I tēnei rā, ka matapakihia e tātou tētahi mea nui ki tō tinana. Whakaarohia tō pūnaha he rite ki te paipa wai i roto i te whare; he whatunga matatini tōu o ngā "ngongo" ririki e kawe ana i ngā matūkai me te hāora puta noa i tō tinana. E mōhiotia ana ēnei ko ō uaua . He māmā noa iho, kāore e taea e tātou te ora me te kore ēnei.
He aha ngā momo uaua rerekē?
He rerekē ngā momo uaua? Ae, e rua ngā momo matua. Ko tā rātou mahi tahi he kawe i te toto ma, he nui te hāora, mai i tō ngākau ki ngā kokonga katoa o tō tinana.
Ko te momo tuatahi ko ngā uaua totoka . Whakaarohia he kaitiaki wicket e hopu ana i tētahi pōro kirikiti tere; me mimiti e rātou taua pānga pēhanga teitei tuatahi. Ka pērā anō hoki ēnei uaua totoka, ka whiwhi toto pēhanga teitei tika mai i tō ngākau i mua i te tukunga atu.
Ko te momo tuarua ko ngā uaua toto . He rite tonu ki taua kaitākaro e oma ana ki te kawe i te pōro ki te wāhi e tika ana kia haere, ka tohatohahia e ēnei uaua toto taua toto ki ngā kiko puta noa i tō tinana.
I te poto:
- Ngā uaua pīwariwari: He nui ngā muka pīwariwari o ēnei, e āhei ai rātou ki te totoro me te hoki whakamuri pērā i te here rapa. Kei te tata rawa atu rātou ki te ngākau. Hei tauira, ko te aorta me te uaua pūkahukahu .
- Ngā uaua uaua: He nui ake ngā muka uaua maeneene kei roto i ēnei. Ko rātou te kawenga mō te tohatoha toto ki ngā wāhanga tinana motuhake. Ko ētahi tauira ko te uaua femoral (i roto i tō waewae), te uaua radial (i tō ringaringa, te wāhi e rongo ai koe i tō pā), me te uaua brachial (i roto i tō ringa o runga).
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. Me whakamārama tātou i ngā rerekētanga.
Ngā uaua
- Ka haria e rātou te toto ma, he nui te hāora, mai i tō ngākau ki te toenga o te tinana.
- He pakari, he uaua hoki ō rātou pakitara nā te mea me tu atu rātou i te toto tiketike e pā ana i ia wā e pā ana tō manawa.
- Kāore he takirere o ngā uaua toto; he nui te kaha e whakaputaina ana e tō ngākau hei pupuri i te toto kia neke i te taha kotahi.
Ngā uaua
- I muri i te whakamahinga o te hāora e ō pūtau me ō kiko, ka haria e ēnei oko toto te toto kua pau te hāora (kore hāora) ki tō ngākau.
- He angiangi ake ngā pakitara o ngā uaua i ngā uaua nā te mea he iti iho te toto i roto.
- Kei roto i ngā uaua ngā takirere hei ārai i te rere whakamuri o te toto.
Me pēhea te āwhina a ngā uaua ki te mahi a ō whekau?
Ko te mahi matua a ō uaua he tohatoha i te hāora me ngā matūkai. Ka panaia e tō ngākau tēnei toto whai hāora ki roto i te uaua nui rawa atu o te tinana, te aorta . Mai i reira, ka peka atu ki ngā uaua iti haere, ka horapa puta noa i tō tinana pērā i te tukutuku.
Kia maumahara, me whai hāora me kai ngā okana katoa o tō tinana kia mahi ai. Ko ō uaua ngā huarahi e whakarato ana i ēnei mea nui.
Ko ētahi uaua he mea whakatapua ki ētahi okana motuhake, pērā i:
- Ngā uaua o te ngakau: Ka tukuna tika te toto ki te uaua o te ngākau.
- Ngā uaua carotid: Ka haria te toto ki tō roro, mata, me te kaki.
- Ngā uaua tuarā: E whāngai ana i te roro me te taurakira.
- Ngā uaua iliac: He whāngai toto ki te rohe pelvic.
- Ia toto o te femur: He pūngao mō ngā waewae.
- Ngā uaua subclavian: E whāngai ana i te upoko, te kaki, me ngā ringa.
- Ngā uaua celiac me te mesenteric: Whakarato ratonga ki tō pūnaha nakunaku.
