Kua pāngia koe e te mamae upoko kino rawa atu, kāore e taea te manawanui? I rite ki te mea kua pā te uira ki tō upoko, ki te mea rānei kua pahū te poma? I ētahi wā ka whakaarohia ēnei mea he mamae upoko noa iho, engari he tohu pea ēnei mō tētahi mate hauora tino kino. Ko tētahi o aua mate e hiahia ana kia arohia wawetia ko tā tātou e kōrero nei i tēnei rā, he "Brain Aneurysm ." He whakamataku pea te rongonga i tēnei ingoa, engari he mea tino nui kia mōhio ki tēnei.
He aha te aneurysm?
Whakaarohia he paipa e kawe ana i te wai. He ngoikore tetahi wāhanga o tēnei paipa, he tawhito. Kātahi, i te tere o te rere o te wai, ka tīmata te pupuhi o taua wāhanga ngoikore, pērā i te poihau iti. Ka pērā anō te mea ka pā ki tētahi uaua toto, ki tētahi uaua rānei, i roto i tō tātou roro .
Ko te aneurysm roro, e kīia ana rānei e ngā tākuta, he aneurysm roro, he pakitara ngoikore i roto i te uaua toto e karapoti ana, i roto rānei i te roro e pupuhi ana i raro i te pēhanga o te toto, ka hanga he pupuhi.
I ia wā e pā ana te ngākau , ka rere te toto i roto i ngā uaua o te roro i raro i te pēhanga. I a tēnei pēhanga e pā tonu ana ki taua wāhi ngoikore, ka nui haere. Pērā i te pupuhi hau ki roto i te poihau, ka angiangi haere, ka nui haere. Ka nui haere, ka nui haere, ka pakū haere.
Ahakoa ka taea e ēnei aneurysms te hanga i ngā wāhi katoa o te roro, ko te nuinga o te wā ka hanga i roto i ngā uaua nui i te pūtake o tō tātou angaanga. Tērā pea he neke atu i te kotahi te aneurysm o ētahi tāngata (tata ki te 10% - 30%). Engari ko te rongo pai ko te nuinga o ēnei aneurysms he tino iti. Kāore e puta he tohu.
Ka tīmata noa ngā tohu ina nui te aneurysm ka pēhi i ngā kiko roro, i ngā io rānei e karapoti ana. Ko te āhuatanga tino morearea ko te wā e turuturu ana te toto o te aneurysm, e pakaru katoa rānei. Ka puta pea he toto i roto i te roro.
He āhuatanga ohorere hauora tēnei e morearea ana ki te ora. Ka roa ake te mau o te aneurysm i muri i te pakaru, ka nui ake te mōrearea o te mate, o te hauātanga kino rānei.
Ka aha mēnā ka pahū te aneurysm?
Ina pakū te aneurysm, ka turuturu te toto ki roto i ngā kiko roro e karapoti ana. Ka kiia tēnei he toto toto.Ka nui ake te pēhanga o te kiko roro i tēnei toto, ka pupuhi te roro. Ko te tohu matua e puta mai ana i tēnei ko te mea e kiia nei e tātou he " mate upoko whatitiri," he mate upoko ohorere, tino kino e kore e taea te whakaaro.
Ka taea e te pakaru o te aneurysm te whakararuraru i te hauora nui, pēnei i:
- Te Toto o te Subarachnoid (SAH): He toto tēnei e rere ana ki te wāhi i waenganui i te roro me te kiriuhi angiangi e hipoki ana i te roro (te paparanga arachnoid). 90% o ēnei toto ka puta mai i te pakaru o te aneurysm.
- Te Whiu Toto : He whiu e puta mai ana i te toto e rere ana ki te āputa i waenganui i te angaanga me te roro.
