Kei te āwangawanga koe mō ngā oko toto i roto i tō roro? Me kōrero tātou mō te Mate Cerebrovascular

Kua pōuri koe, kua ngaro rānei te mārama i tētahi taha o tō tinana? Tērā pea ka uaua ki a koe te kōrero. Tērā pea nā te raruraru o ngā uaua toto i roto i tō roro tēnei. Kaua e manukanuka, i tēnei rā ka kōrero tātou mō tētahi āhuatanga e kiia nei ko te mate roro, he momo mate roro.

He aha te mate roro? Kia mārama tātou.

He kupu ngāwari tēnei, he ingoa whānui tēnei mō tētahi rōpū mate e pā ana ki ngā oko toto i roto i te roro. Ko te tikanga o 'Cerebro' ko tō roro. Ko te tikanga o 'Vascular' ko ngā oko toto, arā, ko ngā uaua me ngā uaua e kawe ana i te toto i roto i tō tātou tinana. Nō reira, ko te 'mate roro-ā-roto' e pā ana ki ngā mate e pā ana ki ngā oko toto i roto i te roro. Kei te mārama koe?

E rua ngā āhuatanga matua ka pā mai i tēnei mate roro.

1. Te hekenga o te rere o te toto ki te roro: E kiia ana tēnei e te rongoā he 'ischemia'. Ka puta tēnei ina aukatia te uaua toto.

2. Te toto i roto i te roro: Ka kiia tēnei ko te 'toto toto'. Ka puta pea tēnei ina pakaru te uaua toto.

E hono ana ēnei āhuatanga e rua ki te āhuatanga kino e kīia nei e tātou ko te 'whiu' . Ka puta ngā whiu nā ngā mate o ngā uaua toto i roto i te roro, pērā i te maha atu o ngā mate toto.

He mea tino nui mēnā ka pāngia koe, tētahi rānei e tata ana ki a koe e te whiu, kia tere tonu te whakahoki mai i te rere o te toto ki te roro. Ki te kore, ka tere te mate o ngā pūtau roro, ka arahi ki te hauātanga tuturu, ki te mate rānei. Nō reira, me whakaaro tēnei he āhuatanga ohorere.

He aha ēnei uaua toto e pā ana ki te roro?

Ka pāngia ngā uaua me ngā uaua e ngā mate roro. He maha ngā uaua toto nui e tuku toto ana ki te roro ka tino pāngia e ēnei mate:

• Ngā uaua carotid: Kei mua o tō kaki ēnei uaua toto. He uaua carotid kotahi te nuinga o te tangata i ngā taha matau me ngā taha maui.
• Ngā uaua tuarā: Kei muri o tō kaki ēnei uaua. He uaua kei ia taha o te kaki o te nuinga o te tangata, kei te taha matau me te taha maui.

Koinei ngā uaua toto matua e kawe ana i te toto ki te roro. Nō reira, ki te mea he aukati, he raruraru rānei kei roto i ēnei uaua toto, ka pā nui ki te mahi a te roro.

He rerekē ngā momo o tēnei mate?

Ae, he maha ngā momo mate e taka ana ki roto i te wāhanga o te 'mate roro toto'. Ko te 'whiu' te mea tino noa o ēnei, ā, ko te momo kua rongohia e te nuinga o tātou. Engari, ehara i te mea koinei anake. Me titiro tātou ki ētahi atu tauira, me pēhea?

