I tēnei rā ka kōrero tātou mō tētahi mea tino nui o roto i ō tātou tinana. Pērā i ngā paipa e kawe ana i te wai ki te whare, he pūnaha 'paipa' iti tā tātou e kawe ana i ngā matūkai me te hāora puta noa i ō tātou tinana. Koinei ngā mea e kiia nei e tātou he uaua, arā, he '(Arteries)' i te reo Pākehā. Ki te kore ēnei, e kore tātou e ora.
He aha ngā momo uaua kei reira?
Āe, me titiro tātou mēnā he momo o ēnei uaua. Ae, e rua ngā momo matua. Ko te mahi a ēnei e rua he kawe i te toto ma, he toto whai hāora mai i te ngākau ki ngā wāhanga katoa o te tinana. Ko te momo tuatahi ko
ngā 'Arota Elastic' . Whakaarohia he rite ki te whiunga o te pōro i te tere tere i a ia e takaro kirikiti ana, me tu atu te tangata e hopu ana i taua tere, ka whiwhi tuatahi hoki ēnei uaua i te toto e puta mai ana i te ngākau i raro i te pēhanga teitei. Kātahi ka tukuna atu ēnei toto ki ētahi atu uaua. Ko te momo tuarua ko
ngā 'Arota Uaua' . Pērā i te tangata e hopu ana i te pōro ka oma ki te wāhi e hiahiatia ana, ka kawe ēnei uaua i te toto ki ngā momo kiko o te tinana. Ki te kī ngāwari:
- Ngā uaua pīwariwari : He maha ngā muka pīwariwari o ēnei. He totoro rite tonu ki te here rapa. Kei te tata tonu ki te ngākau. Ko ētahi tauira ko te aorta me te uaua pūkahukahu.
- Ngā uaua uaua : He nui ake ngā muka uaua maeneene o ēnei. Koinei ngā mea e tohatoha ana i te toto ki ngā wāhanga rerekē o te tinana. Hei tauira, ko te uaua femoral (i te waewae), te uaua radial (i te ringa, e tata ana ki te ringaringa, te wāhi e rongo ai tātou i te pā o te manawa), me te uaua brachial (i te pakihiwi).
He aha te rerekētanga i waenga i ngā uaua me ngā uaua?
He tokomaha te hunga e whakapoauau ana i ngā uaua toto me ngā uaua toto. Kia kite tātou he aha te rerekētanga i waenganui i ngā mea e rua.
Ngā uaua toto toto (`(Arteries)`)- Koinei ngā mea e tango ana i te toto ma, whai kiko i te hāora mai i te ngākau, ka tohatoha puta noa i te tinana.
- He tino kaha, he tino uaua hoki ō rātou pakitara nā te mea me tu atu rātou i te toto tiketike e tomo mai ana i ia wā e pā ana te manawa.
- Kāore he takirere i roto i ngā uaua toto, nā te mea kotahi anake te huarahi e rere ai te toto nā te pēhanga o te toto e puta mai ana i te ngākau.
Ngā uaua (e kiia ana hoki he uaua)
- Ko ēnei te kawenga mō te whakahoki mai i te toto kua pau te hāora (paru) e toe ana i muri i te paunga o te hāora e ngā pūtau me ngā kiko o te tinana. Ka kiia hoki tēnei he "toto kore hāora".
- He angiangi ake ngā pakitara o ngā uaua i ō ngā uaua nā te mea kāore te toto i roto i aua uaua i te kaha pērā i ō ngā uaua.
- He takirere kei roto i ngā uaua. Ka aukatihia e ēnei takirere te rere whakamuri o te toto.
He aha te mea ka pā ki ngā uaua? Me pēhea tā rātou āwhina i ētahi atu okana?
Ko te mahi matua o ngā uaua he kawe i te toto whai hāora me te toto whai matūkai puta noa i te tinana. Ka panaia e tō ngākau tēnei toto whai hāora ki roto i te uaua nui rawa atu o te tinana, arā, te
Te aorta. Mai i reira, ka wehea tēnei aorta ki ngā uaua iti ake, ā, ka horapa puta noa i te tinana pērā i te whatunga. Whakaarohia, he mea nui tēnei hāora me te kai mā ngā okana katoa o te tinana kia mahi. Ka tukuna ēnei mea e ngā uaua ki ia okana. Ina koa, ka tukuna e ētahi uaua te toto ki ngā okana motuhake. Anei ētahi tauira:- Ngā uaua koronari : Koinei ngā uaua e tuku toto ana ki te ngākau.
- Ngā uaua carotid : Ka haria e ēnei te toto ki te roro, te upoko, te mata, me te kaki.
- Ngā uaua tuarā : Ki te roro me te taurakira.
- Ngā uaua iliac : Ki te rohe hope.
- Te uaua o te femur (`(Te uaua o te femur)`) : Ki ngā waewae.
- Ngā uaua subclavian : Ki te upoko, te kaki, me ngā ringa.
