Kua kōrero mai tō tākuta kua ngoikore te uaua toto matua e kawe ana i te toto whai hāora mai i tō ngākau puta noa i tō tinana, ā, kua puta he pupuhi rite ki te poihau i tōna pūtake? Kua kī mai rānei rātou me pokanga koe mō tēnei? He mea tino noa te manukanuka ina rongo koe i tēnei, engari kia mōhio koe he tikanga nui tēnei hei whakaora i tō ora. I tēnei rā, ka matapakihia e tātou he aha te Whakakapinga Pūtake Aorta, me pēhea te mahi, me ngā mea katoa e hiahia ana koe ki te mōhio mō tēnei tikanga i Nirogi Lanka.
He aha te tikanga o te whakakapinga pakiaka aorta?
Ko te aorta te oko toto nui rawa atu, tino nui hoki te hiranga o tō tinana, e hono tika ana ki tō ngākau. Ko te wāhanga tuatahi rawa e piri ai te aorta ki tō ngākau e mōhiotia ana ko te "Aortic Root". I ētahi wā, ka ngoikore te pakitara o tēnei wāhanga, ka tīmata te pupuhi pērā i te poihau. Koinei te mea e kiia nei e tātou he "Aneurysm."
Ko te mōrearea matua o te aneurysm ko te kaha ki te haehae (wetewete) te pahū rānei (whawhati) i ngā wā katoa. Mēnā ka puta tēnei, ka arahi pea ki te toto nui o roto, he āhuatanga ohorere e morearea ana ki te ora.
I te wā e whakakapia ana te pakiaka o te aorta, ka tangohia e tō taote pokanga te wāhanga ngoikore, pupuhi o te aorta, ka whakakapia ki tētahi tāpiringa hangai. Mā tēnei tikanga ka ārai i ēnei raruraru kino, ā, ka āwhina hoki ki te tiaki i tō oranga.
He aha ngā momo matua o tēnei pokanga?
E rua ngā huarahi matua hei mahi i tēnei pokanga. I runga i tō āhua hauora, ka whakatauhia e tō taote pokanga te huarahi tino tika mō tō whakaoranga.
| Momo Pokanga | Whakaahuatanga |
|---|---|
| Te Whakakapinga Pūtake Aorta (ARR) / Te Tukanga Bentall | I roto i tēnei tikanga, ka whakakapia te pūtake pakaru o tō aorta me te takirere aorta mā te whakamahi i tētahi tākai hangai me tētahi takirere hou. Koinei te paerewa koura mēnā kei te turuturu tō takirere aorta, kei te tino whakapūmau rānei. Mēnā ka whakamahia he takirere ā-ringa, me tango e koe he rongoā ārai toto mō te wa katoa hei ārai i ngā toto totoka. |
| Te Whakakapinga Pūtake Tiaki-Taurere (VSRR) | E ai ki te ingoa, ka whakakapia e tēnei tikanga te wāhanga ngoikore o te uaua toto, me te tiaki tonu i tō ake takirere aorta hauora. He mea pai tēnei mō ngā tūroro taitamariki, mō te hunga rānei he mate hononga kiko (pēnei i te Marfan syndrome) he hauora ō rātou takirere. Ko te painga nui ko te kore e hiahiatia he rongoā whakangawari toto mō te wā katoa. E rua ngā tikanga matua: ko te tikanga Yacoub me te tikanga David. |
Ngā momo iti o te VSRR
Ka whakahaerehia te VSRR mā te whakamahi i tētahi o ngā tikanga matua e rua: ngā tikanga a Yacoub me David.
- Te tikanga Yacoub: Ko te hanga anō i te pūtake aorta kia uru ki te takirere taketake. He pai te nuinga o te wā mō ngā tūroro kaumātua, mō te hunga rānei kāore i puta mai i ngā āhuatanga ira te aneurysm.
