Ina rongo tātou i te kupu "whiu," ka whakaarohia e tātou tētahi mea e pā ana ki te roro. Engari i mōhio koe, ahakoa he tino onge, ka pāngia hoki tō tātou tuaiwi, tō tātou taurakira rānei, e tētahi āhuatanga ōrite? Koinei te mea e kīia nei e tātou he "whiu tuaiwi." Ahakoa he ahua ohorere tēnei, he mea tino nui kia mōhio ki tēnei.

Nā, he aha tēnei whiu tuaiwi?

I te whakarapopototanga, ko te whiu tuaiwi he aukati ohorere i te rere o te toto ki tō tuaiwi, te pūnaha io nui kei roto i tō tuaiwi. He rite ki te whiu roro, engari ka puta i roto i tō tuaiwi. Ka kiia hoki e ngā tākuta he "whiu tuaiwi" he "spinal infarction" rānei.

Pērā i te whiu, ka āraia te uaua toto i roto i te taurakira e te toto totoka (e kiia ana ko te whiu ischemic) ka pakaru rānei te uaua toto ka toto (e kiia ana ko te whiu hemorrhagic). He tino onge tēnei – iti iho i te 1% o ngā whiu katoa o te ao ka pā ki te taurakira pēnei. Engari ahakoa he onge, ehara i te mea kāore i te onge. Ka taea te whakararu i te ora, te whakakorekore rānei mō te wā roa.

Nō reira, ki te pāngia koe, tetahi atu rānei e mōhio ana koe e ngā tohu o te whiu o te tuaiwi, me waea atu koe ki te 1990 (Sri Lankan Ambulance Service). Ko te wawe o tō tātaritanga me tō maimoatanga, ko te nui ake o te tūponotanga ka ora tetahi. He mea nui ia hēkona ki konei.

He aha ngā tohu o te whiu tuaiwi?

Ka rerekē ngā tohu o te whiu i te taurakira i ia tangata, i ia tangata. Ka rerekē anō hoki i runga i te wāhanga o te tuaiwi e pāngia ana. Heoi, tera ētahi tohu noa ka kitea:

• He mamae ohorere, kino hoki i te kaki, i te tuara rānei. Ehara i te mamae tuara noa iho tēnei, engari he mamae koi ake, kāore i te tumanakohia.
• Me te mea kei te horapa te mamae mai i te tuara ki ngā ringa, ki ngā waewae rānei. E kī ana ētahi he rite te mamae ki te hiko.
• Te ngenge, te mākūkū rānei o ngā ringa, o ngā waewae rānei.
• Te ngoikore o ngā uaua (ina koa ko ngā waewae). Te uaua ki te tū, ki te hikoi rānei, me te ngoikore o ngā waewae.
• Te ngaronga o ngā kare ā-roto pērā i te pā, te wera/mātao.
• He kore e taea te mimi , he kore rānei e taea te mimi i te puku.
• Te pararutiki, te ngaronga rānei o te mahi a te tinana. He tohu kino rawa tēnei.

Ki te pāngia koe e tētahi, e ētahi rānei o ēnei tohu i te wā kotahi, kaua e whakahawea. Ko te mea pai ko te rapu tohutohu hauora tonu.

He aha i puta ai tēnei whiu tuaiwi?

E rua ngā huarahi matua, ngā take rānei, e pā mai ai te whiu tuaiwi.

1. Te whiu tuaiwi ischemic

Koinei te momo tino noa. Ko te tikanga o te "ischemic" he korenga o te rere o te toto. Koinei te wā e aukati ai te toto toto i tētahi oko toto i roto i te tuaiwi. He rite ki tētahi wahi paru e mau ana i roto i tētahi paipa wai. Tērā ētahi āhuatanga hauora ka whakanui ake i tō tupono ki te whakawhanake i ngā toto toto penei:

• Te pikinga o te taumata cholesterol toto (Hyperlipidemia).
• Atherosclerosis: Koinei te wā e kohikohi ai ngā matū pēnei i te cholesterol i roto i ngā oko toto, ka ārai i a rātou.
• Ngā mate toto totoka.
• Te Whakapūngao o te Atrial. He āhuatanga tēnei e kore e pai te pā o te manawa. He nui rawa te mōrearea ina haere tahi tēnei āhuatanga me te apnea moe.
• Ngā hapa o te ngākau. Ko ētahi tauira ko te "Atrial Septal Defect" me te "Ventricular Septal Defect".

2. Te whiu o te tuaiwi toto

Ko te tikanga o te "Hemorrhagic" he toto. Koinei te wā ka pakaru, ka haehae rānei te oko toto i roto i te taurakira, ā, ka tīmata te toto. Tērā pea ka puta tēnei i:

• Te toto toto tiketike. Ka nui ake tēnei mōrearea mēnā he roa tō toto toto tiketike, inā koa mēnā kāore e taea te whakahaere.
• Ngā pukupuku tuaiwi.
• Ngā aneurysm. Koinei te wā e ngoikore ai te pakitara o te uaua toto, ka pupuhi hoki pērā i te poihau. Mēnā ka puta tēnei i roto i te uaua toto i te tuaiwi, ka pakū pea.

