Kua pāngia koe e te mamae nui i roto i tō uma? Tērā pea he Acute Aortic Syndrome? Me kōrero tāua!

Kua whakaaro koe me aha koe mēnā ka pāngia koe e te mamae nui o te uma? I ētahi wā he hau, he mate manawa rānei. Heoi, i tēnei rā ka kōrero tātou mō tētahi momo ohorere rite tonu te morearea, engari he rerekē te āhua. Ko te Acute Aortic Syndrome tēnei. Ahakoa he ahua uaua te ingoa, kia māmā noa iho te mārama.

He aha rawa te mate urutā aortic acute?

He kupu ngāwari noa iho tēnei, he ingoa noa tēnei mō ētahi raruraru ohorere e puta ana i roto i te oko toto nui rawa atu o tō tātou tinana, arā, te aorta . Whakaarohia he rite ki te papu wai. Ka tohatohahia e tēnei papu te toto puta noa i te tinana mā roto i te paipa matua. Ko taua paipa matua te mea e kiia nei e tātou ko te aorta. Ka rere i roto i te uma, i roto hoki i te puku. Nō reira, ko te "Acute Aortic Syndrome" he raruraru nui e puta ana i te wāhanga uma o tēnei aorta, te "Thoracic Aorta" me te "Abdominal Aorta" rānei.

Ko te mea nui ko te tino tere o ēnei āhuatanga, ā, ka taea te whakararu i te ora . I te nuinga o te wā, me mahi pokanga. Nō reira, he mea tino nui kia mōhio koe ki tēnei.

He aha ngā momo matua o tēnei mate?

E toru ngā momo matua o te `(Acute Aortic Syndrome)`. Kia titiro tātou he aha ēnei.

1. Te Tātahitanga o te Aorta Whakamataku: Koinei te mea tino kino, tino noa hoki o ēnei. Ko te mea e tupu ana i konei ko te pakaru o tētahi roimata iti ki roto i te pakitara o te aorta, ka taea ai te rere o te toto mā roto i waenganui i ngā paparanga o te pakitara. Whakaarohia he paipa wai e rua ngā paparanga, ā, ki te pakaru tētahi paparanga, ka taea e te wai te turuturu mā roto i ngā paparanga e rua. Ka taea e tēnei te ngoikore i te aorta, ā, ka pakaru anō hoki.

2. Hematoma I roto i te Murum: Koinei te wā e pakū ai tētahi oko toto iti i roto i te pakitara o te aorta, ā, ka kohia ētahi toto ki roto i te pakitara o te uaua. Pērā i te wā e pāngia ai tātou e te toto totoka i roto i tō tātou tinana, ka mau. I ētahi wā ka puta tēnei hei Wehenga Aorta.

3. Te Mate Pukupuku Atherosclerotic Whakauru: He whara tēnei e puta ake ana i te pakitara o te aorta. He tino noa tēnei āhuatanga i roto i te hunga he ngako kei roto i ngā oko toto (atherosclerosis). Ka taea e tēnei whara te hōhonu, ka ngoikore ai te pakitara o te uaua.

He hononga ēnei e toru tetahi ki tetahi, ā, ka taea te whakawhiti mai i tētahi ki tētahi. Nō reira, he mea nui kia rapu wawe i te maimoatanga mō tētahi o ēnei āhuatanga.

Kei a koe ēnei tohu? Tirohia...

Ko te tohu matua me te tohu tino kitea o te `(Acute Aortic Syndrome)` he mamae ohorere, kāore e taea te manawanui, he mamae nui ki te uma . He maha ngā tāngata e whakaahua ana i tēnei he mamae wero, he mamae haehae. Ka horapa pea tēnei mamae ki raro i te tuara, ki te puku, ki te kaki me te kauae rānei.

Haunga tēnā, tera pea ētahi atu tohu:

• Mamae puku: Ina koa mēnā ka pāngia te wāhanga puku o te aorta.
• Mamae tuara: Ka haere tahi pea me te mamae o te uma.
• Te ngoikore, te ngaro rānei o te māramatanga: Nā te heke o te rere o te toto ki te roro.
• Te ngaronga, te ngoikore rānei o te pā o te manawa i ngā waewae: Nā te aukati i te rere o te toto ki ngā waewae te take.
• Te uaua ki te manawa
• ngoikore
• Te werawera

Kia maumahara, ki te pāngia koe e tētahi, e ētahi rānei o ēnei tohu i te wā kotahi, me haere tonu koe ki te hōhipera, me te kore e whakaroa . He āhuatanga ohorere tēnei!

He aha tēnei e tupu ai? He aha ngā take?

Ko te tino take o tēnei āhuatanga morearea ko te toto toto tiketike kāore i te whakahaeretia (hypertension) . Ina teitei te toto mō ngā tau maha, ka pakaru, ka ngoikore hoki ngā pakitara o ō tātou uaua toto. Ka piki ake te mōrearea o ēnei momo pakaru me ngā pakaru.

