Kua rongo koe i tētahi aneurysm o te uaua splenic? Tērā pea he ahua whakamataku te ingoa, engari kaua e manukanuka. Me kōrero tātou mō tēnei mea i roto i tētahi huarahi māmā e mārama ai koe. I te nuinga o te wā, ka kitea pea tēnei āhuatanga me te kore he tohu, engari i ētahi wā ka puta mai me ngā mea pēnei i te mamae i te taha maui o runga o te puku.
He aha tēnei aneurysm o te uaua whēkau?
He māmā noa iho, he oko toto matua tō tō whēkau , he uaua toto , e tuku toto ana, ā, ina ngoikore tetahi wāhanga o te pakitara o taua uaua toto, ka pupuhi atu pērā i te poihau, ka kiia e tātou he aneurysm . Whakaarohia he rite ki te paipa wai e pupuhi atu ana i te wāhi kotahi ina tawhito. I roto i te wā, ka nui ake tēnei pupuhi. Ka nui ake te pupuhi, ka nui ake te kino ka puta. Hei tika, ki te pupuhi te uaua whēkau mā te 1.0 cm neke atu rānei, ka kiia e tātou he aneurysm uaua whēkau. I ētahi wā ka kore e kitea he tohu mō te wā roa. Engari i ētahi wā ka taea hoki te whakaatu i ngā tohu e hiahia ana kia rongoatia wawetia. Nō reira, he mea tino nui kia mōhio ki tēnei, arā, ki ngā tohu me ngā āhuatanga mōrearea.
He pēhea te noa o tēnei mate? Ko wai te hunga ka nui ake te tūponotanga ka pāngia e tēnei mate?
Ko tēnei āhuatanga, e kiia nei ko te aneurysm o te uaua splenic, ka pā ki te kotahi i roto i te 1,000 me te kotahi i roto i te 2,500 tāngata. Arā, ahakoa te āhua nei kāore i te nui te raruraru, koinei te momo aneurysm tino noa e puta ana i roto i ngā uaua i roto i tō tātou puku (aneurysm o te uaua visceral).
Ka pā pea tēnei ki ngā pakeke o ngā reanga katoa. Engari ki te mea he wahine koe, inā koa neke atu i te 60 tau te pakeke , he paku teitei ake tō mōrearea. Inaa, he mea nui hoki kia mōhiotia ko te 80% o ēnei aneurysms ka puta i roto i ngā wāhine .
He aha te pānga o te aneurysm ki te tinana? He mea morearea?
I te nuinga o te wā, he tino ngāwari ā tātou uaua. Ka whakawhāiti, ka whānui hoki i te rere o te toto i roto i a rātou, engari kāore e ngaro tōna āhua noa. Engari ina puta he aneurysm, ka pupuhi te uaua ki waho i tētahi wāhi ngoikore. He rite ki tētahi here rapa e kumea ana i tētahi wāhi. He tino ngoikore te pakitara o te uaua i taua wā. I roto i te wā, ki te kore e rongoatia, ka arahi pea tēnei ki ngā raruraru nui .
He mate hauora nui te Splenic Artery Aneurysm. I ētahi wā ka morearea te ora, inā koa mēnā kei te hapu koe. Pērā i ētahi atu aneurysm, he morearea tēnei nā te mea ka pakaru , ka tapahia rānei. He āhuatanga ohorere morearea ēnei pakaru me ngā tapahi e hiahia ana kia arohia tonutia e te hauora.
Tērā tētahi atu mea, e kiia ana ko ngā pseudoaneurysms., e kiia ana ko te 'aneurysm teka'. Ka pā pea tēnei ki te uaua whēkau. I roto i te aneurysm tūturu, ka pāngia ngā paparanga katoa o te pakitara uaua. I roto i te pseudoaneurysm, kotahi, e rua rānei ngā paparanga ka pāngia. Heoi, he tino kino hoki tēnei pseudoaneurysm o te uaua whēkau, ā, he nui ake te mōrearea o te pakaru i te aneurysm tūturu.
