Ka aha mēnā ka mutu te rere o te toto ki tō roro? (Te whiu ischemic) Me ako atu tātou mō tēnei mea.

Āe, whakaarohia te mea ka tupu mēnā ka mutu ohorere te rere o te toto ki tō roro? He āhuatanga tino morearea tēnei. Ka kiia tēnei he whiu ischemic . He āhuatanga ohorere hauora tēnei ka mōrearea te ora. Ka mate ngā pūtau roro i tēnei āhuatanga, ā, mēnā ka tupu tēnā, ka ngaro pea ngā mahi a te tinana e whakahaeretia ana e aua pūtau. Ko te whiu ischemic te 80% o ngā whiu katoa o te ao. Nō reira, he mea tino nui kia mōhio koe me ō whanaunga ki tēnei.

Nā, he aha ngā tohu o te "Ischemic Stroke"?

Ka rerekē pea ngā tohu o te whiu ischemic i runga i te wāhanga o te roro e pāngia ana. Heoi, kei reira ētahi tohu noa:

• He kare ā-roto o te māuiui, te pararutiki rānei i tetahi taha o te mata, o te tinana rānei.
• Te uaua ki te kōrero, te ngaro katoa rānei o te kōrero (Aphasia) .
• Ka pōturi te kōrero, ā, kāore e taea te whakahua tika i ngā kupu (Dysarthria) .
• Te kore e taea te whakahaere i ngā uaua o tetahi taha o te mata.
• Kāore he aha mēnā ka ngaro whakarere, ka kino rānei tō arero ki te hongi, ki te reka, ki te pā, ki te whakarongo rānei.
• Te tirohanga pōuri , te tirohanga takirua rānei (Diplopia) .
• Te ngaronga o te taunga o te tinana, te kore e taea te hopu tika i ngā mea, me te tūtuki (Ataxia) .
• Te pōuriuri.
• Whakapairuaki me te ruaki.
• He kaki maro.
• Ngā panonitanga ohorere o te wairua, o te tuakiri rānei.
• Te pōhēhē me te kore okiokinga.
• Te pāngia e te mate hopuhopu.
• Ko te amnesia te ngaronga o te mahara.
• He mamae ānini ohorere, kino hoki.
• Kia ngaro te māramatanga, kia hinga.
• Te taka ki roto i te koma.

Ngā tohu whakatūpato - kia maumahara kia TERE!

He maha ngā tohu o te "Ischemic Stroke". Hei mōhio mēnā kei te pā tēnei ki a koe, ki tētahi atu rānei e mōhio ana koe, kia maumahara ki ēnei kupu KIA TERE .

• B - Taurite: Tirohia mēnā ka ngaro whakarere tō taurite .
• E - Kanohi: Tirohia mēnā ka ngaro ohorere te tirohanga o tētahi, o ngā kanohi e rua rānei, mēnā rānei he panoni o te tirohanga.
• F - Kanohi: Ataata mai, tirohia mēnā kei te piko tetahi taha o te mata .
• A - Ringaringa: Hiki ake ngā ringa e rua. Tirohia mēnā kei te piko tetahi ringa, kei te āhua ngoikore rānei.
• S - Kōrero: Tirohia mēnā he pōturi te kōrero , mēnā rānei he uaua ki te tiki kupu tika.
• T - Wā: He mea nui te wā - waea atu ki te āwhina tonu (mēnā kei Sri Lanka, waea atu ki te 1990)Ki te taea, puritia he mātakitaki, he waea rānei hei tuhi i te wā i tīmata ai ō tohumate. Mā te kōrero atu ki tō tākuta i tēnei wā ka āwhina i a ia ki te whiriwhiri i te maimoatanga pai rawa atu māu.

He mea nui ia hēkona! Ki te whakapae koe kei te pāngia koe e te whiu, haere tonu ki te hōhipera.

He aha te take o te "Ischemic Stroke"?

Ki te kī ngāwari, ka puta te "Ischemic Stroke" ina āraia te rere o te toto ki tō roro e tetahi mea. Ka kiia tēnei e ngā tākuta ko te "Ischemia." Ko te tikanga o te "Ischemia" ka mate ngā pūtau nā te mea kāore e nui te toto e whiwhihia ana. Ina pā tēnei ki te roro, ka puta te "Ischemic Stroke". I te nuinga o te wā, ko te tino take he toto totoka.

