He uaua toto nui kei roto i tō puku? (Abdominal Aortic Aneurysm) - Kia mataara tātou ki tēnei!

Kua rongo kē koe i tētahi oko toto nui i roto i tō puku e pupuhi ana, pērā i te poihau? Tērā pea he whakamataku tēnei, engari ki te mōhio koe, he maha ngā mea ka taea e koe te whakahaere. I tēnei rā ka kōrero tātou mō tētahi āhuatanga pēnei, e kiia nei i roto i te rongoā ko te `(Abdominal Aortic Aneurysm)` ko te `(AAA)` rānei. He māmā noa iho, ka ngoikore tētahi wāhanga o te pakitara nui o te puku (Aorta) ka pupuhi.

He aha tēnei Aneurysm Aorta Puku?

Āe, me titiro tuatahi tātou he aha te tikanga o tēnei `(Abdominal Aortic Aneurysm)`. Ko te oko toto nui rawa atu o tō tinana ko te aorta, ko te `(Aorta)` rānei. Whakaarohia he rite ki te paipa matua e kawe ana i te wai mai i te tāke wai ki te whare katoa. Ko te toto e pupuhihia ana e tō tātou ngākau ka tohatohahia puta noa i te tinana mā tēnei `(Aorta)`. Ko te wāhanga o tēnei `(Aorta)` e haere ana mā te puku e kiia ana ko te `(Abdominal Aorta)`.

I roto i te `(Abdominal Aortic Aneurysm)`, ka pupuhi mai tētahi wāhi ngoikore i te pakitara o te aorta puku, pērā i te poihau e pupuhi ana. I te nuinga o te wā, he tino kaha, he ngāwari hoki ngā pakitara o tō tātou `(Aorta)`. He mea hanga kia tū atu i te pēhanga o te toto e puta mai ana i te ngākau.

Heoi, i a tātou e pakeke haere ana, nā ngā āhuatanga pēnei i te whakamahi tupeka (pēnei i te momi hikareti), me ētahi āhuatanga hauora, ka ngoikore te pakitara o tēnei `(Aorta)`. Ina ngoikore, kāore e taea te tu atu i te pēhanga o te toto, ā, ka tīmata te `(Aorta)` ki te pupuhi mai i taua wāhi ngoikore. Ka nui haere te pupuhi i roto i te wā.

Ka whakatauhia e ngā tākuta he AAA tōu mēnā he 50% te rahi ake o tētahi wāhanga o te aorta i te mea noa. Mō te nuinga o te tangata, ko te tikanga he pupuhi e 3 henimita te whānui.

Ko te mea nui, i te nui haere o tēnei pupuhi (`Aneurysm`), ka piki ake te tūponotanga o tōna pahūtanga (`Rupture`). Mēnā ka tupu tēnā, ka nui rawa te toto i roto i te tinana, ā, ka mōrearea hoki te ora. He tino teitei tēnei tūponotanga mō ngā ``Aneurysm`` he nui ake i te 5.0 henimita i roto i ngā wāhine, me te 5.5 henimita i roto i ngā tāne.

He maha ngā wā, kāore he tohu e puta mai i te AAA tae noa ki te wā e tata ana te pahū. Koia te mea nui kia mōhio koe mēnā he āhuatanga mōrearea kei a koe mō te whakawhanaketanga o te AAA, me te mahi tahi me te tākuta ki te whakahaere i aua tohu.

Āhua ohorere!

Ki te pāngia koe e te mamae nui i roto i tō puku, i tō tuara raro rānei, he tohu pea tēnei nō te pakaru o te AAA. Tērā pea ka uaua ki a koe te manawa, te whanoke, me te ruaki. Ki te puta tēnei , me waea atu koe ki te 911, me haere rānei ki te hōhipera tata tonu atu.

He pēhea te noa o tēnei `(Abdominal Aortic Aneurysm)`?

Ehara tēnei i te āhuatanga onge pērā i tō whakaaro.

