Kei te ahua pupuhi te uaua toto i roto i tō kaki? Me ako tātou mō te Carotid Artery Aneurysm!

Kua whakaaro koe mēnā he maha ngā raruraru kei roto i ngā oko toto i roto i tō tātou kaki? I ētahi wā ka ngoikore ēnei uaua, ka pupuhi pērā i te poihau. Ahakoa he āhua whakamataku tēnei, ki te mōhio tātou ki tēnei, ka taea e tātou te mahi i te mea tika me te kore e manukanuka nui. I tēnei rā ka kōrero tātou mō tētahi āhuatanga pēnei, arā , ko te Carotid Artery Aneurysm .

He aha te Carotid Artery Aneurysm? He aha tonu te mea ka tupu?

He whakarāpopototanga noa iho, ko te aneurysm o te uaua carotid he āhuatanga e ngoikore ai tetahi wāhanga o ngā uaua carotid, kei ia taha o tō tātou kaki, ka pupuhi ki waho. He tino nui ēnei uaua carotid i roto i ngā oko toto nā te mea ko rātou te nuinga o te toto e tukuna ana ki tō tātou roro, ki te mahunga, ki te mata, me te kaki.

Ko te uaua carotid matua, e tīmata ana i te tihi o tō tātou uma, ka haere ki runga i te kaki, ā, ka wehea kia rua ngā peka i waenganui o te kaki. Ko tētahi ko te uaua carotid ā-roto , ko tētahi ko te uaua carotid ā-waho . Ahakoa ka puta ēnei aneurysms i roto i tētahi o ēnei uaua carotid, ka kitea pinepinetia i roto i te uaua carotid ā-roto.

Whakaarohia he rite ki te pupuhi hau ki roto i te poihau. I te piki haere o te hau, ka angiangi haere te pakitara o te poihau, tika? Koinei te āhua o tēnei. Ina ngoikore tetahi wāhanga o te pakitara uaua, ka tīmata taua wāhanga ki te pupuhi i raro i te pēhanga o te toto. I te tipu haere o tēnei pupuhi, ka angiangi haere te pakitara uaua. Kātahi ka piki ake te mōrearea o tōna pahūtanga. Koia te take i kīia ai, ko te nui haere o te aneurysm, ko te nui haere o tōna mōrearea.

Kia pēhea te kino o tēnei āhuatanga?

Ko te aneurysm o te uaua carotid he mea e puta ana i roto i ngā uaua e tuku toto tika ana ki te roro, nō reira ehara i te mea hei whakahawea. Heoi, ehara i te mea he rite te kino o ngā aneurysm katoa.

He tino iti ētahi aneurysms, ā, ka taea te noho tonu mō ngā tau, kāore he raruraru. Heoi, i ētahi wā ka puta he toto toto ki tēnei wāhi pupuhi. Mēnā ka pakaru ēnei toto toto, ka ārai i tētahi oko toto i roto i te roro, ka taea e rātou te puta he whakaekenga ischemic poto (TIA), he whiu iti, he whiu tuturu rānei .

Ki te pahū ohorere (ngā pakaru) tētahi aneurysm nui , ka tīmata te rere o te toto ki roto i te roro. Ka kiia tēnei he whiu toto . He āhuatanga ohorere tēnei e morearea ana ki te ora.

He aha te rerekētanga i waenga i te aneurysm pono me te aneurysm teka?

E wehea ana ēnei aneurysms e ngā tākuta kia rua ngā momo, i runga i te āhua o te pupuhi.

• Te Aneurysm Tuturu:Koinei te wā e ngoikore ai ngā paparanga e toru o te pakitara o te uaua toto (e kiia nei ko te "Intima, Media, Adventitia") ka pupuhi ki waho. Ko te tino take o tēnei ko te whakatakotoranga o te ngako ki roto i ngā uaua toto, he āhuatanga e kiia nei ko te "Atherosclerosis".
• Te aneurysm teka, te pseudoaneurysm rānei: He pupuhi tēnei i roto i tētahi, i ētahi paparanga rānei o te pakitara o te uaua. Te āhua nei kua pupuhi mai tētahi pēke iti i roto i te uaua. He maha ngā wā ka puta mai tēnei i te kino o te uaua i roto i tētahi aituā, i tētahi mate, i ngā raruraru rānei mai i te maimoatanga hauora .

Ahakoa he aneurysm pono tēnei, he aneurysm teka rānei, ka pā mai he raruraru i waenganui i ēnei e rua, ā, me rongoā pea.

Ko wai te hunga e tino pāngia ana e tēnei mate? He pēhea te noa o tōna pānga?

Ko ngā aneurysms o te uaua carotid te nuinga o te wā ka puta i roto i ngā pakeke, inā koa ko te hunga i waenga i te 50 me te 60 tau te pakeke. Heoi, he onge te puta i roto i ngā tamariki.

Ehara tēnei i te mate tino noa. Ina hoki, iti iho i te kotahi i roto i te 100 ngā aneurysms i roto i te tinana e kīia ana he aneurysms o te uaua carotid.

He aha ngā tohu? Me pēhea te mōhio ki tēnei?

He aneurysm o te uaua carotid tō ētahi tāngata engari kāore he tohu e pāngia ana e rātou. Ka kitea noa iho ēnei tohu i te wā e tirotirohia ana mō tētahi atu take.

Ko te nuinga o te hunga e pāngia ana e ngā tohu he whakaekenga ischemic poto (TIA) he whiu rānei. He rite te TIA ki te "whiu-iti". He tohu whakatūpato anō hoki tēnei kei te haere mai he whiu nui ake i roto i ngā rā, i ngā wiki rānei e whai ake nei. Ko te TIA me te whiu ka puta mai i te aukati i te rere o te toto ki te roro.

He āhuatanga ohorere hauora ēnei! Mēnā kei a koe ētahi o ēnei tohu, me haere tonu koe ki te hōhipera:

* Te tirohanga pōuri, te tirohanga ngoikore rānei o tētahi, o ngā kanohi e rua rānei.

* He uaua ki te hikoi, he whanoke.

* Pōuriuri, ngaro te taurite.

* Te ngoikore, te ngenge rānei o te mata, te ringa, te waewae rānei, inā koa i te taha kotahi o te tinana.

* He mamae ānini ohorere, kino hoki.

* Te uaua ki te kōrero, te uaua ki te mārama ki ngā kōrero a ētahi atu. Te korekore o te reo, te pōhēhē rānei.

Kāore pea e taea e koe te karanga āwhina i a koe anō ina pāngia koe e ēnei tohu kino. Koia te mea nui kia whakaakona tō whānau me ō hoa mō ngā tohu o te TIA me te Stroke. Mena kei te noho ko koe anake, he mea pai hoki kia whakaarohia he Pūnaha Whakatūpato Hauora (MAS) ka taea e koe te pēhi hei karanga āwhina.

Haunga ēnei tohu TIA me te whiu, ki te nui haere te aneurysm ki te pēhi i ētahi atu io, i ngā oko toto rānei i te kaki, i te upoko rānei,Anei ētahi tohu ka puta pea:

• Te mamae o te upoko.
• Te pāorooro o te reo.
• Mamae kaki.
• Te pupuhi o te mata.
• He rite ki te pona i tōku kaki, me te mea e kukumea ana.
• Te uaua ki te horomi.
• Ngā raruraru tirohanga.

Mena kei a koe ēnei tohu, he pai ake te toro atu ki te tākuta.

He aha tēnei e tupu nei? He aha ngā take?

He maha ngā take ka puta ai te aneurysm o te uaua carotid.

• Atherosclerosis (ngā putunga ngako i roto i ngā oko toto): Koinei te tino take, ā, koinei hoki te tino take e kitea whānuitia ana.
• Ngā āhuatanga e ngoikore ai ngā pakitara o ngā uaua: Hei tauira, ko te Fibromuscular Dysplasia me ētahi mate hononga kiko.
• Ngā raruraru o ngā maimoatanga hauora: I ētahi wā ka puta mai i ngā mea pēnei i te `(Carotid Endarterectomy)` (pokanga i te uaua carotid), `(Central Line Placement)` (whakaurunga o te ngongo ki roto i te uaua nui i te kaki), `(Radiation Therapy)` rānei (maimoatanga radiation) mō te mate pukupuku.
• Ngā whara kino ki te uaua: Hei tauira, ka puta mai i tētahi aituā kino, pērā i te pū, i te wero rānei.

He aha ngā āhuatanga mōrearea? (Ngā āhuatanga mōrearea)

He maha ngā āhuatanga ka ngoikore ai ngā pakitara o ngā uaua toto, ka nui ake ai te tūponotanga o te whakawhanaketanga o te aneurysm:

• Mena kua pāngia tetahi o te whānau e te aneurysm (te hononga tuku iho).
• Mena he toto toto tiketike tōu (hypertension) .
• Mena kei te momi hikareti koe, kei te whakamahi rānei i ētahi atu hua tupeka.

Me pēhea te tautuhi a ngā tākuta i tēnei?

Ka tātaritatia e ngā tākuta te aneurysm o te uaua carotid mā te mahi i ētahi whakamātautau, pēnei i:

• Whakamātautau tinana: I tēnei wā, ka whakatakotoria e te tākuta he stethoscope ki tō kaki, ka whakarongo ki te tangi o te toto e rere ana i roto. I ētahi wā, ki te mea he aneurysm, ka rangona pea he tangi "swoosh" motuhake (carotid bruit).
• Hītori hauora whānau: Ka pātai te tākuta mō ngā āhuatanga hauora o tō whānau, nā te mea mēnā kua pāngia tētahi o tō whānau e te aneurysm, tera pea ka tūpono koe.
• Tō hītori hauora: Ka pātai atu tō tākuta mō ō mate hauora me ngā rongoā e tangohia ana e koe. Mā tēnei ka āwhina i te whakatau i te pūtake o te aneurysm.
• Ngā Whakamātautau Whakaahua: He whakamātautau ēnei e whakaatu tika ana i te āhua o roto o te uaua carotid me te āhua o te rohe e karapoti ana. Mā ēnei ka whakaū mēnā kei te kitea he aneurysm, ā, ka whakatau i te maimoatanga pai rawa atu.

I ētahi wā ka whakahaerehia ēnei whakamātautau e ngā tākuta nā te mea e whakapae ana rātou he aneurysm kei runga i ngā tohu. I ētahi wā anō, ka kitea tūponotia i a rātou e whakahaere ana i ngā whakamātautau mō tētahi atu mate (`(Tautoko Tūpono)`).

Ngā whakamātautau matua mō te tautuhi mate:

• Matawai CT (Tomography Rorohiko - Matawai CT)
• Matawai MRA (Angiography Resonance Aukume - MRA)
• Matawai Ultrasound

Hei tāpiritanga ki tēnei, ka tūtohu pea tō tākuta i ētahi atu whakamātautau māu:

• He matawai roro hei tirotiro i te rere o te toto i roto i te roro, me te kite mēnā he aneurysms anō kei roto.
• Whakamātautau ira hei tirotiro i ngā āhuatanga tuku iho.
• Ētahi atu matawai hei tirotiro mō ngā aneurysms i roto i ētahi atu uaua toto nui o te tinana (hei tauira, te aorta).

He aha te rongoā mō tēnei?

He maha ngā maimoatanga mō ngā aneurysms o te uaua carotid. Ko ngā whāinga matua o te maimoatanga he whakaiti i ngā tohu me te whakaiti i te mōrearea o ngā raruraru nui, pērā i te pakaru o te aneurysm, te pararutiki rānei.

Ka whakaarohia e te tākuta ētahi āhuatanga hei whakatau mēnā me pokanga koe, me tētahi atu tikanga rānei:

• Te rahi o te aneurysm.
• Te tere o te tipu o te aneurysm .
• Ahakoa he tohu kei a koe, kāore rānei .

Ko ngā kōwhiringa maimoatanga matua ko:

• Te tirotiro
• Pokanga Tuwhera
• Te Tāruatanga o te Stent Endovascular

Te Tirotiro / Te Tatari Mataara

Ka kiia hoki tēnei ko te "tatari mataara". Kei roto i tēnei ko te aroturuki tonu a tō tākuta i tō aneurysm. Ka whakamātauhia koe pērā i te ultrasound, te CT scan, te MRI scan rānei i ia 6 ki te 12 marama hei tirotiro mēnā kei te huri te aneurysm. He maha ngā wā ka whakamahia tēnei mō ngā aneurysm iti, kāore he tohu .

Mena he toto toto tiketike tōu, ka tohua pea e tō tākuta he rongoā mō te toto toto tiketike . Ka āwhina tēnei ki te whakaiti i te pēhanga ki runga i te aneurysm. Ka tohua pea hoki e rātou he rongoā whakaheke cholesterol .

Pokanga Tuwhera

Koinei te tikanga maimoatanga tuku iho. I roto i tēnei, ka tangohia e te taote pokanga te wāhanga pakaru, pupuhi o te uaua carotid, ka hangaia he ara hou mō te rere o te toto ki tōna wāhi. Ka kiia tēnei ko te bypass grafting .

Hei hanga i tēnei oko toto hou (tāpiri), ka whakamahia pea e te taote pokanga tētahi wahi o te oko toto i tangohia mai i tētahi atu wāhanga o tō tinana, ka whakamahia rānei he uaua i hangaia ki tētahi rauemi hangai pērā i te GORE-TEX® .

Te Tāruatanga o te Stent Endovascular

He iti ake te whakaekenga o tēnei tikanga i te pokanga tuwhera. Ko te rahi o te aneurysm me tōna taunga i roto i te uaua carotid ka whakatau mēnā he pai koe mō tēnei tikanga.

Ko te tikanga o te endovascular ka mahia te pokanga i roto i ō uaua toto, mā te whakamahi i ngā ngongo roa, angiangi (ngā catheter).Ka hangaia e te taote pokanga he kōhao iti ki roto i te uaua i roto i tō hope, ka whakauruhia tēnei ngongo mā roto, ka tukuna he tākai stent (he ngongo iti e āhua ana ki te mata) ki te aneurysm i raro i te arataki a te hihi-X. Kātahi ka pupuhihia te tākai stent ki roto i te uaua, ka hipoki i te aneurysm. Kātahi ka rere te toto mā roto i te tākai stent hou.

Ko tēhea maimoatanga te mea tika mōku?

Mā tō tākuta e whakatau ko tēhea maimoatanga te mea pai mōu. Ka whakaarohia e ia tō āhua me ō hiahia. I mua i tētahi maimoatanga, ka whakamārama mārama tō tākuta i ngā painga, ngā ngoikoretanga, me ngā pānga taha. Ka whakamārama anō hoki ia me pēhea te whakarite mō te maimoatanga me te wā whakaora i muri i te maimoatanga.

He aha tā tātou e taea ai te whakaiti i tēnei mōrearea?

Ko ētahi o ngā āhuatanga mōrearea (hei tauira, te hītori whānau) kei tua atu i tā tātou mana whakahaere. Heoi anō, kei reira ētahi mea ka taea e tātou te mahi hei pupuri i te hauora o ō tātou uaua me te whakaiti i te tūponotanga o te whakawhanake i te aneurysm:

• Kaua rawa e kai hikareti, e mimiti hikareti, e whakamahi rānei i ētahi atu hua tupeka. Pātai atu ki tō tākuta kia āwhina koe ki te whakamutu.
• Kai i ngā kai hauora mō te ngākau, he iti te ngako kukū, te tote, me te huka.
• Whakakorikori tinana i ngā wā katoa e ai ki ngā tohutohu a tō tākuta.
• Whakawhāitihia te inu waipiro.
• Whakahaerehia ngā āhuatanga mōrearea pēnei i te toto toto tiketike.
• Tangohia te rongoā i tohua e te tākuta kia tika, kia tika hoki i te wā tika.
• Me tirotiro hauora koe i ia tau, ā, kaua e mahue ngā wā tirotiro a tō tākuta.

He aha ngā mea me whakaaro koe ina kitea he aneurysm tōu?

Ka rerekē pea te heke mai o te tangata whai aneurysm uaua carotid. Ko ētahi tāngata he aneurysm iti e mātakitakihia ana e ngā tākuta mō ngā tau maha anake. Mō ētahi atu, ka tere te tipu o te aneurysm, ā, me rongoā. Ahakoa ka taea e te pokanga me te maimoatanga endovascular te rongoā i ngā aneurysm, he mōrearea anō hoki ō rātou. Kōrerohia ki tō tākuta mō tō āhua me ngā mea hei tumanakohia i roto i ngā tau kei te heke mai.

Me pēhea taku tiaki i ahau anō? (Te tiaki i ahau anō)

Whāia ngā tohutohu a tō tākuta mō ngā huringa momo noho hei āwhina i te whakahaere i tō āhua. Pātai atu hoki mō ngā mahi kāore e pai mōu. Me karo pea koe i ētahi mahi e tino taumaha ana ki tō tinana .

He aha ngā wā motuhake e tika ana kia toro atu koe ki te tākuta?

Mā tō tākuta koe e kī atu ki a koe te auau o tō haerenga ki te tākuta, me te mea hoki me whai whakamātautau koe. Kia mahara ki te haere ki aua wā katoa.

Waea atu ki tō tākuta i roto i ēnei āhuatanga e whai ake nei:

• Mena ka puta he tohu hou, ka rerekē rānei ngā tohu o nāianei.
• Mena he pānga taha tōu i tētahi rongoā e tangohia ana e koe.
• Mō tō aneurysm me tō mahere maimoatangaMena he pātai, he ruarua rānei āu.