Ka taea te hanga i ngā toto totoka pēnei nā ngā āhuatanga hauora maha. Ko ētahi tauira ko:

• Ko te Atherosclerosis te wā e whaiti ana, e pakari ana ngā uaua toto, e aukati ana i te rere o te toto. He rite ki te paru e mau ana i roto i te paipa wai.
• Ngā mate toto totoka.
• Ko te fibrillation atrial he mate e pāorooro koretake ai te ngakau.
• Ngā mate o te ngākau whānau mai pērā i ngā kōhao i roto i te ngākau (ngā mate o te atrial septal, ngā mate o te ventricular septal rānei).
• Ka āraia ngā oko toto iti o te roro e te mate e kīia nei ko te "mate ischemic microvascular" .

He aha ngā momo `(Ischemic Stroke)`?

E rua ngā momo matua o te "Ischemic Stroke":

1. Ngā whiu toto toto: Koinei te wā e puta ai he toto totoka i roto i te roro . Ka kiia tēnei e ngā tākuta he toto toto toto.

2. Ngā whiu embolic: Ka puta tēnei ina haere te toto totoka (embolism) e puta mai ana i tētahi atu wāhi o te tinana (i roto i te ngākau i te nuinga o te wā) mā roto i ngā oko toto ka mau ki roto i tētahi uaua toto i roto i te roro.

Me ako anō hoki tātou mō te "whiu iti" e kiia nei ko te `(Transient Ischemic Attack - TIA)`

He rite te `(Transient Ischemic Attack)` me te `(TIA)` rānei ki te whiu, engari ka memeha haere ngā tohu i muri i te wā poto (i roto i ngā haora 24) . Ka kiia hoki ko te ``mini-stroke``. Kaua e tukua kia haere nā te mea he iti. He tohu whakatūpato kaha te `(TIA)` i mua i te puta mai o tētahi whiu nui, pumau . He mea nui kia rapua e te tangata kua pāngia e te `(TIA)` he maimoatanga hauora ohorere i te wā e taea ai.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei?

Ka pāngia te tangata katoa e te "Ischemic Stroke". Engari he nui ake te mōrearea o ētahi tāngata. Ko rātou ēnei:

• Ngā tāngata neke atu i te 65 tau te pakeke.
• He uri Āwherika (kāore tēnei i te tino pā ki a Sri Lanka, engari he mea pai kia mōhio).
• Te hunga e momi hikareti ana, e whakamahi ana rānei i ētahi atu momo tupeka, nikotīni rānei (pērā i te vaping).
• Ngā tāngata e whakamahi ana i ngā raau taero turekore.

Waihoki, ko te hunga whai mate hauora ētahi atu āhuatanga he nui ake te mōrearea:

• Mō te hunga he toto toto tiketike (hypertension) .
• Mō te hunga he nui te cholesterol i roto i te toto (Hyperlipidemia) .
• Mō te hunga e pāngia ana e te waipiro ('Alcohol use disorder').
• Mō te hunga he mate huka momo 2 .
• E ai ki ngā rangahau kei te noho mōrearea anō hoki te hunga kua pangia e te COVID-19 i mua.

Me pēhea te tautuhi a ngā tākuta i tēnei?

Mēnā he "Ischemic Stroke" tōu, ka mōhio te tākuta i muri i te "whakamātautau io" me ētahi atu whakamātautau. Mēnā ka haria koe ki te rūma whawhati tata, ka taea e ngā tākuta o reira te tautuhi i tēnei.

He maha ngā whakamātautau ka taea e koe te mahi hei whakaū mēnā kua pāngia koe e te "Ischemic Stroke":

• `(Matawai CT)` (Matawai CT): Ka tangohia ngā whakaahua o te roro.
• Electrocardiogram (EKG): Ka aroturukitia te mahi hiko o te ngākau.
• `(MRI)` (MRI): Ka taea hoki e tēnei te tango pikitia taipitopito o te roro.
• Electroencephalogram (EEG): Ka aro turukihia te tauira ngaru hiko o te roro.
• Ngā whakamātautau toto: Tirohia mēnā he raruraru toto totoka me ngā taumata huka.

He aha te rongoā mō tēnei?

Ko te mea nui rawa atu i te rongoā i te "whiu ischemic" ko te whakahoki wawe i te rere o te toto ki te roro . Ka tere te mahi a ngā tākuta i tēnei hei whakaiti i te mōrearea o te kino tuturu o te roro me te mate.

Ngā tikanga maimoatanga tere

Ko ngā maimoatanga e rua e whakamahia pinepine ana ko:

1. Te rongoā thrombolytic: He rongoā ēnei hei whakangawari i te toto. Ko te tikanga ka hoatu noa ēnei e ngā tākuta mēnā ka tīmata ngā tohu i roto i ngā haora e whā me te hawhe i muri i te whiu. Nā te mea ka taea e rātou te whakanui ake i te mōrearea o te toto o roto morearea.

2. Te tango i te toto toto: He mahi pokanga tēnei. Ka whakauruhia e te taote pokanga he ngongo iti, angiangi (he catheter) ki roto i tētahi uaua i tētahi atu wāhi o tō tinana (i roto i tō hope) ka ārahi i taua uaua ki te toto totoka i roto i tō roro. Kātahi ka momihia te toto totoka ki waho (pēnei i te 'korehau') ka pakaruhia rānei kia mongamonga ka tangohia.

Ētahi atu maimoatanga

Tērā pea ka hiahia koe ki ētahi atu maimoatanga pēnei i:

• Ngā rongoā whakangawari toto: Ka kiia ēnei he rongoā ārai toto. Ka ārai ēnei rongoā i te totoka ngāwari. Ka hoatu pea ēnei rongoā e ngā tākuta ki a koe i muri i te tango i ngā rongoā whakangawari toto.
• Whakaora hāora: I te wā e pāngia ana te roro e te whiu, kāore e nui te hāora e whiwhi ana. Nō reira, ka taea e ngā tākuta te hoatu he taputapu mā roto i tō ihu hei hoatu hāora tāpiri. Mā tēnei ka māmā ake te manawa, ā, ka āwhina i te whakahoki mai i te hāora ki te roro.
• Te whakahaere i te huka toto:Ka tirohia e ngā tākuta ō taumata huka toto i ia wā, i ia wā, hei āwhina i tō roro kia ora ake.
• Te hauhautanga ngawari: I ētahi wā ka taea e ngā tākuta te whakaheke i te pāmahana o tō tinana mā te haumaru. Ka āwhina tēnei ki te whakaiti i te kino o te roro i te wā me muri i te whiu. Heoi, kāore tēnei e mahia pinepinetia, engari i ngā wā motuhake anake.

Me mōhio anō hoki tātou ki te whakaora i te whiu?

He mea tino nui te whakaora i te patunga i muri i te patunga. Ka hoatu he kaha nui ki a koe ki te aro atu ki te ao anō. Ka āwhina i a koe ki te urutau ki ngā huringa kua pā ki tō roro me tō tinana nā te patunga. Me hoki anō pea ō pūkenga o mua, me urutau rānei ki te noho me ngā hauātanga hou. Ka taea tēnei mā te āwhina a ngā kaiwhakaora hinengaro rerekē:

• Whakaora kōrero: Ka āwhina tēnei ki te whakapai ake i ngā pūkenga kōrero, te reo, me te whakahaere uaua e āwhina ana i a koe ki te kōrero, ki te manawa, ki te kai, me te horomi.
• Whakaora tinana: Ka āwhina tēnei ki te whakapakari i ngā uaua, te whakapai ake i te taurite, me te whakahoki mai i te whakamahinga o ngā peka me ngā waewae.
• Whakaora mahi: Mā tēnei ka āwhina i a koe ki te mahi haumaru i ngā mahi o ia rā, inā koa ngā mahi e hiahia ana kia nekenekehia ngā nekehanga maeneene (hei tauira, te pātene i te hāte, te tuhituhi).
• Whakaora hinengaro: Ka āwhina tēnei ki te whakapai ake i ngā pūkenga hinengaro pēnei i te mahara, te aro, me ngā pūkenga whakaoti rapanga.

Me pēhea tātou e tiaki ai i a tātou anō i tēnei `(Ischemic Stroke)`?

Ko te pupuri i te hauora whānui te huarahi pai rawa atu hei whakaiti i tō tupono ki te pāngia e te whiu ischemic. Ngāna ki te mahi i ēnei mea:

• Kia mau tonu te whakahaere i tō toto toto, tō taumata cholesterol , me ngā āhuatanga hauora katoa e pā ana ki a koe (pērā i te mate huka).
• Kai i ngā kai totika (pērā i te kai Mediterranean, he nui ngā huawhenua, ngā hua rākau, ngā pīni, me ngā witi katoa) me te pupuri i te taumaha hauora e pai ana ki a koe.
• Kati rawa te momi hikareti , ā, me noho tawhiti atu i ngā wāhi e hongi ana koe i te paoa hikareti.
• Whakakorikori tinana i ngā wā katoa. Ahakoa he mea ngāwari pēnei i te hikoi mō te 30 meneti i te rā, he pai tonu.
• Whakaitihia, kati rawatia rānei te inu waipiro .

