E mōhio ana tātou katoa ka rere te toto puta noa i ō tātou tinana. Haunga ngā uaua e kawe ana i te toto ma, whai rawa i te hāora mai i te ngākau ki ngā wāhanga katoa o te tinana, kei reira anō hoki he whatunga uaua e kiia nei ko ngā uaua e kawe ana i te toto kua pau, kua pau te hāora hoki ki te ngākau. I tēnei rā, e kōrero ana tātou mō tētahi uaua nui e mahi ana i tētahi mahi nui, arā, ko te mea e rere ana i roto i tō tātou hope. Koinei te mea e kiia nei e tātou ko te Uaua Iliac o Waho.
He aha te uaua iliac o waho i roto i ngā kupu māmā?
Ki te kī māmā noa, ko te Uaua Iliac o Waho he oko toto nui kei roto i tō hope. Ko tō hope te hanganga wheua e hono ana i tō tinana o raro me ō waewae.
Ko te mahi matua o tēnei uaua he kawe i te toto kore-hāora mai i ngā wāhanga o raro o tō tinana, inā koa ō waewae, ki te ngākau. He rite ki te toronga o te "Femoral Vein", he uaua nui i roto i tō huha. Ko te tikanga o tēnei, ka haere te toto kore-hāora mai i ō waewae mā roto i tēnei "Femoral Vein" ka hono atu ki te "External Iliac Vein" kia piki ake.
He aha te Toto Kāore i te Hāora?
Ko tā tātou pūnaha tohanga toto he mea hanga mai i ngā uaua toto e kawe ana i te toto whai hāora me te toto whai matūkai ki ngā whekau me ngā kiko katoa o te tinana. I muri i te whakamahinga a te tinana i tēnei hāora, ka whakahokia te toto e toe ana (te toto kore hāora) ki te ngākau mā roto i ngā uaua toto. Kātahi ka pupuhi te ngākau i te toto ki ngā pukahukahu, ā, ka whakahokia anō te hāora ki reira. E kīia ana tēnei toto kore hāora e ētahi he "toto kikorangi," engari he whero pouri te tae.
He pēhea te mahi a tēnei uaua i roto i tō tātou pūnaha tohanga toto?
Whakaarohia he rite ki ngā awa iti e hono ana hei hanga i tētahi awa nui. He rite tonu tēnei '(Te Uaua Iliac o Waho)'.
E rua ā tātou "Uaua Iliac o Waho" kei te taha matau me te taha maui o te tinana. Ka honoa ia o ēnei e tētahi atu uaua e kawe ana i te toto mai i ngā whekau o roto o tō tātou hope (hei tauira, te papa, te ira tangata, me ngā huha o roto). Ka kiia e tātou ko te "Uaua Iliac o Roto".
Nō reira, ka honoa te uaua Iliac o Waho me te uaua Iliac o Roto hei hanga i tētahi uaua nui ake e kiia nei ko te `(Common Iliac Vein)`. Ko ngā `(Common Iliac Vein)` e rua i hangaia pēnei, i te taha matau me te taha maui, ka honoa tata ki te tuarima o ngā tuaiwi o tō tātou tuaiwi hei hanga i te `(Inferior Vena Cava)` , koinei te uaua nui rawa atu o tō tātou tinana. Ko taua `(Inferior Vena Cava)` te mea e kohi ana i ngā toto rawakore-hāora katoa mai i te pito o raro o te tinana, ā, e kawe ana ki te ngākau.
Hei whakarāpopototanga, ka rere te toto mai i ngā waewae mai i te "Femoral Vein" ki te "External Iliac Vein", mai i reira ki te "Common Iliac Vein", ā, i te mutunga ki te "Inferior Vena Cava", he uaua nui, i mua i te hokinga ki te ngākau.
He aha ngā āhuatanga hauora ka pā ki tēnei uaua?
Ka taea e tēnei "uaua Iliac o Waho" me ngā uaua e hono ana ki reira te whakararu i ētahi raruraru hauora. Ko ētahi o ēnei he tino kino. Nō reira, he mea tino nui kia mōhio ki tēnei.
| Āhua | He whakamārama noa iho |
|---|---|
| Te Thrombosis o te Uaua Hōhonu (DVT) | Koinei te wā e puta ai he toto totoka i roto i te uaua hohonu o te tinana, inā koa i ngā waewae. Ka taea e tēnei toto totoka te aukati i te rere o te toto i roto i te uaua. Ka puta pea ngā tohu pēnei i te pupuhi me te mamae o te waewae. |
| Te Pukupuku Pūkahukahu | Koinei tētahi o ngā hua tino mōrearea o te DVT. Ka pakaru pea tētahi wahi toto kua totoka i roto i te waewae, ka rere tahi me te toto ki tētahi uaua i roto i ngā pukahukahu . Ka raru pea te manawa, ka mamae te uma, tae noa ki te mate. He āhuatanga tēnei e hiahia ana kia rongoatia wawetia. |
| Te ngoikore o te uaua mau tonu (CVI) | He iti ngā takirere o ngā uaua hauora e ārai ana i te rere whakamuri o te toto. Ina pakaru ēnei takirere, ka tīmata te rere o te toto ki raro i runga i te kaha ā-papa. Ka taea e tēnei te whakaemi i te toto i roto i ngā waewae, ka pupuhi, ka mamae, ka rerekē te tae o te kiri . |
| Te Mate o Mei-Thurner | He āhuatanga onge tēnei. Ko te mea e tupu ana i konei, ka pēhia e te uaua Iliac matau te uaua Iliac maui. Ka āraihia e tēnei pēhanga te rere o te toto mai i te waewae maui, ka piki ake te tūponotanga o te pupuhi o te waewae maui me te DVT . |
Nā, me pēhea te pupuri i te hauora o ēnei uaua?
Anei ētahi mea māmā ka taea e koe te mahi hei pupuri i te hauora o te pūnaha uaua o tō tinana katoa, tae atu ki ō uaua Iliac o waho, me te whakaiti i te mōrearea o te toto totoka.
- Kaua e noho roa i te tūranga kotahi: Mā te noho roa, te tū rānei, ka nui ake te tūponotanga o te toto e kohia ana, e totohu ana hoki. Ki te taea, whakatika ake i te iti rawa i te kotahi i te hāora, ka hikoi haere , me te neke haere i ō waewae.
- Whakakorikori tinana: Ngāna kia kaha te korikori tinana i te nuinga o ngā rā o te wiki. He pai ngā whakakorikori tinana pēnei i te hikoi, te oma, me te kaukau mō te rere o te toto.
- Kai hauora mō te ngākau: Kai i te kai taurite, he iti te ngako me te cholesterol, ā, he nui hoki ngā hua me ngā huawhenua. He mea tino nui hoki te pupuri i te taumaha hauora.
- Kaua e kai paipa: Ko te kai paipa te kino nui rawa atu ka pā ki ō uaua toto. Ki te kai paipa koe, rapua he āwhina hei whakamutu i tēnei rā.
- Te whakahaere i ētahi atu mate: Mena kei a koe ngā mate pēnei i te mate huka, te toto toto tiketike, te cholesterol tiketike rānei, whakahaerehia pai aua mate kia rite ki ngā tohutohu a tō tākuta.
- Tōkena Kōpeke: Mō ētahi tāngata, inā koa ko te hunga he nui ake te mōrearea ki te DVT, ka tūtohu pea tō tākuta kia mau i ngā tōkena motuhake e kiia nei ko ngā tōkena kōpeke. Ka āwhina ēnei ki te ārai i te toto kei pupū i roto i ō waewae.
He aha ngā tohu e tika ana kia haere koe ki te tākuta?
Ki te pāngia koe e tētahi, e ētahi rānei o ngā tohu e whai ake nei, kaua e warewaretia. Tirohia tō tākuta i te wā e taea ai. Tērā pea ka hiahiatia he maimoatanga ohorere mō ētahi tohu.
- Te mamae nui o te uma, te pakihiwi, te tuara, te kauae rānei, kāore he take.
- Te maremare toto.
- Te uaua ki te hikoi, te mamae o ngā waewae i te wā e hikoi ana, e moe ana rānei.
- Pōuriuri , māuiui rānei te upoko.
- Te pupuhi o ngā waewae (edema) te rerekētanga rānei o te kiri (kikorangi/papura).
- Te werawera nui ohorere.
- Ka piki ake te tere o te manawa.
- Ngā patunga kore e ora i te waewae, i te waewae rānei.
- He kiri mā, he makariri, he kikorangi rānei.
- Te uaua ohorere ki te manawa.
He mea tino nui kia haere tonu koe ki te Tari Ohotata (ETU) o te hōhipera , ina koa mēnā ka pāngia koe e ngā tohu kino pēnei i te mamae ohorere o te uma, te uaua ki te manawa, me te maremare toto.
Karere Tangohia ki te Kāinga
- Ko te uaua iliac o waho he oko toto nui e kawe ana i te toto rawakore-hāora mai i ō tātou waewae me te hope ki te ngākau.
- He tino morearea ngā toto totoka (DVT) e puta ana i roto i ēnei uaua. Ka taea e tētahi wāhanga o taua toto te noho ki roto i ngā pukahukahu (pulmonary embolism) ā, ka taea hoki te whakararu i te ora.
- Mā te āhua noho hauora (te whakakori tinana pai, te kai taurite, me te karo i te momi hikareti) ka tiakina te hauora o ēnei uaua.
- Ko te mamae ohorere o te uma, te uaua ki te manawa, te pupuhi me te mamae ohorere o te waewae, he tohu whakatūpato ēnei e hiahia ana kia rapu awhina hauora tonu.
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