Kua rongo koe i te kupu 'aneurysm roro '? Kua rongo pea koe mō tētahi o ō hoa e pāngia ana e tētahi. He mea noa te mataku me te ohorere ina rongo tātou i tēnei ingoa. Ko wai e kore e mataku ina kī mai kei te pakaru te oko toto i roto i te roro, tika? Engari kaua e mataku nui mō tēnei mea, he mea nui ake kia mōhio ki tēnei. Nō reira, i tēnei rā, ka kōrerohia e tātou he mea ngāwari noa iho, i roto i te huarahi e mārama ai koe.
He aha te aneurysm?
Whakaarohia he poihau. Ki te pupuhi tonu tātou ki runga, ka ngoikore ētahi wāhanga, ā, ka puta mai me he mirumiru iti, tika? Ko te mea anō hoki tēnei e tupu ana i roto i ngā uaua toto o roto i tō tātou roro.
Ina ngoikore te uaua toto e tuku toto ana ki te roro i tētahi wāhi, ā, ka tere tonu te rere o te toto i roto i taua uaua, ka pupuhi te wāhi ngoikore pērā i te poihau. Ka kiia taua pupuhi he aneurysm . Ka taea e ēnei te tipu ki te rahi o tētahi hua iti.
Ahakoa te āhua whakamataku o te ingoa, kāore te nuinga o ngā aneurysms e puta ai he tohu, he raruraru hauora rānei. Ka taea e te tangata te ora i tōna oranga katoa me te kore e mōhio kei a ia he aneurysm, me te kore he raruraru.
Heoi, he tino onge te tipu haere o tēnei aneurysm, te turuturu haere o te toto, te pakaru ohorere rānei. Ina pakaru, ka toto ki roto i te roro, ka kiia he whiu toto. He āhuatanga hauora tino kino tēnei, he mea morearea ki te ora. I roto i ēnei āhuatanga, me tere tonu te maimoatanga hōhipera.
He aha ngā momo me ngā rahi o ngā aneurysm?
Ka taea te wehewehe i ngā aneurysm ki ētahi momo matua. Kia titiro tātou he aha ēnei.
| Momo Aneurysm | Whakaahuatanga |
|---|---|
| Aneurysm Saccular | Koinei te momo tino noa. Ka puta he mirumiru i waho o te uaua toto, he rite ki te hua e iri ana i te aka. Koia te take i huaina ai hoki ko te "berry aneurysm". |
| Aneurysm Fusiform | Kāore ēnei e hanga pērā i te mirumiru. Engari, ka pupuhi ngā pakitara o te uaua toto huri noa, ka whānui ake taua wāhi. Kāore ēnei i te tino kitea. |
| Te Aneurysm Mycotic | He momo aneurysm ka puta ina ngoikore te pakitara o te uaua toto nā te mate pēnei i te huakita, te harore rānei. He tino onge hoki tēnei. |
Ka taea e ēnei aneurysms te rerekē te rahi.
- Iti ( SMA ll): Iti iho i te 11 mirimita (tata ki te rahi o te ūkui pene).
- Nui: I waenganui i te 11-25 mirimita (tata ki te rahi o te moni 5 rūpī i Sri Lanka).
- Nui: Nui atu i te 25 mirimita.
He aha ngā tohu o tēnei? Koinei te mea me mōhio koe!
Ko ngā tohu o te aneurysm e whakawhirinaki ana ki te pakaru, te kore rānei. He mea tino nui tēnei wāhanga, nō reira kia tino aro atu.
| Ngā tohu ohorere o te pakaru o te aneurysm (mēnā kei a koe tētahi o ēnei, haere tonu ki te ETU!) | |
|---|---|
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| Ngā tohu o te aneurysm e tipu ana engari kāore e pakū (me toro atu ki te tākuta tonu) | |
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He aha i puta ai ēnei aneurysms? Ko wai kei te mōrearea nui ake?
Kāore he take kotahi mō te hanganga o te aneurysm, engari kua tautuhia ētahi āhuatanga mōrearea.
Ngā take tuku iho
Ka piki ake pea te mōrearea o te whakawhanake i ngā aneurysms i ētahi āhuatanga tuku iho.
- Ko te mate tākihi polycystic autosomal dominant he mate e puta ai ngā pūwero i roto i ngā tākihi.
- Ko te momo neurofibromatosis 1 he mate e puta ai ngā pukupuku ki te kiri me ngā io.
- Ngā mate e pā ana ki te kiko honohono (te mate Marfan, te mate Ehlers-Danlos)
Ngā āhuatanga mōrearea e pā ana ki te āhua noho
Koinei ngā mea ka taea e tātou te whakahaere.
- Te toto toto tiketike: Koinei te take mōrearea matua, me te mea tino kitea.
- Momi hikareti: He nui ake te tūponotanga o te hunga momi hikareti ki te whakawhanake i ngā aneurysms, me te pahū hoki.
- Hītori whānau: Mena kua pāngia tētahi o ō whanaunga tata (whaea, pāpā, tuākana/teina) e te aneurysm, he nui ake anō hoki tō mōrearea.
- Tau: Ka piki ake te mōrearea i muri i te 40 tau.
- Ira Tangata: He nui ake te tūponotanga o ngā wāhine ki te pāngia e ngā aneurysms i ngā tāne.
- Te whakamahinga o ngā raau taero: Te whakamahinga o ngā raau taero pēnei i te kōkaini.
- Te inu nui rawa o te waipiro.
Me pēhea te kitenga a ngā tākuta i tēnei?
Mena kei te whakapae tō tākuta he aneurysm kei runga i ō tohu, he maha ngā whakamātautau hei whakaū.
- Matawai CT: Ka tangohia ngā whakaahua taipitopito o te roro. I ētahi wā ka werohia he tae motuhake ki roto i te roro kia kitea pai ai ngā oko toto.
- Matawai MRI: Ka whakamahia he papa aukume hei tango pikitia tino mārama o te roro me ngā uaua toto.
- Angiogram:Koinei te huarahi tino pono ki te kite i te aneurysm. I roto i tēnei tikanga, ka tukuna he ngongo tino angiangi (catheter) mā roto i tētahi oko toto i te waewae, i te ringa rānei ki ngā oko toto i te roro, ka werohia he wai motuhake, ā, ka tangohia he raupapa whakaahua X-ray. Mā tēnei ka taea te kite i te wāhi, te rahi, me te āhua tuturu o te aneurysm.
- Te Wero Tuaiwi/Te Wero Lumbar: Mēnā kei te whakapaetia kua pakaru te aneurysm, ka tangohia he tauira wai tuaiwi mai i te tuaiwi ka whakamātauria mō te toto.
He aha ngā maimoatanga?
Ka whakatauhia te maimoatanga e ngā āhuatanga maha, tae atu ki te pakaru o te aneurysm, tōna rahi, tōna tauwāhi, tō tau, me tō hauora whānui.
Mō ngā aneurysms iti, kāore he tohu, kāore i pakaru, tera pea ka taea te karo i tetahi maimoatanga me te tatari noa. Me kōrero koe ki tō tākuta mō tēnei mea kia pai ai te whakatau.
Me rongoā tonu te pakaru o te aneurysm nā te mea he tino teitei te tūponotanga ka pakaru anō. He maha ngā kōwhiringa maimoatanga matua.
| Tikanga maimoatanga | He māmā noa iho te mea ka tupu. |
|---|---|
| Tapahi Pokanga | He pokanga e whakatuwhera ana i te angaanga. Ka kitea e te taote pokanga te aneurysm ka whakatakotoria he topenga whakarewa iti ki tōna kaki hei whakamutu i te toto. |
| Te takai endovascular | He tikanga tēnei kāore e hiahiatia he whakatuwheratanga i te angaanga. Pērā i te angiogram, ka whakauruhia he ngongo angiangi mā roto i te waewae, ā, ka tukuna he waea konukawata tino angiangi mā roto, ka whakaurua ki roto i te aneurysm. Kātahi ka mutu te rere o te toto ki reira, ā, ka hangaia he toto totoka ka kati. |
| Pokanga Whakawhiti Rere | He tikanga e whakamahia ana mō ngā aneurysm nui. I roto i tēnei tikanga, ka whakanohoia he stent rite ki te mata ki roto i te oko toto kei reira te aneurysm. Mā tēnei ka taea te rere tika o te toto mā roto i te aneurysm, kaua e karohia. |
Karere Tangohia ki te Kāinga
- Kāore te nuinga o ngā aneurysms roro e pakaru. Kāore pea he tohu o ēnei, nō reira kaua e mataku noa i te ingoa.
- He tohu whakatūpato te mamae ohorere, te mamae nui kāore anō kia pā ki a koe i roto i tō ao! Ki te puta tēnei, kaua e whakaroa, haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata.
- Ko te toto toto tiketike me te kai hikareti ngā hoariri nui e rua. Mā te whakahaere i ēnei e rua ka tino whakaiti i tō mōrearea.
- Mena kua pāngia tētahi o te whānau tata e te aneurysm, kōrero ki tō tākuta.
- Ki te kitea wawetia, ā, ki te rongoatia tika, ka taea te whakaora katoa i tēnei mate. Nō reira, he mea tino nui kia mōhio ki ngā tohu.
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