Kua pupuhi tō aorta? Me ako tātou mō tēnei pokanga (Whakatikatika Aneurysm Aortic Piki)

Whakaarohia te uaua toto matua e tīmata ana i waenganui o tō uma, i te ngākau, ā, e kawe ana i te toto puta noa i tō tinana. Ka kiia tēnei ko te aorta. Hei whakamārama, ko te wāhanga tuatahi e puta mai ana i te ngākau ka kiia ko te aorta piki. He rite tēnei ki te paipa wai matua o tō tātou tinana. I ētahi wā, ka ngoikore tetahi o ngā pakitara o tēnei uaua toto, ā, ka tīmata te pupuhi pērā i te poihau. I roto i te rongoā, ka kiia tēnei āhuatanga he aneurysm. He mea kino pea tēnei, nā te mea ki te nui rawa tēnei pupuhi, ka taea te pahū. Nō reira, i tēnei rā ka kōrero tātou mō te whakatikatika pokanga i te pupuhi i roto i te aneurysm aortic piki.

Ko wai e hiahia ana ki tēnei pokanga?

Ki te kī ngāwari, e rua ngā āhuatanga matua e tika ana mō tēnei pokanga.

1. Hei āhuatanga ohorere: Ki te pakaru ohorere tēnei aneurysm i roto i tō aorta, ki te haehae rānei i ōna pakitara (tapahi), he mahi ohorere tēnei, he pokanga whakaora ora. He āhuatanga tino morearea tēnei.

2. Hei pokanga kua whakaritea: Kia kitea e tō tākuta he aneurysm tōu, ka aromatawaihia e ia te mōrearea o tōna pahūtanga, ā, ki te nui te mōrearea, ka tūtohu ia kia pokangahia i mua i tōna pahūtanga. I te nuinga o te wā ka aroturukihia e te tākuta te rahi o te aneurysm me tōna tere tipu mā te whakamahi i ngā matawai (`CT`, `Heart MRI` rānei) e mahia ana kotahi, e rua rānei i te tau.

He aha te wā pai rawa atu mō te pokanga?

Ko te whakatau mō te wā e tika ai te pokanga ka whakawhirinaki ki ētahi āhuatanga, tae atu ki te mea kei a koe ngā tohu, te rahi o te aneurysm, me te tere o tōna tipu.

Ngā tohu e hiahia ana ki te pokanga ohorere

Ki te pāngia koe e tētahi o ēnei tohu, tera pea kei te tata pakaru tō aneurysm. Haere tonu ki te Tari Ohotata (ETU) o te hōhipera.

Ngā take o te pokanga whiriwhiri

Ahakoa kāore koe e kite i ngā tohu, ka tūtohu pea tō tākuta kia pokanga koe i ngā wā e whai ake nei:

Me pēhea te whakarite i mua i te pokanga?

Ka rite koe mō te pokanga i ētahi wiki i mua i te tīmatanga.

• Ngā whakamātautau hauora: Ngā whakamātautau toto hei tirotiro i te mahi a te whatukuhu, ngā matawai CT, MRI rānei hei tirotiro i te aorta katoa, me te angiography coronary hei tirotiro i ētahi atu uaua toto i roto i te ngākau.
• Te kōrero ki tō tākuta: Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā huaora me ngā rongoā tuku iho), me ētahi atu mate hauora kei a koe, pērā i te toto toto tiketike me te mate huka.
• Te kai paipa: He mea tino nui kia mutu rawa te kai paipa i te iti rawa i te kotahi marama i mua i te pokanga.

Ka hoatu e te tākuta ngā tohutohu ki a koe, pērā i te kore e inu wai i muri i te waenganui pō o te rā o te pokanga, me te tango noa i te rongoā kua tohua i te ata.

Me pēhea te mahi i te pokanga?

He pokanga ngākau tuwhera tēnei. Ka mahia i te wā e whakamoea ana koe (kua whakamoea katoatia).

1. Tapahi: Ka tapahia poutū e te taote pokanga te waenganui o tō uma.

2. Te rere o te toto: Ka honoa koe ki tētahi mīhini ngākau-pūkahukahu. Mā tēnei ka whakaratohia ki tō tinana te toto me te hāora e hiahiatia ana i te wā o te pokanga.

3. Whakatika: Ka tangohia te wāhanga ngoikore, pupuhi o te aorta, ka whakakapia ki tētahi ngongo (tāpiri) i hangaia ki te rauemi hangai. Ka mahi tēnei hei oko toto hou.

4. Katinga: Kia oti te tuitui i te ngongo hou, kia mau hoki tōna tūranga, ka katihia te tapahi o te uma ki ngā tuitui, ki ngā tīpare rānei.

E toru ki te whā hāora te roa o tēnei pokanga, engari ka rerekē pea te roa i runga i ngā mea e tika ana kia whakatikahia.

He aha ngā mea ka tupu i muri i te pokanga?

I muri i te pokanga, ka puritia koe ki te wāhanga tiaki nui (ICU) mō ētahi rā, ā, ka tirotirohia hoki. Kātahi ka whakawhitia koe ki tētahi wāhanga noa. Ka roa pea te noho hōhipera katoa i waenga i te 4 ki te 10 rā.

Ka taea e koe te tumanako ki ngā mea e whai ake nei i a koe e ora ana:

• Te hoatu i ngā rongoā whakamamae.
• Te whakauru i tētahi katitere hei tango i te mimi.
• Te whakamahi i tētahi mīhini hei āwhina i te manawa (i ngā haora tuatahi).
• Te mau i ngā tōkena motuhake (tōkena pēhi) hei ārai i te toto totoka i ngā waewae.

He aha ngā mōrearea me ngā painga?

Ko te painga matua ko te ārai i te pakaru, ka mate pea. He tino teitei te ōrau angitu o tētahi pokanga kua whakaritea (tata ki te 95%-98%). Ko te tikanga tēnei koinei te tūponotanga pai rawa atu ki te whakaora i te ora.

Pērā i ngā pokanga nui katoa, he tūponotanga anō kei reira. Tērā pea ka puta ngā raruraru pēnei i te toto nui, te mate pāwera, te mate manawa, te whiu, me te ngoikore o te whatukuhu. Heoi, ka whakapau kaha te tīma hauora ki te whakaiti i ēnei tūponotanga.

Kia pēhea te roa o te wā e ora ai?

E 4 ki te 6 wiki te roa o te wā hei whakaora katoa. Mō ētahi, ka roa pea ki te maha o ngā marama. I roto i tēnei wā, me piri koe ki ētahi here.

• Kaua e taraiwa: Kia whakaaetia rā anō koe e tō tākuta (mō te 1-2 wiki pea).
• Kaua e hiki i ngā mea taumaha: Kaua e hiki i ngā mea taumaha neke atu i te 5 kg (mō ngā wiki 4-6).
• Kaukau: Kaua e kaukau kia ora rā anō te patunga. Ka taea e koe te kaukau.
• Whakakorikori Tinana: Kaua e whakakorikori tinana rawa.

Hei whakaiti i te mamae i te wā e maremare ana, e tihe ana rānei , whakatakotoria he urunga ki runga i te patunga ka pēhi. Waihoki, he mea noa te ngaronga o te hiahia kai me te tino ngenge i ngā wiki tuatahi. Kaua e manukanuka ki tēnā.

Āhea te wā e kite ai i te tākuta

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i a koe e ora ana, me whakamōhio tonu atu ki tō tākuta.