- Ngā uaua Celiac (`(Ngā uaua Celiac)`) me ngā uaua mesenteric (`(ngā uaua mesenteric)`) : Ki tō tātou pūnaha nakunaku.
Ko ētahi kōrero whakamere mō ngā uaua kāore pea koe e mōhio!
Tērā atu anō ētahi mea tino miharo e pā ana ki ngā uaua.- I mōhio koe ka whiwhi karere ngā uaua mai i tō tātou pūnaha io matua kia 'whakakīkī', kia 'whakatuwhera' rānei? Koinei te mea e whakahaere ana i tō tātou toto toto , i te tere rānei o te rere o te toto i roto i ngā uaua toto. He mahi nui tā ngā uaua toto ki te pupuri i te pumau o tō tātou toto toto. Ka whakahaere hoki rātou i te nui o te toto e rere ana i roto i a rātou. Ka mahi rātou mā te whakawhāiti me te whakangāwari i ngā uaua i roto i ngā pakitara o te uaua toto.
- I ngā wā katoa , tata ki te 10% o te rōrahi toto katoa i roto i tō tinana kei roto i ō uaua.
- Ko te mea whakamiharo, ko te uaua pūkahukahu anake te uaua e kawe ana i te toto kāore i te nui te hāora, arā, te toto 'paru'. Ka haria e tēnei uaua te toto mai i te ngākau ki ngā pukahukahu, ki reira ka kohia ai te hāora.
Kei hea te tūnga o te uaua toto? He aha tōna āhua? He aha tōna rahi? He aha te mea hanga?
Ka tīmata ngā uaua toto ki te aorta, arā, te uaua toto nui e kawe ana i te toto mai i te ngākau. Mai i reira, ka peka atu ngā uaua toto ki ngā awaawa iti ake, pērā i ngā manga o te rākau, ka horapa puta noa i te tinana. He rite te āhua o ngā uaua toto ki ngā ngongo. Engari he matotoru ake ō rātou pakitara, he kaha ake hoki ō rātou uaua i ngā uaua toto. Nā te mea me tu atu rātou i te pēhanga o te toto e tere pupuhihia ana e te ventricle maui o te ngākau. Whakaarohia he pūnaha whakamahana i roto i ētahi whare e pupuhi ana i te wera mā roto i ngā paipa, engari he ngāwari ēnei uaua toto ...Ko ētahi atu uaua toto ka tata ki te 3 ki te 5 mirimita (0.11 ki te 0.19 inihi) te whānui. Ko ngā uaua toto iti rawa, e kiia nei ko ngā arteriole, ka taea te iti ki te 0.30 ki te 0.01 mirimita te whānui. Nā, me titiro tātou ki ngā paparanga e hangaia ai ngā uaua toto. E toru ngā paparanga matua: 1. Te paparanga o roto (Tunica intima) : He paparanga kiko tēnei kei roto ngā muka rapa. 2. Te paparanga o waenganui (Tunica media) : Koinei te wāhi e kitea ai te nuinga o ngā uaua maeneene. Koinei te mea e āhei ai ngā uaua toto ki te whakawhāiti, ki te whakawhānui rānei i ngā wā e hiahiatia ana. 3. Te paparanga o waho (Tunica externa) : Koinei te wāhi e hono ai ngā kiko kē atu. Tae atu ki ngā io e tuku karere ana ki ngā uaua toto kia whakawhāiti, kia whakawhānui hoki, e hono ana ki tēnei paparanga. He aha ngā mate me ngā āhuatanga e pā ana ki ngā uaua?
Heoi anō, he maha ngā mate ka kino ai ō tātou uaua. Ko ētahi o ēnei:- Atherosclerosis : Koinei te wā e kohikohi ai ngā mea pēnei i te ngako me te cholesterol i roto i ngā pakitara o te uaua, ka whaiti ai ngā uaua.
- Aneurysm : He wāhanga ngoikore o te uaua e pupuhi ana pērā i te poihau. Ka taea hoki te pahū.
- Totoka toto : Ka puta he totoka toto i roto i te uaua, ka aukati i te rere o te toto.
- Mate pūkahukahu : Te atherosclerosis o ngā pūkahukahu e tuku toto ana ki te ngākau.
- Mate o te uaua carotid : Ko te atherosclerosis o ngā uaua carotid e tuku toto ana ki te roro.
- Te toto toto tiketike (`(Te toto toto tiketike)`)
- Te cholesterol teitei (`( Te cholesterol teitei)`)
- Mate pūkahukahu ā-taha (PAD) : Te whaiti o ngā pūkahukahu e tuku toto ana ki ngā peka me ngā waewae.
- Vasculitis : Te pupuhi me te mumura o ngā pakitara o te uaua.
He aha ngā tohu, ngā āhuatanga rānei e kitea whānuitia ana o ngā mate uaua?
