Kua whakaaro kē koe me pēhea te rere o te toto puta noa i tō tinana, me pēhea hoki e mau tonu ai te toto toto? He momo uaua toto kei roto i tō tātou tinana, he iti rawa, kāore e kitea e te kanohi tahanga, engari he tino kaha. I tēnei rā ka kōrero tātou mō ēnei toa ririki, arā, ko ngā Arterioles.
He whakarāpopototanga, he aha ēnei uaua?
He tino iti, he angiangi ngā uaua toto. He rite ki ngā manga e peka mai ana i ngā uaua toto matua o tō tātou tinana, arā, ngā uaua toto. Whakaarohia rātou he ara taha iti e peka mai ana i te huarahi matua ka arahi ki ngā whare. Ko ēnei uaua toto te mea e kawe ana i te toto mai i te ngākau ki ngā kiko me ngā okana o tō tātou tinana.
Ka hono ēnei uaua toto ki ngā oko toto iti ake. Ka karangatia e mātou ko ngā kapirari. He tino angiangi ngā kapirari, he rite ki ngā miro o te tukutuku pungawerewere. Koinei te wāhi e tupu ai ngā mea tino nui. He rite rātou ki te pokapū whakawhiti. Ka hoatu e te toto te hāora me ngā matūkai ki ngā kiko, ā, ka whakahokia e ngā kiko ngā hua para pēnei i te hauhā waro ki roto i te toto. I muri i tēnei whakawhiti, ka hono ngā uaua iti (venule) ki ēnei kapirari hei kawe i te toto kua ki tonu i te para ki te ngākau.
Nō reira, he mea tino nui ngā uaua toto hei hononga i waenga i ngā uaua toto me ngā kapiripiri.
He aha te mahi matua a ēnei uaua iti?
Ahakoa he iti ēnei, he mea nui tā rātou mahi ki te whakahaere i te rere o te toto me te toto toto i roto i tō tātou tinana.
- Te pēhanga toto me te whakahaere i te rere o te toto: 80% o te ātete ki te rere o te toto i roto i tō tātou tinana e whakahaerehia ana e ēnei uaua toto. He māmā noa iho, ko ēnei uaua toto iti e whakatau ana i te tere, te pakeke, me te nui o te toto e pupuhihia ana ki ia okana. Ka mahia tēnei mā te whakawhāiti me te whakangāwari i ngā uaua i roto i ō rātou pakitara. He rite ki te pēhi i tētahi paipa wai hei whakahaere i te rere o te wai. Koinei te āhua o te pupuri i te pēhanga toto ki tētahi taumata pumau.
- Te āwhina i te whakawhitiwhiti: E ai ki te kōrero i mua ake nei, ka mahi ngā uaua hei "takawaenga" i waenga i ngā uaua nui me ngā uaua iti rawa, ka mahi hei piriti mō te whakawhitiwhiti hāora, ngā matūkai, me ngā hua para.
He pēhea te āwhina a ngā uaua ki ētahi atu okana?
Kei roto i te tinana ngā uaua, ā, e āwhina ana i te nuinga o ngā okana. Anei ētahi tauira.
| Ōkana | Te Āwhina a ngā Arterioles |
|---|---|
| Kiri | Ina mātao tātou, ka whakawhāiti ēnei uaua toto, ā, ka pupuri i te toto ki roto i te tinana. Ka whakamahana tēnei i te tinana. Ina wera tātou, ka whānui , ka tuku atu i te toto ki te kiri, ka tukuna te wera mai i te tinana. |
| Ngā whatukuhu | E rua ngā momo uaua e kawe ana i te toto ki ngā whatukuhu, ā, e tangohia atu ana i aua whatukuhu, arā, ko te glomerulus. Ka whānui, ka whakawhāiti ēnei, ka whakahaere i te tere o te tātaritanga o te toto e ngā whatukuhu. |
| Ngā pūkahukahu | Ka whakawhāitihia ēnei uaua kia iti ai te rere o te toto ki ngā wāhi o ngā pukahukahu he iti te hāora, ā, ka tukuna te toto ki ngā wāhi he nui te hāora. Ka āwhina tēnei ki te whakanui ake i te nui o te hāora e mimitihia ana ki roto i te toto. |
| Roro | Ina nui ake te toto e hiahiatia ana e te roro, ka whānui ake ngā uaua, ka nui ake te toto e rere. |
He aha ngā mate e pā ana ki ngā oko toto?
