Me mahi tākuta koe nā te mea he aneurysm tōu? (Pokanga Aneurysm) Me kōrero māmā noa iho tēnei.

He mea noa te mataku me te manukanuka ina kī mai te tākuta he "aneurysm" tōu, tō tētahi rānei o tō whānau, ā, me pokanga koe mōna. Ina rongo koe i tēnei kupu, he maha ngā mea ka puta ake ki tō hinengaro. Nō reira, i tēnei rā, kia ako tātou i ētahi atu kōrero mō tēnei, arā, mō te pokanga aneurysm. Ka whakamāramahia e au ngā mea katoa ki a koe, kia māmā noa iho, kia mārama hoki, pērā i tāu kōrero ki tētahi hoa.

He aha tonu te pokanga aneurysm?

Ki te kī ngāwari, ko te pokanga aneurysm he maimoatanga mō te ngoikore o te aorta, te uaua toto matua o tō tātou tinana. Whakaarohia he paipa wai e ngoikore ana i tētahi wāhi, ā, e pupuhi ana pērā i te poihau. Waihoki, ina ngoikore te aorta i tētahi wāhi, ā, e pupuhi ana, ka kiia e tātou he aneurysm aortic. He mea morearea tēnei nā te mea ka taea e tēnei pupuhi te pahū (te pakaru) te haehae rānei (te wehe) i ngā wā katoa. Ki te tupu tēnā, ka tino morearea ahakoa mō te ora.

Nō reira, ko te whāinga matua o tēnei mahi he tango i te uaua toto kua pupuhi, kua ngoikore i mua i te pahūtanga , ā, ka whakakapia ki tētahi ngongo papanga hangai kaha. Ka kiia tēnei he tākai . Ka mahi tēnei tākai pērā i tētahi uaua toto hou. Kātahi ka rere te toto mā roto, kāore he mōrearea.

E kiia ana tēnei he pokanga nui. Ko te tikanga ka mahia tēnei e te taote pokanga uma, e te taote pokanga toto rānei i roto i te rūma pokanga o te hōhipera. I runga i te wāhi o te aneurysm, me tapahi pea e te tākuta he tapahi nui ki te uma, ki te puku rānei.

• Ka kiia e mātou he aneurysm Thoracic Aortic Aneurysm te aneurysm i te uma.
• He paku raro iho, arā, i te puku, ka kiia ko te Abdominal Aortic Aneurysm .

He mea nui tēnei pokanga hei karo i ngā mōrearea nui. Pērā i ngā pokanga nui katoa, he iti noa iho ngā mōrearea, engari he nui ake ngā painga i ērā. Ka āta tirohia e tō tākuta tō āhua, ā, ka whakatau mēnā me pokanga koe, kāore rānei.

Ko wai rā te tangata e hiahia ana ki tēnei pokanga?

Ka taea tēnei te wehewehe kia rua ngā wāhanga. Ko tētahi he āhuatanga ohorere. Ko tētahi he āhuatanga e whakamahere ana koe i mua i te puta mai o tētahi āhuatanga ohorere.

1. Ngā tāngata kua pakaru, kua pakaru rānei te aneurysm (he āhuatanga ohorere)

Koinei te āhuatanga tino mōrearea, tino tere hoki. Mēnā ka pakaru, ka pakaru rānei te aneurysm, me mahi tonu te pokanga. Koinei anake te huarahi hei whakaora i te ora. Mēnā ka puta ohorere mai ngā tohu i raro nei, me haere tonu koe ki te Tari Ohotata (ETU) o te hōhipera .

2. Ngā tāngata whai aneurysm e tūpono ana ki te pahū

Mena kua kitea e tō tākuta he aneurysm tōu, ahakoa kāore anō kia pakū, he mea nui kia kite tonu koe i tō tākuta kia tirohia ai tōna āhua. Ka tirohia e tō tākuta tōna rahi me te tere o tōna tipu hei whakatau i te wā pai hei mahi pokanga. Tērā pea me pokanga koe mena kei a koe tētahi o ngā āhuatanga e whai ake nei:

• Mena he nui ake i te 5 henimita te whānui o te aneurysm.
• Mena kei te tere te tipu (hei tauira, neke atu i te 1 henimita ia tau).
• Mena ka pāngia koe e te mamae pinepine i ngā wāhi pēnei i te puku, te tuara, te uma, te hope rānei.
• Ki te mea kei te pā te ngaungau i roto i tō puku.
• Mena he maremare tōu, he pāorooro te reo, he uaua rānei ki te manawa.

Hei tauira, ki te mea he mate ira tōu pērā i te Marfan syndrome , ahakoa he aneurysm iti noa iho, ka taea tonu te whakararuraru i a koe. Nō reira, ka tūtohutia pea kia pokanga koe i mua atu i tētahi atu.

