He uaua pupuhi kei muri i tō turi? (Popliteal Aneurysm) Me kōrero tāua!

Kua kite koe i tētahi pupuhi rite ki te poihau kei muri o tō turi, te wāhi e piko ai te turi? Tērā pea kua pāngia koe e te mamae iti, te taumaha, te puku rānei i tō ringa. I te nuinga o te wā, tērā pea ka whakaaro koe kāore he mea nui, engari i ētahi wā, he āhuatanga tēnei e kiia nei ko te Popliteal Aneurysm . Kaua e manukanuka, ka kōrerohia e mātou tēnei i tēnei rā me te taipitopito, me te tino māmā.

He aha te aneurysm popliteal?

He kupu ngāwari noa iho, ko te aneurysm popliteal he pupuhi i roto i te uaua toto matua i muri i tō turi, arā, te uaua popliteal . He rite ki te paipa wai e pakaru ana i tētahi wāhi. Ka pā pea ki ngā waewae e rua i roto i ētahi tāngata.

Ina pupuhi te uaua pēnei, ka puta pea ngā raruraru. Me pēhea koe e mōhio ai?

• Ka pakaru pea taua wāhi pupuhi.
• Ka taea e te toto totoka te hanga (thrombose) ki reira, ā, ka whati tetahi wahi o taua toto ka whakapūmau i te uaua o te waewae o raro.
• Tērā pea ka aukatia te uaua katoa.

Ki te puta he mea pēnei, i ētahi wā ka kino rawa te waewae, ka ngaro pea te waewae o ētahi tāngata, ka pāngia rānei ō rātou oranga. Nō reira, he mea nui kia mōhio ki tēnei.

He pēhea te noa o tēnei āhuatanga?

Kāore i te tino noa ngā aneurysms popliteal. E ai ki ngā tatauranga, kotahi i roto i te 100,000 ngā wāhine e pāngia ana. I roto i ngā tāne, he teitei ake te auau, arā, e whitu i roto i te 100,000.

Heoi, ahakoa kāore i te tino kitea, ki te whakaritea ki ētahi atu aneurysms i roto i te tinana, koinei te tuarua o ngā aneurysms tino kitea i muri i te aneurysm aortic abdominal . He mea whakamiharo, he hononga kei waenganui i ngā mea e rua. Tata ki te haurua o te hunga whai aneurysm popliteal ka whai aneurysm anō hoki i roto i te uaua puku. Nō reira, ki te kitea e te tākuta tētahi o ēnei e rua, he mea tino nui kia tirohia tētahi atu.

He aha ngā tohu o tēnei?

I te nuinga o te wā, kāore he tohu o te hunga whai aneurysm popliteal. Koia te mea e mataku ai. Heoi, ki te puta mai ngā tohu, ka tūpono te ora.

Whakaarohia, he aha te mea ka tupu mēnā ka pakaru whakarere taua uaua pupuhi?

• Tērā pea ka nui te mamae i muri i te turi.
• Tērā pea ka pupuhi taua wāhi.
• Tērā pea ka puta mai ngā ira rite ki te marō.

He aha rānei ngā tohu ka puta mēnā ka puta he toto totoka i roto i taua uaua, ka whati tetahi wāhanga, ā, ka mutu te rere o te toto i te waewae (kua pupuhi, kua totohu rānei)?

• Te mamae o te waewae.
• Te āhua nei kei te ngoikore haere tō waewae.
• Kei te mātao haere ōku waewae.
• Kei te ngoikore ngā uaua o ngā waewae.
• Kiri waewaeKa mā.

Mena ka pā mai tētahi o ēnei tohu ki a koe, he mea nui kia rapu tohutohu hauora tonu atu , nā te mea ka arahi pea tēnei ki tētahi mate kino ka whakararu i te rere o te toto ki ngā waewae.

