Kua pāngia koe e te ngoikore, e te mamae rerekē rānei i roto i tō ringa, e te mātao rānei i roto i tō ringaringa? Kua kite rānei koe kua huri te tae o tō ringa, kua roa rānei te wā e ora ai i muri i te motu? Kaua e whakaaro noa he mea noa ēnei. He tohu pea tēnei o tētahi mate hauora e kiia nei ko te `(Arterial Thoracic Outlet Syndrome)`. Me kōrero tātou mō tēnei i tēnei rā, me te mārama hoki.
He aha tēnei `(Arterial Thoracic Outlet Syndrome)`? Kia mārama tātou ki tēnei, me pēhea?
Ki te kī ngāwari, ko te `(Arterial Thoracic Outlet Syndrome)` ko te wā e pēhia ai tētahi o ō tātou uaua toto matua (ngā uaua) i te wāhi i waenganui i tō tātou kaki me te wheua koko (e kiia ana tēnei ko `(Clavicle)`), arā, i te wāhi e kiia nei ko `(Thoracic Outlet)`. E mōhio ana koe, ko ngā uaua ngā awa e kawe ana i te toto mai i tō tātou ngākau ki te tinana katoa. Nō reira, i roto i te tangata e pāngia ana e tēnei mate `(ATOS)`, ka pēhia tētahi uaua i tēnei wāhi e kiia nei ko `(Thoracic Outlet).`
Whakaarohia he rite ki te paipa wai e purua ana, e whakaiti ana i te rere o te wai. Ina purua te uaua pēnei, ka taea e ia te aukati i te rere o te toto. Ki te kore e rongoatia tika, ka arahi pea ki ngā raruraru hauora nui. Mō ētahi tāngata, ka taea e tēnei aukati te ngoikore o te pakitara o te uaua, te pupuhi hoki, pērā i te poihau. E kiia ana tēnei he "Aneurysm". Nō reira, ki te pāngia koe e ēnei tohu, he mea nui kia kite i te tākuta, kia tirohia hoki koe.
Ko wai te mea ka nui ake te tūponotanga ka pāngia e te "Arterial Thoracic Outlet Syndrome"?
Pērā i ngā momo mate uma o te Thoracic Outlet Syndrome, he mea tino noa tēnei i roto i ngā wāhine i waenga i te 20 me te 50 tau te pakeke. I te nuinga o te wā, ka puta tēnei momo pēhanga uaua nā te mea he rara tāpiri kei roto i te kaki (e kiia nei ko te rara cervical), nā te mea rānei kei te wāhi hē te rara. Kei runga ake i te rara tuatahi tēnei rara tāpiri.
He aha ngā raruraru ka pā mai? He aha i morearea ai tēnei?
Ina hoki, ko te `(Arterial Thoracic Outlet Syndrome)` te momo `(Thoracic Outlet Syndrome)` tino morearea . Ki te kore e rongoatia tika, ka taea e tēnei `(ATOS)` te hanga i ngā toto toto morearea ki roto i ō uaua. Ka taea e ēnei toto toto te aukati i te rere o te toto ki ō ringaringa me ō ringaringa. Ahakoa he tino onge, ka taea hoki e ēnei toto toto te haere ki te roro, ka puta ai ngā āhuatanga pēnei i te `(Stroke)`.
Nō reira, ki te whakaaro koe kei a koe ngā tohu o te Thoracic Outlet Syndrome, he mea nui kia rapua he maimoatanga i te wā e taea ai.
He pēhea te noa o te `(Arterial Thoracic Outlet Syndrome)`?
He pono, he tino onge ngā momo katoa o te Thoracic Outlet Syndrome. Kāore he raraunga mō te tokomaha o te hunga e pāngia ana e tēnei mate. Heoi, ko te momo e kīia nei ko te Arterial TOS te mea tino iti rawa te kitea. Ka kitea tēnei momo i roto i te iti iho i te kotahi i roto i te 100 o ngā tūroro e pāngia ana e te Thoracic Outlet Syndrome.
He aha ngā take o te "Arterial Thoracic Outlet Syndrome"?
