Kua whakaarohia e koe he rite ngā oko toto (ngā uaua) i roto i tō tinana ki ngā paipa wai? Ko ēnei oko te kawenga mō te kawe i te toto ma, whai hāora mai i tō ngākau ki tō tinana katoa. Heoi, ehara ēnei i te paipa pakari noa iho; he ngāwari, he rite ki te ngongo rapa hou. Engari i ētahi wā, ka tīmata ēnei oko toto ki te whakapakeke me te matotoru. I roto i ngā kupu hauora, ka kiia tēnei ko te '( Arteriosclerosis )', ko te "pakeketanga rānei o ngā uaua." He mate kino tēnei nā te mea ka puhoi te whanaketanga, ā, he maha ngā wā ka puku te noho, kāore koe e mōhio.
He aha rawa te '(Arteriosclerosis)'? Me whakamārama tātou!
Ki te kī ngāwari, ka puta te '(Arteriosclerosis)' ina matotoru ngā pakitara o ō uaua toto—arā, ngā uaua matua e kawe ana i te toto—ka ngaro tōna ngāwari tūturu, ka pakari. Whakaarohia he ngongo wai hou; he ngāwari ki te piko, tika? Heoi, i muri i te tawhito me te pāngia e ngā āhuatanga o te rangi, ka ngaro tōna ngāwari, ā, ka pakaru pea mēnā ka ngana koe ki te piko. Koinei te mea e pā ana ki ō uaua toto.
He pūnaha ora ēnei uaua. I ia wā e pā ana tō ngākau, ka panaia te toto whai hāora ki ngā okana me ngā kiko katoa mā roto i ēnei uaua. Ina pakari ēnei uaua, ka ārai i te rere o te toto, ka whakararuraru pea i tō pūnaha tohanga toto katoa.
Ehara te '(Arteriosclerosis)' i te mea ka puta i roto i te rā kotahi, e rua rānei. Ka āta haere te whanaketanga mō ngā tau maha. Ko te mea tino morearea ko te kore pea e whakaatu i ngā tohu i ōna wāhanga tuatahi. Tērā pea ka pai tō āhua mō te wā roa tae noa ki te puta mai o ngā raruraru ohorere nā te whakapakeketanga o ngā uaua. Ka nui ake te tūponotanga o te whakawhanake i ngā mate pūnaha toto, arā, ngā mate e pā ana ki te ngākau me ngā oko toto.
He maha ngā tāngata e whakapoauau ana i te kupu '(Arteriosclerosis)' me te '(Atherosclerosis)', e whakamahi tauutuutu ana rānei i ngā kupu e rua. Heoi anō, he rerekētanga nui kei waenganui i a rāua.
- Ko te '(Arteriosclerosis)' e pā ana ki te matotoru me te pakari o ngā pakitara o ngā uaua toto nā tetahi take.
- Ko te kupu '(Atherosclerosis)' e pā ana ki te whakapakeketanga o ngā uaua nā te kohikohinga o ngā ngako (pēra) i roto i ngā pakitara o ngā uaua. He momo motuhake tēnei o te '(Arteriosclerosis)', ā, koinei pea te kupu e tino mōhiotia ana e koe.
Kia tūhuratia ngā momo kē atu o te '(Arteriosclerosis)' me ō rātou pānga ki tō tinana.
He aha ngā momo matua o te `(Arteriosclerosis)`?
E toru ngā momo matua o te `(Arteriosclerosis)`:
1. Te Atherosclerosis
Koinei te momo rongonui i kōrerotia e tātou i mua ake nei. Ka puta te '(Atherosclerosis)' ina ka kohikohi haere ngā putunga ngako (plaque, atheroma rānei) ki roto i ngā pakitara o ō uaua waenga me ō uaua nui. Whakaarohia he rite ki te waikura e hangai ana ki roto i te paipa wai. Ka kiia tēnei paparanga ngako ko '(plaque)'.
Ka pā nui ki ētahi uaua nui:
- Aorta – Ko te uaua nui rawa atu o tō tinana.
- Ngā uaua koronari – Ko ngā uaua e tuku toto ana ki tō ngākau.
- Ngā uaua carotid – Ko ngā uaua matua e tuku toto ana ki tō roro.
- Ngā uaua femoral – Kei roto i te huha.
- Ngā uaua iliac - Kei roto i te rohe pelvic.
