E mataku ana koe mō te pokanga Aorta? Me kōrero noa iho!

Me kōrero tātou mō te uaua toto nui rawa atu, tino hira hoki o tō tinana. Ka karangatia e tātou ko te "aorta." Whakaarohia he rite ki te paipa matua e kawe ana i te wai mai i te tāke wai ki te kīhini me te kaukau i roto i tō tātou whare. Mā roto i tēnei aorta ka tohatohahia te toto ma, whai hāora puta noa i te tinana. Engari i ētahi wā ka raru pea tēnei uaua matua. Ka ngoikore ōna pakitara, ka pupuhi pērā i te poihau, ka pakaru ohorere rānei. Koinei te wā e kōrero ai ngā tākuta mō te pokanga "aorta". He ahua whakamataku te ingoa, engari me mārama noa iho.

He aha te Pokanga Aorta?

He māmā noa iho, he tikanga te pokanga arai aorta hei whakatika i tētahi hapa, i tētahi pakaru rānei o tēnei uaua toto nui o tō tinana. Ka hono atu ki te ngākau, ka rere atu i reira mā te uma ki te puku, kātahi ka peka atu ki ngā uaua toto e tuku toto ana ki ngā waewae.

Ina ngoikore ngā pakitara o tēnei aorta mō tētahi take, ka totoro haere te toto e te pēhanga o te toto, ka tīmata te pupuhi pērā i te poihau . I roto i te rongoā, ka kiia tēnei he aneurysm . I ētahi wā, ka pakaru te arai o roto o te pakitara uaua, ā, ka turuturu te toto i waenganui i ngā paparanga e rua. Ka kiia tēnei he dissection . Ko te aorta kua pupuhi, kua haehae rānei i tēnei ara ka pakaru ohorere (pakaru) . Ki te tupu tēnā, he āhuatanga tino morearea mō te ora. Nō reira, ko te whāinga matua o tēnei pokanga he whakatika i tēnei raruraru i mua i te puta o tētahi aituā pēnei.

I roto i ēhea āhuatanga e hiahiatia ai tēnei momo pokanga?

Ka tūtohu tō tākuta i tēnei momo pokanga mēnā he nui ake te aneurysm i tētahi rahi kua whakaritea, mēnā rānei kei te tere ake te tipu i te tikanga. Ka whakatauhia tēnei rahi mā te paunatia marietia ngā mōrearea o te pokanga me te kino pea o te korenga o te pokanga. Ko te āhua o te takirere o te ngākau, inā koa mēnā kei te pupuhi te aorta e tata ana ki te ngākau, ka pā anō hoki ki tēnei whakatau.

He maha ngā take e pupuhi ai, e pakaru ai rānei te aorta pēnei:

• Te matotoru me te whakapakeke o ngā pakitara o te uaua: Ka kiia tēnei ko te 'Atherosclerosis'.
• Te toto toto tiketike: Ko te tikanga he 'hypertension'.
• Ngā mate hononga kiko: Hei tauira, ngā āhuatanga pēnei i te 'Marfan Syndrome'.
• Ngā whara i puta mai i ngā aituā.

Ka wehea ngā aneurysm ki ētahi momo, i runga i te wāhi e puta ai.

He pēhea te kino o te pokanga aorta?

He mahi tino nui tēnei. Nā te mea ko te aorta te pūtake toto matua ki te tinana katoa. Mēnā ka mutu tana mahi ahakoa he iti noa iho, ka hē te mahi a te tinana katoa.

Engari he mea tino nui hei mārama i konei. Ko te angitu me te haumaru o te pokanga whiriwhiri, e whakamaheretia ana, e whakaritea ana i mua, he nui ake i te pokanga ohorere, e mahia ana ina tata te pahū o te aneurysm. Ko te hunga e pokangahia ana i mua i te pahūtanga, he nui ake te tūponotanga ki te whakaora i ō rātou oranga.

Me pēhea te mahi i te pokanga? He aha ngā tikanga?

I runga i tō āhua, he maha ngā huarahi matua a te tākuta hei mahi i tēnei pokanga.

1. Pokanga Tuwhera: I tēnei, ka mahia te pokanga mā te tapahi i waenganui o te uma (sternotomy), mā te whakatuwhera i te uma i waenganui i ngā rara e rua (thoracotomy), mā te tapahi rānei i te puku. Koinei te tikanga tuku iho.

