Te aukati i ngā oko toto iti i roto i te roro (Mate Ischemic Microvascular): Me kōrero tātou mō tēnei!

Ka wareware anō koe i ngā mea iti i a koe e pakeke haere ana? He uaua ki a koe te pupuri i tō hinengaro ki te wāhi kotahi? I ētahi wā ka whakaaro koe he tohu noa ēnei o te koroheketanga, engari i ētahi wā tera pea he take hauora anō kei muri i tēnei. Āe, i tēnei rā ka kōrero tātou mō tētahi āhuatanga e pā ana ki ngā oko toto iti i roto i tō tātou roro. Ko te ingoa o tēnei ko te (Microvascular Ischemic Disease). Kia kite tātou he aha tēnei, ko wai ka pāngia, me ngā tohu.

He aha tēnei (Mate Ischemic Microvascular)? He māmā noa iho...

Ki te kī ngāwari, ko te (Mate Mate Pūkahukahu Matū) he ingoa whānui mō tētahi rōpū o ngā huringa rerekē e puta ana i roto i ngā oko toto iti rawa, ngawari (e kiia ana ēnei e mātou ko (ngā oko toto iti)) i roto i tō roro. Pērā i te paipa wai e purua ana i te tawhito haere, ka taea hoki e ēnei oko toto te huri haere mārire. I runga i te kaha o ēnei huringa, ka taea e koe te whakawhanake i ngā raruraru maha. Tērā pea he mea iti noa iho pērā i te uaua ki te arotahi, he mea kino rānei pērā i te (whiu).

He maha atu anō ngā ingoa e whakamahia ana mō tēnei mate. Tērā pea kua rongo koe i ēnei ingoa:

• Te mate o ngā oko toto iti o te roro (CSVD)'
• "Te mate pūkahukahu iti mau tonu"
• "Te mate ischemic o ngā oko toto iti"

Ahakoa te ingoa e karangatia ana e koe, he rite tonu te āhua o te katoa.

Ko wai te mea tino pāngia e tēnei?

Ko tēnei āhuatanga e kiia nei ko te "Mate Ischemic Microvascular " ka kitea nuitia i waenga i te hunga kaumātua. Ka taea e ngā tāne me ngā wāhine te pāngia e tēnei mate. Ko te mea nui ko te piki haere o te mōrearea ki te pāngia e tēnei āhuatanga i te kaumātuatanga.

Whakaarohia, i te taenga ki te 50 tau, tata ki te 5% o te tangata ka pāngia e tēnei mate. Heoi, i roto i te hunga kua neke atu i te 90 tau te pakeke, e kiia ana tata ki te kotahi rau ōrau (100%) o te tangata katoa ka pāngia e tēnei mate. Ko te tikanga he tino noa i a tātou e pakeke haere ana.

He tino noa tēnei, ā , e kiia ana koinei te take o te 45% o te hunga e pāngia ana e te mate wareware, he āhuatanga e ngaro haere ai te mahara, me te 25% o te hunga e pāngia ana e te whiu. Nō reira, he mea nui kia mōhio ki tēnei.

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

Ko te tino take o te (Mate Ischemic Microvascular) ko te matotoru o ngā pakitara o ngā oko toto iti i roto i te roro, me te kohikohinga o te ngako i roto i a rātou, ka puta ai te (pūpūnga paraka). He rite ki te waikura e hanga ana i roto i ngā paipa wai tawhito. Heoi, kāore ngā tohunga i te tino mōhio he aha tēnei e puta ai. Heoi, kua kitea he maha ngā āhuatanga e pā ana ki tēnei.

He aha ngā āhuatanga mōrearea? Kia tūpato mēnā kei a koe ēnei mea!