• Te ngoikore o te Arteriovenous (AVM): He āhuatanga tēnei e honoa kinotia ai ngā uaua (ngā oko toto e kawe ana i te toto pai) me ngā uaua (ngā oko toto e kawe ana i te toto kino) i roto i te roro.
• Te aneurysm roro: He uaua toto ngoikore i roto i te roro e pupuhi ana me te mea he poihau. He tino morearea tēnei nā te mea ki te pahū, ka puta he toto ki roto i te roro.
• Te toto o te roro, te totohu / Te totohu o roto o te angaanga: Kei roto i tēnei ko ngā toto katoa e puta ana i roto i te roro.
• Te mate o te uaua carotid / te stenosis o te uaua carotid: Ko te uaua carotid i te kaki, i kōrerotia e tātou i mua ake nei, kua āraia e ngā putunga ngako me ētahi atu matū.
• Te tapahi i te uaua o te kaki: Ka turuturu te toto i waenganui i ngā paparanga o te pakitara o te uaua i te kaki, ka pakaru, ka aukati rānei i te uaua.
• Te mate whakapūngao toto o te roro ka taea te whakahuri: He āhuatanga e whakawhāiti ohorere ai ngā oko toto i roto i te roro, kātahi ka hoki anō ki te āhua noa. Heoi, ka pā mai pea he ānini mō te wā poto.
• Te toto o raro o te roro (Subarachnoid Hemorrhage - SAH): Te toto e rere ana ki roto i ngā kiriuhi angiangi e karapoti ana i te roro. Ka puta pinepine tēnei ina pakaru te aneurysm.
• Te whakaekenga ischemic poto (TIA) te whiu iti rānei: He rite tēnei ki te whiu iti. Ka heke te rere o te toto ki te roro mō te wā poto, ā, ka puta ngā tohu, ka ngaro i muri i tētahi wā. Heoi, ehara i te mea pai kia warewarehia tēnei nā te mea he tohu pea tēnei mō te whiu nui.
• Te telangiectasia toto tuku iho (HHT): He mate ira tēnei ka tukuna iho i roto i ngā whakatipuranga. I roto i tēnei, ka whanake rerekē ngā uaua toto i ngā wāhanga rerekē o te tinana.
• Te mate Moyamoya: He āhuatanga onge tēnei e ārai haere ana te uaua matua i te pūtake o te roro, ā, ka whakakapia e ngā uaua peka iti, ngoikore.

He maha atu anō ngā āhuatanga pēnei. Kāore e hiahiatia kia hohonu te kōrero mō ia āhuatanga, engari he mea nui kia mārama ka pā ēnei āhuatanga rerekē ki ngā uaua toto o te roro.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei mate?

Ina hoki, ka taea e te tangata katoa, ahakoa te pakeke, te pāngia e te mate roro. Heoi, he nui ake te mōrearea o ētahi tāngata. Hei tauira, ka piki ake tēnei mōrearea i te pakeketanga . Waihoki, tera pea ētahi āhuatanga ira e whai wāhi ana.

I ngā whenua pēnei i te Hononga o Amerika, ko te mate roro tetahi o ngā tino take o te kino o te roro e morearea ana ki te ora. Koinei hoki te tuarima o ngā tino take o te mate. I te Hononga o Amerika anake, neke atu i te 160,000 ngā mate kua pā mai i tēnei mate i te tau 2020. Kāore e taea te whakaiti i tēnei āhuatanga i Sri Lanka.

He aha ngā take mō tēnei āhuatanga?

He maha ngā take e pā ai te mate roro. Anei ētahi o ngā tino take:

• Ka puta he toto totoka i roto i te uaua toto o te roro: Ka kiia tēnei ko te 'thrombosis'. He maha ngā wā ka puta tēnei i te wāhi kua paku whāiti, kua kore rānei e rite te rere o te uaua toto.
• Ka haere te toto totoka e puta mai ana i tētahi atu wāhi o te tinana ki te roro: Ka kiia tēnei he 'embolism'. Ko te nuinga o te wā ka puta mai tēnei ina haere te toto totoka e puta mai ana i roto i te ngākau ki te roro.
• Te toto totoka: Ka puta pinepine tēnei me te toto toto tiketike kāore i te taea te whakahaere.
• Te Atherosclerosis: Pērā i te waikura e hanga ana i roto i ngā paipa wai, ka kohikohi ngā putunga ngako i roto i ngā oko toto, ka ārai i a rātou.
• Ngā raruraru hanganga i roto i ngā oko toto o te roro: Ka taea hoki te puta mai i ētahi hapa whānau.
• Te whara roro whara (TBI): Ka taea hoki e te whara nui o te upoko i tētahi aituā te whakararu i ngā oko toto.

He aha ngā tohu? Me pēhea tātou e mōhio ai ki a rātou?