Ētahi atu take onge

Haunga ēnei take matua e rua, ka pā mai anō hoki ngā whiu o te taurakira mō ētahi atu take, he tino onge:

• Ngā whara o te taurakira.
• Ngā mate urutā pērā i te meningitis.
• Ngā whara aituā i te wā o te pokanga.
• Ngā whati o te tuaiwi.

Ko wai kei te nui ake te mōrearea ki te pāngia e te whiu tuaiwi?

Ka pāngia te tangata katoa e te whiu tuaiwi, engari he nui ake te mōrearea o ētahi tāngata.

• Te hunga e momi hikareti ana, e whakamahi ana rānei i ētahi atu hua kei roto te nikotīni (hei tauira, te vaping).
• Ngā tāngata neke atu i te 65 tau te pakeke.
• Ngā tāngata mangu (Ahakoa he mea kua whakaaetia tēnei e te pūtaiao, ka taea te pā ki ngā tāngata o ngā iwi katoa.)
• Ngā tāngata e whakamahi ana i ngā raau taero turekore.

Waihoki, ka piki ake te mōrearea o te whiu mena kei a koe ētahi āhuatanga hauora:

• Te toto toto tiketike (hypertension)
• Te nui o te cholesterol i roto i te toto (Hyperlipidemia)
• Te mate urutā Covid-19 (COVID-19)
• Mate huka
• Te momona nui (te taumaha rawa)
• Te mate whakamahi waipiro

Mena kei a koe tētahi, neke atu rānei o ēnei āhuatanga, he mea tino nui kia tūpato koe, kia whai hoki i ngā tohutohu a te rata.

He aha ngā raruraru ka puta mai i te whiu o te tuaiwi?

Ka taea e tēnei te whakararu i te ora. Waihoki, ki te mea he kino tuturu ki te taurakira, tera pea ka puta he raruraru kino atu:

• Pararutiki tuturu
• Mamae mau tonu
• Ngā raruraru manawa
• Te ngoikore o te moepuku
• Te kore e taea te pupuri i te manawanui tuturu

Nā ēnei āhuatanga, ki te pāngia koe e tētahi tohu iti noa iho, me toro atu koe ki te tākuta tonu.

Me pēhea te whakatau a ngā tākuta mēnā he whiu tuaiwi tēnei?

Mena kei a koe ngā tohu o te whiu tuaiwi, ka whakahaerehia e te tākuta ētahi whakamātautau hei whakaū i tēnei. Tuatahi, ka whakahaerehia e rātou he whakamātautau tinana me te whakamātautau io .

Muri iho, ka tonoa koe kia whakamātauria he whakamātautau MRI (Magnetic Resonance Imaging) . Ka tangohia he whakaahua taipitopito o te tuaiwi hei tirotiro i ngā tohu o te whiu, o ētahi atu take rānei.

I ētahi wā, ka taea te whakahaere i tētahi whakamātautau e kiia nei ko te "lumbar puncture" me te "spinal tap" rānei . Ko te tikanga o tēnei ko te tango i tētahi tauira o te wai cerebrospinal mai i te tuaiwi hei tirotiro mō te mate, te mumura rānei.

He aha ngā maimoatanga mō te whiu tuaiwi?

Ka rerekē te maimoatanga i runga i te momo whiu kua pā ki a koe. Ko te whāinga matua a ngā tākuta he whakaora i te rere o te toto ki te taurakira i te wā e taea ai.

Mena he whiu ischemic ...

He toto toto kua piri ki reira. Nō reira kei te ngana rātou ki te whakarewa i te toto toto ka tango atu, ki te wawahi rānei ka tango atu.

• Ngā rongoā whakangawari toto (Ngā rongoā ārai toto).
• Ngā rongoā thrombolytic, ngā rongoā "whakaiti toto totoka" rānei.
• I ētahi wā ka mahia he pokanga, pērā i te thrombectomy miihini, hei tango i te toto totoka.

Ka hoatu hoki e rātou he rongoā hei whakahaere i te toto toto tiketike.

Mena he whiu toto...

Ko te taahiraa tuatahi ko te whakamutu i te toto. Kei roto i tēnei ko te hoatu rongoā hei whakahaere i te toto me te toto toto tiketike. I ētahi wā, mēnā kua piki ake te toto i roto i te tuaiwi, me mahi pokanga pea hei whakaiti i te toto.

Mā ngā tākuta koe e whakamārama he aha ngā maimoatanga e tika ana māu, me ngā mea hoki hei tumanako māu mai i aua maimoatanga.

He mea nui te whakaora i muri i te whiu?

Ae ra! Ko te "Whakaora i te Whiu" he wāhanga o te maimoatanga tonu.

Ka whakapakari te whakaora tinana i ō uaua, ka whakapai ake i tō taurite, ā, ka āwhina i a koe kia hoki mai te whakamahinga o ō ringa me ō waewae.

Mā te mahi whakaora ā-ringa koe e āwhina ki te mahi i ō mahi o ia rā me ō mahi o te whare me te haumaru.