Ko te koroheketanga te tino take mōrearea. Kāore e taea e tātou te whakahaere. Heoi anō, he maha atu ngā raruraru hauora e whakanui ake ana i te mōrearea o te whakawhanake i te (Mate Ischemic Microvascular). Ko ēnei:

• Mate whatukuhu mau tonu:Mena he raruraru tākihi tōu, ka nui ake tēnei mōrearea.
• Mate huka: Ko te hunga mate huka he nui ake te tūponotanga ka pāngia e tēnei mate, nā te mea ka taea e te mate huka te kino i ngā oko toto whānui.
• Te toto toto tiketike: Ina koa mēnā he 140/90 mm Hg tō toto toto (te toto toto tiketike), he nui te pēhanga ki runga i ngā uaua toto iti o te roro.
• Te nui o te cholesterol: Ina piki ake te taumata o te cholesterol i roto i te toto, ka nui ake te tūponotanga ka hanga, ka aukati i roto i ngā oko toto.
• Te ngongoro me te apnea moe aukati: He raruraru nui atu tēnei i tō whakaaro. Ko te kore e manawa tika i te pō ka whakaiti i te tuku hāora o te tinana, kāore hoki i te pai mō ngā uaua toto.
• Te momi hikareti, te whakamahi rānei i ētahi atu hua tupeka: He take mōrearea te momi hikareti mō te nuinga o ngā mate. Ka kino tika ngā oko toto.

Mena kei a koe tētahi, ētahi rānei o ēnei mea, he mea pai kia tupato ake.

He aha ngā tohu? Me pēhea tātou e mōhio ai ki tēnei?

I ētahi wā ka karangatia tēnei āhuatanga e ngā tākuta ko te "Mate Ischemic Microvascular" he "mate puku" . Nā te mea he tino ngawari ngā tohu, ā, ka ngāwari te ngaro atu. Waihoki, ka warewarehia e te tangata, e whakaaro ana he huringa noa ēnei e puta ana i te koroheketanga.

Heoi, mō ētahi kaumātua, ka rerekē pea ēnei tohu mai i te āhua ngawari ki te kino. Nā te mea he maha ngā pūnaha o te tinana e pāngia ana e tēnei mate, ka whānui haere ngā tohu. Me titiro tātou ki ēnei tohu:

Ngā huringa i roto i te pūnaha mimi:

• Te uaua ki te whakahaere i te mimi (te kore e taea te pupuri i te mimi): Ki te kī ngāwari, ko te ngaromanga o te mimi.
• Te hiahia nui ki te mimi: Te hiahia ohorere, te hiahia nui ki te mimi .

Ngā panonitanga o te kaha whakaaro (Māramatanga):

• Te Mate wareware: Ko te ngaromanga haere o te mahara me te uaua ki te mahi i ngā mahi o ia rā.
• Te uaua ki te arotahi: Te uaua ki te arotahi ki tētahi mea.
• Te ngoikore o te hinengaro: Te uaua ki te whakatau kaupapa me te mārama ki ngā mea.
• Te pōhēhē ohorere, te āhua kei te ngaro tō hinengaro (pōrangi): Ka puta ohorere pea tēnei.

Ngā panonitanga o te pūnaha io (Neurology):

• Te uaua ki te horomi i te kai, i te wai rānei (dysphagia): Tērā pea ka rite te kai ki te mea kua piri.
• Te kore e taea te whakahaere tika i ngā uaua o te mata: Tērā pea tetahi taha o te mata e ahua piko ana.
• Te tangi ohorere, te kata rānei, kāore e taea te pupuri, kāore he take (te pānga pseudobulbar):He wheako tino rerekē tēnei.
• Te koretake o te kōrero i te wā e kōrero ana, te koretake o te kōrero (dysarthria): me te mea kua whāwhā te arero.

Ngā huringa o te hauora hinengaro:

• Manukanuka: Te āhua o te āwangawanga, te mataku rānei.
• Te kore aro: He āhua o te hoha ki ngā mea katoa .
• Te pouri nui: He kare ā-roto o te pouri nui me te ngākau pouri.
• Ngenge tonu, ngenge: He āhua ngenge tonu ahakoa tāu e mahi ai.
• Te riri wawe mō ngā mea iti, te kore manawanui (Te riri nui) .

Ngā raruraru moe:

• Ngā momo mate moe .
• Kāore e moe pai i te pō, he raruraru moe kore .

Ngā raruraru hikoi:

• Te ngaro o te taurite i a koe e hikoi ana, te uaua ki te pupuri i te taurite .
• Te hinganga, te hinganga pinepine rānei .
• He hikoi whakakorikori .

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, he mea tino nui kia kōrero koe ki te tākuta mō tēnei mea.

Me pēhea te tautuhi i tēnei mate? He aha ngā whakamātautau e mahia ana?

Ko te tikanga, ka whakamahia e ngā tākuta he matawai MRI (Magnetic Resonance Imaging) hei tātaritanga i tēnei mate. He whakamātautau ngāwari noa iho tēnei. Ka whakamahia he aukume nui, he ngaru reo irirangi, me te rorohiko hei tango pikitia mārama o tō roro.

Tērā pea he rerekētanga o te roro o te tangata e pāngia ana e te "Mate Ischemic Microvascular" . Ka tirohia e ngā tākuta ēnei mea i roto i ngā whakaahua MRI:

• Ko ngā toto iti o te roro he uaua toto iti i roto i te roro e toto ana . He toto tino iti ēnei.
• Mēnā kua pakaru te mea mā i roto i te roro. Ka puta ēnei wāhi kua pakaru hei ira mā kanapa i runga i te matawai. Ka kiia ēnei he "mā te kaha o te mea mā".
• Mēnā he iti ngā whara o te roro, ehara i te whara io (lacunar infarcts) kāore e whakaatu i ngā tohu nui o te mate io. He rite ēnei ki ngā wāhi iti o te pakaru.

Ina kitea ēnei mea i runga i te matawai MRI, ka taea e te tākuta te whakatau mēnā kei a koe te "Mate Ischemic Microvascular" kāore rānei.

Ka taea te whakakore i tēnei mate, ā, ka taea te whakaora rawa?

He take uaua tēnei. I ngā wāhanga tōmua o te "Mate Ischemic Microvascular", tera pea ka taea te "whakahoki" i ētahi o ngā huringa kua puta i roto i te roro ki tētahi taumata. Arā, ka taea te huri i te āhuatanga kia pai ake.

Heoi, he āhua haere tonu tēnei mate. I roto i te wā, ka kore e taea te whakakore i ēnei huringa.

Koia te mea nui kia tautuhia wawetia tēnei, kia whakahaerea hoki ngā āhuatanga mōrearea.

Nā, he aha te rongoā mō tēnei?

I tēnei wā, kāore he maimoatanga motuhake mō te Mate Microvascular Ischemic. Ko te whāinga matua o ngā maimoatanga o nāianei ko te whakaiti i ō tūponotanga me te ārai, te whakaroa rānei i te whanaketanga o ngā raruraru nui pērā i te mate wareware me te whiu.

Nā te mea he rerekē ngā āhuatanga mōrearea o ia tangata, ka rerekē pea te mahere maimoatanga i ia tangata, i ia tangata. Ko te tikanga ka whakaritea te maimoatanga kia rite ki a koe. I te nuinga o te wā, ko ngā maimoatanga ka uru atu ki:

• Te whakawhanake i ngā tikanga hauora: Ngā mea pēnei i te whakakori tinana me te kai i ngā kai totika.
• Te whakamutu rawa i te momi hikareti.
• Te tango i ngā rongoā hei whakaheke i te toto toto tiketike, hei whakahaere i te cholesterol, me te whakahaere i ngā taumata huka toto.

Ka tirohia koe e tō tākuta, ā, ka kī atu ki a koe ko tēhea te mahere maimoatanga e pai ana mōu.

Me pēhea taku whakaiti i tēnei mōrearea?

Koinei te mea tino nui. He mea tino nui kia mahi tahi koe me tō tākuta ki te tautuhi tika i ō āhuatanga mōrearea, me te whakawhanake i tētahi mahere e tika ana mō rātou.

Anei ētahi rautaki hei āwhina i te whakaiti i te mōrearea:

• Whāia he kai hauora: Whakaitihia te tote, te ngako kukū, me te huka ki te nui e taea ana. Kai atu i ngā huawhenua, ngā hua rākau, me ngā otaota kei roto ngā momo matūkai.
• Whakauruhia ngā momo mahi whakakori tinana: Kōwhiria ngā mahi whakakori tinana hei whakapai ake i tō taurite, tō kaha, me tō hauora ngākau. He mea pai kia rapu āwhina mai i tētahi kaiwhakaora tinana, i tētahi kaiwhakangungu whakapakari tinana rānei hei āwhina i a koe ki te whakatau ko ēhea ngā mahi whakakori tinana he haumaru, he tika hoki māu.
• Whai wāhi atu ki ngā kaupapa hei āwhina i a koe ki te whakamutu i te kai paipa: Ka taea e ngā rōpū tautoko e ahu mai ana i te pūtaiao, i te kōrero tohutohu takitahi rānei te āwhina.
• Whakamahia ngā tikanga hei whakaiti i te ahotea me te whakangā: Ka taea e ngā mahi pēnei i te whakaaroaro me te yoga te āwhina i tēnei.