Ka rerekē pea ngā tohu o te mate roro i runga i te wāhanga o te roro e pāngia ana. Heoi anō, tera ētahi tohu noa, ohorere ka puta:

• Ngā raruraru taurite: Kāore e taea te hikoi ohorere, te tūtuki.
• Pōrangi: Ngaronga o te māramatanga, ngaronga o te wāhi.
• Te hemo.
• Te ngoikore o te tirohanga: Te ngaronga ohorere o te tirohanga, te tirohanga takirua, te pōuri rānei o tetahi taha o te tirohanga.
• Te pararutiki, te ngoikore rānei i tetahi taha o te tinana, o te mata rānei.
• Te ānini ohorere, te nui: Ehara tēnei i te rite ki te ānini noa, he ānini nui pea kāore anō kia pā ki a koe i roto i tōu ao.
• Te uaua ki te kōrero, ki te mārama rānei ki te mea e kōrerotia ana (Aphasia).
• Kōrero pōturi / Dysarthria.
• Te panonitanga o ngā kare ā-roto i tetahi taha o te tinana, o te mata rānei: te ngoikore, te ngaro rānei o ngā kare ā-roto.

Kua whakawhanakehia e te American Stroke Association tētahi tikanga poto e kīia nei ko te FAST hei āwhina i a koe ki te kite wawe i ēnei tohu. He mea nui kia maumahara ki tēnei:

* F – Te piko o te mata: Tirohia mēnā ka piko tetahi taha o te mata ina tonoa te tangata kia menemene.

* A – Te ngoikore o te ringa: Ina tonoa kia hapai ake ngā ringa e rua, tirohia mēnā ka taka tetahi o ngā ringa ki raro.

* S – Te uauatanga o te kōrero: Tirohia mēnā he pōturi ngā kupu, mēnā rānei he uauatanga ki te kōrero ina tonoa kia kōrero i tētahi rerenga kōrero māmā.

* T – Kua tae ki te wā ki te waea atu ki te 1990: Ki te pāngia koe e ēnei tohu, kaua e moumou taima, haere tonu ki te hōhipera. Nā te mea he mea nui ia hēkona!

Me pēhea te mārama o ngā tākuta ki tēnei?

Ko te mate cerebrovascular he mate e hiahia ana ki te maimoatanga hauora ohorere.Nō reira, he mea nui kia tere te tautuhi i tō mate. Ka pātai tuatahi te tākuta ki a koe mō tō hītori hauora. Kātahi ka tirotirohia e rātou tō tinana. Ka tirohia e rātou ēnei mea e whai ake nei:

• Āhua hinengaro: Kei te mārama koe, kei te mōhio hoki ki ngā mea e karapoti ana i a koe?
• Te nekehanga me te tirohanga o ngā kanohi: Ngā nekehanga kanohi rerekē, ngā huringa o te tirohanga.
• Te ngoikore, te pararutiki rānei.
• He iti iho, he rerekē rānei ngā kare ā-roto.
• Ngā āhuatanga rerekē o te kōrero: te raupapa kupu, te mārama, te whakaingoa.
• Te ngaronga o te taurite me te taunga.
• Pōuriuri, te āhua rānei e hurihuri ana te rūma (Vertigo).

Whai muri i ēnei whakamātautau, ki te whakapae te tākuta he mate roro, ka tono pea ia i ētahi atu whakamātautau motuhake. Anei ētahi tauira:

• Angiography roro: He whakamātautau hihi-X o ngā oko toto i roto i te roro.
• Angiogram tomography rorohiko mō te koroneri (CT Angiogram): He matawai CT hei tirotiro i ngā uaua toto.
• Electrocardiogram (EKG): Ka tirohia te mahi a te ngākau.
• MRI (Whakaahua Āhua Aukume): Tikina he whakaahua taipitopito o te roro.
• Te pokanga tuaiwi/Te pokanga lumbar: I ētahi wā motuhake.

Mā ēnei whakamātautau ka āwhina i tō tākuta ki te tautuhi i te pūtake o tō mate roro. I runga i tō āhua, me mahi pea koe i ētahi atu whakamātautau.

Me pēhea te rongoā? Kaua e manukanuka, he huarahi kei reira!

He rerekē te maimoatanga mō te mate roro, kei runga i tō āhua. Ko te mea nui ko te tīmata wawe i te maimoatanga i muri i te tīmatanga o ngā tohu. Koinei te wā ka taea e koe te whakaiti i te kino o te roro.

He maha ngā rongoā ka rongoāhia e ngā tākuta. Mā ēnei rongoā ka pai ake te rere o te toto ki te roro. Kei roto pea i ēnei rongoā:

• Ngā rongoā mō te toto toto tiketike.
• Ngā rongoā whakangawari toto / Ngā rongoā ārai toto.
• Ngā rongoā whakaheke kolesterol.
• Ngā rongoā mō te huka toto: Mō te hunga mate huka.

