He aha te endarterectomy? Me kōrero tātou mō tēnei!

Kua whakaarohia e koe he rite ngā oko toto i roto i ō tātou tinana ki ngā paipa wai i roto i te whare? Pērā i te roanga o te wā, ka puea ake te paru me te waikura i roto i ngā paipa wai, ka aukati i te rere o te wai, ka taea hoki e ngā mea pēnei i te hinu me te ngako te puea ake i roto i ō tātou oko toto, ka aukati i te rere o te toto. Koinei te mea e kiia nei e tātou ko te 'Endarterectomy', he tikanga pokanga hei horoi i tētahi oko toto kua aukatia. I tēnei rā, ka kōrerohia tēnei i roto i ngā kupu māmā noa iho.

He aha te tikanga o te Endarterectomy?

Ko te Endarterectomy (e kīia ana: en-da-te-rek-to-me) he tikanga pokanga hei whakatuwhera anō i ngā uaua kua āraia, kua whaiti rānei. I roto i tēnei tikanga, ka tangohia e ngā tākuta te paraka , he paparanga matotoru o te ngako, te konupūmā, me te paraka kua hangai ki roto i ō uaua.

Pērā i te horoi i te paru i roto i te paipa wai, me te tuku i te wai kia rere pai anō, i muri i tēnei pokanga, ka hoki anō te rere o te toto i roto i ngā uaua toto. Ka tino whakaitihia te tūponotanga o ngā mate kino pēnei i te toto totoka me te whiu .

Ko te tikanga o tēnei pokanga he rongoā mō te mate e kiia nei ko te atherosclerosis. Koinei te wā e hangai ai te paraka ki roto i ngā oko toto, ka whakapakeke haere, ka whaiti haere. Ko te tikanga o tēnei pokanga he mea tūtohu mō ngā mate pukupuku, ā, he āhua kino te āhua o ngā oko toto kua āraia.

E rua ngā mate matua e rongoatia ana e tēnei pokanga:

• Mate Puku Ā-Taiao (PAD): He putunga paraka tēnei i roto i ngā uaua e tuku toto ana ki ō waewae, ki ō ringaringa rānei. Ka mamae pea ō waewae i a koe e hikoi ana, ka pōturi te ora o ngā patunga, ā, i ētahi wā ka mate ngā kiko (gangrene).
• Mate o te Arota Carotid: He mate kino tēnei. Ka puta mai i te hanga paraka i roto i ngā uaua matua e rua o te kaki e kawe ana i te toto ki te roro. Ki te kore e rongoatia, ka arahi pea ki te whiu, ki te whakaeke ischemic poto rānei (TIA).

He aha ngā momo pokanga endarterectomy?

He rerekē te momo pokanga i runga i te wāhi o tō tinana e aukati ana te oko toto. Tirohia te ripanga i raro nei hei whakahaere i tēnei.

Me pēhea taku whakarite i mua i te pokanga?

I mua i tēnei pokanga, ka whakahaerehia e te tākuta ētahi whakamātautau kia kitea ai te āhua o te aukati o ō uaua toto.

• Doppler Ultrasound: Ka whakamahia ngā ngaru oro hei tirotiro i ngā wāhi e āraihia ana ngā oko toto me te nui o te toto e rere ana.
• CT Angiography: I tēnei mahi, ka werohia he wai motuhake (tae rerekē) ki roto i te uaua i roto i tō ringa, ā, ka whakamahia he matawai CT hei tango pikitia toru-ahu (3D) o ō uaua toto.
• Angiography: I roto i tēnei tikanga, ka werohia tika he wai motuhake ki roto i te uaua toto, ā, ka tangohia he whakaahua hihi-X.
• Angiography Resonance Magnetic (MRA): Ka whakamahi i ngā aukume me ngā ngaru reo irirangi hei tango pikitia o ngā uaua toto.

Hei tāpiritanga, 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 (anticoagulants). I ētahi wā, ka tonoa pea koe kia tīmata te tango i ngā rongoā pērā i te aspirin.

Me nohopuku hoki koe mō ētahi haora i mua i te pokanga. Mā te tīma anesthesiology koe e tohutohu ki te mea tika hei mahi. Tērā pea ka whai whakamātautau koe pērā i te `Echocardiogram` me te `Stress Test` rānei hei tirotiro i te hauora o tō ngākau.

Ko wai kāore e taea te mahi i tēnei pokanga?