He kōrero whakamīharo mō ō uaua!
Anei ētahi mea whakamiharo hei mōhio māu mō ō uaua:
- I mōhio koe ka tukuna e tō pūnaha io matua ngā tohu ki ō uaua kia whakawhāiti, kia whānui rānei? Koinei te huarahi e whakahaeretia ai tō toto toto . Mā te whakarerekē i tōna whānui, ka noho pumau tonu tō toto toto i ō uaua.
- I tētahi wā, tata ki te 10% o te nui o tō toto katoa kei roto i ō uaua.
- He mea whakamīharo, ko te uaua pūkahukahu anake te uaua e kawe ana i te toto "paru" kāore i te nui te hāora. Ka haria e ia te toto mai i te ngākau ki ngā pukahukahu, hei kohi hāora hou.
Kei hea rātou, he aha te āhua, ā, me pēhea te hanga?
Ka tīmata ngā uaua i te ngākau me te aorta, ka peka atu pērā i ngā peka rākau, ka toro atu ki ngā wāhanga katoa o tō tinana.
He rite rātou ki ngā ngongo , engari he rerekē ki ngā uaua, he matotoru, he uaua hoki ō rātou pakitara hei whakahaere i te putanga pēhanga teitei mai i te ventricle maui o te ngākau. He tino ngāwari rātou.
Mō te rahi, ko te aorta, te uaua nui rawa atu, he whānui kei waenganui i te 10–25 mm (0.4–0.9 inihi). Ko ētahi atu uaua kei waenganui i te 3–5 mm (0.11–0.19 inihi). Ko ngā uaua iti rawa, e mōhiotia ana ko ngā arterioles , ka taea te iti rawa ki te 0.01 ki te 0.30 mm te whānui.
E toru ngā paparanga matua o ngā uaua:
1. Tunica intima: Ko te paparanga o roto kei roto ngā muka rapa.
2. Tunica media: Ko te paparanga o waenganui, he nui ngā uaua maeneene, e āhei ai te uaua ki te whakawhāiti, ki te whānui rānei ina hiahiatia.
3. Tunica externa: Ko te paparanga o waho e hono ana ki ngā kiko e karapoti ana, ā, kei reira ngā io e tohu ana i te uaua kia whakarerekē i tōna rahi.
He aha ngā mate pūkahukahu e kitea whānuitia ana?
Engari, he maha ngā āhuatanga ka pā ki ō uaua. Ko ētahi ko:
- Atherosclerosis (Te Whaiti me te Whakapakeke o te Arorangi) : Ka puta tēnei āhuatanga ina kohikohi ngā matū pēnei i te ngako me te cholesterol ki roto i ngā pakitara o ō arorangi, ka whaiti, ka whakapakeke hoki i te roanga o te wā.
- Aneurysm : He wāhanga ngoikore o te pakitara o te uaua e pupuhi ana pērā i te poihau. Ki te kore e rongoatia, ka pakaru pea.
- Pukupuku Toto : He puranga e hanga ana i roto i te uaua toto e aukati ana i te rere noa o te toto.
- Mate Puku o te Ngākau : Te whanaketanga o te atherosclerosis i roto tonu i ngā uaua e tuku toto ana ki tō ngākau.
- Te mate o te uaua carotid : Te whanaketanga o te atherosclerosis i roto i ngā uaua carotid, ko rātou te kawenga mō te tuku toto ki tō roro.
- Te toto toto tiketike
- Teitei o te Cholesterol
- Mate o te Arorangi Peripheral (PAD) : Te whaiti o ngā arorangi e tuku toto ana ki ō ringaringa me ō waewae.
- Te Vasculitis (Mumura o te Arorangi) : He āhuatanga e pupuhi ai, e mumura ai hoki ngā pakitara o ō arorangi.
He aha ngā tohu, ngā āhuatanga rānei e kitea whānuitia ana o ngā mate uaua?
I te nuinga o te wā, kāore he tohu o ngā āhuatanga pēnei i te toto toto tiketike me te cholesterol tiketike i ngā wāhanga tōmua. Me te kore e mōhiotia e koe, ka mārō haere pea ō uaua toto, ā, ka tīmata pea te ārai i te kiriuhi (he puranga cholesterol me te ngako). Nā ēnei raruraru ka uaua te rere o te toto, ka whaiti, ka ārai katoa rānei i ngā uaua toto.
