He aha te Mate Aortoiliac Occlusive? Kei te pāngia koe e te hekenga o te rere o te toto ki ō waewae? Me kōrero tātou mō tēnei!

Ka mamae ō waewae i ētahi wā ina hikoi koe? Ka memeha haere te mamae i muri i te tū mō tētahi wā? Ka rongo rānei koe i te mātao, i te koretake rānei o ō waewae? He tohu pea ēnei mō tētahi mea kino. I tēnei rā ka kōrero tātou mō tētahi mate e kiia nei ko te 'Aortoiliac Occlusive Disease', he ingoa uaua, engari ka pā ki te tini tāngata. Kaua e manukanuka, me whakamārama noa iho tēnei.

He aha te mate Aortoiliac Occlusive?

He kupu ngāwari noa iho, he aukati tēnei i roto i te uaua toto matua e tuku toto ana ki te taha o raro o tō tātou tinana. Nō roto tēnei mate i tētahi rōpū nui o ngā mate e kiia nei ko te 'Peripheral Artery Disease (PAD),' e pā ana ki ngā uaua toto e tuku toto ana ki ngā peka.

Ko te nuinga o te wā ka pāngia e tēnei mate te wāhanga o raro o te `(Aorta)`, te oko toto nui rawa atu o tō tātou tinana, me ngā oko toto e kiia nei ko `(Iliac arteries)`. Ko te `(Aorta)` te oko toto matua e kawe ana i te toto mai i te ngākau mā roto i te uma ki te puku. Ko ngā `(Iliac arteries)` ngā peka matua e rua o tēnei `(Aorta)` e wehea ana kia rua tata ki te puku, ā, e kawe ana i te toto ki ngā waewae.

Nā, ko te mea ka tupu i roto i tēnei mate , ka puta he mea e kiia nei ko te `(Plaque)` i roto i ēnei oko toto. Ko te `(Plaque)` he matū piri e hangaia ana i ngā mea pēnei i te hinu me te cholesterol. Whakaarohia, he mea pēnei i te waikura me te paru e puta ana i roto i te paipa wai i roto i tō mātou whare i roto i te wā.

E rua ngā take e morearea ai tēnei `(Papa)`:

• Ka whakaiti i te wāhi i roto i ngā uaua toto: Ka hanga ake tēnei `(Pākete)`, ka whakaiti i te wāhi mō te rere o te toto i roto i ngā uaua toto. Kātahi ka aukatia te rere o te toto, pērā i te waka e noho ana.
• Ka pā mai he `(Embolus)`: I ētahi wā ka whati tetahi wahi o tēnei `(Plaque)` ka haere tahi me te toto. Ko te wahi e whati pēnei ana ka kiia he `(Embolus).` Mena ka mau tēnei `(Embolus)` ki tētahi wāhi o tētahi oko toto iti, ka mutu rawa te rere o te toto mai i reira.

He aha te pānga o tēnei ki ō tātou tinana?

Ko te Mate Aortoiliac Occlusive he āhuatanga e aukatia ai te rere o te toto i roto i ngā uaua Aorta me Iliac. Ka puta he maha ngā raruraru nā te mea kāore te toto whai hāora e tae tika ki ngā kiko o te tinana. Hei mārama ki tēnei, me mōhio koe ki ētahi kōrero mō ēnei uaua toto.

He rite tō tātou `(Aorta)` ki tētahi rori matua i roto i te tāone. Mai i tēnei rori matua, he maha ngā rori taha e kawe ana i te toto ki ngā wāhanga rerekē o te tinana. Hei tauira, ko ngā `(Renal arteries)`, e tuku toto ana ki ō tātou whatukuhu, ka wehea mai i te `(Aorta).` Ko tēnei wehenga te rohe o runga ka taea te tīmata i te `(Aortoiliac Occlusive Disease)`. Ka karangahia e ngā tākuta te wāhanga o te `(Aorta)` i raro i ēnei `(Renal arteries)`, tae atu ki te pito, ko te `(Infrarenal aorta)`.

Ināianei, i te pūtake o te angaanga, ka wehea tēnei `(Aorta)` kia rua , pērā i te `Y' e hurihia ana . Koinei ngā oko toto e rua e kiia nei ko te `(Common iliac artery)` matau me te `(Common iliac artery)`. Ka wehea anō ēnei peka, ka tukuna te toto ki ngā wāhanga e whai ake nei o tō tātou tinana:

• Rohe papa
• Ngā waewae me ngā waewae
• Rohe hope
• Ngā wāhanga o te pūnaha whakaputa uri tāne me te wahine
• Ngā whekau o te kōhao pelvis (hei tauira, te pūkahukahu, te ate)

Ko te kaha o te mate e whakawhirinaki ana ki te wāhanga o tēnei 'Y' e aukati ana, me te kaha o tōna aukati. I ētahi wā, ki te mea he iti noa te wāhi e aukatihia ana, kāore pea he tohu nui e puta. Nā te mea ka taea e te toto te haere ki tētahi taumata mā roto i ētahi atu uaua iti. Engari ki te mea ka aukatia whānuitia, ka kaha ake ngā tohu, ā, ka nui ake te tūponotanga o ngā raruraru.

Ko wai te mea tino tūpono ka pāngia e tēnei mate?

E ai ki te whakatau tata, neke atu i te 6 miriona tāngata neke atu i te 40 tau te pakeke e pāngia ana e tēnei mate i te United States anake. Ka piki ake te mōrearea o te pāngia e tēnei mate i te pakeketanga. Hei tauira, tata ki te 5% o te hunga kei roto i ō rātou 50 tau te pakeke e pāngia ana e tēnei mate, engari neke atu i te 20% o te hunga kei roto i ō rātou 80 tau te pakeke ka pāngia pea e tēnei mate. Waihoki, he nui ake te kitea o tēnei mate i roto i ngā tāne me ngā tāngata mangu.

Tērā pea he mea mōrearea tēnei ki te ora?

Āe, ki te kore e rongoatia tika, ka taea e te Mate Aortoiliac Oclusive te arahi ki ngā raruraru kino, ā, i ētahi wā ka morearea te ora. Koinei ngā mea matua ka puta:

• Te tapahi: Ko te tikanga o tēnei ko te tapahi me te tango i tētahi wāhanga o te tinana, pērā i te waewae. Ka puta tēnei nā te mea ka mate te kiko ina motuhia te rere o te toto.
• `(Whakaekenga ngākau)` (Whakaekenga ngākau): He whakaekenga ngākau.
• `(Te ngoikore o te ngākau)` (Te ngoikore o te ngākau): Te ngoikore o te ngākau.
• `(Kāngrene): Te matenga me te pirau o te kiko.

Nō reira, he mea tino nui kia aro nui ki ēnei tohu.

He aha ngā tohu?

Kāore pea ētahi o ngā tāngata e pāngia e tētahi tohu. Heoi, ki te pāngia rātou, tera pea:

• Te ngoikore o te ure (ED): Ko te kore e taea e ngā tāne te whakatutuki, te pupuri rānei i te ure i te wā o te moe tāne. Tērā pea ka hono atu tēnei ki tēnei mate.
• `(Te mamae ā-wā)` (Te mamae ā-wā): He tohu nui tēnei e pāngia ana e te tini tāngata. Hei tauira, i te wā e whakakorikori ana, ka mamae, ka piri, ka pakari rānei te papa, te waewae rānei. Ka memeha haere i muri i te okiokinga mō tētahi wā. Whakaarohia i tō mātou kāinga, ina haere a Matua Somapala ki te toa, i muri i te hikoi mō tētahi wā poto, ka tū ia ka mea, "Āe, tōku waewae!", ā, i muri i tētahi wā, ka hoki anō ia. He rite tonu te āhua.
• Mamae Okiokinga: Te mamae o ngā waewae ka ara ake koe i te pō. Ka puta pea tēnei mamae ina teitei ake ō waewae, nā te mea ka whakaitihia e te kaha ā-papa te rere o te toto ki raro i ngā waewae.
• Ngā mate pukupuku: Ko ngā patunga kore e ora i runga i te kiri, e mōhiotia ana ko ngā mate pukupuku, ka kitea i runga i ngā waewae, i ngā kapu rānei o ngā waewae.