Ka tau tēnei `(pēke)` ki te paparanga o roto rawa o te pakitara uaua `(tunica intima)`. I te tīmatanga, kāore he tohu e puta. Engari i te tipu haere o te pēke, ka whaiti te ara uaua (lumen), ka aukati i te rere o te toto. Hei tāpiri, tera pea ka puta he toto totoka ki runga i te pēke, ka ārai katoa i te uaua. Ki te puta tēnei, ka arahi pea ki ngā āhuatanga ohorere pēnei i te mate manawa , te whiu rānei. Ki te pāngia koe e ēnei, waea atu ki te 911, haere rānei ki te rūma ohorere tata tonu.
2. Te Arteriolosclerosis
Ahakoa ka pā te '(Atherosclerosis)' ki ngā uaua waenga me ngā uaua nui, ka pā te '(Arteriolosclerosis)' ki ngā uaua iti , e mōhiotia ana ko ngā '(arterioles)'. Ko ēnei te hononga i waenga i ngā uaua nui me ngā capillaries iti. He mea nui te '(Arterioles)' ki te whakahaere i tō toto toto .
Ko te `(Arteriolosclerosis)` ko te matotoru o ngā pakitara o ēnei uaua iti. Ka pā pea tēnei ki ngā oko toto iti i roto i ō whatukuhu me tō roro. Ina matotoru ēnei pakitara, kāore e taea te mahi tika, ā, ka kore e ranea te rere o te toto ki ngā whekau me ngā raruraru maha.
3. Te Sclerosis Calcific Medial o Mönckeberg
E mōhiotia ana ko te `(medial arterial calcification)`, ko tēnei āhuatanga ko te whakatakotoranga o te konupūmā ki te paparanga waenga o te pakitara uaua `(tunica media)`. Ina hanga te konupūmā ki tēnei paparanga waenga, ka mārō te pakitara uaua. Ka kitea nuitia tēnei i roto i ngā tāngata neke atu i te 50 tau te pakeke. Heoi, ko te hunga whai mate hauora mau tonu—pērā i te Mate Tākihi Mau Tonu —tērā pea ka pā wawe atu.
Ka whakararu hoki tēnei āhuatanga i te rere o te toto, ā, ka whakanui ake i te mōrearea o ngā raruraru pūnaha cardiovascular.
He aha ngā tohu o te `(Arteriosclerosis)`?
He maha ngā wā, kāore he tohu o te `(Arteriosclerosis)` tae noa ki te puta mai o ngā raruraru nui. Ina puta mai ngā tohu, ka rerekē rawa atu i runga i te wāhi i pāngia ai. Ko ētahi o ngā tohu noa ko:
- Te werawera, te mamae rānei o ngā waewae, inā koa ko ngā waewae, ahakoa kei te okioki.
- Ngā huringa o te auau o te mimi.
- Te mamae o te uma, te koretake rānei .
- Pōuriuri.
- Kiri maroke, mākūkū , ngoikore rānei.
- Te ngenge tonu .
- Te tere o te pao o te ngakau , te koretake rānei o te tere o te pao.
- Te mamae o ngā waewae i te wā e hikoi ana (ka memeha haere i te okiokinga)—e mōhiotia ana tēnei ko te `(intermittent claudication)`.
- Whakapairuaki , ruaki rānei.
- Te poto o te manawa .
- Te kōrero pōturi, te uaua rānei ki te whakapuaki i ō whakaaro.
- Ngā patunga e whakaora puhoi ana i runga i ngā waewae.
- Pupuhi (edema).
- Te ngaronga ohorere o te tirohanga o te kanohi kotahi.
- Te ngoikore i tetahi taha o te tinana.
He mea nui:Mena kei te pāngia koe e ngā tohu o te whakaeke ngakau, te whiu, te whakaeke ischemic transient (TIA - e kiia ana he 'mini-stroke'), te pulmonary embolism (PE - he toto totoka i roto i ngā pukahukahu), te acute mesenteric ischemia rānei (he aukati i ngā oko toto e tuku ana i ō whekau), waea atu ki te 911, ki ngā ratonga ohorere rānei o tō rohe.
He aha ngā take o te Arteriosclerosis? He aha ngā āhuatanga mōrearea?
Ka puta te arteriosclerosis nā ngā panonitanga o ngā pakitara o te uaua. Ka tīmata ēnei panonitanga i te taumata pūtau iti rawa, he maha ngā wā kāore e kitea i te tīmatanga. Hei tauira, ko te kino o te arai o roto o te uaua (te endothelium) ka arahi ki te atherosclerosis.
Ahakoa he maha o ēnei huringa ka puta noa i a koe e pakeke haere ana—he āhuatanga kāore e taea te whakarerekē—he mea nui kia noho mōhio koe ki ngā āhuatanga mōrearea ka taea e koe te whakahaere. He mea nui te whakarerekētanga o te āhua noho ki te whakahaere i ēnei mōrearea me te tiaki i tō hauora toto.
