Kua āraia ngā oko toto i tō kaki? Me ako tātou mō te pokanga TCAR (Transcarotid Artery Revascularization)

Kua kōrerotia atu rānei e tō tākuta kua āraia tētahi oko toto nui i roto i tō kaki, ā, kei te tino mōrearea koe ki te pāngia e te whiu? He mea noa kia mataku te tangata ina rongo i tētahi mea pēnei. "Me pokanga ahau? He mea nui rānei?" He maha ngā pātai ka puta ake pea ki te hinengaro. Kaua e manukanuka, nā te mea kua whanake haere te pūtaiao hauora, kua puta he maimoatanga haumaru, ngāwari, me te whai hua mō ēnei āhuatanga. I tēnei rā ka kōrero tātou mō tētahi o ngā maimoatanga hou me te tino angitu, ko te TCAR.

He aha te TCAR?

Ko te ingoa katoa o TCAR ko Transcarotid Artery Revascularization . Āe, he ahua uaua te ahua o tēnei ingoa, kāore? Kia māmā noa iho.

E rua ngā uaua toto matua i ia taha o tō tātou kaki e kawe ana i te toto ki te roro. Ka kiia ēnei e tātou ko ngā uaua carotid . He rite ēnei ki ngā paipa matua e rua e kawe ana i te wai ki tō tātou whare. I roto i te wā, ka hangaia ngā mea pēnei i te ngako me te cholesterol mai i ngā kai e kainga ana e tātou ki roto i ēnei uaua toto, pērā i te waikura e hangaia ana i roto i te paipa wai. Ka kiia tēnei ko te 'plaque' i roto i ngā kupu hauora.

I te mea ka nui haere te paparanga 'pēke' nei, ka iti haere te wāhi i roto i te uaua toto, ā, ka āraia te rere o te toto. Ko te mea tino mōrearea, ki te pakaru tetahi wāhanga iti o tēnei paparanga 'pēke' ka haere ki te roro me te toto, ka āraia pea te uaua toto i roto i te roro, ka pā mai he whiu .

Nō reira, ko te whakatuwheratanga anō i tēnei oko toto kua āraia, me te whakahoki mai i te rere o te toto, koinei te mea e kiia nei e tātou ko te 'whakahoutanga o te toto'. He maha ngā huarahi matua hei mahi i tēnei.

1. Te tango i te uaua o te carotid (CEA): He pokanga tuwhera tuku iho tēnei. I roto i tēnei, ka tapahia he iti ki te kaki, ka whakatuwheratia te oko toto, ka tangohia te paparanga 'pēke' i roto, ā, ka tuia anō te oko toto.

2. Te Angioplasty Carotid me te Stenting (CAS): Ka tukuna he ngongo tino angiangi mā roto i te uaua toto i te hope, i te ringa rānei, ka arahina ki te uaua toto kua āraia i te kaki. Kātahi ka whakawhanuitia te wāhi kua āraia ki tētahi mea rite ki te poihau, ā, ka whakaurua he 'stent' , he ngongo mata iti, hei ārai i te kati anō.

3. TCAR (Whakahoutanga o te Arorangi Transcarotid): He tikanga haumaru ake, he tikanga hou ake hoki te TCAR e whakakotahi ana i ngā tikanga pai rawa atu e rua. Ko te tikanga he tapahi iti noa iho i runga ake i te wheua kaki i te kaki, ka whakauru tika i te stent ki roto i te oko toto kua purua.

Ko wai te hunga e tino tika ana mō tēnei pokanga TCAR?

I whakaurua tuatahitia te tikanga TCAR i te tau 2015 mō ngā tūroro he nui te mōrearea mō te pokanga tuwhera tuku iho (CEA). Arā:

• Mō ngā kaumātua .
• Mō te hunga e mate ana i te manawa , i te pūkahukahu rānei.
• Mō te hunga he koha ō rātou kiko i puta mai i te pokanga kaki, i te rongoā irahiko rānei o mua.
• Mena kua āraia te oko toto i tētahi wāhi e uaua ai te pokanga, pērā i raro i te kauae.

Engari ināianei kua tino angitu tēnei tikanga, ā, mai i te tau 2022, kua tūtohutia te maimoatanga TCAR mō ngā tūroro hauora noa, arā, te hunga kāore he āhuatanga mōrearea motuhake. Tae noa ki tēnei wā, neke atu i te 20,000 ngā pokanga TCAR kua mahia i te United States anake.

Me pēhea te whakarite i mua i te pokanga?

Mena ka whakatau tō tākuta ki te mahi i te pokanga TCAR ki a koe, me mahi e ia ētahi whakamātautau i mua i te mahi.

• Ngā whakamātautau toto: Kimihia tō hauora whānui me tō kaha ki te whakapakeke toto.
• Matawai i te uaua carotid mā te whakamahi i te ultrasound: Tirohia te nui o te oko toto kua āraia.
• CT Angiogram: Tikina he whakaahua mārama ake, toru-ahu o ngā uaua toto i te kaki me te roro.

Waihoki, ka tīmata te tākuta ki te hoatu i ētahi rongoā hei whakarite i a koe mō te pokanga.

