E mōhio ana koe he aha ēnei uaua ate i roto i tō ate? Me kōrero tāua!

He mea whakamiharo kei roto i ō tātou tinana katoa, kāore? Ko ētahi mea kāore tātou e whakaaro ana i ia rā, engari kāore e taea e tātou te ora me te kore ēnei mea. Waihoki, ko te pūnaha o ngā uaua toto e mahi ana i tētahi mahi tino nui i roto i ō tātou tinana e kiia ana ko ngā uaua ate. Ki te kī noa, he momo uaua ēnei e kawe ana i te toto mai i tō tātou ate. Me kōrero taipitopito atu tātou mō tēnei?

He aha ngā uaua ate? Kei hea rātou e noho ana?

Āe, whakaarohia pēnei. He okana whakamiharo tō ate. He nui āna mahi. Nō reira, i muri i te mahi i roto i te ate, me whakahoki te toto kua horoia, engari kāore i te nui te hāora, ki te ngākau. Ka karangatia ngā uaua ate, he rōpū uaua e āwhina ana i taua mahi.

E hono tika ana tēnei uaua ki te Inferior Vena Cava (IVC), he uaua nui e kohi toto ana mai i te taha o raro o tō tātou tinana, ka haria ki te ngākau. Kātahi ka haere te toto mā roto i tēnei IVC ki te rūma o runga i te taha matau o te ngākau, te atrium matau.

E toru ngā momo matua o ngā uaua ate:

• Uaua hepatic matau
• Uaua hepatic maui
• Uaua ate waenga

Kei roto i tō ate ēnei uaua. E waru ngā pūwero o te ate e rere ana, ā, e tohu ana i ngā rohe o ngā wāhanga matua e whā o te ate. E kīia ana ēnei wāhanga e whā e ngā tākuta ko te taha matau o mua, te taha matau o muri, te taha maui o waenganui, me te taha maui o te ate. I roto i te ate, ka whiwhi toto ēnei uaua ate mai i ngā uaua pokapū. He uaua iti ēnei uaua pokapū e kohi toto ana mai i ngā kapia iti puta noa i te ate.

Ka puta mai ngā uaua ate i te tuara o te ate, ka hono tika ki te vena cava o raro (IVC). Ka honoa tēnei ki te taha o te tuaiwi, i raro noa i te diaphragm. I te nuinga o te wā, ka honoa te uaua ate matau ki te IVC anake, ko ngā uaua ate waenga me maui ka honoa hei hanga i te pūtake kotahi ka honoa ki te IVC. Heoi, kāore tēnei e rite mō te katoa, ā, tera pea he rerekētanga.

He aha te mahi a ēnei uaua?

He mea tino nui ngā uaua ate o roto i tā tātou pūnaha tohanga toto. Ko tā rātou mahi matua he kohi toto kore-hāora mai i te ate , ka kawe ki te vena cava o raro (IVC). Kātahi ka haere tēnei toto mā te ngākau ki ngā pukahukahu, ka whakakīia ki te hāora, kātahi ka panaia ki te ngākau puta noa i te tinana. Nō reira, ka kite koe i te hiranga o tēnei pūnaha uaua, tika?

He rite ngā uaua ate ki tētahi pūnaha paipa e kawe ana i te wai kua whakamahia mai i te ate ka whakahoki atu ki te tinana kia purea.

He rite tonu ngā uaua ate o te katoa? He rerekētanga rānei?

He mea tino whakamere tēnei. Kāore i te rite te hanganga o ngā uaua ate o te katoa.Tērā pea he iti noa ngā rerekētanga o ēnei, engari kāore e pā kino. Heoi, he mea tino nui kia mōhio ngā taote pokanga ki ēnei rerekētanga, inā koa i ngā pokanga pēnei i te whakawhitinga ate, te tango rānei i te ate.

