He putunga ngako kei roto i tō uaua toto matua? Me ako tātou mō te Atherosclerosis o te Aorta!

Kua rongo koe mō te oko toto nui rawa atu, tino nui hoki o te tinana? Ko te aorta tēnei. He rite ki te pūnaha paipa matua e tohatoha ana i te wai mai i tā tātou tāke wai ki te whare katoa. Koinei te mea e kawe ana i te toto ma mai i te ngākau ki te tinana katoa. Nō reira, ahakoa he oko toto nui pēnei, ka raru pea i ētahi wā. I tēnei rā ka kōrero tātou mō tētahi o aua āhuatanga, arā, ko te whakatakotoranga o te ngako ki roto i te aorta , arā, ko te `(Atherosclerosis of Aorta)`.

He aha te `(Atherosclerosis o te Aorta)`?

I te whakarapopototanga, ko te mea ka tupu ko te ngako me te cholesterol e hangai ana ki roto i te oko toto nui rawa atu o tō tātou tinana, te aorta , pērā i te waikura e hanga ana i tētahi paparanga ki roto o tētahi paipa wai tawhito. Ka kiia e tātou tēnei matū piri he 'pēkara' . Kāore tēnei e tupu i te pō kotahi. Inaa, ka taea e tātou te tīmata te hanga i tēnei 'pēkara' mārire mai i te wā e tamariki ana tātou, engari ka hangai noa iho i a tātou e pakeke haere ana, ā, ka tīmata te whakararuraru.

Whakaarohia, ko tēnei aorta he uaua neke atu i te putu te roa, e toro atu ana mai i te ngākau mā te puku ki te hope. Ka taea e tēnei 'pēke' te hanga i ngā wāhi katoa o te aorta. Heoi, ko te nuinga o te wā ka pā tēnei āhuatanga ki te wāhanga o te aorta e rere ana mā te puku, arā, te 'Aorta Puku'.

Ko tētahi atu mea, ki te mea he pēnei te papaki o te tangata i roto i tōna aorta, he nui te tūponotanga ka noho anō hoki he papaki i roto i ētahi atu oko toto o tōna tinana, hei tauira , i roto i ngā uaua coronary e tuku toto ana ki te ngākau, i roto rānei i ngā uaua carotid e tuku toto ana ki te roro. Nā te mea, he mate pūnaha tēnei (Atherosclerosis) e pā ana ki te tinana katoa . Arā, ki te mea he raruraru kei tētahi wāhi, ka puta anō hoki ngā raruraru ki ētahi atu wāhi.

He aha te pānga o tēnei āhuatanga ki ō tātou tinana?

Ina hanga te paraka i roto i te aorta, ka aukati i te rere o te toto matua ki te tinana. I mōhio koe he maha ngā oko toto iti e peka mai ana i tēnei aorta, ka kawe i te toto whai hāora ki ngā wāhanga katoa o te tinana? Nō reira, ina aukati te paraka i te rere o te toto i roto i te aorta, ka kore pea he toto whai hāora ki ngā momo okana me ngā kiko o te tinana (ischemia).

Tērā pea ka whakaaro koe ka tipu haere tonu tēnei 'pēra' kia ārai rawa i te uaua toto. He pono, ka taea tēnei te tupu i roto i ētahi uaua toto iti. Heoi, nā te mea he uaua toto whānui te aorta, ahakoa kua whakatakotoria te pēra ki ōna pakitara, kei reira tonu te wāhi hei rere i te toto.

Heoi, ko te raruraru matua, ko te raruraru tino morearea hoki i konei, ko te whati o tētahi wāhanga o tēnei 'pēra' ka piri ki tētahi atu wāhi. Koinei te mea e kiia nei e tātou he 'embolus' i roto i te rongoā.

