Ki te mea he mate huka tōu, me whakaaro nui koe ki te hauora o tō ngākau, o ō whatukuhu, me tō roro. Nā te mea ka rua te tūponotanga ka pāngia koe e te mate kino e kiia nei ko te whiu i te tangata kāore i te mate huka. Kaua e manukanuka. Mā te noho hauora me te maimoatanga tika, ka taea e tātou te whakahaere i tēnei mōrearea ki te whānuitanga nui. Nō reira, me kōrero noa tātou mō tēnei.
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He aha tonu te whiu?
I te whakarapopototanga, ko te whiu he aukati i te rere o te toto ki te roro. Whakaarohia he pūnaha paipa e pupuhi ana i te wai ki tō tātou roro. Mā ēnei oko toto ka whakaratohia ki ngā pūtau roro te hāora me ngā matūkai e hiahiatia ana e rātou kia ora ai. Ko te mea ka tupu i roto i te whiu ko te aukati, te pakaru rānei o tētahi o ēnei oko toto. Mena ka mutu te rere o te toto ki tētahi wāhanga o te roro mō te neke atu i te 3-4 meneti, ka tīmata te mate o ngā pūtau o taua wāhanga. Koinei te take e ngaro ai ngā mahi maha i roto i te tinana.
E rua ngā momo matua o ngā whiu:
- Te Whiu Ischemic: Koinei te momo tino noa. Ka puta ina āraia te uaua toto e tuku toto ana ki te roro e te toto totoka.
- Te Whiu Toto: Ka puta tēnei ina pakū te uaua toto i roto i te roro, ka toto ki roto i te roro.
Ina pāngia te tangata mate huka e te whiu, ka heke hoki te kaha o te tinana ki te aro atu ki tēnā. I te nuinga o te wā, ki te aukatia tētahi oko toto, ka ngana te tinana ki te tuku toto ki te roro mā roto i ētahi atu oko toto e rite ana ki ngā arai toto. Engari ki te mate huka, ka taea e aua oko toto tāpiri te whaiti me te matotoru i roto i te wā me ngā putunga ngako (pēra). I roto i te rongoā, ka kiia tēnei ko te "Atherosclerosis" . He rite ki te waikura e hanga ana i roto i te paipa wai. Kātahi ka tino aukatia te rere o te toto ora.
He aha ngā tino take o te whiu?
Ko te toto toto tiketike te tino take mō te mate whiu. Hei tāpiri, ka piki ake te mōrearea e ēnei take:
- Te momi tupeka.
- Te pikinga ake o te cholesterol kino i roto i te toto (Te cholesterol LDL teitei).
- Te mate huka kāore i te whakahaeretia.
- Mate ngakau.
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Ahakoa he mate huka tōu, he āhuatanga ohorere hauora te whiu. Mena kei a koe, kei tētahi rānei e mōhio ana koe, tētahi o ēnei tohu, me haere tonu koe ki te tari ohorere o te hōhipera (ETU) . He mea nui te wā.
| Tohu ohorere | Me pēhea koe e mārama ai? |
|---|---|
| Te ngoikore, te ngoikore rānei | Te ngoikore ohorere, te ngoikore rānei o te mata, te ringa, te waewae rānei (ina koa i te taha kotahi o te tinana). |
| Te uaua ki te kōrero | Ka rarau ngā kupu, ā, e kore e taea e koe te mārama, te kōrero rānei ahakoa he rerenga kōrero māmā noa iho. |
| Ngā ngoikoretanga tirohanga | Ka pōuri, ka ngaro rānei te tirohanga o tētahi, o ngā kanohi e rua rānei. |
| Te uaua ki te horomi | Kātahi ka kore e taea e koe te horomi i tetahi mea. |
| Pōuriuri, ngaronga o te taurite | Te whanoke ohorere, te ngaronga o te taurite i te wā e hikoi ana, me te tūponotanga o te hinga. |
| Pararutiki | Kātahi anō ka kore e taea e koe te neke i tētahi wāhanga o tō tinana, hei tauira, he ringa, he waewae rānei. |
| Te ānini nui | He mamae nui, he ānini kino, kāore he take mārama, kāore anō kia pā ki a koe i roto i tōu ao. |
He aha ngā maimoatanga?
