Whakaarohia tō ngākau he papu wai. Ko te aorta te ngongo matua, te ngongo nui rawa atu, me te ngongo kaha rawa atu e pupuhi ana i te wai puta noa i tō tinana. Koinei te ngongo e kawe ana i te toto ma, he nui te hāora mai i tō mahunga ki ō waewae. Nō reira, ki te mea he raruraru kei tēnei ngongo matua nui, ka kōrero tātou mō te pokanga hei whakatika. He mea noa te mataku ina rongo koe i tēnei, engari ina mōhiotia tika koe, ka taea e koe te wikitoria i taua mataku.
He aha ngā raruraru matua e puta ake ana i tēnei aorta?
I te kī poto, e rua ngā raruraru matua e pā ana ki te aorta.
1. Aneurysm: Whakaarohia he paipa wai tawhito e pupuhi ana, pērā i te poihau. Waihoki, ka ngoikore ngā pakitara o te aorta, ka pupuhi hoki, pērā i te poihau nā te pēhanga o te toto e haere ana i roto. Koinei te mea e kiia nei e tātou he "Aneurysm".
2. Te Wetewete: He rerekē paku tēnei. He maha ngā paparanga o te pakitara o te aorta. Ko te mea ka tupu i tēnei ko te pakaru iti i te paparanga o roto rawa, ā, ka turuturu te toto i waenganui i aua paparanga e rua. He āhuatanga tino morearea anō hoki tēnei.
Ki te pahū ohorere tēnei aneurysm, tēnei tapahi rānei, ka nui te toto ka puta ki roto i te tinana, ā, ka mōrearea te ora. Koia te take e ngana ai ngā tākuta ki te whakatika mā te pokanga i mua i te taenga ki taua wāhi.
He aha i puta ai ngā āhuatanga pēnei?
He maha ngā take mō tēnei, ko ētahi ka taea e tātou te whakahaere, ko ētahi kāore e taea e tātou.
| Ngā take matua | He whakamārama māmā |
|---|---|
| Te atherosclerosis | Ko te tino take ko te kohikohinga o ngā matū rite ki te cholesterol i roto i ngā pakitara o ngā oko toto, e whakapakeke ana, e whaiti ana hoki. |
| te toto toto tiketike | Ka taea e te toto toto tiketike, te toto toto rānei e noho teitei ana mō te wā roa, te kino i ngā pakitara o ngā uaua toto. |
| Ngā Mate Hononga o te Tio | He mate ira ēnei. Hei tauira, ko te hunga whai mate pēnei i te Marfan Syndrome he ngoikore ō rātou kiko tinana, ka ngoikore ai te aorta. |
| Whara i puta mai i tētahi aituā | Ka taea hoki tēnei momo whara te puta mai i te whara kino ki te uma, pērā i te aituā motuka nui. |
Me pēhea te mahi pokanga? He aha ngā tikanga matua?
Mā te tākuta e whakatau te tikanga pokanga tino tika māu i runga i ngā āhuatanga maha, pērā i te kaha o tō mate me te wāhi i puta ai te aneurysm. E rua ngā tikanga matua.
1. Pokanga Tuwhera
Koinei te tikanga tuku iho. I konei, ka mahia he sternotomy i waenganui o te uma, ka whakatuwheratia rānei te puku, kia uru tika atu ai ki te wāhanga pakaru o te aorta. Kātahi ka tangohia te wāhanga pakaru, ā, ka whakatōkia he hononga i hangaia ki tētahi rauemi hangai pērā i a Dacron ki tōna wāhi. He pokanga nui tēnei, ā, he roa te wā e ora ai.
2. Pokanga Endovascular / Pokanga Whakaekenga Iti
He hangarau hou tēnei. Kāore he tapahi nui i konei. Ka mahia he tapahi iti ki roto i te uaua toto mā roto i te hope, ā, ka tukuna he tākai stent mā roto i taua mea mā te āwhina o te catheter (ngongo angiangi) ki te wāhanga pakaru o te aorta.
He aha te tārai stent?
