He raruraru uaua toto rerekē tōu i roto i tōu mahunga? (Dural Arteriovenous Fistula - dAVF) Me kōrero tātou mō tēnei!

Ka rongo koe i tētahi haruru i roto i tōu mahunga i ētahi wā? He maha rānei ō mamae o te upoko? Tērā pea kei te whakaaro koe he mea noa ēnei, engari i ētahi wā he mea kei muri i tēnei me aro atu. Koinei te mea e kiia nei ko te dural arteriovenous fistula (dAVF) . Me kōrero māmā noa iho.

He aha te dural arteriovenous fistula (dAVF)?

He whakarāpopototanga noa iho, he kiriuhi angiangi kei te taha o tō tātou roro me te taurakira. Koinei te mea e kiia nei e tātou ko te dura mater . He rite ki te uhi o muri o te pukapuka.

Titiro mai, he whatunga oko toto kei a tātou hei kawe i te toto ki ngā wāhanga katoa o tō tātou tinana. Ka haria e ngā uaua te toto ma, whai rawa i te hāora mai i te ngākau ki ngā whekau katoa, tae atu ki te roro. Ka haria e ngā uaua te toto kua whakamahia, kāore i te nui te hāora ki te ngākau. I waenganui i ēnei uaua me ngā uaua, he whatunga tino pai o ngā oko toto, e kiia nei e tātou he capillaries . Ka whakahaere ēnei capillaries i te rere o te toto, ā, ka tohatoha tika i te toto ki ngā whekau.

I tēnei āhua e kiia nei ko te fistula , ka hono tika te uaua ki te uaua, kāore he pūnaha waenga o ngā capillaries. Whakaarohia me te mea kua honoa ohoreretia he paipa wai nui ki tētahi paipa iti. Kātahi ka rere te toto ki roto i taua uaua i te tere tere me te pēhanga teitei. Kāore te uaua i te taunga ki taua nui o te toto me taua nui o te pēhanga.

Nō reira, ko tēnei mea e kiia nei ko te dural arteriovenous fistula (dAVF) he hononga rerekē i waenga i te uaua me te uaua i roto i te dura mater, te kiriuhi e karapoti ana i te roro. I ētahi wā ka kiia pea tēnei e tō tākuta he dural arteriovenous malformation .

Mā tēnei hononga rerekē ka kore e pumau te toto i roto i ngā uaua toto, ka rerekē te āhua o ngā uaua toto, ā, kāore pea te toto e rere i te huarahi e tika ana. I ētahi wā, ka pakaru te uaua toto nā te mea kāore e taea te tu atu i te toto tiketike. Ki te tupu tēnā, ka puta he toto e morearea ai te ora.

He pēhea te noa o tēnei āhuatanga?

Kāore tēnei mate (dAVF) i te tino noa. Hei tauira, i te Hononga o Amerika, e kiia ana ka puta i waenga i te 0.15 me te 0.19 mō ia 100,000 tāngata ia tau. Ko te tikanga he tino onge.

He mate kino tēnei (dAVF)?

Anei te āhua o tana mahi. Ko ētahi (dAVF) he tino ngawari, ā, kāore e pāngia e ngā raruraru hauora nui. Heoi, ko ētahi he tino kino, ā, ka mōrearea pea ki te ora. Ina koa mēnā ka pakaru te uaua toto, ka totohu, e ai ki te kōrero i runga ake nei, ka taea e ia te kino i te kiko roro, ka pāngia hoki e te whiu .

Ko te mea nui ko te toro atu ki te tākuta i te wā e taea ai mēnā ka pāngia koe e ētahi tohu. Mēnā ka pāngia koe, tētahi rānei e tata ana ki a koe, e pāngia ana e ngā tohu o te whiu (hei tauira, te ngoikore o te taha kotahi, te kōrero pōturi, te ngaro o te māramatanga), me waea atu tonu koe ki te 911, ki te rūma urupare tata rānei.

He aha ngā tohu o te (dAVF)?

I ētahi wā, ahakoa he (dAVF) tōu, kāore pea he tohu e pā ana ki a koe. Engari, ki te mea he tohu kei a koe, ka rerekē pea mai i te ngawari ki te kino. Ka rerekē anō hoki ngā tohu i runga i te wāhi kei roto i te roro te fistula. Rapua ēnei:

• Te ānini o te upoko: Ehara pea i te ānini noa iho, engari he momo ānini hou e kaha ake ana i ētahi wā.
• Whakapairuaki me te ruaki: Ka pā mai ēnei, inā koa ka pāngia e te ānini.
• Tinnitus Pūorooro: He tohu tino motuhake tēnei. He rite ki te tangi "tangi" "pūorooro" rānei i roto i tō taringa, he rite ki te pao o te manawa o tō manawa. E whakaahuahia ana hoki e ētahi he "tangi tangi i roto i tō taringa."
• Ngā Huringa o te Tirohanga: Te pōuri ohorere o te tirohanga, te tirohanga takirua, te ahua pōuri rānei o te tirohanga.
• Ngā uauatanga ki te kōrero, ki te reo rānei: He pōturi te reo, me te mea kāore e taea te kōrero.
• Te ngaro o te taurite i te wā e hikoi ana, te uaua ki te whakahaere i ngā waewae me ngā waewae i te wā e mahi ana.
• Ngoikore, ngoikore rānei te uaua: He āhua ngoikore, ngoikore rānei i te taha kotahi o te ringa, te waewae, te mata rānei.
• Te mamae i te mata, i ngā ringa, i ngā waewae rānei.
• Te ngaronga o te mahara.
• Ngā kare ā-roto, ngā āhuatanga rerekē rānei.

Ko te nuinga o te wā ka puta mai ēnei tohu i te toto i roto i tō roro . Nō reira, ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta tonu.

He aha ngā take o tēnei (dAVF)?

Kāore anō kia tino mōhiotia e ngā tākuta te take o te dAVF . Heoi, he tokomaha ngā kaipūtaiao e whakapono ana ka puta mai i te whara o te upoko . Ka puta pea i ngā tau i muri i te whara. E kī ana ētahi rangahau he hononga ki te aukati i roto i ngā oko toto e kawe ana i te toto ki te roro. Ka puta pea tēnei aukati i tētahi mate, i tētahi aituā, i tētahi atu huihuinga rānei. Hei tauira:

• Te toto totoka (Thrombosis).
• Te whara o te roro.
• Te pokanga roro, pērā i te craniotomy.

He onge te whānautanga mai o tētahi me tēnei mate (dAVF) , engari ehara i te mea tuku iho. Kei te rangahauhia tonutia tēnei mate.

Ko wai kei te mōrearea nui ake ki te pāngia e tēnei (dAVF)?

Ka taea e tēnei āhuatanga (dAVF) te pā mai i ngā tau katoa, engari ko te nuinga o te wā ka pā ki ngā pakeke i waenga i te 40 me te 60 tau .

He aha ngā raruraru pea ka pā mai i te (dAVF)?

Ko ngā raruraru i puta mai i tēnei (dAVF) ka taea te whakararu i te ora i ētahi wā. Ko ngā mea matua ko:

• Te toto i roto i te kiko o te roro (te totohu).
• Te toto e rere ana i roto i te angaanga, engari i waho o te roro (Subdural hematoma).
• Te toto i waenganui i te roro me te kiriuhi tiaki e karapoti ana i a ia (Te totohu o te roro i raro i te maru o te roro).
• Te pikinga o te pēhanga i roto i te angaanga (te pēhanga o roto o te angaanga).
• Ngā hopukanga.
• Te whiu.

Whakaarohia, he aha te mea ka tupu mēnā ka wetekina ohoreretia tētahi pūwero iti e hono ana ki te paipa nui e kawe mai ana i te wai ki te tāke wai o tō mātou whare? Ka kapi katoa te whare i te wai. Koinā te mea ka tupu mēnā ka pakaru he uaua toto i roto i te roro. Koia te take he tino morearea tēnei.

Me pēhea te tātaritanga o tēnei mate (dAVF)?

Ka tātaritatia tēnei mate (dAVF) e te tākuta i muri i ēnei mahi:

• Te whakamātautau tinana.
• He whakamātautau e pā ana ki te pūnaha io.
• Ngā whakamātautau whakaahua motuhake.

I a koe e whakahaere ana i ēnei whakamātautau, ka pātai atu tō tākuta ki a koe mō ō tohu me ngā taipitopito mō ō mate o mua.

