Me ako ngāwari tātou mō te Endarterectomy, he pokanga e tango ai i ngā 'putunga ngako' i roto i ngā uaua toto.

Kua kite pea koe i te tawhito haere o ngā paipa wai o ō tātou kāinga, ka purua i te paru me te waikura. Waihoki, ka purua ngā oko toto o ō tātou tinana, arā, ngā ngongo e kawe ana i te toto, e ngā mea maha i roto i te wā. Ina purua te oko toto, ka whakararuraruhia te rere o te toto. I roto i ēnei āhuatanga, ko te tikanga hei tango i ngā mea kua purua mā te pokanga me te horoi i te oko toto ka kiia noa ko te "Endarterectomy".

He aha te Endarterectomy? He aha tonu te mea ka tupu?

He whakarāpopototanga noa iho, ko te endarterectomy he tikanga pokanga hei whakatuwhera anō i ngā uaua kua āraia, kua whaiti rānei. Ko te paraka he paparanga mārō, piri o te ngako me te konupūmā e hangai ana i roto i ō tātou uaua toto. He rite ki te waikura e hangai ana ki runga i te paipa wai. I roto i tēnei pokanga, ka whakatuwherahia e ngā tākuta te uaua toto ka waruhia te paraka kua hangai ki roto.

Ina tangohia te paraka i tēnei ara, ka nui ake te wāhi i roto i te uaua toto. Mā tēnei ka taea te rere tika anō o te toto. Ka taea e tēnei te whakaiti i te mōrearea o te toto totoka me ngā mate kino pēnei i te whiu .

Ko te tikanga ka mahia tēnei pokanga ina kaha rawa te mate e kiia nei ko te atherosclerosis, arā, he putunga paraka i roto i ngā oko toto, inā koa mō te hunga e whakaatu ana i ngā tohu.

Ko ngā mate matua e rongoatia ana e tēnei pokanga ko:

• Mate Puku Ā-Taiao (PAD): Koinei te wā e pupū ake ai te paraka i roto i ngā uaua e kawe ana i te toto ki ō waewae, ki ō ringaringa rānei, ka ārai i a rātou. Ka mamae pea ō waewae i a koe e hikoi ana, ka pāngia e ngā patunga kāore e ora, ā, i ngā wā kino rawa atu, ka mate ngā kiko (gangrene).
• Mate o te Arorangi Carotid: Koinei te puranga o te paraka i roto i ngā arorangi matua e rua o tō tātou kaki e kawe ana i te toto ki te roro. Mēnā ka whaiti ēnei arorangi, ka taea te motu i te rere o te toto ki te roro, ka arahi ki te whiu, te whakaekenga ischemic poto (TIA), te ngaronga tirohanga poto rānei.

He aha ngā momo pokanga endarterectomy?

He maha ngā momo o tēnei pokanga, kei te wāhi e mahia ai. Kia māmā ake ai tō mārama, me titiro tātou ki tēnei ara.

Me pēhea te whakarite i mua i te pokanga?

I mua i tō pokanga, ka whakahaerehia e te tākuta ētahi whakamātautau hei whakatau i te nui me te wāhi e aukati ana i te uaua toto.

• Te tirotiro oro Doppler: He matawai e whakamahi ana i ngā ngaru oro hei tirotiro i te rere o te toto me ngā aukati.
• Te angiography CT: Ka whakamahia ngā hihi-X motuhake me te tae rerekē hei hanga whakaahua toru-ahu (3D) o ngā oko toto.
• Angiography: Ka werohia tika he tae ki roto i te uaua toto, ā, ka whakamahia ngā hihi-X hei tango pikitia o ngā uaua toto.
• MRA (Angiography Resonance Aukume - MRA):Ka tangohia ngā whakaahua taipitopito o ngā uaua toto mā te whakamahi i ngā aukume me ngā ngaru reo irirangi.

I muri i ēnei whakamātautau, ka hoatu e tō tākuta he tohutohu ki a koe mō te whakarite mō te pokanga. Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā mō te wā poto, pērā i ngā rongoā whakaiti toto. Tērā pea ka tonoa koe kia tīmata te tango i ētahi rongoā, pērā i te aspirin. Me mahi koe i ēnei mea katoa kia rite ki tā tō tākuta e tohutohu ana ki a koe.

Me nohopuku hoki koe (kaua e kai, kaua e inu i tetahi mea) mō ētahi haora i mua i te pokanga. Ma te tīma whakamoe e hoatu ki a koe ngā tohutohu motuhake mō tēnei.