He aha ngā tohu o te aneurysm o te uaua splenic?
He maha ngā tohu ka pā ki a koe mēnā kei a koe tēnei aneurysm.
- Mamae i te taha maui o runga o tō puku . Tērā pea ka horapa atu tēnei mamae ki tō pakihiwi maui.
- He kare e pāorooro ana i te taha maui o runga o te puku.
Whakaarohia te mea ka tupu mēnā ka pahū tēnei aneurysm. Kātahi ka pāngia koe e ngā tohu pēnei i:
- Whakapairuaki me te ruaki .
- He mamae nui i te puku o runga , i raro noa iho i ō rara.
- Te mamae i te pakihiwi maui .
- Ngā tohu o te ohorere hypovolemic (he āhuatanga i puta mai i te hekenga o te nui o te toto i roto i te tinana).
Ka puta ohorere pea tēnei pakarutanga, ka puta rānei i ngā wāhanga e rua. Tata ki te kotahi i roto i te whā tāngata ka pāngia e te huinga o ēnei wāhanga e rua. Arā, ka puta ohorere mai ngā tohu, kātahi ka memeha mō te wā poto. Engari he poto noa iho taua whakaoranga, ā, ka tere te uru o te tinana ki te ohorere.
Ko te mea nui, ki te pāngia koe e tētahi o ngā tohu o te aneurysm o te uaua splenic, te pakaru rānei, me waea atu koe ki te 1990, ki tō nama urupare ā-rohe rānei.
He tokomaha te hunga kāore e pāngia e ngā tohu tae noa ki te wā e tata ana te pakaru o te aneurysm, kua pakaru rānei. Koia te mea nui kia mōhio koe ki ngā āhuatanga mōrearea me te kōrero ki tō tākuta mō tō taumata mōrearea.
He aha i puta ai tēnei aneurysm o te uaua whēkau?
Ko te ngoikore o te pakitara o te uaua whēkau te tino take o tēnei aneurysm. Kāore i te tino mārama te take o tēnei ngoikore. Heoi, kua kitea e ngā kairangahau he maha ngā āhuatanga mōrearea ka whai wāhi ki te mate.
O ēnei , he mea tino nui te hapūtanga . Waihoki, he nui ake tēnei mōrearea mō ngā wāhine kua hapū i mua. I te wā e hapū ana, ka pāngia tō rere toto e ngā huringa homoni, ka piki ake te pēhanga i roto i te uaua whēkau. Ka taea e tēnei te ngoikore i ngā pakitara o te uaua, ā, ka puta he aneurysm.
Ka taea hoki e ētahi atu āhuatanga hauora te whakanui ake i te mōrearea o te whakawhanake i te aneurysm o te uaua splenic. Anei ētahi tauira:
- Te toto toto tiketike (te toto toto tiketike)
- Te atherosclerosis
- Te aneurysm o te roro
- Te mate ate
- Ngā mate hononga honohono, hei tauiraTe mate Marfan
- Mate Huka (Diabetes Mellitus)
- Te mate o te arai o roto o te ngākau (Endocarditis)
- Te ngoikore o te uaua muka (FMD)
- Granulomatosis me te polyangiitis (GPA) (i mua ko Wegener's)
- Te whakawhitinga ate
- Te mate pukupuku o te uaua (PAN)
- Te toto toto tiketike (te pēhanga teitei i roto i ngā uaua e anga atu ana ki te ate)
- Te mate pāwera o te toto
Kei reira anō ngā āhuatanga mōrearea e whai wāhi ana ki te whanaketanga o ngā pseudoaneurysms kua whakahuatia i mua:
- Pankreatitis mau tonu
- Ngā raruraru i muri i te pokanga.