He maha ngā āhuatanga, pērā i te toto toto tiketike me te cholesterol tiketike, kāore e whakaatu i ngā tohu i ngā wāhanga tōmua. Me te kore e mōhio koe, ka mārō haere ō uaua toto, ka purua ki te cholesterol me ngā putunga ngako (pēka). Ka uaua pea te rere o te toto i roto i ō uaua toto nā ēnei raruraru, ka whaiti, ka āraia rawatia rānei. Anei ētahi tohu o ngā mate e pā ana ki te uaua toto:- Mamae o te uma (`(Mamae o te uma)`)
- Te whakaekenga o te ngakau
- Whiu
- Te ngoikore, te mamae rānei o ngā peka
- Te poto o te manawa
- Mamae puku
- Te ngenge nui rawa atu (`(Te Ngenge)`)
He mea nui: He mea tino nui kia rapu tohutohu hauora mēnā kei a koe ēnei tohu, nā te mea he mate kino ēnei.
He aha ngā whakamātautau e mahia ana hei tirotiro i te hauora o ngā uaua toto?
He maha ngā whakamātautau whakaahua hei āwhina i ngā tākuta ki te kite i te āhua o ō uaua.- Angiography : I roto i tēnei, ka werohia he tae motuhake ki roto i ngā uaua, ā, ka mahia he whakamātautau hihi-X.
- Matawai CT (`(Matawai CT / tomography rorohiko)`)
- Matawai MRI (`(MRI / Whakaahua aukume)`)
- Echocardiogram (`(Echocardiogram)`) : He whakamātautau ultrasound hei tirotiro i te mahi a te ngākau me ngā uaua.
He aha ngā maimoatanga noa mō ngā mate uaua?
He maha ngā maimoatanga mō ngā mate e pā ana ki ngā uaua toto, mai i te rongoā ki te pokanga.- Ngā huringa āhua noho: (Ka kōrerohia tēnei e tātou i muri mai)
- Ngā rongoā hei whakaiti i te cholesterol, i te toto toto rānei
- Ngā rongoā whakaheke toto
- Ngā rongoā hei whakaiti i te mumura, hei tauira, ngā corticosteroids
- Angioplasty : He tikanga hei whakawhanui i tētahi uaua whaiti mā te whakamahi i tētahi taputapu rite ki te poihau. I ētahi wā ka whakauruhia hoki he stent.
- Te tārai i te uaua koronari (`(Te tārai i te uaua koronari)`)
- Te pokanga taha mō ētahi atu uaua kua āraia
- Te tango i te carotid endarterectomy : He pokanga hei tango i ngā putunga ngako i roto i te uaua carotid.
Ngā mea ngāwari ka taea e tātou te mahi hei pupuri i te hauora o ō tātou uaua
Āe, he aha tā tātou e taea ai te mahi hei pupuri i te hauora o aua uaua utu nui kua kōrerohia nei e tātou? Ina hoki, ko ngā mea e mahia ana e koe hei pupuri i te hauora o tō ngākau he pai hoki mō ō uaua. Anei ētahi mea ngāwari ka taea e koe te mahi:- Kai i tētahi kai hauora. Āta karohia ngā kai kei roto ngā ngako whakawhiti me ngā ngako kukū. Kai atu i ngā hua rākau, huawhenua, witi katoa, me te muka.
- Whakakorikori tinana i ngā wā katoa. Me mahi tetahi mea pēnei i te hikoi, te oma, te kaukau rānei mō te 30 meneti pea i te rā.
- Āta karohia te whakamahi i ngā hua tupeka (pērā i ngā hikareti me ngā pī).
- (Mēnā he pakeke koe) Kia pai te moe mō te whitu ki te iwa hāora i ia pō.
- Whakahaerehia te ahotea kia pai.Ka āwhina pea ngā mahi pēnei i te whakaaroaro, te yoga, me te whai wāhi ki tētahi mahi whakangahau tino pai.
- Mena kei a koe ngā mate pēnei i te toto toto tiketike, te cholesterol tiketike, me te mate huka, me whiwhi koe i te rongoā tika.
- Kia mau tonu te taumaha tinana hauora.
- Ki te inu waipiro koe, whakawhāitihia.
Ina whakaaro te nuinga o te tangata ki te pūnaha manawa, ko te ngākau anake tā rātou e whakaaro ana. Engari he mahi nui anō hoki tā ngā uaua. Ko rātou ngā mea e kawe ana i te hāora, ngā matūkai, me ētahi atu mea nui ki tō tinana mā roto i ō toto. Ina tiaki koe i ō uaua, ka tiaki rātou i a koe!
Kia maumahara, kāore pea e puta he tohu i te toto toto tiketike me te cholesterol tiketike i ngā wāhanga tōmua, nō reira he mea nui kia tirotirohia e te rata kia mōhio ai kei roto i ngā taumata noa. Ki te kore, me whiwhi i te maimoatanga e tika ana mō rātou.
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