Āhea te wā e haere ai ki te Wāhanga Maimoatanga Ohotata (ETU) :

Mena kei a koe ngā tohu o te "Ate Manawa", te "Whiu", te "TIA" rānei, waea atu ki te 911, ki tō nama urupare ā-rohe rānei.

He aha ngā pātai nui hei pātai atu ki te tākuta?

Ina kitea e koe he aneurysm tō te uaua carotid, tera pea he maha āu pātai. Engari kāore pea koe e mōhio ki hea ka tīmata ai. Anei ētahi pātai ka taea e koe te pātai hei tīmata i te kōrero:

• Kei hea te aneurysm? I roto i te kaki, i roto rānei i te angaanga?
• Kia pēhea te rahi o te aneurysm?
• Me rongoā ahau? Mēnā koinā, āhea?
• He aha ngā kōwhiringa maimoatanga kei a au?
• He aha ngā painga me ngā ngoikoretanga o ia kōwhiringa maimoatanga?
• He aha ngā mea me tumanako atu ahau i te wā e ora ana ahau i muri i te maimoatanga?
• He aha ngā huringa āhua noho me mahi e au?
• He mahi anō kei reira kāore e tika kia mahia e au?
• Me whai atu anō aku whakamātautau? Mēnā koinā, āhea te wā?

Te rerekētanga i waenga i te aneurysm i roto i te kaki (extracranial) me te aneurysm i roto i te angaanga (intracranial)

E pā ana ēnei ingoa e rua ki tētahi aneurysm e puta mai ana i roto i te uaua carotid. Heoi, e pā ana tēnei ki tētahi rerekētanga o te wāhi o te aneurysm.

• Ko te tikanga o waho o te angaanga ko te aneurysm kei waho o te angaanga, arā, kei roto i te kaki .
• Ko te tikanga o te intracranial kei roto i te angaanga te aneurysm.

Kua wehea te uaua carotid o roto ki ēnei wāhanga nā te mea ka piki ake i te kaki, ka uru ki roto i te angaanga. He māmā noa iho, ko te wāhanga o te uaua kei roto i te kaki (te wāhanga cervical, C1 rānei) ka kiia ko te wāhanga extracranial. Ko ngā wāhanga kei muri i te urunga o te uaua ki te angaanga (te petrous, lacerum, cavernous, clinoid, ophthalmic, communicating segments - C2 ki C7) ka kiia ko te wāhanga intracranial. Kāore koe e hiahia ki te maumahara ki ēnei ingoa, engari ki te mea tō tākuta he pēnei i te, "He aneurysm tōu kei roto i tō uaua carotid o roto maui, te wāhanga cervical," ko tana tikanga he aneurysm kei roto i te wāhanga o te uaua kei roto i tō kaki maui, i waho o te angaanga.

Kaua e wehi ki te pātai ki tō tākuta mō ngā kupu hauora kāore koe e mārama. Pērā ai, ka mārama ake koe ki ngā mea e tupu ana i roto i tō tinana me te wāhi e tupu ana.

Hei whakamutunga, ētahi mea hei maumahara (Karere hei tango ki te kāinga)

He mea noa te mataku ina kitea he aneurysm tōu. Tērā pea ka puta ake ngā pātai pēnei i te "He aha i pā ai tēnei ki ahau?" me te "Ka rerekē rānei tōku oranga o ia rā?". Tērā pea ka mataku koe i ngā raruraru.

Engari, ko te mea nui kia kaua e manukanuka.Mā ngā hangarau whakaahua matatau me ngā maimoatanga o ēnei rā, ka taea e te tini o te tangata te noho noa i te ao. Tērā pea ka taea e ētahi te aroturuki i tō rātou aneurysm, ko ētahi ia me rongoā.

Mena kua kitea he aneurysm o te uaua carotid koe, kōrero ki tō tākuta mō ngā mahi me te maimoatanga e whai ake nei. Mena he iti te aneurysm, ka tūtohu pea tō tākuta kia tirotirohia koe. Kia mau ki ngā wā whakarite me ngā matawai a tō tākuta i ia rā. Mena he pātai, he āwangawanga rānei āu, kōrero ki tō tākuta. Ka taea e koe te whakatau i tēnei āhuatanga mā te whai i ngā tohutohu hauora tika me te whai whakaaro pai.

` Te Aneurysm o te Arteri Carotid, Te Aneurysm o te Arteri Carotid, Ngā Uaua Toto o te Kaki, Te Rere o te Toto ki te Roro, TIA, Te Whiu Iti, Te Whiu, Te Pararutiki, Ngā Tohu o te Aneurysm, Te Maimoatanga o te Aneurysm