• Tata ki te 1.4% o ngā pakeke i waenga i te 50 me te 84 tau i te Hononga o Amerika kei a rātou tēnei mate. Ara, tata ki te 1.1 miriona tāngata.
• Ka pāngia e te mate AAA te 1% me te 2% o ngā tāne neke atu i te 65 tau te pakeke . Ka piki rua te mōrearea o te whakawhanake i te AAA i ia tekau tau o te pakeke.
• E whā ngā wā ka nui ake te tūponotanga o ngā tāne ki te pāngia e tēnei mate i ngā wāhine.
• Ka puta tēnei i roto i te 1% o ngā wāhine neke atu i te 70 tau te pakeke, ā, he hītori kai paipa tō rātou.

Kua kitea anō e ngā rangahau:

• Ahakoa ka puta ēnei `(Aneurysm)` (pupuhi) ki ngā wāhi katoa o te `(Aorta),` ko te nuinga o te wā ka puta ki te rohe puku. 75% o ngā `(Aortic Aneurysm)` katoa he `(Abdominal Aortic Aneurysm)`.
• He nui ake te kitea o te `(AAA)` i roto i te hunga mā, te hunga mangu, me te hunga Āhia.
• He mea noa tēnei ka pā ki ngā tāne. Heoi, ki te pā ki te wahine, he nui ake te tūponotanga ka pahū, ahakoa he iti noa iho. Ka pā anō hoki ki ētahi atu mema o te whānau.

He aha ngā tohu o te Aneurysm Aorta o te Puku?

Kāore te nuinga o te tangata e pāngia e tetahi tohu tae noa ki te wā e tata ana te pahū o te "AAA". Heoi, ina tata te pahū, ka pāngia pea koe e ēnei e whai ake nei:

• He mamae hohonu, tonu i te tuara o raro, i te puku rānei.
• Te mamae i te waewae, i te hope, i te rohe pelvis rānei.
• He pāorooro e rite ana ki te pā o te manawa i te puku. (Tērā pea ka pāngia ētahi tāngata kikokore e tēnei, engari ki te mea he mea hou, me āwangawanga koe).

He āhuatanga ohorere hauora te pakaru o te AAA! Ka tīmata ohorere pea ngā tohu:

• Te mamae nui i roto i te puku, i te tuara o raro, i ngā waewae rānei.
• Te uaua ki te manawa.
• Ka piki ake te tere o te manawa.
• Te toto toto iti.
• Pōuriuri, ngaro rānei te māramatanga.
• Whakapairuaki, ruaki rānei.
• He pīwariwari te kiri, he werawera hoki.

Ki te pāngia koe e ēnei tohu, kaua e whakaroa, haere tonu ki te hōhipera!

He aha ngā take o te Aneurysm Aorta o te Puku?

I te whakarapopototanga, ka puta te AAA i te ngoikore o te pakitara o te aorta. Ka puta tēnei ngoikore i te huinga o ngā āhuatanga taiao me ngā āhuatanga ira. Kāore anō kia tino mārama te āhua o te mea ka tupu.

Hei tauira, ka taea e te kai tupeka te kino i ngā pūmua e hanga ana i te pakitara o te aorta, ka ngoikore ai. Waihoki, ka ngoikore te aorta nā te mea he ngako kei roto i ngā oko toto (atherosclerosis). Ina nui haere ēnei ngako i roto i te wā, ka puta te mumura me te mate pūtau i roto i ngā paparanga o te pakitara o te uaua. Ina pakaru ngā wāhanga hanganga o te aorta, ka ngoikore te aorta, ā, ka ngawari te pupuhi.

Ko wai te hunga e tino mōrearea ana ki te whakawhanake i te "Abdominal Aortic Aneurysm"?

