He aha mēnā ka pāngia koe e te mamae nui o te upoko kāore anō kia pāngia e koe i roto i tō ao? Mēnā rānei ka pāngia koe e te mate ohorere, kāore he take? Ahakoa he maha ngā wā ka whakaarohia e tātou he mea noa ēnei mea, i ētahi wā tera pea he take kei muri i tēnei mea kāore anō kia rangona e tātou, engari me tino āwangawanga tātou. Ko tētahi o ngā mate onge, engari he mate kino pea e kōrerohia ana e tātou i tēnei rā, ko te AVM te ingoa.
He aha te tikanga o tēnei AVM (Arteriovenous Malformation)?
Whakaarohia te rere o te toto i roto i tō tātou tinana he pūnaha rori. He rite ngā uaua ki ngā huarahi nui. Ka haria e rātou te toto ma, he nui te hāora mai i te ngākau ki te roro me ngā whekau katoa. He rite ngā uaua ki ngā rori iti. Ka haria e rātou te toto kua whakamahia, kāore i te nui te hāora ki te ngākau.
He hononga kei waenganui i ēnei huarahi (ngā uaua) me ngā huarahi iti (ngā uaua) hei whakarite me te whakahaere i te tere. Ko tēnei hononga ko te whatunga o ngā uaua toto iti e kiia nei e tātou ko ngā capillaries. Koinei te wāhi e whakaitihia ai te pēhanga o te toto e puta mai ana i te huarahi, ka tukuna te hāora me ngā matūkai ki ngā kiko e karapoti ana, kātahi ka tukuna anō ki ngā uaua.
Whakaarohia, he aha te mea ka tupu mēnā, mō tētahi take, ka ngaro tēnei hononga (ngā capillary), ā, ka hono ohorere te huarahi nui (te uaua) ki tētahi rori iti (uaua)? Ina rere te toto tere-teitei, te pēhanga-nui ki roto i tētahi uaua ngoikore e kore e taea te tu atu ki te pēhanga, ka pakaru pea taua uaua.
Ko taua raruraru rerekē, raruraru o ngā uaua toto e kiia nei e tātou he Arteriovenous Malformation , ko te AVM rānei. He rite tēnei raruraru raruraru ki te kōhanga manu, ā, ka nui te mōrearea.
E rua ngā momo matua o ngā AVM:
Ahakoa ka taea e ngā AVM te whakawhanake i ngā wāhi katoa o te tinana, e rua ngā momo matua.
| Momo AVM | Tauwāhi me te whakaahuatanga |
|---|---|
| Ngā AVM roro | Koinei ngā mea tino noa. Ka taea e rātou te whanake i roto i te kiko roro, i te mata o te roro, i te take roro, i te taurakira rānei. Koinei ngā mea tino morearea. |
| Ngā AVM e puta ana i ētahi atu wāhi o te tinana (ngā AVM Peripheral) | Ka taea ēnei te puta ki ngā wāhi katoa i waho o te roro. Hei tauira, ka taea hoki ēnei pona te puta ki ngā whekau pērā i te mata, ngā ringa, ngā waewae, te ngākau, te ate, ngā pukahukahu rānei. |
He aha ngā tohu o te AVM?
Ko te mea whakamiharo mō tēnei, tata ki te 15% o te hunga whai AVM kāore e whakaatu i tētahi tohu. I te nuinga o te wā, ka kitea noa e koe kei a koe tētahi i muri i te pahūtanga me te tīmatanga o te toto ki roto i te roro. Heoi, tera pea ētahi tāngata ka pāngia e ētahi tohu.
