E mōhio ana koe ki tēnei uaua nui i roto i tō paparinga? (Arteri Matapihi)

I tēnei rā ka kōrero tātou mō tētahi uaua iti engari he tino hira i roto i tō tātou mahunga, inā koa i te rohe o te paparinga, kāore e tino whakaarohia ana e tātou i roto i ō tātou oranga o ia rā. Ka kiia tēnei e ngā tākuta ko te "Superficial Temporal Artery". Kaua e wehi, ahakoa he ahua uaua te ingoa. Ki te kī māmā, he awa nui tēnei e homai ana i te ora, arā, te toto, ki tō tātou mata me te tumuaki. He rite ki tētahi manga iti e kawe ana i te wai ki tētahi rākau.

He aha te hiranga o tēnei "Arteri o te Matapihi o te Ao" ki a tātou?

Āe, kei te whakaaro pea koe, "He aha te mea nui mō tēnei uaua iti?" Ko te mea nui ko tēnei `(Superficial Temporal Artery)` e tuku toto ana ki te kiri o tō mata me tō tumuaki . Whakaarohia, kia ora ai tō tātou kiri, kia tupu ai te makawe, me pai te rere o te toto mō ēnei mea katoa. Koinā te āwhina o tēnei mea.

Ehara i te mea koinā anake, i ētahi wā he tino whai hua tēnei uaua mō ngā tākuta. Whakaarohia, mēnā he raruraru kei roto i te uaua toto i roto i te roro (`(Aneurysm)`, he mea pēnei rānei i te `(Middle Cerebral Artery)` `(Internal Carotid Artery)` rānei, e whakaiti ana i te rere o te toto ki te roro, kātahi ka heke te rere o te toto ki te roro. I roto i ēnei āhuatanga, ka whakamahia e ngā tākuta tēnei `(Superficial Temporal Artery)` hei huarahi kē atu, arā, hei `(Bypass Route)`, ā, ka tukuna te toto kia rere ki te roro . He rite tēnei ki te tango i tētahi atu huarahi ina katihia he rori. Ka whakamahia hoki tēnei tikanga mō ngā mate pēnei i te `(Moyamoya Disease)`, i muri rānei i te `(Stroke)`.

Ko tētahi atu mea, he wā anō ka whakamahia ai tēnei uaua hei ara mō ētahi `(Maimoatanga Endovascular)`, arā, ngā maimoatanga e mahia ana i roto i ngā uaua toto, ngā whakamātautau rānei pērā i te `(Angiogram).` Nō reira, ahakoa he iti, he rawe te ratonga e tukuna ana e ia, tika?

Kei hea rawa tēnei `(Superficial Temporal Artery)` i roto i tō tātou tinana?

He tino ngāwari ki te kimi. Kei mua tonu i tō taringa te uaua temporal o runga, kei runga noa i tō paparinga, kei raro noa i tō kiri. Hei whakamārama, ka tīmata i te repe parotid, kei raro noa iho, kei mua tonu i tō taringa. Kātahi ka piki ake i waenganui i tō paparinga me tō taringa. Ki te pā mārie koe ki te wāhi kei mua i tō taringa ki ō matimati, tera pea ka rongo koe i te pao o te uaua. Kāore te katoa e rongo, engari he mea noa tēnā.

Tērā pea ka hiahia koe ki te mōhio ki te pūtake mai o tēnei uaua. E rua ō tātou uaua matua i ia taha o tō tātou kaki, e kiia nei ko te `(External Carotid Artery)`. Ko tētahi o ngā manga e peka mai ana i te pito o taua `(External Carotid Artery)` ko te `(Superficial Temporal Artery)`. Nō reira, pērā i te `(Carotid Artery)` i te taha maui me te taha matau o tō tātou kaki, kei ia taha o tō tātou mahunga anō hoki ēnei `(Superficial Temporal Artery)`.

He aha ngā peka o tēnei `(Superficial Temporal Artery)`?

