Kua heke te rere o te toto ki ō waewae? Me kōrero tātou mō te pokanga Aortobifemoral Bypass

Kei te pāngia koe e te mamae nui, te kikī rānei i ō waewae, inā koa i ngā huha me ngā papa, ina hikoi koe mō te wā poto? Ka memeha te mamae i muri i tētahi wā, engari ka hoki mai anō ina tīmata anō koe ki te hikoi? Kei te pāngia rānei ō waewae e ngā patunga, kāore he take e kitea ana, ā, ka roa te wā e ora ai? Mena kei a koe ēnei tohu, kua kōrero pea tō tākuta ki a koe mō te pokanga. Tērā pea i mataku koe i tō rongonga i te ingoa. I tēnei rā kei te kōrero tātou mō tēnā, he pokanga e kiia nei ko te Aortobifemoral Bypass. Kaua e manukanuka, me whakamārama ngāwari noa iho tēnei.

He aha te Aortobifemoral Bypass?

Whakaarohia kua āraia rawatia te huarahi matua o te tāone nui nā te nui o ngā waka. Kāore he ara e taea ai e ngā waka te haere. Ka aha koe i muri iho? Ka karohia e mātou taua wāhi ārai, ka hangaia he huarahi 'takahi' hou hei tae atu ki tērā taha, tika? Koinei te mahi a tēnei pokanga.

Ko te pokanga Aortobifemoral bypass he pokanga e uru ai ngā uaua toto o te tinana. I roto i tēnei, ka hangaia e ngā taote pokanga he ara hou, e kiia nei ko te bypass , hei karo i ngā wāhi kua āraia, kua whaiti rānei o ngā uaua toto matua o te puku. Mā tēnei ka whakahokia mai te rere o te toto ki ō tātou waewae.

I roto i tēnei pokanga, ka whakamahia e ngā tākuta tētahi oko toto horihori, e kiia nei ko te graft . He mea hanga tēnei i tētahi rauemi pēnei i te polyester. Kia mārama tātou ki te pūtake o tōna ingoa:

• Ko te kupu "Aorto" e pā ana ki te uaua toto nui rawa atu o te tinana, arā, te aorta . Ka tīmata i te ngākau, kātahi ka haere mā te uma ki roto i te puku.
• Ko te "femoral" e pā ana ki ngā uaua femoral, e tīmata ana i roto i tō tātou hope ka rere i roto i ō tātou huha ki muri o ō tātou turi.
• Ko te tikanga o "Bi" ko 'rua'. Ko te tikanga ka hono tēnei tānga ki ngā uaua femur e rua i ō waewae e rua.

He rite te āhua o tēnei tānga ki tētahi "Y" e hurihia ana ki raro. Ko te pito kotahi i te tihi e hono ana ki te wāhanga o raro o te aorta i roto i te puku. Ko ngā waewae e rua o te Y e hono ana ki ngā uaua femoral i roto i ngā waewae. Mā tēnei, ka taea e te toto te karo i te aukati, ā, ka rere ngāwari ake ki ngā waewae.

He aha tātou i hiahia ai ki tēnei momo pokanga?

Ko te nuinga o tēnei pokanga he rongoā mō te mate e kiia nei ko te mate Aortoiliac occlusive . Ahakoa he ahua uaua te ingoa, he tino māmā noa iho te kōrero. Ko te mea ka tupu, ka nui haere te cholesterol me ētahi atu putunga ngako (plaque) i roto i ngā oko toto matua o roto i tō tātou puku me te hope. Ko ngā oko toto matua e pāngia ana i tēnei ara ko:

• Aorta puku: Koinei te wāhanga o te aorta e heke iho ana i roto i te puku.
• Ngā uaua iliac:Ka tīmata ēnei i te taha o te whēkau, te wāhi e wehea ai te aorta kia rua. Koinei ngā mea e haere ana ki te rohe whēkau, ka huri hei uaua femoral.

Ina hanga te kiriuhi toto ki roto i ēnei oko toto, ā, ka whakawhāiti i aua oko toto, kāore ngā wāhanga o raro o te tinana, pērā i ngā waewae, ngā waewae, me ētahi atu okana i roto i te hope, e whiwhi i te nui o te toto whai hāora e tika ana. Ina kino rawa atu tēnei āhuatanga, ka puta he maha ngā raruraru.

He pokanga nui tēnei? He kōwhiringa kē atu anō?

Ae, he pokanga tuwhera te aortobifemoral bypass e mahia ana mā roto i tētahi tapahi nui i te puku. Nō reira, e kiia ana he pokanga nui, he pokanga nui rānei.