I te mea he oko toto anō hoki ngā uaua toto, ka pāngia hoki rātou e tetahi mate e pā ana ki te ngākau me te pūnaha tohanga toto.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Te toto toto tiketike (hypertension) | Te toto toto tiketike mō te wā roa. |
| Te momi hikareti | Ka pakaru ngā uaua toto i ngā matū o te paowa. |
| Te cholesterol teitei | Te whakatakotoranga ngako i roto i ngā oko toto. |
| Te atherosclerosis | Ka matotoru, ka pakari hoki ngā pakitara o ngā oko toto. |
| Te mate pāwera o te toto | Te pupuhi/te mumura o ngā pakitara o ngā uaua toto. |
| Te toto totoka (Thrombosis) | Ngā toto totoka i roto i ngā uaua toto. |
| Mate huka | Ka taea e ngā taumata huka teitei te kino i ngā oko toto iti. |
Ka pakaru ngā pakitara o ngā uaua toto i ēnei āhuatanga, ā, kāore e taea e rātou te kōpiri, te whānui rānei. Ka pā tēnei ki te toto toto me te rere o te toto.
Me pēhea te mōhio mēnā he raruraru? - Ngā Tohu
He rerekē ngā tohu o ngā mate e pā ana ki ngā uaua toto i runga i te mate. Anei ētahi tauira noa.
| Tūnga | Ngā tohu e kitea ana |
|---|---|
| Vasculitis (te pupuhi o ngā oko toto) | Te whakahekenga taumaha, te kirika, te ngenge, te mākūkū o te kiri me te marō. |
| Ngā toto totoka | Ki te mea kei roto i ngā pukahukahu, he uaua ki te manawa, ki te mea kei roto i te ngākau, he mamae o te uma, ki te mea kei roto i te roro, he uaua ki te kōrero, ki te mea kei roto i ngā waewae, he pupuhi o ngā waewae. |
| COPD (mate pūkahukahu) | Te uaua ki te manawa, te whewhe, te maremare pinepine. |
Te maimoatanga me ngā huarahi hei pupuri i te hauora
Ka whakaratohia e tō tākuta he maimoatanga me he tohutohu hei pupuri i te hauora o tō pūnaha manawa katoa, tae atu ki ō uaua toto.
| Ngā Maimoatanga Hauora | Ngā mea ka taea e koe te mahi māu ake (Ngā Huringa Āhua Noho) |
|---|---|
| Ngā rongoā whakaheke toto toto tiketike. | Te whakaiti i te tote mai i te kai. |
| Ngā rongoā whakaheke kolesterol. | Te whakaiti i ngā kai he nui te ngako kukū (ngā hinu, ngā kai parai, ngā mīti momona). |
| Ngā rongoā ārai-mumura mō ngā āhuatanga pēnei i te vasculitis. | Te whakakorikori tinana i ia wā, i ia wā. |
| Te tohutohu kia mutu te kai paipa. | Te karo katoa i ngā hua tupeka. |
| Te pupuri i te taumaha hauora e tika ana mōu. |
Kāore pea tātou e whakaaro nui ki ēnei uaua iti, uaua hoki i roto i ō tātou oranga o ia rā, engari he mea nui ēnei mō te whakahaere i te rere o te toto me te toto toto. Mā te kai hauora me te whakakori tinana auau ka āwhina i te pupuri i tō pūnaha manawa katoa kia pai te āhua. Nā te mea kāore ētahi o ēnei mate e whakaatu i ngā tohu i ngā wāhanga tōmua, he mea nui kia toro atu koe ki tō tākuta mō ngā tirotiro auau . Mā tēnei, ka taea e koe te kite i tētahi raruraru iti i mua i te nui haere.
Karere Tangohia ki te Kāinga
- Ko ngā uaua toto he momo oko toto iti engari tino kaha e whakahaere ana i te toto toto me te rere o te toto i roto i ō tātou tinana.
- He nui te pānga o ngā āhuatanga noho pēnei i te kai e kainga ana e koe, te whakakori tinana, me te karo i te momi hikareti ki te hauora o ēnei oko toto ririki.
- I te mea kāore ētahi o ngā mate e whakaatu i ngā tohu i ngā wāhanga tōmua, he mea tino nui kia tirotirohia te hauora i ia wā.
- Mena he āwangawanga, he ruarua rānei āu mō tō hauora, kaua e mangere ki te kōrero ki tō tākuta .
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