I ētahi wā, nā ētahi atu raruraru hauora, ka mōrearea pea te pokanga nui pēnei. I roto i ēnei āhuatanga, ka tūtohu pea tō tākuta i tētahi tikanga māmā ake te uaua e kiia nei ko te EVAR (Endovascular Aneurysm Repair) , arā, ka whakaurua he ngongo mā roto i tētahi pokanga iti ake ki roto i te uaua toto.

Me pēhea te whakarite i mua i te pokanga?

Ka tīmata te whakarite mō tētahi pokanga nui pēnei i ētahi wiki i mua. Ka tirotirohia koe e tō tākuta, ā, ka whakahaerehia he maha o ngā whakamātautau hei whakarite kei te pai tō tinana mō te pokanga. I tēnei wā, me kōrero koe ki tō tākuta mō ēnei mea e whai ake nei:

• Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe: ngā rongoā kua tohua e te tākuta, ngā rongoā kāore e hiahiatia ana, ngā huaora, ngā rongoā otaota, me ngā mea katoa e tangohia ana e koe. Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā i mua i te pokanga. He mea tino nui kia whai i ngā tohutohu a tō tākuta kia rite tonu ki te mea i hoatu.
• Mō ētahi atu mate hauora kei a koe: Mena kei a koe ētahi mate hauora pēnei i te toto toto tiketike, te mate huka rānei, me whakahaere pai i mua i te pokanga.
• Mō tō hauora tinana: Kōrero atu ki tō tākuta mēnā he makariri, he rewharewha, he herpes, he mate kē atu rānei tōu. Ehara i te mea pai kia pokangahia koe i te wā e mate ana koe.
• Ki te kaipaipa koe: Me mutu rawa te kaipaipa i te iti rawa i te kotahi marama i mua i te pokanga. Ki te hiahia āwhina koe mō tēnei, pātai atu ki tō tākuta, māna koe e āwhina.

Ka tukuna atu hoki he raupapa tohutohu motuhake ki a koe hei whakarite mō te rā o te pokanga. Ko ētahi o ēnei ko:

• I te pō i mua i te pokanga, ka kīia atu kia kaua e inu wai i muri i te waenganui pō.
• He aha te rongoā me tango e au i te ata o te pokanga?
• Te tono kia whakaritea he tangata hei tiki i a koe ina hoki koe ki te kāinga i te hōhipera.

Āta whai i ēnei tohutohu katoa. Mēnā he mea kāore koe i te tino mōhio, pātai atu ki tō tākuta, ki tō nēhi rānei.

He aha te mea tino e tupu ana i roto i te mahi?

Tērā pea ka tino hiahia koe ki te mōhio, ki te mataku hoki mō tēnei mea. Kaua e manukanuka. Mā tō rōpū hauora koe e tiaki pai. I mua i te tīmatanga o te pokanga, ka tukuna he rongoā whakamoe whānui ki a koe. Kātahi ka moe rawa koe, ā, kāore koe e rongo i tetahi mea. Kātahi ka whakahaerehia te pokanga kia rite ki ēnei mahi:

1. Tapahi: Ka tapahia e te taote pokanga he kiri roa i roto i tō uma, i tō puku rānei kia tae atu ai ki te wāhi o te aneurysm.

2. Te here: Muri iho, ka katihia te uaua nui i runga ake, i raro hoki i te aneurysm mā te whakamahi i ngā taputapu motuhake (ngā here). I tēnei wā, ka tukuna te rere o te toto ki te toenga o te tinana kia haere tonu, ā, ka honoa pea koe ki tētahi mīhini ngākau-pūkahukahu . Ka tangohia e tēnei te mahi a tō ngākau me ō pūkahukahu i te wā e pokanga ana.

3. Te Whakaurunga o te Tārua: Koinei te wāhanga tino nui o te pokanga. Ka tapahia e te taote pokanga te uaua toto kua pupuhi, kua ngoikore, ka whakakapia ki te ngongo horihori kua whakahuatia ake nei, arā, te tārua. He mea hanga tēnei tārua ki tētahi rauemi hangai kaha pērā i te polyester.

4. Te katinga o te tapahi:I muri i te herenga o te oko toto hou, ka kati te taote pokanga i te tapahi i tō uma, i tō puku rānei ki ngā tuitui, ki ngā tāpare rānei.

I te nuinga o te wā, e toru ki te whā hāora te roa o tēnei pokanga katoa.

He aha ngā mea ka tupu i muri i te pokanga?

I muri i te pokanga, ka haria koe ki te wāhanga tiaki nui (ICU) . I reira, ka tirotirohia tō āhua mō ētahi rā. Kātahi ka whakawhitia koe ki tētahi wāhanga noa. I te katoa, me noho koe ki te hōhipera mō te toru ki te tekau rā.

I a koe i te hōhipera, ka pā mai ngā āhuatanga penei:

• He kātene mimi.
• He ngongo e whakaurua ana mā te ihu hei tango i te wai mai i te puku.
• Ngā rongoā hei ārai i te toto totoka (ngā rongoā ārai totoka).
• Ko ngā tōkena kōpeketanga he momo tōkena motuhake e mau ana hei ārai i te toto totoka i roto i ngā waewae.
• He mīhini hei āwhina i a koe ki te manawa.
• Ngā rongoā mamae mō te mamae i te wā e ora ana.

