Kei te heke te rere o te toto i roto i ō whekau? Ko te Mesenteric Ischemia tēnei!

Kua pāngia koe e te mamae puku ohorere, kāore e taea te manawanui? Kei te pēhia rānei koe e te mamae puku i muri i te kai, ā, te āhua nei ka kino haere? Mena kei a koe ēnei tohu, tera pea nā tētahi mate onge engari he morearea pea. Ka kōrero tātou mō tētahi o aua mate i tēnei rā. Ko te Mesenteric Ischemia te ingoa. Kaua e manukanuka, ka kōrerohia tēnei mō te ngāwari, me te huarahi e mārama ai koe.

He aha tēnei ischemia mesenteric?

Ki te kī māmā noa, ko te mesenteric ischemia ko te wā kāore e nui te toto e whiwhihia ana e ētahi wāhanga o tō pūnaha nakunaku . He rite ki te iti o te wai i roto i tō puna. Ko te tikanga ka puta mai tēnei i te aukati i roto i ngā oko toto e tuku toto ana ki aua wāhanga.

He nui ake te kitea o tēnei āhuatanga i roto i te hunga kaumātua, inā koa ko te hunga he mate manawa, he mate toto toto rānei.

Whakaarohia, e hiahia ana ia pūtau, ia kiko, me ia okana o roto i tō tātou tinana ki te hāora. Nō te toto tēnei hāora. Nō reira, ina ngoikore te rere o te toto, kāore e ranea te hāora o aua okana me ngā kiko, ā, kāore e taea te mahi tika. Mena he kino te aukati, ka tīmata pea aua okana me ngā kiko ki te mate . He maha ngā wā ka mate tēnei. Nō reira, he mea tino nui te tātaritanga me te rongoā i te mate i te wā e taea ai.

He aha te tikanga o ngā kupu "mesentery" me te "ischemia"?

• Mesentery: He okana rite ki te kiriuhi tēnei i roto i tō tātou puku. Koinei te mea e pupuri ana i tō tātou whekau iti, te whekau nui, me ētahi atu okana. Waihoki, he whatunga o ngā uaua toto e rere ana i roto i tēnei mesentery e tuku toto ana ki aua okana.
• Ischemia: Koinei te wā kāore e nui te rere o te toto i tētahi wāhanga o te tinana.

Ko te tikanga o te ischemia mesenteric ka pā te hekenga o te rere o te toto ki tō mesentery me ōna whekau e pā ana.

He momo pēnei kei reira?

Ae, e rua ngā momo matua o te ischemia mesenteric:

1. Te Ischemia Mesenteric Whakapeka

Pērā i te mate manawa, i te whiu rānei, he āhuatanga ohorere tēnei. Nā te aukati i roto i te uaua nui, pērā i tēnei. Ko te tikanga he toto totoka . Ka puta ohorere mai ngā tohu, ā, he tino kino. He āhuatanga ohorere hauora tēnei e hiahia ana kia rongoatia tonutia .

2. Te Ischemia Mesenteric Mau tonu (Te Ischemia Mesenteric Mau tonu)

Ka āta whanake haere tēnei momo i roto i te wā. Ko te tikanga ka puta mai i te whaiti haere o ō uaua mesenteric. Ka kino haere ngā tohu i roto i te wā.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei? (Ngā āhuatanga mōrearea)

He nui ake te kitea o te ischemia mesenteric i te kaumātuatanga. E pā ana hoki ki ngā mate manawa me ngā mate pūnaha tohanga toto, inā koa ngā āhuatanga ka puta ai he toto totoka.

Anei ētahi āhuatanga mōrearea:

• Ngā mate o te manawataki o te ngakau, hei tauira , te fibrillation atrial .
• Te mate o te uaua koronari .
• Mate huka (Diabetes Mellitus) .
• Te ngoikore o te ngākau .
• Te toto toto tiketike (hypertension) .
• Te taumata cholesterol teitei i roto i te toto (Hyperlipidemia) .
• Ngā mate hypercoagulation .
• Te pokanga tata nei.
• Ngā mate o ngā oko toto i roto i ngā peka, hei tauira , te mate o te uaua taha .
• Te whakamahi tupeka - ahakoa i whakamahia e koe i mua, i tēnei wā rānei.

Kāore tēnei mate i te tino noa. Ka pā ki te 1, ki te 2 rānei i roto i te 1,000 tūroro e noho ana i te hōhipera.