Engari i ēnei rā, me te whanaketanga o te hangarau, kei reira ētahi atu maimoatanga kē atu mō tēnei. Ko tētahi o ngā mea matua ko te tikanga e kiia nei ko te aortoiliac stenting with bifurcation reconstruction (AISBR) . Kei roto tēnei i te kāwai o te pokanga endovascular .

Hei whakarāpopototanga, ko te whakauru i tētahi cannula ki roto i te oko toto mā roto i tētahi kōhao iti i te hope, ka haere ki te wāhi kua purua, ka whakauru i tētahi ngongo iti rite ki te mata (stent) mā roto hei whakawhanui anō i te oko toto. He iti ake ngā raruraru pokanga o tēnei tikanga, ā, he poto ake te noho hōhipera.

Mā tō tākuta e whakatau ko tēhea te kōwhiringa pai mōu. I te nuinga o te wā, ka tūtohutia te whakamahi i te stenting mō te hunga e tino mōrearea ana ki te pokanga nui nā ētahi atu mate hauora. Heoi, i ētahi wā, i runga i te kaha o te aukati, ka hiahiatia pea te pokanga tuwhera. Nō reira, kōrero ki tō tākuta mō ō kōwhiringa me ngā painga me ngā huakore.

Me pēhea tā tātou whakarite i mua i te pokanga?

He nui te whakarite e hiahiatia ana mō tētahi pokanga nui pēnei. Mā tō tīma hauora koe e hoatu ngā tohutohu e tika ana. I te nuinga o te wā, me tiaki e koe ēnei mea.

• Te whakamutu i te kai paipa: Mena he kai paipa koe, me mutu rawa atu koe i te iti rawa i te 3-4 wiki i mua i te pokanga. He mea tino nui te whakamutu i te kai paipa mō te angitu o te pokanga, me te hauora hoki o tō ngākau me ō uaua toto i muri mai.
• Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe: Mena kei te tango koe i ngā rongoā mō ngā mate pēnei i te mate huka, te toto toto tiketike rānei, me kōrero koe ki tō tākuta. Tērā pea me mutu te tango i ētahi rongoā, me whakarerekē rānei te horopeta i mua i te pokanga.
• Te nohopuku i mua i te pokanga: Ka tohutohuhia koe kia kaua e kai, e inu rānei i muri i te waenganui pō i te pō i mua i te pokanga. Me whai i ēnei tohutohu kia tika.
• Te whiwhi i ngā whakamātautau e tika ana: Me whai koe i ētahi whakamātautau hei whakaū i tō hauora i mua i te pokanga.
• Taupū pona-puku (ABI): He whakamātautau e ine ana i te toto toto i roto i ngā waewae.
• Te tirotiro i te rere o te toto i roto i ngā oko toto me ngā ārai katoa (te tirotiro Doppler): He tirotiro hei tirotiro i te rere o te toto i roto i ngā oko toto me ngā mea kua āraihia.
• Ngā whakamātautau pēnei i te ECG me te Echo e tirotiro ana i te hauora o te ngākau me ngā uaua coronary.

He aha te mea e tupu ana i te wā o te mahi?

Kāore koe e rongo i tetahi mea i te wā e pokangahia ana, nā te mea ka noho koe i raro i te mate whakamoe whānui. Ka whai te tīma pokanga i ēnei mahi:

1. Whakamoemiti: Ka tukuna koe ki te moe hohonu.

2. Te tapahi: Tuatahi, ka tapahia he tapahi nui (laparotomy) i te roanga o te puku kia tae atu ki te aorta. Kātahi, ka tapahia kia rua atu ngā tapahi ki te tihi o te whēkau kia tae atu ki ngā uaua femoral.

3. Whakaurunga hononga:Ka tangohia e te taote pokanga te oko toto horihori āhua "Y" ka tuia te pito o runga ki runga ake i te aukati i roto i te aorta. Ka tuia ngā waewae e rua o raro o te Y ki raro i te aukati i roto i ngā uaua femoral.

4. Te kati i ngā tapahi: Whai muri i te hanganga o te pokanga taha hou, ka katihia ngā tapahi i mahia ki te puku me te hope ki ngā tuitui, ki ngā tīpare rānei.

I te nuinga o te wā, ka roa pea tēnei pokanga katoa i waenga i te 2 ki te 6 hāora .

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

I muri i te pokanga, me noho koe ki te hōhipera mō te 4 ki te 7 rā. I tēnei wā, ka tino tiakina koe e te tīma hauora.