Ko ētahi o ngā tohu whakatūpato pea o te mate arterial ko:
- Mamae o te uma
- Te whakaekenga o te ngakau
- Whiu
- Te ngoikore, te mamae rānei i ō waewae
- Te poto o te manawa
- Mamae puku
- Ngenge rawa
He mea nui: Ki te pāngia koe e tētahi o ēnei tohu, he mea nui kia rapu awhina hauora tonu atu, nā te mea he tohu pea ēnei mō tētahi mate kino.
He aha ngā whakamātautau noa hei tirotiro i te hauora o ō uaua?
Ka taea e tō tākuta te whakamahi i ētahi whakamātautau whakaahua hei aromatawai i te āhua o ō uaua:
- Angiography : He tikanga e werohia ai he tae motuhake ki roto i ngā uaua, ā, muri iho ka tirohia he hihi-X.
- Matawai CT (Tomography Rorohiko)
- MRI (Whakaahua Āhua Aukume)
- Echocardiogram : He whakamātautau ultrasound hei aromatawai i te mahi a tō ngākau me ōna uaua e pā ana.
He aha ngā maimoatanga noa mō ngā mate uaua?
He rerekē ngā maimoatanga mō ngā mate uaua, mai i te rongoā ki ngā wawaotanga pokanga:
- Ngā huringa o te āhua noho: (Ka matapakihia ēnei e tātou a mua tata nei)
- Ngā rongoā hei whakaiti i te cholesterol, i te toto toto rānei
- Ngā rongoā whakaheke toto
- Ngā rongoā ārai-mumura, pērā i te corticosteroids
- Angioplasty : He tikanga e whakamahia ai he taputapu rite ki te poihau hei whakawhanui i tētahi uaua kua whaiti, ā, i muri mai ka tāutahia he stent.
- Te tārai i te uaua koronari
- Ngā pokanga taha mō ētahi atu uaua kua āraia
- Te tango i te carotid endarterectomy : He tikanga pokanga hei tango i ngā putunga ngako mai i te uaua carotid.
Ngā mahi ngāwari hei pupuri i te hauora o ō uaua
Nā, he aha tāu e taea ai hei pupuri i te hauora o ō uaua? Ko te mea pono, ko ngā mahi e mahia ana e koe mō te hauora o te ngākau koia tonu te mea e hiahiatia ana e ō uaua.
Anei ētahi mahi māmā ka taea e koe te mahi:
- Kai i ngā kai hauora mō te ngākau. Āta karohia ngā kai he nui ngā ngako whakawhiti me ngā ngako kukū. Kia arotahi ki ngā hua rākau, ngā huawhenua, ngā rau matomato, me ngā kai he nui te muka.
- Whakakorikori tinana i ia wā. Kia 30 meneti pea te iti rawa o te whakakorikori tinana i ia rā, pērā i te hikoi, te oma, te kaukau rānei.
- Āta karohia rawatia ngā hua tupeka (hikareti, vape, me ētahi atu).
- Whakaritea tō moe kia rite ki te mea nui (mēnā he pakeke koe, ngana kia whitu ki te iwa hāora te roa o te moe pai i te pō).
- Whakahaerehia te ahotea kia whai hua. Mā ngā mahi pēnei i te whakaaroaro, te yoga, te whai wāhi atu rānei ki ō mahi whakangahau tino pai ka nui ake te painga.
- Mena he toto toto tiketike tōu, he cholesterol tiketike, he mate huka rānei, me whai tonu i tō mahere maimoatanga kua whakaritea.
- Kia mau tonu te taumaha tinana hauora.
- Whakawhāitihia te inu waipiro.
He tokomaha te hunga e whakaaro ana ki ō rātou ngākau anake ina whakaarohia te pūnaha manawa, engari he mahi nui tā ō uaua. Koinei ngā ara e tuku ana i te hāora, ngā matūkai, me ētahi atu mea ora mā roto i ō toto. Ina tiakina e koe ō uaua, ka tiakina koe e rātou!
Kia maumahara, nā te mea he maha ngā wā kāore he tohu o te toto toto tiketike me te cholesterol tiketike, he mea nui te tirotiro hauora auau kia mōhio ai kei roto ō taumata i te awhe hauora. Ki te kore, ko te rapu tohutohu hauora tika te huarahi pai ki te noho tonu i te huarahi tika.