Ka taea te ora katoa i te whiu o te taurakira?

Ko te matapae mate ka whakawhirinaki ki ētahi āhuatanga: te momo whiu, te tere o te whiwhinga o te maimoatanga, mēnā he kino tuturu ki te taurakira, tō hauora whānui, me tō tau.

He rerekē te "whakaora katoa" mō ia tangata. Tērā pea ka roa ētahi marama kia hoki mai anō ō rātou pūkenga o mua. Tērā pea me noho ētahi me ngā hauātanga hou. Hei tauira, ka hiahia tonu rātou ki tētahi taputapu hikoi, ki tētahi tokotoko rānei hei āwhina i a rātou ki te hikoi. Engari ka ora katoa ētahi i te mutunga. Tērā pea ka roa pea tēnei, engari ehara i te mea kāore e taea. Mā tō tākuta koe e āwhina ki te whakatakoto i ngā whāinga whakaora e tika ana.

Kia pēhea te roa o te oranga i muri i te whiu o te taurakira?

He mate morearea tēnei. Heoi, he uaua ki te kī tika kia pēhea te roa o tō oranga. I te nuinga o te wā, e kiia ana he pai ake ngā hua o ngā whiu ischemic i ngā whiu hemorrhagic. Heoi, he rerekē te urupare a te tinana o ia tangata.

He aha tā tātou e taea ai te ārai i te whiu tuaiwi?

Ko te mea pai rawa atu ko te pupuri i tō hauora whānui .

• Ki te kai hikareti koe, kati.
• Kai i tētahi kai hauora (hei tauira, te Kai Mediterranean) me te pupuri i tō taumaha kia hauora.
• Kia mau tonu te whakahaere i tō toto toto, tō taumata cholesterol, me te mate huka.
• Whakakorikori tinana i ia wā, i ia wā.
• Me tirotiro hauora i ia tau. He maha ngā āhuatanga e puta ai tēnei kāore e whakaatu i ngā tohu i te tīmatanga.

Me pēhea taku tiaki i ahau anō i muri i te whiu?

He nui te whakapau kaha e hiahiatia ana mō te whakaora.

• Kia mahara ki te haere ki ō wā whakarite whakaora me te whakaora. Mēnā he āwangawanga āu, kōrero atu ki ō kaiwhakaora hinengaro.
• Whakaarohia hoki tō hauora hinengaro.He mea noa te pouri me te manukanuka i muri i te whiu. Ehara te pouri i te ngoikore. Kōrero ki te tākuta, ki te kaitohutohu hauora hinengaro rānei mēnā e tika ana.
• Tangohia tō rongoā i te wā tika, ā, i te wā tika hoki.

Kia maumahara, kāore koe e hiahia ki te haere ko koe anake i tēnei haerenga. Kei reira tō whānau, ō hoa, me ō tākuta katoa hei āwhina i a koe.

Me aha koe mēnā ka puta anō ngā tohu o te whiu, mēnā rānei ka puta anō tētahi atu āhuatanga ohorere?

Ki te mea kei te pāngia koe e te whiu anō, waea atu ki te 911 tonu. He nui te mōrearea o te whiu anō.

Ko te hunga kua pāngia e te whiu ka pāngia e ētahi atu raruraru nui, pēnei i:

• Te whakaekenga o te ngākau
• Pūkahukahu
• Te Thrombosis o te Uaua Hōhonu (DVT)
• Te toto totoka i roto i ngā pukahukahu (te toto totoka i roto i ngā pukahukahu)
• Ngā mate hopuhopu

Ki te pāngia koe e tētahi o ēnei tohu, haere tonu ki te hōhipera.

He aha taku e pātai atu ai ki taku tākuta?

• He aha te momo whiu i pā mai ki ahau?
• He aha ngā rongoā e hiahiatia ana e au, ā, me pēhea te tango i aua rongoā?
• He aha ngā ratonga whakaora e hiahiatia ana e au?
• Kei te tūpono ahau ki te pāngia anō e te whiu?

Kaua e wehi ki te pātai ki tō tākuta i ngā mea katoa e whakaaro ana koe, e ruarua ana rānei koe mōna.

Hei whakamutunga, ko tāku noa iho tēnei e kī atu nei ki a koe...

Ka pā ohorere pea te whiu tuaiwi. Tērā pea ka warewarehia ētahi tohu i te tīmatanga. Kaua e mataku. Kāore he tangata e mōhio ana ki tō tinana i a koe anō. Mēnā ka pāngia koe e tētahi mea rerekē, kaua e whakahawea. Ko te tere o te maimoatanga, ko te pai ake o te putanga.

Whakanuia ahakoa ngā whakapainga iti rawa i mahia e koe i a koe e ora ana. He wero nui te whakaora tinana me te hinengaro. Me mihi koe mō ia mahi e mahia ana e koe. Kōrero ki ō tākuta me ō kaiwhakaora hinengaro. Kaua e mutu te tumanako!

` Te Whiu Tuaiwi, Te Taura Tuaiwi, Ngā Tohu o te Whiu, Te Maimoatanga o te Whiu, Te Pararutiki, Te Whakaoraora