Ko ētahi atu take ka taea:

• Aneurysm aorta: He pupuhi rite ki te poihau tēnei i roto i te aorta. He ngoikore tēnei pupuhi, ā, ka ngawari te pakaru, te pahū rānei.
• Ngā Hapa o te Takirere Aorta: Ka taea hoki e ētahi hapa whānau o te takirere aorta i roto i te ngākau te whakanui ake i tēnei mōrearea.
• Ngā putunga ngako i roto i ngā oko toto (Atherosclerosis): Ka whaiti, ka matotoru, ka ngoikore hoki ngā oko toto.

Ko wai te mea tino tūpono ka pāngia e tēnei? (Ngā āhuatanga mōrearea)

He nui ake te tūponotanga o ētahi tāngata ki te pāngia e tēnei `(Acute Aortic Syndrome)` i ētahi atu. Kia kite tātou ko wai rātou:

• Ngā tāngata kua pāngia kētia e te mate "Aortic Aneurysm".
• Ngā tāngata whai mate e kiia nei ko te aortic coarctation (te whaiti o te aorta nui).
• Ngā tāngata whai mate Bicuspid Aortic Valve Disease (he hapa i roto i te takirere o te ngākau).
• Ngā tāngata whai mate ira: Hei tauira, ngā mate pēnei i te `(Marfan syndrome)`, `(Turner syndrome)` me te `(Ehlers-Danlos syndrome)`. Mā ēnei ka ngoikore te kiko honohono o te tinana. Nā te mea he momo kiko tēnei e hangaia ai te aorta, ka taea hoki e ia te ngoikore.
• Te hunga he toto toto tiketike: Koinei te tino take mōrearea.

Haunga ēnei, he maha atu anō ngā āhuatanga mōrearea:

• Tau: He nui ake tēnei mōrearea mō te hunga neke atu i te 60 tau te pakeke.
• Te whakamahinga o ngā raau taero: Ka pā tēnei ki te hunga e whakamahi ana i ngā raau taero pēnei i te kōkaini.
• Te hiki taumaha kaha-nui: Ko te hunga e hiki taumaha ana, e mahi ana hoki i ngā mahi ātete, ka nui ake te mōrearea i ētahi wā.
• Te Hapūtanga: He tino onge, ka puta anō hoki tēnei āhuatanga i roto i ngā whaea hapū, kāore hoki he take mōrearea kē atu.
• Ira tangata:He nui ake te tūponotanga ka pāngia ngā tāne e tēnei mate.

Me pēhea te tautuhi a ngā tākuta i tēnei mate? (Tautuhinga)

Ina haere koe ki te hōhipera me ngā tohu kua whakahuatia ake nei, ka tere te whakahaere a ngā tākuta i ētahi whakamātautau hei tirotiro mēnā ko te "Acute Aortic Syndrome" tēnei.

Ngā momo whakamātautau

• Matawai CT: Koinei te huarahi pai rawa atu, te huarahi tino tika hoki hei tātaritanga i tēnei mate (te paerewa koura) . He rite ki te tango pikitia 3D o roto o tō tātou tinana. Ka kitea mārama te āhua o te aorta, tōna mahi, te rere o te toto, mēnā he pakaru, he toto toto rānei.
• X-ray o te uma: Mā tēnei ka taea te whakaatu i te āhua o te ngākau me ngā whekau e karapoti ana. I ētahi wā, ki te nui haere te aorta, ka kitea anō hoki.
• Angiogram Coronary: Mā tēnei ka tirohia te āhua o ngā uaua coronary e tuku toto ana ki te ngākau.
• E.C.G. (Electrocardiogram - EKG): Mā tēnei ka whakamātautau i te ngohe hiko o te ngākau. Mā tēnei ka āwhina ki te wehewehe i waenga i te mate manawa me te mate manawa.
• Te Echocardiogram Transthoracic: He rite tēnei ki te matawai ultrasound o te ngākau. Ka taea te tirotiro i te āhua o ngā rūma o te ngākau, ngā takirere, me ngā oko toto.

Mā ēnei whakamātautau, ka taea e ngā tākuta te whakaū wawe i te mate.

He aha ngā rongoā mō tēnei? Ka taea rānei tātou te ora?

Ko te tikanga maimoatanga e whakawhirinaki ana ki te waahi o te pakaru o te aorta.

• He raruraru kei te aorta piki, te wāhanga o te aorta e piki ana ki te ngākau, me mahi pokanga ohorere . Ka tangohia e ngā taote pokanga te wāhanga pakaru o te aorta ka whakakapia ki tētahi tākai hangai . I ētahi wā tino kino, me whakakapia pea te takirere aorta.