He aha te pānga o tēnei mate ki te tinana? He aha i morearea ai?

Me whiwhi tonu te toto me te hāora i roto i ngā pūtau, ngā kiko, me ngā okana katoa o tō tātou tinana. Mēnā ka ngaro taua toto, ka tīmata rātou ki te mate. Ko te take matua he morearea te mesenteric ischemia he pānga ki ō tātou whekau . E tiriona ngā huakita kei roto i ō tātou whekau.

I te nuinga o te wā, he pai ēnei huakita mō tātou, e āwhina ana i a tātou ki te nakunaku i te kai e kainga ana e tātou. Engari ina tīmata te mate o ngā whekau, ka horapa ēnei huakita ki ngā wāhi kāore e tika ana kia nohoia, ā, ka puta he mate kino . Ka taea e tēnei te arahi ki tētahi mate morearea e kiia nei ko te sepsis . Ko te sepsis te wā e nui rawa ai te urupare a tō tātou pūnaha ārai mate ki tētahi mate, ka kino ai tō tātou ake tinana.

He aha te take o tēnei?

He rerekē ngā take mō ngā momo rerekē o te ischemia mesenteric.

Ngā Take o te Ischemia Mesenteric Whakapeka:

Ka taea e te matū ware pi e kiia nei ko te paraka te hanga i roto i ō tātou uaua, ka whakapakeke. Ko te atherosclerosis te ingoa o tēnei. Ka kitea whānuitia tēnei i roto i te mate manawa. Ki te pakaru tētahi o ēnei paraka, ka puta he toto totoka.

Ngā huarahi ka ārai ai ngā toto toto i te toto:

• He toto totoka i roto i tō uaua mesenteric (15% - 25%): Mā ētahi āhuatanga hauora ka māmā ake te hanga toto totoka i roto i ō uaua toto. Mēnā ka puta he toto totoka pēnei i roto i tō uaua mesenteric, ka taea e ia te mate mesenteric ischemia.
• Te totohu o te uaua mesenteric (50%): Ka puta tēnei ina pakaru te toto kua puta i tētahi atu wāhi o te tinana, ā, ka mau ki roto i te uaua mesenteric. Kāore e taea e te toto te rere atu i te totohu.
• Ngā toto totoka i roto i ngā uaua mesenteric (5%):Ka pā pea tēnei ki te hunga he mate kei a rātou e ngāwari ai te totoka (pērā i ngā mate tuku iho). Ina puta he totoka i roto i ngā uaua mesenteric, ka aukatia te rere o te toto, ā, ka whakakīia te toto ki muri i te totoka. He nui ake te kitea o tēnei i roto i te hunga taitamariki.

Tērā anō tētahi momo e kīia ana ko te kore-occlusive mesenteric ischemia (NOMI) . Tata ki te 20% o ngā tūroro e pāngia ana e te acute mesenteric ischemia ka taka ki tēnei wāhanga. Ka puta tēnei i te whakawhāiti, i te pupuhi rānei o ngā oko toto. He maha ngā take ka pā mai:

• Ngā Tarukino: Ka taea e ētahi rongoā mō te ngākau te whakawhāiti i ngā oko toto, pērā i ngā tarukino pēnei i te kōkaini.
• Ngā tikanga hauora: Ka taea e ngā mahi pēnei i te dialysis me te pokanga te whakawhāiti i ngā oko toto mesenteric.
• Ngā āhuatanga hauora: Ka puta pea tēnei āhuatanga i ngā āhuatanga pēnei i te sepsis, te ngoikore o te ngākau, te maroke o te wai, ngā mate pāwera, me ētahi atu. Ka taea hoki e te toto toto iti te whai wāhi atu ki tēnei.

I roa te wā i mua i te kino haere o tēnei āhuatanga NOMI, engari he morearea tonu.

Ngā Take o te Ischemia Mesenteric Mau tonu:

He maha ngā wā ka puta mai tēnei i ngā mate tohanga toto e whakawhāiti ana i ngā oko toto. Ko tēnei whakawhāiti, e kiia ana ko te stenosis , ka whakaiti i te nui o te toto e rere ana ki te mesentery i roto i te wā.

Tērā pea ka puta mai i te toto totoka e hangai ana i roto i te uaua toto mesenteric. Mēnā ka tupu tēnei, ka nui haere te toto totoka, ā, ka piki haere pea ngā tohu i roto i ngā rā, i ngā wiki rānei.

Ahakoa kāore tēnei mate mau tonu e mōrearea tonu ana ki te ora, tata ki te 40% o ngā tūroro e pāngia ana e te ischemia mesenteric acute kua pāngia e ngā tohu mau tonu. Arā, ka kino haere ngā tohu i puta mai i te whaiti o ngā oko toto ina āraia aua oko e te toto toto hou.

He aha ngā tohu o tēnei?

He rerekē ngā tohu o te ischemia mesenteric i runga i te momo.

Ngā tohu o te Ischemia Mesenteric Whakapeka:

Ka puta ohorere mai ngā tohu o tēnei mate. Koia ēnei:

• Mamae puku nui: Koinei te tohu tino kitea (75% - 80% o ngā tūroro e pāngia ana e tēnei). I te nuinga o te wā ka puta i muri i te kai. He uaua ki te kī kei hea tonu i roto i te puku, engari ka tino kaha te mamae . Tērā pea ka kī te tūroro ina pā te tākuta ki te puku, he nui atu te mamae i te mea i whakaarohia. Koinei pea anake te tohu i roto i te NOMI.
• Te pupuhi, te whakapairuaki, me te ruaki: He maha ngā wā ka haere tahi ēnei me te mamae o te puku. He maha hoki ngā tāngata e pāngia ana e te ruaki (tata ki te 70%).
• Ngā huringa o te nekenekehanga o te puku: Ka puta pea tēnei i ngā āhuatanga pēnei i te mate kōroke.
• Korere: Tata ki te 40% o ngā tūroro e pāngia ana e tēnei mate. Engari kāore pea e haere tonu, engari ka puta mai i ētahi wā. Ka tino kino te korere, ā, ka whai muri ko te mamae nui. I te wāhanga kino o te mateHe mea noa te mate korere toto .
• Te whakahekenga taumaha: Ka kitea anō hoki tēnei i ngā wā ohorere. Tērā pea nā te koretake ki te kai nā te mamae, nā ētahi atu tohu rānei i mua i te tīmatanga o te mate.
• Te kirika: He tohu pea tēnei nō tētahi mate kino.

He maha ngā wā, ka puta ngā tohu o te ischemia mesenteric mau tonu (tirohia i raro) i mua i te tīmatanga o tēnei mate whakapeka. Tata ki te haurua o ngā tūroro whakapeka ka puta tuatahi mai ngā tohu mau tonu.

Ngā Tohu o te Ischemia Mesenteric Mau tonu:

Ka āta puta mai ngā tohu o tēnei mate, ā, ka piki haere i roto i te wā.

• Mamae puku: He mea tino kitea tēnei i roto i te haora, i ngā haora e rua rānei i muri i te kai. Tērā pea ka rite ki te mea kei te pēhi tetahi mea i tō puku (ngā mamae o te puku). I te nuinga o te wā ka puta te mamae ki te puku o runga, ki te taha rānei o te pito o te puku.
• Te wehi ki te kai me te whakaiti taumaha: I te haere whakamua o te mate, ka kaha ake te mamae. Ka arahi pea tēnei ki tētahi āhuatanga e kiia nei ko te "wehi ki te kai". Ko te tikanga tēnei me karo i te kai nā te wehi kei mamae i muri i te kai. Ka arahi noa tēnei ki te whakaiti taumaha .
• Ngā huringa o ngā tikanga wharepaku: Me haere ki te wharepaku kia nui ake, kia iti iho rānei i tō mua.
• Korere: Ka pā tēnei ki te tata ki te kotahi hautoru o ngā tūroro. He korere mau tonu te nuinga.

Me pēhea te tautuhi a ngā tākuta i tēnei mate? (Tautuhinga)

Mā te whakamātautau tinana, ngā whakamātautau taiwhanga, me ngā whakamātautau whakaahua ka tātaritatia e te tākuta te mesenteric ischemia. Heoi, he uaua ki te tātaritatia tēnei mate i ōna wāhanga tōmua. Ko tētahi atu wero ko te maha o te hunga whai mate pēnei kāore e taea te kōrero tika, te whakautu tika rānei i ngā pātai, inā koa kei te mamae nui rātou.

He aha ngā momo whakamātautau e mahia ana?

He maha ngā whakamātautau hei āwhina i te tautuhi i tēnei mate:

Whakamātautau tinana

Koinei te wāhi e titiro ai, e rongo ai, e whakarongo ai tō tākuta ki a koe kia kite ai mēnā he raruraru kei a koe. I roto i te mesenteric ischemia, ka kitea pea e ngā tākuta ngā mea pēnei i:

• Ngā tohu e kitea ana: Ko te pupuhi tētahi o ngā tohu matua. Tērā pea ka kite ētahi i te hekenga o te taumaha. He tokomaha ka takoto pea i roto i te tūnga pēpi nā te mamae nui.
• Ngā tohu ka taea e koe te rongo: Ka pā te tākuta ki tō puku. Ka pāngia ētahi tāngata e te mamae i ētahi wāhi o tō rātou puku. He maha ngā tāngata ka mārō ina ngana te tākuta ki te pā ki tō rātou puku (tiaki). He maha ngā wā, ka kī ngā tūroro he nui ake te mamae i te pā noa ki tō rātou puku.
• Ngā tohu e rangona ana: Ka whakarongo tō tākuta ki ngā oro o tō pūnaha nakunaku me te stethoscope. Ko ēnei oro, e kiia nei ko te borborygmi , kāore e tino rangona i te mesenteric ischemia. I ngā wā tino kino, kāore pea he oro e rangona. I ētahi wā,Tērā pea ka rangona he tangi "bruit". He tangi tēnei e puta mai ana i te wā e pupuhi ana ētahi toto.

Kāore pea ēnei whakamātautau tinana e kitea he mea nui kia tino horapa rawa te mate. Nō reira, he roa te wā e hiahiatia ana hei tautuhi i tēnei mate, koinei tētahi o ngā take he tino morearea.

Ngā whakamātautau taiwhanga

Ka tirohia e ēnei whakamātautau ngā panonitanga o te toto, inā koa te nui o te hāora me tōna kaha ki te totoka. Ka tirohia hoki te urupare a te pūnaha ārai mate ki tētahi mate. Ko ētahi atu whakamātautau ka rapu i ngā matū e kohia ana i roto i te toto nā te mea kua pakaru, kua mate rānei ngā pūtau me ngā kiko.

Whakaahua me te Endoscopy

Ko te huarahi pai ki te tautuhi i te ischemia mesenteric ko te rapu i ngā wāhi e heke ana, e ngaro ana rānei te rere o te toto. He maha ngā whakamātautau whakaahua ka āwhina i tēnei:

• Ultrasound: Ko te tikanga o tēnei ko te tuku i ngā ngaru oro auau teitei mā roto i tētahi taputapu e whakatakotoria ana ki te kiri o tō puku. He rite tonu te mahi a ēnei ngaru oro ki te "kite" a ngā pekapeka, arā, ka hangaia he pikitia hei āwhina i ngā tākuta ki te kimi i ngā wāhi e puhoi ana, e kore rānei e rere te toto. Ka taea hoki e ngā momo ultrasound rerekē te ine i te nui o te toto e rere ana i roto i ngā uaua toto rerekē.
• Angiography: Koinei te huarahi pai rawa atu, te huarahi pono hoki hei tātaritanga i te ischemia mesenteric. I roto i te angiography, ka werohia he tae e kiia nei ko te contrast ki roto i ngā uaua toto nui o tō puku. Kātahi ka kitea mārama ngā uaua toto i runga i te X-ray , i te CT scan rānei . Ka taea hoki te whakaatu i ngā uaua toto kua āraia katoatia, kua āraia rānei. I ētahi wā, ka whakauruhia he catheter , he taputapu roa, rite ki te ngongo, ki roto i tētahi uaua toto nui, ā, ka taea te tiro i te uaua toto e pāngia ana mai i roto.
• Endoscopy: I tēnei tikanga, ka whakauruhia e te tākuta he ngongo angiangi, ngāwari e kiia nei ko te endoscope ki roto i tō ara nakunaku hei rapu i ngā tohu o te ischemia. Mena kei te taha o te puku te raruraru, ka whakauruhia te endoscope mā tō waha ka tukuna ki raro ki roto i te whekau iti. Mena kei roto i te whekau nui, i te wāhanga o raro rānei o te whekau iti te raruraru, ka whakauruhia te endoscope mā roto i tō rectum (he rite ki te colonoscopy). Ko te anesthesia te tikanga e whakamahia ana mō ēnei tikanga. He nui ake te tūponotanga ka mahia te endoscope mō te hunga kāore e taea te werohanga i te anticontrast (hei tauira, ko te hunga he mate pāwera, he raruraru tākihi rānei).

He rongoā kei reira mō tēnei? Ka taea te whakaora?

Ae, ka taea te rongoā i te mesenteric ischemia me te whakakore mena ka kitea wawe .

Ko te mea tuatahi kia mahia ko te whakahoki wawe i te rere o te toto. Nā te mea ka mōrearea te mesenteric ischemia i roto i te wā, ka tūtohu pea ngā tākuta kia pokanga tonu.

Kia hoki mai te rere o te toto, ko te mahi e whai ake nei ko te tirotiro mēnā he kiko kua pakaru, kua mate rānei. Mēnā kua mate ētahi wāhanga o te whekau, o te koroni rānei i te korenga o te rere o te toto, ko te tango i aua wāhanga anake te huarahi hei whakatika i te kino me te ārai i ngā raruraru e morearea ana ki te ora.

He aha ngā maimoatanga me ngā rongoā e hoatu ana?

Ka rerekē ngā maimoatanga me ngā wawaotanga i runga i te momo mesenteric ischemia me te wāhi o te take.

Te Maimoatanga mō te Ischemia Mesenteric Whakapeka:

Ko te pokanga te maimoatanga tino whai hua mō tēnei , nā te mea ka taea e te taote pokanga te tango tika i te toto totoka, te whakawhānui i te uaua toto kua whaiti, te whakauru rānei i tētahi stent , he hanganga rite ki te anga e pupuri ana i te uaua toto kia tuwhera tonu.

Mēnā kāore e taea te whakahoki tika i te rere o te toto, ka tangohia pea e te taote pokanga tētahi wāhanga o te uaua toto mai i tētahi atu wāhanga o tō tinana ka hangaia he pokanga whakawhiti . Ka karohia te wāhi kua āraia, ka whakahokia mai te rere o te toto.

Kia hoki mai te rere o te toto, ka tirohia e te taote pokanga ngā kiko e karapoti ana mō ngā tohu o te pakaru. Mena he wāhi mate, he wāhi pakaru rānei, ka tangohia e rātou, ka whakatikahia te wāhi kia pai ai te mahi a muri ake nei. He maha ngā wā ka hiahiatia he pokanga tuarua, nā te mea ka roa pea te rua rā ka kitea ai ētahi o ngā kiko mate, pakaru rānei.

Ko ngā rongoā me ētahi atu maimoatanga tautoko ko:

• Wai ā-uaua (IV): Ka āwhina ēnei mēnā he raruraru te toto toto iti, te matewai rānei.
• Te whakawhiti toto: He mea tino nui tēnei mēnā he nui te toto kua ngaro.
• Hāora: Ka whakaitihia te kaha o te tinana ki te rere o te toto.
• Ngā paturopi: He mea nui ēnei mō ngā pokanga puku, nā te mea he nui ake te mōrearea o te mate nā ngā huakita e noho ana i roto i aua whekau.
• Ngā rongoā whakangawari toto: Ka ārai ēnei rongoā i te hanganga o ngā toto totoka. Ehara i te mea ka ārai noa i te hokinga mai o te ischemia mesenteric, engari ka ārai hoki i ngā whakaeke ngakau, ngā whiu, me ngā embolisms pūkahukahu. Heoi, kāore e hoatu ngā rongoā whakangawari toto ki te hunga e mōrearea ana ki te toto nui.

Te rongoā mō te ischemia mesenteric kore-occlusive (NOMI):

Ahakoa he momo momo tēnei o te ischemia mesenteric acute, kāore e hiahiatia he pokanga i ngā wā katoa hei whakatika i tēnei raruraru (ā, kāore pea e tino āwhina i te tīmatanga), nā te mea ko te NOMI he whakawhāiti i ngā oko toto me te kore he aukati.

Ko te mea nui i roto i te NOMI ko te kimi i te take o te whaiti o ngā oko toto, te rongoā, me te ārai i te puta anō. Ko te tikanga o tēnei ko te whakamutu i ngā rongoā, i ngā rongoā rānei i puta ai te whaiti o ngā oko toto. Mena ko te take o te NOMI he mate kē atu, pērā i te sepsis, mā te rongoā i taua mate ka pai ake te rere o te toto ki te mesentery.

Mena kei te haere tahi te NOMI me te whaiti o ngā oko toto, ka taea te whakamahi i te angioplasty poihauTērā pea ka āwhina te tikanga e kīia nei ko te catheterization. I tēnei tikanga, ka whakaurua he catheter ki roto i tētahi oko toto nui, ka arahina ki te wāhi e pāngia ana. I reira, ka pupuhihia he poihau i te pito o te catheter, ka whānui ake te oko toto e pāngia ana.