He pānga nui tō ēnei āhuatanga mōrearea ki te whanaketanga o te `(AAA):

• He hītori o te whakamahi tupeka:E ai ki ngā kairangahau he take mōrearea te momi hikareti i te 100 neke atu rānei o te hikareti i roto i tō oranga. Ka rerekē te mōrearea i runga i te nui o te tupeka kua whakamahia e koe (ka nui ake te mōrearea ki te nui ake o te hikareti kua whakamahia e koe).
• Te pakeketanga: Ka piki ake te mōrearea o te whakawhanake i te AAA i a koe e pakeke haere ana (i muri i te 50 tau mō ngā tāne, i muri i te 65 tau mō ngā wāhine).
• Ira tangata i te whānautanga: He nui ake te tūponotanga ka pāngia ngā tāne e te `(AAA)`.
• He hītori whānau tō te mate (AAA): He mea nui anō hoki tēnei. Mena kei tētahi o ō whanaunga tuatahi (mātua, tamariki, tuākana/teina) te mate (AAA), he 10% ki te 20% te tūponotanga ka pāngia koe e te mate. He tino teitei tēnei hononga i waenga i ngā tuākana/teina tāne.

Ētahi atu āhuatanga mōrearea pea:

• Te toto toto tiketike.
• Kei a koe tētahi momo mate manawa atherosclerotic (ASCVD). Kei roto i tēnei ko te mate uaua coronary (CAD) me te mate uaua peripheral (PAD).
• He mate hononga-uaua tuku iho tō te tinana.

He aha ngā raruraru pea ka pā mai i te `(AAA)`?

Ko te raruraru tino noa ko te pakaru o te aneurysm. Ka mate pea te 150,000 ki te 200,000 puta noa i te ao i ia tau. Ka taea e te pakaru o te AAA te whakaputa toto ā-roto e morearea ai te ora. Ka piki ake te mōrearea i te nui haere o te aneurysm.

Me pēhea te tautuhi i te `(Abdominal Aortic Aneurysm)`?

Nā te mea kāore ngā AAA e puta ai ngā tohu, he maha ngā wā ka tātarihia e ngā tākuta ngā AAA kāore anō kia pakaru i te wā e whakamātautauhia ana mō ētahi atu āhuatanga hauora. Mena kei te whakapae tō tākuta kei a koe he AAA i runga i ngā hua o te whakamātautau, i ētahi atu take rānei, ka mahia pea e rātou ēnei whakamātautau e whai ake nei:

• Te whakamātautau oro-rua o te puku: Koinei te whakamātautau e tino mahia ana, kāore he mamae, he ngāwari hoki.
• CT Angiogram (Computed tomography angiogram - CTA): Mā tēnei ka taea te tiro taipitopito ake.

Te tirotiro mō te Aneurysm Aorta Puku

E taunaki ana ngā tākuta kia tirotirohia te hunga e tūpono ana ki te pāngia e te AAA. He whakamātautau māmā noa iho tēnei, kāore he mamae. Ka taea te tirotiro i te aroaro o te AAA. Mena he mea kei roto, ka whakahaua e tō tākuta ētahi atu tirotiro i ia wā (ia 6 ki te 12 marama te tikanga) hei aroturuki. Mena ka nui rawa, ka nui rānei ētahi atu āhuatanga mō te pakaru, ka tūtohutia pea te pokanga.

Me pēhea te rongoā i te Abdominal Aortic Aneurysm?

Ko te maimoatanga e whakawhirinaki ana ki te rahi o te aneurysm, nā te mea koinei te mea matua e whakatau ana i te mōrearea o te pakaru. Kāore pea e hiahiatia he maimoatanga tonu mō ngā aneurysm iti.Engari, ka aroturukihia e te tākuta te aneurysm mā te whakamahi i ngā ultrasound, i ngā scan CT rānei. Ka kiia tēnei ko te tirotiro . Tērā pea me pokanga ngā aneurysm nunui.