Ko ngā āhuatanga matua e whai wāhi ana ki te whakapakeketanga o ō uaua ko:
- Te mate whatukuhu mau tonu.
- Te toto toto tiketike (hypertension).
- Ngā taumata cholesterol toto tiketike.
- Te pakeke haere.
- Te kore o te whakakorikori tinana auau.
- Te mate pāwera.
- Te whakamahi tupeka (tae atu ki te momi hikareti, te mimiti hikareti, te ngaungau rānei i te tupeka).
- Mate huka momo 2.
Kōrero ki tō tākuta i Nirogi Lanka kia kitea ai ō āhuatanga mōrearea. Mena he mate hauora tōu, he huarahi kaha te whakahaere i aua āhuatanga mā te whakarerekē i te momo noho me te rongoā kua tohua hei pupuri i te hauora o ō uaua.
He aha ngā pānga o te Arteriosclerosis? (Ngā raruraru)
Ka whakararuraru te arteriosclerosis i te rere noa o te toto puta noa i tō tinana. Ina pakari ngā uaua toto, ka raru te tuku hāora me ngā matūkai nui ki ō whekau me ō kiko. Ka arahi pea tēnei ki ngā raruraru nui, pēnei i:
- Ngā aneurysm (te pupuhi rerekē o te uaua).
- Te mate o te uaua carotid.
- Te mate uaua o te ngakau (CAD).
- Te ischemia tino nui o ngā peka (te aukati nui o te rere o te toto ki ngā peka).
- Te whakaekenga ngākau.
- Te ngoikore o te whatukuhu.
- Te ischemia mesenteric.
- Te mate o te uaua taha (PAD).
- Te embolism pūkahukahu.
- Te whakatōtōtanga o te uaua whatukuhu.
- Te whiu.
- Te toto totoka (ngā toto totoka).
- Te whakaekenga ischemic poto (TIA).
I ētahi wā, ka pāngia te tūroro e ngā momo arteriosclerosis maha i te wā kotahi. Ka tere ake te puta o ngā raruraru nā te pānga tāpiripiri. Hei tauira, e whakaatu ana ngā rangahau mēnā he calcification arterial medial (ngā putunga konupūmā i te paparanga waenga o te uaua) me te atherosclerosis (ngā putunga ngako), ka tere ake te tukanga whaiti. I te nuinga o te wā, i te mea he putunga ngako i te paparanga o roto (intima), ka whānui te uaua ki waho hei pupuri i te rere o te toto. Heoi, mēnā ka whakapakeketia te paparanga waenga (media) e te konupūmā, kāore e taea e te oko toto te whānui, ka meinga ngā putunga ngako kia whakawhāiti tika i te lumen (te ara mō te rere o te toto).
Me pēhea te tautuhi i te Arteriosclerosis?
Mā tō tākuta tēnei mate e tātaritanga mā te:
- Te whakahaere i tētahi whakamātautau tinana .
- Te arotake i tō hītori hauora whānau, tō momo noho, me ngā tohumate .
- Te tono i ngā whakamātautau tātaritanga motuhake.
Ngā whakamātautau tātaritanga mō te Arteriosclerosis
Ka tūtohu pea tō tākuta i ngā whakamātautau maha hei aromatawai i tō hauora toto, te rere o te toto, me te mahi o te ngākau, pēnei i:
- Te tirotiro i te puku.
- Angiography (te whakamahi i te tae rerekē me ngā hihi-X hei tiro i ngā uaua).
- Taupū pona-puku (ABI) – te ine i te rere o te toto i roto i ō waewae.
- Te tirotiro i te carotid ultrasound.
- X-ray o te uma.
- Matawai tomography rorohiko (CT).
- He whakamātautau ira-oro o te ngākau (echocardiogram).
- Te hiko-mātao (EKG/ECG) – hei ine i te ngohe hiko o tō ngākau.
- Whakamātautau ahotea whakakori tinana – kia kitea ai te mahi a tō ngākau i a koe e whakakori tinana ana.
He aha ngā maimoatanga mō te Arteriosclerosis?
Ko ngā mahere maimoatanga mō te Arteriosclerosis ko:
- Ngā whakarerekētanga o te āhua noho (hei tauira, te whakakori tinana auau, te kai hauora mō te ngākau, te whakamutu i te tupeka).
- Ngā rongoā .
- Ngā tikanga hauora, ngā pokanga rānei .
