Whakaarohia mēnā kei te mahi koe i tāu mahi noa, ā, kātahi ka pā mai te mamae upoko kino rawa atu ki a koe, kāore he whakatūpato. Koinei te mamae tino kino rawa atu o tō ao. Ka eke te mamae ki tōna taumata i roto i ngā hēkona. I roto i te rongoā, ka kiia tēnei mamae upoko ohorere, kino ko te "Mate upoko Whatiwhati". Ehara tēnei i te mamae upoko noa iho. He whakatūpato nui tēnei e tukuna mai ana e tō tātou tinana ki a tātou. Ko te RCVS tētahi o ngā āhuatanga e tuku ana i tēnei whakatūpato.
He aha te RCVS?
Ko te ingoa katoa mō te RCVS ko te Reversible Cerebral Vasoconstriction Syndrome . Tērā pea he roa, he uaua hoki te āhua o te ingoa, engari kia māmā noa iho.
- Ka taea te huri: ko tōna tikanga "ka taea te huri." Ko te tikanga ehara te āhua i te mea pumau, ā, ka taea te whakaora mā te maimoatanga tika .
- Te roro: ko tōna tikanga "e pā ana ki te roro."
- Te whakawhāiti i te toto: ko tōna tikanga ko "te whakawhāiti, te whakawhāiti rānei i ngā oko toto."
He whakarāpopototanga noa iho, ko te RCVS he āhuatanga e piri whakarere ai, e whāiti ai, e aukati ai hoki ngā oko toto i roto i te roro . Heoi, ka taea tēnei te whakakore mā te maimoatanga tika.
Whakaarohia he paipa wai. Ka aha mēnā ka pēhia e tātou tētahi wāhanga o te paipa? Ka aukati i te rere o te wai, kāore? Ka pērā anō te āhua o ngā oko toto i roto i tō tātou roro. Ina whakawhāitihia ohoreretia ēnei oko toto (e kiia ana tēnei he "vasospasm"), kāore te roro e whiwhi i te nui o te toto e hiahiatia ana. Koinei te take ka pāngia tātou e ngā mamae upoko kino e rite ana ki te whiunga uira. Ka taea hoki e tēnei āhuatanga te tohu i ētahi wā he tohu pēnei i te migraines, te whiu, te toto rānei i roto i te roro .
He mea tino nui: Ko te "Upoko o te Ānini o te Whatiwhati", he ānini ohorere, he ānini kino rawa atu, e ahua nei ko te ānini kino rawa atu tēnei kua pā ki a koe, he āhuatanga ohorere hauora . He tohu pea tēnei o te toto kei roto i te roro. Mena kei a koe, kei tētahi rānei e mōhio ana koe, haere tonu ki te Tari Ohorere o te hōhipera tata (ETU).
He aha ngā tohu o te RCVS?
I roto i te RCVS, ka whakararuraruhia te rere o te toto ki te roro, ka puta he maha ngā tohu. Ko te tohu matua he mamae nui o te upoko, engari he tohu anō hoki.
| Tohu | Whakaahuatanga |
|---|---|
| "Pakū te whatitiri" | He ānini nui e tīmata ohorere ana, ka eke ki tōna taumata i roto i ngā hēkona ruarua, ā, ka hoki anō pea i roto i te wiki, i ngā wiki e whā rānei. |
| Te whakanui ake i te aro | Te ātete ki te mārama kanapa (`(Photophobia)`) me te haruru nui (`(Phonophobia)`). |
| Ētahi atu āhuatanga | Whakapairuaki me te ruaki, ngā panonitanga o te tirohanga (tirohanga pōuri, tirohanga takirua), te ngoikore o te uaua i tētahi wāhanga o te tinana, te pōhēhē. |
| Ngā tohu kino | Ngā haurangi, te uaua ki te kōrero, te mārama rānei ki ngā kōrero a ētahi atu (`(Aphasia)`). |
I ētahi wā, ka puta te toto i waenganui i te roro me te angaanga i te RCVS. Ka kiia tēnei ko te `(Subarachnoid Hemorrhage - SAH)`. He āhuatanga ohorere hauora tino kino hoki tēnei. Haunga ngā tohu o runga ake nei, ka whakaatu pea te SAH i ēnei tohu e whai ake nei:
- Te pakari o te kaki, te mamae o ngā uaua o te kaki me ngā pakihiwi.
- Ngā panonitanga o te whanonga me te wairua (te riri me te kore take).
- Te ngenge i tētahi wāhanga o te tinana.
He aha ngā āhuatanga e whai wāhi ana ki te whanaketanga o te RCVS?
Ahakoa kāore anō kia kitea te tino pūtake o te RCVS, he maha ngā āhuatanga mōrearea kua tautuhia ka whai wāhi pea ki te whanaketanga o tēnei mate.