He rite tēnei ki tētahi ngongo iti i hangaia ki te mata whakarewa, ā, kua hipokina ki te kakahu. Ina whakanohoia tēnei ki roto i te wāhi kei reira te "(Aneurysm)", ka rere te toto mā roto i tēnei ngongo hou. Kātahi ka rere te toto, kāore e pā ki te pakitara o te aorta kua ngoikore. Nō reira, ka mutu te pahū.
Ngā painga o te tikanga endovascular:
- Kei te heke haere te maha o ngā rā e noho ana i te hōhipera.
- He kōwhiringa pai 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 mea tino nui te whakarite pai i mua i te pokanga.
- Kia tino mōhio koe ki te kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā huaora me ngā rongoā otaota). Tērā pea ka hiahia ētahi rongoā kia mutu te tango i aua rongoā i ētahi rā i mua i te pokanga.
- Me mahi i ngā whakamātautau katoa e whakahaua ana e tō tākuta, pēnei i ngā whakamātautau toto, ngā EKG, me ngā karapa CT, i te wā tika.
- I te wā e noho ana ki te hōhipera me ngā rā tuatahi i muri i te hokinga ki te kāingaWhakaritea tētahi hei āwhina.
- Kimihia 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 muri i te pokanga? Kia pēhea te roa o te wā e ora ai?
I muri i te pokanga, ka whakaurua koe ki te wāhanga tiaki nui (ICU). Ina hoki mai tō māramatanga, ka whakauruhia pea he ngongo manawa hei āwhina i a koe ki te manawa. Ka tangohia ina taea e koe te manawa ko koe anake. Kia taea e koe te hikoi āta, ka whakawhitia koe ki te wāhanga noa.
Ka rerekē te roa o te whakaoranga i runga i te momo pokanga:
- Mena ka whakahaerehia he pokanga tuwhera , tera pea ka roa te 2-3 marama ka tino ora ai.
- E rua, e toru rānei ngā rā e noho ai ki te hōhipera mō te pokanga endovascular , ā, e 2-4 wiki te roa o te wā whakaora katoa.
Ngā tūponotanga o te pokanga me te wā e tika ai kia kite tonu i te tākuta
Pērā i ngā pokanga nui katoa, he tūponotanga kei reira, engari kāore ēnei e pā ki te katoa.
- Te toto nui rawa
- Whiu
- Te whakaekenga o te ngakau
- Te ngoikore o te whatukuhu
- Ngā mate urutā
- Te ngaronga o te mahi a te waewae (ina koa i roto i ngā pokanga o raro o te uma me te puku)
Mena ka puta mai ētahi o ēnei tohu i muri i te hokinga ki te kāinga, me waea atu koe ki tō tākuta tonu:
- Te whero, te pupuhi, te pupuhi rānei e puta mai ana i te patunga pokanga
- Te kirika, kāore he take
- Mamae nui o te uma
- Te uaua ki te manawa
Ko te mea nui ko te angitu me te haumaru o tētahi pokanga kua whakaritea i mua he nui ake i tētahi pokanga ohorere e mahia ana i te Wāhanga Maimoatanga Ohotata (ETU) i muri i te pahūtanga o te aneurysm. Nō reira, ki te tūtohu te tākuta i te pokanga, kaua e wehi, engari me mahi i ngā mahi e tika ana.
Karere Tangohia ki te Kāinga
- He pokanga tino nui te pokanga aorta, nō reira kaua e mataku noa i tēnei.
- He nui ake te angitu me te haumaru o tētahi pokanga kua whakaritea i te tatari kia puta rā anō he āhuatanga ohorere.
- He tino whai hua te tikanga "Endovascular" hou. Heoi, kāore e pai mō ngā tūroro katoa. Mā tō tākuta e whiriwhiri te tikanga e tino pai ana mōu.
- He mea nui te whai i ngā tohutohu hauora i muri tonu i te pokanga kia tere ai te ora.
- Kōrero noa ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe mō tō hauora, mō te pokanga, mō te wā whakaora rānei.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment