He aha te Aneurysm o te Roro? Me kōrero tātou mōna!

Kua whakaaro kē koe he aha ka tupu mēnā ka whanake he hanganga poihau iti i roto i tō roro, ka nui haere, ka pahū? Koinei tā tātou e kōrero ai i tēnei rā, he aneurysm roro. Kua rongo pea koe i tēnei kupu i mua. Kaua e manukanuka, me whakamārama noa iho.

He aha te aneurysm o te roro?

He whakarāpopototanga noa iho, ko te aneurysm roro he āhuatanga e pupuhi ai te wāhi ngoikore o te uaua toto (e kiia ana e mātou he uaua toto) i roto, i te taha rānei o tō roro, ka pupuhi ake, ka pupuhi ake, pērā i te poihau. Whakaarohia he wāhi ngoikore i roto i te paipa wai, ka pupuhi ai taua wāhi nā te pēhanga wai. I a te toto e rere ana i roto, ka panaia e te pēhanga te wāhi ngoikore ki waho, ka hanga he pupuhi iti.

I te tere o te whakakī o te toto i te hanganga rite ki te poihau, ka whānui te aneurysm. He rite tēnei ki te angiangi o te poihau ina pupuhihia te hau ki roto, ka nui ake te tūponotanga ka pahū.

Ka taea e ngā aneurysms roro te whanake i ngā wāhi katoa o tō roro. Heoi, ko te nuinga o te wā ka whanake i roto i ngā uaua nui i te pūtake o tō angaanga. I waenga i te 10% me te 30% o te hunga whai aneurysm roro he neke atu i te kotahi te aneurysm. I te nuinga o te wā, he tino iti ēnei aneurysms, ā, kāore he tohu e puta.

Heoi, ka puta noa ngā tohu ina nui te aneurysm ka pēhi i ngā io tata, i ngā kiko roro rānei. Ko te mea tino morearea ko te pakaru o te aneurysm, ka toto (ka turuturu) ka pakū rānei. Ka puta pea he toto ki roto i te roro. Ka taea e te aneurysm roro pakaru te whakararu i te ora, ā, me whiwhi maimoatanga hauora ohorere. Ko te roa o te pakaru o te aneurysm, ka nui ake te mōrearea o te mate, o te hauātanga tuturu rānei.

He aha te mea ka tupu ina pahū te aneurysm roro?

Ina pakaru tēnei, ka turuturu te toto ki roto i te kiko roro e karapoti ana. Ka kiia tēnei he "toto toto". Ka taea e tēnei toto te pēhi i te kiko roro, ā, ka pupuhi te roro. I te nuinga o te wā, i tēnei wā, ka puta he ānini nui e kiia nei ko te "ānini whatitiri" me ētahi atu tohu.

Ka pā mai pea ngā raruraru hauora nui i te pakaru o te aneurysm roro. Anei ētahi tauira:

• Te toto o raro o te roro (SAH) : He toto tēnei e rere ana ki roto i te āputa i waenganui i ngā kiriuhi angiangi e hipoki ana, e tiaki ana i tō roro (e kiia ana tēnei ko te 'paparanga arachnoid'). 90% o ngā SAH ka puta mai i te pakaru o te aneurysm roro.
• Te whiu toto : Ko te toto tēnei e rere ana ki te āputa i waenganui i tō angaanga me tō roro.

Ka taea e ēnei āhuatanga te whakararu i te roro tuturu, i ētahi atu raruraru rānei pēnei i:

• Vasospasm : Koinei te wā ka whaiti, ka pakari rānei ngā oko toto, ka whakaiti i te nui o te hāora e tae atu ana ki te roro.
• Hydrocephalus : Koinei te wā e kohia ai te wai cerebrospinal, te toto rānei ki te roro, ka nui rawa te pēhanga ki runga.
• Ngā Āwangawanga : Ko te āwangawanga he pikinga wā poto, kāore e taea te whakahaere i te ngohe hiko i roto i te roro. Ka taea e tēnei te whakararu i te kino o te roro i puta mai i te pakaru o te aneurysm.
• Koma : He āhua kore mohio tēnei e roa ana mai i ngā rā ki ngā wiki.
• Matenga : Tata ki te 50% o ngā tūroro ka mate i te pakaru o te aneurysm roro.