`(AAA)` Tirotiro (`Tirotiro`)

Ko te tikanga, he mea tika kia aroturukitia te AAA mēnā he iti iho i te 5.5 cm te whānui mō ngā tāne, ā, he iti iho i te 5.0 cm mō ngā wāhine. Waihoki, kaua te aneurysm e puta he tohu.

I runga i te rahi o te aneurysm, me whai pea koe i tētahi matawai ultrasound, i tētahi matawai CT rānei i ngā wā katoa. Tērā pea me whai whakamātautau auau ake mō ngā aneurysm nunui. Mēnā kua tata koe ki te wāhanga maimoatanga, me whai pea koe i tētahi matawai CT hei utu mō te ultrasound. Me whai atu koe i tō tākuta mō ngā whakamātautau. Ka kī atu anō hoki tō tākuta ki a koe:

• He aha ngā huringa āhua noho me mahi e koe? Kei roto i tēnei ko te whakamutu rawa i te kai tupeka, te kai i ngā kai hauora mō te ngākau, me te whakakori tinana.
• He aha ngā rongoā me tango e koe hei whakahaere i ngā āhuatanga pēnei i te toto toto tiketike, te cholesterol tiketike rānei?

Kāore e taea e ngā whakarerekētanga o te āhua noho me ngā rongoā te whakaiti i te aneurysm (kāore anō kia kitea he rongoā hei mahi i tēnei wā). Heoi, ka taea e ēnei mahi te āwhina i te whakaroa i te tere o te nui haere o te aneurysm me te whakaiti i te mōrearea o ētahi atu raruraru o te ngākau. Kei te rapu tonu ngā kairangahau i ngā rongoā me ētahi atu maimoatanga hei whakaroa, hei aukati rānei i te tipu o ngā AAA iti.

Te pokanga mō te `(AAA)`

Tērā pea ka hiahiatia he pokanga mō tō AAA i ēnei wā:

• E kiia ana ko te aneurysm he 5.5 cm te whānui, nui ake rānei i roto i ngā tāne, ā, he 5.0 cm te whānui, nui ake rānei i roto i ngā wāhine. (Tērā pea ka tūtohu ētahi pokapū motuhake i te pokanga mō ngā rahi iti ake, i runga i tō hauora whānui, i te āhua mōrearea, me ētahi atu āhuatanga.)
• Ahakoa te rahi o te aneurysm, mēnā ka puta mai ngā tohu.
• Mena kua pakū te aneurysm, me mahi pokanga tonu hei whakaora i tō ora.

Hei whakaiti i te tūponotanga o te pahūtanga o te aneurysm, ka mahia te pokanga mā te tango i te wāhanga ngoikore o te aorta ka whakakapia ki tētahi ngongo horihori (graft) mā te whakauru rānei i tētahi arai hou (graft) ki roto i te aorta. E rua ngā tikanga pokanga mō tēnei:

• Te pokanga whakatika aneurysm tuwhera tuku iho: I konei, ka whakatuwheratia te puku, ā, ka whakakapia te wāhanga pakaru o te aorta.
• Te whakatikatika i te aneurysm endovascular (EVAR): Ko te tikanga o tēnei ko te tapahi iti i te waewae o runga, me te whakauru i tētahi stent graft ki roto i te aorta hei taupoki i te aneurysm. Kāore e hiahiatia he tapahi nui.

Ko te tikanga, e pai ake ana ki ngā taote pokanga me ngā tūroro te tikanga EVAR mō te pokanga whiriwhiri nā te mea he māmā ake te whakaora mai i tēnei, ā, he nui ake te tūponotanga kia ora i roto i te wā poto. Mena he pai te hanganga o te aorta, ka taea e te EVAR te whakarato i te whakatikatika mō te wā roa. Heoi, me whai koe i tētahi matawai ultrasound, CT rānei i ia tau hei tirotiro i te whakatikatika. He kōwhiringa haumaru ake pea te pokanga tuwhera nā ētahi āhuatanga (pēnei i tō tau, i te āhua rānei o te aorta). He painga me he ngoikoretanga o ia tikanga. Ka kōrerohia tēnei e tō tākuta ki a koe, ā, ka taea e kōrua te whakatau tahi i te whakatau pai rawa atu.

