He aukati i te uaua roro waenga? Me kōrero tātou mō te whiu MCA!

Kua whakaaro koe he aha te mea ka tupu mēnā ka āraia ohoreretia tētahi oko toto iti i roto i tō tātou roro? Koinei te āhua o tētahi mate kino e kiia nei ko te MCA stroke (Middle Cerebral Artery Stroke) . He ahua whakamataku te ingoa, kāore? Kaua e manukanuka. Ka kōrerohia e mātou ngā mea katoa i roto i te huarahi māmā e taea ai e koe te mārama. He rite ki te whakamārama mai a tō hoa pai, tō mema whānau rānei i tētahi mea ki a koe.

He aha te whiu MCA?

I roto i ngā kupu māmā noa iho, ko te whiu MCA he āhua o te pararutiki i puta mai i te aukati i roto i te oko toto i roto i tō roro e kiia nei ko te Middle Cerebral Artery (MCA) . Whakaarohia ko tēnei oko toto waenga o te roro tētahi o ngā oko toto matua e tuku toto ana ki tō tātou roro. Hei whakamārama, ka hono atu ki te oko toto carotid i roto i tō tātou kaki, ā, ka tuku toto ki ngā wāhanga o te roro e āwhina ana i a tātou ki te whakamahi i ō tātou kare ā-roto, ki te neke i ō tātou tinana, me te kōrero. Ko te nuinga o ngā whiu ka puta i roto i tēnei oko toto e kiia nei ko te MCA.

Nā, me pēhea te puta o tēnei whiu MCA? Ko te take o tēnei he toto totoka ka piri ki roto i tēnei uaua roro waenga. Pērā i te wā e piri ana tētahi wahi paru ki roto i tētahi paipa wai, ka mutu te rere o te wai, ina āraia tēnei uaua toto, ka mutu te rere o te toto ki ngā wāhanga e tika ana o te roro. Kātahi ka tīmata te mate o ngā pūtau o aua wāhanga. Koinei te take o te whiu.

He aha ngā tohu o te whiu MCA?

He maha ngā tohu o te whiu MCA. He maha ngā wā ka puta ohorere mai ēnei. Tirohia mēnā e mōhio ana koe ki ēnei tohu:

• Te ngoikore, te māuiui rānei i tetahi taha o te mata, o te tinana rānei: Tērā pea ka rite koe ki te māuiui tetahi taha. Kāore rānei e taea e koe te neke i taua taha.
• Te ngaromanga ohorere, te heke rānei o te mahi a ngā pūoko: Ko ngā pūoko pēnei i te tirohanga, te whakarongo, te hongi, te reka, me te pā, ka ngaro whakarere, ka ngoikore rānei.
• Te kōrero pōturi, te kōrero hūpē rānei (dysarthria): Te kore e taea te whakapuaki mārama i ngā kupu.
• Te uaua ki te kōrero, te ngaro katoa rānei o te kōrero (aphasia): Tērā pea ka uaua ki te kimi kupu, te kore rānei e taea te kōrero.
• Te wareware: Koinei te taha maui e warewarehia ana i tēnei ara. Arā, ko ngā mea kei te taha maui kāore e kitea, ā, kāore he āwangawanga mō taua taha.
• Te ngaro o te taurite, te uaua rānei ki te neke (ataxia): Te wiri i te wā e hikoi ana, te uaua ki te hopu i ngā mea.

Titiro mai, kua wehea tō tātou roro kia rua ngā taha, ki te taha maui, ki te taha matau. Ka peka anō hoki tēnei uaua MCA, ā, ka tukuna te toto ki ngā taha e rua o te roro. Ko te mea nui, ko te taha kotahi o te roro te kaiwhakahaere o tētahi atu taha o te tinana. Arā, ki te pā te whiu ki te taha maui o te roro, ka puta ngā tohu ki te taha matau o te tinana. Ki te pakaru te taha matau o te roro, ka puta ngā tohu ki te taha maui o te tinana.

He tokomaha te hunga e uaua ana ki te kōrero (aphasia) mēnā he pararutiki te taha maui o te roro.Ka taea. Mēnā he pararutiki o te taha matau, ka pāngia pea te taha maui o te tinana e te kore aro.

He aha ngā tohu whakatūpato o te whiu MCA?

Nā te mea he maha ngā tohu o ngā whiu MCA, he mea nui kia maumahara ki te kupu whakarāpopototanga BE FAST hei mōhio ai koe me pēhea koe, tō hoa aroha rānei, ka tata pāngia e te whiu.