| Kāwai tohu | Ngā tohu pea |
|---|---|
| Ngā Tohu e pā ana ki te Roro | |
| Ngā raruraru o te pūnaha io | - Ngā haurangi me te kore mohio, me te kore mohio rānei. - Te mamae nui o te upoko, ohorere. - Te ngoikore o te uaua, te pararutiki rānei i tetahi taha o te tinana. - Te ngoikore o te tinana. - Ngā raruraru ki te hikoi, ki te kōrero, ki te mahara, ki te whakaaro, ki te tirohanga rānei. |
| Ngā raruraru hinengaro me ngā raruraru kare ā-roto | - Whakapairuaki me te ruaki. - Pōuriuri. - Te pōhēhē hinengaro, te moemoeā rānei. |
| Ngā Tohu i Ētahi Atu Wāhanga Tinana | |
| Ngā pukahukahu, te tuaiwi, me te puku | - Mena kei roto i ngā pukahukahu te AVM, tera pea ka pāngia koe e te poto o te manawa, e te maremare toto rānei i a koe e whakakorikori tinana ana. - Mena kei roto te AVM i te taurakira, ka pā he mamae nui ohorere ki te tuara , me te ngoikore o ngā waewae. - Mamae puku. |
| Ngā peka me te kiri | - Ka puta ngā puku ki ngā ringaringa, ki ngā waewae, ki te tinana rānei. - Te mamae me te pupuhi i te wāhi e pāngia ana. |
He aha i puta ai ēnei AVM?
Kāore anō kia mōhiotia e ngā kaipūtaiao te tino take o tēnei mate, engari e whakapono ana rātou he mate whānau mai tēnei . Ko te tikanga ka puta ngā pona o ngā uaua toto i te tipu o te pēpi i roto i te kōpū. He tino onge, ka taea te tuku iho i roto i ngā whakatipuranga.
He aha ngā kino ka pā mai i te AVM ki te tinana?
E toru ngā kino nui ka pā mai i te whai AVM:
- Te Toto: Koinei te mōrearea nui rawa atu, te mōrearea hoki . Ina uru te toto e rere ana mai i ngā uaua toto i raro i te pēhanga teitei ki roto i ngā uaua ngoikore e kore e taea te tu atu i te pēhanga, ka pakaru ngā uaua. Mena ka puta tēnei toto i roto i te roro, ka pā he whiu, ka pakaru te roro tuturu, ka mate rānei.
- Te pēhi i ngā kiko e karapoti ana: I te mea ka kī tonu te toto, ka taea e tēnei uaua toto te whakanui me te pēhi i ngā wāhi roro, i ngā io rānei e karapoti ana. Ka puta pea ngā tohu pēnei i te haurangi me te ngoikore o te uaua.
- Te mimiti haere o te hāora i roto i ngā kiko: Nā te ngaro o ngā hononga o ngā uaua toto i kōrerotia i mua ake nei, kāore te hāora me ngā matūkai i roto i te toto e whakawhitihia ana ki ngā kiko e karapoti ana. Ka haere tika te toto mai i te uaua toto ki te uaua toto. Nō reira, kāore ngā kiko me ngā pūtau io o te rohe e whiwhi i te kai e tika ana, ā, ka mate pea.
Me pēhea te kitenga a te tākuta i tēnei?
I muri i te whakarongo ki ō tohumate, ka tirotirohia koe e tō tākuta. I ētahi wā, i a koe e whakarongo ana me te stethoscope, ka rongo pea koe i tētahi tangi "bruit" motuhake, e puta mai ana i te tere o te rere o te toto i roto i te AVM.
Engari hei whakaū i te kitea o tētahi AVM, me whakahaere ētahi whakamātautau whakaahua motuhake.
- Matawai MRI (Whakaahua Āhua Aukume): Ka taea te whakamahi i ngā ngaru aukume hei tiki whakaahua tino mārama o te roro me ngā uaua toto.
- Matawai CT (Tomography Rorohiko): Ka tangohia he raupapa whakaahua whakawhiti-wāhanga o te roro mā te whakamahi i ngā hihi-X.
