He toto toto tiketike tōu? Tērā pea kei te whakamahi koe i ētahi rongoā, engari kei te raru tonu koe ki te whakahaere i tō toto toto? I roto i ēnei āhuatanga, ko te take pea he aukati i roto i te uaua toto matua e kawe ana i te toto ki ō whatukuhu. I tēnei rā, ka kōrero tātou mō tētahi tikanga maimoatanga motuhake mō ēnei āhuatanga.
He aha te Renal Artery Stenting?
He tino māmā noa iho. I ētahi wā, ka āraia ngā oko toto matua e tuku toto ana ki ō whatukuhu (e kiia ana ēnei ko ngā uaua whatukuhu) e ngā putunga ngako. Ka kiia tēnei mate ko te `(Renal Artery Stenosis)`. Nō reira, ko te `Renal Artery Stenting` he tikanga e whakauru ana i tētahi ngongo iti rite ki te mata (e kiia ana tēnei ko te `stent`) ki roto i te oko toto kua āraia, ka whakatuwhera anō i te wāhi kua āraia, ka whakahokia mai te rere o te toto.
Whakaarohia, ko ngā whatukuhu te okana matua e whakahaere ana i te nui o te tote me te wai i roto i tō tātou tinana. Mā te tātari i te toto me te whakaputa mimi ka mahi i tēnei. Nō reira, ki te kore e whiwhi ngā whatukuhu i te nui o te toto e tika ana, kāore e taea e rātou te mahi tika i tēnei mahi. Kātahi ka tīmata te kohikohi wai me te tote i roto i te tinana.
Ka whakaputahia hoki e ngā whatukuhu he homoni e kiia nei ko te `(Renin).` Ka āwhina tēnei homoni i te tinana ki te pupuri i te tote me te wai, ā, ka whakakīkī i ngā oko toto. Ina kite te whatukuhu he iti te toto e haere mai ana ki reira, ka whakaaro te whatukuhu he iti te toto i roto i te tinana. Kātahi ka whakaputahia he `(Renin).` Engari ko te mea e tupu ana ko te aukati i te oko toto, ā, ka heke te rere o te toto ki te whatukuhu, ā, ka taea e te toto i roto i te tinana te piki ake i taua wā. Ina huihuia ēnei mea katoa, ka hangaia he āhuatanga e kiia nei ko te `(Renal Hypertension)` ka puta te toto toto tiketike. Ka taea e tēnei te whakararu i te ngākau me ētahi atu okana, ā, i roto i te wā, ka taea e ia te arahi ki te ngoikore o te whatukuhu .
He aha i tika ai te whakauru i tētahi stent ki roto i tētahi oko toto i roto i te whatukuhu?
Ki te whakatau tō tākuta he nui te aukati i roto i te uaua toto e anga atu ana ki tō whatukuhu, ā, me rongoā, ka tūtohu pea rātou kia whakatakotoria he stent. Mā tēnei ka āwhina i te ārai i ngā kino atu ki ō whatukuhu. Engari kia maumahara, ehara i te mea ko ngā aukati katoa i roto i ngā uaua whatukuhu e hiahiatia ana he stent.
He maha ngā āhuatanga e hiahiatia ai tēnei maimoatanga:
- Mena neke atu i te 60% o ngā oko toto kua āraia nā ngā putunga ngako i roto i ngā oko toto (atherosclerosis), ā, kāore e taea te whakahaere mā te rongoā.
- Mena e toru, neke atu rānei ngā rongoā toto tiketike e tangohia ana e koe i ngā horopeta mōrahi, ā, kāore tonu e taea e koe te whakahaere i tō toto toto.
- Mena ka āraia ngā oko toto e rua e anga atu ana ki ngā whatukuhu e rua mā te neke atu i te 60%.
- Mena kotahi anake tō whatukuhu, ā, neke atu i te 60% te aukati o te uaua toto e ahu atu ana ki reira.
- Mena ka pāngia koe e ngā āhuatanga pēnei i te "whanuitanga pūkahukahu ohorere" ka kī tonu ngā pūkahukahu i te wai.