- Te tikanga a Rawiri: Ko te whakaurunga anō i te takirere ki roto i tētahi hononga hangai. Ahakoa he uaua ake te hangarau, he whānuitia te whakamahinga, ā, e tino taunakihia ana mō ngā tūroro taitamariki e pāngia ana e ngā mate ira pēnei i te Marfan syndrome.
Ko wai e hiahia ana ki tēnei pokanga, ā, āhea?
Ki te nui haere te pūtake o tō aorta, ka tūpono pea koe ki te pakaru, ki te motu rānei, ā, he mea nui te pokanga. Ahakoa ka puta tēnei nā te kakahu e pā ana ki te koroheketanga, ka taea e ngā āhuatanga ira pēnei i te Marfan syndrome, te Loeys-Dietz syndrome rānei te whakawhanake i ēnei aneurysms morearea i te wā wawe o te ao.
Ko ngā whakataunga mō te pokanga ka ahu mai i te rahi o te aneurysm me tō āhua mōrearea motuhake:
- Mena kāore he mōrearea ira kei roto i a koe, ka tūtohuhia te pokanga ina tae te whānui ki te 5.5 cm .
- Mena kei a koe te Marfan syndrome, ko te paepae he 5.0 cm te tikanga.
- Mena kei a koe te Marfan syndrome me te hītori whānau o te tapahi aortic, te whakamahere haputanga, te tipu tere rānei (neke atu i te 3mm ia tau), ka tūtohutia pea te pokanga i te 4.5 cm .
- Mena he takirere aorta bicuspid tōu, me ētahi atu āhuatanga mōrearea pēnei i te toto toto tiketike kāore i te taea te whakahaere, ka whakaarohia te wawaotanga i te 5.0 cm .
Ko te mea nui, he tino whaiaro ēnei whakataunga. Mā tō taote pokanga o Nirogi Lanka e whakatau te wā tino pai mō tō pokanga i runga i tō tau, tō hauora whānui, me tō hītori hauora.
Me pēhea te whakarite mō tō pokanga
Nā te mea he tikanga nui tēnei, he mea nui te whakarite pai. Ka whakahaerehia e tō rōpū hauora he aromatawai whānui:
- Ngā whakamātautau toto: Hei aromatawai i te mahi a tō whatukuhu me tō pūnaha katoa.
- CT, MRI rānei mō te ngākau: Hei tiki i tētahi mahere taipitopito o tō aorta katoa.
- Angiography coronary: Hei whakarite kei te ora ngā uaua e tuku ana i te toto ki tō ngākau.
- Ultrasound takirua: Hei tirotiro i te hauora o ō uaua carotid i te kaki.
Me kōrero pono koe ki tō tākuta mō:
- Ngā rongoā katoa: Kei roto i tēnei ko ngā huaora, ngā tāpiringa otaota, me ngā rongoā ka taea te hoko kore utu, ko ētahi o ēnei me mutu te tango i mua i te pokanga.
- Ngā āhuatanga hauora o nāianei: Me tino whakahaere i ngā āhuatanga pēnei i te toto toto tiketike i mua i te mahi pokanga.
- Momi hikareti: Me mutu te momi hikareti i te iti rawa i te kotahi marama i mua i te pokanga. Tena koa pātai atu ki tō tīma Nirogi Lanka mēnā e hiahia ana koe ki te tautoko hei whakamutu.
I te wā me muri i te Tukanga
I te wā o te pokanga, ka tukuna koe ki raro i te mate whakamoe whānui. Ka honoa koe ki tētahi mīhini karo manawa , e tango ana i te mahi a tō ngākau me ō pukahukahu mō tētahi wā poto, kia taea ai e te taote pokanga te mahi i tētahi ngākau pumau, marino.
Ka tapahia tō uma e te taote pokanga, ka tangohia te wāhanga aorta ngoikore, ka whakakapia ki tētahi tāpiringa hangai. Kātahi ka tāpirihia anō ngā uaua coronary ki te tāpiringa i mua i te katinga o te tāpiringa. Ko te tikanga, e 4 ki te 6 hāora te roa o te mahi.