Ki te whakarapopototia, he rite te hanga paraka ki te hanga paru i roto i te paipa i raro i te totohu. Engari he aukati ohorere te embolus. He rite ki te mea kei te parai koe i ō niho, ā, ka taka he ngongo paraihe niho ki roto i te totohu, ka mau ki roto i te paipa, ka aukati i te rere o te wai.

E rua ngā momo emboli ka puta mai i te paraka i roto i te aorta:

• Te thromboembolism: Ka puta tēnei ina puta he toto totoka ki te mata o te papa. Kātahi ka pakaru te toto totoka ka haere tahi me te toto.
• Atheroembolism: Ka puta tēnei ina pakaru te papa, ka pakaru tetahi wāhanga ka haere tahi me te toto. He iti ake te kitea o tēnei i te toto totoka i whakahuatia i mua ake nei.

Heoi, i ngā āhuatanga e rua, kei te neke tetahi mea kāore e tika kia noho ki roto i ngā oko toto. Koinei te raruraru matua o ngā putunga ngako i roto i te aorta. Ko te pānga ki te tinana kei te wāhi e piri ai tēnei 'embolus'. Nā te mea kāore te toto e rere i tua atu i taua wāhi piri, kāore ngā okana me ngā kiko i taua wāhi e whiwhi i te nui o te hāora, ā, ka tīmata wawe te pakaru (ischemia).

He pēhea te kino o tēnei āhuatanga?

Ki te pakaru mai tētahi embolus, i puta mai i te putunga ngako i roto i te aorta, ka noho ki tētahi atu wāhi o te tinana, ka noho hei āhuatanga ohorere hauora e morearea ana ki te ora , nā te mea ka aukati katoa i te rere o te toto ki taua wāhi.

Nā tēnei āhuatanga ka nui ake tō tūponotanga ki te pāngia koe e ngā āhuatanga ohorere pēnei i ēnei:

• Te mate puku ischemic acute: He āhuatanga tēnei e aukatihia ai te rere o te toto ki te koroni , ka puta ai ngā tohu pēnei i te mamae o te puku me ngā tūtae toto.
• Te ischemia o ngā peka ūkui: Ko te nuinga o te wā ka puta tēnei i ngā waewae. Ka huri whakarere te waewae hei ngoikore, hei mā, hei mamae hoki.
• Te mate puku o te ngākau : Te aukati i te uaua toto e kawe ana i te toto ki te ngākau.
• Te mate whatukuhu: Ka arahi pea tēnei ki te ngoikore o te whatukuhu.
• Te whakaekenga o te whēkau.
• Te Whiu, te Whakaekenga Ischemic Poto rānei (TIA): He aukati i te uaua toto e tuku toto ana ki te roro.

Hei tāpiritanga, ko te hanga paraka i roto i te aorta ka ngoikore te pakitara o te uaua, ka piki ake te tūponotanga o te whakawhanake i te aneurysm aortic . Mena ka pakaru ohorere, ka pakaru rānei taua aneurysm, ka mate pea, nō reira he mea nui kia rapu awhina hauora tonu.

Ki a wai tēnei e pāngia nei?

Ka pā tēnei āhuatanga e kiia nei ko te "Atherosclerosis of the Aorta" ki te tangata katoa . He āhuatanga noa tēnei. Ka piki ake te mōrearea o tēnei i a koe e pakeke haere ana.

He aha ngā tohu?

Mō te tini o te tangata, ka noho tonu pea tēnei 'pēke' i roto i te aorta mō ngā tau maha , kāore he tohu e puta . Inaa, kāore pea koe e kite i tētahi tohu, engari ka puta noa ngā tohu ina haere tētahi o aua 'embolus' me te toto, ā, ka piri ki tētahi atu wāhi o te tinana. Ko ngā tohu ka pā ki a koe ka whakawhirinaki ki te wāhi i piri ai te 'embolus', me te wāhanga o te tinana i kore te hāora.

Ka taea e te 'embolus' te whakararu i ngā momo āhuatanga ohorere hauora, ia āhuatanga he tohu motuhake.

