Te Wetewete i te Aorta - E mōhio ana koe ki tēnei āhuatanga morearea?

Ko tō ngākau te pokapū pupuhi matua mō tō tinana katoa. Nō reira, ko te oko toto nui rawa atu e puta mai ana i te ngākau, e kawe ana i te toto ma, he nui te hāora puta noa i tō tinana, e kiia ana ko te aorta. Whakaarohia he rite ki te paipa wai matua e tuku wai ana ki tō whare. Ko te Aortic Dissection te wā e haehae ai te pakitara o tēnei oko toto matua mai i roto. He āhuatanga tino morearea tēnei, he āhuatanga mōrearea ki te ora, e puta ohorere ana, me te kore he whakatūpato i mua.

He aha te Wehenga o te Aorta? Kia mārama noa tātou

He oko toto tō tātou aorta, e toru ngā paparanga. He rite ki te pakitara e toru ngā paparanga. Mēnā he take, ka pakaru te paparanga o roto rawa o tēnei pakitara, ka uru te toto e rere ana i raro i te pēhanga teitei ki roto i te pakaru, ka tīmata te turuturu i waenganui i ngā paparanga e rua o te pakitara. I te whakakī o te toto i tēnei ara, ka wehe ngā paparanga e rua tetahi i tetahi. Koinei te mea e kiia nei e tātou he tapahi.

Whakaarohia he rite ki tētahi rori e pakaru ana kia rua. Ina tupu tēnei, ka whakararuraruhia te rere noa o te toto ki ngā wāhanga rerekē o te tinana. Ā, i ētahi wā, ka pakaru rawa tēnei uaua nui (ka pakaru).

He aha ngā momo matua o te tapahi aortic?

E wehea ana tēnei āhuatanga e ngā tākuta kia rua ngā momo matua, e kiia nei ko te whakarōpūtanga a Stanford, e ahu mai ana i te wāhi e puta ai te roimata.

He aha ngā tohu o tēnei? Me pēhea te mōhio ki tēnei?

Ko te āhuatanga matua o te tapahi aortic ko tōna putanga ohorere . Kāore he tohu whakatūpato. Ka taea te puta i ngā wā katoa, pērā i te wā e moe ana koe, e okioki ana, e mahi ana rānei i ngā mahi taumaha.

Koinei ngā tohu ka kitea whānuitia:

• He mamae ohorere, kāore e taea te whakamanawanui, he mamae koi i te uma, i te tuara rānei o runga. He maha ngā tāngata e kī ana he "haehae" he "wero" rānei . Koinei te tohu matua, te tohu tino kitea.
• Te mamae nui o te puku.
• Te uaua ki te manawa (Dyspnea).
• Pōuriuri, pōturi rānei.
• Te hekenga ohorere o te toto toto (te toto toto iti).
• He pātere ngoikore, tere hoki.
• Te werawera nui.
• Pōhēhētanga.
• Te ngaronga o te tirohanga.
• Ngā tohu o te whiu. Hei tauira, te ngoikore o te taha kotahi o te tinana, te uaua rānei ki te kōrero.

He aha tēnei e tupu ai? He aha ngā āhuatanga mōrearea?

Ko te tino take o te wehenga o te aorta ko te ngoikore haere o te pakitara o te aorta i roto i te wā. Ka puta puku tēnei ngoikore mō ngā tau, ā, i te mutunga ka pakaru i te wāhi ngoikore rawa.

Ko te take mōrearea matua, ko te mea tino kitea mō tēnei ko te toto toto tiketike kāore i te whakahaeretia (hypertension) . Ka pakaru ngā pakitara o ngā uaua toto i te toto toto tiketike, ka kore e ngāwari, ka ngoikore hoki.

Ko ētahi atu āhuatanga mōrearea ko:

• Atherosclerosis , cholesterol teitei rānei.
• Te whakamahi i ngā hua tupeka (te momi hikareti).
• Te aneurysm o te aorta.
• Ngā mate o te takirere aortic o te ngakau.
• Ngā mate ngakau whānau, hei tauira, te takirere aorta bicuspid (e rua ngā takirere hei utu mō te toru noa).
• Ngā mate hononga kiko, pērā i te Marfan syndrome me te Ehlers-Danlos syndrome . He āhuatanga ēnei ka taea te tuku iho.
• Mena kua pāngia tetahi o te whānau e te wehenga aorta i mua.
• Ngā whara kino ki te uma (hei tauira, he aituā motuka kino).
• Kei waenganui i te 40 me te 70 tau te pakeke.
• Te toto toto tiketike i te wā e hapu ana.
• Te whakamahi i ngā raau taero pēnei i te kōkāini.

