngā mea ka taea e koe te mahi hei whakaiti i tō mōrearea. Ko te noho i tētahi momo oranga hauora te huarahi pai rawa atu hei tiaki i a koe mai i ēnei āhuatanga. Kei roto i ō ringaringa te tiaki i tō hauora!

haruru o te uaua carotid, haruru i te kaki, te uaua carotid, te whiu, te TIA, te atherosclerosis, te aukati i ngā oko toto, te rere o te toto ki te roro