Mō te whiu ischemic, arā, he whiu i puta mai i te toto totoka, ko te rongoā matua he rongoā whakarewa totoka e kiia nei ko te (tPA). Engari me hoatu tēnei i roto i ngā haora 3-4.5 tuatahi o te tīmatanga o ngā tohu . Koia mātou e kī ana kia haere tonu ki te ETU. Engari kāore e taea te hoatu i tēnei rongoā ki te katoa. Kāore e hoatu i roto i ngā take pēnei i te hunga kua oti tata nei te pokanga nui, kua whara rānei te upoko.
Hei tāpiri, kei reira ētahi atu tikanga maimoatanga:
- Te tango i te Carotid Endarterectomy: He pokanga tēnei e tango ana i ngā putunga ngako (pēka) kua hangai ki roto i te uaua carotid, he uaua nui e tuku toto ana ki te roro.
- Te Angioplasty Carotid me te Stenting: I tēnei tikanga, ka whakauruhia he taputapu rite ki te poihau mā roto i tētahi ngongo angiangi ki roto i te oko toto kua āraia, ka pupuhihia kia whānui ake. Kātahi ka whakauruhia he stent rite ki te mata hei ārai i te whaiti anō o te oko toto.
- Ētahi atu tikanga: Mō ētahi tūroro, ka whakamahia ngā taputapu motuhake pēnei i te Pūnaha Whakaora Merci me te Pūnaha Penumbra hei tango i te toto totoka.
Mā tō tākuta e whakatau te maimoatanga tino tika māu.
Me pēhea te ora i te whiu?
He maha ngā mea ka taea e koe te mahi hei ārai i te whiu mēnā he mate huka tōu. Ko te whakauru i ēnei ki roto i tō momo noho te parepare pai rawa atu.
| He aha hei whai | He aha te hiranga o tēnā? |
|---|---|
| Āta karohia te momi hikareti. | Ka pakaru ngā uaua toto i te kai hikareti, ā, ka nui ake te mōrearea o te whiu. |
| Whakahaerehia ngā taumata huka toto. | Mā te whakahaere pai i te mate huka ka whakaiti i te kino o ngā oko toto. |
| Kia mau tonu te taumaha hauora. | Ka hua te toto toto tiketike, te cholesterol, me te mate huka i te taumaha nui. |
| Whakakorikori tinana i ia wā, i ia wā. | Mā te whakakorikori tinana mō te 30 meneti pea i te rā, e rima ngā rā o te wiki, ka whakapakari i te ngākau me ngā oko toto. |
| Tirohia ngā taumata cholesterol. | Ngāna kia mau tonu tō taumata cholesterol LDL (kino) ki raro i te 70 mg/dl. Mā tō tākuta koe e tohutohu mō tēnei. |
| Whakawhāitihia te waipiro. | He mea tika kia kaua e neke atu i te kotahi inu waipiro te inu a ngā wāhine i te rā, ā, kia kaua e neke atu i te rua inu waipiro mō ngā tāne. |
| Tirohia tō toto toto i ia wā, i ia wā. | Ki te teitei tō toto toto, me whai i ngā tohutohu a tō tākuta hei whakahaere i taua toto. |
| Tangohia ngā rongoā kia rite ki te mea i tohua e te tākuta. | He mea nui kia tangohia ngā rongoā kua tohua e tō tākuta (hei tauira, te āpipirini, ngā rongoā whakaheke cholesterol) e ai ki te whakahau. Kaua rawa e tīmata, e mutu rānei te tango rongoā me te kore he tohutohu hauora. |
Karere Tangohia ki te Kāinga
- Ka nui ake te mōrearea o te whiu ina pāngia koe e te mate huka.
- He mea tino nui kia haere tonu ki te Tari Ohotata (ETU) o te hōhipera mēnā ka kite koe i ētahi tohu ohorere, pērā i te ngoikore/ngaronga o te māramatanga i tetahi taha o te tinana, te uaua rānei ki te kōrero.
- Ko te huarahi pai hei ārai i te whiu ko te pupuri i te huka toto, te toto toto tiketike, me ngā taumata cholesterol kia pai te whakahaere.
- Mā te whakamutu i te momi hikareti, te whakakori tinana i ngā wā katoa, me te kai i ngā kai hauora ka āwhina i a koe ki te whakaora i tō oranga.
- Me kōrero tonu ki tō tākuta, me te whai i ana tohutohu mō te maimoatanga me ngā huringa āhua noho.
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