Kua whaiti ngā uaua e kawe ana i te toto ki ō whatukuhu? (Renal Artery Stenosis) Me kōrero tātou mō tēnei!

Ko ngā whatukuhu tētahi o ngā okana tino nui o tō tātou tinana. He rite rātou ki te tātari e horoi ana i ngā para i roto i tō tātou tinana. Engari i ētahi wā, me te kore e mōhiotia e tātou, ka āraia ngā awa matua e tuku toto ana ki ngā whatukuhu, arā, ko ngā uaua whatukuhu. Koinei te mea e kiia nei e tātou i roto i te rongoā ko te 'Renal Artery Stenosis' (RAS) te mate uaua whatukuhu rānei. He mate kino tēnei, nā te mea ka arahi pea ki ngā mate pēnei i te toto toto tiketike (hypertension) , te mate whatukuhu mau tonu (chronic kidney disease), ā, i te mutunga ko te ngoikore o te whatukuhu. Nō reira, he mea tino nui kia mōhio ki tēnei.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei mate?

I te whakarapopototanga, ahakoa ka taea e te tangata te pāngia e tēnei mate, he nui ake te mōrearea o ētahi tāngata. Ko te hunga e pāngia ana e te atherosclerosis te tino mōrearea. Ko te Atherosclerosis he mate e hangai ai ngā matū ngako pēnei i te cholesterol me te parakihe ki roto i ngā pakitara o ō tātou uaua toto, ka ārai pea i te rere o te toto. Whakaarohia he rite ki te paipa wai e āraihia ana e te paru i roto i te wā.

Nō reira, ki te mea kei a koe tētahi o ngā āhuatanga mōrearea i raro nei, he mea pai kia mataara ake koe:

• Mena kei a koe te mate huka .
• Mena he mate pūnaha toto tō tetahi o te whānau (arā, he hononga ira tuku iho).
• Mena he toto toto tiketike tōu .
• Mena he nui te cholesterol i roto i te toto .
• Ko te momona nui ko te nui rawa o te taumaha o te tinana.
• Ka piki ake te mōrearea i te pakeketanga (ngā tāne neke atu i te 45 tau te pakeke, ngā wāhine neke atu i te 55 tau te pakeke).
• Te kai kino , arā, te kai pinepine i ngā kai he nui te tote, te hinu, me te huka.
• Ki te kai paipa koe, he kino tēnei mō ngā tini mea.

He aha te whanaungatanga i waenga i te stenosis o te uaua whatukuhu me te mate uaua peripheral?

Anei tētahi atu mea nui. Ka pāngia ngā uaua e kawe ana i te toto ki ngā whatukuhu e tēnei mate pāwera uaua whatukuhu (RAS). Engari, tētahi atu mate e kiia nei ko te 'Peripheral Artery Disease' (PAD) . I roto i tēnei, ka āraia ngā uaua e kawe ana i te toto mai i te ngākau ki ngā ringa me ngā waewae. Whakaarohia, i a koe e hikoi ana, ka mamae ō waewae, ā, i muri i tētahi wā ka taea e koe te hikoi anō, ka kite koe i ngā tohu o tēnei PAD.

Ko te tino take o te RAS me te PAD ko te atherosclerosis kua whakahuatia ake nei . Kua whakaatuhia e ngā rangahau kei waenganui i te 14% me te 35% o te hunga whai PAD ka pāngia pea e te RAS. Ko te tikanga he hononga kaha kei waenganui i te rua.

Hei tāpiritanga, kua kitea ko te hunga e pāngia ana e te mate tākihi mau tonu, e pāngia ana e te RAS, he nui ake te mōrearea ki te whakawhanake i te PAD. Ko te tangata e pāngia ana e ngā āhuatanga e rua, he nui ake te mōrearea ki te whakawhanake i ngā raruraru hauora nui, pērā i te mate manawa, te whiu, me te ngaronga o ngā waewae . Nō reira, he mea nui kia mōhio ki ēnei mea.