Mena kei a koe tētahi o ēnei tohu, me toro atu koe ki te tākuta. Nā te mea ki te kite wawe koe i ngā tohu o te 'Aortoiliac Occlusive Disease', ka māmā ake te rongoā.

Ka tirohia hoki e tō tākuta ngā raruraru o te rere o te toto i ētahi atu wāhanga o tō tinana, pērā i ngā uaua carotid i tō kaki, i ngā uaua coronary rānei i tō ngākau. I te nuinga o te wā, ki te hanga paraka i tētahi wāhanga o tō tinana, tera pea kei ētahi atu wāhanga anō hoki.

Ohotata: Te Āraitanga o te Arorangi Tino Kino

Heoi, i ētahi wā, ina kaha rawa te mate, ka puta he āhuatanga ohorere e kiia nei ko te "Acute arterial occlusion" . Ko te tikanga o tēnei, ka ngaro te toto nui ki te hāora i tētahi wāhanga o tō tinana, te nuinga o te wā he waewae, he waewae rānei. He āhuatanga ohorere hauora tēnei e hiahia ana kia arohia tonutia e te hauora! Ka kiia tēnei ko ngā 'ono P', ā, he iti noa ngā tohu:

• Mamae: He mamae nui , e kore e taea te whakamanawanui. Koinei te mea tuatahi ka pā ki a koe.
• Mā: Ka tino mā te kiri o te waewae e pāngia ana.
• Te ngoikore o te pā o te manawa: He ngoikore rawa te pā o te manawa i taua wāhi, kāore rānei e rangona.
• Poikilothermia (mātao): Ina pāngia, ka mātao ake te waewae i tērā atu.
• Paresthesia (ngoikore): E ahua ana kei te ngoikore tō waewae, me te mea kei te oma haere ngā pōpokorua, me te mea rānei kei te werohia e ngā ngira .
• Pararutiki: Kāore e taea te pā, te neke rānei i te peka e pāngia ana.

Ki te pāngia koe e tētahi o ēnei tohu, waea atu ki te 911, haere rānei ki te tari urupare tata ki te hōhipera! He mea nui ia meneti. Ka roa te aukati i te rere o te toto, ka nui ake te kino o te kiko. I ngā wā tino kino, ka taea te tapahi i te waewae, te mate rānei.

He aha ngā take mō tēnei?

Ko te tino take o tēnei 'Mate Ārai Aortoiliac' he mate e kiia nei ko te '(Atherosclerosis)' . I roto i ngā kupu māmā, ko te tikanga ka piki haere te '(Plaque)' kua whakahuatia ake nei ki roto i ngā oko toto o te tinana. I roto i tēnei mate, ka whakatakotoria taua '(Plaque)' ki te wāhanga o raro o te '(Aorta)' me ngā '(Iliac arteries)'.

Haunga tēnā, tera pea ētahi atu take onge:

• Mena kua whiwhi koe i te maimoatanga irahiko ki te rohe hope.
• Te mumura o ngā uaua toto, he āhuatanga e kiia nei ko te "Vasculitis".

He aha ngā āhuatanga mōrearea?

I te mea ka taea e te tangata te pāngia e te atherosclerosis, ka taea hoki e te tangata te pāngia e tēnei mate. Heoi anō, ka piki ake te mōrearea i ētahi mea:

• Te koroheketanga: Ka piki ake te mōrearea i te pakeketanga.
• Hītori whānau: Mena kei te pāngia tetahi o tō whānau e te Mate Arteri Peripheral (PAD), kōrerotia ki tō tākuta .
• Te Kaipaipa: He take nui tēnei mō te tūponotanga! He take nui tēnei mō te tūponotanga o tēnei mate, tae atu ki ētahi atu mate toto. Mena he kaipaipa koe, he mea nui kia rapu āwhina koe hei whakamutu.
• Ētahi āhuatanga hauora:
• `Te mate huka`
• toto toto tiketike
• 'Te cholesterol teitei'
• 'Te mate pūkahukahu o Takayasu' (he mate onge anō hoki tēnei e pā ana ki ngā uaua toto)

Me pēhea te tautuhi i te mate?