Ka taea e ēnei āhuatanga te whakararu i te roro tuturu me ētahi atu raruraru kino.
| Ngā raruraru | He whakamārama ngāwari noa iho |
|---|---|
| Vasospasm | Ka āraia, ka whaiti rānei ngā oko toto i roto i te roro, ka whakaiti i te nui o te hāora e tae atu ana ki te roro. |
| Te waikura o te upoko | Ka kohia te wai cerebrospinal (CSF) te toto rānei huri noa i te roro, ka piki ake te pēhanga ki runga i te roro. Ka kiia hoki tēnei ko te "hydrocephalus". |
| Ngā mate hopuhopu | He mahi hiko kāore e taea te whakahaere i roto i te roro. Ka taea e tēnei te kino ake i te roro mēnā ka pakaru te aneurysm. |
| Koma | He āhua o te kore mohio, pērā i te moe hohonu, ka roa pea mō ngā wiki. |
| Mate | Heoi, tata ki te 50% o ngā pakaru o te aneurysm ka mate. |
Ko wai ka pāngia e te aneurysms? He pēhea te noa o tēnei?
Ka pāngia pea tēnei mate e ngā tau katoa, ā, ka taea e te tangata katoa te pāngia e tēnei mate. Heoi, he nui ake te mōrearea o te hunga i waenga i te 30 me te 60 tau te pakeke . Kua whakaatuhia hoki e ngā rangahau he paku noa ake te kitea o tēnei mate i roto i ngā wāhine i ngā tāne.
Ahakoa kāore he raraunga motuhake mō tēnei i Sri Lanka, e kiia ana tata ki te 6% o te taupori i ngā whenua pēnei i te Hononga o Amerika he aneurysm kāore anō kia pakaru. Ko te tikanga tēnei ehara tēnei i te mea onge pērā i te whakaaro. Heoi, ehara i te mea noa ngā pakaru o te aneurysm.
He aha ngā tohu o te aneurysm?
Ka rerekē ngā tohu o tēnei i runga i te pakaru o te aneurysm, kāore rānei. Mā te mārama ki tēnei rerekētanga ka āwhina i te whakaora i tō ora.
| Ngā tohu o te pakaru o te aneurysm (he āhuatanga ohorere!) | Ngā tohu o te aneurysm nui (kāore i pakaru) |
|---|---|
| Ki te pā mai ēnei tohu, me haere tonu ki te ETU ( Optimization Treatment Unit ) o te hōhipera! | |
| - Te mamae upoko kino rawa atu, ohorere o tōku ao (Te mamae upoko o te whatitiri) - Whakapairuaki me te ruaki - Te pakari o te kaki, te kore e taea te piko - Te tirohanga pōuri, te tirohanga takirua rānei - Te kore e taea te titiro ki te mārama (photophobia) - Te pāngia e te mate urutā (hopukupuku) - Te kamo e piko ana, me te kanohi pango kua rahi haere - Te mamae i runga ake me muri o te kanohi - Te ngakaukore, te kore okiokinga - Te ngoikore, te ngenge rānei i tētahi wāhanga o te tinana - Te ngaronga o te māramatanga | - Ngā mamae o te upoko (he maha, he wā poto rānei) - Ngā panonitanga o te tirohanga - Te whakanui ake i te koki o te kanohi - Te ngenge o te mahunga, o te kanohi rānei - Te mamae i runga ake me muri o te kanohi - I ētahi wā ka tae mai te wā e pai ai. |
I ētahi wā, i mua i te pakaru o te aneurysm, ka turuturu te toto iti. Ka kiia tēnei he toto tiaki . I tēnei wā, ka puta he ānini whakatūpato (sentinel headache) i ētahi rā, i ētahi wiki rānei i mua i te ānini nui. Mena he ānini tino kino, rerekē tōu, kaua rawa e warewarehia. Tirohia te tākuta tonu.
He aha i puta ai ēnei aneurysms? He aha ngā āhuatanga mōrearea?
Ka puta ngā aneurysm ina angiangi, ka ngoikore hoki ngā pakitara o ngā uaua o te roro. I te nuinga o te wā ka puta ēnei i ngā pūwāhi peka o ngā uaua. I ētahi wā ka whānau mai te tangata me te ngoikore o te pakitara o te uaua. Hei tāpiri, he maha atu anō ngā āhuatanga ka pā ki tēnei.
Ngā āhuatanga tuku iho
He mea ēnei e kore e taea e tātou te whakahaere, ā, kua riro mai i te ira tangata.
- Ko ētahi āhuatanga tuku iho: Hei tauira, ko te `Vascular Ehlers-Danlos syndrome`, ko te `Autosomal dominant polycystic kidney disease`, ko te `Marfan syndrome`, ko te `Fibromuscular dysplasia`.
- Ko te arteriovenous malformation he hononga rerekē i waenga i ngā uaua me ngā uaua o te roro.
- Mena kua pāngia tētahi mema o te whānau tata (whaea, pāpā, tuākana/teina) e te aneurysm, he nui ake anō hoki tō mōrearea.
Tō tātou āhua noho me ērā atu āhuatanga hauora
Koinei ngā mea ka taea e tātou te whakarerekē me te whakahaere.
- Te kai hikareti: He hoariri nui tēnei e whakakino ana i ngā pakitara o ngā uaua toto.
- Te toto toto tiketike: Ka puta te pēhanga pumau ki ngā pakitara o te uaua i te toto toto tiketike kāore i te whakahaeretia.
- Te whakamahinga o ngā raau taero: Ina koa ko ngā raau taero pēnei i te kōkaini.
- Te inu nui rawa o te waipiro.
He aha ngā take o te pakaru o te aneurysm?
Ko ngā āhuatanga e whai wāhi ana ki te hanganga o te aneurysm ka whai wāhi anō hoki ki tōna pakaru. E whakapono ana ngā kairangahau ko te toto toto tiketike te tino take o te pakaru o te aneurysm. Ina piki te toto toto, ka kaha ake te pana o te toto ki ngā pakitara o te uaua.
Ina piki ohorere te toto toto, ā, ka pahū te aneurysm:
- He kare ā-roto kaha, pērā i te ahotea tonu, te pahūtanga ohorere rānei o te riri.
- Te kaha e hiahiatia ana hei hiki i tētahi mea taimaha (ina hiki ana i ngā taumaha, ina nekehia ana ngā tāonga).
- E mōhio ana koe he toto toto tiketike tōu engari kāore koe e tango i te rongoā tika mōna.
Hei tāpiri, ko ngā āhuatanga pēnei i te rahi, te āhua, me te taunga o te aneurysm ka pā ki tōna pakaru, ki tōna kore rānei.
Me pēhea te mohio ki tēnei āhuatanga?
He tokomaha ngā tāngata kāore anō kia pakaru ngā aneurysm, kāore rātou i te mōhio kei a rātou tētahi. He maha ngā wā ka kitea noatia ēnei i te wā o te MRI, CT rānei o te roro, mō tētahi atu take.
Heoi, ki te pāngia koe e ngā tohu o te pakaru o te aneurysm (ina koa ko te mamae nui o te upoko), me haere tonu koe ki te rūma whawhati tata o te hōhipera. I reira, ka whakahaerehia e ngā tākuta he raupapa whakamātautau hei whakaū mēnā kei te toto.
- Matawai CT (Tomography Rorohiko): Ka taea e tēnei te tirotiro tere mō te toto i roto i te roro. I ētahi wā ka mahia he matawai motuhake e kiia nei ko te `CT Angiogram (CTA)`, kia mārama ake ai ngā whakaahua o ngā oko toto.
- Matawai MRI (Whakaahua Āhua Aukume): Ka taea e tēnei te whakaputa whakaahua tino taipitopito o te roro me ngā uaua toto.
- Angiography Roro: I roto i tēnei mahi, ka whakauruhia e te taote pokanga roro he ngongo iti (catheter) mā roto i te hope, i te ringaringa rānei, ka arahina ki roto i ngā uaua toto o te roro, ā, ka tirohia tika te wāhi, te rahi, me te āhua o te aneurysm.
- Whakamātautau wai cerebrospinal (CSF): Ka taea e te poka lumbar te kite i te toto e rere ana i te taha o te roro.
He aha ngā maimoatanga?
Ko te whāinga matua o te maimoatanga he aukati i te toto mai i te aneurysm. He āhuatanga ohorere hauora te aneurysm pakaru e hiahia ana ki te pokanga ohorere. Ko te rongoā i te aneurysm kāore anō kia pakaru, kei tō āhua tonu.
Ngā tikanga maimoatanga matua
1. Te Tapahi i ngā Ārai Matotoru: He pokanga tuwhera tēnei. Ka hangaia e te taote pokanga roro he kōhao iti ki te angaanga ka haere ki te wāhi kei reira te aneurysm. Kātahi, pērā i te pine kakahu, ka whakatakotoria he topenga whakarewa iti ki te kaki o te aneurysm, ka tapahia katoatia te rere o te toto ki reira.
2. Te Takai Iti Iho o te Puku: Ko te tikanga o tēnei he tapahi iti. Ka whakamahia he ngongo iti (catheter) e whakaurua ana mā roto i te hope, i te ringaringa rānei, hei whakauru i ngā takai waea tino angiangi ki roto i te aneurysm. Mā ēnei takai ka puta he toto totoka ki roto i te aneurysm, ka aukati i te rere o te toto ki reira.
3. Ngā Tātaritanga Rere: Ka mahia hoki tēnei me te kore tapahi. Ka whakaurua he ngongo rite ki te mata (stent) ki roto i te oko toto kei reira te aneurysm. Mā tēnei ka ārahi tika te rere o te toto mā roto i te oko toto, ka karo i te aneurysm.
He aha te mahi māu mō te aneurysm kāore anō kia pakaru?
Mena he iti noa iho te aneurysm o roto, kāore he tohu, ā, kāore he take mōrearea kē atu, ka whakatau pea tō tākuta kia kaua e rongoā.
Engari, ehara i te mea me wareware koe ki tēnā. Me tirotiro tonu koe i ōu ira kia kite ai mēnā he panoni kei te puta. Waihoki, ki te mea he kaipaipa koe, ka tohutohuhia koe kia mutu te kai paipa, kia mau tonu hoki te toto toto .
Ko te whakatau kia pokangahia, kia kore rānei, ka hangaia i runga i ngā āhuatanga maha, tae atu ki tō tau, tō hauora whānui, te rahi me te wāhi o te aneurysm, me tō hītori whānau. Kōrerohia tēnei ki tō tākuta.
He aha tāu e taea te kī mō te heke mai?
Mēnā ka pakaru te aneurysm, ka whakawhirinaki te putanga ki tō tau, ki tō hauora, ki te nui o te toto i ngaro, me te tere o te whiwhi maimoatanga. Heoi anō, tata ki te 25% o te tangata ka mate i roto i ngā haora 24 i muri i te pakaru o te aneurysm. Ko te ōrau mate tata ki te 50% i roto i ngā marama e toru.
Tata ki te 66% o te hunga i ora mai ka pāngia e tētahi momo whara roro tuturu. Heoi, mā te maimoatanga wawe me te whakaoranga pai , ka ora ētahi me te iti, kāore rānei he hauātanga.
Heoi, he tokomaha te hunga he iti nei ā rātou aneurysms kāore anō kia pakaru, ā, ka roa ō rātou oranga, kāore he tohu, he pānga rānei o taua mea.
Karere Tangohia ki te Kāinga
- Ko te aneurysm roro he wāhi ngoikore i roto i te oko toto o te roro e pupuhi ana pērā i te poihau.
- Ko te ānini ohorere, nui (te ānini 'thunderclap') he tohu nui o te pakaru o te aneurysm. He āhuatanga ohorere hauora tēnei. Haere tonu ki te Tari Ohorere o te hōhipera (ETU).
- Ko te nuinga o ngā aneurysms kāore anō kia pakaru, kāore he tohu e puta mai ana, ā, kāore pea e hiahiatia he maimoatanga.
- Ko te whakahaere i te toto toto tiketike, te karo i te momi hikareti, me te karo i te whakamahi tarukino ngā mea pai rawa atu ka taea e koe te mahi hei whakaiti i tēnei mōrearea.
- Mena kua tāpaetia koe he aneurysm, kōrero ki tō tākuta mō ō mōrearea, ngā kōwhiringa maimoatanga, me te whakahaere kia tika ai ngā whakatau.
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