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

Kāore anō kia tino mōhiotia e ngā kairangahau he aha te take o te aneurysm popliteal, engari e whakaaro ana rātou he iti noa ngā mea ka whai wāhi ki tēnei:

• Mumura: E pā ana tēnei ki te pupuhi, ki te mate rānei e puta ana i roto i ngā pakitara o te uaua.
• Atherosclerosis: Koinei te wā e hangai ai ngā matū pēnei i te cholesterol ki roto i ngā oko toto, ka matotoru ai ngā pakitara o ngā uaua. Ka taea e tēnei te whakaiti i te ngāwari me te ngoikore o ngā uaua.
• Te mau o te uaua popliteal: I ētahi tāngata, ka pēhia tēnei uaua nui e ngā uaua, e ētahi atu kiko rānei i muri i te turi. I roto i te wā, ka taea e tēnei pēhanga te kino i te uaua, ka puta he aneurysm.
• Whara Tūkino: Ka puta pea tēnei āhuatanga nā te whara nui o te turi, o te rohe rānei e karapoti ana.

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

Nā, kia kite tātou ko wai kei te mōrearea nui ake ki te pāngia e tēnei (Popliteal Aneurysm).

• Mena kua pāngia tētahi o tō whānau e ngā aneurysms pēnei: ​​Mena kua pāngia tō whaea, tō pāpā, ō tuākana/teina rānei e ngā aneurysms pēnei, he iti noa iho te mōrearea mōu.
• Mō te iwi Pākehā: Kua whakaatuhia e ngā rangahau he nui ake te kitea o tēnei mate i waenga i te iwi Pākehā.
• Mō te hunga neke atu i te 50 tau te pakeke: Ka piki ake tēnei mōrearea i te ngoikore o ngā uaua toto i te kaumātuatanga.
• Mō ngā tāne: E ai ki tā mātou i kōrero ai i mua, he mea noa ake tēnei i waenga i ngā tāne.
• Te hunga whai mate hononga kiko: Ko te hunga whai mate e ngoikore ai ngā wāhanga o te tinana e hono ana i ngā kiko, he nui ake te mōrearea ki tēnei mate.
• Mō te hunga e whakamahi ana i ngā hua tupeka: Ka nui te kino o ngā uaua toto i te kai hikareti. Koia anō tētahi o ngā tino take o tēnei.
• Mō te hunga whai atherosclerosis: He take nui anō hoki tēnei e ngoikore ai ngā uaua toto.

He aha ngā raruraru ka pā mai i tēnei?

Mena he aneurysm popliteal tōu, he maha ngā raruraru ka pā mai. E ai ki tā tātou i kōrero ai i mua ake nei:

• Te aukati i te rere o te toto ki te waewae: Mēnā ka puta he toto totoka i roto i te uaua, ā, ka whati tetahi wahi ka aukati i te uaua i te waewae o raro, ka taea e ia te aukati katoa i te rere o te toto ki te waewae. He tino morearea tēnei.
• Te pakaru o te aneurysm: He āhuatanga ohorere anō hoki tēnei.
• Te pēhanga o te uaua popliteal: Ka pēhanga te uaua pupuhi i te uaua e rere ana i te taha, ā, ka kawe i te toto paru ki runga i te waewae.
• Te pēhanga io:Waihoki, ko te pēhanga o ngā io e rere ana i taua wāhi ka pā te ngoikore me te mamae o ngā waewae.

Me pēhea te tātaritanga a te tākuta i tēnei? (Tauātanga)

He uaua pea te tātaritanga i te aneurysm popliteal i ētahi wā, nā te mea ka taea hoki e ngā āhuatanga pēnei i te deep vein thrombosis (DVT) me te Baker's cyst , he pēke kī tonu i te wai i muri i te turi, te whakaputa i ngā tohu rite. Nō reira, ka whakakorea tuatahitia e te tākuta ēnei āhuatanga.

Hei tātaritanga i te mate, ka tirotirohia e tō tākuta te wāhi i muri i tō turi. Tērā pea ka taea e koe te pā, te kite rānei i te uaua pupuhi. Tērā pea ka rongo koe i te pao o tōna uaua me tō ngakau.

Tērā pea ka whakaahuahia tō aneurysm e tō tākuta he 'fusiform' (arā, ka pupuhi huri noa i te oko toto katoa pērā i te poihau) he 'saccular' rānei (arā, ka pupuhi i te taha kotahi o te oko toto).

He aha ngā momo whakamātautau e mahia ana?

Ka taea e te tākuta te tono i ngā whakamātautau maha hei tautuhi tika i te mate, me te tango i ngā inenga e tika ana hei whakamahere i te maimoatanga.

• Te whakamātautau oro-rua: Koinei te whakamātautau e whakamahia whānuitia ana, he māmā noa iho, kāore he mamae. Ka taea te tirotiro i te rahi o ngā uaua me te pai o te rere o te toto.
• Angiography Tomography Computed (CTA): He whakamātautau tēnei e whakamahi ana i ngā hihi-X me tētahi tae motuhake (tae rerekē). Ka taea e ia te whakaputa whakaahua taipitopito o ngā uaua toto.
• Angiography Resonance Magnetic (MRA): Ka whakamahia e tēnei ngā papa aukume me ngā ngaru reo irirangi hei whakaputa whakaahua o ngā oko toto. He pai ake i te CTA.
• Angiography Tango Mamati: He whakamātautau uaua ake tēnei. Ka whakauruhia he ngongo iti ki roto i te uaua, ka werohia he tae, ā, ka tangohia he whakaahua hihi-X. He maha ngā wā ka mahia tēnei ina whakamahere ana i te pokanga.

Ki te tākuta he aneurysm popliteal tōu, tera pea ka tirotirohia e rātou tō waewae me tō puku kia kite ai mēnā he aneurysm kei reira. Nā te mea, e ai ki tā mātou i kōrero ai i mua ake nei, he maha ngā tāngata whai mate pēnei he aneurysm kei roto i tō rātou waewae kē me te uaua matua kei roto i tō rātou puku. Mena he aneurysm kē atu, me aroturukitia rātou mā te whakamahi i ngā matawai ultrasound puta noa i ō rātou oranga.

Āhea tēnei e rongoatia ai?

Ka rerekē te maimoatanga mō te aneurysm popliteal i runga i tō āhua. Ko te whānui o te aneurysm he 2 henimita (cm).Ki te nui ake i tērā (tata ki te inihi), he nui ake te tūponotanga o te pahū. He rua te whānui o tēnei i te whānui o te uaua noa. Mena he toto totoka kei roto i tō aneurysm, ka whakatau pea tō tākuta ki te rongoā ahakoa he iti iho i tērā, nā te mea kei pakaru tetahi wāhanga o taua mea ka aukati i te rere o te toto ki tō waewae.

Mena he iti iho i te 2 henimita te rahi o tō aneurysm popliteal, ā, kāore he tohu mōu, ka tirotirohia pea e tō tākuta i ia wā kia kite ai mēnā kei te nui haere.

Me pokanga ahau?

Mena kei a koe ngā tohumate nā te aneurysm popliteal, ā, ki te nui ake rānei i te 2 henimita (ahakoa kāore he tohumate), ka tūtohu pea tō tākuta kia pokangahia ('whakatikatika popliteal aneurysm') hei rongoā.

He aha ngā maimoatanga?

E rua ngā tikanga maimoatanga matua.

1. Pokanga tuwhera:

I tēnei tikanga, ka herea e te tākuta ngā uaua i runga ake, i raro hoki i te aneurysm, ka hurihia te rere o te toto. He maha ngā wā ka whakamahia he hononga uaua mai i tētahi atu wāhanga o tō tinana. Ko te tikanga ka hangaia he ara hou mai i te uaua i runga ake i te aneurysm ki te uaua i raro i te aneurysm. Kātahi ka herea te aneurysm ka āraia (`herea').

2. Huarahi endovascular:

He tikanga hou tēnei. E whakamahia ana mō te hunga whai mate pūmau kē atu, ā, he nui ake te tūponotanga ki ngā raruraru mai i te pokanga tuwhera. I roto i tēnei tikanga, ka hangaia he kōhao iti ki te waewae o runga, ka whakaurua he waea mā roto, ā, ka whakaurua he taputapu mata whakarewa (tārai stent) ki runga i te aneurysm. I te haerenga o te tārai stent mā roto i te aneurysm, ka rere tika te toto mai i runga ki raro i te aneurysm. Nā te mea kāore he rere tika o te toto ki te aneurysm, ka mimiti haere, ka piri, ā, ka kore e mahi.