Mena kei a koe tētahi o ēnei tohu, ko te mea tuatahi me mahi e koe ko te toro atu ki te tākuta. Ka mahi tō tākuta i ēnei e whai ake nei hei tātaritanga i te mate, hei whakakore rānei i tētahi atu take:

1. Ka pātai atu ki a koe:

• He aha ō tohumate?
• Nō hea ēnei i noho ai?
• Āhea koe ka tino pāngia ai e ēnei?
• Ka heke iho rānei ina mahi koe i tētahi mea?
• Kei te kino haere ngā tohu?
• Kei roto i tō whānau tētahi e pāngia ana e tēnei momo mate?
• He aha atu ngā mate kei a koe?

2. Whakahaerehia he whakamātautau tinana: Tirohia tō hauora whānui.

3. He maha ngā whakamātautau e mahia ana:

• Taupū pona-pūnaha (ABI): He whakamātautau māmā noa iho tēnei, kāore he mamae. Ka inehia, ka whakatauritea te toto i roto i ō ringaringa me ō waewae. Mā tēnei ka kitea te pai o te rere o te toto ki ō waewae me ō waewae.
• Ngā whakamātautau toto: Ka āwhina ēnei i a koe ki te tirotiro i ngā mea pēnei i te cholesterol me te taumata huka, tae atu ki ō tūponotanga mō te mate o te ngākau me ngā oko toto, me tō hauora whānui.
• `(Angiogram tomography rorohiko (CTA))`: He `matawai CT` motuhake tēnei. Ka taea te kite mārama i ngā mea pēnei i te wāhi kei roto i ngā `(plaque)` ngā oko toto me te āhua o te aukati.
• Te tirotiro ira-oro o ngā oko toto (e kiia ana ko te matawai Doppler): Ka whakamahia hoki e tēnei ngā ngaru tirotiro hei tirotiro i te rere o te toto i roto i ngā oko toto, me te kite mēnā he ārai kei reira.

He aha ngā maimoatanga?

Ko te maimoatanga e whakawhirinaki ana ki te kaha o tō mate. I ētahi wā, ka taea e ngā huringa āhua noho me ngā rongoā te āwhina i te whakahaere i te mate me te whakaroa i te haere whakamua o te mate. Tērā pea ka tūtohu tō tākuta i ēnei e whai ake nei:

• Rongoā antihypertensive .
• Ko ngā rongoā ārai-platelet, pērā i te aspirin, te clopidogrel rānei, he rongoā e whakaiti ana i te mōrearea o te toto totoka .
• Ngā whakarerekētanga kai: Mā te whai i tētahi kai hauora, pērā i te kai Mediterranean, te kai DASH rānei, ka āwhina i te whakahaere i ngā āhuatanga mōrearea pērā i te mate huka me te cholesterol.
• Whakakorikori Tinana: Mā te whakakorikori tinana auau e ai ki ngā tohutohu a tō tākuta ka taea te whakaiti i ngā āhuatanga mōrearea maha, me te whakapai ake i te rere o te toto ki ō waewae.
• Ngā rongoā motuhake (hei tauira, Cilostazol) mō te mamae o te waewae e puta ana i te wā e hikoi ana ('Intermittent claudication').
• Ngā rongoā whakaheke cholesterol ('Statins').
• He mea nui te whakamutu i te momi hikareti me te whakamahi katoa i ngā hua tupeka .

Mena kāore ēnei mea e whakahaere i te mate, me whai pea koe i ēnei mea pēnei i:

• Pokanga taha: Ka hangaia he ara hou hei taha i te oko toto kua āraia. He rite tēnei ki te taha o te uaua o te ngākau. Tērā pea ka rerekē te wāhi o te ārai me te wāhi ka tīmata ai, ka mutu ai te taha taha i runga i tō āhua hauora.
• `(Whakanohonga Stent)`: Ka whakanohoia he `(Stent)` iti rite ki te mata kupenga ki roto i te oko toto kua āraia hei whakawhanui. Mā tēnei ka pai ake te rere o te toto. Ka taea e ngā tākuta te whakamahi i ngā tikanga `(Endovascular)`, arā, ko te whakauru i tēnei `(Stent)` mā roto i tētahi kōhao iti me te kore e tapahia he mea nui.