Ko te mea nui ko te tākuta anake e tirotiro ana i a koe ka taea te whakatau mēnā me hiahia koe ki tēnei maimoatanga. Nō reira, kōrerotia tēnei ki tō tākuta me te kore e manukanuka.
He aha ngā mea ka tupu i mua i te maimoatanga?
I mua i te whakahaere i tēnei maimoatanga, ka tirohia tō hauora whānui e tō tākuta, ā, ka whakahaerehia hoki ētahi whakamātautau hei whakatau mēnā me whai stent koe.
| Ingoa o te whakamātautau | He aha te mea e tupu noa ana? |
|---|---|
| Te Whakamātautau Doppler Duplex | He rite tēnei ki tētahi matawai noa. Ka whakamahia ngā ngaru oro hei ine i te whānuitanga o te aukati i roto i te uaua toto me te tere o te rere o te toto. |
| Angiogram Tomography Rorohiko (Angiogram CT) | Ka whakamahia ngā hihi-X hei hanga i tētahi āhua toru-ahu (3D) o te whatukuhu. Ka werohia he wai motuhake (tae rerekē) kia kitea mārama ai ngā uaua toto. |
| Angiogram Resonance Aukume (MRA) | He rite ki te matawai MRI. He papa aukume tōna e whakamahia ana. I konei anō hoki, ka werohia he wai motuhake hei tiro mārama i te āhua o ngā uaua toto. |
| Angiogram | Ka whakaurua he ngongo angiangi (catheter) mā roto i te hope, i te ringa rānei, ka arahina ki te oko toto e anga atu ana ki te whatukuhu. Kātahi ka werohia he wai motuhake, ā, ka aroturukitia te rere o te toto mā te whakamahi i ngā hihi-X. Ka whakanohoia hoki te stent i tēnei ara anō. |
Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā huaora me ngā rongoā otaota) . Ko ētahi rongoā, pērā i te aspirin, ngā rongoā whakangawari toto, me ngā rongoā whakamamae, ka piki ake te mōrearea o te toto. Nō reira,Kaua e mutu te tango i tētahi rongoā me te kore e pātai ki tō tākuta.
Me kōrero mai hoki ki a mātou mō ō mate pāwera . Kei roto i tēnei ko ngā mate pāwera ki ngā rongoā, ki ētahi hua horoi (pēnei i te iodine), me ngā kai.
He aha ngā mea ka tupu i te wā e rongoatia ana?
Kāore tēnei e tino ngaro ai tō mohio. Ka hoatu he wai tote ki a koe mā roto i tētahi uaua i tō ringa hei āwhina i a koe kia marino, kia hiamoe hoki. Nō reira, kāore koe e mahara nui ki te maimoatanga.
Ka tapahia e te tākuta he tapahi iti rawa ki tō hope, ki tō ringa rānei. Mā roto i taua tapahi, ka whakaurua he ngongo tuwhera (he hipoki) ki roto i te oko toto. Kātahi ka tukuna tētahi atu ngongo angiangi (he catheter) mā roto i taua ngongo ki te oko toto kua āraia e anga atu ana ki te whatukuhu.
Kia tae ki te aukati, ka pupuhihia he poihau iti i te pito o te ngongo hei whakawhānui i te aukati. Kātahi ka whakanohoia te stent mata whakarewa i kōrerotia i mua ake nei ki taua wāhi, ā, ka whakatuwheratia. Kātahi ka pēhi ki te pakitara o te uaua toto, ka tangohia te aukati, ka whakatuwhera i te ara mō te rere o te toto. He mea pumau tēnei stent i roto i te tinana.
Kia mau te stent, ka whakakīia te poihau, ā, ka tangohia te catheter. Kātahi ka katihia te tapahi mā te pēhi, mā te whakamahi rānei i tētahi taputapu motuhake, kātahi ka tāpirihia he takai.
He aha te mea ka tupu i muri i te maimoatanga?
I muri i te maimoatanga, me noho koe ki te hōhipera mō ētahi hāora, mō te pō pea. Ka aroturukihia e ngā kaimahi hauora tō toto toto, tō mamae, me tō hauora whānui. Me whakarerekē pea tō whakahaunga i mua i tō hokinga ki te kāinga. Ka whakamāramahia atu tēnei ki a koe.
