I ētahi wā, ka pāngia koe e ngā raruraru nui i roto i tō tinana, kāore koe e mōhio. Ko tētahi o aua raruraru ko te aneurysm o te uaua femoral. I roto i ngā kupu māmā, ka pupuhi tetahi oko toto nui (artery) i roto i tō huha, e tata ana ki te hononga hope, pērā i te poihau, e kiia nei ko te "Femoral Artery Aneurysm". He mea tēnei hei āwangawanga māu, nā te mea i ētahi wā ka pāngia koe e tēnei mate
me te kore he tohu .
He aha tonu te aneurysm o te uaua femoral?
Whakaarohia he paipa wai. Ka ngoikore te pakitara o tēnei paipa i tētahi wā, ā, ka pupuhi haere. Koinei te āhua.
Ka pupuhi te uaua toto matua i roto i tō huha (e kiia nei ko te 'uaua femoral') ki te rua te rahi o tōna rahi noa. Ka puta tēnei nā te mea kua totoro katoa ngā paparanga o te pakitara o te uaua toto. Ina ngoikore te pakitara o te uaua toto i tēnei ara,
ka nui ake te tūponotanga ka pakū . Ki te pakū, he uaua toto nui tēnei, nō reira ka ngaro te nui o te toto i te tinana i te wā kotahi. He āhuatanga tino morearea tēnā. Waihoki, tera pea ka puta he toto totoka i roto i tēnei pupuhi ka mau ki roto i te uaua, ka pakaru rānei ka aukati i tētahi uaua ki tētahi atu wāhi.
He momo pupuhi ēnei kei runga i te wāhi e puta ai?
Ae, ka whakarōpūhia tēnei "Femoral Artery Aneurysm" e ngā tākuta
i runga i te wāhi tika . Ko te uaua toto matua i roto i tō huha, me kī ko te "common femoral artery", ka wehea ki ngā manga iti ake i ētahi wāhi.
- Tērā pea ka puta ētahi pupuhi i mua i ngā peka o tēnei uaua matua .
- Ko ētahi atu ka puta i te wāhi e wehea ai ngā manga , i roto rānei i ngā manga e wehea ana, i te "uaua femur profunda" me te "uaua femur superficial" rānei.
Ka whakarōpūtia tēnei mā te wāhi, nā te mea i ētahi wā ka rerekē te maimoatanga i runga i te wāhi motuhake o te pupuhi.
Ko wai te mea tino tūpono ka pāngia e tēnei mate?
Ahakoa ka taea e te tangata katoa te pāngia e tēnei āhuatanga e kiia nei ko te "Femoral Artery Aneurysm," he nui ake te mōrearea o ētahi tāngata.
- He nui ake te tūponotanga ka pāngia ngā tāne e tēnei mate i ngā wāhine.
- He tino teitei tēnei mōrearea mō te hunga neke atu i te 70 tau te pakeke .
Hei tāpiri, tera pea ka tūpono koe ki te mate mena kei a koe ēnei mea:
- Te toto toto tiketike : Mena he tiketike tonu tō toto toto .
- Te cholesterol teitei : Ko te cholesterol teitei te ngako kei roto i te toto.Mena he nui ō taumata cholesterol .
- Ngā mate hononga kiko : Tērā ētahi mate onge ka pā ki ngā kiko o te tinana, hei tauira, te mate Ehlers-Danlos, te mate Marfan rānei. Ka pāngia hoki te hunga whai mate nei e te mōrearea.
- Te whakamahinga o ngā hua tupeka : He nui ake tēnei mōrearea mō te hunga e momi hikareti ana, e momi pī, e momi nati betel, e momi rānei i ētahi atu momo tupeka.
- Atherosclerosis : Koinei te tino take. Ko te Atherosclerosis te putunga o ngā ngako ki ngā pakitara o ngā oko toto , ka āta whakawhāiti haere i aua mea. Mena kua pāngia koe e te mate ngakau i mua, ki te mea rānei he raruraru ōu ki ngā oko toto i ō waewae, pērā i te mate uaua o te taha, tera pea ka tūpono koe ki te pāngia e te atherosclerosis.