Tirohia he tākuta i te iti rawa i te kotahi i te tau (kia rite ki te auau o te wā e taunakitia ana e tō tākuta) mō tētahi tirotiro hauora. He maha ngā āhuatanga ka arahi pea ki te whiu ischemic ka taea te whanake i roto i te wā, ka kino haere, me te kore e mōhiotia e koe. He maha ngā tāngata he toto toto tiketike me te cholesterol tiketike kāore e pāngia e tetahi tohu. Ka taea e tō tākuta te āwhina i a koe ki te tautuhi i ēnei tohu whakatūpato i te wā wawe, te whakahaere i aua tohu, me te whakaiti i tō tupono ki te whiu i muri mai.

He aha te tūmanako mō te whakaoranga?

He uaua ki te kī i te auau whakaora e tika ana mō te katoa. Ka mate pea te tangata i te `(Ischemic Stroke)`, ā, ka puta he hauātanga tuturu. Engari kāore e rite te roa o te whakaoranga, te tumanako rānei mō te katoa. Ko te tere o te whiwhi maimoatanga, ko te nui ake o te tūponotanga kia ora.

He pai ake ngā hua o ngā whiu ischemic i ngā whiu toto. Engari, ehara i te mea ka māmā ake, ka tere ake, ka pai ake rānei tō whakaoranga.

Kia pēhea te roa e ora ai?

He rerekē te urupare a te tinana o ia tangata ki te whiu. Ko te mea ka taea e koe te tumanako (te 'matapae') ka whakawhirinaki ki ētahi āhuatanga:

• He aha te momo "Ischemic Stroke" i pā ki a koe?
• He aha ngā wāhanga o tō roro i pāngia e te mate?
• Te tere o te whiwhinga o te maimoatanga.
• Tō hauora whānui.

Ka ora te nuinga o te tangata i te whiu i roto i ētahi marama. Ko te nuinga o te whakaoranga ka puta i roto i ngā marama tuatahi e toru ki te ono i muri i te whiu. Heoi, ka roa pea ngā tohu me ngā pānga taha mō te tau, neke atu rānei. Ka taea hoki e te whiu te whakararu i te hauātanga tuturu me ngā huringa ki te whakamahinga o tō tinana.

Mā tō tākuta koe e kōrero ki ngā mea hei tumanako atu. Māna koe e āwhina ki te whakatakoto i ngā whāinga me ngā tumanakohanga whakaora e tika ana mō tō hauora me tō āhua.

Me pēhea taku tiaki i ahau anō i muri i te whiu?

He nui te mahi hei whakaora me te whakaora i muri i te whiu. He mea tino nui tō whakapau kaha me te tautoko a tō whānau. Kia oti i a kōrua ko tō tākuta te whakawhanake i tētahi mahere maimoatanga, me whai i te mahere kia tata tonu.

• Tangohia ō rongoā i te wā tika, ina koa mēnā kei te tango koe i ngā rongoā whakaiti toto. He mea nui tēnei hei whakaiti i te tūponotanga o ngā toto totoka ā muri ake nei, ā, ko te tango i ō rongoā e ai ki tā tō tākuta ka āwhina i tō tinana ki te ora.
• Kia mahara ki te haere ki tō wāhi whakaora me ētahi atu wā maimoatanga. Kōrero atu ki ō kaiwhakaora hinengaro mēnā he mea e whakararuraru ana i a koe, e kore rānei e haumaru. He mahi uaua te whakaora, engari kāore koe e hiahia kia mamae, kia kore rānei e pai i ngā wā katoa.
• Whakaarohia hoki tō hauora hinengaro. He mea noa te pouri me te manukanuka i muri i te whiu. Ko te pouri, te pouri, te riri rānei, ehara i te mea he ngoikore koe, he hinga rānei. He mea noa aua kare ā-roto. He rite tonu te hiranga o tō hauora hinengaro ki tō hauora tinana. Mena kei te raru koe ki te whakatau i tētahi mea i a koe e ora ana, kōrero ki tō tākuta, ki tētahi kaitohutohu hauora hinengaro rānei. He āwhina nui tēnei.

He aha ngā kai me ngā inu me whakakore e au?

Tērā pea ka kī atu tō tākuta kia tāpirihia, kia tangohia rānei ētahi kai i roto i tō kai. Tērā pea ka kī atu anō hoki ia kia hanga he huringa iti ki tō mahinga o ia rā hei āwhina i te whakahaere i ō āhuatanga hauora, hei whakaiti rānei i tō tupono ki te whakawhanake i tētahi atu toto totoka i muri i te whiu ischemic.

Ko ngā kai me ngā inu e tūtohutia ana kia whakakorea, kia whakaitihia rānei:

• Ngā kai he nui te tote (konutai). (pīkara, ika maroke, ranu, kai kua tākaihia)
• Ngā kai he nui te huka (ngā inu reka, ngā keke, ngā pihikete, ngā tōfi)
• Ngā kai tino tukatukahia ( pērā i te hōtiti, te hāmi, te mītiporo)
• Ngā kai parai me ngā kai kei roto ngā ngako whakawhiti (ngā parai parai, ētahi momo pata)
• Waipiro.
• Te nui rawa o te kawheine i roto i te kai (he pai ake te whakawhāiti i te tī me te kawhe ki te torutoru kapu i te rā)

Āhea ahau me haere anō ki te tiaki ohorere?

Ki te mea kei te pāngia koe e te whiu anō (e ai ki te whakaahuatanga o te BE FAST ) waea atu ki te 911 (te ratonga waka tūroro ohorere) tonu atu, haere rānei ki te rūma ohorere tata. Ka nui ake te mōrearea o ngā raruraru nui me te mate mēnā ka pāngia koe e te whiu anō. Kaua e whakaroa ki te rapu āwhina, ki te haere rānei ki te rūma ohorere.

Ko te tangata kua pāngia e te whiu ischemic, he nui ake te mōrearea ki te whakawhanake i ngā raruraru kino atu. Hei tauira:

• Pūkahukahu
• Ngā toto totoka i roto i ngā uaua hohonu o ngā waewae (Deep Vein Thrombosis - DVT)
• Te Pukupuku Pūkahukahu
• Te whakaekenga o te ngakau
• Ngā mate hopuhopu

Mena ka pāngia koe e ētahi tohu o ēnei raruraru (hei tauira, te uaua ki te manawa, te mamae o te uma, te pupuhi o te waewae), me waea atu koe ki ngā ratonga ohorere, me haere rānei ki te rūma ohorere tonu atu.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ina kite koe i tō tākuta, kaua e wareware ki te pātai i ēnei pātai:

• He aha te take i pāngia ai ahau e te whiu?
• He aha ngā mea pai ka taea e au te mahi hei whakaiti i te tūponotanga o te pāngia anō e te whiu?
• Ka pā mai rānei tēnei ki ahau mō te wā roa?
• Kia pēhea te roa e hiahiatia ai he whakaora ('Whakaora mō te whiu')?
• He aha ngā huringa me mahi e au i roto i tōku oranga o ia rā (kai, whakakori tinana, mahi whakakori tinana)?

Hei whakamutunga, ngā mea hei maumahara

He mea whakamataku, he mea whakarerekē te ora o te whiu. Ko te huarahi pai ki te ārai i te whiu ischemic ko te mōhio ki ngā tohu whakatūpato o te whiu me te whakahaere i ō āhuatanga mōrearea i mua i te puta. Tirohia tō tākuta i te iti rawa kotahi i te tau, ā, tiki āwhina ki te whakahaere i ngā āhuatanga katoa e whakanui ake ana i tō mōrearea ki te whiu (pēnei i te toto toto tiketike, te mate huka, te cholesterol rānei).

Ki te pāngia koe e te whiu, ka rite pea ki te mea kua rerekē tō ao katoa. Engari ko koe tonu. He mahi uaua te whakaora me te whakatikatika, ā, he haerenga roa pea. Tērā pea he uaua ake ētahi rā i ētahi atu. Engari kaua e wareware ki te whakanui i ngā wikitoria iti kua riro i a koe, i ngā tohu paetae kua tutuki i a koe. Kāore koe i te mokemoke, ā, kei a koe te whānau, ngā hoa, ngā tākuta, me ngā kaiwhakaora hinengaro hei āwhina i a koe.

` Whiu, whiu ischemic, toto totoka i roto i te roro, tohu, KIA TERE, maimoatanga whiu, ārai whiu