Ina whakatauhia kei te pai koe ki te hoki ki te kāinga, ka tukuna koe i te hōhipera. Heoi anō , me tono atu tētahi mema o te whānau, tētahi hoa rānei, kia haere mai ki te kawe i a koe ki te kāinga.
He aha ngā painga me ngā mōrearea o tēnei maimoatanga?
Pērā i ngā maimoatanga hauora katoa, he painga, he iti noa hoki ngā mōrearea o tēnei.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| He maimoatanga tēnei e mahia ana mā roto i tētahi tapahi iti, ā, he iti noa iho ngā pānga taha. | He marō, he toto rānei i te wāhi i werohia ai te ngongo. |
| Te whakapai ake i te rere o te toto ki ngā whatukuhu. | Te pakaru o te uaua whatukuhu, te whatukuhu rānei. |
| Te rapu āwhina hei whakaiti i te toto toto tiketike. | Ngā toto totoka. |
| Āwhina ki te tiaki i te mahi a te whatukuhu. | He mate pāwera ki te wai motuhake i whakamahia mō te whakamātautau. |
| He tino onge, te ngoikore o te whatukuhu. |
Kia pēhea te roa o te wā e ora ai?
Ka pai ake te nuinga o te tangata i roto i ētahi rā. Mā tō tākuta koe e tohutohu mō te nui o tō kaha mō ngā rā tuatahi.
Me tango e koe ngā rongoā whakangawari toto hei ārai i te toto totoka kia ora rā anō te stent. Hei tauira, ngā rongoā pēnei i te `Aspirin` me te `Clopidogrel` rānei. I runga i tō āhua, me tango pea e koe ēnei mō te marama, te tau rānei. He mea tino nui kia tangohia ēnei rongoā kia rite ki te whakahaunga, kaua hoki e mutu te tango me te kore kōrero ki tō tākuta.
Ka taea e te nuinga o te tangata te hoki ki te mahi, ki ā rātou mahi noa rānei i roto i te wiki. Heoi, ki te mahi koe i ngā mahi uaua tinana, pērā i te hiki taumaha, tera pea ka roa ake te wā e ora ai koe.
Āhea ahau me kite anō i te tākuta?
I ētahi wā ka puta he aukati hou ki ētahi atu wāhi o te uaua toto. Nō reira, kia mahara ki te haere ki te whare hauora i ngā rā kua whakaritea, kia kite ai i te tākuta.
Waihoki, ki te pāngia koe e tētahi o ngā tohu e whai ake nei , waea atu ki tō tākuta tonu:
- Ki te pāngia koe e te kirika.
- Mena he uaua ki te manawa.
- Mena ka puta he ponana kiri.
- Mena he whero, he papura, he mangu, he pupuhi, he mamae, he toto rānei te wāhi i werohia ai te ngongo.
- Mena he mamae te waewae e kuhua ana te ngongo, he makariri, he mā, he ngoikore rānei.
- Mena ka puta he mamae hou ki tō puku, ki te taha rānei i rongoatia.
- Ki te pōuri koe, ā, he tino iti tō toto toto (hypotension).
Karere Tangohia ki te Kāinga
- Ko te Renal Artery Stenting he tikanga maimoatanga haumaru hei whakatuwhera i ngā oko toto kua āraia e anga atu ana ki ngā whatukuhu.
- Ka āwhina tēnei ki te whakamamae i te toto toto tiketike e uaua ana ki te whakahaere, me te tiaki hoki i te mahi a te whatukuhu.
- Ehara i te mea e hiahia ana te katoa ki tēnei maimoatanga. Ko tō tākuta anake hei whakatau mēnā e hiahiatia ana e koe, kāore rānei.
- I muri i te maimoatanga, he mea nui kia whakamahia ngā rongoā i tohua e te tākuta, inā koa ngā rongoā whakaiti toto, kia rite tonu ki te mea i tohua.
- Ki te pāngia koe e ētahi tohu rerekē, whakamōhio atu ki tō tākuta tonu. Kaua e wehi ki te kōrero ki a ia mō ō āwangawanga.
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