Kua āraia ētahi 'toto' i roto i tō tinana? Me ako tātou mō (Stenosis) me (Stricture) i roto i tētahi huarahi māmā!

Ka pōturi te manawa i ētahi wā ina piki koe i ngā arawhata? Ka mamae rānei tō waewae i muri i te tū mō tētahi wā? Ka rite rānei koe ki te mea kei te kōroke koe ina horomia e koe te kai? I ētahi wā ka puta ēnei mea nā te whaiti o ngā ara nui, ngā awaawa, ngā 'ngongo' rānei i roto i te tinana. I tēnei rā, ka kōrero tātou mō ēnei 'whaiti', koinei te ingoa o ngā tākuta mō tēnei āhuatanga (Stenosis) me te (Stricture) . Kaua e manukanuka, kia mārama noa tātou ki tēnei.

He aha ngā (Stenosis) me ngā (Stricture)?

Ki te whakarapopototia, ko ngā kupu (Stenosis) me (Stricture) e pā ana ki te whaiti, te aukati rānei i tētahi awaawa, i tētahi ara, i tētahi kōhao iti rānei i roto i tō tinana. Whakaarohia mēnā ka mau tētahi wahi paru ki roto i tētahi paipa wai, ka uaua te rere o te wai, tika? He rite tonu tēnei ki tēnā. Nā tēnei, kāore e taea e ngā mea e tika ana kia haere mā taua ara (hei tauira, te toto, te kai, te manawa, te mimi, me ētahi atu) te rere tika.

He maha ngā wā ka whakamahia ngātahitia ēnei kupu e rua. Arā, he tukanga ēnei kāore e tika kia puta, ā, ka pā kino pea ki a koe. Me rongoā ēnei āhuatanga, inā koa mēnā he tohu kei a koe. Nō reira, he mea nui kia mōhio koe ki tēnei ina whakatau ana koe mō tō hauora.

(Stenosis) me (Stricture) - He rerekētanga?

Ahakoa ko te tikanga matua o ngā kupu e rua ko te "whakawhāiti", he rerekē te whakamahinga a ngā tākuta i ēnei kupu mō ngā wāhanga rerekē o te tinana.

Ko te kupu stenosis e whakamahia whānuitia ana:

• Te whaiti o ngā oko toto (ngā uaua toto). Hei tauira, ko ngā uaua carotid i roto i tō kaki (ngā uaua toto e kawe ana i te toto ki tō roro) ko ngā uaua tākihi rānei e kawe ana i te toto ki ō whatukuhu.
• Te whaiti o ngā takirere o te ngākau . Hei tauira, te takirere aorta, te takirere mitral rānei.
• Te whaiti o ētahi wāhanga o te pūnaha manawa , hei tauira, tō pūhā (trachea) tō pouaka reo rānei (larynx).

I ētahi wā, he iti noa iho tēnei uauatanga, kāore he tohu. Ahakoa he iti noa iho, ka nui haere tonu i roto i te wā, ka puta he tohu, ka arahi rānei ki ngā āhuatanga morearea. Hei tauira, ki te tino whaiti te uaua toto e kawe ana i te toto ki tō roro, ka pāngia koe e te "Whawhatu".

Ko te kupu stricture te mea e whakamahia whānuitia ana mō ngā whaititanga pēnei i:

• Ngā wāhanga o te pūnaha nakunaku . Hei tauira, tō korokoro, whekau, awaawa aukume rānei.
• Ngā wāhanga o te pūnaha mimi . Hei tauira, te urethra, te kaki pūkahukahu rānei.
• Ngā wāhanga o te pūnaha whakaputa uri . Hei tauira, te tara (`(Terata)`) te kaki rānei (`(Cervix)`).

Kei hea ēnei whakawhāititanga ka puta? (Ngā momo stenoses me ngā strictures)

Ka taea e ēnei momo whakawhāiti te puta i ngā wāhi maha o tō tinana. Me titiro tātou ki ētahi o ngā wāhi matua e pāngia ana e tēnei.

Ngā takirere ngākau me ngā oko toto (pūnaha tohanga toto)

He rite ngā takirere o tō ngākau ki ngā "tatau". Ka tuwhera, ka kati ēnei tatau kia rere ai te toto i roto i ngā rūma o tō ngākau. He rite ngā uaua toto ki ngā "paipa" e kawe ana i te toto whai hāora puta noa i tō tinana. Mēnā ka whaiti ēnei, ka puta he raruraru nui.

Anei ētahi tauira:

• Te whakatōtōtanga o te takirere aorta: He whaiti tēnei o te takirere matua e kawe ana i te toto mai i te ngākau ki te tinana. Ka taea e tēnei te kino i te ngākau.
• Te whakatōtōtanga o te uaua carotid: Ka puta tēnei i te whaiti o te uaua matua i roto i tō kaki e kawe ana i te toto ki tō roro. He maha ngā tāngata ka puta ngā tohu i muri i te whakaekenga ischemic poto (TIA) i te whiu nui rānei. Whakaarohia te ngaro ohorere o te kōrero a tētahi hoa, me te ngaro o te mana whakahaere i ōna peka. Tērā pea koinei te āhua.
• (Mate uaua coronary): Ahakoa kāore te ingoa o tēnei mate e kī ana (Stenosis), koinei tonu te mea e tupu ana. Ka whakawhāitihia ngā uaua e tuku toto ana ki te ngākau (`(Coronary arteries)`) e ngā matū ngako (`(Plaque)`). Ki te tino whāiti, ka pā mai he `(Heart attack)`.
• Te whakawhāititanga o te takirere mitral: Te whaiti o te takirere e kawe ana i te toto mai i te rūma maui o runga o te ngākau ki te rūma maui o raro.
• Te whakatōtōtanga o te uaua pūkahukahu: He āhuatanga tēnei e pā ana ki ngā pēpi me ngā tamariki nohinohi. Ka whaiti tetahi, ētahi rānei o ngā uaua e kawe ana i te toto mai i te ngākau ki ngā pūkahukahu.
• Te whakawhāititanga o ngā uaua whatukuhu: Te whaiti o ngā uaua e tuku toto ana ki ngā whatukuhu. Ahakoa kāore pea he tohu i te tīmatanga, i te haere tonu o te mate, ka heke pea te mahi a te whatukuhu.
• Te whakatōtōtanga o te uaua subclavian: He whaiti o te uaua e tuku toto ana ki tō ringa. Nā te mea ka pā ki te ringa maui, ka puta ngā tohu (pēnei i te ngau, te māuiui) i te ringa maui.

Tuaiwi

Ko tō tuaiwi te wāhanga o tō tinana e whakakaha ana i a koe, e āwhina ana hoki i a koe ki te neke. He mea hanga mai i ngā wheua iti e 33 (Vertebrae) e whakarārangihia ana tetahi ki runga i tetahi. Ina whakarārangihia ēnei wheua, ka puta he awa iti e rere ana i roto i a rātou. Ko te Awa Tuaiwi tēnei. Ka rere tō taurakira mā roto i tēnei awa.

Pērā i te waka e neke ana i te awaawa, ka neke anō hoki te tuaiwi i tēnei `(Awaawa Tuaiwi).` Pērā i te whānui o te awaawa kia taea ai e te waka te haere, me whai wāhi anō hoki te tuaiwi i roto i tēnei awaawa.

Ki te whaiti tēnei `(Awa Tuaiwi)` ki tētahi wāhi, ka pēhi pea i ngā io o te taurakira, ka puta ngā tohu pēnei i te mamae me te ngoikore. Koinei te mea e kīia ana e ngā tākuta ko te `(Spinal stenosis) `. Ahakoa ka pā ki ngā wāhi katoa o te tuaiwi, ko te nuinga o te wā ka pā ki tō tuara o raro (`(Lumbar spine)`) me tō kaki (`(Cervical spine)`).

Ko te foraminal stenosis tētahi atu momo spinal stenosis. Koinei te wāhi ka whaiti ai ngā kōhao e puta atu ai ngā io i te taurakira.

Pūnaha manawa

Ko ō ara manawa ngā ara e whakamahia ana e tō tinana ki te manawa ki roto, ki waho hoki. He mea nui kia tuwhera tonu kia taea ai e koe te manawa.

Ko te stenosis tracheal he whaiti o tō pūkahukahu matua (trachea). Ka puta tēnei i te hanganga o te kiko whara i roto i te pūkahukahu. He maha ngā wā he pānga taha tēnei o te intubation.

Ko te stenosis subglottic he whaiti o te wāhanga o raro o te larynx. Kāore i te tino kitea pērā i te stenosis tracheal. I ētahi wā ka puta mai i te intubation, i te mate rānei, engari i te nuinga o te wā kāore e kitea he take.

Pūnaha nakunaku

Ko te pūnaha nakunaku te wāhi e nakunaku ai te kai e kainga ana e koe, e mimiti ai hoki i ngā matūkai mai i reira. Koinei anō te wāhi e whakaputa ai, e tuku ai hoki i ngā paru (ngā paru).