Ko te mea nui, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, me waea atu tonu koe ki te 1990, me haere rānei ki te hōhipera tata.

Ngā tohu o te whakaeke ngakau

• Kei te mau tonu te wehi, te whakaaro "tērā pea ka tupu tetahi mea kino ināianei."
• Te mamae o te uma , te kikī, te ūkui, te pēhanga rānei.
• Kei te hurihuri tōku mahunga, kei te pōuri ahau, me te mea kei te tata ahau te ngaro i te māramatanga.
• Ko te tere o te ngakau he kare ā-roto rerekē o te tere o te ngakau.
• Kei te haere mai te whakapairuaki, kei te haere mai te ruaki.
• Te mamae, te koretake rānei i te pakihiwi, te ringa, te kaki, te kauae rānei.
• Te werawera.
• Tērā pea ka pāngia ngā wāhine e ngā tohu pēnei i te ngenge nui me te uaua ki te manawa.

Ngā tohu o te whiu

• E hurihuri ana tōku mahunga, e ngaro ana te taurite o tōku tinana.
• I te wā e kōrero ana, ka rarau ngā kupu, ka uaua ki te whakapuaki i ngā mea kei roto i tō hinengaro, ā, ka uaua ki te mārama ki ngā kōrero a ētahi atu.
• Te ngoikore ohorere, te korekore rānei o te kanohi, o ngā ringa, o ngā waewae rānei. He maha ngā wā ka pā tēnei ki te taha kotahi o te tinana.
• Kātahi anō ka pā mai he mamae nui ki tōku upoko.
• Ka pōuri te tirohanga, ka uaua rānei te kite i te kanohi kotahi, i ngā kanohi e rua rānei.
• Ka uaua te hikoi.

Ngā tohu o te ischemia peka whakapeka

• He makariri te ringa, te waewae rānei e pāngia ana ina pā atu.
• Tērā pea kua mate te kiko o taua wāhi, ā, kua mangu (Kangrene).
• Ka huri te tae o te kiri, ā, ka puta he tauira o ngā rārangi whero, papura, me te parauri (kiri kōpikopiko).
• He rite ki te māuiui, ki te kōpiripiri rānei.
• He kiri mā, he kikorangi rānei te kiri.
• He ngoikore, he ngaro rānei te pā o te ringa, o te waewae rānei e pāngia ana.

Ngā tohu o te ngaronga toto ki ngā whekau puku

• Toto i roto i te tūtae.
• Te korere.
• Whakapairuaki.
• Te mamae o te puku, te mamae nui rānei ina pāngia.

Ngā tohu o te aneurysm aortic abdominal (AAA)

Ko ngā putunga ngako i roto i te aorta e pā ana ki tētahi āhuatanga e kiia nei ko Abdominal Aortic Aneurysms (AAA). Ko te tikanga o tēnei, kāore ngā putunga ngako tonu e puta ai he AAA, engari he rite tonu ngā āhuatanga mōrearea mō ngā āhuatanga e rua, nō reira ka taea e rāua te puta tahi. He maha ngā tāngata kāore e whakaatu i tētahi tohu tae noa ki te tata pakaru o te AAA. Heoi, ki te puta wawe mai ngā tohu, ko ētahi o ēnei ko:

• Te mamae tonu i te tuara, i te waewae, i te puku rānei.
• Kei te pā mai te mamae i roto i tōku puku, me te mea nei kei te papaki tōku ngākau.

Koinei ngā tohu o te pahūtanga `(AAA)` (ki te pāngia koe e ēnei, haere tonu ki te hōhipera!):

• He makariri, he werawera hoki tōku tinana.
• Kei te hurihuri tōku mahunga, me te mea kua tata ahau te ngaro i te māramatanga.
• Kei te tere haere te pao o te manawa.
• Whakapairuaki me te ruaki.
• He uaua ki te manawa.
• Te mamae ohorere o te puku, te mamae o te tuara o raro, te mamae rānei o te waewae.

