Kia ako tātou mō te tikanga hou (Pokanga Endovascular) e whakaora ana i ngā oko toto me te kore he motu nui?

Ina rongo koe i te kupu "pokanga" me te "tātaritanga", ka paku mataku koe? He mea noa te whakaaro ki tētahi tapahi nui, ki ētahi rā i te hōhipera, me te wā roa o te mamae. Engari i ēnei rā, kua tino whanake te rongoā. Engari i te hanga tapahi nui pērā i ngā wā o mua, kei reira te hangarau e āhei ai tātou ki te tomo ki roto i te tinana mā roto i tētahi kōhao iti, me te rongoā i ngā mate kino. Koinei tā tātou e kōrero ai i tēnei rā, he huarahi whakamiharo ki te rongoā i ngā uaua toto i roto i ō tātou tinana.

He aha te Pokanga Endovascular?

Ki te whakarapopoto, ko te pokanga endovascular he tikanga e rongoā ana i ngā oko toto o roto i tō tātou tinana mai i roto, me te kore e hanga i ngā tapahi nunui. Whakaarohia he paipa wai i roto i tō whare kua āraia. Engari i te pakaru i te pakitara me te whakatika i te paipa, he rite tēnei ki te whakauru i tētahi ngongo angiangi me te kāmera mā roto i tētahi kōhao iti me te tango i te aukati.

I tēnei tikanga, ka whakamahia e ngā tākuta he ngira iti hei hanga i tētahi kōhao ki roto i tētahi oko toto, ā, ka whakaurua he ngongo angiangi, ngāwari hoki e kiia nei ko ngā catheter mā roto. Kātahi, mā te whakamahi i ngā hangarau pēnei i ngā hihi-X, ka arahina ēnei ngongo ki te wāhi tika o te mate, arā, te wāhi e āraihia ana, e pupuhi ana, e pakaru ana rānei te oko toto. Kātahi ka tukuna ngā taputapu e tika ana mā roto hei whakaora i te mate. Ka taea e tēnei te whakahoki mai i te rere o te toto ki te roro, ki te ngākau, ki ngā peka, me ngā pukahukahu.

He aha te rerekētanga i waenga i te pokanga endovascular me te pokanga tuwhera?

E rua ngā tikanga e rongoa ana i ngā uaua toto. Engari he rerekē rawa te huarahi e whakamahia ana. Hei mārama ki tēnei rerekētanga, tirohia te ripanga i raro nei.

He aha ngā āhuatanga e rongoatia ana e tēnei tikanga?

Ka whakamahia ngā tikanga endovascular hei rongoā i te whānuitanga o ngā mate o ngā oko toto me te mate ngakau. Ko ētahi o ngā āhuatanga matua ko:

• Aneurysm: Koinei te wā ka ngoikore te pakitara o te uaua toto, ka pupuhi ki waho pērā i te poihau. Ka puta pea tēnei i roto i te aneurysm aortic abdominal, i te aneurysm aortic thoracic rānei, me ētahi atu uaua toto o te tinana. Mēnā ka pakaru tēnei, ka tūpono pea te ora.
• Atherosclerosis: Koinei te wā e hangai ai ngā matū ngako, pērā i te cholesterol, e kitea ana i roto i ngā kai e kainga ana e tātou, ki runga i ngā pakitara o ngā uaua toto, ka āta whakawhāiti haere i te ara mō te toto. He rite ki te waikura e hangai ana i roto i te paipa wai. Ka ārai tēnei i te rere o te toto.
• Te mate o te uaua carotid: Ko ngā uaua carotid ngā uaua toto matua e rua i roto i tō tātou kaki e kawe ana i te toto ki te roro. Ina āraia e ngā putunga ngako, ka nui ake te mōrearea o te whiu.
• Te toto toto hohonu (DVT): Koinei te wā e puta ai he toto toto i roto i ngā uaua hohonu o te tinana. Ko te mea tino morearea mēnā ka pakaru tēnei toto toto ka haere i roto i te toto ka mau ki roto i ngā pukahukahu (Pulmonary Embolism), ka mate pea.
• Mate pūkahukahu ā-roto (PAD):Ka puta tēnei ina aukatia ngā uaua e kawe ana i te toto ki ngā ringa, inā koa ki ngā waewae. Ka puta ngā raruraru pēnei i te mamae o ngā waewae i te wā e hikoi ana me ngā patunga kāore e ora.

He aha ngā mea ka tupu i mua i te pokanga?

I mua i tō pokanga i tēnei momo pokanga, ka kōrero pai tō tākuta ki a koe mō tō hītori hauora me tō hauora o nāianei. Kātahi ka whakahaerehia e ia he whakamātautau tinana, ā, ki te tika, ka whakahau i ngā whakamātautau e whai ake nei:

• Matawai Ultrasound: Ka whakamahia ngā ngaru oro hei tirotiro i te rere o te toto i roto i ngā uaua toto, me te kite mēnā he aukati kei reira.
• Angiography: Ka werohia he tae motuhake ki roto i ngā uaua toto, ā, ka tangohia he whakaahua hihi-X. Mā tēnei ka kitea mārama te whaiti o ngā uaua toto me te wāhi kei reira.
• Matawai CT me te matawai MRI: Ka taea e ēnei te whakaputa i ngā whakaahua toru-ahu tino taipitopito o ngā uaua toto me ngā kiko e karapoti ana.
• ECG me te Echocardiogram: Ka whakamahia ēnei hei tirotiro i te mahi a te ngākau.
• Taupū pona-pūtau (ABI): He whakamātautau māmā e ine ana, e whakatairite ana hoki i te pēhanga toto i roto i ngā waewae me ngā ringa hei whakatau mēnā he iti iho te rere o te toto ki ngā waewae.

He aha ngā momo pokanga endovascular e wātea ana?

I runga i tō āhua, ka whakamahia pea e tō tākuta ngā momo maimoatanga endovascular rerekē. Me titiro tātou ki ētahi o aua momo.

He aha ngā painga me ngā mōrearea o tēnei tikanga?

Pērā i ngā maimoatanga hauora katoa, he painga, he mōrearea hoki tō tēnei.

Ngā Painga

Ko te painga nui o te tikanga endovascular ko te tere o te ora . Nā te mea kāore he tapahi nui, he iti ake te kino o te tinana. Nō reira, me noho koe ki te hōhipera mō te wā poto ake, te mamae iti ake, ā, ka taea e koe te hoki wawe ki te oranga noa.

Ngā Tūponotanga/Ngā Raruraru

Ahakoa he tino haumaru tēnei pokanga i te nuinga o te wā, he iti noa iho ngā mōrearea.

• Te toto mai i te wāhi i whakaurua ai te catheter.
• Te pakaru o ngā oko toto i te wā e rongoatia ana.
• Te wetewete i te pakitara o ngā oko toto.
• Te hanganga o tētahi toto toto hou (Thrombosis) ki te wāhi i rongoatia.
• He onge pea te pānga ki ngā whatukuhu (nā te momo tae i whakamahia).

He tino iti te mōrearea o ēnei āhuatanga, ā, kei te rite tonu te tīma hauora mātau ki te whakahaere i tēnei āhuatanga mēnā ka puta.

Āhea ahau me toro atu ki te tākuta i muri tonu i te pokanga?

Ina hoki koe ki te kāinga i muri i te pokanga, me tino tiaki koe i tō tinana. I te nuinga o te wā, ka taea e koe te hoki ki ō mahi o ia rā i muri i te marama pea. Heoi, he mea nui kia kōrero koe ki tō tākuta mō tēnei mea, kia whiwhi tohutohu ai hoki. Me haere anō hoki koe ki ngā whakamātautau whai muri i te rā kua whakaritea.

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, kaua e whakaroa , me whakamōhio tonu atu ki tō tākuta, ki te haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.