Kua rongo pea koe i tētahi tākuta e kī ana, "Kua āraia tētahi oko toto nui i roto i tō kaki, ā, ka piki ake te tūponotanga o te whiu." He mea noa ki te tangata te mataku ina rongo i tētahi mea pēnei. Kaua e manukanuka, nā te mea kua whanake haere te pūtaiao hauora, ā, kei reira ngā huarahi tino whai hua hei rongoā i ēnei mate. I tēnei rā kei te kōrero tātou mō te TCAR, he tikanga rongoā hou, haumaru hoki e whakamahia ana hei whakaiti i te tūponotanga o te whiu.
He aha te TCAR? Kia mārama tātou.
Ko te TCAR (Transcarotid Artery Revascularization) he maimoatanga motuhake e whakatika ana i ngā aukati i roto i te uaua toto matua o tō kaki e kiia nei ko te Carotid Artery . Whakaarohia he mea rite tonu te tupu i konei, pērā i te waikeri kua aukatia i roto i tō whare. I roto i ēnei uaua toto, ka kohikohi ngā mea pēnei i te ngako me te cholesterol ka hanga he paparanga. Ka kiia tēnei e mātou ko te 'Plaque' .
Ka āta whakawhāitihia te uaua toto e tēnei paparanga paraki. Ko te mea tino morearea, ki te pakaru tētahi wāhanga o tēnei paraki ka ārai i tētahi uaua toto i roto i te roro, ki te aukati rānei tēnei aukati i te rere o te toto, ka pā mai he whiu .
Hei ārai i tēnei mōrearea, ka rongoāhia e ngā tākuta ēnei aukati hei tango atu. E toru ngā tikanga matua mō tēnei:
1. Te tango i te uaua o te carotid (CEA): He pokanga tuwhera tuku iho tēnei. Ka tapahia e te tākuta te kaki, ka huakina te uaua toto, ā, ka waruhia ā-ringa te papaki.
2. Te Angioplasty Carotid me te Stenting (CAS): Ko te tikanga o tēnei ko te tuku i tētahi ngongo angiangi mā roto i tētahi oko toto, i te nuinga o te wā i roto i te hope, i te ringa rānei, ki te wāhi kua āraia i te kaki, me te whakamahi i tētahi mea pērā i te poihau hei whakawhānui i te ārai. Kātahi ka whakauruhia he taputapu rite ki te mata-pū, e kiia nei ko te stent, hei ārai i te whaiti anō o te oko toto.
3. Maimoatanga TCAR: He rite tonu tēnei ki te tikanga CAS, engari he tikanga hou ake, he tikanga haumaru ake hoki. I konei, ka whakaurua te stent mā roto i tētahi tapahi iti i te kaki, kaua mā roto i te hope. Ka kōrerohia ngā āhuatanga motuhake o tēnei i muri mai.
Ko te whāinga matua o ngā tikanga e toru ko te whakaiti i te mōrearea o te whiu. Mā tō tākuta e whakatau ko tēhea tikanga te mea pai mōu i runga i tō āhua hauora, tō tau, me ētahi atu āwangawanga hauora.
Mō wai te maimoatanga TCAR e tino tika ana?
I whakaurua tuatahitia te TCAR mō ngā tūroro he nui te mōrearea o ngā raruraru mai i te pokanga tuwhera tuku iho (CEA). Ko ngā āhuatanga ka whakapiki ake i tēnei mōrearea ko:
- Te koroheketanga.
- Te aroaro o te mate manawa, te mate pūkahukahu rānei.
- He kiko koha kei te kaki i puta mai i te pokanga kaki o mua, i te rongoā irahiko rānei.
- Mena kei tētahi wāhi uaua te pokanga i te aukati, pērā i raro i te kauae.
Engari ināianei kei te whakamahia angitu hoki tēnei tikanga mō ngā tūroro he noa ngā taumata mōrearea.
Me pēhea te whakarite i mua i te pokanga?
Mena ka whakatau koe ki te whai i te maimoatanga TCAR, ka whakahaua tuatahitia e tō tākuta ētahi whakamātautau.
- Ngā whakamātautau toto
- Te matawai ultrasound o ngā uaua carotid i te kaki
- He matawai CT motuhake (CT Angiogram) e tirotiro ana i ngā oko toto i te kaki me te roro
Hei tāpiritanga, ka tīmata pea koe ki te tango i ētahi rongoā hei whakarite i a koe mō te pokanga. Kei roto pea i ēnei ko ngā rongoā whakaheke cholesterol pērā i ngā statin me ngā rongoā whakaiti toto pērā i te aspirin.
Ko te mea nui rawa atu, kia kaua e kai, e inu rānei i tetahi mea i muri i te waenganui pō i te pō i mua i te pokanga. He mea tino nui kia tino whai i aua tohutohu.
Me pēhea te mahi i te pokanga TCAR?
He tino mīharo tēnei tikanga hangarau matatau. Anei ngā mea e tupu ana i roto i te rūma pokanga i roto i ngā kupu māmā noa iho:
1. Whakamoe: Ka mahia tēnei mā te whakamoe rawa i a koe (Whakamoe Whānui) mā te whakangāwari rānei i te rohe huri noa i tō kaki (Whakamoe ā-Rohe).