Me mahi pokanga tonu te pakaru o te aneurysm kia whai wāhi ai ki te whakaora i te ora.

He aha taku e tumanako atu ai mēnā kei a au tēnei āhuatanga?

He maha ngā āhuatanga e whakawhirinaki ana ki tō tirohanga, tae atu ki te rahi o te aneurysm, te roa o te wā e hiahiatia ana hei whiwhi maimoatanga, me tō hauora whānui. Ko tō tākuta te tangata pai rawa atu hei pātai atu ki a koe he aha ngā mea hei tumanakohia. Ko ia te tangata e mōhio ana ki a koe me tō hītori hauora.

Ka taea te ārai i te Aneurysm Aorta Puku?

Kāore anō kia kitea he huarahi kua whakamātauhia hei ārai i te hanganga o tētahi AAA. Heoi, ki te mea he mātua, he tuākana, he teina rānei tōu, he tamaiti rānei kua pāngia e te AAA, kōrero ki tō tākuta. Tērā pea ka tūtohu ia i tētahi ultrasound hei tirotiro i ngā tohu o tētahi aneurysm.

Ahakoa he hītori whānau tōu, ka taea e koe te mahi i ngā mahi hei whakaiti i ētahi atu āhuatanga mōrearea me te pupuri i tō hauora pūnaha manawa whānui. Kōrero ki tō tākuta mō ēnei mea:

• Me pēhea te whakamutu i te kai hikareti, i ētahi atu momo kai hikareti rānei?
• Me pēhea te waihanga i tētahi mahere whakakori tinana e pai ana ki a koe?
• Me pēhea te whai i tētahi kai hauora mō te ngākau?
• Me pēhea te whakahaere i tō toto toto, te cholesterol, me te taumata huka toto?
• Me pēhea te whakawhāiti i te inu waipiro?

Me pēhea taku tiaki i ahau anō?

Mena he `(AAA)` tōu, he mea tino nui kia whai i ngā tohutohu a tō tākuta. Māna koe e tohutohu kia rite ki ō hiahia. I te nuinga o te wā, anei ētahi tohutohu:

• Haere ki ō wā tirotiro hauora katoa me ngā whakamātautau whai muri.
• Hurihia tō āhua noho hei tautoko i tō hauora. Tīmatahia he iti, ka whakatakoto i ngā whāinga ka taea e koe te whakatutuki.
• Tangohia tō rongoā kia rite ki te mea i tohua e tō tākuta.
• Pātai atu ki tō tākuta mēnā me hiahia koe ki ngā paturopi i mua i ētahi tikanga niho, tikanga hauora rānei. Ko ētahi tāngata e hiahia ana ki ēnei hei ārai i te mate i muri i te pokanga whakatika aneurysm.

Āhea ahau me toro atu ki taku tākuta?

Waea atu ki tō tākuta mēnā kei a koe tētahi o ēnei mea:

• Ngā tohu hou, ngā tohu rerekē rānei.
• Ngā pānga taha mai i ngā rongoā.
• He pātai, he āwangawanga rānei mō tō āhua, mō tō mahere maimoatanga rānei.

Mā tō tākuta koe e kī atu ki te auau o tō haerenga mai ki ngā wā whakarite. Me tirotirohia koe i ia wā hei tirotiro i ēnei mea:

• Ka nui haere rānei te `(AAA)`, kāore rānei he tūponotanga ka pahū?
• He raruraru kei muri i te EVAR, pērā i te turuturu o te toto huri noa i te pokanga, he tohu rānei kei te pakaru anō?

Haere ki ō wā tirotiro katoa kia taea ai e tō tākuta te aroturuki i tō āhua me te āwhina i a koe kia noho hauora.