He aha ngā take mō tēnei āhuatanga?

Ka tīmata ngā putunga ngako i roto i te aorta mā te kino o te arai angiangi o roto i te uaua toto (endothelium). Kāore tēnei kino e puta i te pō kotahi, engari mō ngā tau.

Ka taea e ētahi āhuatanga me ngā whanonga te kino i tēnei `(Endothelium)` me te whakanui ake i te mōrearea o te whakawhanake i te `(Atherosclerosis).` Ko ngā mea penei:

• Te momi hikareti , te whakamahi rānei i ētahi atu hua tupeka (hei tauira, te mimiti hikareti, te ngaungau tupeka).
• Te pikinga o te taumata cholesterol i roto i te toto (Hyperlipidemia).
• Te toto toto tiketike (hypertension).
• Te nui o te huka toto (Hyperglycemia), inā koa i roto i te hunga mate huka.
• Ko ētahi mate pūnaha ārai mate me ngā āhuatanga mumura , inā koa ko ērā e pā ana ki ngā oko toto nui, pērā i te vasculitis o ngā oko toto nui.

Me pēhea te tautuhi i te mate?

Ka whakamahia e ngā tākuta ngā momo whakamātautau whakaahua hei whakatau tika mēnā kei a koe tētahi mate e kiia nei ko te aortic atherosclerosis, me tōna whānui, me tōna kaha. Ko ngā mea matua ko:

• Matawai CT (Tomography rorohiko - Matawai CT)
• Matawai MRI (Whakaahua aukume - MRI)
• Ko te echocardiogram transesophageal (e tukuna ai he kāmera iti mā roto i te esophagus hei tirotiro i te ngākau me te aorta).

Mā ēnei whakamātautau ka taea e te tākuta te kite mārama i te āhua o te aorta.

He aha ngā maimoatanga?

I te rongoā i ngā putunga ngako i roto i te aorta, e rua ngā mea matua e arotahi ana ngā tākuta:

• Whakaitihia te mōrearea o ngā raruraru (hei tauira, te mate manawa, te whiu) ka puta mai i tēnei mate.
• Whakahaerehia, aukatihia rānei te haere whakamua o te mate.

Mā ngā rongoā me ngā huringa āhua noho koe e āwhina ki te whakatutuki i ēnei whāinga e rua. Tērā pea ka tūtohu tō tākuta i ngā rongoā pēnei i:

• Ngā rongoā ārai toto totoka, ngā rongoā ārai toto totoka rānei: Ka whakaitihia e ēnei te mōrearea o te whakawhanaketanga o te embolus.
• Rongoā antihypertensive .
• Ngā rongoā hei whakahaere i ngā taumata cholesterol (hei tauira, ngā statin) .

He mea tino nui anō hoki ngā huringa āhua noho. Tērā pea ka kī atu tō tākuta kia mahia e koe ngā mea pēnei i:

• Āta karohia ngā kai he nui te ngako kukū me te cholesterol.
• Āta karohia ngā kai me ngā inu he nui te huka.
• Kia kaha ake te mahi, kia whakakorikori tinana i ia rā.
• Whakaitihia te nui o te tote e tāpirihia ana ki te kai.
• Ki te kai hikareti koe, kati rawa. Kati hoki te whakamahi i ngā hua tupeka.

Mena kua pāngia koe e ngā raruraru mai i te atherosclerosis aortic, ka rongoāhia hoki e tō tākuta aua āhuatanga. He rerekē ngā kōwhiringa maimoatanga i runga i te wāhi me te āhua o te pakaru. Tērā pea kei roto ko ngā rongoā, ngā tikanga iti rawa te whakaekenga, te pokanga nui, tae atu ki te tapahi, te dialysis rānei mena kei te ngoikore ō whatukuhu. Kōrero ki tō tākuta mō ngā maimoatanga pai rawa atu māu me te take e hiahiatia ai e koe.

