Kua pupuhi te uaua toto matua o tō uma, pērā i te poihau? (Thoracic Aortic Aneurysm) - Me kōrero tātou mō tēnei!

Ko te aorta, te oko toto nui rawa atu rānei e kawe ana i te toto puta noa i tō tātou tinana, ko te aorta rānei. Whakaarohia he rite ki te paipa wai matua e kawe mai ana i te wai ki tō tātou whare. He aha te mea ka tupu mēnā ka ngoikore tetahi o ngā pakitara o tēnei paipa i tētahi wāhi, ā, ka tīmata te pupuhi i raro i te pēhanga o te wai? Koinei te āhua o te Thoracic Aortic Aneurysm. Ko te mea ka tupu i tēnei take, ko te ngoikore o te pakitara o tētahi wāhanga o te aorta e rere ana i roto i tō tātou uma, ā, ka pupuhi pērā i te poihau i raro i te pēhanga o te toto. I tēnei rā, ka kōrero tātou mō tēnei āhuatanga, e puta pinepine ana me te kore he tohu, i roto i te tinana.

He aha rawa te Aneurysm o te Aorta o te Uma?

I te whakarapopototanga, he pupuhi, he pūwero rānei tēnei (aneurysm) i roto i te aorta, te uaua nui e rere ana i roto i tō tātou uma (thorax). He rite tēnei aorta ki te ngongo. Engari ina puta he aneurysm, ka rerekē te āhua o taua ngongo, ā, ka pūwero tetahi wāhi pērā i te poihau. I te nuinga o te wā, ka kiia tēnei āhuatanga e ngā tākuta he aneurysm ina whānui ake taua wāhanga o te uaua i tōna whānui noa, neke atu i te 50%.

Ka taea e tēnei momo aneurysm te puta i ngā wāhi katoa o roto i tō tātou aorta. Engari ko te nuinga o te wā ka puta i roto i te puku. Ka kiia e mātou he Abdominal Aortic Aneurysm. Engari tata ki te kotahi i roto i te whā o ngā aneurysm e puta ana i roto i te uma. Ka kiia e mātou he Thoracic Aortic Aneurysm.

Mena he iti nei te aneurysm pēnei i a koe, kāore pea e nui te maimoatanga e hiahiatia ana. I a koe e tango ana i te rongoā hei whakahaere i ngā mea pēnei i te toto toto tiketike, ka tirotirohia koe e tō tākuta i ia wā kia kite ai mēnā kei te nui haere. Engari ki te nui te aneurysm, ki te tere rānei te tipu, me mahi pea te pokanga i mua i te puta mai o ngā raruraru nui, e morearea ana ki te ora.

He pēhea te noa o tēnei āhuatanga?

E ai ki ngā tatauranga, e 6 ki te 10 ngā tāngata i roto i te 100,000 ka pāngia e tēnei mate. Heoi, tera pea he nui ake te tau tūturu. Nā te mea he maha ngā tāngata kāore e whakaatu i ngā tohumate , ā, e ora ana me te kore e mōhio kei a rātou tēnei mate. Tata ki te 20% o ngā tūroro kua tātaritatia he mema whānau kei a rātou anō te mate, ko te tikanga tera pea he uri tuku iho.

He aha ngā tohu o tēnei?

Ko te mōrearea nui o tēnei mate ko te nuinga o te wā kāore he tohu. Heoi, i ētahi wā, ina nui haere te aneurysm, ā, ka pēhi i ngā whekau e karapoti ana, ka puta pea ētahi tohu.

Ngā tohu ohorere ka puta mai mēnā ka pakaru (ngā pakaru) te aneurysm, ka wehea rānei (te pokanga)

Koinei te wāhanga tino morearea o te mate. Ka ngoikore te pakitara o te aneurysm, ka pakaru ohorere (pakaru) ka haehae rānei i ngā paparanga e rua o te pakitara (tapahi). He āhuatanga tino ohorere tēnei, he mate morearea. I te nuinga o te wā ka puta ohorere mai ēnei tohu, ā, he tino kino.

He aha i puta ai tēnei mea?

He kaha, he ngāwari hoki ngā pakitara o ō tātou uaua toto. Me kaha ki te whakawhāiti me te totoro i raro i te pēhanga o te toto e puta mai ana i ia pao o te ngakau. Engari ki te ngoikore ēnei pakitara, kāore e taea te tu atu i te pēhanga ka tīmata te pupuhi.

Ko te tino take o tēnei he mate e kiia nei ko te Atherosclerosis . I roto i ngā kupu māmā, ka whakatakotoria ngā matū ngako pēnei i te cholesterol ki roto i ngā oko toto (e kiia ana tēnei e mātou he papa), ka mātotoru haere, ka ngoikore haere ngā pakitara o ngā oko toto. Pērā i te waikura e hangai ana ki roto i tētahi paipa wai tawhito. Ka ngoikore haere ngā pakitara o ngā oko toto, ā, ka nui ake te tūponotanga o te whakawhanake i tētahi aneurysm.

He aha ngā āhuatanga e whakanui ake ai i te mōrearea?

Haunga te atherosclerosis, ko tetahi mea e ngoikore ai ngā pakitara o te aorta ka whakanui ake i te tūponotanga o te whakawhanake i te aneurysm.

Me pēhea te kitenga a ngā tākuta i tēnei?