Āhea ahau me haere ki te rūma whawhati tata?

Mena kei a koe ngā tohu o te pahūtanga o te AAA, pērā i te mamae ohorere, te mamae nui i roto i tō puku, i tō tuara raro rānei , waea atu ki te 911 tonu atu, haere rānei ki te rūma ohorere o te hōhipera tata rawa atu.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ka taea e koe te pātai atu ki te tākuta i ngā pātai pēnei:

• Kei te tūpono ahau ki te pāngia e te `(AAA)`?
• Me whai whakamātautau tirotiro ahau mō te `(AAA)`?
• He aha ngā huringa āhua noho me mahi e au hei whakaiti i taku mōrearea?

Ki te whakatau tō tākuta kei a koe te `(AAA)`, ka taea e rātou te pātai atu ki a koe i ēnei pātai hei rapu atu i ētahi atu mōhiohio:

• Kia pēhea te rahi o te aneurysm?
• E taunaki ana koe kia tirotirohia, kia pokanga rānei?
• Ko tēhea tikanga pokanga te mea pai mōku?
• He aha ngā painga me ngā ngoikoretanga o te pokanga?
• Kia pēhea te roa ka ora ai?
• He aha ngā whakamātautau whai muri me whai ahau i muri i te pokanga?
• Me whakamātauria tētahi o tōku whānau mō te `(AAA)`?

He mea taumaha, he mea whakamataku hoki te kitenga kua pāngia koe e te Abdominal Aortic Aneurysm. Engari ko te rongo pai ko te mōhio o tō tākuta kei a koe tētahi. Ko te mōhio kei a koe tētahi te taahiraa tuatahi ki te pupuri i tō hauora. Ka aroturukihia e tō tākuta tō āhua, ā, ka tūtohu i te maimoatanga ina hiahiatia. Ka kōrero atu hoki ia ki a koe mō ngā mea ka taea e koe te mahi i ia rā hei ārai i te nui haere, i te pahū rānei o te aneurysm.

Kia maumahara hei whakarāpopototanga (Karere hei tango ki te kāinga)

Āe, me arotake tātou i ngā meka tino nui mō te Abdominal Aortic Aneurysm, AAA rānei, i kōrerohia e tātou i tēnei rā.

• Ko te aneurysm aortic (AAA) he ngoikore me te pupuhi o te uaua toto matua i roto i te puku (te aorta).
• I te nuinga o te wā, kāore he tohu i ngā wāhanga tuatahi.
• He nui ake te mōrearea o ngā tāne kaumātua e kaipaipa ana . Mēnā he mate pāwera tēnei ki tētahi o te whānau, tera anō te mōrearea.
• Ko te mōrearea nui rawa atu ko te pahūtanga ('Rupture') . Mēnā ka tupu tēnā, ka mate pea koe.
• Ki te pāngia koe e te mamae ohorere, nui hoki i roto i tō puku, i tō tuara rānei, me ētahi atu tohu, he āhuatanga ohorere tēnei. Haere tonu ki te hōhipera.
• He mea nui kia whai whakamātautau tirotiro te hunga whai āhuatanga mōrearea e ai ki ngā tohutohu a te tākuta.
• Hei maimoatangaTērā pea ka mahia he tirotiro, he pokanga rānei. Kei te rahi o te aneurysm me ētahi atu āhuatanga.
• He mea tino nui te whakamutu i te kai paipa me te whai i tētahi momo oranga hauora .

Kia maumahara, he pai ake te mōhio me te mahi i ngā mahi e tika ana i te wehi i tēnei. Kōrerohia mā te tuwhera ki tō tākuta, ā, whiriwhiria te maimoatanga me te momo noho e pai ana ki a koe.

Te Aneurysm Aorta Puku , AAA, Te Pupuhi o te Aorta, Te Pakū o ngā Uaua Toto, Te Mamae o te Puku, Te Mate Manawa, Te Momi hikareti