Ka puta ngā whakawhāititanga i ngā wāhi rerekē o tēnei pūnaha:

• Te whakawhāititanga o te korokoro: Te whaiti o te korokoro. He maha ngā wā, ko te waikawa pūmau tonu te tino take o tēnei.
• Te whakawhāiti i te puku: He whakawhāiti i tētahi wāhanga o te puku iti (`(Puku iti)`) te puku nui rānei (`(Kura)`). Ka kiia hoki tēnei ko te `(Whakawhāiti i te puku iti)`, ko te `(Whakawhāiti i te puku)` rānei. He nui ake tēnei mōrearea i roto i te hunga whai mate pēnei i te `(Mate a Crohn)` nā te mumura tonu o te puku. Ka taea e tēnei te arahi ki te `(Ārai i te puku)`.
• Te whakatōtōtanga o te anal: Te whaiti o te awaawa anal. Ka puta pinepine tēnei nā te kiko whara i muri i te pokanga anal (pērā i te anoplasty).
• Te whakawhāiti, te aukati rānei i ngā awaawa au e kawe ana i te au (he wai e āwhina ana ki te nakunaku kai) mai i te ate ki te whekau iti. Ko te mate pukupuku repeure me te mate pukupuku awaawa au ngā tino take o tēnei.

Ngā pūnaha mimi me te whakaputa uri

I ētahi wā ka whaiti ngā wāhanga o tō ara mimi, o tō pūnaha whakaputa uri rānei. He pānga taha pea tēnei nō ētahi maimoatanga, pokanga, whara, mate rānei. Ka rerekē ēnei āhuatanga i runga i te ira tangata.

Ētahi tauira:

• Te whakawhāiti i te kaki o te pūkahukahu: He whaiti o te kaki i te putanga o te mimi i te pūkahukahu (`(Bladder)`) ki roto i te urethra (`(Urethra)`). Ka pā pea tēnei ki ngā tāne i muri i te pokanga repeure (`(Prostate surgery)`).
• Te whakawhāititanga o te urethra: Te whaititanga o te urethra. Ko te mea tino pāngia e tēnei ko ngā tāne. Ko te stenosis urethra o muri ko te whaititanga o te taha whakarunga o te urethra.
• Te whakawhāititanga o te awaawa tara: Te whaiti o te awaawa tara. Ka pā pea tēnei ki ngā wāhine hei pānga taha o te rongoā irahiko ki te rohe hope.

He aha ngā tohu o ēnei whaiti?

Nā, he aha ngā tohu o te whaiti i ēnei wāhi? Ina hoki, heKei te wāhi o te tinana te whaiti e whakawhirinaki ana. I ētahi wā , kāore pea he tohu e kitea. Engari, tera ētahi tohu noa ka kitea. Hei tauira:

• Mena ka whaiti te takirere o te ngākau: he uaua ki te manawa, he mamae o te uma, he hemo te ngākau.
• Mena ka whaiti te awa tuaiwi: mamae te tuara me te waewae, ngoikore te ngākau, uaua ki te hikoi.
• Mena ka whaiti te ara manawa: Te whewhe, te poto o te manawa.
• Ki te whaiti te korokoro: he uaua ki te horomi kai, ka piri te kai.
• Ki te whaiti te urethra: he uaua ki te mimi, he ngoikore te rere o te mimi.

He aha i puta ai ēnei whakawhāititanga? He aha ngā take?

He maha ngā take e puta ai ēnei āhuatanga.

• Te pupū ake o te paraka i roto i ngā oko toto (te aukati i ngā oko toto nā te pupūnga o te ngako me te cholesterol).
• Hei pānga taha o ētahi maimoatanga hauora me ngā pokanga .
• Te mate urutā.
• Ngā whara ('Whara', 'trauma' rānei).
• Ētahi atu mate, inā koa ko ērā e puta ai te mumura mau tonu (hei tauira, te mate a Crohn).
• Me ngā panonitanga o te tinana i a tātou e pakeke haere ana .
• I ētahi wā, kāore pea e kitea e koe he take.

Me pēhea te tātaritanga a te tākuta i tēnei?

Mena kei a koe ngā tohu, ka rapua e te tākuta ēnei whaiti. Ko te tikanga ka mahia tēnei i ēnei huarahi e whai ake nei:

• Ka tirotirohia koe e rātou, ka pātai atu hoki mō ō tohumate .
• Ka whakahaerehia ngā whakamātautau toto me/ranei mimi .
• Ka whakahaerehia ngā whakamātautau whakaahua motuhake hei tirotiro i roto i te tinana . Kei roto pea i ēnei ko te matawai ultrasound, te MRI (Magnetic Resonance Imaging), te matawai CT (Computed Tomography scan) rānei.
• I ētahi wā, ka mahia he endoscopy, arā, ka whakauruhia he ngongo iti (scope) kei roto i te tinana, kei roto he kāmera . Mā tēnei ka taea te tiro tika ki roto i te tinana.