• Mena he raruraru kei te wāhanga o te aorta e heke ana ki raro, e hono ana ki ētahi atu uaua, arā, te aorta heke, ka taea te rongoā i ētahi wā mā te rongoā. Ka hoatu he rongoā hei whakahaere i te toto toto, pērā i ngā beta-blockers , ngā vasodilator rānei. Ka mahi ēnei rongoā mā te whakaroa i te tere o te ngakau, te whakawhanui i ngā uaua toto, me te whakaiti i te pēhanga i roto i te aorta. Heoi, i ētahi wā, ko ngā raruraru o tēnei wāhanga me mahi pokanga, me whakauru rānei he stent.

Ko te mea nui, ko te roa o te tatari ki te tīmata i te maimoatanga, ka nui ake te mōrearea o te āhuatanga. Nō reira, he mea nui te haere ki te hōhipera me te tīmata wawe i te maimoatanga hei whakaora i ngā oranga.

Me pēhea tā tātou mahi hei karo i tēnei āhuatanga morearea? ( Me pēhea tā tātou whakaiti i te mōrearea?)

Hei oranga tonutanga i roto i tēnei āhuatanga kino, me āta tirotiro tātou i ō tātou ake momo noho.

• Te pupuri i te taumaha hauora:Kia mau ki te taumaha hauora mō tō teitei, tō tau, me tō ira tangata.
• Te whakahaere i te toto toto: Koinei te mea tino nui . Mena he toto toto tōu, me tango te rongoā i tohua e tō tākuta i te wā tika. Tirohia tō toto toto i ia wā.
• Te whakahaere i ētahi atu mate hauora: Mena he raruraru tōu pēnei i te mate huka, te cholesterol rānei, whakahaerehia kia rite ki ngā tohutohu a tō tākuta.
• Kati rawa te kai hikareti: He tino kino te kai hikareti ki ngā uaua toto.

Mā te whai i ēnei mahi ngāwari, ka taea e koe te whakaiti i te mōrearea o te whakawhanake i ngā āhuatanga morearea pēnei i te "Acute Aortic Syndrome".

Ka aha mēnā ka tupu tēnei? Kia pēhea te roa o te wā e ora ai? (Te tirohanga mō te mate)

He āhuatanga ohorere e morearea ana te mate o te Acute Aortic Syndrome. He maha ngā wā e hiahiatia ana he pokanga ohorere. Ko tō whakaoranga e whakawhirinaki ana ki te tere o te whiwhi maimoatanga.

I roto i ngā āhuatanga e rua `(Intramural Hematoma)` me `(Penetating Atherosclerotic Ulcer)`, he nui ake te tūponotanga o te ora i te `(Acute Aortic Dissection)`.

I muri i te maimoatanga, me noho tonu koe i raro i te tirotiro a te taote. Me tirotiro tonu koe i ngā wā katoa kia kitea ai he toto i roto i te aorta, he aneurysm hou rānei. He mea nui hoki kia mau tonu te whakahaere i tō toto toto i roto i tō oranga katoa.

Kaua e wareware ki te pātai ki tō tākuta mō ēnei mea.

Mena kua tāpaetia koe kei te pāngia e te Acute Aortic Syndrome, kei te whakapae rānei koe kei a koe, ka taea e koe te pātai atu ki tō tākuta i ēnei pātai:

• He aha te tino take o aku tohumate?
• He mate manawa tōku. He aha te tūponotanga ka pā mai te `(Acute Aortic Syndrome)`?
• He aha tonu ngā tohu o te `(Acute Aortic Syndrome)` me mōhio ahau?
• He aha ngā kōwhiringa maimoatanga mō tēnei? Ko tēhea te mea pai mōku?
• He aha ngā maimoatanga whai muri me mahi ahau i muri i te maimoatanga?

Hei whakarāpopototanga (Karere hei tango ki te kāinga)

Āe, ka taea e koe te maumahara ki ētahi o ngā mea tino nui o ngā mea kua kōrerohia e tātou.

Ko te Acute Aortic Syndrome he mate ohorere, he mate morearea e puta ana i roto i te aorta.

Ko te tohu matua he mamae ohorere, he mamae nui o te uma . Ka taea hoki e tēnei mamae te horapa ki te tuara me te puku.

Ko te toto toto tiketike te tino take o tēnei.

Ki te pāngia koe e ēnei tohu , haere tonu ki te hōhipera. Mā te maimoatanga tere ka ora ai koe.

Ka taea te whakaiti i tēnei mōrearea mā te noho i tētahi momo noho hauora me te whakahaere i te toto toto tiketike.

Mena he pātai anō āu mō tēnei, kaua e mangere ki te kōrero ki tō tākuta whānau. Kia ora tonu koe!

`Te Mate Puku o te Aorta, Aorta, Mamae o te Uma, Te Toto Toto Nui, Te Mate Manawa, Te Pokanga Ohorere