Whai muri i te pokanga, ka noho koe i te Wāhanga Tiaki Kaha (ICU) mō tētahi wā i mua i te neke ki te wāhanga whakaora whānui. Ko te roanga o te noho hōhipera katoa he tata ki te kotahi wiki, ā, i taua wā ka āta tirotirohia koe, ka tukuna hoki ki a koe ngā rongoā e tika ana hei whakahaere i te mamae me te whakaora.
He aha te Wā Whakaora?
Ko te oranga katoa i muri i tēnei tikanga nui e ono ki te tekau mā rua wiki te roa, ā, i ētahi wā, e maha ngā marama. Me nui te wā me te manawanui o tō tinana kia ora tika ai i muri i tētahi mahi uaua pēnei.
- Mō ngā wiki tuatahi e 6: Kaua e taraiwa, e hiki i ngā mea taumaha, e mahi rānei i ngā mahi uaua.
- Mō ngā mahi tēpu: Tērā pea ka taea e koe te hoki ki te mahi i roto i te 6-8 wiki.
- Mō ngā mahi e uaua ana te tinana: Me tatari roa ake koe, e ai ki ngā tohutohu a tō tīma hauora.
Mā te whai tika i ngā tohutohu a tō tākuta, me te whai wāhi atu ki ngā kaupapa whakaora ngākau, ka tino āwhina i a koe kia tere ake, kia maeneene ake hoki tō whakaoranga.
Āhea me rapu awhina hauora tonu
I muri i tō hokinga ki te kāinga, ki te kite koe i tētahi o ngā tohu e whai ake nei, whakapā atu ki tō tākuta tonu atu.
| Ngā Tohu hei Mataara | |
|---|---|
| Ngā Āwangawanga mō te Tapahi Pokanga: | |
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| Ētahi atu āwangawanga: | |
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Me pēhea te mōhio ki tētahi āhuatanga ohorere
Mena he aneurysm tōu kāore anō kia rongoatia, ko ngā tohu e whai ake nei ka tohu pea kei te pakaru, kei te haehae rānei. Mēnā he pēnei te āhua, rapua tonutia te awhina ohorere mā te haere ki te tari ohorere tata rawa atu, te waea atu rānei ki te 911 (ki tō ratonga ohorere ā-rohe rānei).
- Te mamae ohorere, te mamae e kore e taea te whakamanawanui i te uma, i te tuara rānei o runga (e kiia ana he mamae e haehae ana, e haehae ana rānei).
- Te werawera nui, me te kiri makariri, mākūkū.
- Te uaua ki te manawa.
- Pōuriuri , ngoikore rānei.
- He tere, he koretake rānei te pao o te ngakau.
Ngā Kōrero Matua (Nirogi Lanka)
- Ko te Whakakapinga Pūtake Aorta he tikanga pokanga whakaora ora e mahia ana ki te wāhanga tuatahi o te aorta kua ngoikore.
- E rua ngā momo matua o tēnei pokanga: tētahi hei whakakapi i te takirere aorta (ARR) me tētahi hei tiaki i a ia (VSRR). Mā tō taote pokanga e whakatau te huarahi pai rawa atu māu.
- Ahakoa e hia ngā marama e pau ana mō te whakaoranga katoa, he tino teitei te angitu me te ora o tēnei tikanga (tata ki te 98%-99%).
- He mea nui te piripono ki ngā aratohu hauora i mua i te pokanga me muri i te pokanga kia pai ai te whakaoranga.
- Kaua e mangere ki te kōrero ki tō tākuta mō ō pātai, ō mataku rānei. Ahakoa he tikanga noa tēnei mā ngā tohunga hauora, he wheako nui tēnei māu, ā, he mea noa te whai āwangawanga.
Whakakapinga Pūtake Aorta, Aorta, Pokanga Manawa, Aneurysm, Tukanga Bentall, Marfan syndrome, Aorta valve, Mate manawa, Pokanga Manawa