Ko wai ka pāngia e ngā aneurysms roro?

Ka taea e te tangata te whakawhanake i ngā aneurysms roro, ahakoa te pakeke. Heoi, ko te nuinga o te wā ka pā ki te hunga i waenga i te 30 me te 60 tau te pakeke. He iti ake te kitea i roto i ngā wāhine.

He pēhea te noa o tēnei aneurysm?

I tētahi whenua pērā i te Hononga o Amerika, tata ki te 6% o te taupori he aneurysm kāore anō kia pakaru. Heoi, kāore i te tino kitea ngā aneurysm roro pakaru. Tata ki te 30,000 ngā tāngata i te Hononga o Amerika ka pāngia e tēnei mate i ia tau.

He aha ngā tohu o te aneurysm roro?

He rerekē ngā tohu o te aneurysm roro i runga i te mea kua pakaru, kāore rānei.

Ngā tohu o te pakaru o te aneurysm

Koinei ngā tohu o te pakaru o te aneurysm:

• Te ānini o te whatitiri : He ānini ohorere tēnei, he tino mamae. He tokomaha e kī ana ko "te ānini kino rawa atu o tōku ao."
• Te ruaki me te whakapairuaki.
• Te pakari o te kaki (te uaua ki te piko i te kaki).
• Te tirohanga pōuri, te tirohanga takirua rānei.
• Te aro nui ki te mārama (photophobia).
• Ngā hopukanga.
• He kamo e takoto kau ana, he puāwai e whānui ana.
• Te mamae i runga ake me muri o te kanohi.
• Pōhēhētanga.
• Te ngoikore me/ranei te ngoikore o te tinana.
• Te ngaronga o te māramatanga.

Ki te pā mai tētahi, ētahi rānei o ēnei tohu ki a koe, me waea atu koe ki te 911 tonu, me haere rānei ki te wāhanga ohorere o te hōhipera tata. He āhuatanga ohorere tēnei!

I ētahi wā ka turuturu te toto iti mai i te aneurysm roro. Ka kiia tēnei he 'sentinel bleed'. Ki te puta tēnei, ka pāngia pea koe e te 'sentinel headaches' i ētahi rā, i ētahi wiki rānei i mua i te pahūtanga o te aneurysm.

Ngā tohu o te aneurysm kāore i pakaru

I te nuinga o te wā, kāore he tohu e puta mai i ngā aneurysms roro kāore i pakaru. Heoi, ki te nui rawa, ka taea e te pupuhi rite ki te poihau i roto i te oko toto te pēhi i ngā io tata, i te kiko roro rānei, ka puta ai ngā tohu pēnei i:

• Te mamae o te upoko.
• Ngā panonitanga o te tirohanga.
• Puawai kua whakanuia (puawai kua whakawhānuihia).
• Te ngenge o te mahunga, o te kanohi rānei.
• Te mamae i runga ake me muri o te kanohi.
• Ngā hopukanga.

Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta i te wā e taea ai.

He aha ngā take o ngā aneurysms roro?

Ka puta ngā aneurysm roro ina angiangi, ka ngoikore hoki ngā pakitara o ngā uaua o tō roro. He maha ngā wā ka puta mai i te wāhi e wehea ana ngā uaua. I ētahi wā, ka whānau mai koe me te aneurysm roro. Ko te tikanga, he rerekē te āhua o te pakitara uaua (he 'whanautanga hapa') te take o tēnei. He maha atu anō ngā āhuatanga ka ngoikore ai te pakitara uaua.

Ka pā pea ēnei āhuatanga whānau ki te hauora o ō uaua toto, ā, ka piki ake te tūponotanga o te whakawhanake i te aneurysm roro:

• `(Te mate toto Ehlers-Danlos)`
• ``(Mate whatukuhu polycystic autosomal dominant)''
• `(Te mate Marfan)`
• `(Te ngoikore o te uaua muka)`
• Te āhua kino o te arteriovenous
• He hītori tō te whānau tata (tuakana, tuahine, mātua rānei) mō te aneurysm roro.