Pērā i ngā manga e peka mai ana i te pūtake matua o te rākau, ka peka atu anō hoki tēnei `(Superficial Temporal Artery)` ki ngā manga iti ake. E rua ōna manga matua:

1. Peka o Mua: Mā tēnei ka tukuna te toto ki ngā uaua me te kiri o tō rae.

2. Peka Parietal: Ka tukuna te toto ki te rohe o tō mahunga i runga ake i ō taringa (ngā rohe Parietal me te Temporal). He rite ki te tangi o te pane whakarongo ina mau koe i tētahi pane whakarongo.

Haunga ēnei peka matua e rua, kei reira ētahi atu peka iti ake. Ko ēnei:

• `(Te uaua kanohi whakawhiti)`
• `(Te uaua o te manawa o waenganui)`
• `(Te uaua Zygomatico-orbital)`
• `(Aruta Ārai)`

He ahua uaua tēnei, engari ko te tikanga o tēnei, ko ēnei manga iti nei ka tuku toto ki ngā wāhanga rerekē o te mata, te rohe huri noa i ngā paparinga, me te rohe huri noa i ngā taringa.

He rite tonu ēnei uaua mō te katoa? He rerekētanga rānei?

He pātai tino nui anō hoki tēnei. Kāo, ehara i te mea he rite tonu ngā peka o te "Arteri Matapihi o te Ao" o te katoa . Pērā i ō tātou tapumati, he rerekētanga paku anō hoki tēnei i waenga i te tangata me te tangata.

• Mō ētahi tāngata, ka taea e te "Arete o te Matapihi o te Ao" te whakaputa i ngā peka e rua, ā, i ētahi wā ka toru. Ka pērā anō hoki te āhua o ngā peka parietal.
• Waihoki, he rerekē te wāhi matua e wehea ai tēnei uaua kia rua i ia tangata, i ia tangata. Mō ētahi, ka wehea paku ki runga ake i te wheua paparinga, mō ētahi atu ia, ka wehea paku ki raro iho.
• Ko tētahi atu mea whakamiharo, he rerekē pea te hanganga o te "Superficial Temporal Artery" i te taha maui o tōu mahunga i tō te taha matau.

He mea noa te whai i ēnei momo rerekētanga tinana. Ka whai whakaaro ngā tākuta ki ēnei rerekētanga ina mahi ana i tētahi mea pēnei i te pokanga.

He aha te āhua o tēnei `(Superficial Temporal Artery)`? He pēhea tōna hanganga?

Pērā i ētahi atu uaua, he rite te āhua o te uaua tuawhenua ki te ngongo. E toru ngā paparanga matua:

1. Ko te paparanga o roto rawa `(Intima)`: He mea hanga tēnei i te uaua, `(Elastin)` (e homai ana te ngāwari ki ngā uaua) me tētahi momo pūtau motuhake e kiia nei ko `(Endothelial Cells)`. Ko tēnei paparanga te mea e pā tika ana ki te toto.

2. Papa waenga `(Media)`: Kei roto ngā uaua. Ka piki ake, ka heke rānei te whānui o te uaua, arā, ko tōna whānui, mā te whakawhāiti me te whakawhanui i ēnei uaua. Mā tēnei, ka whakahaeretia te nui o te rere o te toto.

3. Te paparanga o waho rawa `(Adventitia): Ko tēnei paparanga te wāhi e hono ai te uaua ki ngā kiko e whiwhi toto ana mai i a ia. Arā, e hono ana te uaua ki ngā mea e karapoti ana.

Ka mahi tahi ēnei paparanga e toru hei pupuri i te kaha o te uaua me te āwhina i a ia ki te mahi i tana mahi ki te kawe toto mā roto.

He aha ngā mate me ngā āhuatanga ka pā ki tēnei `(Superficial Temporal Artery)`?