2. Tikanga Whakaekenga Iti, Tikanga Endovascular rānei:He tikanga hou tēnei. Kāore he tapahi nui. Engari, ka hangaia he kōhao iti mā roto i te uaua toto i te hope, ā, ka whakauruhia he taputapu e kiia nei ko te stent graft mā roto mā te whakamahi i te catheter ki te wāhi e raru ana te uaua toto.

Whakaarohia he rite ki te whakatika i tētahi paipa wai tawhito mā te whakauru i tētahi mea hou ki roto. He ngongo tēnei stent i hangaia ki te mata whakarewa me te papanga motuhake. Ina whakanohoia ki roto i te aneurysm, ka rere te toto mā roto i tēnei ngongo hou. Kātahi ka kore te pēhanga o te toto e pā ki te pakitara ngoikore kua pupuhi. Nō reira, ka mutu te pahū.

He aha ngā painga o te tikanga endovascular?

• He poto te wā e noho ana i te hōhipera.
• He kōwhiringa pai ake tēnei mō te hunga kāore e kaha ki te tūpono ki te pokanga tuwhera.
• Nā te mea kāore he motu nui, he poto rawa te wā whakaora.

Me pēhea te whakarite i mua i te pokanga?

He iti noa ngā mea me mahi e koe i mua i te pokanga.

• Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe (ahakoa ko ērā kāore i tohua e te tākuta). Tērā pea ka hiahiatia kia mutu te tango i ētahi rongoā i mua i te pokanga.
• Me mahi i ngā whakamātautau katoa me ngā whakamātautau toto e whakahaua ana e tō tākuta, pērā i te EKG me te CT scan, i te wā tika.
• Whakaritea he tangata hei āwhina i a koe ki te haere ki te hōhipera, ki te hoki mai hoki. He mea pai hoki kia whai tangata hei āwhina i a koe i ngā rā tuatahi i muri i te pokanga ina tae koe ki te kāinga.
• Pātai atu ki tō tākuta mō te wā tika me mutu te kai me te inu i te pō i mua i te pokanga.

He aha ngā mea ka tupu i te wā o te pokanga, ā, i muri hoki i te pokanga?

Ka rerekē te momo pokanga i runga i te raruraru o tō aorta me te momo pokanga. I te nuinga o te wā, ka tangohia e te taote pokanga te wāhanga pakaru, pupuhi o te uaua, ka whakakapia ki tētahi tāpiringa i hangaia ki tētahi rauemi hangai pērā i a Dacron .

I ētahi wā uaua, inā koa kua horapa te aneurysm mai i te uma ki te puku, ka whakamahia ngā tikanga motuhake pēnei i te tikanga "turanga arewhana" e rua ngā wāhanga.

I muri i te pokanga, ka whakaurua koe ki te wāhanga tiaki nui (ICU) . Ina hoki mai tō māramatanga, tera pea he ngongo manawa kei roto i tō korokoro. Ka tangohia ina taea e koe te manawa ko koe anake. Ka taea e koe te tīmata haere mārire. Kātahi ka whakawhitia koe ki te wāhanga noa. Mā te tākuta koe e kī atu āhea koe e rite ai ki te hoki ki te kāinga.

Kia pēhea te roa o te wā e ora ai? He aha ngā mōrearea?

Ka rerekē te roa o te whakaoranga i runga i te āhua o te pokanga.

• I muri i te pokanga tuwhera: Me noho koe ki te hōhipera mō te wiki pea. E rua, e toru rānei ngā marama ka tino ora ai koe.
• I muri i te Endovascular: Me noho noa koe ki te hōhipera mō te rā kotahi, e rua rānei. He wā poto noa iho, e rua ki te toru wiki pea, e ranea ana mō te ora katoa.

Pērā i ngā pokanga nui katoa, he tūponotanga anō kei reira. Tērā pea ka puta ngā raruraru pēnei i te toto, te whiu, te mate manawa, te ngoikore o te whatukuhu, te mate pāwera, me te toto totoka. Heoi, ka taea te whakaiti i ēnei tūponotanga mā te pokanga kua whakaritea pai i raro i te tirotiro a tētahi tīma hauora mohio.

Mena ka pāngia koe e ngā tohu e whai ake nei i muri i te pokanga, me whakamōhio tonu atu koe ki tō tākuta .

I muri i te pokanga, ka tirohia tonutia koe e tō tākuta. Kātahi ka mahia he matawai CT, MRI rānei hei tirotiro i te āhua o te pokanga me ētahi atu raruraru o te aorta.