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

He maha ngā wā, kāore e whakaatuhia he tohu i tēnei momo mate pūkahukahu whatukuhu (RAS) i ngā wāhanga tōmua. Me te mea kei te puku mai, ā, ka kino haere te mate. Ko ngā raruraru, pērā i te toto toto tiketike me te ngoikore o te whatukuhu, ka tīmata noa te puta mai ina kaha ake te mate. Ina kore e mahi tika ngā whatukuhu, ka puta pea ēnei tohu. Tirohia mēnā kei a koe ētahi o ēnei:

• He uaua ki a koe te arotahi, he pōhēhē rānei ?
• Kāore e taea te moe? (He uaua ki te moe)
• He wāhi kei roto i tō tinana e pupuhi ana i te wai? (Edema), inā koa i ngā waewae me ngā pona waewae.
• Kei te ngenge tonu koe? Kei te ngenge tonu koe ahakoa kua oti noa te mahi?
• He maha tonu ō mamae o te upoko ?
• Kua ngaro tō hiahia kai ?
• Kei te pāngia koe e te mamae o ngā uaua, e te kōroke rānei ?
• Kei te pāngia koe e te whakapairuaki me te ruaki ?
• He poto te manawa (dyspnea) kei a koe? He poto te manawa ahakoa kua poto te hikoi?
• Ngā panonitanga kiri - ngā āhuatanga pēnei i te kiri maroke, te mākūkū, te pōuri rānei o te kiri.
• Kei te ngaro tō taumaha, kāore he take? (Te ngaronga taumaha kāore i te whakamāramatia)
• He nui ake, he iti iho rānei tō mimi i tō te tikanga?

Ahakoa kei a koe tētahi, e rua rānei o ēnei tohu, ehara i te mea kei a koe te mate. Heoi, ki te mea he maha ō tohu, he mea whakaaro nui kia rapu tohutohu hauora.

He aha i āraia ai ēnei uaua whatukuhu? He aha ngā take?

E rua ngā take matua mō tēnei.

1. I te nuinga o te wā, i waenga i te 60% me te 90% o ngā take o te RAS i puta mai i te mate i kōrerotia i mua ake nei , arā, te atherosclerosis . Koinei te puranga o ngā putunga ngako (pēka) ki runga i ngā pakitara o ngā uaua toto, ka āta whakawhāiti haere i a rātou. Koinei te tino take.

2. Ko ngā kēhi e toe ana ka puta mai i te mate e kiia nei ko te 'Fibromuscular dysplasia' . He rerekē paku tēnei. Koinei te wāhi e tipu rerekē ai ngā pūtau i roto i ngā pakitara o te uaua, ā, ka whaiti ai ngā uaua. Ehara tēnei i te putunga ngako. He nui ake te kitea o tēnei mate i roto i ngā wāhine. E whakaarohia ana nā te ira tangata, nā ngā homoni rānei i puta ai.

He aha ngā pānga taha (ngā raruraru) ka pā mai i tēnei?

Ehara te mate pūngao o te uaua whatukuhu i te mate ngāwari. Ki te kore e whakahaeretia tika, ka ara ake pea ētahi atu raruraru. Hei tauira:

• Mate tākihi mau tonu: Te hekenga āta haere o te mahi tākihi.
• Mate pūkahukahu: Ka puta pea ngā aukati rite i roto i ngā pūkahukahu e tuku toto ana ki te ngākau.
• Te ngoikore o te whatukuhu: Ka iti haere pea te rahi o ngā whatukuhu.
• Te ngoikore o te whatukuhu: Hei te mutunga, ka mutu te mahi a ngā whatukuhu, ā, me whakahaere he dialysis, he whakawhitinga whatukuhu rānei.
• Mate pūkahukahu ā-taha: Te aukati i ngā pūkahukahu e kawe ana i te toto ki ngā peka me ngā waewae.
• Te toto toto tiketike i roto i ngā uaua whatukuhu: Te toto toto tiketike i roto i ngā uaua whatukuhu.