Te haputanga me te whānautanga
Ko te mea tino kitea, ā, ko te mea tino kitea mō te RCVS ko te hāputanga. Ko te mea tino nui rawa atu ko te wā e ono wiki tuatahi i muri i te whānautanga (i muri i te whānautanga). E whakapono ana ngā tākuta he pānga pea ngā huringa homoni i te wā e hāpu ana. Ka puta pea te RCVS ahakoa kāore he raruraru pērā i te preeclampsia, he mate toto toto tiketike e puta ana i te wā e hāpu ana.
Te whakamahi i ētahi rongoā me ngā raau taero
Ko ētahi rongoā e pā ana ki tō tātou pūnaha tohanga toto ka whakanui ake i te mōrearea o te RCVS.
| Momo rongoā/matū | Ngā tauira |
|---|---|
| Ngā rongoā mō te pouri | Tērā pea ko ngā rongoā momo SSRI (`(Selective Serotonin Reuptake Inhibitors)`). |
| Ngā rongoā mō te migraines | Ngā triptan me ngā rongoā kei roto he ergot. |
| Ngā rongoā pehi ārai mate | Ngā rongoā e whakaiti ana i te ārai mate e tukuna ana mō ētahi mate. |
| Ngā mea whakaohooho me ngā rongoā | Ngā raau taero pēnei i te amphetamines, te cocaine, te marijuana, ngā pāte nicotine, ngā inu pūngao, te LSD, me te MDMA. |
Ētahi atu āhuatanga hauora
Ka piki ake hoki te mōrearea o te whakawhanake i te RCVS i ētahi āhuatanga hauora.
- Te Mahunga-ā-Whā: Ko te hunga e pāngia ana e te mahunga-ā-Whā he nui ake te tūponotanga ka pāngia e te RCVS.
- Te nui o te konupūmā i roto i te toto (Hypercalcemia): Ina piki ake te nui o te konupūmā i roto i te toto, ka pāngia te mahi a ngā uaua toto.
- Ngā raruraru homoni: E whakapaetia ana ko te homoni estrogen te take o tēnei. Koia te take e nui ake ai te kitea o tēnei mate i waenga i ngā wāhine.
- Ngā mate tuku iho: Ngā mate e puta ai ngā pukupuku e whakaputa ana i te homoni adrenaline nui rawa, pērā i te "Pheochromocytoma".
He aha ngā raruraru pea ka pā mai i te RCVS?
I mua, i whakaaro ngā tākuta he mate kino, he mate korekore te RCVS, engari kua whakaatuhia e ngā rangahau hou kāore i te pēnei i ngā wā katoa.
Tata ki te 30% o ngā tūroro RCVS ka waiho pea me ētahi hauātanga iti tuturu (hei tauira, te ngoikore o te uaua, ngā raruraru taurite i te wā e hikoi ana). Tata ki te 8% ka pāngia e ngā raruraru kino ake, mō te wā roa.
Hei tāpiritanga, ka puta pea ngā raruraru kino atu i roto i ngā rā torutoru i muri i te putanga mai o ngā tohu tuatahi.
- Te Whiu Ischemic: He whiu i puta mai i te aukati i roto i te uaua toto e tuku toto ana ki te roro.
- Te toto o te roro: He āhua rite ki te SAH.
- Mate haurangi (`(Ngā hopukanga)`).
Koia mātou e kī tonu nei he mea tino nui te rapu awhina hauora tonu mēnā ka pāngia koe e te ānini ohorere, kino hoki. Mā te maimoatanga wawe ka ārai i te nuinga o ēnei raruraru nui.
Me pēhea te tātaritanga o te RCVS?
Ina haere koe ki te Tari Whawhati Tata (ETU), ka whai ngā tākuta i ētahi mahi hei tautuhi i tēnei mate.
1. Whakamātautau tinana me te pūnaha io: Haunga te pātai mō ō tohumate, ka whakamātauria hoki te mahi a tō pūnaha io (hei tauira, te kōrero, te tirohanga, te taurite o te tinana).
2. Ngā whakamātautau toto: Ka mahia ngā whakamātautau toto hei rapu i ngā mea pēnei i ngā raruraru toto totoka, ngā mate pāwera, me ngā kore taurite o ngā tote o te tinana.
3. Ngā Matawai Whakaahua: Ko ēnei matawai te mea tino nui mō te tautuhi i te RCVS. Ka taea e rātou te "titiro" ki roto i te roro me te tautuhi i ngā wāhi raruraru.
He aha ngā momo matawai e mahia ana ēnei?
- Matawai CT (`(Tomography Rorohiko - Matawai CT)`): Ka taea te whakamahi i te matawai e kiia nei ko te `(CT angiogram)` hei tiro i te āhua o ngā oko toto i roto i te roro. He mea tino nui te matawai CT hei tātaritanga tere i te whiu, nā te mea he mea nui ia hēkona ina rongoatia te whiu.
- Matawai MRI (Magnetic Resonance Imaging - MRI scan): Ka taea e te matawai e kiia nei ko te Magnetic Resonance Angiogram - MRA te whakaatu mārama i te kuititanga o ngā oko toto (vasospasm) me ngā pānga ka puta ki te roro.
- Te whakamātautau oro Doppler Transcranial: Ka ine tēnei i te tere o te rere o te toto i roto i te roro, ā, ka taea te whakaatu mēnā kua āraia ngā oko toto.
I muri i te whakakorenga i te korenga o te whiu, ka hiahiatia he matawai MRI/MRA hei whakaū i te RCVS.
Me pēhea te rongoā mō te RCVS?
E ai ki te ingoa ("Ka taea te whakahuri"), he mate ka taea te rongoā . E rua ngā whāinga matua o te maimoatanga.
1. Te whakakore i te pūtake: Mena ka taea te tautuhi mārama i te pūtake o te mate RCVS (hei tauira, he rongoā), ko te taahiraa tuatahi ko te whakakore i taua pūtake.
2. Te whakahaere i te whakawhāititanga o ngā oko toto: Ka hoatu ngā rongoā hei whakahaere i te whakawhāititanga o ngā oko toto (`(vasospasm)`).
Ko te momo rongoā e whakamahia whānuitia ana mō tēnei ko ngā aukati hongere konupūmā (`(Calcium Channel Blockers - CCBs)`).Ko te mahi a ēnei rongoā mā te aukati i te konupūmā kia kaua e uru ki ngā pūtau uaua maeneene i roto i ngā pakitara o ngā oko toto. Kātahi ka whakangāwari ngā uaua, ka whānui anō ngā oko toto, ā, ka hoki anō te rere o te toto ki te roro.
I ngā wā tino onge, ina kore te mate e pai ki te rongoā, ka whakamahia pea he tikanga e kiia nei ko te "endovascular". I tēnei wā, ka tukuna he ngongo tino angiangi ("catheter") mā roto i tētahi oko toto i te ringa, i te waewae rānei ki tētahi oko toto i te roro, ā, ka pupuhihia he poihau mā roto ("angioplasty") hei whakawhānui i te oko toto kua purua, hei hoatu rānei i te rongoā tika.
He aha ngā mea hei tumanakohia mēnā ka whakatūria te RCVS?
Mena kei a koe te RCVS, ko te mea tuatahi ka pā ki a koe ko te mamae nui, ohorere hoki. He āhuatanga ohorere hauora tēnei, ā, me tere tonu te maimoatanga. Kia tīmata te maimoatanga, ka ora te nuinga o te tangata i roto i ētahi rā, i ētahi wiki rānei .
Ko te nuinga o te iwi (tata ki te 80% - 85%) ka ora katoa, kāore he raruraru mō te wā roa . Koinei te mea pai mō tēnei mate. Tata ki te 10% ka pāngia pea e te mamae iti. Heoi, he iti noa te mōrearea o ngā raruraru nui, pērā i te whiu i kōrerohia e tātou i mua ake nei, nō reira he mea tino nui te tautuhi wawe me te maimoatanga.
Me aha tātou hei ārai i te hokinga mai o te RCVS?
Mena kua pāngia koe e te RCVS, ka tohutohu pea tō tākuta kia huri koe i te āhua noho hei ārai i tōna hokinga mai.
- Te whakamutu i te rongoā i puta ai te RCVS: Mena he rongoā te take o te mate, katihia kia rite ki ngā tohutohu a tō tākuta, ā, karohia te tango i taua rongoā a muri ake nei.
- Tangohia ngā rongoā i whakaritea e te tākuta i ia wā: Tangohia ngā rongoā i whakaritea i te wā tika hei ārai i te hokinga mai o ngā tohu.
- Āta karohia te whakamahi i ngā raau taero koretake: Me matara atu i ngā mea whakaohooho, inā koa ko ērā e pā ana ki te pūnaha tohanga toto, pērā i te tarukino.
- Whakahaerehia te kawheine me ngā inu pūngao: He mea whakaaro nui kia whakaitihia te nui o ēnei e inuhia ana e koe, kia mutu rānei te inu.
Ka tono atu tō tākuta kia hoki mai koe ki te whare hauora ki te tirotiro i tō āhua. Kia mahara ki te haere ki aua wā whakarite.
Karere Tangohia ki te Kāinga
- He āhuatanga ohorere te ānini nui ("Ānini Pakū"), ā, me haere tonu ki te Tari Ohorere o te hōhipera tata.
- He mate te RCVS i puta mai i te whakawhāiti me te whakawhāiti ohorere o ngā oko toto i roto i te roro. Engari e ai ki te ingoa, he mate tino whakaora tēnei me te maimoatanga tika .
- He mea tino noa tēnei i muri i te whānautanga, nā te whakamahinga o ētahi rongoā, ka puta rānei me ētahi atu mate hauora.
- Mā te tautuhi me te maimoatanga wawe ka ārai i ngā raruraru nui pēnei i te whiu, ā, he tokomaha ka ora katoa.
- Kōrero noa ki tō tākuta mō tō āhua, tō maimoatanga, me ngā āwangawanga ā muri ake nei.
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