- Te Angiography Catheter: Koinei te whakamātautau pai rawa atu hei rapu i te AVM. I roto i tēnei whakamātautau, ka whakauruhia he ngongo iti (catheter) mā roto i te uaua i roto i te hope, i te ringa rānei, ka arahina ki ngā oko toto i roto i te roro. Kātahi ka werohia he tae motuhake ki roto i ngā oko toto, kia kitea mārama ai te wāhi, te rahi, me te āhua o te oko toto i runga i ngā hihi-X.
He aha ngā maimoatanga mō ngā AVM?
Ko te whakatau ki te rongoā i tētahi AVM, ā, mēnā koinā, ko tēhea maimoatanga hei whakamahi, ka whakawhirinaki ki ētahi āhuatanga. Ka whakaarohia e tō tākuta tō tau, tō hauora, te rahi me te wāhi o te AVM, me te mōrearea o tōna pakaru.
Ko te whāinga matua o te maimoatanga he whakaiti, he whakakore rānei i te mōrearea o te toto.
| Tikanga maimoatanga | Me pēhea te mahi |
|---|---|
| Pokanga | Koinei te maimoatanga tino angitu. Ka tapahia he iti e te taote roro, ka kati i ngā oko toto e tuku toto ana ki te AVM me ngā oko toto e tango ana i te toto, ā, ka tangohia katoatia te oko toto. Mēnā ka tangohia katoatia te AVM, ka ora te mate. |
| Te whakapūngao | Ehara tēnei i te pokanga. Pērā i te angiography, ka whakauruhia he catheter ki roto i te AVM, ā, ka whakauruhia he mea rite ki te kāpia, he koiri waea iti rānei mā roto hei aukati i te rere o te toto i roto i te uaua toto. I ētahi wā ka whakamahia tēnei tikanga hei whakaiti i te mōrearea i mua i te pokanga. |
| Pokanga Irahiko Gamma Knife® | Ehara hoki tēnei i te pokanga. I konei, he nui ngā hihi irahiko e arohia ana ki te AVM me te tino tika. Mā tēnei irahiko ka mimiti haere te uaua toto, ka kati, ka kore e mahi i roto i ngā marama, i ngā tau rānei. |
Hei tāpiri, ka tohua pea e tō tākuta he rongoā hei whakahaere i ngā tohu pēnei i te haurangi, te ānini rānei.
Āhea te wā tika ki te rapu tohutohu hauora tonu!
He āhuatanga ohorere tēnei mēnā ka pāngia tetahi tangata whai AVM e ētahi tohu.
Ki te pāngia koe, tētahi atu rānei e mōhio ana koe e te "mate upoko kino rawa atu o tōku ao", te mate haurangi, te ngaronga o tētahi waewae, te uaua rānei ki te kite/ki te kōrero, haere tonu ki te Tari Whawhati Tata o te hōhipera (ETU) e tata ana.
He tohu pea ēnei o te toto i roto i te roro. Mā te tere o te whiwhi maimoatanga ka taea te whakaora i ngā oranga me te whakaiti i te kino o te roro.
Karere Tangohia ki te Kāinga
- He pukupuku onge te AVM engari he morearea pea i roto i ngā oko toto e kitea ana i te whānautanga mai.
- Ko te mōrearea matua me te tino mōrearea o tēnei, ko te pahūtanga ka puta he toto ki roto i te roro (whiu) .
- Ko te nuinga o te tangata kāore he tohu. Engari ki te pāngia koe e ngā tohu pēnei i te ānini ohorere, te mamae nui, te haurangi, te ngoikore rānei i te taha kotahi o tō tinana, he āhuatanga ohorere tēnei. Haere tonu ki te ETU .
- I ēnei rā, he tino angitu ngā tikanga maimoatanga pēnei i te pokanga, te embolization, me te radiosurgery.
- Ki te mea kua tāpaetia koe he AVM, kaua e mataku. Kōrerohia mā te marea ki tō tākuta mō te maimoatanga pai rawa atu mō tō āhuatanga.
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