Ētahi atu maimoatanga:

• Ngā rongoā whakaheke toto: Ka whakawhānui ake ēnei rongoā i ō oko toto, ka ngāwari ake te rere o te toto.
• Ngā rongoā paturopi: He mea nui ēnei ahakoa kāore koe e pokangahia, nā te mea i ngā wā katoa ka pakaru ngā whekau, ka tūpono te mate.
• Hāora: Ka whakaiti i te kaha o te tinana ki te uru ki te toto.

Te Maimoatanga mō te Ischemia Mesenteric Mau tonu:

Tērā pea ka rerekē te maimoatanga mō tēnei i runga i te take, engari he rite tonu te nuinga o ngā maimoatanga ki ērā mō te ischemia mesenteric acute.

He mea noa te pokanga mō tēnei, inā koa mēnā he toto totoka puhoi te tipu, he uaua toto rānei kua tino whaiti. He nui ake te tūponotanga ka hiahiatia he pokanga mēnā he toto o roto, he mate pāwera, he sepsis, he raruraru nui rānei. Ka taea hoki te mahi pokanga taha mena kāore e taea e ētahi atu tikanga te whakaora i te rere o te toto.

Kei te whakaarohia hoki te angioplasty poihau me ētahi atu tikanga e whakamahi ana i te catheter mō tēnei mate. I te nuinga o te wā, ka tūtohu ngā tākuta i ngā tikanga e whakamahi ana i te catheter i ngā wā katoa e taea ai. Nā te mea he iti ake te whakaekenga o te pokanga, he māmā ake te whakaora mai i ngā tikanga e whakamahi ana i te catheter.

He rite tonu ngā rongoā e hoatu ana mō tēnei āhuatanga ki ērā e hoatu ana mō ngā take ohorere. He mea noa hoki te hoatu i ngā rongoā whakaiti toto ina āraihia ana ngā toto toto e ngā toto totoka, engari kāore e nekehia.

He aha ngā āhuatanga uaua o tēnei mate, me pēhea hoki te rongoā?

Ka rerekē ngā raruraru me ngā pānga taha o tēnei tikanga i runga i te maimoatanga ka whiwhi koe. Ka taea e tō tākuta te whakamārama pai i ngā pānga taha me ngā raruraru motuhake ka pā ki a koe.

I te nuinga o te wā, ka puta ēnei raruraru me te mesenteric ischemia:

• Sepsis: He mate whānui tēnei e meinga ai tō pūnaha ārai mate kia nui rawa te urupare, ā, ka pā kino ki te ora o tō tinana.
• Ka pakaru, ka pākarukaru rānei ō whekau, tō koroni rānei: Ka tupu pea tēnei ina tīmata te pakaru o ngā wāhanga o te okana kua mate, kua mate rānei.
• Te whakahekenga taumaha: He nui ake te tūponotanga ka puta tēnei i roto i te ischemia mesenteric mau tonu, engari ka taea hoki te puta i roto i ngā take whakapeka (ina koa i roto i te tangata i pāngia e ngā tohu mau tonu i mua i te kaha ohorere).

Ngā raruraru pea o te pokanga mō te ischemia mesenteric:

• Ngā raruraru nakunaku i muri i te pokanga.
• Te korere, te mate pāwera rānei.
• Te toto.
• Ngā mate urutā.
• Te ngoikore o te whatukuhu .
• Te whakaeke ngakau, te whiu rānei (i roto i ētahi marama i muri i te pokanga).

Ngā raruraru kai i muri i te tango i ngā wāhanga o te whekau itiKa taea tēnei te tupu. Ina ngaro ngā wāhanga o te whekau iti, he uaua ki te mimiti i ngā matūkai mai i te kai. He maha ngā tāngata e pāngia ana e tēnei raruraru, e kiia nei ko te short bowel syndrome, me whai tikanga whāngai motuhake, pērā i te ngongo whāngai.

Me pēhea taku tiaki i ahau anō me te whakahaere i aku tohumate?

Mena kei a koe te mesenteric ischemia, me rapu awhina hauora tonu koe (ina koa he momo ohorere, he momo whakapeka). Mena kei a koe te mesenteric ischemia mau tonu, me rongoa e koe te mate kia rite ki nga tohutohu a to taote. Kaua e ngana ki te rongoa i a koe ano , na te mea ka taea e tenei te noho hei mate ohorere.

Kia pēhea te tere o taku ora ake i muri i te maimoatanga?

Ki te kitea wawetia te mate, ā, ka rongoātia, ka tīmata te nuinga o te tangata ki te ora ina pai ake te rere o te toto ki te wāhi e pāngia ana. Ko ētahi atu ka tīmata te ora i roto i ētahi rā, wiki rānei.

Mō te hunga kua pokangahia, he roa te wā e ora ai. Nā te mea he mea nui te pokanga, he roa te wā e ora ai.

Me pēhea taku whakaiti i te mōrearea o tēnei mea?

He maha ngā mea ka taea e koe te mahi hei whakaiti i tō tupono ki te whakawhanake i te mesenteric ischemia. Ko ētahi o ēnei ko te ārai, te karo rānei i ngā āhuatanga e whakanui ake ai i te tupono ki te whakawhanake i te mesenteric ischemia.

Ngā mea ka taea e koe te mahi:

• Me tirotiro ā-tau: Mā tēnei ka āwhina i tō tākuta ki te kite i ngā tohu tōmua o ngā mea pēnei i te mate manawa, te toto toto tiketike, me te cholesterol tiketike. Mā te kite i ēnei i mua i te putanga mai o ngā tohu ka nui te pānga ki te ārai i ngā raruraru nui pēnei i te mesenteric ischemia.
• Kati te momi hikareti: Kei roto i tēnei ko te hikareti hiko me te ngaungau tupeka. Ki te kore koe e whakamahi tupeka, kaua e tīmata. Ka taea e te whakamahi tupeka te kino i ō oko toto, ā, ka nui ake te tūponotanga o te whakawhanake i ngā raruraru pēnei i te mesenteric ischemia.
• Tangohia tika ō rongoā: Mena he toto toto tiketike tōu, he cholesterol tiketike, he mate huka rānei, mā te tango tika i ō rongoā ka āwhina i te ārai i ngā kino ka arahi atu ki te mesenteric ischemia.
• Kai i tētahi kai hauora, taurite: He maha ngā raruraru ka arahi ki te mesenteric ischemia e pā ana ki tō taumaha me tō kai. Ka taea e ngā kai he nui te ngako, te konutai rānei te whakanui ake i tō cholesterol me te toto toto, ā, he take mōrearea ēnei e rua mō te mesenteric ischemia.
• Kia kaha tonu: He mea nui te korikori tinana mō te hauora o tō ngākau me te pūnaha tohanga toto, tae atu ki te pupuri i tō taumaha hauora.

Ka taea te ārai i tēnei mea kei tupu?

He rite tonu ngā mahi hei ārai i te mesenteric ischemia ki ērā hei whakaiti i te mōrearea. Heoi, heoi anō, i ētahi wā – inā koa he whara tōu, he āhuatanga rānei e ngāwari ai te totoka – kāore e taea te ārai.

Ka aha mēnā ka pāngia koe e tēnei mate? He aha ngā mea ka taea e koe te tumanako i ngā rā kei te heke mai?

Engari, he uaua te tautuhi i te ischemia mesenteric, ahakoa tōna momo. Mā te tatari kia tautuhia te mate ka roa pea te maimoatanga. Ki te kore e tere te whiwhi maimoatanga, he maha ngā wā ka mate te ischemia mesenteric whakapeka. Ko te reiti mate mō te momo whakapeka o te mate kei waenga i te 50% me te 80% , inā koa mēnā ka roa te maimoatanga. Ki te whiwhi maimoatanga i roto i ngā haora 12 i muri i te tīmatanga o te aukati, ka taea te iti iho i te reiti mate ki te 14%. Ka taea hoki e te ischemia mesenteric mau tonu te pāngia e ngā pānga kino mō te wā roa, nā te mōrearea o ngā raruraru rere toto, nā te korenga rānei o ngā kai.

Ko te hunga e pāngia ana e te mesenteric ischemia he nui ake te mōrearea ki te whakawhanake i ētahi atu mate e pā ana ki te ischemia, pērā i te mate ngakau, te whiu, me te pulmonary embolism. He mea nui te toro atu ki tō tākuta i ia wā hei ārai i ngā raruraru roa me te whakaiti i te mōrearea ki te whakawhanake i ētahi atu mate morearea.

Kia pēhea te roa o tēnei āhuatanga?

