Kua kite koe i ētahi tāngata he kikorangi, he papura rānei ō rātou uaua i ō rātou waewae, inā koa i te rohe o te hope? Tērā pea kua tū koe i te rā katoa, ā, i te ahiahi ka pupuhi, ka taumaha, ka mamae ō waewae. He tokomaha o tātou e whakaaro ana he mea noa ēnei, engari kei muri i tēnei he kōrero mō tētahi pūnaha uaua tino nui i roto i ō tātou tinana. Ko te kiripuaki matua o taua kōrero ko te "Saphenous Vein". I tēnei rā ka kōrero tātou mō tēnei, te uaua roa rawa atu i roto i ō tātou tinana.
He aha te uaua Saphenous?
Āe, me kī pēnei. Ko ngā uaua saphenous ko ngā uaua toto e āwhina ana ki te kawe i te toto mai i ō waewae ki runga ki tō ngākau. He ara iti noa iho ēnei e arahi ana mai i ō tātou waewae ki ō tātou ngākau. E rua ngā momo uaua saphenous kei roto i ia waewae.
1. Te Uaua Saphenous Nui: E mōhiotia ana ko te Uaua Saphenous Roa, koinei te uaua roa rawa atu o tō tātou tinana katoa . Whakaarohia, e rere ana mai i tō waewae ki runga i tō waewae, tae noa ki te tihi o tō huha.
2. Te Uaua Saphenous Iti: Ka tīmata anō hoki tēnei uaua i te waewae, ka rere ki muri o te waewae, i te taha o te hope, ā, ka mutu ki muri i te turi.
He tino pai te mahi a ēnei uaua e rua ki te kawe i te toto mai i ō tātou waewae ki te ngākau.
He aha rawa te mahi a tēnei pūnaha toto?
Pērā i te maha atu o ngā uaua o roto i tō tātou tinana, ka haria e tō uaua saphenous te toto "paru" kua pau te hāora ki te ngākau. Ka kohia e ngā uaua saphenous te toto mai i ngā uaua iti maha i roto i ō tātou waewae me ō tātou waewae. Kātahi ka haria e ngā uaua saphenous tēnei toto ki ngā uaua nui i ngā waewae o runga. Mai i reira, ka piki ake te toto ki runga i te waewae, ā, ka hono atu ki tētahi o ngā uaua matua o roto i tō tātou tinana , te Inferior Vena Cava, e haere tika atu ana ki te ngākau.
Ko tēnei tukanga katoa he wāhanga o tā tātou pūnaha tohanga toto. Whakaarohia he rite ki tētahi whatunga rori i roto i tētahi tāone. Ko te toto ngā waka e haere ana i runga i ēnei rori. He mahi tonu tā ēnei waka. Arā, ko te kawe i te hāora me ngā matūkai ki ia pūtau me ngā kiko o roto i tō tātou tinana. Ka puta tēnei me te kore e mutu mō tētahi meneti.
Nā te aha rā me hoki ai tēnei toto ki te ngākau? Ko te take, i ia wā e pā ai te ngākau, ka panaia e te ngākau tēnei toto rawakore-hāora ki ngā pūkahukahu. I roto i ngā pūkahukahu ka whakahokia te hāora ki tēnei toto, ā, ka tangohia te hauhā waro kāore e hiahiatia.
Ka hoki te toto "ma", he nui te hāora, ki te ngākau. Kātahi ka pupuhihia taua toto e te ngākau puta noa i te tinana. I muri i te rere o te toto puta noa i te tinana me te tohatoha i te hāora, ka hoki te toto kore-hāora ki ngā uaua ka tīmata tana haerenga hoki ki te ngākau. Ka haere tonu tēnei huringa, ā, kāore he mutunga.
He pono rānei ka whakamahia tēnei uaua mō te pokanga arai ngākau?
Āe, he pono taua kōrero. I ētahi wā ka tangohia e ngā taote pokanga tētahi wāhanga o tō uaua saphenous ka whakamahia hei "tāpiri" ki tētahi atu wāhi o tō tinana. He pono rawa tēnei i te wā o te pokanga tāpiri uaua coronary (CABG) .
I te kīanga māmā noa iho, ina āraia ngā uaua o te ngākau o te tangata, e tuku toto ana ki tōna ngākau, e ngā putunga ngako, kāore te uaua o te ngākau e whiwhi i te toto e hiahiatia ana. He āhuatanga tino morearea tēnei. Ko te pokanga CABG he hanga i tētahi ara hou mō te rere o te toto huri noa i te mea kua āraia. He rite ki te hanga i tētahi ara taha hei taha i tētahi huarahi pukumahi.
Hei waihanga i tēnei ara hou, me whai uaua toto pai ngā taote pokanga. I taua wā, ka tangohia he uaua mai i tētahi atu wāhanga o tō tātou tinana. Ko te uaua tino whakamahia mō tēnei ko te uaua saphenous i te waewae. Nā te mea kāore e nui te pānga o te tango i tēnei uaua ki te rere o te toto i roto i te waewae. Nā te mea he pūnaha uaua hohonu anō kei roto i ō tātou waewae hei mahi i taua mahi.
Kei hea tēnei uaua, ā, i pēhea te hanganga?
Ko ngā uaua saphenous he uaua papatahi kei te mata o te kiri, kāore i te tino hohonu. Koia te take i ētahi wā ka puta he pupuhi.
E toru ngā paparanga kiriuhi matua o ngā pakitara o ēnei uaua:
- Tunica adventitia: Koinei te paparanga o waho rawa. Mā tēnei ka kaha, ka āhua hoki te uaua.
- Tunica media: Ko te paparanga waenga. Kei roto ngā pūtau uaua maeneene. Mā tēnei paparanga ka āwhina i te uaua ki te whānui me te whakawhāiti i runga i te nui o te toto e rere ana.
- Tunica intima: Ko te paparanga o roto rawa. Mā ōna pūtau maeneene ka taea te rere ngāwari o te toto me te kore he aukati.
Ko tētahi atu āhuatanga tino nui o ēnei uaua ko ngā takirere kotahi-ara . Whakaarohia rātou he tatau iti. Ka tuwhera noa ēnei tatau i te ara kotahi, arā, ki runga. Ina rere te toto mai i ngā waewae ki runga i te ātete ki te kaha ā-papa, ka kati ēnei takirere, ka ārai i te rere o te toto ki raro. I te nuinga o te wā, e 10 ki te 12 o ēnei takirere i roto i te Uaua Saphenous Nui.
Ngā āhuatanga noa e pā ana ki te uaua saphenous
Ka taea e ngā āhuatanga hauora te whakararu i te mahi a ngā uaua i roto i ō tātou waewae. Ka pā hoki ēnei ki ngā uaua saphenous.
| Āhuatanga hauora | Hei whakarāpopototanga... |
|---|---|
| Ngā uaua varicose | He āhuatanga tēnei e mōhiotia ana e te tini o tātou. Ka pupuhi ngā uaua, ka piko, ā, ka puta he kikorangi/papura ki te mata o te kiri. Ahakoa he kore kino tēnei i te nuinga o te wā, i ētahi wā ka pā mai he raruraru pēnei i te mate kiri. |
| Te ngoikore o te uaua mau tonu | Ka puta tēnei āhuatanga ina ngoikore ngā takirere o ngā uaua o ngā waewae, i kōrerotia e tātou i mua ake nei. Kātahi ka kore e rere tika te toto, ka noho ki roto i ngā waewae. Ka pupuhi, ka mamae hoki ngā waewae. |
| Te toto totohu o te mata | Koinei te wā e puta ai he toto totoka i roto i tētahi uaua papaku i raro i te kiri. Ka taea e tēnei te meinga te rohe kia whero, kia mahana, kia mamae hoki. |
Me pēhea koe e mōhio ai mēnā he raruraru kei tēnei uaua? (Ngā tohu)
Mena he raruraru tōu ki tō uaua saphenous, ki tētahi atu uaua rānei i roto i tō waewae, ka pāngia pea koe e ēnei tohu. He mea nui kia mōhio koe ki ēnei.
| Tohu | Ko te tikanga... |
|---|---|
| Te pupuhi o ngā waewae, ngā pona waewae, ngā waewae rānei (Edema) | Ina koa mēnā ka pupuhi ō waewae i te mutunga o te rā i muri i te tū roa. Mēnā he piri ō hu. |
| Te mamae, te ngawari rānei ina pēhia | Ka mamae noa iho ngā waewae, inā koa ngā wāhi e kitea ana ngā uaua, ina pēhia ki te matihao. |
| Te taumaha, te ngenge, te mamae rānei o ngā waewae | Ka tino ngenge, ka taumaha hoki ō waewae, kāore he take e kitea ana. Tērā pea ka pāngia ētahi tāngata e te mamae o ō rātou waewae, ā, ka ara ake rātou i te pō. |
| Ngā huringa kiri | Ko te kiri maroke, te kiri tihore, te kiri mākūkū o ngā waewae, te parauri rānei o te kiri, he tohu ēnei o te koretake o te tohanga toto. |
He aha tāu e mahi nei hei maimoatanga?
Ko te tikanga maimoatanga kei runga i tō āhua. Kāore e rite te maimoatanga mō te katoa. He pai ake te kōrero ki tō tākuta mō te maimoatanga e pai ana mōu.
Anei ētahi maimoatanga e whakamahia whānuitia ana:
- Ngā huringa āhua noho: Koinei te taahiraa tuatahi. Kei roto i tēnei ko te tū roa, te whakaiti i te noho, te pupuri i ō waewae kia teitei ake i runga i te tūru, te whakaiti i tō taumaha, me te mau i ngā tōkena pēhi e ai ki te whakahau a tō tākuta.
- Te Whakaora-ā-whatu: Ka werohia tika atu he wai, he pahuka rānei ki roto i te uaua, ka mimiti, ka ngaro atu hoki i te roanga o te wā.
- Te Whakakorenga Wera o te uaua Endovenous: Ka whakamahia ngā hihi laser, ngā ngaru reo irirangi rānei hei whakamahana me te hiri i te uaua kua pakaru mai i roto.
- Pokanga (Huri me te Tango i ngā Uaua): Ka herea te uaua kua pakaru, ā, ka tangohia katoatia mā te pokanga.
- Ngā rongoā whakaheke toto: Mena kua puta he toto totoka i roto i te uaua, ka tohua pea e tō tākuta ēnei rongoā hei whakarewa me te aukati i te hanganga o ngā toto totoka anō.
Nā, me pēhea te pupuri i te hauora o ēnei uaua?
He maha ngā mea ngāwari ka taea e koe te mahi i ia rā hei pupuri i te hauora o ō uaua.
- Āta karohia rawatia ngā hua tupeka. Ka pā kino te momi hikareti ki ō uaua toto.
- Kia kaha tonu te mahi.Kaua e noho roa i te tūranga kotahi. Ki te mahi koe i te tari, whakatika, ka hikoi haere i te iti rawa i te kotahi i te haora.
- Kia mau ki te taumaha hauora. Whaia he kai hauora mō te ngākau.
- Hīkoi mō te 30 meneti pea, kia rima rā i te wiki. He tino pai tēnei mahi whakakori tinana mō te hauora o ō uaua.
- Ki te mea me noho roa koe (hei tauira, i runga i te haerenga roa), me okioki poto, ka totoro ō waewae. Ki te kore e taea e koe te tū ake, noho ki raro, ka huri i ō pona waewae ki runga, ki raro hoki.
Ētahi pātai e pātai pinepinetia ana
He uaua varicose te uaua saphenous?
Kāo. Tērā pea kei te ora tō uaua saphenous, ā, kāore he raruraru. Ko te uaua varicose he uaua e pupuhi ana, e pakaru ana, ā, kāore e mahi tika ana. Heoi, kua whakaatuhia e ngā rangahau ina pāngia te tangata e ngā uaua varicose, ko ngā uaua saphenous te nuinga o te wā ka pāngia. Nā te mea kei te mata o te kiri, ka kitea ngāwari ina pupuhi, ina piko.
Ka taea te ora me te kore he uaua saphenous?
Ae, ka taea tonu. Nā te mea he pūnaha nui anō tōu o ngā uaua (ngā uaua hohonu) e kawe ana i te toto mai i ō waewae. Inaa, he nui ake te toto e kawehia ana e ngā uaua hohonu i ngā uaua o waho. Nō reira, ki te tangohia e koe te uaua saphenous, ka taea e ngā uaua kē atu te tango i taua mahi.
He uaua hōhonu tēnei?
Kāo. He uaua papatahi te uaua Saphenous Nui me te uaua Saphenous Iti. Ka kohia e rāua te toto mai i te taha o te kiri ka haria ki ngā uaua hohonu.
He maha ngā wā ka wareware tātou ki te kaha o te mahi a ō tātou uaua toto. Kāore tātou e whakaaro ki a rātou kia puta rā anō he raruraru. Ahakoa he mea noa ngā uaua varicose, ka taea e rātou te kino i ētahi wā mēnā kāore e rongoatia. Nō reira, he mea tino nui kia toro atu koe ki tō tākuta ina kite koe i tētahi pupuhi, mamae, huringa rānei o ō waewae.
Karere Tangohia ki te Kāinga
- Ko te uaua saphenous te uaua roa rawa atu me te mea nui rawa atu o te tinana, e rere ana mai i te turanga o tō waewae ki runga.
- He raruraru noa ngā uaua varicose e pā ana ki ēnei uaua.
- Ko te pupuhi o te waewae, te mamae, me te rerekētanga o te kiri he tohu pea nō te raruraru uaua. Kaua e warewarehia ēnei.
- He mea nui te pupuri i tō taumaha hauora, te whakakorikori tinana, me te karo i te kai paipa mō te hauora o ō uaua.
- Mena he raruraru, he āwangawanga rānei āu mō ngā uaua o ō waewae, me toro atu ki te tākuta i taua wā tonu.











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