He mea pēnei i te poihau iti kei roto i tō tinana? Me kōrero tāua mō tēnei aneurysm!

Kua rongo kē koe i te kupu 'aneurysm'? Kua rongo pea koe i tētahi hoa, i tētahi mema rānei o te whānau e pāngia ana e tētahi mate. Kua rongo rānei koe i tētahi tākuta e kōrero ana mōna. Ahakoa he ahua whakamataku te ingoa, ki te mōhio tātou he aha te ingoa, ka taea e tātou te karo i te mataku koretake. Nō reira, me kōrero tātou mōna i tēnei rā?

He aha tonu te aneurysm?

I te whakarapopototanga, he ngoikore te aneurysm i te pakitara o te uaua toto i roto i tō tātou tinana e pupuhi ana, pērā i te poihau. Kei te mōhio koe, ko ō tātou uaua toto ngā ngongo nui e kawe ana i te toto whai hāora mai i te ngākau ki te toenga o te tinana. Nō reira, ki te ngoikore tetahi wāhi i roto i te pakitara o tēnei uaua toto toto, ka pupuhi te pēhanga i hangaia e te toto tere e rere ana. Ko taua pupuhi te mea e kiia nei e tātou he aneurysm.

I te nuinga o te wā, kāore tātou e rongo ana kei a tātou te aneurysm, ā, kāore hoki e mamae. Heoi, ki te pakaru ohorere, ka tino morearea, ā, i ētahi wā ka mate pea. Nō reira, he mea nui kia mōhio ki tēnei.

He rerekē ngā momo aneurysm? Kei hea rātou e puta ai?

Ae, ka taea e ngā aneurysms te hanga i roto i ngā uaua katoa o te tinana. Arā, ka taea e rātou te hanga i roto i ngā wāhi rerekē pērā i te ngākau, te puku, te roro, me ngā waewae. Ko te momo aneurysm e whakawhirinaki ana ki te wāhi e hanga ana.

Ko te momo aneurysm tino kitea ko te aneurysm aortic . I mōhio koe ko te aorta te uaua nui rawa atu o tō tātou tinana? Koinei te uaua e kawe ana i te toto mai i te ngākau ki te tinana katoa. Ko ngā aneurysm e puta ana i roto i ngā uaua ehara i te aorta ka kiia he aneurysm peripheral.

Kia titiro tātou ki ētahi momo matua:

• Te Aneurysm Aorta Puku (AAA): Koinei te momo tino noa. Ka puta i te wāhanga o te aorta e rere ana i roto i te puku.
• Te Aneurysm Rorohiko/Te Aneurysm Rorohiko: E ai ki te ingoa, ka puta tēnei i roto i tētahi uaua i roto i te roro. Ko te momo tino noa o tēnei ko te aneurysm saccular, e mōhiotia ana ko te aneurysm hua . He rite tōna āhua ki tētahi pēke iti kī tonu i te toto e piri ana ki te uaua, he rite ki tētahi hua.
• Te Aneurysm Aorta Uma: He iti ake tēnei i te Aneurysm Aorta Uma. Ka puta i te wāhanga o runga o te aorta, i te uma.
• Te Aneurysm Carotid: Ka puta ēnei i roto i ngā uaua carotid, e tuku toto ana ki tō tātou roro, kaki, me te mata. He tino onge ēnei.
• Te Aneurysm Popliteal: Ka puta tēnei i roto i te uaua e rere ana i muri o te turi.
• Te Aneurysm o te Arteri Mesenteric: Ka puta tēnei momo aneurysm i roto i te uaua e tuku toto ana ki ō tātou whekau.
• Te Aneurysm o te Arorangi Wheke: Ka puta tēnei i roto i te uaua e anga atu ana ki te whēkau.

He pēhea te noa o tēnei aneurysm?

I mōhio koe e puta ana ngā aneurysms roro kāore anō kia pakaru i roto i te 2% ki te 5% o te hunga hauora? Ā, o ēnei, tata ki te 25% he neke atu i te kotahi te aneurysm. I te nuinga o te wā, ka puta i te pakeketanga, engari ka taea hoki te puta i roto i ngā tamariki. I te nuinga o te wā ka kitea i te 50 tau te pakeke. Engari ko te mea pai rawa atu, ko te nuinga o ngā aneurysms roro kāore e pakaru.

He nui ake te kitea o ngā aneurysms aorta (AAA) i te pakeketanga. Ina koa, e whā ki te ono ngā wā ka nui ake te kitea o ngā aneurysms aorta puku (AAA) i roto i ngā tāne i ngā wāhine. Kotahi ōrau anake o ngā tāne 55-64 tau te pakeke e pāngia ana e ēnei. Heoi, ka piki ake tēnei ōrau mā te 2% ki te 4% i ia tekau tau.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te aneurysm?

