Kua ruaki toto koe i mua? Kua mangu rawa rānei tō tūtae, ā, kua piri? He mea whakamataku, he mea whakararuraru ēnei ki te whakarongo, tika? Engari koinei ngā tohu matua o te mate tino morearea e kōrerohia nei e tātou i tēnei rā, arā, ko te 'Bleeding Varices'. Ehara tēnei i te mea hei mea ngāwari, nā te mea ka taea te whakamate i te ora. Nō reira, kia rapu atu tātou i ētahi atu kōrero mō tēnei i tēnei rā.
He aha ngā 'varices'?
Ko ngā uaua varicose he pupuhi me te whakanui i ngā oko toto i roto i tō tātou korokoro, i tō tātou puku rānei. Whakaarohia ngā waewae o ētahi tāngata he kikorangi, he uaua piko, tika? He rite tonu tēnei ki tēnā. Engari ka tupu tēnei i roto i ō tātou tinana, i roto i te ara nakunaku.
Ko ēnei uaua pupuhi, ngā uaua varicose rānei, kāore e whakaatu i tētahi tohu tae noa ki te pahūtanga me te tīmata toto. He tokomaha te hunga kāore e mōhio kei a rātou ēnei tohu. Engari ka tīmata te raruraru ina pahū, ka pahū, ka tīmata te toto o ēnei uaua. Koira te wā ka huri hei āhuatanga ohorere hauora tino nui.
He aha ngā tohu kino o te toto i roto i ngā uaua varicose?
Mēnā he toto rerekē kei roto i te tinana o te tangata, me tere tonu te kite i taua mate. Nā te mea he mea nui ia hēkona. Kia aro nui ki ngā tohu i raro nei.
| Tohu | He aha te tikanga o tēnei? |
|---|---|
| Te ruaki toto | Ko te uaua pupuhi te tohu mārama kua pakū. |
| Ngā tūtae pango, kawa, piri | Ko te toto kua puta i te taha whakarunga o te ara nakunaku ka nakunaku, ka tukuna atu hoki i tēnei ara. |
| Te whanoke nui me te ngoikore | He hekenga o te toto toto nā te nui o te toto e ngaro ana i te tinana. |
| Te pikinga o te tere o te ngakau | Ka tīmata te ngākau ki te mahi tere ake hei whakakapi i te toto e ngaro ana i roto i te tinana. |
| ohorere | He mate tino kino tēnei. Nā te nui o te toto ka kore e nui te toto e whiwhihia ana e ngā whekau o te tinana. |
Ki te pā mai ēnei tohu ki a koe, kaua e noho ki te kāinga mō tētahi hēkona. Haere tonu ki te Tari Ohotata (ETU) o te hōhipera. Ki te kore e tere te whakahaere i te toto, ka mate pea te tangata.
Ahakoa ka mutu te toto, ka pā mai pea ngā raruraru nui pērā i te niumōnia, te sepsis, me te ngoikore o te ate me te whatukuhu.
He aha i puta ai ēnei uaua varicose, i toto ai hoki? He aha te pūtake?
Ko te take matua mō tēnei he mate e kiia nei ko te 'Portal Hypertension' . Tirohia, ko te oko toto matua e kawe ana i te toto mai i tā tātou pūnaha nakunaku ki te ate e kiia nei ko te 'Portal Vein'. Ko te 'Portal Hypertension' ko te pikinga nui o te toto i roto i tēnei uaua nā tetahi take.
Āe, he aha rā te take e piki haere ai tēnei pēhanga?
Ko te tino take o tēnei ko te cirrhosis o te ate, arā, ka mārō te ate, ka rite ki te toka. E kiia ana tēnei e te rongoā ko te 'Cirrhosis' .
- Mō te hunga e inu nui ana i te waipiro.
- Ngā tāngata e pāngia ana e ngā mate huaketo roa pērā i te Hepatitis B me te C.
- Ka pā te mate ate momona ki ētahi tāngata e pangia ana e te mate ate momona.
Whakaarohia te mea ka tupu ina he pūnga waka i runga i te rori nui? Ka ngana ngā waka ki te haere i ngā rori taha, i ngā rori kirikiri iti, tika? Koinā anō hoki te mea ka tupu i konei. Ina uaua te toto (ngā waka) ki te haere mā te ate (te rori matua), ka ngana taua toto ki te haere mā roto i ngā uaua iti, ngawari (ngā rori taha) i roto i te korokoro me te puku.
