He toto toto tiketike anō hoki tōu? Tērā pea kei te tango koe i ngā momo rongoā maha hei whakahaere i tō toto toto. Engari ki te uaua tonu tō whakahaere i tō toto toto, ko te take pea he aukati i roto i ngā uaua e tuku toto ana ki ō whatukuhu. Nō reira, i tēnei rā, me kōrero tātou mō te maimoatanga e kiia nei ko te 'Renal Artery Stenting' e whakamahia ana i roto i ēnei momo take. Kaua e mataku ina rongo koe i tēnei, me mārama tātou ki ngā mea katoa mōna.
He aha te whakatōtō i te uaua whatukuhu?
Ki te kī ngāwari, ko ngā oko toto matua e kawe ana i te toto ki ngā whatukuhu e rua o tō tātou tinana e kiia ana ko ngā 'uaua whatukuhu'. Pērā i ngā paipa matua e rua e kawe ana i te wai ki te māra. I ētahi wā, ka kohikohi ngā mea pēnei i te ngako i roto i ēnei oko toto (e kiia ana tēnei āhuatanga ko te `(Atherosclerosis)`) ā, ka whaiti te ara i roto i ngā uaua. E kiia ana tēnei ko te 'stenosis o te uaua whatukuhu'.
Whakaarohia tētahi mea pērā i te paipa wai e purua ana e te waikura. Kātahi ka whaiti te ara o te wai, tika? Waihoki, ka purua te ara ki ngā whatukuhu.
Ko te Renal Artery Stenting he maimoatanga e whakamahia ana hei whakatuwhera anō, hei pupuri rānei i te tuwhera o tētahi oko toto kua āraia. I roto i tēnei mahi, ka whakauruhia he ngongo whakarewa iti rawa, he rite ki te mata (stent) ki roto i te wāhi kua āraia, ka whakatuwhera i te uaua. Kātahi ka tīmata te rere pai o te toto ki te whatukuhu.
He aha te mea ka tupu ina aukatia ngā uaua whatukuhu?
E mōhio ana koe, ko tētahi o ngā mahi matua a ō tātou whatukuhu ko te tātari i te toto me te tango i ngā tote me ngā wai e kore e tika ana mai i te tinana hei mimi. Ina heke te nui o te toto e rere ana ki ngā whatukuhu, kāore e taea e rātou te mahi tika i tēnei mahi. Kātahi ka tīmata te kohikohi wai i roto i te tinana.
Ehara i te mea koinā anake, engari ka puta tētahi atu mea nui. Ina 'kite' te whatukuhu kua iti ake te toto e rere ana ki reira, ka whakaaro ia kua heke te toto i roto i te tinana katoa. Nō reira, hei whakanui ake i te toto, ka tukuna e te whatukuhu tētahi homoni motuhake e kiia nei ko te `(renin)`. Mā tēnei homoni ka whakawhāitihia ngā oko toto o te tinana. Engari ko te mea e tupu ana ko te toto i roto i te tinana ka tino teitei pea i taua wā.
Ko te toto toto tiketike e hua mai ana i te aukati i ngā uaua o te whatukuhu i tēnei ara ka kiia ko te Renal Hypertension . He uaua ake tēnei ki te whakahaere i te toto toto tiketike noa, ā, i roto i te wā ka kino pea ngā whatukuhu.
Ko wai e hiahia ana ki te stent?
Ehara i te mea ko te hunga katoa he uaua whatukuhu kua āraia e hiahia ana ki te stent. Ka tūtohu noa tō tākuta i tēnei maimoatanga i roto i ētahi take motuhake.
| Āhua | Whakaahuatanga |
|---|---|
| Te toto toto tiketike kāore i te whakahaerehia | Mena kāore tō toto toto e taea te whakahaere ahakoa e toru, neke atu rānei ngā rongoā whakaheke toto e tangohia ana e koe. |
| Te aukati nui o te uaua | Mena neke atu i te 60% o ngā uaua whatukuhu kua āraia, ā, kāore e taea te whakahaere mā te rongoā. |
| E whakakī ana te wai i ngā pukahukahu | Ki te pāngia koe e te mate e kiia nei ko te "flash pulmonary edema". |
| He raruraru ki ngā whatukuhu e rua | Mena ka āraia ngā uaua e rua e anga atu ana ki ngā whatukuhu e rua mā te neke atu i te 60%. |
He aha ngā whakamātautau e mahia ana i mua i te stenting?
I mua i te whakatau ki te whakatakotoranga i te stent, ka whakahaerehia e tō tākuta ētahi whakamātautau hei whakatau i te aukati o tō uaua.
- Te Whakamātautau Ultrasonography Doppler Duplex: He rite tēnei ki te matawai noa. Ka whakamahia ngā ngaru oro hei ine i te whaiti o te uaua me te tere o te rere o te toto.
- Te Angiogram Tomography Rorohiko (CT Angiogram): Ko te werohanga o tētahi tae motuhake ki roto i ō uaua, me te whakamahi i tētahi matawai CT hei tango pikitia toru-ahu (3D) o ngā uaua. Mā tēnei ka taea e koe te kite mārama i ngā wāhi e āraihia ana ngā uaua.
- Angiogram Resonance Aukume (MRA): He rite tēnei ki te matawai MRI. Ka werohia he tae, ā, ka whakamahia he papa aukume hei hanga whakaahua mārama o ngā oko toto.
- Angiogram: Koinei te tikanga tino tika. I roto i tēnei, ka whakauruhia he ngongo tino angiangi (catheter) mā roto i tētahi uaua i roto i te hope, i te ringa rānei, ka arahina ki te uaua whatukuhu. Kātahi ka werohia he tae mā roto, ā, ka tangohia he hihi-X hei tirotiro i te rere o te toto. Ko te stenting te tikanga ka mahia i roto i tēnei whakamātautau.
He mea nui: I mua i ēnei whakamātautau, me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (ina koa ko ngā rongoā whakaiti toto pēnei i te aspirin) me ō mate pāwera.
Me pēhea te mahi pokanga stenting?
Ehara tēnei i te pokanga tuwhera nui. Kāore koe e whakamoea. Ka hoatu he rongoā ki a koe e kīia nei ko te 'whakamoe' hei whakangāwari i a koe, hei whakamoe hoki. Nō reira, kāore koe e rongo i te mamae, ā, kāore hoki he maharatanga mōna i muri mai.
Ko te maimoatanga he penei noa iho:
1. Ka tapahia he tapahi iti rawa (he torutoru mirimita) ki te kiri o tō hope, o tō ringaringa rānei.
2. Mā roto i taua mea, ka whakauruhia he ngongo ngāwari (hipoki) ki roto i te uaua.
3. Mā roto i taua ngongo, ka tukuna tētahi atu ngongo tino angiangi (catheter) ki te uaua kua āraia i roto i te whatukuhu.
4. Kātahi ka pupuhihia he poihau iti i te pito o te ngongo hei whakawhānui i te wāhi kua āraia.
5. Hei whakamutunga, ka whakatakotoria te stent rite ki te mata i kōrerotia e tātou i mua ake nei ki te wāhi kua whānuitia. Ka pēhi te stent ki te pakitara o te uaua, kia noho tuwhera tonu ai te uaua.
6. Ka whakanohoia te stent ki reira, ka tangohia te poihau me te ngongo, ka kati te tapahi, ā, ka tāpirihia he takai.
He aha ngā painga me ngā mōrearea i muri i te maimoatanga?
Pērā i ngā maimoatanga hauora katoa, kei reira ngā painga me ngā mōrearea iti.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| He tikanga māmā noa iho, kāore he tapahi nui. | He marō, he toto rānei i te wāhi i werohia ai te ngongo. |
| Te whakahokinga mai o te rere o te toto ki te whatukuhu. | Te pakaru o ngā oko toto, o te whatukuhu rānei (he tino onge). |
| Āwhina ki te whakahaere i te toto toto. | Ngā toto totoka. |
| Te tiaki i te mahi a te whatukuhu. | Mate pāwera ki te tae. |
I muri i te maimoatanga, me noho koe ki te hōhipera mō ētahi hāora, mō te pō rānei. Ka taea e koe te hoki ki ō mahi o ia rā i roto i ētahi rā i muri i te hokinga ki te kāinga. Ka taea e koe te hoki anō ki ō mahi o ia rā i roto i te wiki pea.Ko te mea nui ko te tango i te rongoā whakaiti toto (pēnei i te `Aspirin`, `Clopidogrel`) i tohua e tō tākuta mō te wā kua tohua. Kaua rawa e mutu te tango i te rongoā me te kore e pātai ki tō tākuta.
Āhea ahau me kite anō i te tākuta?
Ahakoa kua whakatakotoranga te stent, me haere tonu koe ki ngā tirotiro whai muri i te pokanga e ai ki te tohutohu a te tākuta, nā te mea i ētahi wā ka āraia anō te stent, tetahi atu wāhi rānei.
Mena ka puta tetahi 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 te wāhi i werohia ai te ngongo, he pupuhi, he mamae, he toto, he pūkahukahu rānei e puta mai ana i reira.
- Mena ka mamae te waewae o te taha e rongoatia ana, ka makariri, ka koma rānei.
- Mena ka puta he mamae hou ki tō puku, ki te taha rānei i rongoatia.
- Ki te pōuri koe, ā, ka tino heke tō toto toto.
He wāhanga tūturu te stent o te tinana. Kāore he mamae i te nuinga o te wā. Ahakoa ka taea e ia te āwhina i te tini o te tangata ki te whakahaere i ō rātou toto toto tiketike, me tango tonu pea koe i ngā rongoā hei whakahaere i tō toto toto. Mā tō tākuta tēnei e whakatau i runga i tō āhua.
Karere Tangohia ki te Kāinga
- He maimoatanga māmā te Renal Artery Stenting, kāore e pokanoa, mō ngā aukati nui i roto i ngā oko toto e anga atu ana ki ngā whatukuhu.
- Ka āwhina tēnei ki te whakahaere i te toto toto tiketike, he mea uaua ki te whakahaere, ā, ka tiaki hoki i ngā whatukuhu.
- I muri i te maimoatanga, he mea tino nui kia tangohia e koe ngā rongoā whakaiti toto i tohua e tō tākuta mō te wā kua tohua.
- Kia mahara ki te tae atu ki ngā hui whai muri i ngā rā kua whakaritea.
- Ki te puta he tohu whakatūpato pēnei i te kirika, te mamae nui, te toto rānei, me whakamōhio tonu atu ki tō tākuta.
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