Me pēhea te whakaiti i te mōrearea o tēnei āhuatanga?

Kāore pea e taea te ārai katoa i te atherosclerosis i ngā wā katoa. Heoi, mā te whai i ngā mahi i raro nei ka taea e koe te whakaroa i te haere whakamua o te mate me te whakaiti i tō tupono ki te whakawhanake i ngā raruraru kino.

• Āta karohia te momi hikareti me ngā hua tupeka katoa. Kei roto i tēnei ko te mimiti hikareti me te ngaungau tupeka.
• Kai i ngā kai hauora mō te ngākau. Kōwhiria ngā kai he iti te ngako kukū me te cholesterol. Kai atu i ngā hua rākau, huawhenua, pīni, me ngā nati.
• Kia mau ki te taumaha hauora. Pātai atu ki tō tākuta he aha te awhe taumaha hauora mō tō teitei.
• Kia kaha tonu te tinana. Tāpirihia ētahi mahi whakakori tinana kua whakaritea ki tō rā. Me mahi hoki i ngā mea hei whakakorikori i tō tinana i a koe e mahi ana i ō mahi o ia rā.
• Whakahaerehia tō toto toto, tō cholesterol, me tō huka toto. Kōrero ki tō tākuta mō ngā huringa āhua noho hei āwhina. Tangohia hoki ō rongoā kia rite ki tā te tākuta i tohutohu ai, i te wā tika.
• Tirohia tō tākuta i te iti rawa kotahi i te tau mō tētahi tirotiro hauora katoa. Kaua e mahue ētahi atu wā tirotiro hauora me ngā whakamātautau whai muri.

Mena kei a au tēnei āhuatanga, ka pēhea rā te āhua o te ao ā muri ake nei?

Kāore tēnei e pā ki te katoa i te rite. E whakawhirinaki ana tō matapae (`(Matapae)`) ki ētahi āhuatanga:

• Te kaha o te hanganga o te papaki. Mena he nui ake i te 4 mirimita te papaki i roto i tō aorta, he nui ake tō tūponotanga ki te whakawhanake i te embolus. Mena he iti iho i te 1 mirimita te papaki, e kiia ana he mate "ngawari" ā, he iti ake te tūponotanga o ngā raruraru. Kōrero ki tō tākuta mō te kaha o te hanganga o tō papaki i roto i tō aorta me tōna pānga ki a koe.
• Mēnā kei roto anō hoki te paraka i ētahi atu uaua toto. Mēnā kei roto anō hoki te paraka i ētahi atu uaua toto o tō tinana, ka nui ake te tūponotanga o ngā raruraru pēnei i te mate manawa, te whiu rānei.
• Tō hauora whānui. Mena he mate kē atu āu, pēnei i te toto toto tiketike, he kai tupeka rānei koe, he nui ake te tūponotanga o ngā raruraru.

Kōrero ki tō tākuta mō tō āhua me te huarahi pai hei whakahaere i taua āhuatanga.

Ka taea te whakaora katoa i ngā putunga ngako i roto i te aorta?

Engari, kāore e taea te whakaora katoa i tēnei mate, e kiia nei ko te "Atherosclerosis of the Aorta", te whakakore rānei . Arā, kāore e taea te tango katoa i te paraka kua hanga kē. Heoi, ko te rongo pai, mā te whakarerekē i te āhua noho me te rongoā i whakaritea e tō tākuta, ka taea e koe te whakahaere pai i tēnei mate, te aukati i te kino haere o te mate, te whakaiti i te tūponotanga o ngā raruraru, me te noho i te oranga noa.

Me pēhea taku tiaki i ahau anō i tēnei āhuatanga?