He tokomaha ngā tāngata whai ATOS, e ai ki te kōrero i mua ake nei, ka whānau mai me tētahi rara tāpiri (Cervical Rib) i runga ake i te wheua kokoru (Clavicle). Ko te uaua i waenganui i tō tātou ringa me te wheua kokoru, e kiia nei ko te Subclavian Artery, e kawe ana i te toto ki ō tātou ringa, ringa, kaki, me te māhunga. Nā taua Cervical Rib tāpiri, ka taea e tēnei Subclavian Artery te pēhi, ka aukati i te rere o te toto, ka puta he toto totoka. I ētahi wā ka pakaru ēnei totoka ka haere ki raro i te ringa, ka aukati i te rere o te toto.
Tērā pea ētahi atu take ka pā ki tēnei:
- Momona: I te pikinga o te taumaha o te tinana, ka nui ake te pēhanga ki ngā hononga.
- Whara Tinana: Ngā whara pēnei i ngā whara i puta mai i tētahi aituā motuka.
- Te Tūnga Kino: Ngā āhuatanga pēnei i te noho i te tūranga kotahi mō te wā roa, te piko whakamua i te wā e mahi ana, me ētahi atu.
- Te Hapūtanga (`(Te Hapūtanga)`).
- Ngā Nekehanga Auau: Hei tauira, te piu i te raketi tēnehi, te whiu i te pōro ngohengohe, te pēhipōro rānei, te hiki rānei i ngā pouaka taumaha ki runga i tōu mahunga.
He aha ngā tohu o te `(Arterial Thoracic Outlet Syndrome)`? Me pēhea te tautuhi i tōna mate?
Ka pā pea ngā tohu o tēnei mate ki ō maihao, ki tō nikau, ki tō ringaringa katoa rānei. Ko te tohu tino kitea ko te ngau, te māuiui rānei i te ringa kotahi. Ka kino ake pea ēnei tohu ina mahi koe i tētahi mea me tō ringaringa, ā, ka pai ake pea ina okioki tō ringaringa. Ko te hunga whai ATOS kāore e pāngia e te mamae o te kaki, o ngā pakihiwi rānei.
Nā te mea ka taea e te ATOS te whakaiti i tō rere toto, ka kite pea koe i ēnei mea i roto i ō maihao, ringaringa, ringaringa rānei:
- Te makariri.
- Te ngenge, te mākūkū rānei.
- Mamae (`(Mamae)`).
- Te Hurihanga o te Tae Mā.
- Ngā patunga e puhoi ana te whakaora.
Whakaarohia, e mahi ana a Nilanthi Akka i runga i te rorohiko mai i te ata ki te pō. Kua tīmata ia ki te rongo i tētahi mamae rerekē i tōna ringa matau me te paku o te ngau. I ētahi wā ka mātao tōna ringa. I mahara ia nā te ngenge. Engari ki te piki haere haere ēnei tohu, tera pea he `(ATOS)`.
Me pēhea te tautuhi a ngā tākuta i tēnei mate (Arterial Thoracic Outlet Syndrome)?
Mena kei a koe ngā tohu o te "Arterial Thoracic Outlet Syndrome", ka tirohia tuatahitia e tō tākuta tō kaki me tō pakihiwi. Ka tono atu rātou kia mahi koe i ētahi nekehanga hei tirotiro i te "Range of Motion" o ō hononga.
Ka ine anō hoki te tākuta i tō toto toto, ā, ka pātai atu ki a koe mō ō tohumate. Mēnā kei te whakapae rātou kei te pāngia koe e te ATOS, ka whakahaerehia pea e rātou ētahi atu whakamātautau hei tirotiro i tō Thoracic Outlet.
He aha ngā whakamātautau e mahia ana mō tēnei?
Koinei tonu te āhua o te "Arterial Thoracic Outlet"Whakatauhia te `(Whakamātautau Whakaahua)`, arā, he whakamātautau e titiro ana ki roto i tō tinana. Ka taea ēnei whakamātautau te mahi hei tirotiro i ō uaua, te rere o te toto, me ngā hanganga o roto:
- Matawai Ultrasound: Ka whakamahia ngā ngaru oro hei tirotiro i roto i te tinana, inā koa kia kitea ai te rere o te toto. Koinei te whakamātautau tuatahi e whakamahia ana hei tautuhi i tēnei mate.
- Arteriogram: Ka whakauruhia he ngongo iti, angiangi (catheter) me te wai motuhake (tae rerekē) ki roto i ō uaua, ā, ka tangohia he hihi-X.
- Matawai CT: Ka tangohia ngātahitia he raupapa hihi-X hei hanga whakaahua taipitopito.