Ka tīmata haere koe ki te hikoi, ka kaha ake. Engari kia mahara, kua pāngia koe e tētahi pokanga nui. Me hoatu he wā ki tō tinana kia ora ai. Whakarongo pai ki ngā kōrero a te tākuta, kaua e whakaroa. Kia nui te okiokinga.

Pērā i ngā pokanga katoa, he mōrearea kei roto i tēnei?

Āe. Ahakoa he whakaora ora tēnei pokanga, pērā i ngā pokanga katoa, tera pea ētahi mōrearea me ngā raruraru ka puta. Ko ētahi o ēnei:

• Te toto nui rawa.
• Ngā toto totoka.
• Te uaua ki te manawa.
• Te kino ki ngā whekau, ki ētahi atu whekau rānei.
• Te whakaeke ngakau, te whiu rānei.
• Te pangia o te kōpura i whakaurua.
• Ngā mate pukupuku, te ara mimi, te puku rānei.
• Te ngoikore o te whatukuhu.
• Te pakaru o te io.

Mena kua whakaritea te pokanga, ā, kua oti i mua i te pakaru o te aneurysm , he tino teitei te tūponotanga o te ora, i waenga i te 95% me te 98% .

Heoi, mēnā ka pokanga ohorere i muri i te pakaru o te aneurysm , ka heke te tūponotanga o te ora ki waenga i te 50% me te 70%. Engari nā te mea he tino mate mēnā kāore e rongoatia, ko te pokanga anake te otinga pai rawa atu.

Te wā whakaora me ngā mea hei aro atu ki te kāinga

He wāhanga nui tēnei mō te tini o te tangata.

Kia pēhea te roa o te wā e ora ai?

E whā ki te ono wiki te roa hei whakaora katoa.E 10-20 ngā rā e pau ana. Engari ka taea e ētahi tāngata te noho mō te rua ki te toru marama. He rerekē i ia tangata, i ia tangata.

Ngā mea kāore e tika ana kia mahia i tēnei wā

• Kaua e taraiwa kia whakaaetia rā anō koe e tō tākuta (ko te tikanga kotahi ki te rua wiki).
• Kaua e tomo ki roto i te kaukau wai kia ora rā anō te patunga. Ka taea e koe te kaukau, engari kia tūpato ki te patunga.
• Kaua e kaukau kia ora rā anō te patunga.
• Kaua e hiki i ngā mea taumaha (neke atu i te 4-5 kg) mō te iti rawa 4-6 wiki.
• Kaua e tino kaha te whakakori tinana kia hemo ai tō manawa.

Me pēhea te tiaki i te patunga pokanga?

He mea tino nui kia noho ma tonu tō patunga. E ai ki te tākuta, me whakawhiti e koe te takai o te patunga i ia rā. Tērā pea ka mamae te kiri ina tihe koe, ina maremare rānei. I taua wā , tangohia he urunga ka whakatakotoria ki runga i te patunga ka pēhi . Mā tēnā ka whakaiti i te mamae, ka tiaki hoki i te patunga.

Te hiahia me te kaha

I a koe e ora ana, tērā pea kāore koe e hiahia nui ki te kai. He mea noa tēnā. Tērā pea ka tino ngenge koe. He wāhanga katoa ēnei o te tukanga ora.

Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu!

Kia tino tupato ki tō tinana i muri i tō taenga ki te kāinga. Mēnā kei a koe ētahi o ngā tohu i raro nei, whakamōhio atu ki tō tākuta tonu.

Ngā huringa āhua noho e tika ana kia mahia e koe i muri i te pokanga

He haumitanga nui tēnei pokanga mō tō hauora. Kei a koe te tikanga ki te tiaki i taua haumitanga.

• Kai hauora mō te ngākau: Whakaitihia te tote, te huka, me te hinu. Inuhia he nui te wai.
• Whakakorikori Tinana: Pātai atu ki tō tākuta he aha ngā whakakorikori tinana e tika ana māu.
• Ki te kaipaipa koe, kati inaianei: He tino kino te kaipaipa ki ō uaua toto.
• Whakahaerehia te toto toto tiketike, te cholesterol, me te mate huka: Tangohia ō rongoā i te wā tika.

He tikanga whakaora ora te pokanga aneurysm e āwhina ana i te whakaora i ō oko toto. Ki ētahi, he tikanga ohorere tēnei. Ki ētahi, he mea kua whakaritea i mua i ngā marama. Heoi, ehara i te mea kāore he mōrearea. Nō reira, kōrero ki tō tākuta mō te maimoatanga pai rawa atu māu. Ko ngā tirotiro auau te huarahi pai ki te kimi i te aneurysm i mua i te tipu nui me te noho hei raruraru.