• B - Taurite: Tirohia mēnā he ngaronga ohorere o te taurite .
• E - Ngā Kanohi: Tirohia mēnā he ngaronga ohorere, he panoni rānei o te tirohanga i tētahi, i ngā kanohi e rua rānei.
• F - Kanohi: Ataata mai, tirohia mēnā kei te piko tetahi, ngā taha e rua rānei o tō mata .
• A - Ringaringa: Hiki ake ngā ringa e rua. Ki te pāngia koe e te pararutiki, tērā pea kāore e taea e koe te hiki i tētahi ringa, tērā pea he ngoikore rawa, ā, ka hinga.
• Kōrero - S: Tirohia mēnā he pōturi te kōrero, mēnā rānei he uaua ki te whiriwhiri i ngā kupu tika .
• T - Wā: He mea nui te wā - rapua he āwhina i te wā e taea ai! Ki te taea, kia mahara ki te wā i tīmata ai ō tohu mā te titiro ki tō mātiti, waea, ki tētahi atu taputapu pupuri wā rānei. Mā te kōrero ki te tākuta i te wā i tīmata ai ō tohu ka āwhina i a ia ki te whiriwhiri i te maimoatanga pai rawa atu.

He mea nui: Ki te kite koe i tētahi o ēnei tohu BE FAST, waea atu ki te waka tūroro (i tō tātou whenua, 1990) haere rānei ki te hōhipera tonu, kaua e whakaroa. Nā te mea i roto i te whiu, ko te wā te ora!

Te Whakaekenga Ischemic Poto (TIA)

I ētahi wā ka puta he whakaekenga ischemic poto (TIA) . Ka kiia tēnei e ētahi he "whiu iti". He rite tēnei ki te whiu, engari ka memeha haere ngā tohu i muri i tētahi wā. Heoi, he tohu whakatūpato tino kino tēnei. Ko te tangata kua pāngia e te TIA he nui te mōrearea ki te pāngia e te whiu nui i roto i ngā rā tata nei. Nō reira, me whiwhi hoki te tangata kua pāngia e te TIA i te maimoatanga hauora ohorere i te wā e taea ai.

He aha ngā take o te whiu MCA?

Ko ngā whiu MCA he momo whiu ischemic . E ai ki te kōrero i mua ake nei, ka puta mai i te wā e aukatihia ai tō uaua roro waenga (MCA) e te toto totoka. Tērā ētahi āhuatanga hauora ka whakanui ake i tō tupono ki te whakawhanake i ngā toto totoka. Kei roto i ēnei ko:

• Te nui o te cholesterol (hyperlipidemia): Ka piki ake ngā taumata cholesterol i roto i te toto.
• Ngā mate toto totoka: He ngāwari te totoka o ētahi tāngata.
• Atherosclerosis: Ngā putunga ngako i roto i ngā pakitara o ngā oko toto, ka whaiti, ka whakapakeke hoki i ngā oko toto.
• Te whakapūpū o te atrium:Te pāorooro o te ngakau i roto i te atria o te ngakau. Ka nui ake te mōrearea mena ka puta mai tēnei mate i te apnea moe, inā koa i te wā e moe ana.
• Ngā hapa o te ngākau: Hei tauira, ko ngā āhuatanga pēnei i te hapa o te septal atrial me te hapa o te septal ventricular .

He aha ngā āhuatanga mōrearea?

Ka pāngia te tangata katoa e te whiu , engari he nui ake te mōrearea o ētahi rōpū. Ko ētahi o ēnei ko:

• Te hunga e momi hikareti ana, e whakamahi ana rānei i ētahi atu hua tupeka/nikotinī (hei tauira, te vaping).
• Ngā tāngata neke atu i te 65 tau te pakeke.
• Ngā tāngata e whakamahi ana i ngā raau taero whakangahau, kāore rānei i te whakahaungahia.
• Ngā tāngata e uaua ana ki te uru atu ki ngā ratonga hauora auau.
• Mena kua pāngia tetahi o te whānau e te whiu i mua.
• Ngā tāngata kāore e nui te whakakori tinana.

Waihoki, ka piki ake te mōrearea o te pararutiki mēnā kei a koe ētahi āhuatanga hauora:

• Te toto toto tiketike (te toto toto tiketike)
• Te cholesterol teitei (hyperlipidemia)
• Te mate urutā Covid-19 (COVID-19)
• Mate huka
• Te mate whakamahi waipiro
• Momonatanga

Me pēhea te tātaritanga o te whiu MCA?

Ka tātaritatia e te tākuta te whiu MCA mā te whakahaere i tētahi whakamātautau io , i tētahi whakamātautau tinana, me ētahi atu whakamātautau. Mēnā ka haria koe ki te rūma whawhati tata mā te waka tūroro, ka taea hoki e ngā tākuta o reira te tātaritatia te whiu.

Ka whakamahia e tō tākuta ēnei whakamātautau hei whakaū mēnā kua pāngia koe e te whiu:

• Matawai CT
• Angiogram CT
• Te hiko o te manawa (EKG)
• MRI
• Angiogram aukume aukume (MRA)
• Angiogram roro
• Ngā whakamātautau toto

He aha ngā maimoatanga mō te whiu MCA?