Anei ētahi atu āhuatanga me ngā whanonga ka ngoikore ai ō pakitara uaua i roto i te wā:

• Te momi hikareti.
• Te toto toto tiketike.
• Te whakamahi i ngā raau taero, inā koa te cocaine.
• Te nui rawa o te whakamahi waipiro.

He aha te take e pahū ai te aneurysm roro?

Ko ngā āhuatanga anō hoki e whai wāhi ana ki te hanganga o te aneurysm roro ka taea hoki te pakaru me te toto.

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 piki ake te pēhanga e tukuna ana e te toto ki ngā pakitara o ngā uaua toto. He maha ngā āhuatanga ka pakaru ai te aneurysm roro i te toto toto tiketike:

• He kare ā-roto kaha te ahotea tonu, he rite ki te riri ohorere.
• Te taumahatanga nui rawa atu i te wā e hiki ana, e tō ana, e pana ana rānei i tētahi mea taimaha (hei tauira, te hiki i ngā taumaha, te neke taonga).
• Te kore e tango i te rongoā tika mō te toto toto tiketike kua pāngia kētia koe.

He maha atu anō ngā āhuatanga e whakatau ana i te tūponotanga o te pakaru o te aneurysm:

• Rahi me te āhua : He iti ake te tūponotanga ka pakaru ngā aneurysms iti i ngā aneurysms nunui, kāore i te ōrite te āhua.
• Te tipu : Ki te nui haere te aneurysm i roto i te wā, ka nui ake te tūponotanga ka pakaru.
• Tauwāhi : He nui ake te tūponotanga ka pakaru ngā aneurysm i roto i ngā uaua whakawhitiwhiti o muri i te tuara o te roro me te uaua whakawhitiwhiti o mua i mua o te roro i ngā aneurysm i ētahi atu wāhanga o te roro.
• Iwi : He nui ake te mōrearea o te pakaru o te aneurysm i te hunga nō Hapanihi, nō Pinirana rānei.
• Kaumātua: Ko te hunga neke atu i te 70 tau te pakeke he nui ake te mōrearea o te pakaru o te aneurysm.

Ko te hunga he nui atu i te kotahi te aneurysm roro, kua pāngia rānei e te toto i mua e te aneurysm, ko rātou te hunga tino mōrearea ki te pahūtanga o te aneurysm roro.

Me pēhea te tautuhi i te aneurysm o te roro?

He tokomaha ngā tāngata kāore anō kia pakaru te roro, kāore e mōhio kei a rātou tētahi. Tērā pea ka kitea e te tākuta tēnei āhuatanga mā te tūponotanga ina whai MRI, CT rānei i tō roro mō tētahi atu take hauora.

Mena kei a koe ngā tohu o te aneurysm roro, pērā i te mamae nui o te upoko, me waea atu koe ki te 911, me haere rānei ki te hōhipera tonu. Ka whakahau te tākuta i ngā whakamātautau hei tirotiro mēnā kua pakaru te aneurysm roro. Kei roto pea i ēnei whakamātautau:

• (CT - matawai tomography rorohiko) : Koinei te whakamātautau whakaahua tuatahi ka tonoa e te tākuta hei tirotiro i te toto i roto i te roro. Ka whakamahia e te "matawai CT" ngā hihi-X me te rorohiko hei tango whakaahua whakawhiti-wāhanga o tō tinana. Ka whakamahia pea e ngā tākuta he whakamātautau e kiia nei ko te "CT angiogram (CTA)". Ka taea e tēnei te tango pikitia taipitopito ake o te rere o te toto i roto i ngā uaua o te roro. Ka taea e te "CTA" te whakaatu i te rahi, te tauwāhi, me te āhua o te aneurysm, ahakoa kāore i pakaru, i pakaru rānei.
• (MRI - matawai whakaahua aukume) : Ka whakamahia e te MRI tētahi aukume nui, ngā ngaru reo irirangi, me te rorohiko hei tango pikitia taipitopito o tō roro. Ka tangohia e te angiography aukume (MRA) ngā pikitia taipitopito o ngā uaua i roto i te roro, ā, ka whakaatuhia te rahi, te taunga, me te āhua o te aneurysm.
• Angiography roro : He whakamātautau tēnei e mahia ana e te taote pokanga roro, e te tohunga roro rānei. Ka whakauruhia he catheter ki roto i te oko toto i roto i tō hope, i tō ringaringa rānei, ka mirohia ki roto i tō roro hei tango pikitia taipitopito ake o ngā uaua i roto i tō kaki me tō roro. Ka taea e tēnei whakamātautau whakaahua te kimi i ngā ārai i roto i ngā uaua i roto i tō roro, i tō kaki rānei. Ka taea hoki te tautuhi i ngā wāhi ngoikore o te oko toto, pērā i te aneurysm. Ka whakamahia e ngā tākuta tēnei whakamātautau hei whakatau i te take o te toto i roto i te roro me te wāhi, te rahi, me te āhua o te aneurysm.
• (Wai Cerebrospinal - Tātaritanga CSF) : Ka inehia e tēnei whakamātautau ngā matū kei roto i te wai e karapoti ana, e tiaki ana hoki i tō roro me tō taurakira (`tarakira`). Ka tangohia e te tākuta he tauira o te `CSF` mā te tango i te `spinal tap`, i te `lumbar puncture` rānei. Ka taea e tēnei tātaritanga te kimi mēnā he toto kei te taha o te roro.