Me pēhea te rongoā i roto i te āhuatanga ohorere:

Mena he toto totoka kei roto i tō waewae, e aukati ana i te rere o te toto ki tō waewae, he rerekē te maimoatanga. I roto i ēnei āhuatanga, ka hoatu pea e tō tākuta he rongoā whakangawari toto ki a koe, pērā i te heparin, mā te IV. Kātahi ka mahia he angiogram hei whakaora i te rere o te toto ki te waewae me te waewae e pāngia ana. I ētahi wā, ka hoatu pea e rātou he rongoā whakangawari toto (thrombolytics) hei whakarewa i te toto totoka, ka ngana rānei rātou ki te tango i tētahi wāhanga o te toto totoka mā te whakamahi i ngā taputapu motuhake (ngā taputapu momi).

Ka taea e ngā maimoatanga te whakaputa raruraru?

Pērā i ngā mahi pokanga katoa, ka puta ētahi raruraru i te wā e rongoatia ai te Popliteal Aneurysm.

• Te toto totoka i roto i te waewae (embolism).
• Te tapahi waewae:He tino onge tēnei āhuatanga, engari ina kāore he huarahi kē atu.
• Te pakaru o ngā stent, te neke atu i te wāhi tika, te kore rānei e tuwhera tonu.
• Te aukati i te tākai whakawhiti.
• Te whara o te io.
• Te toto toto hohonu.

Mā te tākuta ēnei e whakamārama pai ki a koe i mua i te pokanga.

Kia pēhea te roa o te wā e ora ai?

I muri i te pokanga tuwhera, me noho koe ki te hōhipera mō te rua, toru rānei ngā rā. I muri i te huarahi endovascular, he poto ake te wā whakaora. Heoi, ka roa te wā kia tino ora ai. He mea tino nui kia whai i ngā tohutohu a tō tākuta i taua wā.

He aha ngā mea e tika ana kia tumanakohia e koe ina noho tahi ana koe me tēnei mate?

Ahakoa kāore he tohu o te aneurysm popliteal i a koe i nāianei, tera pea ka puta he tohu ā muri ake nei. Ā, tera pea ka puta he raruraru.

He tino onge te aneurysm popliteal. Ko te mea e tino kitea ana ko te pakaru o te toto totoka ka aukati i te uaua i roto i tō waewae. Mena ka pokanga endovascular koe, tera pea he iti ake ngā raruraru e pā ana ki te patunga i te pokanga tuwhera. Heoi, tera pea kāore te tukanga whakaora e roa rite ki te pokanga tuwhera.

He aha te tirohanga? (Tirohanga/Matapae)

Ki te whakatikahia te aneurysm popliteal i mua i te putanga mai o ngā tohu, he pai ake tō āhua. Kua kitea e ngā rangahau e 80% o te hunga kua whiwhi pokanga bypass kei te pai tonu te mahi a ō rātou oko toto hou i muri i ngā tau e rima.

Heoi, ki te mea he tohu kei a koe nā te aneurysm, tera pea he iti ake tō tirohanga.

I kitea i roto i tētahi rangahau, neke atu i te haurua noa iho o te hunga i pokangahia mō te pakaru o te popliteal aneurysm i ora i te tau i muri mai. Waihoki, tata ki te 15% o te hunga i pāngia e te toto totoka i roto i te popliteal aneurysm me tapahia ō rātou waewae.

Kaua e mataku i ēnei tatauranga. He kōrero whānui noa iho ēnei. Ka rerekē pea ēnei mea i runga i tō āhua, te maimoatanga e whiwhi ana koe, me te āhua o tō tiaki i a koe anō. Nō reira, kōrero ki tō tākuta, kia whiwhi ai koe i ngā kōrero e tika ana mō tō āhuatanga.

Me pēhea te whakaiti i tēnei mōrearea?

E whakapono ana ngā tākuta ko te atherosclerosis te tino take o te aneurysm popliteal. Nō reira, ki te taea e koe te whakahaere i taua āhuatanga, ka taea e koe te whakaiti i tēnei mōrearea.

• Kati rawa te whakamahi i ngā hua tupeka. Koinei te mea tino nui.
• Kia noho noa ō tatauranga cholesterol .
• Ki te mea he toto toto tiketike tōu, me whakahaere pai.
• Kai i ngā kai hauora mō te ngākau, he iti te ngako kukū.
• Whakakorikori tinana kia 150 meneti te iti rawa i te wiki.

Me pēhea taku tiaki i ahau anō?