- Ngā aituā, ngā whara pēnei i te aituā motuka, i te werohanga maripi rānei.
He aha ngā take o te pakaru o te aneurysm?
He maha ngā āhuatanga mōrearea matua ka pakaru ai te aneurysm o te uaua splenic:
- Te toto toto tiketike: Ka nui ake te rere o te toto ki te rohe o te aneurysm ka nui ake te tūponotanga o te pakaru.
- Te Hapūtanga: Tata ki te 50% o ngā aneurysms i roto i ngā wāhine hapū ka pakaru i te wā e hapū ana. I te nuinga o te wā, ka puta tēnei pakaru i te toru marama whakamutunga o te hapūtanga.
- Te kitea o ngā tohumate: Ko te hunga whai tohumate he 80% te tūponotanga ki te pāngia e te mate urutā. He nui ake tēnei i te hunga kāore he tohumate (he 10% te tūponotanga).
Me pēhea te tautuhi a ngā tākuta i tēnei mate?
Ina hoki, he uaua te tautuhi i ngā aneurysms o te uaua splenic. Nā te mea kāore i te tino mārama ngā tohu, ā, ka taea e rātou te whakatauira i ngā āhuatanga maha atu. I ētahi wā, ka kitea tēnei āhuatanga e ngā tākuta i a rātou e whakahaere ana i ngā whakamātautau mō tētahi atu take.
Ko ngā whakamātautau whakaahua motuhake te huarahi pai ki te kite i ēnei aneurysms, ina koa mēnā kāore he tohu.
Anei ētahi whakamātautau e whakamahia ana mō tēnei:
- Angiography CT (angiography tomography rorohiko - CTA)
- Angiography tango matihiko (DSA)
- Ngā whakamātautau ultrasound (Ultrasonography) , tae atu ki ngā whakamātautau ultrasound endoscopic .
- Angiography M.R. (Angiography aukume - MRA)
He painga motuhake tō ia o ēnei whakamātautau mō te kite i ngā aneurysms me te whakamahere maimoatanga. Mā tō tākuta koe e whakamārama ko ēhea ngā whakamātautau e hiahiatia ana e koe, me te take hoki.
Me pēhea taku mōhio mēnā me whiwhi maimoatanga ahau?
Me tere te rongoā i ngā aneurysms o te uaua whēkau, e tūpono ana ki te pakū, ki te pakaru rānei. Mena kei a koe tētahi o ēnei āhuatanga e whai ake nei, ka tūtohu pea tō tākuta kia rongoāhia koe:
- Mena he nui ake i te 3 henimita (30 mirimita) te whānui o te aneurysm.
- Mena ka nui haere te aneurysm i roto i te wā .
- Mena kei a koe ngā tohu .
- Mena me hiahia koe ki te whakawhitinga ate .
- Mena kei te hapu koe, mehemea rānei kei te hapu pea koe .
Mena kāore tō aneurysm e pāngia e te mōrearea o te pakaru, ka tūtohu pea tō tākuta kia tirotirohia koe , arā, kia whai ake i ngā whakamātautau whakaahua i ngā wā auau. Mena ka piki ake tō mōrearea o te pakaru i tētahi wā, ka tūtohu tō tākuta kia rongoatia koe.
He aha ngā maimoatanga mō te aneurysm o te uaua splenic?
He maha ngā kōwhiringa maimoatanga mō tēnei.
- Tukanga endovascular: Koinei te huarahi pai rawa atu mō te whakahaere i te aneurysm i mua i te pahūtanga (maimoatanga whiriwhiri). I konei, ka aukati te tākuta i te rere o te toto i roto i te aneurysm. He rerekē ngā tikanga mō tēnei. Hei tauira, i roto i te tikanga e kiia nei ko te 'coiling', ka whakamahia ngā koiri whakarewa hei whakakī i te aneurysm. I roto i tētahi atu tikanga, ka werohia he wai motuhake, ka whakamātotoru, ka aukati i te rere o te toto i roto i te aneurysm. Ka whiriwhiria e te tākuta te tikanga tino pai i runga i te āhua me te wāhi o te aneurysm.
