Kua āraia te oko toto i tō kaki? Me ako tātou mō te pokanga ārai-whiu (Carotid Endarterectomy)

E wehi ana tātou katoa i te kupu "whiu", kāore? Koinei te mea kino rawa atu ka puta ina mutu ohorere te rere o te toto ki te roro. He tokomaha te hunga e whakaaro ana he raruraru ngākau anake tēnei ka puta. Engari i mōhio koe he mea nui te aukati i roto i tētahi oko toto nui i tō kaki? I tēnei rā, ka kōrero tātou mō tētahi pokanga motuhake e whakakore ana i taua aukati me te whakahoki mai i te rere o te toto ki te roro.

He aha te tikanga o te Carotid Endarterectomy?

Whakaarohia e rua ngā uaua nui e tuku toto ana ki tō roro e rere ana i tō kaki i ia taha. Ko ēnei uaua toto e kiia ana ko ngā "Carotid Arteries." I roto i te wā, ka tīmata te hanga o ngā mea pēnei i te ngako kāore e hiahiatia me te cholesterol mai i ngā kai e kainga ana e tātou ki runga i ngā pakitara o ēnei uaua toto. He rite ki te paru e hanga ana i roto i te paipa wai. Ka kiia tēnei e tātou he papa .

I te nui haere o tēnei papa, ka tīmata te aukati i te uaua toto mai i roto. Ka whakaitihia te nui o te toto e rere ana ki te roro. I ētahi wā, ka pakaru tetahi wahi iti o tēnei papa, ka aukati katoa i tētahi uaua toto iti i roto i te roro. Koinā te wā ka puta ai te whiu.

Nō reira, ko te tango i te carotid endarterectomy he tikanga pokanga e whakatuwhera ana i te uaua carotid kua āraia, ka tangohia te paraka e piri ana ki roto, kātahi ka horoi me te tuitui i te uaua toto kia hono anō. He māmā noa iho, ko te horoi i te rere o te toto. Ka taea e tēnei te whakaiti i te mōrearea o te whiu.

I roto i ēhea āhuatanga ka tūtohutia tēnei pokanga?

Kāore tō tākuta e tūtohu tonu i tēnei pokanga. Ka whakatau ia i runga i tō whakamātautau, i ngā whakamātautau e tika ana, me ngā hua. Ko te tikanga, ka tūtohutia tēnei pokanga mō te tangata whai i ēnei āhuatanga:

Me pēhea te whakarite i mua i te pokanga?

Mā tō tīma hauora koe e tohutohu i mua i tēnei pokanga. Kei roto pea i ēnei:

• Ngā whakamātautau motuhake: Tērā pea ka tonoa koe ki te mahi i ngā matawai motuhake pēnei i te `(Cerebral Angiogram)`, `(CT Angiography)` `(MR Angiography)` rānei, kia mōhio ai koe ki te āhua o ō uaua carotid me tō roro.
• Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe: Me kōrero e koe ki tō tākuta ngā mea katoa, ehara i te mea ko ngā rongoā kua tohua, engari ko ngā rongoā whakamamae mamae, ngā huaora, me ngā rongoā tuku iho.
• Te whakamutu i ētahi rongoā: Ko ētahi rongoā hei ārai i te toto totoka ka tūtohutia kia whakamutua i mua i te pokanga i ētahi rā. Heoi, i te nuinga o te wā, ka tūtohutia kia haere tonu te tango i ngā rongoā pēnei i te aspirin. Tikina he tohutohu motuhake mō tēnei.
• Te whakamutu i te kai paipa: Mena he kai paipa koe, me mutu rawa tō mahi i mua i te pokanga. Mā tēnei ka tere ake tō ora.

Te āhua o te mahi pokanga

Ka mahia tēnei pokanga i roto i te hōhipera. E rua, e rua rānei ngā haora te roa. Tērā pea ka hoatu he rongoā whakamoe whānui (ka whakamoea koe) he rongoā whakamoe ā-rohe rānei (ka whakangāwari noa i te rohe huri noa i tō kaki). Ka hoatu he rongoā ki a koe hei āwhina i a koe kia marino, ahakoa he ngāwari koe.

Ka whai te taote pokanga i ēnei mahi:

1. Ka tapahia he tapahi iti, tata ki te 4 inihi te roa ki te kaki, ki te wāhi e aukatihia ana te uaua toto.

2. Nā te mea kāore e taea te aukati i te toto ki roto i te roro i te wā o te pokanga, ki te tika, ka whakauruhia he ngongo iti (shunt) hei huri i te toto mō te wā poto.

3. Kātahi ka tapahia he pakupaku i te taha o te uaua toto kua purua, ā, ka ata horoia te paparanga paraka i roto, ka tangohia atu.

4. Kātahi ka tuia anō te uaua toto. He maha ngā wā ka tuia he "pāki" motuhake hei pupuri i te whānui o te wāhi, kia kore ai e whakawhāitihia anō.

5. Hei whakamutunga, ka tangohia te ngongo rangitahi, ā, ka whakahokia te rere o te toto ki te āhua noa.

He aha ngā painga me ngā mōrearea?

Pērā i ngā pokanga katoa, he tūponotanga kei reira, engari i te nuinga o te wā ka nui ake ngā painga i ngā tūponotanga.

Painga matua: Te tiaki i a koe mai i te whiu kino ā muri ake nei.

Ngā tūponotanga pea:

• Te toto
• Ngā āhuatanga pangia
• Ngā toto totoka
• Te pakaru o te io (onge)
• Te pāngia e te whiu, te mate ngakau rānei (he tino onge)
• Te aukati anō i te uaua ā muri ake nei

Ka rerekē pea tēnei mōrearea i ia tangata, i ia tangata. Kei runga i ngā āhuatanga pēnei i tō tau, mēnā he mate hauora kē atu āu pēnei i te mate huka, te mate manawa rānei, me te nui o te aukati i roto i tō uaua toto. Mā tō tākuta ēnei mea katoa e whakamārama ki a koe.

I muri i te pokanga me te wā whakaora

I muri i te pokanga, ka puritia koe ki te hōhipera mō te rā kotahi hei tirotiro māu. I muri i ētahi hāora, ka taea e koe te kai me te inu i ngā wā katoa. Tērā pea ka whakanohoia he ngongo iti (he paipa waikeri) ki roto i tō kaki hei tango i te wai mai i te patunga. I te nuinga o te wā ka tangohia tēnei i roto i te rā kotahi. Tērā pea ka mamae tō kaki mō te rua wiki pea. Ka taea e koe te tango i ngā rongoā whakamamae mamae noa mō tēnei.

Ka taea e te nuinga o te tangata te hoki ki te kāinga i te rā i muri i te pokanga. Ka taea e koe te kaukau i muri i tō hokinga ki te kāinga, engari kaua e mirimiri rawa i te patunga. Ka taea e koe te hoki ki ngā mahi o ia rā i roto i te wiki, e rua rānei.

He mea tino nui ngā huringa o te āhua noho!

Ahakoa te angitu o te pokanga, me whakarerekē tonu tō momo noho hei ārai i te hanganga anō o tēnei momo papa.

• Whakamātauria ki te kai hauora.
• Whakakorikori tinana kia rite ki ngā tohutohu a tō tākuta.
• Kati rawa te momi hikareti.
• Whakaitihia te ahotea.
• Tangohia ō rongoā mō te cholesterol me te toto toto kia rite ki te mea kua tohua.

Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu.

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i tō pokanga, whakamōhio atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera.