Kei ngā taha e rua o tō tātou kaki ngā uaua toto matua e tuku toto ana ki tō tātou roro, ki te mahunga, me te mata. He rite ēnei ki ngā ara matua o tō tātou tinana. Whakaarohia te āhua mēnā he pakitara ngoikore tētahi o ēnei ara, ā, ka pupuhi ake pērā i te poihau. Koinei te mea e kōrerohia ana i tēnei rā, he aneurysm o te uaua carotid. Ahakoa he ahua whakamataku pea, he mea nui kia mōhio ki tēnei.
He aha te Aneurysm o te Carotid Artery?
I te whakarapopototanga, ko te aneurysm o te uaua carotid he āhuatanga e ngoikore ai tetahi wāhanga o te pakitara o te uaua toto nui (te uaua carotid) e kawe ana i te toto mai i ngā taha e rua o tō kaki ki tō roro, ka pupuhi te toto toto ki waho, pērā i te mirumiru.
Whakaarohia he poihau kua pupuhihia. Ka angiangi haere te pakitara o te poihau i a ia e pupuhihia ana, tika? Ka aha mēnā ka pupuhihia e koe? Ka pahū. Koinei te āhua o te pupuhi o tēnei aneurysm. I roto i te wā, ka nui haere. I a ia e nui haere ana, ka angiangi haere tōna pakitara, ā, he tūponotanga ka pakaru i tētahi rā. Nō reira, ka nui haere te aneurysm, ka nui haere te mōrearea.
Kia pēhea te kino o tēnei āhuatanga?
He mate kino ngā aneurysms o te uaua carotid e pā ana ki ngā uaua toto e tuku toto tika ana ki tō tātou roro, nō reira ehara i te mea hei mea ngāwari. Heoi, ehara i te mea he rite te mōrearea o ngā aneurysms katoa. He tino iti ētahi, ā, ka taea te noho tonu ki tōna tūranga mō ngā tau maha, me te kore e puta he raruraru.
Engari e rua ngā mōrearea matua:
1. Totoka toto: Ka puta he totoka toto i roto i te aneurysm, ā, ka whati tetahi wāhanga ka piri ki roto i tētahi oko toto iti i roto i te roro. Ka taea e tēnei te aukati i te rere o te toto ki te roro, ā, ka puta he whakaekenga ischemic poto (TIA) , he "whiu iti", he whiu ischemic whānui rānei.
2. Pakaru o te aneurysm: Ki te pakaru he aneurysm nui, ka puta he toto nui ki roto, ki te taha rānei o te roro. Ko te whiu ka puta ko te whiu toto . He tino kino tēnei āhuatanga ohorere, ā, ka morearea pea te ora.
He aha te rerekētanga i waenga i te aneurysm pono me te aneurysm teka?
He mea hauora tēnei, engari kia māmā noa iho te mārama. E toru ngā paparanga o te pakitara o ō tātou uaua toto.
- Te Aneurysm Tuturu: Koinei te wā e ngoikore ai ngā paparanga e toru o te uaua, ka pupuhi ki waho. Ko te nuinga o te wā ka puta mai tēnei i ngā putunga ngako i roto i ngā pakitara o te uaua (atherosclerosis).
- Te Aneurysm Hē, te Pseudoaneurysm rānei:Koinei te wā e pakaru ai tētahi, e rua rānei ngā paparanga o te pakitara o te uaua toto, ka taea ai te turuturu o te toto ki waho, ka kohia ki te taha o te uaua toto, ka hanga he mirumiru. Ina hoki, ehara tēnei i te toto tūturu. Tērā pea ka puta mai i tētahi aituā, i tētahi mate, i tētahi raruraru rānei o tētahi maimoatanga hauora.
Ka pā mai pea ngā raruraru ki tētahi momo, nō reira me rongoā pea ngā mea e rua.
Ko wai te mea tino tūpono ka pāngia e tēnei mate? Ā, he mea noa?
Ahakoa ka taea e ngā aneurysms o te uaua carotid te puta i roto i ngā pakeke katoa, he mea tino noa i waenga i te hunga i waenga i te 50 me te 60 tau te pakeke. Kāore hoki e tino kitea i roto i ngā tamariki.
Engari ko te rongo pai he tino onge tēnei mate . E iti iho i te 1% o ngā aneurysms katoa o te tinana e pā ana ki ngā uaua carotid.
He aha ngā tohu o tēnei?
I te nuinga o te wā, ka kitea pea ēnei aneurysms, kāore he tohu. I ētahi wā ka kitea noa iho i te wā e mahia ana he mea pēnei i te matawai upoko mō tētahi atu take.
Engari, ki te puta ngā tohu, he tohu ēnei nō te whiu, he whakaekenga ischemic poto rānei (TIA).
He tohu whakatūpato nui pea te TIA e whakaatu ana ka puta he whiu nui i roto i ngā rā, i ngā wiki rānei e haere ake nei, nō reira he mea nui kia aro nui ki ēnei tohu.
| Ngā tohu ohorere o te whiu, te TIA rānei - ki te pāngia koe e tētahi o ēnei, haere tonu ki te ETU! | |
|---|---|
| Te ngoikore ohorere o te tirohanga | Te pōuri, te ngaro rānei o te tirohanga i tētahi, i ngā kanohi e rua rānei. |
| Te ngoikore, te ngoikore rānei i tetahi taha o te tinana | Te ahua ngoikore o te kanohi, te ringa, te waewae rānei (hei tauira, te piko o te taha kotahi o te kanohi) |
| Te uaua ki te kōrero | Te koretake o te reo, te uaua ki te mārama ki te mea e kōrerotia ana. |
| Te uaua ki te hikoi me te ngaro o te taurite | Pōuriuri, kore e taea te tū mārire, te tō ki te taha kotahi i te wā e hikoi ana. |
| Te ānini ohorere, te mamae nui | He putanga ohorere mai o te mamae nui o te upoko, kāore i rite i mua. |
Ki te pāngia koe e ngā tohu pēnei, kāore pea e taea e koe te waea atu ki te hōhipera. Nō reira, he mea tino nui kia whakamōhiotia tēnei e koe ki ngā tāngata o tō whare.
Ētahi atu tohu
Haunga ngā tohu o te whiu, ki te nui haere te aneurysm ki te pēhi i ētahi atu io, i ngā oko toto rānei i te kaki, ka puta ngā tohu pēnei i:
- Ānini
- Te pāorooro o te reo
- Mamae kaki
- Pupuhi kanohi
- He rite ki te pupuhi i te kaki, ā, e oma ana
- Te uaua ki te horomi i te kai
- Ētahi atu raruraru tirohanga
Mena kei a koe tētahi o ēnei tohu, me toro atu ki tō tākuta i te wā e taea ai, ka kōrero atu ki a ia.
He aha i pēnei ai te hanga o ngā aneurysms? He aha ngā take?
He maha ngā take pea mō te aneurysm o te uaua carotid.
- Atherosclerosis: Koinei te tino take, ā, koinei te tino take e kitea whānuitia ana. Ka puta pea tēnei āhuatanga ina kohikohi te cholesterol me te ngako i roto i ngā pakitara o ngā oko toto, ka ngoikore ai ngā pakitara.
- Ngā mate e ngoikore ai ngā pakitara o ngā oko toto: Ko ētahi mate, pērā i te "Fibromuscular dysplasia," ka kore e ora tonu ngā pakitara o ngā oko toto.
- Ngā raruraru o ngā maimoatanga hauora: Ka puta hoki hei raruraru o ētahi pokanga kaki, o ētahi aho pokapū, o te rongoā irahiko rānei mō te mate pukupuku.
- Aituā: Te pakaru o tētahi uaua toto i tētahi aituā kino, pērā i te pū, te wero rānei.
Ngā Take Mōrearea
He maha ngā āhuatanga ka ngoikore ai ngā pakitara o ngā oko toto, ka piki ake ai te tūponotanga o te whakawhanaketanga o te aneurysm:
- Hītori whānau: Mena kua pāngia tētahi o tō whānau e te aneurysm, he nui ake tō tūponotanga.
- Te toto toto tiketike (Total pressure): Ina piki te toto toto, ka nui ake te pēhanga ki ngā pakitara o ngā uaua toto. Ka ngoikore pea ngā pakitara.
- Te Momi hikareti: Ko te momi hikareti tētahi o ngā tino take o te kino o ngā uaua toto. Ka ngoikore ngā pakitara o ngā uaua toto, ā, ka nui ake te tūponotanga o te whakawhanake i ngā aneurysms.
Me pēhea te tautuhi a te tākuta i tēnei mate?
He maha ngā mahi e whaihia ana e te tākuta hei tautuhi i tēnei mate.
1. Whakamātautau tinana: Ka whakatakotoria e te tākuta he stethoscope ki tō kaki, ka whakarongo. I ētahi wā, ka rangona he tangi 'swooshing' motuhake (carotid bruit) i te rere o te toto i roto i tēnei aneurysm.
2. Tō hītori hauora me tō whānau: Ka pātai te tākuta mō ētahi atu mate hauora kei a koe, me te mea kua pāngia tētahi o tō whānau e ngā mate rite.
3. Ngā Whakamātautau Whakaahua: Koinei te huarahi pai ki te whakaū i te mate. Ka taea e ēnei whakamātautau te kite mārama i ngā mea e tupu ana i roto i tō uaua carotid.
- Matawai CT (Matawai Tomography Rorohiko)
- Matawai MRA (Angiography Resonance Aukume)
- Matawai Ultrasound
Mā ēnei whakamātautau ka taea e ngā tākuta te whakatau i te rahi, te āhua, me te wāhi tika o te aneurysm, ā, mā reira ka whakatauhia te maimoatanga pai rawa atu.
He aha ngā kōwhiringa maimoatanga?
Ko te maimoatanga e whakawhirinaki ana ki te rahi o tō aneurysm, te tere o tōna tipu, me te mea kei a koe ngā tohu. E toru ngā kōwhiringa maimoatanga matua.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| 1. Te Tirotiro | Mena he iti rawa te aneurysm, ā, kāore he tohu, ka tūtohu pea tō tākuta kia tatari mō tētahi wā, kāore he pokanga. Ka kiia tēnei ko te "tatari mataara". Ka tirotirohia koe i ia ono marama, i ia tau rānei, kia kite ai mēnā kei te nui haere te aneurysm. I taua wā tonu, ka hoatu pea he rongoā ki a koe hei whakahaere i te pēhanga. |
| 2. Pokanga Tuwhera | Koinei te tikanga pokanga tuku iho. I roto i tēnei tikanga, ka tapahia e te taote pokanga te kaki, ka tangohia te wāhanga kua pakaru o te uaua toto, kei roto nei te aneurysm. Kātahi ka whakamahia he wāhanga uaua toto, he ngongo horihori rānei (tāpiri) i tangohia mai i tētahi atu wāhanga o tō tinana (hei tauira, tō waewae) hei hanga i tētahi ara hou mō te rere o te toto. |
| 3. Maimoatanga endovascular (Te Tāruatanga Stent Endovascular) | He tikanga iti ake te whakaekenga o tēnei, kāore e hiahiatia he tapahi nui. Ka hangaia e tō tākuta he kōhao iti ki roto i te uaua toto i tō ringa, ka whakauruhia he ngongo angiangi (catheter) mā roto. I raro i te arataki a te hihi-X, ka nekehia te ngongo ki te aneurysm, ā, ka whakanohoia he ngongo motuhake rite ki te mata (stent graft) ki roto. Mā tēnei ka taea te rere o te toto mā roto i te ngongo hou, kaua ki roto i te aneurysm. |
Mā tō tākuta e whakatau ko tēhea te maimoatanga e pai ana māu i muri i te kōrero ki a koe me te whakamārama i ngā mea katoa.
He aha taku e taea ai hei whakaiti i tēnei mōrearea?
Kāore e taea e tātou te whakahaere i ētahi āhuatanga mōrearea (pēnei i te hītori whānau), engari he maha ngā mea ka taea e tātou te mahi hei pupuri i te hauora o ō tātou uaua toto, hei whakaiti hoki i te mōrearea o te whakawhanake i te aneurysm.
- Ki te mea he kai paipa koe, kati i tēnei rā. Koinei te mea pai rawa atu ka taea e koe. Pātai atu ki tō tākuta mō te āwhina.
- Kai i ngā kai hauora mō te ngākau. Whakaitihia ngā kai he nui te hinu, te tote, me te huka. Kai atu i ngā huawhenua, ngā hua rākau, me ngā rau matomato.
- Whakakorikori tinana i ngā wā katoa. Whakakorikori tinana e tika ana māu, e ai ki ngā tohutohu a tō tākuta.
- Whakahaerehia te toto toto tiketike. Mena he toto toto tiketike tōu, me tango te rongoā i tohua e tō tākuta i te wā tika.
- Whāia ngā tohutohu a te taote. Haere ki te tirotiro hauora i te wā tika.
He rerekētanga kei waenganui i te aneurysm i te kaki me te aneurysm i roto i te angaanga?
He āhua hauora tēnei, engari me kī māmā noa iho: Ka rere te uaua carotid ki runga i te kaki, ki roto hoki i te angaanga.
- Ko ngā aneurysm e puta mai ana i waho o te angaanga, arā, i roto i te kaki, e kiia ana ko 'extracranial' .
- Ko ngā aneurysm e puta mai ana i roto i te angaanga e kiia ana ko te 'intracranial' .
Ki te whakamahia ēnei kupu e tō tākuta māu, he tohu noa iho tēnei mō te wāhi kei reira te aneurysm. Kāore koe e hiahia ki te maumahara ki ēnei kupu. Pātai atu ki tō tākuta mō ētahi whakamārama kāore koe e mārama.
He mea noa te mataku ina kitea he aneurysm tōu. Engari nā te hangarau matawai me ngā maimoatanga matatau o ēnei rā, he maha ngā tāngata ka taea te noho noa. Ko te mea nui ko te whai i ngā tohutohu a tō tākuta me te haere ki ngā tirotiro hauora auau.
Karere Tangohia ki te Kāinga
- Ko te aneurysm o te uaua carotid he ngoikore o te pakitara o tētahi oko toto nui i te kaki e kawe ana i te toto ki te roro, ka pupuhi pērā i te poihau.
- Ko ngā mōrearea matua e rua ka puta mai i tēnei ko te toto totoka e hua ai te whiu me te pahūtanga o te aneurysm.
- Ki te pāngia koe e ngā tohu o te whiu, pērā i te piko ohorere o te taha kotahi o tō mata, te ngoikore o te ringa, te uaua rānei ki te kōrero, he āhuatanga ohorere tēnei. Haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
- Ko te maimoatanga e whakawhirinaki ana ki te rahi o te aneurysm me ngā tohu. I ētahi wā, he nui noa iho te mātakitaki noa. I ētahi wā, me mahi pokanga.
- He mea nui te whakahaere i te toto toto tiketike me te karo i te kai paipa hei ārai i tēnei mate.
- Mena he pātai, he āwangawanga rānei āu mō tēnei mea, kōrero mārire ki tō tākuta.
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