Pērā i tētahi atu okana, ka pāngia te uaua o te roro o runga e ngā mate me ngā whara. Anei ētahi o aua mate:

• Aneurysm: He ngoikore o te pakitara o te uaua, ka pupuhi pērā i te poihau.
• Pseudoaneurysm: Ka pakaru tetahi uaua, ka kohia te toto ki te taha, ka puta te āhua o te aneurysm.
• Te Arteritis Wāhanga, te Arteritis Pūtau Nui rānei: He mate mumura tēnei o ngā uaua. Ko te tikanga ka pupuhi, ka whero, ka mamae hoki te uaua. Ka nui haere te kitea o tēnei i te pakeketanga.
• Ngā raruraru mai i te pokanga kirihou kanohi: I ētahi wā, ka pakaru te uaua i te wā o ēnei pokanga.
• Whara ki te mata, ki te upoko rānei: Ka taea te tapahi, te kuru rānei i tēnei uaua i roto i tētahi aituā.

He mea nui kia mōhio koe ki ēnei āhuatanga, kia tere ai tō rapu tohutohu hauora mēnā ka puta mai ngā tohu.

He aha ngā tohu ka taea te tumanako mēnā kua pakaru tētahi uaua?

Whakaarohia, mēnā he raruraru kei tō "Superficial Temporal Artery", ka pāngia pea koe e tētahi, e ētahi rānei o ēnei tohu:

• Te ānini o te upoko: He mamae kino i ētahi wā, inā koa ki te taringa kotahi, ki ngā taringa e rua rānei.
• Whatiwhati: Ko te āhua kei te hurihuri haere ngā mea i tō taha.
• He puku mamae i raro i te kiri kei reira te uaua: Tērā pea ka rite ki te puku uaua ki te pupuri i te ringa, ā, ka mamae ina pēhia.
• Ngenge: Ehara i te ngenge noa iho, engari he ngenge nui rawa e puta mai ana me te kore take.
• Te ngawari o te rahinga o te upoko, o te mahunga rānei: Ka kitea pea te mamae, te ngawari rānei i te rohe e karapoti ana i ngā taringa, i te mahunga rānei ina pāngia, ina heruhia rānei.
• Ngā raruraru o tō tirohanga: Te tirohanga pōuri, te tirohanga takirua, me ētahi atu. He mea noa tēnei i roto i ngā āhuatanga pēnei i te Temporal Arteritis, nō reira, ki te kite koe i ētahi huringa o tō tirohanga , me toro atu koe ki te tākuta tonu .
• Te toto: Mena ka whara tetahi uaua, ka puta mai pea te toto.

He mea nui: Ki te pā mai ēnei tohu ki a koe, kaua e kī noa "he mea iti noa iho pea." He pai ake te toro atu ki tētahi tākuta mō ētahi tohutohu.

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

Ki te whakapae te tākuta kei a koe he raruraru ki tō "Superficial Temporal Artery", ka whakahaerehia pea e rātou ētahi whakamātautau hei whakaū i te mate. Ko ngā whakamātautau e whakamahia whānuitia ana ko:

• Matawai Ultrasound: Ka taea e tēnei te tirotiro i te āhua o te uaua me te rere o te toto i roto. He whakamātautau ngāwari, kāore he mamae.
• Matawai CT (Tomography Rorohiko - Matawai CT):Mā tēnei ka taea te tiki whakaahua taipitopito o te uaua me ngā kiko e karapoti ana.
• Angiogram: Ko te werohanga i tētahi tae motuhake ki roto i te uaua toto, me te tango i tētahi hihi-X. He mea whai hua tēnei mō te kite i ngā mea pēnei i ngā aukati i roto i te uaua toto, pērā i ngā aneurysms.
• MRA (Angiogram Āhua Aukume - MRA): He rite tēnei ki te Angiogram, engari e whakamahia ana te hangarau MRI.

Hei tāpiritanga, mēnā e whakapaetia ana he mate pēnei i te Temporal Arteritis, ka taea te whakahaere i ngā whakamātautau toto . I ētahi wā, ka taea te whakahaere i te koiora, arā, ko te tango i tētahi tauira iti o te uaua hei tirotiro.

He aha ngā maimoatanga mō tēnei `(Superficial Temporal Artery)`?