He rerekē ngā momo aneurysms e pā ana ki ngā rōpū tāngata rerekē. Hei tauira, he nui ake te kitea o ngā aneurysms roro i roto i ngā wāhine i ngā tāne. Waihoki, he nui ake te kitea o ngā aneurysms aorta i roto i ngā tāne i ngā wāhine.

Ko ngā aneurysms aorta puku (AAA) te mea tino kitea i roto i:

• Mō ngā tāne.
• Mō te hunga neke atu i te 60 tau te pakeke.
• Mō te hunga kaipaipa. (He tino mōrearea nui tēnei!)
• Mō te hunga mā (engari ka taea te whakawhanake i roto i te tangata o tetahi iwi).

He aha ngā tohu o te aneurysm?

I te nuinga o te wā, kāore te tangata e mōhio kei a ia te aneurysm. Tērā pea kei te tipu puku i roto i te tinana. Heoi, ki te pahū te aneurysm, he āhuatanga ohorere hauora tēnā! Me whiwhi koe i te maimoatanga tonu. Ki te whakaatu koe, tetahi atu rānei e noho tahi ana koe i ngā tohu o te pakaru o te aneurysm, waea atu ki te 911 (1990 Suwaseriya i Sri Lanka) tonu.

Ka puta ohorere mai ngā tohu o te pakaru o te aneurysm:

• Mārama te upoko /pōuri.
• Te tere o te manawa o te ngakau.
• He ānini nui ohorere, he mamae nui ki te uma, ki te puku, ki te tuara rānei.
• Te ngaromanga ohorere o te māramatanga i muri i te mamae nui o te upoko.

He mea nui: He āhuatanga ora, he mate rānei te pakaru o te aneurysm, nō reira, ki te pāngia koe e ēnei tohu, kaua e whakaroa.

Ahakoa kāore te aneurysm e pakū, ka puta pea ngā tohu i ētahi wā i runga i te wāhi kei reira. Tērā pea ka pāngia koe e ngā tohu ohorere, pērā i te toto toto iti, te werawera makariri, te ahua ngoikore, me te tere o te ngakau.

Ko ētahi atu tohu pea ko:

• Te pōhēhē, te ānini rānei.
• Te uaua ki te horomi.
• Te ngenge.
• Te ānini o te upoko (ina koa i ngā take o te aneurysm o te roro).
• Whakapairuaki, ruaki rānei.
• Te mamae i roto i tō puku, uma, tuara rānei.
• He pupuhi, he pāwera rānei i te puku.
• Te Tere o te Manawa.
• Ngā Huringa o te Tirohanga.

He aha ngā raruraru ka puta mai i te aneurysm?

Ki te pakaru te aneurysm, ka puta te toto o roto. I runga i te wāhi e puta ai, ka tino morearea te pakaru, ā, ka mate pea.

Whakaarohia, he aha te mea ka tupu mēnā ka puta he toto totoka i roto i te aneurysm i tō kaki ka haere ki tō roro? Mēnā ka aukatia e taua toto totoka te rere o te toto ki tō roro, ka puta he whiu.

Ki te pahū te aneurysm o te roro, ka kiia he toto subarachnoid. E kīia ana tēnei momo whiu e ētahi he toto roro. I te nuinga o te wā ka pāngia te tangata e "te ānini tino kino rawa atu o ō rātou oranga." Ā muri iho ka pā mai te ngoikore, te uaua ki te kōrero, me ētahi atu tohu.

He aha i puta ai tēnei aneurysm? He aha ngā take?

I ētahi wā, ka whānau mai te tangata me te aneurysm. Ko te tikanga kei roto tonu rātou i te whānautanga. Heoi, ka taea e rātou te whanake i ngā wā katoa o te ao. I te nuinga o te wā, he uaua ki te kimi i tētahi take motuhake mō te aneurysm. Heoi, he maha ngā take pea:

• Atherosclerosis: Koinei te wā e pupū ake ai ngā putunga ngako i roto i ngā pakitara o ngā uaua, ka whakawhāiti i a rātou. Ka taea e tēnei te ngoikore i ngā pakitara o ngā uaua.
• Hītori whānau o ngā aneurysms: Mena kua pāngia tō whaea, tō pāpā, ō tuākana/teina rānei e tēnei mate, kei te tūpono koe ki te whakawhanake i tēnei mate anō hoki.
• Te toto toto tiketike: Mena he tiketike tonu te toto toto, ka pakaru, ka ngoikore hoki ngā pakitara o te uaua.
• He aituā, he whara rānei ki te aorta .