• Ka puritia koe ki te wāhanga tiaki nui (ICU) i tētahi wāhanga motuhake rānei, ā, ka tirotirohia pūmautia mō ngā raruraru, inā koa ngā mate pāwera.
• Ka tirotirohia e au i ia wā, i ia wā, mēnā kei te pai te rere o te toto i roto i ō waewae .
• Mā rātou koe e āwhina mārire ki te hikoi. Tuatahi he tawhiti poto, kātahi ka whakanuia te tawhiti i ia rā, i ia rā.
• Ka hoatu ngā rongoā mamae hei whakahaere i te mamae.

He aha ngā angitu me ngā mōrearea o tēnei pokanga?

He tino angitu tēnei pokanga. E ai ki ngā tatauranga, i waenga i te 80% me te 95% o ngā pokanga ka pupuri angitu i te rere o te toto mō ngā tau e 5. I te 10 tau, ko te ōrau angitu kei waenga i te 74% me te 86%.

Pērā i ngā pokanga nui katoa, tera pea ngā mōrearea me ngā raruraru ka pā mai. I mua i tō mataku, kia mahara ka whakapau kaha te tīma hauora ki te whakaiti i te tūponotanga o ēnei mea.

Ngā raruraru pea:

• Te whakaekenga o te ngakau
• Whiu
• Te toto nui rawa
• Ngā toto totoka
• Ngā mate pāwera o te patunga pokanga
• Mate pāwera
• Te ngoikore o te whatukuhu
• Te ngoikore o te pūkahukahu

Kōrerohia mā te mahorahora ki tō tākuta mō ēnei mōrearea i mua i te pokanga, ā, pātai atu ki a koe mēnā he pātai āu.

Te whakaoranga me ngā mahi ārai i muri i te hokinga ki te kāinga

E rua ki te toru marama pea te roa hei whakaora katoa, engari i roto i ngā wiki e whā ki te ono ka taea e koe te hoki mārire ki ngā mahi o ia rā.

Tērā pea ka mamae ngā tapahi mō ngā wiki tuatahi. Whakamahia ngā rongoā whakamamae mamae kua tohua e tō tākuta mō tēnei.

• Tangohia tō rongoā kia rite ki te mea i whakaritea: Tangohia ngā rongoā katoa i whakaritea e tō tākuta i te wā tika, me te horopeta tika.
• Puritia kia ma ngā patunga: Me ata whai i ngā tohutohu a tō tākuta mō te horoi me te paninga rongoā.
• Whakangungu:Ko te hikoi te mahi pai rawa atu i ngā wāhanga tōmua. Me whakanui haere i te tawhiti e hikoi ai koe i ia rā. Engari kaua e neke atu i te kaha i tā tō tākuta i tohutohu ai.
• Kaua e hiki i ngā taumaha: Kaua e hiki katoa i ngā taumaha mō ētahi marama.

Pātai atu ki tō tākuta āhea koe ka taea te tīmata anō ki te taraiwa, te haere ki te mahi, me te mahi i ngā mahi whakakori tinana kaha.

Ahea te wā me waea atu ahau ki te tākuta?

Ki te puta mai tētahi o ngā tohu e whai ake nei i muri i tō hokinga ki te kāinga, waea atu ki tō tākuta, haere rānei ki te hōhipera tonu atu .

Me aha i roto i te āhuatanga ohorere? (Āwhina)

Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei o te whakaeke ngakau , te whiu rānei, waea atu ki te ratonga waka tūroro 1990 i runga i te tere tonu , haere rānei ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera tata.

Ngā tohu o te whakaeke ngakau

• Te mamae, te kikī, te kore whakamarie rānei i waenganui o te uma.
• Te uaua ki te manawa.
• Whakapairuaki, mamae o te puku.
• Ngā tere o te ngakau.
• Te ngenge nui.
• Pōuriuri, ngaro te māramatanga.
• Te werawera nui.

Ngā tohu o te whiu

• Te ngoikore, te ngenge rānei i tetahi taha o te tinana (te kanohi, te ringa, te waewae rānei).
• Te uaua ki te kōrero, te kore rānei e kōrero tika.
• Te ngaronga ohorere o te tirohanga, kotahi, e rua rānei ngā kitenga.
• Te ānini nui ohorere.
• Te uaua ki te hikoi, te ngaro o te taurite.

Ka taea e te pokanga nui te whakararuraru i te hinengaro. He mea noa tēnā. Kōrerohia ō wehi me ō āwangawanga ki tō whānau, ki tō tākuta me te tīma hauora. Mā te whiwhi i ngā mōhiotanga katoa e hiahiatia ana e koe, me te whakarite hinengaro pai, ka tino āwhina i te tukanga whakaora.