Ahakoa te āhua uaua ki te whakauru i ēnei mea ki roto i tō oranga, ka puta mai he painga nui ki tō hauora ā te wā roa.

Me pēhea taku mōhio mēnā kei roto ahau i te mōrearea?

Hei kimi mēnā kei roto koe i te mōrearea, me aro koe ki ō tohumate. He mea nui anō hoki kia tirotirohia koe i ia wā, kia tirotirohia hoki ō toto. Kia mau ki te aroturuki i ō taumata cholesterol me te toto toto. Mēnā he mate kei roto i a koe pērā i te mate huka, te mate tākihi rānei, he mea nui anō hoki kia whakahaerea aua tohumate.

He tūponotanga kino tēnei āhuatanga? He aha te mea ka tupu i muri mai?

Ki te kore e rongoatia, ka taea e te Mate Ischemic Microvascular te arahi ki ngā raruraru nui, tae atu ki te mate, pērā i te whiu me te hekenga nui o te hinengaro.

Heoi, ki te whai koe i te mahere maimoatanga whaiaro a tō tākuta, ka taea e koe te whakahaere i te kino haere o tēnei mate, ā, ka ora i te oranga hauora, motuhake hoki. Nō reira, he mea nui kia whai i ngā tohutohu a tō tākuta me te kore e mataku.

Āhea ahau me toro atu ki te tākuta?

Ki te mea kei te ngaro haere, kei te āta haere rānei tō kaha ki te mahi i tētahi o ngā mea o raro nei, me toro atu koe ki te tākuta mō tētahi tirotiro hauora.

• Te kaha ki te whakahaere i te mimi.
• Te kaha ki te maumahara ki ngā mea.
• Te kaha ki te whakaaro mārama.

Kaua e whakahaweatia ngā panonitanga pēnei.

Āhea koe me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

He nui ake te mōrearea o te hunga whai (Mate Ischemic Microvascular) ki te whiu. Nō reira, ki te pāngia koe e tētahi o ngā tohu i raro nei, me haere tonu koe ki te rūma whawhati tata (ER).

• Pōuriuri, te āhua e hurihuri ana te māhunga .
• Te kore e taea te kōrero .
• Te ngaronga o te taurite, te kore rānei e taurite te nekehanga, pērā i te hikoi .
• Te ngoikore, te ngoikore rānei i tetahi taha o te tinana .
• Te mamae nui o te upoko .
• Te ngaronga o te tirohanga o tētahi, o ngā kanohi e rua rānei .

He tohu pea ēnei o te whiu, nō reira mā te tere o te whiwhi maimoatanga, me te kore e moumou taima, ka taea te whakaora i te ora.

Hei whakamutunga, ko ngā mea tino nui hei maumahara

Ko tēnei āhuatanga, e kiia nei ko te "Mate Ischemic Microvascular," ka pā kino ki ētahi tāngata, ā, ki ētahi he iti noa iho. Ka taea e ia te whakarerekē i tō wairua, te uaua ki te whakaaro, me te uaua ki te hikoi.

Engari ko te mea pai rawa atu, mā te tautuhi me te aro atu ki ō āhuatanga mōrearea, ka taea e koe te whakahaere, te whakaiti rānei i ēnei raruraru, ā, ka taea ai e koe te ora i te oranga hauora ake.

Nō reira, kōrero ki tō tākuta, ka waihanga i tētahi mahere whaiaro e pai ana mōu. Kaua e mataku, ko te mōhio me te mahi i ngā mahi tika te mea nui!

Ngā uaua toto i roto i te roro, te hauora o te koroheketanga, te whiu, te mate wareware, te toto toto tiketike, te mate huka, te cholesterol