• Ngā rongoā momo statin e whakaiti ana i te cholesterol.
• Ngā rongoā pēnei i te aspirin me te clopidogrel e ārai ana i te toto totoka.

Ka tohutohuhia koe kia kaua e kai, e inu rānei i tetahi mea i muri i waenganui pō o te pō i mua i te pokanga.

Me pēhea te mahi i te pokanga: taahiraa i te taahiraa

E tata ana ki te haora me te hawhe te roa o tēnei pokanga. Me titiro poto tātou ki ngā mea e tupu ana i roto i te rūma pokanga.

1. Whakamoemiti: Hei ārai i a koe kei pāngia e te mamae, ka whakangāwarihia te rohe huri noa i tō kaki (whakamoemiti ā-rohe) ka whakamoemititia rānei koe kia whakamoea katoatia (whakamoemiti whānui) .

2. Tapahi iti: Ka mahia he tapahi iti rawa ki te kaki, i runga ake i te wheua kaki, tata ki te 1-1.5 inihi.

3. Te Whakahuri Rere: Koinei te taahiraa tino nui me te tino haumaru o te tukanga TCAR.

• Ka whakauruhia he ngongo angiangi ki roto i tētahi uaua i te hope (uaua femoral).
• Ka whakaurua tētahi atu ngongo ki roto i te uaua carotid kua āraia mā te tapahi i te kaki.
• Inaianei, ka honoa ēnei ngongo e rua ki tētahi mīhini me tētahi tātari motuhake. Whai muri i tēnā, ka mutu te rere o te toto ki te roro mō tētahi wā poto, ā, ka puta te toto mai i te uaua i te kaki mā roto i taua ngongo, ka horoia e te tātari, ā, ka hoki ki te tinana mā roto i te ngongo i te hope.
• I tēnei wā, ko te toto e hiahiatia ana e tō roro ka ahu mai i te uaua carotid i tērā taha o tō kaki me ngā uaua vertebral i muri o tō roro.Kei te wātea, kāore he arai.

4. Te whakatuwhera i te aukati: Ka whakamahia he waea angiangi hei neke atu i te aukati, hei whakawhānui hoki i te rohe mā te whakamahi i tētahi poihau iti.

5. Te whakatakotoranga o te stent: Muri iho, ka whakauruhia he ngongo mata whakarewa iti, e kiia nei ko te stent , ki roto i te mea ārai. Mā tēnei ka noho tuwhera te oko toto, ka mau hoki te papa ki te pakitara.

6. Mutunga: Kātahi ka tangohia ngā ngongo katoa, ā, ka tuia te kōhao iti i roto i te uaua toto me te tapahi i te kaki.

He aha ngā mea ka tupu i muri i te pokanga?

I muri i te pokanga TCAR, me noho koe ki te hōhipera mō te pō kotahi pea . Ka aroturukihia tō hauora e ngā tākuta me ngā nēhi i ia wā. Nā te mea he pokanga tino māmā tēnei, he tere hoki te whakaoranga.

He aha ngā mōrearea me ngā raruraru?

Pērā i ngā maimoatanga hauora katoa, he iti noa iho ngā mōrearea o te TCAR. Heoi, he iti rawa te tūponotanga ka puta ēnei.

• Te toto, te pupuhi rānei mai i te wāhi i tapahia.
• Te pangia o te tapahi.
• He whara iti ki te io o te kaki.
• Te whiu.
• Te whakaekenga o te ngākau.

Mā tō tākuta ēnei mōrearea e whakamārama atu ki a koe. Kia maumahara kei te tangohia ngā mahi motuhake hei whakaiti i ēnei mōrearea i te wā o te tikanga TCAR.

Te whakaora me te noho me te stent

He tino tere te tikanga TCAR nā te mea kāore he tapahi nui.

• Kaua e hiki i ngā taumaha mō te wiki kotahi, e rua rānei.
• Tirohia te tapahi i tō kaki i ia rā, kia tino mā ai, ā, kāore he tohu o te mate.
• Pātai atu ki tō tākuta āhea koe ka taea te hoki ki tāu mahi me ētahi atu mahi o ia rā.

Kia oti te whakatakotoranga o te stent, ko tāu mahi he ārai i te aukati anō i te oko toto. Hei mahi i tēnei, me mahi e koe ēnei mea.

• Ki te kai paipa koe, kati tonu.
• Whakakorikori tinana i ia wā, i ia wā.
• Whakamahia he kai hauora he iti te ngako kukū.
• Tangohia te rongoā whakaiti toto me te rongoā whakaiti cholesterol i tohua e tō tākuta i te wā tika.

Āhea ahau me kite i te tākuta?

Ki te kite koe i ngā tohu o te mate i te wāhi i tapahia ai, waea atu ki tō tākuta tonu atu.

• Kirika
• Ki te mātao koe
• Mena he whero me te pupuhi te taha o te wahi i tapahia
• Ki te puta mai he mea pērā i te wai i te tapahi

Mā tō tākuta e whakatau ko tēhea te maimoatanga e pai ana māu. Kōrerohia ki a ia ō pātai, ō āwangawanga, ō ruarua rānei. Ko tāna whāinga he whakarato i te maimoatanga tino tika, tino haumaru hoki ki a koe.