Ko te maimoatanga e whakawhirinaki ana ki te nui o te kino, te mate rānei o te uaua. Anei ētahi tauira:

• Mena he aneurysm tōu: I runga i tōna rahi me tōna wāhi, me mahi pea he pokanga .
• Mena he "Pseudoaneurysm": I ētahi wā ka taea te whakaora mā te "Werohanga Thrombin" (he rongoā hei whakangawari i te toto).
• Te Arteriti Wāhanga: Ko te rongoā te nuinga o te wā hei rongoā mō tēnei , inā koa ko ngā steroids. Me tango ēnei kia rite ki ngā tohutohu a tō tākuta.
• Mena ka pakaru te uaua i roto i tētahi aituā: I runga i te kino , ka hiahiatia pea he pokanga hei whakatika i te uaua (Whakatikatika pokanga) .

Nō reira, ko te tākuta e tirotiro ana i a koe te tangata e whakatau ko tēhea maimoatanga te mea tika māu.

Me aha tātou kia ora tonu ai tēnei `(Superficial Temporal Artery)`?

Anei te wāhanga nui. He maha ngā mea ka taea e tātou te mahi hei pupuri i te hauora o tēnei pūnaha uaua iti engari he mea nui rawa atu i roto i tō tātou tinana. Inaa, ko ngā mea e mōhiotia ana e koe he pai mō tō ngākau me ētahi atu uaua toto he pai anō hoki mō tēnei `(Superficial Temporal Artery)`.

• Kai i tētahi kai taurite: Tāpirihia he nui ake o ngā hua rākau, huawhenua, pīni, me ngā witi katoa ki roto i tō kai. Whakaitihia ngā kai he nui te hinu, te huka, me te tote i ngā wā katoa e taea ana.
• Whakakorikori tinana i ngā wā katoa: Me mahi tetahi mea pēnei i te hikoi, te oma, te kaukau rānei mō te 30 meneti pea i te rā. Mā tēnei ka pai ake te rere o te toto.
• Āta karohia ngā hua tupeka: He tino kino te momi hikareti ki ngā oko toto.
• Whakaitihia te inu waipiro: Kaua e inu waipiro i ngā wā katoa e taea ana.
• Whakaitihia te tote e kainga ana: Kia tūpato ki te nui o te tote e tāpirihia ana e koe ki tāu kai. Ka piki ake te toto toto ki te nui rawa o te tote.

Kāore tātou e whakaaro pinepine ana ki tēnei pūnaha iti, engari e mahi tonu ana o ngā uaua toto i roto i tō tātou tinana. Engari koinei ngā mea e kawe mai ana i te hāora me ngā matūkai ki ia pūtau o tō tātou tinana. Nō reira, mā te noho i tētahi momo oranga hauora mō te ngākau, ka taea e koe te pupuri i te hauora o ēnei uaua toto.

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

Nō reira, kua mārama pea koe ināianei ko te `(Superficial Temporal Artery)` he uaua iti engari he tino nui e tuku toto ana ki tō tātou mata me te angaanga.

• Ka taea hoki e tēnei uaua te whakawhanake i ngā momo mate me ngā āhuatanga rerekē.
• Ki te pāngia koe e ngā tohu pēnei i te ānini, te mamae o te taringa, te panoni rānei o te tirohanga, kaua e warewaretia.
• Mā te noho ora ka ora tonu te pūnaha ngakau katoa, tae atu ki tēnei uaua.
• Mena he ruarua, he raruraru rānei āu, kaua e wehi ki te toro atu ki te tākuta me te rapu tohutohu. Mā ngā tirotiro hauora auau ka āwhina i te kitenga wawe i ngā mate ka puta wawe mai i te kore mōhio.

Ko te tiaki i tō hauora te mea nui rawa atu. Nō reira, me whakaaro tātou ki tēnei uaua iti, me te ngana ki te pupuri i tōna hauora, tika?

` Te uaua o te mata o te uaua, te uaua, te rere o te toto, te upoko, te mata, te hauora, ngā tohu