Koia te mea nui kia tere tonu te toro atu ki te tākuta mēnā kei te whakapae koe i tētahi āhuatanga pēnei, i te whai tohu rānei.

Me pēhea te tautuhi tika i tēnei mate?

I ētahi wā, ka kitea noatia e ngā tākuta te stenosis o te uaua whatukuhu. Arā, i a rātou e whakamātautau ana i a koe mō tētahi atu mate. Heoi, ki te whakapae tō tākuta kei a koe te RAS, ka mahia pea e rātou ētahi whakamātautau, pēnei i:

• Whakamātautau tinana: Tuatahi, ka tirotirohia koe. Ka tirohia tō toto toto . Mō ētahi tāngata, ka taea e tēnei āhuatanga te whakaputa i te toto toto tiketike e kore e taea te whakahaere. Ka rapua e rātou te pupuhi i roto i ō ringaringa me ō waewae, ka whakarongo ki tō manawa. Ka whakanohoia pea e te tākuta he stethoscope ki runga i ō whatukuhu hei whakarongo ki te toto e pupuhi ana. Ka rongo pea koe i te tangi 'whooshing' i te rere o te toto i roto i te uaua kua āraia. Ko te tohu matua o te RAS ko te toto toto tiketike kāore i te whakamāramatia .
• Ngā whakamātautau mahi whatukuhu: Muri iho, ka mahia ngā whakamātautau toto me te mimi hei tirotiro i te pai o te mahi a ō whatukuhu. Ka tirohia e ēnei whakamātautau ngā taumata teitei o ngā hua para pēnei i te pūmua, te creatinine , me te hauota i roto i tō tinana. Koinei ngā mea e hiahiatia ana e ō whatukuhu kia tātarihia i roto i tō tinana. Mena ka teitei, ko te tikanga kāore ō whatukuhu e tātari tika ana i ngā hua para.
• Ngā matawai whakaahua: Hei tāpiri, he maha ngā momo matawai whakaahua ka taea te whakamahi hei tirotiro i te rahi o ō whatukuhu me te pai o te rere o te toto ki a rātou. Ka taea hoki e ēnei te whakaatu i te whaiti o ō uaua toto. Ka tūtohu pea tō tākuta i tētahiTērā pea ka tonoa koe kia mahi i tētahi matawai whatukuhu, i tētahi ultrasound takirua, i tētahi angiography tomographic rorohiko (CTA), i tētahi angiogram aukume (MRA) rānei. Ka taea e ēnei matawai te whakarato i tētahi pikitia mārama o ngā uaua whatukuhu.

He aha ngā maimoatanga mō tēnei?

Ko ngā maimoatanga matua mō tēnei mate (RAS) ko ngā whakarerekētanga o te momo noho me ngā rongoā . Me whakamahi ngātahi ngā mea e rua. Heoi, ki te tino whaiti ngā uaua whatukuhu, tera pea ka āraihia ngā uaua, ki te kore e taea e te rongoā te whakahaere i te pēhanga, ki te haere tonu rānei te heke o te mahi a te whatukuhu, me mahi pokanga pea.

Me pēhea te whakahaere i tēnei āhuatanga mā te whakarerekē i te āhua o te noho?

He mea tino nui tēnei. Kāore e ranea te tango rongoā anake. Ka tino taunaki tō tākuta i ētahi huringa āhua noho hei āwhina i te whakahaere i tēnei mate (RAS) me te whakaheke i tō toto toto tiketike. Ko ēnei ngā mea me mahi e koe:

• Te kai hauora: Kai i ngā kai he iti te ngako, te cholesterol, te tote (konutai), me te huka. Ko te tikanga tēnei me whakaiti i te raihi parai, ngā kai parai, ngā inu huka, me ngā kai momona. Tāpirihia he nui ake ngā huawhenua, ngā hua, me ngā nati i whakatipuria i te kāinga ki roto i tō kai. Ahakoa ngā huringa iti pēnei i ēnei, ka taea te hanga rerekētanga nui.
• Te whakakorikori tinana i ia wā: Me mahi tetahi mea pēnei i te hikoi, te eke paihikara rānei mō te 30 meneti pea i te rā. Ehara i te mea ko te whakakorikori tinana te tikanga me haere ki te whare takaro.
• Te whakaiti i te taumaha: Ngana kia mau tonu te taumaha e tika ana mō tō teitei.
• Te whakamutu i te kai paipa: Ki te kai paipa koe, kati tonu. He uaua pea tēnei, engari he huarahi hei rapu āwhina.