- Pokanga tuwhera: E taunakihia ana tēnei mō te hunga kāore e taea te whiwhi maimoatanga endovascular, kāore rānei i angitu. I konei, ka tangohia e te tākuta te wāhanga kua pakaru o te uaua. Me tango pea tō whēkau (splenectomy) .
- Tukanga Laparoscopic: He iti ake te whakaekenga o tēnei tikanga i te pokanga tuwhera, ā, he poto ake te wā whakaora. Koinei te kōwhiringa pai rawa atu mō te maimoatanga i te wā e hapu ana.
Kōrero ki tō tākuta mō te mahere maimoatanga e pai ana mōu.
Ngā raruraru o te maimoatanga
Mā tō tākuta koe e whakamārama ki ngā mōrearea me ngā raruraru o te maimoatanga. Ko te mea tino kitea ko te mate e kiia nei ko te post-embolization syndrome (PES) . Ko ngā tohu o te PES ko:
- Te kirika.
- Whakapairuaki me te ruaki.
- Mamae puku.
Ki te puta ēnei tohu i muri i te maimoatanga, kōrero ki tō tākuta. Tērā pea ka tūtohu tō tākuta i ngā rongoā whakamamae mamae, i ngā wai tote rānei (wai IV) hei āwhina i te whakamamae i ō tohu tae noa ki tō oranga.
He aha taku e taea ai hei whakaiti i tēnei mōrearea?
He mea nui kia tika te whakahaere i ētahi atu mate hauora kei a koe, inā koa ko ērā e whakanui ake ana i te tūponotanga o te aneurysm o te uaua splenic. Kōrero ki tō tākuta mō ngā mea me mahi e koe mō tō mate.
Anei ētahi mea noa ka taea e koe te mahi:
- Tangohia ngā rongoā katoa i whakaritea ki a koe i te wā tika .
- Ki te puta he tohu hou ki a koe, ki te rerekē rānei ō tohu, me kōrero tonu atu ki tō tākuta .
- Haere ki ngā tirotiro hauora ā-tau , me te haere ki ia wā tirotiro kua whakaritea ki te tākuta.
Waihoki, mā te whakarerekē i ētahi momo noho ka āwhina i te pupuri i te hauora o ō uaua toto katoa , tae atu ki tō uaua whēkau.
- Kati rawa te kai hikareti me te whakamahi tupeka .
- Kai i ngā kai hauora mō te ngākau .
- Whakakorikori tinana i ngā wā katoa e ai ki ngā tohutohu a tō tākuta.
- Whakawhāitihia te inu waipiro .
Mena kei a au tēnei mate, he aha taku e tumanako atu ai? He aha te āhua o te āhua?
Mena he aneurysm o te uaua splenic tōu, me whai i ngā tohutohu a tō tākuta. Kāore pea koe e hiahia ki te maimoatanga tonu. Engari, ka tūtohu pea tō tākuta i te mea e kiia nei ko te "tatari mataara". Ko te tikanga me whai whakamātautau whakaahua auau koe (i ia tau) kia kite ai mēnā kei te nui haere te aneurysm. He mea nui te maimoatanga wā tika hei ārai i te pahū, te pakaru rānei o te aneurysm.
Ko te tirohanga mō te tangata whai mate pēnei ka whakawhirinaki ki ētahi āhuatanga:
- Te rahi me te tauwāhi o te aneurysm.
- Te tere o te tipu o te aneurysm .
- Ahakoa ka pahū te aneurysm, kāore rānei .
- Ētahi atu āhuatanga hauora me ngā āhuatanga mōrearea kei a koe.