He aha ēnei huringa pea? Me titiro tātou ki ētahi:

• Uā toto hepatiki matau o raro: Haunga ngā uaua hepatiki matua e toru, ka hono pea tētahi atu uaua ki te IVC i te taumata o raro.
• E rua ngā uaua ate matau: Tērā pea ka hanga e ēnei uaua e rua he pūtake kotahi i mua i te hononga ki te (IVC), ka hono motuhake rānei.
• He wehenga tere o te uaua ate matau: Ina tata te hononga o te uaua ate matau ki te (IVC), ka hono pea tētahi uaua peka iti.
• Ka hono motuhake ngā uaua ate o waenganui me maui ki roto i te (IVC): Ka taea hoki e ēnei uaua e rua te hono motuhake ki roto i te (IVC), me te kore e hanga he pūtake kotahi.

Nā, kei te kite koe, tika? He mea noa ngā panonitanga iti pēnei.

Ko te whānui o te uaua ate he tata ki te 15 mirimita.

He aha ngā mate e pā ana ki ngā uaua ate?

Engari, ka taea hoki e ēnei uaua ate te whakawhanake i ētahi mate. Ko tētahi o ngā mea tino nui ko te mate e kiia nei ko te Budd-Chiari Syndrome .

I te whakarapopototanga, koinei te wā e puta ai ngā toto totoka i roto i ngā uaua ate. Ka whakawhāitihia e ēnei totoka ngā uaua, ka āraia rawatia rānei. Ka aha i muri mai? Ka noho pūmau te toto i roto i te ate. Ka pāngia hoki te pūnaha totoka e karapoti ana i te ate e tēnei pupūtanga.

Ko ētahi o ngā raruraru ka puta mai i te Budd-Chiari Syndrome ko:

• Te toto toto tiketike o te ate: Te pikinga o te pēhanga i roto i te uaua portal e kawe ana i te toto ki te ate.
• Ngā Varices o te Esofagus: Te pupuhi me te mōrearea o te pakaru o ngā uaua i roto i te esofagus.
• Te kohi wai i roto i te puku (Ascites)
• Te ānini o te ate: te whakapakeketanga o te ate me te ngoikore o te mahi.

He aha ēnei tohu?

Ka rerekē pea ngā tohu o te Budd-Chiari Syndrome me ōna raruraru e pā ana ki ia tangata, engari ko ētahi o ngā tohu noa ko:

• Te rere toto me te tūtae.
• Ngā raruraru nakunaku pērā i te kore hiahia, te pupuhi, me te mate puku.
• Te ngenge me te ngoikore pinepine.
• Te mamae i te puku o runga.
• Te pupuhi o te puku me te piki tere o te taumaha.
• Te uaua ki te manawa.
• Te pupuhi o ngā waewae, o ngā pona rānei (Edema).
• Te ruaki toto.

Mena kei a koe tētahi, neke atu rānei o ēnei tohu, he mea tino nui kia rapu tohutohu hauora tonu atu.

Me pēhea te tautuhi a ngā tākuta i tētahi āhuatanga pēnei?

Ka whai te tākuta i ētahi mahi hei whakatau mēnā he raruraru kei roto i ēnei uaua ate.

1. Whakamātautau tinana: Tuatahi, ka tirotirohia koe.

2. Ngā whakamātautau toto: Ka mahia ngā whakamātautau toto hei tirotiro i te mahi a te ate.

3. Ētahi atu whakamātautau: Hei tāpiritanga, ka taea te mahi i tētahi, i ētahi rānei o ēnei whakamātautau:

• Whakamātautau (Ultrasound) mō te matawai i te oro.
• Whakamātautau matawai CT (Tomography Rorohiko - matawai CT).
• Whakamātautau matawai MRI (Whakaahua Āhua Aukume - MRI).
• Te tango i tētahi wāhanga iti o te ate hei tirotiro (Biopsy Ate).

Ka tika te tautuhi a te tākuta i runga i ngā mōhiohio i puta mai i ēnei whakamātautau.

He aha tāu e mahi nei hei maimoatanga?

Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki tō āhua me tōna kaha. Ko te rongoā thrombolytic te tikanga ka hoatu hei whakarewa i ngā toto totoka. He maha anō ngā tikanga hei whakaora i te rere o te toto. Ka matapakihia e tō tākuta te kōwhiringa maimoatanga e pai ana māu.

Me aha tātou kia ora tonu ai ō tātou uaua ate?

"He pai ake te ārai i te rongoā," te kī a rātou. Nō reira, he maha ngā mea ka taea e tātou te mahi hei pupuri i te hauora o ō tātou uaua ate, tae atu ki tō tātou pūnaha toto katoa.

• Whakawhāitihia te inu waipiro: He tino kino te inu waipiro nui ki te ngākau, ki ngā uaua toto, me te ate. Ki te inu waipiro koe, whakawhāitihia ki te nui taurite.
• Āta karohia ngā hua tupeka: Ka pakaru ngā oko toto i te momi hikareti, ā, he tino take mōrearea hoki mō te mate ngakau.
• Whakahaerehia ētahi atu mate hauora: Mena kei a koe ētahi atu mate hauora, pērā i te toto toto tiketike, te mate pāwera rānei, kōrero ki tō tākuta mō te whakahaere i aua mate. Ka taea e ētahi mate te kino i ngā oko toto i roto i te wā.
• Kai i ngā kai hauora mō te ngākau: Kua kitea te kai Mediterranean hei āwhina i te whakaiti i te mōrearea o te mate ngākau.
• Whakakorikori Tinana: Pātai atu ki tō tākuta mō ngā whakakorikori tinana haumaru, tika hoki māu. Mā te neke i tō tinana ka pai ake te rere o te toto.
• Me tirotiro hauora ā-tau: Ka tirohia e te tākuta ō tohu ora, ā, ki te tika, ka whakahaerehia ētahi atu whakamātautau hei āwhina i te kimi me te rongoā wawe i ngā raruraru.

He rite tonu te uaua ate me te uaua portal?

Kāo, ehara ēnei e rua i te rite. Ko ngā uaua ate me ngā uaua poutū he momo uaua toto e rua e mahi ana i ngā mahi rerekē.

• Utauta Pūaha: I ētahi wā ka kiia ko te uaua pūaha ate. Koinei te meaTe kawe toto ki te ate. Ka puta mai tēnei toto i ngā whekau maha o te puku. Arā, ka kawe mai i te toto e hiahia ana kia horoia te ate.
• Ngā uaua ate: Ka haria te toto e ēnei i te ate. Arā, i muri i te tukanga horoi i roto i te ate, ka haere te toto kore-hāora mā roto i ēnei uaua ki te vena cava o raro (IVC), mai i reira ka haere ki te ngākau.

Ki te kī ngāwari, ka haria e te uaua tomokanga ngā "rauemi mata" ki te ate, ko ngā uaua ate ia ka haria e te "hua kua oti" (arā, te toto kua purea).

Nō te pūnaha uaua portal te uaua portal. He whatunga uaua e kawe ana i te toto mai i ngā whekau i roto i te puku ki te ate. Heoi, kāore ngā uaua ate e nō tēnei pūnaha.

Hei whakamutunga, ko te mea tino nui (Karere hei tango i te kāinga)

Nō reira, ko tāku tumanako kei a koe te whakaaro pai mō ngā uaua ate. He hononga tino nui ēnei i waenga i tō tātou ate me te ngākau. Ka āwhina ēnei uaua ki te kawe i te toto kua horoia e te ate, engari he iti te hāora, ki te ngākau.

Mena he āwangawanga, he pātai rānei āu mō te hauora o tō ate, mō ngā uaua toto rānei e hono ana ki a ia, tēnā tirohia he tākuta. Ka koa rātou ki te kōrero atu ki a koe mō tēnei mea, ā, ka tohutohu atu hoki ki a koe mō ngā huringa āhua noho ka taea e koe te mahi hei pupuri i te hauora o tō pūnaha tohanga toto.

Hei noho hauora, he mea tino nui kia mōhio tātou ki ēnei wāhanga iti engari he tino hira o te tinana, kāore?