Ka ngana ō tākuta ki te whakahoki mai i te rere o te toto ki tō roro i te wā tere tonu hei whakaiti i te mōrearea o te kino o te roro tuturu me te mate.

Ka mahi ngā tākuta i ngā mahi hei wawahi, hei tango rānei i te toto totoka.

• Tērā pea ka hoatu he rongoā thrombolytic ki a koe, pērā i te tissue plasminogen activator (tPA) .
• Tērā pea me pokanga koe (he maha ngā wā he tango toto totoka ā-ringa) hei wawahi me te tango i te toto totoka.
• Ka tohua hoki e ngā tākuta he rongoā hei whakahaere i tō toto toto.

He mea tino nui: Ki te whakaaro koe kei te pāngia koe e te whiu, rapua tonutia he awhina hauora ohorere. Ko ētahi maimoatanga (pēnei i te tPA) ka taea anake te hoatu i roto i tētahi wā kua whakaritea i muri i te tīmatanga o te whiu.

Mā ō tākuta koe e kōrero tika ko ēhea ngā maimoatanga e pai ana mōu, me ngā mea hoki hei tumanako māu.

Te whakaoranga i muri i te whiu o te uaua waenga o te roro

He wāhanga tino nui te whakaora i te tinana i roto i te maimoatanga whiu. Me whakaora koe i te tinana hei āwhina i a koe ki te urutau ki ngā huringa o tō roro me tō tinana i muri i te whiu. Tērā pea ka hiahia āwhina koe ki te whakahoki mai i ō pūkenga o mua, ki te urutau rānei ki tō hauātanga hou. Tērā pea ka uru atu ki tēnei he huinga o ēnei:

• Te whakaora hinengaro: Ka āwhina ki te whakapai ake i te mahara, te aro, me ētahi atu pūkenga hinengaro.
• Whakaora kōrero: Ka āwhina ki te whakahoki mai, ki te whakapai ake rānei i ngā pūkenga reo me te kōrero, me te whakahaere anō hoki i ngā uaua e āwhina ana i a koe ki te kōrero, ki te manawa, ki te kai, me te horomi.
• Whakaora mahi: Ka āwhina i a koe ki te mahi haumaru i ngā mahi o ia rā, inā koa ngā mahi e hiahia ana ki ngā nekehanga maeneene o te tinana.
• Whakaora tinana: Ka āwhina i te whakapakari i ngā uaua, te whakapai ake i te taurite, me te whakahoki mai i te whakamahinga o ngā ringa me ngā waewae.

He aha te roanga o te oranga i muri i te whiu MCA?

He uaua ki ngā tohunga te whakatau tika i te auau oranga i muri i te whiu MCA. Ka mate pea te tangata i te whiu, ka pāngia e te hauātanga tuturu, ā, ka pā ki te roa o tō oranga (te roanga o te oranga). Heoi, kāore he kaupapa whakaora kotahi, he tirohanga rānei mō te katoa.

Te matapae o te whiu o te uaua roro waenga

Ko te mea ka taea e koe te tumanako (te matapae) i muri i te whiu MCA ka whakawhirinaki ki etahi mea:

• Te tere o te whiwhinga o te maimoatanga.
• Tō hauora whānui.
• tō tau.

E rua, e toru marama pea te roa o te oranga o te nuinga o te tangata. Mā tō tākuta koe e kōrero ki ngā mea hei tumanako atu. Mā rātou koe e āwhina ki te whakatakoto whāinga me ngā tumanakohanga mō tō whakaoranga e tika ana mō tō hauora me tō āhua.

Ka taea te ārai i te whiu o te uaua roro waenga?

Ko te huarahi pai hei whakaiti i tō tupono ki te whiu MCA ko te pupuri i te hauora whānui. I te nuinga o te wā, ngana ki te mahi i ēnei mea:

• Kati te momi hikareti.
• Whakahaerehia tō toto totoka, tō cholesterol, me ngā āhuatanga hauora katoa kei a koe.
• Kai i ngā kai hauora, kia mau tonu hoki tō taumaha hauora.
• Me mahi i te korikori tinana i ia wā.

Tirohia te tākuta i ia tau (i runga rānei i te taunakitanga a tō tākuta). He maha ngā āhuatanga hauora ka puta ai te whiu MCA i roto i te wā. Ko ētahi kāore pea e kite i ngā tohu. Hei tauira, he maha ngā tāngata he nui te cholesterol, he nui rānei te toto toto kāore e rongo i tetahi mea tae noa ki te tātaritanga. Ka taea e tō tākuta te āwhina i a koe ki te kite me te whakahaere i ngā tohu whakatūpato i mua i te whakanui ake i tō mōrearea ki te whiu.

He nui te mahi whakaora me te whakatikatika i muri i te whiu. Kia oti i a kōrua ko tō tākuta te whakarite i tētahi mahere maimoatanga, me whai i te mahere kia tata tonu. I te nuinga o te wā, me mahi e koe ēnei e whai ake nei:

• Inumia tika ō rongoā. Mā te tango i ō rongoā e ai ki tā tō tākuta ka āwhina i tō tinana kia ora.
• 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 whakararuraru ana rānei i a koe. He uaua te whakaora, engari kāore koe e hiahia kia mamae, kia whakararuraru rānei i a koe i ngā wā katoa.
• Whakaarohia hoki tō hauora hinengaro. He mea noa te pouri me te manukanuka i muri i te whiu. Kāore te pouri, te pōuri rānei e whakangāwari i a koe, e whakarērea rānei. He rite tonu te hiranga o tō hauora kare ā-roto ki tō hauora tinana. Ki te mea kei te hiahia āwhina koe ki te kōrero mō tētahi mea i a koe e ora ana, kōrero ki tō tākuta, ki tētahi kaitohutohu hauora hinengaro rānei.

Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

Ki te whakaaro koe kei te pāngia koe e te whiu anō , waea atu ki te 911 (ki tō nama urupare ā-rohe rānei). He nui ake te tūponotanga ka mate tētahi atu whiu, ka pāngia rānei e ngā raruraru kino. Kaua e whakaroa ki te rapu āwhina.

Ko te hunga kua pāngia e te whiu, he nui ake te tūponotanga ki te whakawhanake i ētahi atu raruraru kino. Hei tauira:

• He toto totoka i roto i ngā pukahukahu (Pulmonary embolism)
• Te whakaekenga o te ngakau
• Ngā mate hopuhopu
• Pūkahukahu
• Te Thrombosis o te Uaua Hōhonu (DVT)

Ki te whakaaro koe kei a koe ngā tohu o tētahi o ēnei raruraru, 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?

• He aha atu ngā rongoā e hiahiatia ana e au, ā, me pēhea te tango i aua rongoā?
• He aha atu ngā momo whakaora e hiahiatia ana e au?
• He aha te mōrearea o te pāngia anō ahau e te whiu ā muri ake nei?
• He ratonga tautoko, he rauemi rānei kei reira e taunaki ana koe?

He aha te rerekētanga i waenga i te whiu MCA me te whiu ACA?

Ko te whiu MCA me te whiu ACA (Anterior Cerebral Artery) he momo whiu e rua. Ko te rerekētanga kei roto i te uaua toto i roto i te roro e pāngia ana. Ko te MCA te uaua toto waenga o tō roro. Ka peka atu i ngā taha e rua o tō roro.Kei mua o te angaanga te Anterior Cerebral Artery (ACA). Ko te tikanga o "Anterior" i roto i ngā kupu hauora kei mua. Kāore i rite ki te whiu MCA, ka pā te whiu ACA ki te whakahaere me te whakamahinga o ō waewae.

He rite tonu ngā take me ngā tohu o ngā momo whiu e rua, ā, ka mate pea ēnei e rua. Kāore e taea e koe te wehewehe i waenga i ngā mea e rua kia whakamahia rā anō e te tākuta ngā whakamātautau whakaahua hei whakatau ko tēhea oko toto kua āraihia, kua pakaru rānei. Ki te whakaaro koe kei a koe ngā tohu o tētahi o ngā momo whiu e rua , waea atu ki te 911 tonu.

Hei whakamutunga, he karere nui

Ko te uaua roro waenga (MCA) tētahi o ngā uaua toto nui rawa atu e kawe ana i te toto hou ki tō roro. Koia te take he tino kino te whiu e aukati ana i a ia. Engari ka taea e koe te ora. Ahakoa me urutau koe ki tētahi hauātanga hou, me ako anō rānei i ētahi nekehanga i taea e koe te mahi i mua, ko koe tonu koe.

He nui te mahi whakaora i muri i tētahi whiu. He māmā ake ētahi rā i ētahi atu, engari kia mahara ki te whakanui i tō ahunga whakamua. Ahakoa ngā wikitoria iti, he wikitoria tonu. Kōrero ki ō tākuta, ki ō kaiwhakaora hinengaro rānei mō te haere o tō haerenga whakaora. Ka taea e rātou te āwhina i a koe ki te whakaaroaro ki te tawhiti kua tae mai koe i tētahi rā uaua, ā, kei reira rātou hei tautoko i a koe. Kaua e manukanuka, kāore koe i te mokemoke!

` Te whiu MCA, te aukati i ngā oko toto o te roro, ngā tohu o te whiu, te ārai i te whiu, BE FAST Sinhala, te uaua roro waenga, te whakaora i te whiu Sinhala