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.

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