Ka pā te pēhanga ki ngā kanohi? Me kōrero tātou mō te (Hypertensive Retinopathy)!

He toto toto tiketike tōu, he toto toto tiketike rānei? He mate toto toto tiketike rānei tō tētahi o tō whānau, tō hoa rānei? I te nuinga o te wā, e whakaaro ana tātou ina kōrero tātou mō te toto toto tiketike, ka pā noa ki ngā whekau nui pērā i te ngākau, te roro, me ngā whatukuhu. Engari i mōhio koe ka taea hoki e tēnei toto toto tiketike te whakararuraru i tō tirohanga? I tēnei rā ka kōrero tātou mō tēnei āhuatanga. Ko te ingoa hauora ko te `(Hypertensive Retinopathy)`. Ahakoa he uaua te ingoa, kia mārama noa tātou.

He aha tēnei `(Hypertensive Retinopathy)`? He māmā noa iho...

Ki te kī ngāwari, ko te `(Hypertensive Retinopathy)` he pakaru ki te `(Retina)` , he paparanga tino tairongo i roto i tō kanohi, nā te toto toto tiketike. Whakaarohia, he rite tō tātou kanohi ki te kāmera. Ko te `(Retina)` te mahi rite ki te kiriata i roto i tēnei kāmera. Ina uru te mārama ki te kanohi, koinei te mea e hanga ana i ngā whakaahua ka tukuna ki te roro. Nō reira, he mea nui te `(Retina)` hauora kia pai ai tā tātou tirohanga.

Nā, he aha te mea ka tupu ina he toto toto tiketike tōu, he toto toto tiketike rānei? Ka rere te toto i roto i ngā uaua toto o tō tātou tinana (e kiia ana e ngā tākuta he "Arteries") i te pēhanga teitei ake i te tikanga. He rite ki te wai e puta mai ana i te tap me te kaha nui. Ina pēhia rawatia ngā uaua toto mō te wā roa, ka tīmata te pakaru. Ka pā pea tēnei kino ki ngā uaua toto puta noa i te tinana.

Nā, koinei te mea ka tupu i roto i te `(Hypertensive Retinopathy)`. Ka pakaru ngā oko toto ngawari e tuku toto ana ki te `(Retina)` nā tēnei pēhanga teitei. Kātahi ka kore te `(Retina)` e whiwhi i te hāora me te kai e hiahiatia ana e ia. I roto i te wā, ka kino pea ngā wāhanga o te `(Retina)`, ka ngoikore te tirohanga, ā, i ētahi wā ka matapo.

He whakatūpato tēnei!

Engari kāore te kōrero e mutu i reira. Ehara te Hypertensive Retinopathy i te mate e pā ana ki ngā kanohi anake. He tohu whakatūpato kaha tēnei kei reira ngā raruraru o te rere o te toto i ētahi atu wāhanga o tō tinana. Whakaarohia, kāore te toto toto tiketike e pā ki ngā kanohi anake, ā, e wareware ana ki ētahi atu wāhanga. Ka pā ki ngā uaua toto puta noa i te tinana. Ka pā pea tēnei ki ngā uaua e tuku toto ana ki tō tātou ngākau me te roro.

I ētahi wā, kāore pea ngā tohu o tēnei kino e kitea mō ngā tau. Engari mō ētahi tāngata, koinei te tohu tuatahi e kino ana te toto toto tiketike ki ō rātou tinana. Inaa, ko te hunga e pāngia ana e te retinopathy hypertensive ka nui ake te mōrearea ki te whakawhanake i ngā mate pūnaha toto , pērā i te mate uaua coronary me te whiu, ā muri ake nei.

He rite ki te rama kōwhai i runga i te rori. He tohu e mea ana, 'Kia tūpato, kia puhoi te haere, me te haere tonu me te tupato.' Nō reira, he mea whakamataku te kitenga kei a koe te `(Hypertensive Retinopathy)`. Engari, whakaarohia he whai wāhi tēnei ki te whakahaere i tō hauora. Kōrero ki tō tohunga kanohi me tō tākuta whānau mō tēnei. He mea nui kia mārama koe ki te pānga o te toto toto tiketike ki tō hauora, me pēhea hoki te whakahaere mā te maimoatanga.

He pēhea te noa o tēnei āhuatanga?

Nā te mea he mea noa te toto toto tiketike i waenga i ngā pakeke neke atu i te 40 tau te pakeke, he mea noa anō hoki te retinopathy hypertensive i waenga i a rātou. E ai ki ngā kairangahau, e pā ana tēnei mate ki waenga i te 4% me te 18.7% o ngā pakeke kāore he mate huka. Ahakoa ka pā ki ngā tāngata o tētahi iwi, he paku noa ake te kitea i waenga i ngā tāngata mangu me ngā uri Hainamana.

He aha ngā tohu o te `(Hypertensive Retinopathy)`?

He tokomaha te hunga kāore he tohu. Koinei te mea tino morearea. Mā te kore e mōhio kei a koe tētahi raruraru ka nui ake te kino. Heoi, i te kino haere o te āhua, tērā pea kāore e taea e koe te kite i ngā mea kia mārama pērā i mua. Ko te tikanga pea he iti tō tirohanga.

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

Ko te tino take o te retinopathy hypertensive ko te toto toto tiketike mō te wā roa. Whakaarohia, ina piki ake te pēhanga i roto i ngā oko toto ngawari o tō retina, ka piri, ka whakawhāiti aua oko toto mō te wā roa atu i te tikanga. Ka kiia tēnei e ngā tākuta he vasospasm. Ina whakawhāitihia te lumen o ngā oko toto, ka whakawhāitihia te nui o te toto e rere ana ki te retina. He rite ki te pēhi i te kakau inu ki tō ringaringa, ā, ka whakawhāitihia te oko toto.

I roto i te wā, ka mātotoru haere ngā oko toto i roto i te retina, ka pakari haere. Nā tēnei ka uaua ake te rere o te toto. Ki te piki tonu te pēhanga, ka nui ake te kino o ēnei oko toto, ka hua ake he raruraru nui pērā i te ngaronga o te tirohanga.

He aha ngā āhuatanga mōrearea mō tēnei?

Ko te mea tino nui mōrearea ko te toto toto tiketike mō te wā roa. Hei tāpiri, he maha atu anō ngā mea mōrearea:

• He hītori o te mate pūnaha toto, inā koa ngā āhuatanga e pā ana ki ngā oko toto matua o te kaki (te mate carotid artery).
• Te momi hikareti, te whakamahi tupeka rānei.
• Ngā taumata cholesterol toto tiketike.
• Te momonatanga, arā, te tino ngako.
• Te huka toto tiketike (te mate huka, te hyperglycemia rānei).
• Te pikinga ake o ngā taumata o te `(Creatinine),` he para e tātarihia ana e ngā whatukuhu.
• He iti noa te "(Albumin)" (he momo pūmua) kei roto i tō mimi.

He aha ngā raruraru ka pā mai i te Hypertensive Retinopathy?

Mena kāore i te tika te maimoatanga, ka puta he maha o ngā raruraru:

• Ka kino haere te tirohanga, ā, ka arahi pea ki te matapo.
• Ko te pupuhi o te retina e kiia ana ko te edema macular.
• Te korenga o te toto e tukuna ana ki te retina me te nerve whatu.
• Ko te wehenga o te retina ko te wehenga o te retina mai i ōna kiko tautoko.

Waihoki, ko te toto toto tiketike, e hua ai te retinopathy hypertensive, ka whakanui ake i te mōrearea o te whakawhanake i ētahi atu mate kanohi. Hei tauira:

• Ko te aukati o te uaua retina he aukati i te uaua e tuku toto ana ki te retina.
• Ko te aukati i te uaua retina he aukati i te uaua e rere ana te toto mai i te retina.
• Kei te kino haere te retinopathy (te kino o te kanohi i puta mai i te mate huka) e pā ana ki te mate huka.

Me pēhea te mōhio ki te `(Hypertensive Retinopathy)`?

Ko ngā tākuta kanohi ngā ka tātaritanga i tēnei mate. Hei mahi i tēnei, ka mahia e rātou ēnei e whai ake nei:

• Akohia tō hītori hauora (ina koa mēnā he toto toto tiketike tōu, me te roa o tō pāngia e taua mate).
• Ka whakahaerehia he whakamātautau kanohi katoa.
• Ka tangohia ngā pikitia o tō retina. Ka whakamahia ngā tikanga matawai motuhake pēnei i te Optical Coherence Tomography (OCT) mō tēnei.

He aha ngā tohu e kitea ana e te tākuta?

Kāore pea koe e kite i ngā tohu o te `(Hypertensive Retinopathy)` i a koe anō. Engari ka tirohia ēnei e te tākuta kanohi i te wā e tirotirohia ana. Ko ētahi o ngā tohu ka kitea i roto i te `(Retina)` ko:

• Te whaiti o ngā oko toto tino iti (Arterioles).
• Ka mātotoru haere ngā pakitara o ēnei '(Arterioles)'.
• He ira mā, he rite ki te kapua (he ira huruhuru miro).
• Ko ngā microaneurysms (he uaua toto iti nei kua whānui) he rite te āhua ki ngā ira whero ririki.
• Ko ngā wai totoka he ira kōwhai i hangaia mai i ngā ngako me ngā pūmua e turuturu ana mai i ngā oko toto kua pakaru.
• Te pupuhi o te pane o te io whatu (Papilledema).

Ko ētahi tohu, pērā i te "(Papilledema)," ka kitea noa iho ina kaha haere te mate.

He aha ngā wāhanga o te `(Hypertensive Retinopathy)`?

Ka whakamahia e ngā tākuta ngā kupu "ngā wāhanga" me ngā "ngā taumata" hei whakaahua i te kaha o tētahi mate. Ko te retinopathy toto toto tiketike e whakarōpūtia ana kia whā ngā taumata (Taumata 1 ki te Taumata 4) i runga i tōna kaha. Ko te Taumata 1 e tohuhia ana e ngā tohu tino taketake, pērā i te whaiti o ngā uaua. Ko te Taumata 4 e tohuhia ana e te kino nui ki te retina.

Ko tētahi atu whakarōpūtanga e wehewehe ana kia toru ngā wāhanga: Ngāwari, Ngāwari, me te Kino (koinei te wāhanga tino kino). Whai muri i te tirotiro i ō kanohi, ka whakamārama tō tākuta i te wāhanga kei roto koe me pēhea tōna pānga ki a koe.

Me pēhea te rongoā i tēnei?

Ko te whāinga matua o te maimoatanga he whakaheke i tō toto toto.Ko te tikanga, me huri te āhua noho me/ranei ngā rongoā. Mā tō tākuta e whakawhanake he mahere maimoatanga e tika ana māu.

E kōrero ana mō ngā huringa o te āhua noho:

• Te pupuri i tō taumaha hauora.
• He mea tino nui te whai i tētahi kai hauora mō te ngākau, inā koa te whakaiti i te kai tote.
• Whakakorikori tinana i ia wā . Ngāna kia 150 meneti te iti rawa o te whakakorikori tinana kaha-waenga, pērā i te hikoi, i ia wiki.
• Te whakawhāiti i ngā inu waipiro.

Mena kei te hiahia koe i tētahi rongoā mō tō toto toto tiketike, mā tō tākuta koe e kī atu ki te momo rongoā e hiahiatia ana e koe me te nui hei tango. He mea nui kia tangohia tō rongoā kia rite ki te mea i whakaritea, ā, i te wā tika hoki. Kaua rawa e mutu te tango i tō rongoā me te kore kōrero ki tō tākuta.