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

He maha ngā aneurysms ka puta ake, kāore he tohu. Tērā pea ka kitea e tō tākuta mā te tūpono i te wā o te tirotiro ā-tau, i tētahi atu matawai rānei.

Mena kei a koe ngā tohu e tohu ana kei a koe he aneurysm, ka whakahaerehia e te tākuta ētahi whakamātautau whakaahua. Ko ētahi whakamātautau hei āwhina i te kimi me te tautuhi i te aneurysm ko:

• Matawai CT
• Angiography CT, MRI rānei: Ka whakamahia tēnei hei tango pikitia motuhake o ngā uaua toto.
• Matawai Ultrasound (Ultrasound)

Me pēhea te whakarōpūtanga a te tākuta i te aneurysm?

Ka whakarōpūhia e tō tākuta he aneurysm i runga i tōna rahi me te āhua o tōna hanganga. He rerekē ngā whakarōpūtanga:

• Te aneurysm fusiform: I tēnei, ka pupuhi te uaua i ngā taha katoa.
• Te Aneurysm Saccular: Koinei te wā e pupuhi ana tetahi taha anake o te uaua (he rite ki te Berry Aneurysm kua whakahuatia i mua).
• Te Aneurysm Mycotic: Ka puta tēnei ina ngoikore te pakitara o te uaua i muri i te mate (he maha ngā wā i roto i ngā takirere o te ngākau).
• Pseudoaneurysm, Aneurysm Hē rānei: I tēnei, ko te paparanga o waho anake o te pakitara o te uaua ka pupuhi. Ka puta pea tēnei i muri i te pakaru o te paparanga o roto o te uaua (te tapahi).

Me pēhea te rongoā i te aneurysm?

Ki te kitea e te tākuta he aneurysm kāore anō kia pakaru tō uaua, ka tirotirohia koe e rātou. Ko te whāinga matua o te maimoatanga he ārai i te pakaru o te aneurysm.

I runga i te momo, te wāhi, me te rahi o te aneurysm, ka uru pea ki te maimoatanga ngā rongoā, ngā pokanga rānei. Ka tohua pea e te tākuta he rongoā hei whakapai ake i te rere o te toto, hei whakaheke i te toto toto, hei whakahaere rānei i te cholesterol. Ka taea e ēnei maimoatanga te āwhina ki te whakahaere i te nui haere o te aneurysm me te whakaiti i te pēhanga ki te pakitara o te uaua.

Ko ngā aneurysm nui e mōrearea ana ki te pahū, me mahi pokanga pea. Waihoki, ki te pahū te aneurysm, me mahi pokanga. He maha ngā momo pokanga:

• Te Whakatikatika i te Aneurysm Endovascular (EVAR):I roto i tēnei pokanga endovascular, ka whakaurua e te tākuta he catheter (he ngongo angiangi) ki roto i te oko toto. Mā roto i te catheter, ka whakaurua e te taote pokanga he graft (he waea motuhake) hei whakapakari, hei whakatika rānei i te uaua toto. Mō ngā aneurysm thoracic, ka kiia tēnei tikanga ko te Thoracic Endovascular Aneurysm Repair (TEVAR). Mena ka whakamahia he graft me ngā whakatuwheratanga motuhake, ka kiia ko te Fenestrated Endovascular Aneurysm Repair (FEVAR).
• Pokanga Tuwhera: I ētahi wā, ka tapahia pea e te taote pokanga (pokanga tuwhera) hei whakauru i tētahi hononga, hei tango rānei i te aneurysm.
• Te Koiri Endovascular: Ka rongoatia e tēnei tikanga ngā aneurysms roro. Ka whakauruhia e te taote pokanga ētahi koiri (arā, ngā koiri waea platinum) ki roto i te aneurysm mā te catheter ka whakakīia. Ka whakaitihia te nui o te toto e rere ana ki roto i te aneurysm, ā, ka whakaitihia te tūponotanga o tōna pahūtanga.
• Te Kutikuti Irahiko: He momo pokanga roro tuwhera anō hoki tēnei mō ngā aneurysm roro. Ka whakatakotoria e te taote pokanga he topenga whakarewa ki te pūtake o te aneurysm hei tapahi i te rere o te toto.
• Te Whakatō Catheter: Ka whakamahia tēnei tikanga hei whakamutu i te toto i roto i te aneurysm. Ka whakauruhia e te taote pokanga he catheter ki roto i te uaua e pāngia ana, ā, ka whakamahia te ngongo hei werohanga i ngā rongoā, i ngā kaihoko embolic rānei hei whakamutu i te toto.