Mena he nui te aukati i roto i ō uaua toto, me mahi pea koe i te pokanga. Ko ētahi momo pokanga ko:

• Te angioplasty carotid: Ka whakauruhia e te taote pokanga he taputapu rite ki te poihau ki roto i tō uaua ka pupuhi hei whakawhanui i te uaua kua aukatia.
• Te tango i te uaua carotid: Ka tapahia e te taote pokanga tō uaua carotid ka tangohia ngā putunga ngako (pēra) kua hangai ki roto.
• Te whakatōtō i te uaua carotid: Ka whakauruhia e te taote pokanga he ngongo whakarewa iti (stent) ki roto i tō uaua carotid hei whakapai ake i te rere o te toto.
• Te tango i te toto toto mā te whakamahi i te katita: Ka whakauruhia e te taote pokanga he katita (he ngongo angiangi) ki roto i te uaua toto, ka whakauruhia he taputapu mā roto hei tango i te toto totoka.

Me pēhea tātou e karo ai i tēnei? Me pēhea tātou e whakaiti ai i te mōrearea?

Koinei te wāhanga tino nui. Mā te whai i tētahi momo noho hauora ka tino whakaiti i tō tupono ki te pāngia e te mate roro. Whakaarohia ēnei mea:

• Te whakahaere i te toto toto tiketike (Total pressure): Mena he toto toto tiketike tōu, me tango te rongoā i tohua e tō tākuta. Tirohia tō toto toto i ia wā.
• Kai i ngā kai hauora he iti te tote, te hinu, me ngā kaora: Kai atu i ngā huawhenua, ngā hua rākau, ngā pīni, me ngā kai he nui te muka.
• Whakakorikori tinana i ngā wā katoa: Mahihia tētahi mea pēnei i te hikoi, te oma rānei mō te 30 meneti pea i te rā.
• Whakaitihia, kati rawatia rānei te whakamahi waipiro.
• Kaua e kai paipa rawatia: He mea tino nui tēnei.
• Kaua e whakamahia ētahi atu rongoā.
• Kia mau tonu te taumaha tinana hauora.
• Whakahaerehia tō huka toto me ngā taumata cholesterol.
• Whakaitihia te ahotea: He huarahi pai te whakaaroaro, te yoga, me ngā mahi whakangahau hei whakaiti i te ahotea.
• Me tirotiro hauora i ngā wā katoa.
• Mena kei a koe ngā āhuatanga pēnei i te arrhythmia o te ngakau, me tango e koe ngā rongoā whakaiti toto e ai ki ngā tohutohu a tō tākuta.
• Mena kei te tango koe i te rongoā whakakapinga homoni (HRT) i muri i te paheketanga, kōrero ki tō tākuta mō ngā mōrearea me ngā painga o te toto totoka.

He ētahi atu āhuatanga mōrearea anō kei reira?

I te nuinga o te wā, he nui ake tō tūponotanga ki te whakawhanake i te mate roro mena kei a koe ēnei āhuatanga:

• Mate huka.
• Te toto toto tiketike.
• Te nui o te cholesterol.

Hei tāpiri, ko ngā āhuatanga e whai ake nei ka piki ake te mōrearea o te whakawhanake i ētahi momo mate cerebrovascular:

• Mena kei te hapu koe: Ka nui ake te mōrearea o te toto totoka i roto i ngā uaua o te roro (cerebral venous thrombosis) i te wā e hapu ana.
• Mena he mate tuku iho tōu: Ka piki ake pea tō tupono ki te whakawhanake i ngā mate toto pēnei i te aneurysms roro.
• Mena kua pāngia koe e te whara nui o te upoko (whara roro traumatic).
• Mena kei te tango koe i te Whakaora Whakakapinga Hormone (HRT): Mena kei a koe te atherosclerosis, te mate carotid artery rānei, ka piki ake pea te mōrearea o te whiu i te HRT.

He aha ngā mea ka taea e koe te tumanako mēnā ka pāngia koe e tēnei mate?

Ko te hunga kua rongoatia te mate roro , ka ora katoa, ā, ka noho noa i te oranga noa. Heoi, i ētahi wā, ka mate pea rātou, ka hauā tuturu rānei. Ko ētahi o ngā raruraru ka puta ko:

• Te uaua ki te kimi kupu (Aphasia).
• Ngā mate haere.
• Te ngaronga o te mahara.
• Te pararutiki, te ngoikore rānei o te mata, o ngā ringa, o ngā waewae rānei.
• Ngā hauātanga hinengaro rangitahi, ngā hauātanga hinengaro tuturu rānei.
• Te uaua ki te whakaaro me te whakaaroaro (Te ngoikore o te hinengaro).

He aha ngā tūmanakohanga mō te whakaoranga?

E ai ki te kōrero i mua ake nei, ka ora katoa ētahi tāngata, ko ētahi ia he hauā tonu. Mena he mate roro tōu, ko te tūponotanga o tō ora ka whakawhirinaki ki:

• Te tere o te whiwhinga o te maimoatanga.
• Te kaha o te mate, te rahi rānei o te whiu.
• Ko tēhea wāhanga o te roro i pāngia?
• Te momo mate roro.

Nō reira, he mea tino nui kia rapu tohutohu hauora i te wā tonu ka kitea e koe ngā tohu.

Me pēhea taku tiaki i ahau anō?

Hei tangata whai mate roro, ka taea e koe te tiaki tonu i a koe anō mā te mahi i ēnei e whai ake nei:

• Te whai i tētahi momo noho hauora (e ai ki te kōrero i mua ake nei, ngā mea pēnei i te kai pai, te whakakori tinana, me te kore e hikareti).
• Te tango i te rongoā tika mō ngā āhuatanga hauora o raro (hei tauira, te toto totoka, te mate huka, te cholesterol).

Mena kua pāngia tō mahi roro e te mate roro toto, me whai pea koe i ngā maimoatanga whakaora hei āwhina i a koe:

• Whakaora mahi: Te whakangungu hei whakahoki mai i ngā pūkenga ki te mahi i ngā mahi o ia rā.
• Whakaora tinana: Ka āwhina i te whakaora i te nekehanga, te kaha, me te taurite o te tinana.
• Whakaora hinengaro: Ka āwhina i te ahotea me te pōuri e pā mai ana me tēnei mate.
• Whakaora kōrero: Ka āwhina i te whakakore i ngā uauatanga o te kōrero me te horomi.

Āhea koe me toro atu ki te tākuta? Me pēhea te mōhio ki tētahi āhuatanga ohorere?

Waea atu ki te 1990 tonu! Ki te pāngia koe e ētahi tohu o te aituā toto roro (ina koa ko te whiu), waea atu ki te 1990 (ambulance) me te haere rānei ki te hōhipera tata tonu. Kia maumahara ki te tikanga FAST i kōrerohia e tātou i mua ake nei.

Waihoki, ki te pāngia koe e ngā pānga taha o ō maimoatanga, ki te kore rānei koe e kite i ngā hua i muri i tētahi wā, kōrero atu ki tō tākuta mō tēnā. Ka taea e ia te tūtohu i ētahi atu maimoatanga hei āwhina i a koe.

Kia maumahara hei whakarāpopototanga (Karere hei tango ki te kāinga)

Ko te mate roro he kupu whānui mō ngā āhuatanga e pā ana ki ngā oko toto e tuku toto ana ki tō roro. Ka taea e tēnei te arahi ki te kino o te roro mā te whakaiti i te nui o te hāora e whiwhi ana. Ko te mea tino noa o ēnei āhuatanga ko te whiu. Kei roto hoki ko ētahi atu āhuatanga pēnei i te aneurysms roro, te toto o te roro, te mate carotid artery, me ngā whakaeke ischemic poto (TIA), e mōhiotia ana ko ngā whiu iti.

Ko ngā tohu ka uru atu ki te ngaronga o te taurite, te ngaronga o te tirohanga, te mamae nui o te upoko, me te uaua ki te kōrero . Ka taea e ngā tākuta te rongoā i te mate me te pokanga. Ka taea hoki e koe te whakaiti i tō mōrearea mā te hanga i ngā huringa āhua noho, pērā i te whakakori tinana me te whakaiti i te ahotea.

Ahakoa ka taea e te mate roro te whakararuraru, tae atu ki te mate, mā te maimoatanga tere me te whakahaere tika, ka ora te nuinga o te tangata, ka ora noa, ka ora katoa. Nō reira, he mea nui kia mōhio ki ngā tohu me te rapu maimoatanga wawe tonu.