I te nuinga o te wā, ka kitea tēnei mā te tūpono. Ka kiia e mātou he "taataritanga tūpono". Arā, ina mahia he hihi-X o te uma mō tētahi atu take, ka kite pea te tākuta he whānui ake te wāhanga waenga o te uma (mediastinum) i te mea noa. Koinā te wā e whakapaetia ana he aneurysm.

Mena ka ara ake taua whakapae, ka whakahau te tākuta i ngā whakamātautau pēnei hei whakaū i tēnā:

• Angiogram tomography rorohiko (CT): Ka taea e tēnei te whakaputa i ngā whakaahua toru-ahu tino mārama o te aorta.
• Echocardiogram (echo): He matawai ultrasound hei tirotiro i te mahi a te ngākau me te wāhanga tuatahi o te aorta.
• Angiogram aukume aukume (MRA): He whakamātautau rite ki te matawai CT, engari kāore e whakamahia he irahiko.
• Whakamātautau ira-oro o te puku: Ko te hunga he aneurysm o te uma, tera pea he aneurysm o te puku, no reira tirohia hoki.

He aha ngā maimoatanga e wātea ana?

Ko te pokanga anake te rongoā whakamutunga mō te aneurysm aorta thoracic. Heoi, ko te wā me te momo pokanga e mahia ana ka whakawhirinaki ki te rahi o te aneurysm, tōna wāhi, te tere o tōna tipu, me tō hauora whānui.

Āhea te wā e hiahiatia ai te pokanga?

Mena he iti te aneurysm, ka whakatau pea te tākuta ki te tatari me te kore e pokanga. Ka kiia tēnei he "tatari mataara". Ko te tikanga ka matawaihia e rātou te aneurysm i ia 6 ki te 12 marama kia kite ai mēnā kei te nui haere, ā, ka hoatu he rongoā ki a koe hei whakahaere i tō toto toto.

Engari,

• Mena he 2 inihi (tata ki te 5.5 henimita) te roa o te aneurysm,
• Mena kei te tere ake te tipu o te aneurysm i te 0.5 cm ia tau ,
• Mena kei te puta mai ngā tohu i te aneurysm ,

Ko te tikanga he mea pai te pokanga nā te mea ka nui ake te tūponotanga o te pahūtanga ka nui ake te rahi o te aneurysm.

Ngā momo pokanga matua

He maha ngā momo pokanga matua e whakamahia ana i tēnei wā.

1. Pokanga tuwhera tuku iho: Ka tapahia te waenganui o te uma, ka tangohia te wāhanga ngoikore o te aorta me te aneurysm, ā, ka whakatōkia he pokanga ki tōna wāhi.

2. Te whakatikatika i te aorta endovascular o te uma (TEVAR): He tikanga iti rawa te whakaekenga. Ka mahia he tapahi iti ki te hope, ā, ka whakauruhia he stent graft mā roto i te tapahi mā te whakamahi i te catheter ki te aneurysm, ā, ka mau mai i roto.

3. Whakakapinga pakiaka o te aorta: Ka mahia tēnei pokanga mēnā kei te pūtake o te aorta te aneurysm, e hono ana ki te ngākau. Tērā pea me whakakapi te takirere ngākau.

Mā tō tākuta e whakatau ko tēhea tikanga maimoatanga te mea pai mōu.

Kāore e taea te ārai i tēnei mea?

Kāore he huarahi hei ārai i te whanaketanga o te aneurysm 100%. Heoi, mā te whakahaere i te tino take, arā, te atherosclerosis, ka taea te whakaiti i te mōrearea.

• Whakahaerehia tō toto toto me ngā taumata cholesterol mā te tango i ngā rongoā kua tohua e tō tākuta.
• Whakamahi i tētahi tauira kai hauora mō te ngākau, pērā i te Kai Mediterranean.
• Kati rawa te kai hikareti me ngā hua tupeka katoa.
• Whakakorikori tinana. Me mahi i ngā mahi whakakorikori tinana ngāwari, pērā i te hikoi, mō te iti rawa 150 meneti i te wiki. Engari me kōrero ki tō tākuta i mua i te tīmatanga o tētahi kaupapa whakakorikori tinana hou.
• Me tirotiro hauora ā-tau.

Mena kei a koe tēnei āhuatanga, me pēhea koe e tiaki ai i a koe anō?

Ki te kī atu tō tākuta he aneurysm aortic thoracic tōu, kaua e mataku. Māna koe e tohutohu mō te tiaki i a koe anō i a koe e ora ana me taua mate.

• Āta karohia ngā mahi pēnei i te hiki taumaha me te whakangungu wā roa (HIIT). Ka taea e ēnei te pēhi i te aorta. Pātai atu ki tō tākuta he aha ngā mahi whakakori tinana e tika ana māu.
• Āta karohia te whakamahi tupeka.
• Whakaitihia te tote i roto i te kai.
• Tangohia te rongoā i tohua e te tākuta kia tika, kia tika hoki i te wā tika.
• Āta karohia ngā raau taero e whakanui ake ana i te tere o te ngakau (kokaini, amphetamines) me ētahi otaota.
• Me whakapā atu ki tō tākuta i ia wā, i ia wā. Mēnā ka puta he tohu hou, he pānga taha rānei o tō rongoā, me whakamōhio tonu atu.