Ka taea te rongoā i te Hypertensive Retinopathy?

Āe, ka taea e koe! Mā te tango maimoatanga hei whakaheke i tō toto toto ka āwhina i te whakaora o tō retina. Kua whakaatuhia e ngā rangahau ka taea e ētahi tohu o te hypertensive retinopathy te whakapai ake i roto i te wā me te maimoatanga. Heoi, kāore tēnei e tupu i ngā wā katoa, ā, kei te kaha o tō āhua. Ki te tīmata wawe koe i te maimoatanga, i mua i te kino haere o te mate, he nui ake te tūponotanga ka taea e koe te whakakore i te kino o tō retina.

Nō reira, he mea tino nui kia mahi tahi koe me ō tākuta ki te whakahaere i tō toto toto me tō hauora whānui.

He aha taku e tumanako atu ai mēnā kei a au tēnei āhuatanga?

Ka whakawhirinaki tō matapae ki ngā āhuatanga maha, tae atu ki te kaha o tō mate me te tere o tō rapu maimoatanga. Ko ētahi tāngata kāore he ngaronga tirohanga, ā, ka ngaro ngā tohu o te retinopathy hypertensive ina whakaitihia te pēhanga. Ko ētahi atu pea he ngaronga tirohanga, he raruraru rānei e hiahia ana kia rongoatia anō.

Ka taea e tō tākuta kanohi me tō tākuta whānau te tohutohu i ngā mea hei tumanako atu māu i runga i tō āhuatanga ake.

Te Retinopathy Hypertensive me te Mōrearea o te Mate Manawa

E ai ki tā mātou i kōrero ai i mua ake nei, ko te `(Hypertensive Retinopathy)` he tohu whakatūpato kei reira ngā raruraru ki te rere o te toto i ētahi atu wāhanga o tō tinana. Tērā pea kua noho kē ēnei raruraru, ka puta ake rānei i te heke mai. Ko te hunga e pāngia ana e te `(Hypertensive Retinopathy)` he nui ake te mōrearea ki te whakawhanake i ngā mate pūnaha toto. Kei roto i ēnei ko ngā raruraru ki tō ngākau me ngā raruraru ki te rere o te toto i roto i ngā uaua e tuku toto ana ki te roro (ngā uaua Carotid).

Nō reira, ka whakatau pea tō tākuta ki te whakahaere i ētahi whakamātautau hei tirotiro i te hauora o tō ngākau, o ngā uaua carotid rānei. Nā te mea ki te kore e nui te toto e whiwhi ana i tō retina, tērā pea kāore e nui te toto e whiwhi ana i tō roro.

He mea nui kia mahi tahi koe me tō tākuta hei whakaiti i tō tupono ki te whakawhanake i ēnei āhuatanga. Kei roto pea i tēnei ko ngā huringa āhua noho, ngā rongoā, me ētahi atu maimoatanga. Me tango pea koe i ētahi rongoā hei whakahaere i ngā āhuatanga hauora o nāianei me te whakaiti i tō tupono ki ngā raruraru nui, pērā i te whiu.

Ka taea te ārai i te Hypertensive Retinopathy?

Ae, ka taea e koe te āwhina ki te ārai i tēnei āhuatanga ki tētahi taumata:

• Me tirotiro hauora koe i ia tau. Ka ine tō tākuta i tō toto toto, ā, ka kōrero atu ki a koe ngā hua. Ko te mōhio kei te toto toto tiketike koe te taahiraa tuatahi ki te whakaheke i tōna toto.
• Whakahaerehia te toto toto tiketike. Mena he tiketike tō toto toto, ka kōrero tō tākuta ki a koe mō ngā huarahi hei whakaheke i tōna taumata ki te taumata hauora. Hei tauira, ka tūtohu pea rātou i ngā huringa āhua noho (pēnei i te kai hauora mō te ngākau) me te whakakori tinana auau. Ka tohua pea hoki e rātou he rongoā.

Me pēhea taku tiaki i ahau anō?

Ko te mea nui rawa atu ka taea e koe ko te whai i ngā tohutohu a tō tākuta hei whakahaere i tō toto toto. Kei roto i tēnei ko te tango i tō rongoā e ai ki te whakahaunga. Kōrero ki tō tākuta mēnā he pātai, he āwangawanga rānei āu mō tō mahere maimoatanga, mō tō kaha rānei ki te piri ki tēnā.

Āhea ahau me rapu tohutohu hauora?

Me tirotiro hauora koe i ia tau. Ka tirohia e tō tākuta ō tohu ora , tae atu ki tō toto toto. Mā ngā tirotiro auau pēnei ka āwhina i a koe ki te tautuhi wawe i ngā raruraru i mua i te kino haere.

Me toro atu hoki koe ki tētahi tohunga kanohi i ia wā, i ia wā, mō ngā whakamātautau kanohi. Ko te nuinga o ngā pakeke neke atu i te 40 tau te pakeke me tirotiro katoa ō rātou kanohi i ia tau, i ia rua rānei tau. Mā tō tohunga kanohi koe e kōrero ki a rātou mō te auau o tō haerenga atu, i runga i te hauora o ō kanohi, tō tau, me ētahi atu āhuatanga.

Āhea ahau me haere ki te rūma whawhati tata?

Mena kei a koe ngā tohu o te mate toto toto tiketike, waea atu ki te 911, ki tō nama urupare ā-rohe rānei i taua wā tonu. He āhuatanga tēnei ka tino teitei te toto toto, kāore he whakatūpato. Ko ngā tohu ko:

• Te toto toto 180/120 mmHg, neke atu rānei.
• Mamae o te uma.
• Te uaua ki te manawa.
• Te ngoikore.
• Ngā panonitanga o te tirohanga.
• Te uaua ki te kōrero.

Tērā pea ka ohorere koe i te kitenga kua pāngia koe e te Hypertensive Retinopathy. Tērā pea i mōhio koe he teitei tō toto toto, engari kāore koe i mōhio kei te pā ki ō kanohi. Kāore rānei koe i mōhio he rerekē tō toto toto. Heoi, koinei te wā ki te ako atu mō tō mate me tōna tikanga mōu. Mahi tahi me tō tākuta kanohi me tō tākuta whānau kia whiwhi ai koe i te maimoatanga e hiahiatia ana e koe. Mā te mahi tahi, ka taea e kōrua te tiaki i tō tirohanga me tō hauora whānui mō ngā tau e haere ake nei.

Karere Tangohia ki te Kāinga

• Ko te Hypertensive Retinopathy he kino ki te retina o te kanohi e hua mai ana i te toto toto tiketike.
• He maha ngā wā, kāore he tohu e kitea ana i ngā wāhanga tōmua, nō reira he mea nui kia tirohia ō kanohi i ia wā.
• He tohu whakatūpato anō hoki tēnei āhuatanga mō ngā raruraru o ngā uaua toto i ētahi atu wāhanga o te tinana, pērā i te ngākau me te roro.
• Ko te maimoatanga matua ko te whakahaere i te toto totoka, tae atu ki ngā huringa momo noho, me te rongoā mēnā e tika ana.
• Ki te kitea, ā, ka rongoātia i te wā wawe, ka taea te whakaiti i ngā kino o te tirohanga, ā, tera pea ka ora rawa.
• Kōrero ki ō tākuta, ā, kia tino whai i ā rātou tohutohu.

Kaua e mataku, kia mōhio, ā, me mahi i ngā mahi e tika ana. Kei roto i ō ringaringa tō hauora!

` Te toto toto tiketike, te tirohanga, te retina, te retinopathy, te mate ngakau, te whiu, te mate kanohi, te pēhanga, te Retinopathy Hypertensive