2. Pūnaha tātari toto: Muri iho, ka whakauruhia he ngongo angiangi ki roto i tētahi uaua i roto i tō hope (uaua femur). Kātahi ka whakamahia hei whakahoki i te toto kua horoia ki tō tinana.
3. Tapahi kaki: Ka mahia he tapahi iti, tata ki te inihi te roa, ki te kaki, i runga ake i te wheua kaki, i te taha o te mea i aukatia.
4. Te huri i te rere o te toto: Ko te mea nui rawa atu tēnei. Ka whakaurua tētahi atu ngongo ki roto i te uaua carotid mā taua tapahi iti, ā, ka honoa taua ngongo ki te ngongo i roto i te hope mā te tātari motuhake. Kātahi ka hurihia te rere o te toto i roto i te uaua carotid mai i te ahunga o te roro, ki tētahi atu huarahi!
5. Haumaru: Ko te tikanga o tēnei, ahakoa ka pakaru ētahi kongakonga paraka i te wā o te mahi, e kore e haere ki te roro. Engari, ka tātarihia te toto, ka mau i ngā paru katoa, ā, ko te toto ma anake ka whakahokia ki te tinana mā te uaua i te hope. Koinei te mahi haumaru matua hei ārai i te mōrearea o te whiu.
6. Te whakatakotoranga o te stent: Ka whakamahia e te tākuta tētahi waea angiangi hei haere mā roto i te mea kua āraia, ka whakawhanuitia ki tētahi poihau, ā, ka whakauruhia he stent rite ki te mata whakarewa. Mā tēnei ka noho tuwhera tonu te uaua toto.
7. Te Whakaoti: Kātahi ka tangohia ngā ngongo katoa, ā, ka tuia kia kati ngā tapahi iti i roto i te uaua me te kaki. Tata ki te haora me te hawhe te roa o te mahi katoa.
| Ngā painga o te maimoatanga TCAR | Ngā tūponotanga o te maimoatanga TCAR |
|---|---|
| He iti noa te koha i te kaki. | Te pakaru o te uaua carotid. |
| He iti ake te mōrearea o te kino o te io i te pokanga tuwhera (CEA). | Te toto, te pupuhi rānei huri noa i te wāhi i tapahia. |
| He pūnaha tātari toto motuhake hei whakaiti i te mōrearea o te whiu i te wā e pokanga ana. | Te pakaru o ngā io (he onge). |
| Te kaha ki te ora wawe. | Te whiu, te mate manawa, te mate rānei (he tino onge). |
Te whakaora me te tiaki mō te wā roa
I muri i te pokanga TCAR, ka noho koe ki te hōhipera mō te kotahi rā pea. I tēnei wā, ka aroturuki tonu ngā kaimahi hauora i tō āhua. Nā te mea he pokanga iti rawa te whakaekenga o tēnei, kāore e roa ka ora ngā patunga.
I muri i tō hokinga ki te kāinga, me karo koe i te hiki taumaha mō te wiki pea. Kōrero ki tō tākuta mō te wā ka taea e koe te hoki ki te mahi. He mea nui hoki kia tirohia tonutia tō whara kaki kia mōhio ai kei te ora pai, me ngā tohu o te mate.
Āhea te waea atu ki te tākuta
Mena kei a koe tētahi o ēnei tohu e tohu ana kua pangia te patunga, waea atu ki tō tākuta tonu:
- Kirika
- Te mātao me te wiri
- Te whero huri noa i te patunga
- He rerenga wai mai i te patunga
I muri i te whakatakotoranga o te stent, he kawenga nui tāu ki te pupuri i ō oko toto kia kaua e aukatia anō. Hei mahi i tēnei, me mahi koe i ēnei e whai ake nei:
- Kati rawa te momi hikareti.
- Whakakorikori tinana i ia wā, i ia wā.
- Kai i tētahi kai hauora, he iti te ngako kukū.
- Tangohia te rongoā i tohua e tō tākuta hei whakahaere i te cholesterol me te toto totoka i te wā tika.
Karere Tangohia ki te Kāinga
- He maimoatanga haumaru, hou, he iti noa te whakaekenga a te TCAR e whakamahia ana hei whakaiti i te mōrearea o te whiu i puta mai i ngā aukati i roto i ngā uaua toto matua o te kaki.
- I tēnei tikanga, ka hurihia te rere o te toto ki te roro mō tētahi wā i te wā e pokanga ana, ka tātarihia, kātahi ka whakahokia ki te tinana, hei whakaiti i te mōrearea o te whiu.
- Ko ngā painga matua o tēnei tikanga ki te whakataurite ki te pokanga tuwhera (CEA) ko te iti o ngā koha, te iti o te kino o ngā io, me te tere ake o te ora.
- He mea tino nui kia kōrero koe ki tō tākuta, kia whakatauhia ai ko tēhea tikanga maimoatanga te mea pai mōu.
- Ahakoa i muri i te pokanga, he mea nui tonu te whai i te oranga hauora, me te tango i ngā rongoā kia rite ki te whakahau a te tākuta.
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