- Hītori whānau : Mena kua pāngia tētahi o tō whānau, pēnei i tō whaea, tō pāpā, ō tuākana/teina rānei, e te aneurysm pēnei i mua, tera pea he iti ake tō mōrearea.
He pēhea te noa o tēnei āhuatanga?
He tino
onge tēnei mate `(Femoral Artery Aneurysm)`. Ara, ehara i te mate noa. Heoi, ahakoa he onge, ka pāngia ētahi tāngata e ēnei pupuhi i ngā waewae e rua. Ka pāngia ētahi atu e ēnei pupuhi (aneurysms) ehara i te mea i roto i tēnei uaua femoral anake, engari i roto hoki i ētahi atu oko toto o te tinana (hei tauira, i roto i te aorta i roto i te puku) i te wā kotahi. E ai ki ngā tatauranga, e pāngia ana e tēnei mate te 0.007% anake o ngā tāne. I roto i ngā wāhine, he iti ake tēnei ōrau. Nō reira, kaua e wehi ki te whakaaro he tino onge tēnei, engari he mea nui kia mōhio ki tēnei.
He aha te mea ka pā ki te tinana ina whānui haere ēnei uaua toto?
Mena he `(Femoral Artery Aneurysm)` tōu, e rua ngā mōrearea matua. 1.
Toto toto : Ka puta he toto toto ki te wāhi o te aneurysm ka mau ki roto i taua uaua. Mēnā rānei, ka pakaru te toto toto ka haere i roto i te toto ka aukati i tētahi oko toto iti ki tētahi atu wāhi (hei tauira, i te waewae o raro, i te waewae rānei). Ka taea e tēnei te aukati i te rere o te toto ki taua wāhi ka puta he raruraru. 2.
Pakaru : Koinei te mea tino mōrearea. Ka taea e te pakitara ngoikore o te uaua te pupuhi me te pahū ohorere. Mēnā ka tupu tēnā, e ai ki te kōrero i mua ake nei, ka taea te whakaheke toto nui, tae atu ki te mate.
He aha ngā tohu o tēnei?
I te nuinga o te wā,
Tata ki te 40% o te hunga whai mate pēnei kāore he tohu! Koinei te mea whakamataku. Heoi, ki te puta mai ngā tohu, ka uru atu ēnei ki:- He puku i roto i tō hope : Tērā pea ka rongo koe i tētahi puku i roto i tō hope, me te mea kei te mau i roto i tō ringa. I ētahi wā, ka rite tēnei puku ki te mea kei te pāorooro.
- Te pupuhi o te waewae o raro : Ka pupuhi pea te waewae o raro.
- Mamae, pēhanga rānei i te hope, i te waewae rānei : Tērā pea ka pāngia koe e te mamae i te hope, te huha, te waewae rānei, ka pēhia rānei.
- Ngā toto totoka : E ai ki te kōrero i mua ake nei, ka puta pea ngā tohu o ngā toto totoka (hei tauira, te makariri ohorere, te mā, te mamae nui).
- Pupuhi : He tino onge tēnei e tupu ana, engari ki te puta, ka pā mai he raruraru nui me te mamae ohorere, kino hoki.
Kia maumahara, ka kitea pea kāore he tohu, nō reira he mea pai kia kōrero ki te tākuta mēnā he āhuatanga mōrearea tōu.
He aha te take o tēnei?
He maha ngā take e ngoikore ai te pakitara o te uaua femoral, e puta ai tēnei momo pupuhi (aneurysm).- Atherosclerosis : Koinei te tino take, te take tino noa hoki . Ina nui haere te ngako i roto i ngā oko toto, ka mātotoru haere ngā pakitara o ngā uaua, ka ngaro te ngāwari, kāore e taea te tu atu i te pēhanga o te toto, ā, ka ngoikore, ka pupuhi i ētahi wāhi.
- Te toto toto tiketike : Ina teitei te toto mō te wā roa, ka pēhia tonutia ngā uaua toto. Ka taea hoki e tēnei te ngoikore i ngā pakitara o ngā uaua.
- Whara : Mena ka pakaru tetahi oko toto i te rohe huha i tetahi aituā, i tetahi whara ohorere rānei, ka pupuhi pea te rohe i muri mai. Hei tauira, ko ngā whara iti mai i ētahi tikanga hauora (pēnei i te whakauru i te catheter) ka waiho hei take i ētahi wā.
- Ngā mate hononga kiko : E ai ki te kōrero i mua ake nei, ko te hunga whai mate onge e pā ana ki te hononga kiko o te tinana, pērā i te mate Ehlers-Danlos, te mate Marfan, te mate adventitial cystic rānei, tera pea he ngoikore whānau mai o ngā pakitara o ngā uaua toto.
- Te mate a Behçet : Ka taea hoki e te mate a Behçet te mumura o ngā oko toto, ā, ka pupuhi pēnei.
Koia te take e ngoikore ai te pakitara o tō uaua femoral, e totoro haere ai hoki i raro i te pēhanga o te toto, ka hanga he aneurysm pēnei. Me pēhea te kite a ngā tākuta i tēnei?
Ina haere koe ki te tākuta, tera pea ka rongo rātou i tētahi puku i roto i tō hope i te wā e tirotirohia ana e te tinana. Engari ehara i te mea ko ngā puku katoa i roto i tō hope he aneurysm. I ētahi wā he hernia pea. Nō reira, kia mōhio ai koe he aha te mea, me te mōhio hoki he aha te rahi o te puku, kei hea, me te aha hoki, ka tono tō tākuta kia mahia e koe ētahi whakamātautau pēnei i:- Matawai Ultrasound : He whakamātautau māmā noa iho tēnei, kāore he mamae, ka taea te tirotiro i roto i te uaua toto, kei hea te pupuhi, me tōna rahi.
- Angiogram CT : He momo matawai CT motuhake tēnei. I roto i tēnei whakamātautau, ka werohia he tae motuhake (tae rerekē) ki roto i ō uaua toto, ā, ka tangohia e te matawai CT ngā pikitia taipitopito toru-ahu (3D) o ngā uaua toto. Ka taea e tēnei te whakarato i te maha o ngā mōhiohio e pā ana ki te aukati.
- Angiogram M.R. (Angiogram Āhua Aukume - MRA) : He matawai MRI motuhake tēnei e titiro ana ki ngā uaua toto, he rite ki te angiogram CT.
Mā te tākuta e whakatau te maimoatanga e pai ana māu, i runga i ngā mōhiohio i puta mai i ēnei whakamātautau. Me pēhea te rongoā i ēnei uaua toto pupuhi i ō waewae?
He iti noa te mōrearea o te pakaru o te "Femoral Artery Aneurysm" (tata ki te 1% ki te 14%). Nō reira, kāore e hiahiatia he pokanga tonu mō te katoa . Heoi anō, ka tūtohu pea tō tākuta kia pokangahia hei whakatika i te aneurysm i ngā wā e whai ake nei:- Mena kei a koe ngā tohu (hei tauira, te mamae, te pupuhi, te toto totoka).
- Ki te pakū te pupuhi (he āhuatanga ohorere tēnei, ā, me mahi pokanga tonu).
- Mena kei te nui haere te pupuhi (ka tirohia e te tākuta i ia wā).
- Mena he nui ake i te 2.5 henimita (tata ki te inihi) te whānui o te pupuhi .
Hei whakatika i tēnei pupuhi, ka whakahaerehia e ngā tākuta he 'pokanga tuwhera' . Arā, ka tapahia e rātou te kiri ka tirohia tika te uaua toto. Ehara tēnei i te pokanga 'laparoscopic' e mahia ana mā roto i ngā tapahi iti me te kāmera. Ka tangohia e te taote pokanga te wāhanga pupuhi, ngoikore o te uaua toto ka whakakapia ki tētahi ngongo horihori, e kiia nei ko te 'whakapiri papanga' (he ngongo i hangaia ki tētahi momo papanga motuhake). He rite tēnei ki te tapahi i tētahi wāhi ngoikore o te ngongo ahi, kātahi ka whakakapia ki tētahi wāhanga hou, kaha ake. Kātahi ka taea te rere anō o te toto me te maeneene, me te kore e aukati.
He aha ngā raruraru ka puta i muri i tēnei pokanga?
Pērā i ngā pokanga katoa, he iti noa te tūponotanga o ētahi raruraru i muri i tēnei pokanga pokanga whakawhiti uaua femoral. Engari he tino tupato ngā tākuta ki ēnei.- Mate urutā : Ka pirau pea te patunga pokanga, ā, ka pangia.
- Te toto : Tērā pea ka puta te toto i muri i te pokanga.
- Ngā toto totoka: Ka puta pea ngā toto totoka i roto i ngā waewae.
He mea ēnei ka taea te whakahaere. Mēnā ka rongo koe i tētahi mea rerekē, me kōrero tonu atu koe ki tō tākuta . Kia pēhea te roa o te wā e ora ai i muri i tēnei maimoatanga?
I muri i te pokanga, me noho koe ki te hōhipera mō te toru ki te tekau ngā rā. Tērā pea ka roa te kotahi marama, neke atu rānei , kia tino ora ai koe, kia hoki ai ki ngā mahi o ia rā. Nō reira, he mea tino nui kia whai i ngā tohutohu a te tākuta me te manawanui i tēnei wā. He aha taku e taea ai hei whakaiti i tēnei mōrearea?
E ai ki tā tātou i kōrero ai i mua ake nei, ko te tino take o tēnei `(Femoral Artery Aneurysm)` ko `(Atherosclerosis)`, he puranga ngako i roto i ngā oko toto. Nō reira, mā te whakahaere i tēnei ka taea te whakaiti i te mōrearea o ēnei aneurysm.- Whakahaerehia ō taumata cholesterol me te toto toto . Tangohia ngā rongoā kua tohua e tō tākuta.
- Whakakorikori tinana i ngā wā katoa . Ahakoa te hikoi noa mō te 30 meneti i te rā, he pai tonu.
- Kai i tētahi kai hauora, iti te ngako . Kai atu i ngā hua rākau, ngā huawhenua, me ngā kai nui te muka.
- Ki te kai hikareti koe, kati rawa . Kati hoki te whakamahi i ngā hua tupeka. He mea tino nui tēnei.
- Mō ētahi tāngata, hei tāpiri atu ki ēnei huringa āhua noho, ka tūtohu pea te tākuta kia haere tonu te tango i ngā rongoā whakaheke cholesterol.
Mena ka pupuhi pēnei ahau, he aha taku e tumanako ai?
Kāore tēnei `(Femoral Artery Aneurysm)` e memeha noa iho me te kore he maimoatanga. Mēnā ka kī atu tō tākuta kei a koe tētahi, ka tirotirohia e ia i ia wā (ka kī atu kia haere mai koe mō te `tirotiro anō`). Arā, ka whakahaerehia e ia ngā whakamātautau pēnei i te `(Ultrasound scan)` i ētahi wā hei tirotiro mēnā kei te nui haere te pupuhi, mēnā rānei he raruraru kē atu. I runga i tēnā, ka whakatau ia mēnā me pokanga, me tatari rānei mō tētahi wā roa. He tino pai ngā hua o ēnei pokanga. He tino iti te mōrearea o te mate i te wā o te pokanga, i waenga i te 1% me te 5%. Ahakoa e rima tau i muri i te pokanga, tata ki te 85% o ngā oko toto kua whakatikatikaina kei te mahi pai tonu, kāore he raruraru ki te rere o te toto. He tino rongo pai tēnei. Me pēhea taku tiaki i ahau anō?
Mena he `(Femoral Artery Aneurysm)` tōu, ā, kua pokaina koe, kei te tirotirohia rānei koe e te tākuta me te kore pokanga, me tirotirohia ō uaua e te tākuta mō te toenga o tō oranga. Mā tēnei tirotiro auau ka āwhina i te kimi i ngā aneurysm hou i mua i te nui haere me te pahū. Ki te kaipaipa koe, ka taea e ia te whakanui ake i ēnei aneurysm. Nō reira, ka tino tohutohu tō tākuta kia mutu te kaipaipa. Me whai hoki i ngā tohutohu kua hoatu hei whakahaere i tō cholesterol me tō toto toto. Āhea ahau me haere ki te tiaki ohorere?
Ki te puta ohorere mai tētahi, ētahi rānei o ēnei tohu i tō waewae, i tō waewae rānei, me haere tonu koe ki te rūma whawhati tata o te hōhipera, me te kore e whakaroa :- Mena ka ngoikore te waewae, ka ahua kore rānei e ora.
- Ki te pupuhi ohorere te waewae.
- Mena kei te pāngia koe e te mamae e kore e taea te manawanui.
- Mena kua ngoikore tō waewae.
- Ki te mea he makariri ake tō waewae i tō tetahi atu waewae ina pā atu koe.
- Mena kua koma te waewae , kua rerekē rānei te tae.
Ko ēnei tohu e tohu ana i tētahi raruraru nui o te rere o te toto ki te waewae, ko te tikanga pea he toto totoka te take o te pupuhi, he pupuhi rānei. Nō reira, mā te tere o te rongoā me te kore e moumou taima ka taea te whakaora i te ora. He aha ngā pātai me pātai atu e au ki te tākuta?
Mena he pātai, he āwangawanga rānei āu mō tēnei mate, kaua e mangere ki te pātai atu ki tō tākuta. Hei tauira, ka taea e koe te pātai i ēnei pātai:- "E te tākuta, he aha rawa te take o tēnei pupuhi i roto i ōku uaua?"
- "Me tino pokanga ahau mō tēnei? Kāore ianei he maimoatanga kē atu?"
- "Tērā pea ka nui ake te pupuhi pēnei i ētahi atu wāhanga o tōku tinana?"
- "Ka taea e koe te tuku mai i ētahi tohutohu mō ngā kai hei āwhina i te whakaheke i ōku taumata cholesterol?"
He mea tino nui kia pātaihia ēnei pātai, kia pai ake ai tō māramatanga ki tō āhuatanga. He aha te rerekētanga i waenga i te 'Femoral Artery Aneurysm' me te 'Pseudoaneurysm'?
I ētahi wā ka rongo koe i te kupu `(Pseudoaneurysm)`. Ko tōna tikanga he "pūpū teka". He mea noa ake tēnei `(Pseudoaneurysm)` i te `(Femoral Artery Aneurysm)` tūturu kua kōrerohia nei e tātou. I te nuinga o te wā, ka puta he `(Pseudoaneurysm)` i muri i tētahi tikanga hauora i runga i tō uaua toto (hei tauira, ina mahia he `(angiogram)`, ina whakaurua rānei he `(catheter)`), ā, kua pakaru paku te pakitara o taua uaua toto, ā, ka turuturu ētahi toto ka kohia huri noa i te uaua, ka hanga he puku. Ko te rerekētanga matua ko te `(aneurysm)` tūturu, ka totoro, ka pūpū ngā paparanga katoa o te pakitara o te uaua toto. Engari i roto i te `(pseudoaneurysm)`, kāore tēnā e tupu, he kohinga toto e turuturu ana mā roto i tētahi kōhao i roto i te pakitara o te uaua toto. He aha te karere e hiahia ana tātou ki te kawe ki te kāinga mai i tēnei pūrākau?
Nō reira, ahakoa he tino onge te aneurysm o te uaua femoral i kōrerohia e mātou i te roanga atu, he mea tino nui kia mōhio koe me tō whānau ki tēnei mea.- He maha ngā wā kāore tēnei e whakaatu i ngā tohu .
- Mena kei a koe ngā āhuatanga mōrearea (te toto toto tiketike, te cholesterol, te kai paipa, te hītori whānau), rapua he tohutohu hauora .
- Ki te kitea e tō tākuta kei a koe tētahi, kaua e mataku. He maimoatanga whai hua kei reira hei tango atu, ahakoa mā te pokanga, i mua i te pahūtanga .
- He tino whakamarie tēnei mōu mā te tūtaki ki tētahi tākuta he mātau ki te rongoā i ēnei momo mate.
- Kia mau ki te hauora, kia ora tonu, ā, kia tino whai i ngā tohutohu a tō tākuta.Kātahi ka taea e koe te karo i ngā raruraru hauora maha pēnei, ā, ka noho hauora tonu.
Mēnā he pātai anō āu, me kōrero ki tō tākuta whānau, ki tētahi tohunga rānei.
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