He aha te āwhina e tukuna ana e ngā rongoā?

Haunga ngā huringa o te momo noho, ka tohua pea e tō tākuta ētahi rongoā hei āwhina i te whakahaere i te toto toto tiketike me te aukati, te whakahaere rānei i te haere whakamua o te mate tākihi. Me whakamahi ēnei kia rite ki tā tō tākuta i tohutohu ai.

• Ka āraihia e ngā rongoā pēnei i ngā aukati ACE me ngā aukati Angiotensin Receptor (ARB) ētahi homoni ka whakawhāiti i ō oko toto.
• Mā ngā rongoā ārai totoka, pērā i te aspirin , ka ngāwari ake te rere o te toto i roto i ngā uaua.
• Ngā aukati beta me ngā aukati hongere konupūmā, e whakaiti ana i te toto toto tiketike.
• Ko te mahi a ngā diuretics , e mōhiotia ana ko ngā 'pire wai', mā te āwhina i ō whatukuhu ki te tango i te wai me te tote nui mai i tō tinana, ka whakaheke i tō toto toto.
• Ka whakaiti i ngā taumata cholesterol totoNgā Statin.

He aha ngā momo pokanga e wātea ana mō tēnei?

Mena he kino rawa te mate (RAS) ka taea te whakahaere mā te rongoā me ngā huringa momo noho, pērā i te mea kua neke atu i te 70% te aukati o te uaua, me mahi pea he pokanga. E toru ngā momo pokanga matua:

1. Angioplasty me te stenting: Koinei te tikanga tino noa. I roto i tēnei tikanga, ka whakauruhia e te taote pokanga he ngongo angiangi, ngāwari (catheter) ki roto i tō uaua whatukuhu kua āraia, mā roto i tō hope, i tō ringa rānei. Kātahi ka pupuhihia te catheter ki tētahi poihau iti i te pito hei whakawhanui i te uaua. Kātahi ka whakanohoia he stent (he ngongo iti rite ki te mata) ki roto i te uaua kia kore ai e kati anō, kia rere ai te toto ki te whatukuhu. He tikanga iti rawa te whakaekenga tēnei.

2. Te pokanga whakawhiti uaua whatukuhu: He pokanga nui tēnei. He rite ki te pokanga whakawhiti ngākau. I roto i tēnei tikanga, ka hangaia e te taote pokanga he ara hou mō te rere o te toto ki te whatukuhu, mā te karo i te uaua whatukuhu kua āraia, kua āraia rānei. Ko te tikanga, ko te whakamahi i tētahi tārua mai i tō waewae ake, i tētahi ngongo horihori rānei. Ka honoa tēnei tārua, te ngongo rānei ki tētahi uaua hauora o mua, ā, ka honoa tētahi atu pito ki te uaua kua āraia, kei waenganui i te uaua kua āraia me te whatukuhu.

3. Te tango i te uaua whatukuhu: I tēnei tikanga, ka whakatuwherahia e te taote pokanga te uaua whatukuhu kua āraia, ka tangohia te paraka me ētahi atu rauemi e aukati ana i te rere o te toto.

Mā tō tākuta e whakatau ko tēhea o ēnei pokanga e tika ana māu.