Me pēhea te ārai i te hanganga o te aneurysm?

He mea noa ngā aneurysms kāore anō kia pakaru. Kāore e taea te ārai i ngā wā katoa. Heoi, ka taea e koe te whakaiti i tō tupono ki te whakawhanake i te aneurysm mā te pupuri i tētahi momo noho hauora:

• Kai i ngā Kai Hauora mō te Ngākau: Kia iti ake te kai i te hinu, te tote, me te huka, engari me nui ake ngā huawhenua me ngā hua. He tino pai ngā mea pēnei i ngā rau matomato, ngā otaota, me ngā ika hou e wātea ana i tō tātou whenua.
• Whakakorikori tinana i ngā wā katoa: Mahihia tētahi mea pēnei i te hikoi, te oma, te kaukau rānei mō te 30 meneti pea i te rā.
• Kia mau ki te taumaha hauora: He mea tino nui kia mau ki te taumaha e tika ana mō tō teitei.
• Āraia, Kati rānei te Momi hikareti: He mea nui tēnei. Ko te momi hikareti tētahi o ngā tino take o ngā aneurysms.

He aha te āhua o te oranga mō te tangata he aneurysm tōna?

He āhuatanga ohorere e morearea ana te pakaru o ngā aneurysms. Mēnā ka pakaru te aneurysm i roto i te roro, ka pāngia pea koe e te whiu. Ka mate pea koe mēnā kāore e rongoatia tonutia. Mēnā ka rongoatia wawetia, ka rerekē pea ngā hua. Ka ora pai te nuinga o te tangata mā te whakaora me ētahi atu maimoatanga.

I te nuinga o te wā ka taea e ngā tākuta te āwhina i te hunga he iti nei ngā aneurysms kāore anō kia pakaru. Ka aro turukihia tō āhua e tō tākuta. Ka taea e ngā rongoā, e ngā pokanga rānei te whakaiti i te mōrearea o te pakaru.

Āhea ahau me toro atu ki te tākuta?

Mena ka puta mai ēnei tohu, me toro atu koe ki te tākuta tonu:

• Mārama te upoko.
• Te Tere o te Manawa.
• He ānini nui ohorere, he mamae nui ki te uma, ki te puku, ki te tuara rānei.

He tohu pea ēnei tohu mō te pakaru o te aneurysm, nō reira he mea nui kia rapu tohutohu hauora, kaua e moumou taima.

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

Mena kei te whakapae koe he aneurysm tōu, kei te pāngia rānei koe e te mate, ka taea e koe te pātai atu ki tō tākuta i ēnei pātai:

• Kei te tūpono ahau ki te pāngia e te aneurysm?
• Me whai whakamātautau whakaahua ahau kia kitea ai he aneurysm?
• Me pēhea taku ārai i te kino haere, te pahū rānei o taku aneurysm?
• He aha ngā huringa āhua noho ka taea e au te mahi hei whakaiti i taku mōrearea?

Kia maumahara, ka taea e te aneurysm te whakawhanake i roto i tetahi uaua o roto i tō tātou tinana. Ka taea e tō tākuta te aroturuki i te aneurysm me te rongoā kia iti ai te tūponotanga o tōna pahūtanga. Heoi, ki te pahū te aneurysm, he āhuatanga ohorere hauora tēnā. Me rapu awhina hauora tonu koe.

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

Āe, kua maha ngā kōrero mō ngā aneurysms i tēnei rā, kāore? He kupu ngāwari noa iho, he wāhanga ngoikore ēnei o tētahi o ō tātou uaua toto e pupuhi ana pērā i te poihau. I te nuinga o te wā, kāore koe e kite i a rātou, engari he tino morearea mēnā ka pahū.

Ko te mea nui ko te mōhio ki ngā āhuatanga mōrearea e pā ana ki a koe. Mena he mate pāwera koe, he toto toto tiketike, he hītori whānau rānei, he mea pai kia tirotirohia koe e te rata i ia wā.

Ki te pāngia koe e ngā tohu ohorere, pērā i te ānini nui ohorere, te mamae o te uma, te ngaronga rānei o te māramatanga, me haere tonu koe ki te hōhipera.

Mā te oranga hauora, pērā i te kai pai, te whakakori tinana, me te karo i te kai hikareti, ka taea te whakaiti i tēnei mōrearea. Nō reira, tiakina tō tinana hoki. Nā te mea ko te hauora te mea nui rawa atu!