Mā tō tākuta i Nirogi Lanka e waihanga he mahere maimoatanga whaiaro e hāngai ana ki ō hiahia. Ko tā rātou whāinga he whakapai ake i tō tohanga toto, he whakaiti i te mōrearea o ngā raruraru, me te whakahaere i ō tohumate. Kōrerohia ki tō kaiwhakarato hauora kia whakatauhia ai te huarahi mahi pai rawa atu māu.
Ka taea te ārai i te Arteriosclerosis?
Ahakoa kāore e taea te ārai katoa i te whakapakeketanga o ngā uaua toto, ka taea e koe te whakaiti i tō tupono mā te whai i ēnei mahi:
- Āta karohia ngā hua tupeka katoa (tae atu ki te momi hikareti, te mimiti hikareti, te ngaungau rānei i te tupeka).
- Whakamahia he kai hauora mō te ngākau (pērā i te Kai Mediterranean).
- Whakakorikori tinana mō te 30 meneti pea i te iti rawa i te rā, e rima ngā rā o te wiki.
- Kia mau tonu te taumaha tinana hauora.
- Te whakahaere tika i ngā āhuatanga hauora o raro (pēnei i te mate huka me te toto toto tiketike).
He aha ngā mea me tumanako atu ahau mēnā kei a au te Arteriosclerosis?
Ka taea e te atherosclerosis te arahi ki ngā raruraru e morearea ana ki te ora. Heoi, mā te kitenga wawe me te maimoatanga tika, ka taea e koe te whakahaere pai i tēnei mate me te noho roa, hauora hoki. Tena koa kōrero ki tō tākuta kia mārama ai koe ki ngā mea ka tumanakohia, nā te mea e mōhio ana rātou ki tō hītori hauora whaiaro, ā, ka taea e rātou te tuku tohutohu kua whakaritea.
Āhea ahau me toro atu ki taku tākuta?
Kia mahara ki te toro atu ki tō tākuta mō tētahi whakamātautau tinana ā-tau. He mea nui anō hoki kia mau tonu ki ngā wā tirotiro katoa e ai ki ngā taunakitanga.
Whakapā atu ki tō tākuta tonu mēnā ka kite koe i ēnei:
- Ngā tohu hou, ngā huringa rānei o ngā tohu o nāianei.
- Ngā pātai e pā ana ki tō mahere maimoatanga.
- Ngā pānga taha kino mai i ō rongoā.
Kāore he puna o te taitamarikitanga mō ō tātou uaua. Pērā i ētahi atu wāhanga o te tinana, ka pakeke haere i te roanga o te wā, ka pakari haere, ka ngaro hoki tō rātou ngāwari tūturu. Ka taea e ētahi āhuatanga mōrearea te whakatere tere ake i tēnei tukanga.
Ko te rongo pai, ka taea e ngā tohunga hauora te āwhina i a koe ki te tautuhi i ō āhuatanga mōrearea. Pātai atu ki tō tākuta mō te hauora o ō uaua toto, ngā tohu whakatūpato hei tirotiro māu, me ngā mahi ka taea e koe te mahi hei ārai i ngā raruraru. Ka tūtohu pea rātou i ngā whakarerekētanga o te momo noho, i ngā rongoā rānei hei pupuri i te hauora o ō uaua toto mō te wā roa rawa atu.
Ngā Whakaaro Matua
Hei whakarāpopoto i ngā mea kua kōrerotia e tātou, anei ngā mea hei maumahara māu:
- Ko te Arteriosclerosis te matotoru me te pakari o ngā pakitara o te uaua, ka puta āta haere i roto i te wā.
- Ko te Atherosclerosis he momo motuhake e pā ana ki te kohikohinga o te ngako (pēra) i roto i ngā uaua toto.
- I te nuinga o te wā, kāore he tohu e kitea i ngā wāhanga tōmua, koia te mea nui o ngā tirotiro hauora auau.
- Ko ngā āhuatanga nui o te mōrearea ko te toto toto tiketike, te cholesterol tiketike, te mate huka, te kai paipa, me te noho koretake.
- Ki te kore e whakahaerea, ka arahi pea tēnei ki ngā raruraru nui pērā i te mate manawa, te whiu rānei.
- Heoi, mā te whakarerekē i te āhua noho, te tango i ngā rongoā kua tohua, me te whai i ngā tohutohu a tō tākuta, ka taea e koe te whakahaere i tēnei mate me te whakaiti i ō tuponotanga.
Whakatairangahia te hauora o tō ngākau me ō toto i tēnei rā. Me Nirogi Lanka, tangohia te taahiraa tuatahi ki te oranga hauora, oraora ake!