Me pēhea te tātaritanga a te tākuta i tēnei?

Ina haere koe ki te hōhipera, tera pea ka whakapae te tākuta kei te pāngia koe e tēnei mate i runga i ō tohumate. Heoi, nā te mea he rite ēnei tohumate ki te mate manawa, ki te whiu rānei, me tere tonu te whakahaere i ētahi whakamātautau hei whakaū i tēnei mate.

• Matawai CT (Tomography Rorohiko): Koinei te huarahi pai me te tere ki te kite mārama i te aorta i roto i te āhuatanga ohorere.
• Echocardiogram: He whakamātautau ultrasound tēnei. Ka taea e te transesophageal echocardiogram (TEE) te whakaatu i te aorta me te mārama ake i te transthoracic echocardiogram.
• X-ray o te uma: Ka taea te whakaatu mena kua whānui te aorta.
• MRI (Whakaahua Āhua Aukume): Ahakoa ka taea hoki e tēnei te whakaputa whakaahua tino mārama, he iti ake te whakamahinga i ngā wā ohorere nā te mea he roa ake te wā i te matawai CT.

Me pēhea te rongoā?

Ko te tikanga maimoatanga e whakawhirinaki ana ki te wāhi i pakaru ai te roimata (Momo A, Momo B rānei) me te āhua o te tūroro.

Te pokanga me ētahi atu maimoatanga

1. Whakakapinga Tārua: He pokanga ngākau tuwhera tēnei. I roto i tēnei pokanga, ka tangohia e te taote pokanga te wāhanga pakaru o te aorta ka whakakapia ki tētahi tārua hangai. Ka mahia tēnei pokanga hei maimoatanga ohorere mō te tapahi Momo A.

2. Te Whakatikatika i te Stent-Graft Endovascular: Ko te tikanga tēnei he tapahi iti i roto i te uaua toto i te hope, me te whakamahi i ngā waea me ngā catheter hei whakauru i te ngongo mata whakarewa (graft stent) ki roto i te wāhanga ngoikore o te aorta. Mā tēnei ka whakapakari i te pakitara ngoikore mai i roto. He maha ngā wā ka whakamahia tēnei tikanga mō te tapahi Momo B uaua.

3. Huarahi Ranu: I ētahi wā uaua, me whakamahi ngātahi pea ngā tikanga pokanga tuwhera me ngā tikanga tākai stent.

Ngā rongoā (tarukino)

Ko te nuinga o ngā rongoā ka whakamahia i mua i te pokanga, i muri i te pokanga, me ngā kēhi Momo B ina kore e hiahiatia he pokanga.

• Ka taea te hoatu rongoā pēnei i ngā beta-blockers hei whakaiti i te tere o te manawa me te toto toto. Ka whakaitihia te pēhanga ki te aorta, ā, ka ārai i te horapa haere o te roimata.
• Me tango rongoā koe mō te toenga o tō oranga hei whakahaere i tō toto toto.

Ka taea te ārai i tēnei?

Kāore e taea e tātou te whakarerekē i ētahi āhuatanga mōrearea (hei tauira, ngā mate tuku iho). Heoi anō, tera ētahi mea ka taea e tātou te whakahaere.

• Kia pai te whakahaere i tō toto toto.Ki te mea he toto toto tiketike tōu, me tango e koe te rongoā kua tohua e tō tākuta, ā, me whakaiti hoki te tote e kainga ana e koe.
• Ki te kai paipa koe, kati tonu.
• Kia mau tonu te taumaha tinana hauora.
• Mena kua pāngia tētahi o tō whānau (ngā mātua, ngā tuākana, teina rānei) e tēnei mate, kōrero ki tō tākuta mō tēnei mea, kia mahia hoki ngā whakamātautau e tika ana.
• Mā te mau i te whitiki nohoanga ka ārai i ngā whara o te uma i roto i tētahi aituā motuka.