Mena kei a koe tētahi mate e kiia nei ko te atherosclerosis, he nui ake tō tūponotanga ki te whakawhanake i ētahi atu mate, pērā i te mate uaua o te ngakau. Nō reira, he mea nui kia mahia ngā mea katoa e taea ana e koe kia ora tonu ai tō ngākau me ō uaua toto. Āta whai i ēnei tohutohu:

• Kai.
• Whakakorikori tinana.
• Ngā huringa āhua noho (hei tauira, te whakamutu i te kai paipa).
• Ngā rongoā kua whakaritea.

Āhea ahau me toro atu ki te tākuta?

Tirohia tō tākuta i te iti rawa kotahi i te tau mō tētahi tirotiro whānui. Mā tō tākuta koe e kī atu mēnā me haere pinepine atu koe, mēnā rānei me haere koe ki tētahi tohunga, pērā i te tākuta ngakau.

Ki te puta he tohu hou ki a koe, ki te rerekē ō tohu, ki te mea rānei he pātai, he āwangawanga rānei āu mō tēnei, kōrero ki tō tākuta i ngā wā katoa. Ki te puta he tohu o tētahi āhuatanga ohorere hauora ki a koe, me rapu tonu koe i te awhina hauora.

Āhea koe me rapu awhina hauora ohorere?

Ki te pāngia koe e tētahi o ēnei tohu, me waea atu tonu koe ki te 1990 , me haere rānei ki te hōhipera tata:

• Te Aneurysm Aorta Puku (AAA) (ina koa ko ngā tohu kua pakaru).
• Te ischemia o ngā peka uaua.
• Ngā tohu o te whakaeke ngakau .
• Ngā tohu o te whiu .
• Te aneurysm o te aorta o te uma (mēnā he tohu o te pakaru).
• Ngā tohu o te whakaekenga ischemic poto (TIA).

He aha ngā pātai me pātai atu e au ki te tākuta?

Kōrero ki tō tākuta mō tō āhua, ngā mea ka pā mai pea, me ngā mea ka taea e koe te mahi. Anei ētahi pātai ka taea e koe te pātai:

• "E pēhea ana te kino o tōku āhua?"
• "Me aha ahau kia kore ai e kino haere tēnei āhuatanga?"
• "He aha ngā huringa tino nui me mahi e au i roto i tōku āhua noho?"
• "He aha ngā rongoā me tango e au? He pānga taha kei roto?"

Mena kei te pokanga koe i te ngākau, kei te whakamahia rānei he catheter, kōrero ki tō tākuta mō ngā mōrearea o ngā raruraru. Ka taea e ngā putunga ngako i roto i te aorta te whakanui ake i te mōrearea o ngā raruraru i roto i ētahi pokanga ngākau me ngā oko toto. Pātai atu mō ō mōrearea me ngā mahi ka taea e tō tīma hauora te mahi hei whakaiti i aua mōrearea.

Hei whakamutunga, ngā mea hei maumahara

Nō reira, ko tēnei puranga ngako i roto i te aorta, arā, ko te `(Atherosclerosis of Aorta)`, he āhuatanga e hiahia ana kia arohia, ā, he mea morearea i ētahi wā. Heoi, kaua e mataku tonu i muri i te rongonga mō tēnei mea. Ko te mea nui ko te mōhio ki tēnei mea, me te mahi i ngā mahi e tika ana.

Mā te kōrero ki tō tākuta, te whai i āna tohutohu, me te hanga i ngā huringa iti, hauora hoki mō te noho, ka taea e koe te whakahaere i tō āhua, te karo i ngā raruraru nui, me te noho ora, harikoa hoki. Ko te mea nui ko te aro ki tō tinana, te aro ki ngā tohu hou, me te rapu tohutohu hauora me te maimoatanga. Kāore koe i te mokemoke, ā, kei reira ngā tākuta me ngā kaimahi hauora hei āwhina i a koe i tēnei haerenga.

` Atherosclerosis, Aorta, Aorta, Ngā putunga ngako, Mate ngākau, Ngā oko toto, Cholesterol, Toto toto tiketike, Whiu, Embolus