He mate poto noa te ischemia mesenteric acute, nā te mea he mate te nuinga o te wā (ki te kore e rongoatia). Ka roa pea ngā rā, ngā wiki rānei ki te whanake i te ischemia mesenteric mau tonu. Heoi, ko te maimoatanga mō tēnei mate – inā koa ko te maimoatanga wawe – ka taea te whakakore i te mate i roto i ētahi haora.

Āhea ahau ka taea te hoki ki te mahi/kura?

Mā tō tākuta koe e āwhina ki te whakamārama i tō wā whakaora. I runga i te kaha o tō mate me te maimoatanga e whiwhi ana koe, ka taea e te nuinga o te tangata te hoki ki ngā mahi o ia rā i roto i ētahi rā, wiki rānei. I ngā wā tino kino, inā koa i muri i te pokanga, ka roa ake pea.

Me pēhea taku tiaki i ahau anō (i muri i te whakaoranga)?

I muri i te pānga o te mesenteric ischemia ki a koe, he mea tino nui kia whai koe i ngā tohutohu a tō tākuta. Ko ia te tangata pai rawa atu hei ārahi i a koe ki te tiaki i a koe anō me te ārai i ngā raruraru anō.

Ko te tikanga, me mahi e koe ēnei mea:

• Tirohia tō tākuta kia rite ki te taunakitanga: Ka taea e ngā haerenga whai muri i te tirotiro te whai hua nui ki te hopu i ngā raruraru, i ētahi atu raruraru rānei e pā ana ki tēnei mate.
• Tangohia ō rongoā kia rite ki ngā tohutohu: He pono rawa tēnei mō ngā rongoā e pā ana ki tō ngākau, ki tō pūnaha tohanga toto, ki te mate huka, ki te cholesterol, ki tō kaha rānei ki te toto totoka.
• Kati te momi hikareti, kaua rānei e tīmata: He take nui te morearea o te mesenteric ischemia nā te mea ka pakaru ō uaua toto. Ka māmā ake hoki te hanga o ngā toto totoka, ka ārai i ngā uaua toto nui.
• Whāia ngā tohutohu a tō tākuta mō te kai me te ngohe: Mā ēnei taunakitanga ka āwhina i te whakapai ake i tō hauora whānui, me te whakaiti hoki i te tūponotanga o te hokinga mai o te mesenteric ischemia.

Āhea ahau me toro atu ki te tākuta?

Ki te hoki mai ngā tohu o te mesenteric ischemia, ki te rerekē, ki te kino rānei, me toro atu koe ki tō tākuta. Pātai atu hoki ki a ia mō ngā tohu whakatūpato motuhake me waea atu koe ki tana tari, me rapu rānei i te awhina hauora.

Āhea ahau me haere wawe ki te hōhipera? (Ngā āhuatanga ohorere)

Me rapu tonu koe i te awhina hauora mēnā ka huri whakarere ō tohumate mau tonu, ka kino haere rānei, mēnā rānei kei a koe ētahi tohu o te ischemia mesenteric acute.

Ko ngā tohu ohorere ko:

• Te mamae o te puku (ina koa ka tīmata ohorere).
• Te pupuhi o te puku, te whakapairuaki, me te ruaki.
• Ngā panonitanga ki ngā tikanga wharepaku (te auau o tō haerenga ki te wharepaku).
• Te korere kino, te korere auau rānei.
• Te whakahekenga taumaha ohorere.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mate whakamataku pea te ischemia mesenteric, inā koa ka pā ohorere mai. Waimarie, kua nui ngā ahunga whakamua o te rongoā hou ki te tautuhi me te maimoatanga wawe. Tērā anō hoki ētahi mahi ka taea e koe te mahi hei whakaiti i tō tupono ki te whakawhanake i te mate, me te ārai i tōna hokinga mai ina ora koe. Ko te mea pai rawa atu ka taea e koe ko te mōhio ki ō tupono me te whakahaere i aua mea. Ka taea e tō tākuta te āwhina i a koe ki ēnei whāinga e rua. Ka taea e ia te āwhina i a koe ki te ora mai i te mate, te ārai rānei i te katoa.

Kaua rawa e whakahawea ki te mamae nui o te puku. Ki te ruarua koe, rapua tonutia he tohutohu hauora.

Te ischemia mesenteric, te mamae o te puku, te heke o te rere o te toto, ngā mate o te puku, te ischemia whakapeka, te ischemia mau tonu, te aukati i ngā oko toto