Me pēhea te rongoā i ngā aneurysms roro?

Ko te whāinga matua o te maimoatanga o te aneurysm roro he aukati, he whakaiti rānei i te toto ki roto i te aneurysm. Me pokanga ohorere te aneurysm roro e turuturu ana, e pakaru ana rānei.I runga i tō āhuatanga, tera pea e hiahiatia he maimoatanga mō te aneurysm kāore anō kia pakaru, kāore rānei.

Mā tō tīma hauora e tūtohu te(ngā) kōwhiringa maimoatanga e tino tika ana māu, i runga i te hanganga o tō toto, te rahi me te wāhi o te aneurysm, me ētahi atu āhuatanga.

I te nuinga o te wā, ka roa ake te ora o ngā aneurysms pakaru i ngā aneurysms kāore anō kia pakaru.

Te tapahi ira-pūtau mō ngā aneurysms roro

I roto i tēnei pokanga, ka hangaia e te taote pokanga roro he kōhao iti ki roto i tō angaanga ka haere ki te wāhi kei reira te aneurysm. Mā te whakamahi i tētahi karuārahi iti rawa me ngā taputapu, ka whakatakotoria e te taote pokanga he topenga whakarewa iti ki te pūtake o te aneurysm ka kati. Mā tēnei ka mutu te toto i roto i te aneurysm. Ka taea e tēnei pokanga te aukati i te toto i roto i te roro, te ārai rānei i te nui haere, te pahū rānei o tētahi aneurysm kāore anō kia pakaru.

Ka rerekē te wā whakaora mō ngā aneurysm kua pakaru (mai i ētahi wiki ki ngā marama) me ngā aneurysm kāore anō kia pakaru (e rua ki te whā wiki te nuinga). Ko ngā aneurysm kua motu katoatia, kāore e puta anō te toto (ka puta anō).

Te takai endovascular mō ngā aneurysms roro

I roto i tēnei tikanga, ka whakauruhia e te taote pokanga roro, e te tohunga roro rānei he catheter (he ngongo ngāwari) ki roto i tētahi oko toto i roto i tō hope, i tō ringaringa rānei, ka mirohia ki roto i tō roro. Mā roto i te catheter, ka whakauruhia e te tākuta tētahi koiri waea ngohengohe ki roto i te aneurysm.

I muri i te whakaurunga o tēnei porowhita e te tākuta ki roto i te aneurysm, ka hurihia te tauira rere o te toto i roto i te aneurysm, ā, ka puta he toto totoka. Ka aukatihia e tēnei totoka te rere o te toto ki roto i te aneurysm, ka hangaia he hiri, pērā i te topenga.

Ngā stent whakahuri rere mō ngā aneurysms roro

I roto i tēnei tikanga, ka whakauruhia e te taote pokanga roro, e te tohunga roro rānei he catheter ki roto i tētahi oko toto i roto i tō hope, i tō ringaringa rānei, ka mirohia ki roto i tō roro. Mā roto i te catheter, ka whakauruhia e te tākuta he ngongo mata ki roto i te wāhanga o te oko toto kei reira te aneurysm. Ka tahuri ketia (ka "huri ketia" rānei) e tēnei mata te rere o tō toto mai i te aneurysm, kaua ki roto.