He pai, he huakore hoki ia maimoatanga, nō reira he pai ake te kōrero i ēnei mea katoa ki tō tākuta, me te whakatau ko tēhea te kōwhiringa maimoatanga e pai ana māu.

Ka taea te ārai i tēnei mate?

Kāore pea e taea te ārai katoa, engari he maha ngā mea ka taea e tātou te mahi hei whakaiti i te mōrearea:

• Kati te kai hikareti me ngā hua tupeka katoa.
• Kai i ngā kai hauora mō te ngākau, he iti te ngako kukū, te cholesterol, te tote, me te huka.
• Whakakorikori tinana i ngā wā katoa e ai ki ngā tohutohu a tō tākuta.
• Whakahaerehia tō toto totoka, tō huka toto, me tō cholesterol.
• Tangohia te rongoā i tohua e te tākuta i te wā tika.
• Me tirotiro hauora i te iti rawa kotahi i te tau.

Mena kei a koe ngā āhuatanga mōrearea mō tēnei mate, te atherosclerosis rānei, kōrero ki tō tākuta. Ko te wawe o tō tīmatanga ki te whakahaere i ō āhuatanga mōrearea, ka nui ake te tūponotanga ki te ārai i ngā raruraru nui i muri mai.

Ka aha mēnā kei ahau tēnei mate?

Kia tino mōhio ai koe ki tō āhua, me kōrero koe ki tō tākuta. Ko ngā maimoatanga pēnei i te "pokanga taha-waewae" me te "whakanohonga stent" he angitu i te nuinga o te wā, ā, he roa te wā e puta ai ngā hua. Mā tō tākuta koe e kōrero atu mō ngā mea hei tumanako atu māu mai i tō mahere maimoatanga.

Me pēhea taku tiaki i ahau anō?

He mea nui kia tino whai i ngā tohutohu a tō tākuta mō ngā huringa āhua noho me ngā rongoā. He mea nui anō hoki kia mahi tahi me tō tākuta i roto i tō maimoatanga hauora. Ko te tikanga:

• Pātai atu ki tō tākuta mō ētahi atu kōrero e pā ana ki tō āhua , kia mārama hoki koe ki aua kōrero.
• Ki te mea he mea kāore koe e mārama ana, pātai atu. Kaua e mataku, kei reira te tākuta hei āwhina i a koe.
• Kimihia he aha ka taea e koe te mahi hei aukati i te kino haere o te mate.
• Akohia he aha ngā tohu, me te aha hoki te mahi mēnā ka puta.
• Kia mōhio ki ngā kōwhiringa maimoatanga.
• Pātai atu ki tō tākuta mō ngā rauemi me ngā rōpū tautoko hei āwhina i a koe. Mā ēnei koe e āwhina ki te tūtaki ki ētahi atu tāngata kei roto i te āhuatanga kotahi me koe, me te whakapuaki i ō wheako.

Āhea ahau me toro atu ki te tākuta?

Me tirotiro hauora koe i te iti rawa i te kotahi i te tau. Kia mahara ki te haere ki ngā wā tirotiro hauora kua whakaritea e tō tākuta. Mā tō tākuta koe e kī atu ki a koe te auau o te haere mai me ngā whakamātautau e tika ana kia mahia.

Waihoki, ki te puta he tohu hou ki a koe, ki te rerekē rānei ō tohu o nāianei, waea atu ki tō tākuta tonu atu.

Kia maumahara hei whakarāpopototanga

Ko te Mate Aortoiliac Occlusive he momo mate uaua ā-taha. Ka pā ki te kounga o tō oranga, ā, ka arahi pea ki ngā raruraru nui. Engari ko te rongo pai ka taea e koe te mahi i tetahi mea i ia rā hei whakaiti i tō mōrearea me te whakahaere i te haere whakamua o te mate. Kōrero ki tō tākuta mō te whakahaere i tō āhua me ngā mea hei tumanakohia ā muri ake nei. Kāore koe i te mokemoke, ā, kaua e wehi ki te tono āwhina.

Mate Pupuri o te Aortoiliac, Mate Pupuri o te Arorangi, PAD, Pupuri o ngā Uaua Toto, Mamae o te Waewae, Atherosclerosis, Pāreti, Embolus, Claudication Intermittent, Stent, Pokanga Bypass