Me pēhea te mahi i te pokanga?

Ka hoatu he rongoā whakamoe ki a koe kia kore ai koe e pāngia e te mamae i te wā e pokangahia ana. Ko te nuinga o te tangata ka hoatu he rongoā whakamoe whānui. Ko te tikanga ka moe koe i te wā e pokangahia ana. Heoi, i ētahi wā, inā koa i roto i te pokanga pēnei i te carotid endarterectomy, ka noho mataara pea koe, ā, ko te wāhi anake e pā ana ka whakangāwaritia (whakamoe ā-rohe) kia māmā ake ai te tirotiro i te mahi a te roro.

Anei tētahi whakamārama taipitopito mō ngā mea e tupu ana i te wā o te pokanga:

1. Tapahi kiri: Ka mahia he tapahi iti ki te kiri i runga tonu i te uaua kua purua.

2. Te tango i te paraka: Ka whakatuwheratia te uaua, ā, ka waruhia marietia te paparanga o te paraka e takoto ana i roto.

3. Te kati i te uaua toto: Kātahi ka tuia te uaua toto kia kati. I ētahi wā, ka tuia he wāhi iti hei aukati i te whaiti anō o te uaua toto. Ka taea te hanga i tēnei wāhi mā te hanga horihori, he wahi kiko rānei i tangohia mai i tētahi atu uaua i roto i tōu ake tinana.

4. Katia te kiri: Hei whakamutunga, ka katia te tapahi kiri ki ngā tuitui.

Kotahi, e rua rānei ngā haora e pau ana mō te tango i te Carotid Endarterectomy. Tērā pea ka rerekē te wā mō ētahi atu momo pokanga.

He aha ngā painga me ngā mōrearea pea o te pokanga?

Ngā painga matua:

• Ka tangohia te aukati, ā, ka whakahokia te uaua toto ki te āhua noa.
• Ina hoki te rere o te toto ki te āhua noa, ka tīmata te ora o ngā āhuatanga pēnei i te mamae o te waewae me ngā patunga kāore e ora.
• Kua tino heke te mōrearea o te whiu.
• I te nuinga o te wā, ka roa ngā hua o te pokanga mō ngā tau.

Ngā tūponotanga pea:

Pērā i ngā pokanga katoa, he iti noa iho ngā mōrearea kei roto.

• Te toto
• Ngā raruraru ngākau pērā i te whakaeke ngākau
• Ngā āhuatanga pangia
• Te pakaru o te io (he wā poto noa iho)
• Te whakawhāiti anō i te uaua i muri i te pokanga
• Pararutiki

Engari mō te nuinga o te iwi, he tino iti te mōrearea o ngā raruraru nui.

Kia pēhea te roa o te wā e ora ai i muri i te pokanga?

Ka rerekē te roa o te wā e noho ai koe i te hōhipera i muri i te pokanga, i runga i te momo pokanga e mahia ana.

I muri i tō hokinga ki te kāinga, he mea tino nui kia okioki koe, kia tangohia hoki ō rongoā e ai ki tā tō tākuta i tohutohu ai. Ka tonoa koe kia haere mai ki te whare hauora mō tētahi atu tirotiro i roto i te 4 wiki pea. Kātahi ka tirohia te tapahi. Ko te nuinga o te tangata ka taea te hoki ki te mahi i muri i tēnei haerenga ki te whare hauora.

Engari, ki te mea he tangata koe e hiki taumaha ana, me okioki koe mō te marama kotahi, e rua rānei, kia ora rawa koe. Ina koa kua pokangahia tō puku, ehara i te mea pai te hiki i te neke atu i te 5 kirokaramu mō ngā marama e rua.

Āhea koe me waea atu ki te tākuta tonu?

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i tō pokanga, me whakamōhio tonu atu ki tō tākuta, me haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.

• Mamae o te uma
• Te uaua ki te manawa
• Ki te pāngia koe e te kirika, e te makariri rānei
• Mena he pupuhi, he whero, he wai rānei e puta mai ana i te wāhi i tapahia ai
• Ki te rongo koe i te ngoikore, i te ngoikore rānei o tō tinana
• Mena ka pāngia koe e ngā panoni o te tirohanga, te kōrero pōturi, te takoto kau rānei i te taha kotahi o tō mata
• Whakapairuaki, ruaki rānei