I ētahi wā, kāore pea he tohu e pā ana ki a koe, ā, ka kitea pea mā te tūponotanga ina whakamātauhia he whakaahua o tō roro, o tō tuaiwi rānei mō tētahi atu take.

Ngā whakamātautau motuhake hei āwhina i te kimi (dAVF)

Ka taea e te tākuta te tango pikitia pai o ō uaua toto, ā, ka whakamahia ēnei whakamātautau hei tirotiro mēnā kei a koe tēnei (dAVF) :

• He matawai MRI (Magnetic Resonance Imaging) he matawai MRA (Magnetic Resonance Angiography) rānei.
• Whakamātautau CT Angiography (CTA - Computed Tomography Angiography).

Kāore he mamae o ēnei whakamātautau e rua, ā, kāore e tino pāngia e te mamae. Mā ēnei ka taea e tō tākuta te kite i te āhua o ngā uaua toto i roto i tō pūnaha io, koinei pea te pūtake o ō tohumate.

Mena ka ara ake he āwangawanga i tētahi whakamātautau whakaahua pēnei (dAVF) , ka kōrero ō tākuta ki a koe mō tētahi atu whakamātautau motuhake e kiia nei ko te angiogram roro .

He whakamātautau kore-whakaeke te angiogram roro , ka taea te whakaputa i ngā pikitia tino mārama, tino pai o ngā oko toto i roto i tō roro. I roto i tēnei whakamātautau, ka whakauruhia e ngā tākuta he ngongo iti rawa – e kiia ana e mātou he catheter – ki roto i te oko toto i roto i tō ringaringa, i tō waewae rānei o runga, ka mirohia mā roto i te uaua i roto i tō kaki ki ngā oko toto i roto i tō roro. Kātahi, mā roto i taua catheter , ka werohia he wai motuhake.Ka werohia he matū ārai ki roto i te tinana. Ina konatunatua ki tō toto, ka kitea i roto i ngā ataata hihi-X i te mea e rere ana te toto i roto i ngā uaua o te roro, ka hoki mai i ngā uaua. Mā tēnei ka taea e ngā tākuta te whakatau i te āhua o te dAVF me te maimoatanga pai rawa atu mōna.

He rongoā kei te wātea mō tēnei mate (dAVF)?

Ae, ka taea e te maimoatanga te tango i tēnei fistula me te whakahoki mai i te rere o te toto i roto i ngā uaua. Ka taea e tēnei te whakaiti, te ārai rānei i ngā tohu hou me ngā raruraru.

Me pēhea te rongoā mō te (dAVF)?

Ko te whāinga matua o tēnei maimoatanga (dAVF) he whakakore i te hononga rerekē (fistula) i waenganui i te uaua me te uaua. Tērā pea ētahi kōwhiringa maimoatanga pēnei i:

• Pokanga: Ka taea te mahi pokanga tuwhera hei tango i te hononga rerekē (fistula) i roto i te uaua toto e pāngia ana.
• Te whakapūtanga endovascular: I roto i tēnei mahi, e ai ki te kōrero i mua ake nei, ka tukuna he ngongo iti rawa (catheter) mā roto i tētahi o ō uaua toto, ki te wāhi kei reira te fistula, ā, ka katihia. He rite ki te hiri i te turuturu.
• Pokanga irahiko stereotactic: He momo rongoā irahiko tēnei. I roto i tēnei, ka tukuna ngā hihi irahiko tino arotahi ki te oko toto e pāngia ana, te wāhi e hono ana te fistula, ka āraia.

Mā tō tākuta e whakatau te mahere maimoatanga pai rawa atu māu. Ka whakawhirinaki tēnei ki ngā āhuatanga maha, tae atu ki te āhua o te (dAVF) , tō hauora whānui, ngā tohu, me tō tūponotanga o te toto, ngā raruraru rānei.

Ki te kore he tohu, kāore pea tō tākuta e rongoā wawe tonu i a koe, engari ka aroturukihia pea koe i ia wā hei ārai i ngā raruraru.

He aha te matapae mō (dAVF)?