Ko ētahi tāngata he mate hauora tō rātou, he nui ake te mōrearea mō tēnei pokanga, nō reira kāore ngā tākuta e taunaki ana kia mahia tēnei pokanga mā rātou. Hei tauira:

• Mena he mate ngākau kino tōu kāore e taea te whakahaere (te ngoikore o te ngākau).
• Mena kua pāngia koe e te mate ngakau i ngā wā tata nei.
• Mena kei a koe ngā tohu o te mate ngakau kāore e taea te rongoā.
• Mena he mate pūkahukahu kino tōu pērā i te emphysema, te COPD rānei.
• Mena kua whiwhi koe i te maimoatanga irahiko ki te wāhi e mahia ai te pokanga i mua.
• Mena he mate pāwera kei taua wāhi.

Me pēhea te mahi i te pokanga?

Ka hoatu he rongoā whakamoe ki a koe kia kore ai koe e mamae i te wā e pokangahia ana. I te nuinga o te wā, ka hoatu he rongoā whakamoe whānui ki a koe. Ko te tikanga o tēnei ka kore koe e mōhio. Heoi, i ētahi wā, inā koa i te wā e horoi ana i ngā uaua o tō kaki (carotid endarterectomy), ka noho mataara pea koe, ā, ka noho ngenge noa i taua wāhi (local anesthesia) i te wā e pokangahia ana nā te mea he mea tika kia aroturukihia te mahi a tō roro.

I te wā o te pokanga, ka mea te tākuta:

1. Ka tapahia te kiri i runga i te uaua toto kua purua.

2. Ka whakatuwheratia te oko toto, ā, ka tangohia marietia te paparanga o te 'pēkara' i roto.

3. Ka tuia anō te uaua toto, kātahi ka kati. I ētahi wā, hei aukati i te whaiti anō o te wāhi, ka whakamahia he 'pāki' hangai (pāki) he wahi uaua hauora rānei i tangohia mai i tētahi atu wāhanga o tō tinana hei whakawhānui ake i te wāhi.

4. Hei whakamutunga, ka katihia te tapahi kiri, ā, ka tuia.

Ngā painga, ngā mōrearea, me te wā whakaora

Ko te painga matua o tēnei pokanga ko te wetewete i te aukati o te oko toto, me te whakahoki mai i te rere o te toto. Ka whakaitihia te mamae o te waewae, ngā patunga kāore e ora, me te mōrearea o te whiu. Ko ngā hua o tēnei pokanga he maha ngā tau e mau ana.

Pērā i ngā pokanga katoa, he maha ngā tūponotanga kei roto, engari he iti te tūponotanga ka puta ēnei.

• Te toto
• Ngā mate ngakau, pērā i te whakaeke ngakau
• Ngā mate urutā
• Te pakaru o te io (he wā poto noa iho)
• Te whaiti o te uaua kotahi i pokangahia
• `Whiu`

Kia pēhea te roa o te wā e ora ai?

Ko te roa o te wā e noho ai koe i te hōhipera ka whakawhirinaki ki te momo pokanga e mahia ana.

• Pokanga mō te uaua carotid (kaki): tata ki te rā kotahi.
• Mō te pokanga uaua o te femur (waewae): E rua ki te whā ngā rā.
• Pokanga aortic (uaua puku): tata ki te wiki.

Ka tonoa koe kia haere mai mō tētahi tirotiro whai muri i te whā wiki i muri i te pokanga. Ka taea e te nuinga o te tangata te hoki ki te mahi i muri i tēnei tirotiro whai muri. Heoi, ki te mea he mahi āu e hiahia ana ki te hiki taumaha, tera pea ka roa te kotahi, e rua rānei marama kia tino ora ai koe.

Ahea te wā me waea atu ahau ki te tākuta?

Mena ka pāngia koe e tētahi o ngā tohu i raro nei i muri i tō pokanga, me waea atu koe ki tō tākuta tonu atu , me haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata ki a koe.

• Mamae o te uma
• Te uaua ki te manawa
• Ki te pāngia koe e te kirika, e te makariri rānei
• Ki te rongo koe i te ngoikore, i te ngoikore rānei i te wāhi i tapahia ai
• Mena he pupuhi, he whero, he wai rite ki te pupuhi huri noa i te wahi i tapahia
• Ngā panonitanga o te tirohanga, te kōrero pōturi, te piko rānei o tetahi taha o te mata
• Mena ka puta te whakapairuaki, te ruaki rānei