Kei te rongo koe i te mamae koi, i te ngau rānei i ō waewae ina hikoi koe mō te wā poto? Ka memeha haere rānei i muri i tō tū me te okioki mō tētahi wā, kātahi ka hoki anō te mamae ina tīmata anō koe ki te hikoi? He raruraru tēnei e pā ana ki te tini tāngata. Ko te tino take o tēnei he aukati i roto i te uaua toto matua e kawe ana i te toto whai hāora ki ō waewae. I tēnei rā, e kōrero ana tātou mō tētahi pokanga nui, tino nui e mahia ana i roto i tēnei āhuatanga.
He aha te Arataki Aortobifemoral?
He whakarāpopototanga noa iho tēnei, he pokanga tēnei e mahia ana e ngā taote pokanga ki tō puku (puku). Pērā i te wā e āraia ana tētahi rori, ka hangaia he rori hou, e kiia nei ko te rori 'takahi', ka hangaia e tēnei pokanga he ara hou hei karo i ngā oko toto kua āraia, kua whaiti rānei (ngā uaua toto) i roto i tō tinana. Mā tēnei ka taea te rere tika anō o te toto ki ō waewae.
I tēnei tikanga, ka whakaurua e te taote pokanga he oko toto horihori, e kiia nei ko te graft, ki roto i tō puku, ka hono atu ki te oko toto kua āraia. Ko te tikanga, he mea hanga tēnei oko toto horihori ki tētahi rauemi pēnei i te polyester. Ko te kupu "aortobifemoral" tonu e kī ana i tēnei.
- Ko "Aorto" te oko toto nui rawa atu o tō tātou tinana, arā, te aorta . Ka tīmata mai i te ngākau ka rere mā roto i te uma ki te puku.
- Ko te kupu "femoral" e pā ana ki ngā uaua i roto i ō huha . Ka tīmata ēnei i te rohe o te hope, ka heke ki muri o te turi.
- Ko te tikanga o "Bi" he "rua." Ko te tikanga ka hono tēnei oko toto horihori ki ngā uaua femur e rua i ō waewae e rua.
Whakaarohia tēnei pokanga, "(Pokanga),'' he rite ki te "Y" e hurihia ana ki raro. Ka hono te wāhanga o runga ki te aorta i roto i te puku, ā, ka hono ngā peka e rua o te "Y" ki ngā uaua femoral i roto i ngā waewae.
He aha te momo mate e mahia ai tēnei pokanga?
Ko te mahi matua o tēnei pokanga he rongoā i tētahi mate e kiia nei ko te mate aortoiliac occlusive . Koinei te wā e hangai ai te ngako me ētahi atu matū (pērā i te paraka) ki ngā pakitara o roto o ngā uaua toto nui i roto i tō puku me tō hope i roto i te wā. Ka kiia tēnei ko '(Paraka)'. Ka puta tēnei hangai i ngā huarahi e whai ake nei:
- Aorta puku: Koinei te wāhanga o te aorta e heke ana i roto i te puku.
- Ngā uaua iliac: Koinei ngā uaua e peka mai ana i te aorta i te pito (umbilicus) ka haere ki ngā waewae.
Ina whaiti, ina āraia rānei ngā uaua toto e tēnei wai e pupū ake ana, ka kore te toto whai hāora e hiahiatia ana e tō tinana o raro, inā koa ō waewae, ō waewae, me ō whekau hope. Ka arahi pea tēnei ki ngā raruraru nui.
Ahakoa kāore e taea e tēnei pokanga te whakaora katoa i te mate, ka taea e ia te whakahoki mai i te rere pai o te toto ki ngā waewae, te whakahaere i ngā tohu, me te whakaiti nui i te tūponotanga o ngā raruraru nui.
| Ngā raruraru nā te heke o te rere o te toto |
|---|
| Te mamae o ngā waewae i te wā e hikoi ana (intermittent claudication) |
| Te mamae nui o ngā waewae ahakoa te okiokinga |
| Te matenga o te kiko o te waewae (Gangrene) |
| Tapahi |
He pokanga nui tēnei? He kōwhiringa kē atu anō?
Āe, e kiia ana tēnei he pokanga nui nā te mea me tapahi nui te puku.
Engari kei reira tētahi atu huarahi iti rawa te whakaekenga e kiia nei ko te aortoiliac stenting with bifurcation reconstruction (AISBR) . Ko te whakauru i tētahi ngongo mata iti e kiia nei ko te stent ki roto i te uaua kua āraia, ka pupuhihia kia huaki anō te uaua. Kua whakaatuhia e ētahi rangahau he iti ake ngā raruraru o tēnei tikanga, ā, he poto ake te noho ki te hōhipera.
Mā tō tākuta e whakatau mēnā he tika te pokanga tuwhera, te stenting rānei māu. Ahakoa he mea noa te stenting mō te hunga kāore e taea te aro ki ngā pokanga nui, nā te whanaketanga o te hangarau, kua whakamahia inaianei hei utu mō te pokanga tuwhera. Heoi, i ētahi wā, mēnā ehara te stenting i te kōwhiringa pai māu, mēnā rānei kua rahua tētahi stent o mua, me pokanga tuwhera pea.
Me pēhea te whakarite i mua i te pokanga?
Mā tō tīma hauora koe e tohutohu mō te whakarite mō te pokanga. Koinei ngā mea me mātua tiaki e koe.
- Kati rawa te kai paipa: Mā te whakamutu i te kai paipa i te iti rawa 3-4 wiki i mua i te pokanga ka āwhina i a koe ki te whakatutuki i ngā hua pai rawa atu. He mea nui kia mutu tonu te kai paipa i muri i te pokanga hei oranga mō tō ngākau me ō uaua toto.
- Kōrero ki tō tākuta mō ngā rongoā: Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe i tēnei wā. Tērā pea ka tono ia kia mutu te tango i ētahi rongoā, kia whakarerekē rānei i te horopeta i mua i te pokanga.
- Nohopuku: Ka tohutohuhia koe kia kaua e kai, e inu rānei mai i waenganui pō o te rā i mua i te pokanga.
- Ngā whakamātautau hauora: Ka tonoa koe kia whakahaere i ētahi whakamātautau i mua i te pokanga.
- Taupū pona-puku
- Te tirotiro i ngā uaua toto (he tirotiro i ngā uaua toto)
- Ngā matawai e tirotiro ana i te hauora o te ngākau me ngā uaua o te ngakau.
He aha ngā mea ka tupu i te wā o te pokanga?
E rua ki te ono hāora te roa o te pokanga. Ko ngā mahi e whai ake nei ka mahia i roto i tēnei tikanga.
1. Ka hoatu he rongoā whakamoe whānui ki a koe kia moe rawa ai koe.
2. Ka tapahia he tapahi nui (laparotomy) i te roanga o tō puku kia taea ai e te taote pokanga te tae atu ki te aorta.
3. E rua ngā tapahi ka mahia ki ngā paparinga e rua kia tae atu ai ki ngā uaua o te femur.
4. Ka whakauruhia te oko toto horihori āhua "Y" kua whakahuatia ake nei `(Graft)` , ka honoa te taha o runga ki te wāhi kua āraia o te aorta mai i runga, ā, ka honoa ngā wāhanga e rua o raro ki ngā wāhi kua āraia o ngā uaua femoral e rua mai i raro, ā, ka tuia ngātahi.
5. Hei whakamutunga, ka katihia ngā tapahi i te puku me te hope ki ngā tuitui, ki ngā here rānei.
He aha ngā mea ka tupu i muri i te pokanga, ā, ina hoki koe ki te kāinga?
Me noho koe ki te hōhipera mō te 4 ki te 7 rā. I tēnei wā, ka tiakina pai koe e te tīma hauora. Waihoki, e 2 ki te 3 marama pea te roa hei whakaora katoa. Heoi, i muri i te 4 ki te 6 wiki, ka taea e koe te hoki mārire ki ō mahi o ia rā.
Kia tiakina ēnei mea ina tae koe ki te kāinga.
- Tangohia ngā rongoā whakamamae mamae me ngā rongoā katoa i whakaritea e tō tākuta i te wā tika.
- Kia ma tonu ngā tapahi, ā, tiakina kia rite ki ngā tohutohu a te tākuta.
- Whakakorikori tinana kia rite ki ngā tohutohu a tō tākuta. Mā te whakanui haere i te tawhiti e hikoi ai koe ka āwhina i te tukanga whakaora. Engari kaua e nui rawa.
- Pātai atu ki tō tākuta mō te wā pai ki te tīmata anō i ngā mahi pēnei i te taraiwa, te haere ki te mahi, me te hiki taumaha.
Āhea te wā e tika ai kia kite tonu i te tākuta me te haere ki te Wāhanga Maimoatanga Ohotata (ETU)
He mea tino nui kia tūpato mēnā ka puta he raruraru i te wā whakaora.
| Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu. | |
|---|---|
| Kirika | Whakapairuaki me te ruaki |
| Te mamae, te whero, te mahana rānei huri noa i ngā wahi i tapahia | Te turuturu o te wai mai i ngā motu |
| Te whero, te pupuhi rānei i te rohe o te hope, o te waewae rānei | Te mamae o te waewae, te ngoikore, te ngaro rānei o te kare ā-roto |
| He kiri makariri, he kiri mā, he kiri kikorangi rānei o ngā waewae, o ngā waewae rānei | Ngā patunga waewae kāore e ora, ka kino haere |
Ki te puta mai ngā tohu o te mate manawa, te whiu rānei, waea atu tonu ki te ratonga waka tūroro ohorere, haere rānei ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera tata rawa atu.
Ngā tohu o te whakaeke ngakau:
- Te mamae o te uma, te kore whakamarie rānei
- Te uaua ki te manawa
- Whakapairuaki, mamae puku
- Ngā tere o te ngakau
- Pōuriuri (vertigo) te ngoikore rānei
Ngā tohu o te whiu:
- Te ngoikore, te ngoikore rānei i tetahi taha o te tinana
- Te uaua ki te kōrero (Aphasia) te whanoke rānei
- Te ngaronga o te mana whakahaere uaua i tetahi taha o te mata
- Te ngaronga ohorere, te pōuri rānei o te tirohanga, o te whakarongo rānei
Karere Tangohia ki te Kāinga
- He pokanga nui te Aortobifemoral Bypass, engari he tino angitu, e mahia ana ina tino āraia te uaua matua e kawe ana i te toto ki ngā waewae.
- Ko tēnei pokanga he waihanga i tētahi ara hou mā te whakamahi i tētahi oko toto horihori āhua 'Y' hei karo i te oko toto kua āraia.
- Mā ngā whakaritenga pēnei i te whakamutu i te momi hikareti i mua i te pokanga ka angitu ake ngā hua.
- E hia ngā marama ka roa hei whakaora tino pai i muri i te pokanga, ā, he mea tino nui kia whai i ngā tohutohu hauora i taua wā.
- Ki te kite koe i ētahi tohu rerekē i a koe e ora ana, pērā i te kirika, te mate o te patunga, te mamae nui rānei o te waewae, me whakamōhio tonu atu ki tō tākuta.
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