Kei te kite koe i ngā uaua e pupuhi ana i tō puku? Me kōrero tātou mō 'Caput Medusae'

Kua titiro koe ki te whakaata, ā, kua kite koe kei te kitea mārama ō uaua i roto i tō puku, inā koa i te taha o tō puku? I ētahi wā, he mea whakamataku tēnei. He aha rawa tēnei? He mea hei wehi māu? I tēnei rā, e kōrero ana tātou mō tēnei mate, e mōhiotia ana i roto i te pūtaiao hauora ko 'Caput Medusae'. Ehara tēnei i te mate, engari he whakatūpato tino nui e whakaatu ana i tētahi raruraru nui i roto i te tinana.

He aha tēnei 'Caput Medusae'?

Ki te kī māmā noa, ko te Caput Medusae te wā e pupuhi ai, e whakanuia ai, e pūwero ai ngā uaua toto i raro i te kiri o tō puku. He maha ngā wā, ka puta te āhua o ēnei uaua ki ngā taha katoa, me te mea he hihi o te rā e whiti ana mai i waenganui o tō puku.

Nō ngā kōrero tuku iho Kariki tēnei ingoa tauhou. Kei roto ko tētahi wahine ko 'Medusa' te ingoa, he nakahi tōna pane, ehara i te makawe. Ko te āhua o te horapa o ngā uaua huri noa i tōna kaki he rite ki ngā nakahi e puta mai ana i te pane o Medusa, koia i tapaina ai e ngā tākuta ko 'Caput Medusae', ko tōna tikanga ko 'te pane o Medusa'. E kīia ana hoki e ētahi ko te 'tohu nikau'.

He aha ai tēnei? Me whakamārama tātou i tēnei mā te whakamahi i tētahi tauira.

Whakaarohia kua āraia te huarahi matua e anga atu ana ki Colombo e te waka nui. He aha te mahi a ngā waka? Ka ngana rātou ki te tae wawe ki tō rātou ūnga mā te whai i ngā rori taha, arā, ngā rori kirikiri iti. Engari kāore ēnei rori taha i hangaia kia tū atu ki te waka nui. Nō reira, ka tere te ārai me te kī o aua rori.

He rite tonu te pūnaha toto i roto i tō tātou tinana. Ina āraia tētahi toto nui i roto i te puku (te uaua portal, te vena cava raro rānei) mō tētahi take, kāore e taea e te toto te rere mā roto. Ka kiia tēnei he aukati .

Kātahi ka ngana te tinana ki te tuku i tēnei toto kua āraia mā roto i ētahi atu uaua iti e rite ana ki ngā 'ara taha'. Ko ēnei uaua iti ko ngā mea kei raro i te kiri o tō tātou puku. Ina puta ohorere mai he nui o te toto mā roto i ēnei uaua iti, angiangi, kāore e taea e rātou te whakahaere, ā, ka pupuhi, ka pupuhi, ka kitea e ō tātou kanohi. Koinei te mea e kiia nei e tātou ko te Caput Medusae. I roto i te rongoā, ko tēnei ara tāpiri e kiia ana ko te collateral circulation .

He aha ngā tino take o te mate Caput Medusae?

E rua ngā take matua mō tēnei āhuatanga. He take nui ngā mea e rua, nō reira he mea nui kia mōhio ki tēnei.

He aha atu ngā tohu ka haere tahi me tēnei?

He tohu noa iho a Caput Medusae o tētahi mate nui ake. Nō reira, tera pea ka pāngia koe e ētahi atu tohu i te wā kotahi.

Ngā tohu e kitea whānuitia ana

• Te pupuhi o ngā waewae me ngā waewae (Edema)
• Te pupuhi nui o te puku, te wai e whakakī ana i te puku (ascites)
• Mamae puku
• He ate nui, ka taea te pā ki raro i ngā rara i te taha matau

Ngā tohu motuhake e rerekē ana i runga i te take

Mā ēnei tohu ka āwhina i tō tākuta kia mōhio ki te take.

• Mena nā te cirrhosis o te ate:
• Te kōwhai o te kiri me ngā kanohi (Jaundice)
• Te nui rawa o te mākūkū o te kiri
• mimi pouri (pērā i te tī)
• Ngā tūtae mā (he rite ki te uku)
• Ngā angiomas pungawerewere (ngā oko toto whero e rite ana ki te tukutuku pungawerewere) i te uma me te tinana o runga

• Mena nā te toto totoka (Deep Vein Thrombosis - DVT) i puta ai:
• Te pupuhi ohorere i tētahi wāhanga o te tinana (hei tauira, he waewae)
• Ka whero, ka pōuri rānei te wāhi, ā, ka mahana te pā atu

Me pēhea te kimi a te tākuta i te tino take?

He mea nui kia toro atu ki te tākuta ina kite koe i tēnei tohu. Ka tirohia koe e te tākuta i te tuatahi, ā, ka whakarongo pai ki ō tohu. Kātahi ka whakaritea e rātou ētahi whakamātautau hei whakatau i te tino take.

Ko te whakamātautau matua e whakamahia ana mō tēnei ko te matawai ultrasound o te puku . Mā tēnei ka taea e koe te kite i ngā whekau me ngā uaua toto i roto i te puku.

Ina koa, ka tirohia e tēnei matawai te ahunga o te rere o te toto i roto i ngā uaua piko.

• Mena kei te rere te toto i ngā waewae , he mate pea tēnei e kiia nei ko te Portal Hypertension, i puta mai i te cirrhosis o te ate .
• Ki te rere te toto ki runga ki te ngākau , tērā pea nā te aukati i te uaua cava o raro .

Mā tēnei mahi māmā ka taea e te tākuta te mārama ki te pūtake o te mate.

He aha ngā maimoatanga mō tēnei?

Ko te mea nui, ehara i te mea ko te āhuatanga kiri e kitea ana o Caput Medusae anake te rongoā, engari ko te mate taketake . Ina rongoātia te take taketake, ka memeha haere pea ēnei uaua varicose i roto i te wā.

• Mena ka taea te tango i te take: Hei tauira, mena he aukati ka taea te tango, pēnei i te toto totoka, ko te whāinga tuatahi a ngā tākuta he tango i taua aukati.
• Mena he mate mau tonu te pūtake: Mena he mate mau tonu pērā i te cirrhosis o te ate, ka tukuna he maimoatanga motuhake hei whakahaere i te mate me ōna raruraru.

I ētahi wā, mēnā ka pupuhi, ka toto hoki ngā uaua o te ara nakunaku i te toto toto tiketike, ka whakamahia ngā tikanga motuhake hei whakaheke i te toto toto.

• TIPS (Transjugular Intrahepatic Portosystemic Shunt): Ko te whakaurunga o tētahi ngongo iti ki roto i te ate i raro i te arataki a te hihi-X hei hanga i tētahi shunt i waenganui i te uaua portal me tētahi atu uaua i roto i te ate. Mā tēnei ka hangaia he ara hou mō te rere o te toto kua āraia, ka whakaiti i te pēhanga.
• DSRS (Distal Splenorenal Shunt): He tikanga pokanga tēnei e tangohia ai te uaua splenic mai i te ate, ka honoa ki te uaua o te whatukuhu maui. Ka whakaitihia hoki te pēhanga.