Mena he kaiwhakamahi tupeka koe, ka tino whai hua te whakamutu i te hikareti ki tō hauora. Waihoki, ki te mea kei a koe tētahi o ēnei āhuatanga e whai ake nei, me mahi i ngā mahi hei whakahaere i aua āhuatanga:

• Te cholesterol teitei (Hyperlipidemia)
• Te toto toto tiketike (hypertension)
• Mate huka

I muri i te pokanga, ka kī atu pea tō tākuta kia tangohia e koe ngā rongoā ārai toto, pērā i te aspirin, hei whakaiti i te tūponotanga o te toto totoka i roto i tō pokanga bypass. Kia mau ki ngā wā i whakaritea e tō tākuta. Me tirotirohia koe i ia wā kia mōhio ai kei te pai te mahi a tō pokanga bypass. He mea nui tēnei i muri i te pokanga me te wā e aroturukitia ana te aneurysm tae noa ki te wā e whakatauhia ai te pokanga.

Āhea ahau me toro atu ki te tākuta?

I muri i te whakatikatika i te aneurysm popliteal, me tirotirohia koe e te ultrasound i ia wā, i ia wā, kia mōhio ai kei te pai te mahi a tō pokanga bypass. He mea nui kia tirohia ēnei i te marama tuatahi, te marama tuatoru, te marama tuaono, me te tau kotahi i muri i te pokanga, ā, i ia tau mō ētahi tau i muri mai.

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

Ki te whakaaro koe kua pakaru tō Popliteal Aneurysm, kua puta rānei he toto totoka , haere tonu ki te Tari Whawhati Tata (ETU) . Anei ngā tohu ka puta pea:

• Te pupuhi i muri o te turi, i roto rānei i te waewae.
• Ka puta mai ngā ira rite ki te marō .
• Mamae nui.
• Te ngoikore o te waewae.
• Waewae makariri .
• Te uaua ki te neke i te waewae e pāngia ana.

He aha ngā pātai me pātai atu koe ki te tākuta?

Ina kitea e koe he Popliteal Aneurysm tōu, he mea noa te maha o ngā pātai kei roto i tō hinengaro. Ka taea e koe te pātai atu ki tō tākuta i ngā pātai pēnei i:

• "E te tākuta, e hia te rahi o taku (Popliteal Aneurysm)?"
• "Me tino pokanga ahau?"
• "Ko tēhea tikanga pokanga e tino tika ana mō tōku āhua?"
• "He aneurysm popliteal kei muri i taku turi kē atu?"
• "He aneurysm o te aorta puku tōku?"

He mea noa te pōuri nui ina kitea he aneurysm popliteal tōu. Kōrero ki tō tākuta mō te wā pai ki te rongoā i tō aneurysm, me te mea pai mōu.Ka taea e koe te whakapai ake i tō hauora mā te karo i ngā hua tupeka me te whakahaere i tō toto toto me te taumata cholesterol. Mena kei te hiahia āwhina koe mō tēnei, pātai atu ki tō tākuta.

He iti noa ngā mea e whakaaro ana ahau he mea nui māu (Karere hei tango ki te kāinga)

Āe, kua mārama kē koe ki tā tātou i kōrero ai i tēnei rā (Popliteal Aneurysm). Anei ētahi o ngā mea nui hei maumahara māu:

• Ko te aneurysm popliteal he pupuhi o te uaua toto matua i muri o te turi.
• I te nuinga o te wā, kāore he tohu. Heoi, ki te puta mai ngā tohu (pēnei i te mamae i muri i te turi, te pupuhi, te ngoikore o te waewae, te makariri) , me toro atu ki te tākuta tonu.
• Ka pāngia tēnei e ngā mea pēnei i te momi hikareti, te cholesterol tiketike, me te toto toto tiketike.
• He maimoatanga kei reira, kōrero ki tō tākuta mō ēnei.
• Ka taea te whakaiti i tēnei mōrearea mā te noho i tētahi momo noho hauora .

Ehara i te mea hei wehi, engari hei āwangawanga. Kia aro ki tō tinana. Ki te kite koe i tētahi mea rerekē, kaua e whakaroa ki te toro atu ki te tākuta. Kia ora tonu!

` te aneurysm popliteal, ngā uaua varicose i muri i te turi, ngā uaua varicose, mamae turi, ngā toto totoka i te waewae, te pokanga uaua, te atherosclerosis