- Matawai MRI (`(MRI)`): Ka whakamahi i ngā ngaru reo irirangi me ngā papa aukume hei tango pikitia taipitopito.
- Hiko-X (`(Hiko-X)`): Ka tangohia ngā pikitia mā te whakamahi i ngā horopeta irahiko.
He aha ngā maimoatanga mō te `(Arterial Thoracic Outlet Syndrome)`?
Ko tēnei mate, e kiia nei ko te Arterial Thoracic Outlet Syndrome, ka rongoatia pea mā te pokanga. Heoi, i mua i te pokanga, ka tohua pea e tō tākuta he rongoā whakangawari toto, pērā i te Warfarin (Coumadin®) me te Heparin (Hep-Lock™). Tērā pea ka ngana rātou ki te tango i ngā toto totoka mā te werohanga, mā ētahi atu tikanga rānei.
I te wā o te pokanga, ka mahi pea te tākuta i ngā mahi penei:
- Ka tangohia tētahi wāhanga o tō rara tāpiri (`(Cervical Rib)`), hei whakaiti i te pēhanga.
- Ka whakatōkia he wahi uaua hauora i tangohia mai i tētahi atu wāhanga o tō tinana (`(Arterial Graft)`) hei whakakapi i te uaua kua pakaru.
- Ka whakauruhia he ngongo horihori hei whakakapi i te uaua kua pakaru, kia whakahokia mai ai te rere o te toto.
Me aha tātou hei whakaiti i tēnei mōrearea `(ATOS)`?
Kāore he huarahi hei ārai katoa i tēnei mea, engari ka taea e koe te whakarerekē i te āhua o tō noho hei whakaiti i te tūponotanga o ngā aituā i puta mai i ngā waka:
- Kia mau ki te taumaha hauora e tika ana mō tō tinana, tō tau, me tō ira tangata.
- Kaua e waha i ngā pēke taumaha i runga i te pakihiwi kotahi.
- Whakawhāitihia ngā nekehanga maha o runga.
- Whakakahangia ō pakihiwi mā te hiki taumaha, mā te mahi rānei i ngā mahi whakapakari tinana.
- Whakakorikoria tō kaki, ō pakihiwi, me tō uma i ia rā.
He aha te tirohanga mō te āhuatanga `(ATOS)`? Me wehi rānei tātou?
Ina hoki, ki te kore e rongoatia, ka taea e te Arterial Thoracic Outlet Syndrome (ATOS) te arahi ki ngā raruraru nui pēnei i te toto totoka, ngā whara o ngā peka, me te ngaronga o ngā maihao (i ngā wā tino kino). Heoi, ko te rongo pai ko te tere o te rapu maimoatanga, ka nui ake te tūponotanga ka angitu koe. Nō reira, ki te whai tohu koe e tohu ana kei a koe te ATOS, me toro atu ki te tākuta tonu.
He aha atu anō tāu e hiahia ana kia mōhio mai i te tākuta?
Ina tūtaki koe ki te tākuta, ka taea e koe te pātai i ngā pātai pēnei i:
- He aha te tino take o aku tohumate?
- He aha ngā whakamātautau me mahi e au kia tino mōhio ai ahau he aha tēnei?
- He aha ngā kōwhiringa maimoatanga kei reira?
- Ka rongoātia rānei aku tohumate e ngā maimoatanga kore-pokanga?
- He aha ngā huringa ka taea e au te mahi ki taku momo noho hei whakaiti i ngā tohu?
Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)
Ko te Arterial Thoracic Outlet Syndrome (ATOS) he mate e pā ana ki te uaua subclavian i roto i te putanga thoracic. Koinei te wā e pēhia ai te uaua, ka tīmata te hanga o ngā toto totoka. Ka pakaru pea ēnei totoka ka heke iho i te ringa, ka mamae, ka ngoikore hoki. Ka taea e te maimoatanga wawe te whakaiti i te tūponotanga o ngā raruraru. Mena kei a koe ngā tohu o te ATOS, tirohia tonutia he tākuta. Kaua e manukanuka, ka taea te whakahaere i tēnei mate mā te tohutohu hauora me te maimoatanga tika.
` te mate putanga uma, te mate putanga uma uaua, ATOS, mamae ringa, ngoikore ringa, toto totoka, rara kaki, uaua subclavian
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