He maha ngā āhuatanga e whakawhirinaki ana ki tō matapae , pērā i te wāhi o te fistula me te mea kei te toto. Mēnā ka kitea, ka rongoatia wawetia, he pai te matapae. Engari, ka taea e ētahi (dAVF) te whakararuraru i te ora, i te wā rānei. Mēnā ka puta ēnei raruraru, kei reira ngā ratonga tiaki me te tautoko hei āwhina, pērā i te whakaora tinana , te whakaora mahi , me te whakaora kōrero .

Ko tō tākuta te tangata ka taea te hoatu ki a koe te tirohanga tino tika i runga i tō āhua.

Te Reiti Ora mai i (dAVF)

Nā te mea kāore i te tino kitea tēnei āhuatanga (dAVF) , kei te haere tonu ngā rangahau mō ngā reiti oranga. E kī ana ngā rangahau o nāianei ko te reiti mate ā-tau mai i tēnei āhuatanga heE whakatauhia ana kei waenganui i te 11% me te 19%. Ko te tikanga o tēnei, i ētahi wā, ka taea te whakatau tata i te reiti oranga ā-tau neke atu i te 80%.

Ka taea te ārai i tēnei āhuatanga (dAVF)?

Kāore he huarahi e mōhiotia ana hei ārai i tēnei mate (dAVF) . Heoi, ka taea e koe te whakaiti i tō mōrearea mā te whakahaere i ngā āhuatanga hauora o raro (pēnei i ngā mate toto totoka) ka arahi pea ki tēnei mate. Ka taea hoki e koe te tiaki i a koe mai i ngā whara o te upoko mā te mau i ngā taputapu tiaki tika i te wā e takaro ana i ngā hākinakina me ētahi atu mahi.

Kia pēhea te wā me toro atu ahau ki te tākuta?

Tirohia te tākuta mēnā ka pāngia koe e ēnei tohu:

• He mamae ānini ohorere, kino hoki.
• Te ngoikore o te uaua, te ngoikore rānei.
• Ngā panonitanga o tō kōrero, tō hikoi, tō taurite, tō tirohanga rānei.
• He tīmatanga hou, he tangi i roto i ngā taringa (Pulsatile tinnitus).

Ki te pāngia koe, tētahi rānei e tata ana ki a koe, e pāngia ana rānei e ngā tohu o te whiu (hei tauira, te ngoikore o te taha kotahi, te kōrero pōturi, te ngaro o te māramatanga), me waea atu koe ki te 911, ki te rūma whawhati tata rānei. He mea nui te wā!

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ina kite koe i tētahi tākuta, he mea pai kia pātai koe i ēnei pātai:

• Kei hea tēnei fistula?
• He aha te kōwhiringa maimoatanga e taunaki ana koe?
• Me tino pokanga ahau?
• He aha ngā pānga taha o tēnei maimoatanga?
• Ka taea e tēnei fistula te puta anō i muri i te maimoatanga?
• Kia pēhea te roa ka hoki mai ahau mō ngā whakamātautau?

Hei whakamutunga, he karere hei kawe ki te kāinga

Ko tēnei āhuatanga, e kiia nei ko te dural arteriovenous fistula (dAVF), ka pā nui, ka pā iti rānei ki tō oranga. I ētahi wā, he raruraru iti noa iho, ka taea te whakahaere ngāwari i raro i te tirotiro a te tākuta. Heoi, ki te kore e tātaritatia, e rongoātia wawetia, ka arahi pea ki ngā raruraru tuturu, ki ngā raruraru morearea rānei.

Mena kei a koe ētahi tohu, kei te āwangawanga rānei koe mō tētahi mea, waea atu ki te tākuta, ki te rūma whawhati tata rānei i taua wā tonu. He maimoatanga hei āwhina i te tango i te fistula me te whakahoki mai i te rere o te toto ki ngā wāhanga katoa o tō tinana. He maha ngā kōwhiringa maimoatanga, engari kāore e hiahiatia he pokanga tuwhera katoa. Ka arotakehia e tō rōpū hauora ō tohu, ā, ka whakatau i te mahere maimoatanga pai rawa atu māu hei ārai i ngā raruraru.

Ko koe te mea tino mōhio ki tō hauora. Nō reira, ki te kite koe i tētahi huringa i roto i tō tinana, kaua e warewarehia. Mā te mahi tere ka ārai i ngā mate kino maha.

` Te fistula arteriovenous dural, te dAVF, ngā oko toto roro, te ānini, te tinnitus pulsatile, te toto roro, te whiu