Pūrere WEB mō ngā aneurysms roro

I tēnei tikanga, e ai ki te kōrero i runga ake nei, ka whakaurua e te tākuta he porowhita, he mata whatu rānei, he rite ki te mata whakarewa ki roto i te aneurysm mā roto i te catheter ki roto i te roro. He rite anō hoki tēnei ki te koiri. Arā, ka hangaia he hiri ki runga i te aneurysm, ka aukati i te rere o te toto ki reira, ka ārai hoki i te nui haere, i te pahū rānei.

Ngā maimoatanga tāpiri mō te pakaru o te aneurysm roro

Mena kua pakaru tō aneurysm, ka whakamahia e tō tīma hauora ētahi atu maimoatanga hei whakahaere i ō tohu me te ārai i ngā raruraru. Kei roto i ēnei maimoatanga:

• Ngā rongoā ārai-hōhāKa āwhina ēnei rongoā ki te ārai i ngā haurangi e pā ana ki te pakaru o te aneurysm.
• Ngā aukati hongere konupūmā : Ka āwhina ēnei rongoā ki te whakaiti i te mōrearea o te whiu i puta mai i te vasospasm.
• Shunt : He ngongo tēnei e āwhina ana ki te neke i te wai cerebrospinal (CSF) mai i te roro ki tētahi atu wāhanga o te tinana. Ka āwhina tēnei ki te ārai i te hydrocephalus.

Ko te hunga kua pāngia e te aneurysm pakaru, me whai i te whakaora tinana, i te whakaora kōrero, me te whakaora mahi kia hoki mai ai te mahi kua ngaro, kia ako ai hoki ki te noho me te hauātanga tuturu.

Me rongoā ahau mō te aneurysm roro kāore anō kia pakaru?

Mena he iti nei te aneurysm o tō roro, kāore anō kia pakaru, ā, kāore he tohu e puta mai ana, ā, kāore he atu āhuatanga mōrearea e pā ana ki a koe, ka tūtohu pea tō tākuta kia kaua e rongoātia.

Engari, ka whakahau tō tākuta i ētahi whakamātautau whakaahua i ia wā, i ia wā, hei aroturuki i ngā huringa, i ngā tipu rānei. Ka tohutohu anō hoki rātou i a koe kia mutu te kai paipa mēnā he kai paipa koe, ā, kia mau tonu tō toto toto i raro i te mana whakahaere.

Mena ka puta he tohu, ka kitea rānei he huringa o te aneurysm i te wā e whakahaerehia ana he whakamātautau whakaahua anō, me rapu tonu koe i te awhina hauora.

Mena kei a koe ngā tohu, ngā āhuatanga mōrearea, me/ranei he nui te aneurysm, ka matapakihia e kōrua ko tō tākuta ngā painga, ngā huakore, me ngā kōwhiringa mō te pokanga me/ranei te maimoatanga endovascular. Ka whakawhirinaki tēnei whakatau ki ētahi āhuatanga, tae atu ki:

• tō tau.
• Tō hauora whānui me ētahi atu mate kei a koe.
• Te tauwāhi, te rahi, me ētahi atu āhuatanga o te aneurysm.
• Te hanganga o tō toto.
• Hītori whānau mō te mate.
• Te mōrearea o te pahūtanga.

Me pēhea te whakaiti i te mōrearea o te whakawhanaketanga o te aneurysm?

Kāore e taea e koe te ārai, te whakarerekē rānei i ētahi o ngā āhuatanga mōrearea mō ngā aneurysms roro, pērā i tō tau, i ngā āhuatanga ira rānei. Heoi, ka taea e koe te mahi i ēnei e whai ake nei hei whakaiti i tō tupono ki te whakawhanake i te aneurysm roro:

• Te pupuri i te toto toto hauora mā te rongoā me/ranei te whakarerekētanga o te momo noho.
• Kāore e momi hikareti, kāore rānei e mutu te momi hikareti.
• Te rapu āwhina mō te mate whakamahi waipiro me/ranei te mate whakamahi matū, me te kore e whakamahi i ngā mea whakaohooho pēnei i te kōkaini.