Kāore e taea e ēnei uaua iti te tu atu i tēnei nui o te toto me tēnei nui o te pēhanga. Ko te mutunga mai, ka pupuhi ngā uaua pērā i te poihau, ka angiangi ō rātou pakitara, ā, ka pakaru, ka toto i te wā ahakoa he iti noa te whakaohooho.
He aha ngā maimoatanga mō tēnei āhuatanga mōrearea?
Tuatahi, ina whakaurua ki te hōhipera, ko te whāinga tuatahi a ngā tākuta he whakamutu i te toto me te whakau i te oranga o te tūroro. Tērā pea ka uru atu ki tēnei te hono atu i a rātou ki tētahi mīhini manawa hei ārai i te toto kei uru ki ngā pukahukahu, me te hoatu i ngā paturopi hei ārai i te paitini toto.Me hoatu hoki.
Kia whakahaeretia te toto, he maha ngā huarahi hei aukati i te toto anō me te rongoā i ngā uaua varicose.
| Tikanga maimoatanga | He whakamārama ngāwari noa iho |
|---|---|
| Te here | Ka whakamahia e te tākuta puku he endoscope hei tomo ki te korokoro, ka whakanohoia he here rapa iti ki ngā uaua pupuhi. Ka mutu te rere o te toto, ā, ka mate ngā uaua. |
| Te whakaora i te kiriuhi | Engari mō te whakatakoto i ngā here rapa, ka werohia he otinga motuhake hei ārai i ngā uaua pupuhi mā te endoscope. |
| TIPS (Te Huringa Portosystemic Intrahepatic Transjugular) | He tikanga hihi-X tēnei. Ka whakaurua he catheter mā roto i tētahi uaua i te kaki, ā, ka whakaurua he 'stent' (he ngongo iti) ki waenganui o te ate. Ka honoa te uaua tomokanga pēhanga-teitei ki tētahi uaua noa, ka whakaiti i te pēhanga. |
| DSRS (Te Huringa Pūnaha Whānui o te Pona) | He tikanga pokanga tēnei e hono ana i te uaua o te whēkau ki te uaua o te whatukuhu maui hei whakaiti i te pēhanga ki runga i ngā uaua varicose me te whakahaere i te toto. |
| Te Whakatō Ate | Mena kei te ngoikore rawa te ate, ā, kei ngā wāhanga whakamutunga te mate (te mate ate o te wāhanga whakamutunga), koinei te otinga pai rawa atu. |
Ka taea te ārai i tēnei āhuatanga?
Ae, ka taea. Ko te huarahi pai hei ārai i tēnei ko te rongoā tika i te pūtake, arā, ko te mate ate.Ki te kitea wawetia te mate ate, ā, ka tīmata te rongoā, ka taea te ārai i te whanaketanga o ēnei uaua varicose.
- Āta karohia te waipiro. Koinei te tino take o te mate ate.
- Whiwhi maimoatanga tika mō te Hepatitis B me te C.
- Whakahaerehia te ate momona mā te kai hauora me te whakakori tinana.
Waihoki, ko ētahi rongoā, pērā i ngā beta-blockers mō te mate ngakau, ka āwhina i te whakaiti i te mōrearea o te toto mā te whakaiti i te pēhanga i roto i te uaua portal. He mea nui kia kōrerohia ēnei mea katoa ki tō tākuta, me te whai i āna tohutohu me te āta whakaaro.
Karere Tangohia ki te Kāinga
- Ko ngā varices he uaua pupuhi i roto i te korokoro, i te puku rānei. Kāore e puta ngā tohu tae noa ki te pahū me te toto.
- Ko te ruaki toto me te tuku tūtae mangu, parauri ngā tohu tino kino. Ki te kite koe i ēnei, haere tonu ki te Tari Whawhati Tata o te hōhipera (ETU).
- Ko te take matua mō tēnei he mate e kiia nei ko te Portal Hypertension, e puta mai ana i te mate ate (ina koa ko te cirrhosis).
- Mā te karo i te inu nui i te waipiro me te rongoā tika i te mate ate ka taea te whakaiti i te mōrearea o tēnei mate.
- Mena he mate ate tōu, me kōrero tonu ki tō tākuta, ā, me whai tonu i te maimoatanga me ngā whakamātautau kua whakaritea.
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