He maha ngā wā ka mate te tangata i te pakaru o te uaua whēkau. Kua whakaatuhia e ngā rangahau ka mate pea te tangata i te pakaru o te uaua whēkau:
* I waenganui i te 25% me te 40% o ngā wāhine kāore i te hapu.
* I waenganui i te 65% me te 75% o ngā wāhine hāpu (ko te mate o te pēpi i waenganui i te 90% me te 95%).
* Neke atu i te 50% o te hunga he mate toto tiketike tōraro .
He tata tonu te mate i ngā wā katoa ka pakaru ngā pseudoaneurysms o te uaua splenic.
Kōrero ki tō tākuta mō te tirohanga mō tō āhuatanga whaiaro.
Me pēhea taku tiaki i ahau anō? Āhea ahau me toro atu ki te tākuta?
He ahua uaua te noho me te Splenic Artery Aneurysm...Ka taea te whakararuraru . Tērā pea koe e whakaaro ana he aha te mea e tupu ana i roto i tō tinana, e mataku ana rānei koe kei pahū te aneurysm.
He mea noa te manukanuka. Kōrerohia ō kare ā-roto ki tō tākuta. Tērā pea ka tūtohu tō tākuta i tētahi maimoatanga tere mō tētahi aneurysm e mōrearea ana ki te pakaru. Pātai atu ki tō tākuta kia whakakitea mai ō hua whakaahua me te whakamārama i te tikanga. Ko te nui ake o tō whai wāhi ki tō tiaki hauora, ko te nui ake o tō mana whakahaere i tō āhua.
Mā tō tākuta koe e kī atu ki te auau o tō haerenga mai ki te tākuta mō ngā tirotiro me ngā whakamātautau whakaahua. Mēnā he pātai, he āwangawanga, he tohu hou, he tohu rerekē rānei āu, waea atu ki tō tākuta tonu .
He aha ngā pātai me pātai atu e au ki taku tākuta?
Pātai atu ki tō tākuta kia whakamārama mai i tō mate me tō mahere maimoatanga. Anei ētahi pātai ka taea e koe te pātai:
- Kia pēhea te rahi o taku aneurysm?
- Kei hea tonu ?
- He aha te tūponotanga ka pahū ?
- He aha ngā tohu me tirotiro e au ?
- Āhea ahau me kōrero ki te tau 1990 ?
- Kia pēhea te auau o taku haerenga mai ki te tirotiro hauora ?
- He aha ngā whakamātautau me mahi e au? Me pēhea taku whakarite mō ēnei?
Me pātai atu hoki ki tō tākuta mō ētahi atu puna kōrero hei āwhina i a koe ki te mārama ki tō tātaritanga me tō mahere maimoatanga.
Karere Whakamutunga mō te Tango ki te Kāinga
Pērā i ētahi atu aneurysms, he tino morearea ngā aneurysms o te uaua splenic mēnā kāore e rongoatia . Mēnā ka kitea e tō tākuta kei a koe tēnei mate, kua kotahi te taahiraa ki mua i a koe. Ka aroturukihia e te tākuta te mate, ā, ka kī atu ki a koe te wā e hiahia ana koe ki te maimoatanga.
Mena kei te rongoatia koe mō te aneurysm, te pakaru rānei o te uaua, he mea nui kia tūpato koe mō te wā roa . Kaua e mahue ngā wā whakarite a tō tākuta, me kōrero ki tō tākuta mō ngā tohu hou, ngā tohu rerekē rānei. Kia kaha koe ki te mahi i roto i tō tiaki hauora, me te ako i ngā mea katoa e taea ana e koe mō tō āhua. Mā te mātauranga me ngā mōhiohio, ka taea e koe te mahi tahi me tō tīma hauora hei āwhina i te whakaiti i ngā raruraru a meake nei.
` Te Aneurysm o te Arorangi Wheke, Wheke, Arorangi, Mamae o te Puku, Hapūtanga, Ngā Uaua Toto
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