He aha te āhua o te pakaru o te aneurysm roro?

Ko te matapae mō te whakaoranga mai i te pakaru o te aneurysm roro e whakawhirinaki ana ki ētahi āhuatanga, tae atu ki:

• Tō tau me tō hauora whānui.
• Ahakoa kei a koe ngā mate pūnaha io o mua.
• Te wāhi o te aneurysm.
• Te nui o te toto i ngaro i te aneurysm.
• Te tere o te whiwhinga o te maimoatanga.
• Mēnā i angitu te maimoatanga mō te aneurysm.

Tata ki te 25% o te hunga kua pakaru te roro o te aneurysm ka mate i roto i ngā haora 24. Tata ki te 50% ka mate i ngā raruraru i roto i ngā marama e toru o te pakaru.

Mō te hunga e ora tonu ana, tata ki te 66% ka pāngia e te whara roro tuturu. Ko ētahi tāngata ka ora ake me te iti noa o te hauātanga, kāore rānei he hauātanga.

Ka taea e koe te ora mō te wā roa me te aneurysm roro?

He tokomaha te hunga he iti nei ngā aneurysms roro kāore i pakaru, kāore e kite i ngā tohu, ā, kāore e pā ki tō rātou hauora.

Heoi, he tino teitei te mate o te pakaru o ngā aneurysms roro.

Āhea ahau me toro atu ki taku tākuta mō te aneurysm roro?

Mena he aneurysm roro kāore anō kia pakaru, me toro atu koe ki tō tākuta i ia wā, i ia wā, hei aroturuki i te rahi o te aneurysm me te whakahaere i ngā āhuatanga mōrearea, pērā i te toto toto tiketike.

Mena kua pāngia koe e te pakaru o te aneurysm roro i mua, me toro atu koe ki tō tīma hauora i ia wā, i ia wā, kia aroturukitia ai ngā raruraru pea, kia kore ai hoki koe e pāngia e tētahi atu aneurysm.

Ki te pāngia koe e te ānini nui ohorere, me ngā tohu whiu, kāore rānei, he tohu pea tēnei nō te aneurysm roro. Waea atu ki te 911 tonu, haere rānei ki te rūma ohorere o te hōhipera. Ko te tere o tō whiwhi āwhina hauora, ko te nui ake o te tūponotanga ka ora koe.

Mena he aneurysm roro kāore anō kia pakaru, kōrero ki tō tākuta mō ngā painga me ngā huakore o ngā momo maimoatanga me ngā huarahi whakahaere. Kei te rite rātou ki te āwhina i a koe.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, me whakamahara atu mātou ki a koe mō ētahi mea hei maumahara māu i roto i ngā kōrero kua kōrerotia nei e tātou:

• Ko te aneurysm roro he pupuhi rite ki te pupuhi i roto i te wāhi ngoikore o te oko toto i roto i te roro.
• I te nuinga o te wā, kāore ngā aneurysm iti e puta ai ngā tohu. Heoi, ki te pāngia koe e te ānini ohorere, kino rawa atu, pērā i te "ānini kino rawa atu o tō oranga," he tohu pea tēnei nō te aneurysm pakaru. Ki te puta tēnei, me haere tonu koe ki te hōhipera.
• Ko ngā mea pēnei i te toto toto tiketike me te kai paipa ngā tino take o te hanganga me te pakaru o te aneurysm.
• Mā te tākuta e whakatau mēnā me rongoā te hunga kāore anō kia pakaru ngā aneurysms, i runga i ētahi āhuatanga.
• He āhuatanga ohorere e morearea ana te pakaru o te aneurysm. He mea nui te maimoatanga tere.
• Ka taea te whakaiti i te mōrearea o te whakawhanaketanga o te aneurysm mā te noho i tētahi momo noho hauora me te whakahaere i ngā āhuatanga mōrearea.

Mena he pātai anō āu mō tēnei, kaua e mangere ki te kōrero ki tō tākuta. Mā rātou tēnei e whakamārama atu ki a koe.

`Te aneurysm o te roro, te aneurysm o te roro, te ānini, te toto toto tiketike, te toto toto o te roro, ngā mate pūnaha io, te pokanga aneurysm