Me pēhea tātou e tiaki ai i a tātou i tēnei mate? (Te ārai)

"He pai ake te ārai i te rongoā," te kī a rātou. Nō reira, hei whakaiti i tō tupono ki te whakawhanake i tēnei mate (RAS), ka taea e koe te mahi i ēnei e whai ake nei:

• Kai i te kai taurite .
• Whakakorikori tinana i ia wā, i ia wā .
• Te whakahaere i tō toto toto . Tirohia tō toto toto i ia wā.
• Te pupuri i te taumaha tinana hauora .
• Kaua e momi hikareti .

Mā te mahi i ēnei mea ka ārai noa i te aukati o ngā uaua whatukuhu, engari ka tiaki anō hoki i a koe i te tini o ngā mate.

He aha te tirohanga mō te tangata kua pāngia e tēnei mate?

He mate ahu whakamua te mate uaua whatukuhu (RAS) ka kino haere i te roanga o te wā. Ko te āhua o te mate mō te tangata whai i tēnei mate ka whakawhirinaki ki te kaha o te mate, te wawe o te tautuhi i te mate, me te pai o tā rātou urupare ki te maimoatanga.

Kua whakaatuhia e ngā rangahau ko te 48% anake o te hunga he 95% neke atu rānei ngā uaua whatukuhu kua āraihia, e whā tau te roa o te oranga. Ko te tikanga ko te haurua anake o te hunga he tata katoa ngā ārai e ora ana i ngā tau e whā i muri i te tātaritanga.Nō reira, he mea tino nui kia mōhio wawe ki tēnei āhuatanga, kia rapua hoki he rongoā. Mēnā ka kitea wawetia, ka taea te whakaiti i te kino o ngā whatukuhu, ā, ka taea hoki te whakaroa i te roanga o te oranga.

Āhea ahau me toro atu ki te tākuta mō tēnei mea?

Mena kei a koe tētahi, ētahi rānei o ngā tohu e whai ake nei, me toro atu ki te tākuta tonu . Tērā pea he tohu ēnei o te ngoikore rawa o te mahi a te whatukuhu:

• Ki te rongo koe i te reka whakarewa i roto i tō waha.
• Mena kei te mamae tō puku .
• Mena he uaua ki a koe te arotahi, te pōhēhē, te uaua rānei ki te arotahi .
• Mena he tino iti te nui o te mimi e puta mai ana (He iti te putanga mimi) .
• Mena ka mau tonu te whakapairuaki me te ruaki .
• Mena kei a koe ngā mate hopuhopu .
• Te pupuhi i ō waewae, ringa, mata rānei .

Kaua e warewarehia ēnei mea. Ki te tere koe te whiwhi maimoatanga, ka taea e koe te ārai i ngā kino nui.

Hei whakamutunga, ngā mea hei maumahara māu (Karere hei tango ki te kāinga)

Ko te Renal Artery Stenosis (RAS) he whaiti o ngā uaua e tuku toto ana ki ngā whatukuhu. Ko te tino take o tēnei ko ngā putunga ngako i roto i ngā uaua (atherosclerosis) . Ka taea e tēnei te arahi ki ngā raruraru hauora nui pēnei i te toto toto tiketike, te mate whatukuhu mau tonu, me te ngoikore o te whatukuhu.

Kia maumahara, he maha ngā wā kāore tēnei e whakaatu i ngā tohu i te tīmatanga, engari ka taea te mōrearea mēnā kāore e rongoatia tika.

Ko ngā whakarerekētanga o te āhua noho (te kai pai, te whakakori tinana, me te whakamutu i te kai paipa) me ngā rongoā i tohua e tō tākuta ngā maimoatanga matua. I ētahi wā, me mahi pokanga pea. Nō reira, he mea nui te aro ki ngā tohu, te whakahaere i ngā āhuatanga mōrearea mēnā kei a koe, me te rapu tohutohu hauora i te wā tika hei pupuri i te hauora o ō whatukuhu. Tiakina tō tinana, nā te mea ko te hauora te taonga nui rawa atu!

Te Mate Pūkahukahu o te Arorangi Whatukuhu, te Toto Toto Teitei, te Mate Tākihi, te Atherosclerosis, te Mate Pūkahukahu o te Arorangi, te Hauora o te Tākihi