Ki te kore he tohu, tera pea ka kitea noa iho i te wā o te whakamātautau mō tētahi atu take.

He aha ngā maimoatanga mō tēnei? (Maimoatanga)

Ko te rongo pai, he maimoatanga kei reira mō ēnei whāititanga o te uaua. Tērā pea ka rerekē ngā kōwhiringa maimoatanga i runga i tō āhua. Ka kōrero tō tākuta ki a koe mō te maimoatanga pai rawa atu māu. Ko te tikanga whānui, ko ngā maimoatanga ko:

• Ngā rongoā ā-waha.
• Ngā werohanga (pērā i te "(Ngā werohanga steroid)".
• Te whakaora tinana.
• Ngā tikanga me ngā pokanga motuhake.

Ko te tikanga o te pokanga me ngā tikanga motuhake ka mahi i ngā mea penei:

• Te whakamahi i tētahi mea pērā i te poihau hei whakawhānui i tētahi wāhi whaiti.(Hei tauira, ko te Angioplasty, ka mahia ina āraia ngā uaua toto).
• Ka whakauruhia he taputapu iti, he rite ki te mata-pū, e kiia nei ko te stent, hei ārai i te aukati kia kore ai e puta anō. He rite tēnei ki te whakauru i tētahi atu ngongo iti ki roto i te ngongo kua aukatia.
• Te tango i te `(Plaque)` kua āraia (ngā mea pēnei i te hinu) (`(Endarterectomy)`).
• Te tango i te kiko whara.
• Te hanga anō, te whakakapi rānei i ngā wāhanga kua pakaru.

I te nuinga o te wā, ka mahia ēnei pokanga mā te whakamahi i ngā "tikanga iti rawa te whakaekenga". Arā, ka mahia mā roto i ngā tapahi iti, kāore he tapahi nui. Mā tō tīma hauora koe e kōrero atu mō tēnei.

He aha ngā mea ka taea e koe te tumanako i muri i te maimoatanga?

He mea nui kia mahara ki ēnei mea:

• Ka roa pea te wā e rongoatia ai. Me toro atu pea koe ki tō tākuta i ētahi wā. Hei tauira, ka taea te whakawhanui i te korokoro o te esophagus i ētahi wā i te wiki.
• Ka hoki anō pea tēnei āhuatanga i muri i te maimoatanga. Hei tauira, ka whaiti anō te uaua toto i whānuitia i mua (`(Restenosis)`). Mēnā ka tupu tēnei, me mahi anō te maimoatanga.
• He mea tino nui ngā aroturukitanga. Ka aroturukihia tō āhua e te tākuta, ka aroturukihia tō whakaoranga i muri i te maimoatanga, ā, ka tirohia mēnā he raruraru hou.
• Me huri pea ētahi o ngā mahi o ia rā. Tērā pea ka hoatu e tō tākuta he tohutohu mō tō kai me ō mahi. I ētahi wā ka kī atu rātou kia okioki koe, i ētahi wā ka kī atu rātou kia neke haere koe.

Āhea koe me tino kite i te tākuta?

Kia mahara ki te haere ki te wā whakarite a tō tākuta. Pātai atu mēnā he mea kāore koe i te tino mārama. Mēnā ka puta tētahi o ēnei e whai ake nei, waea atu ki tō tākuta tonu:

• Mena ka puta mai ngā tohu hou, ka piki ake rānei ngā tohu o mua.
• Mena te āhua nei kāore te maimoatanga e kawe mai ana i te whakaoranga e tumanakohia ana.
• Mena he raruraru i muri i te pokanga, pērā i te kirika, ngā panonitanga ki te wāhi i tapahia (te panonitanga o te tae, te rerenga mai o te waikura, te pupuhi).

Ahakoa ka kīia e te tākuta he stenosis, tera pea ka rite koe ki te mea kei te whakamomori koe ina hiki koe i ētahi kākahu me te piki arawhata. Tērā pea ka pāngia koe e te mamae e heke ana i tō waewae i muri i te tū mō tētahi wā. Ka taea e tēnei whakawhāititanga o ngā uaua i roto i tō tinana te puta āta haere, ā, ka puta puku, kia tae rā anō ki tētahi rā ka mōhio koe ehara ēnei tohu i te mea he raruraru noa iho.

Mena ka pā mai ngā tohu rerekē ki a koe, ki te whakaaro rānei koe he hapa tetahi mea, he mea tino nui kia rapu tohutohu hauora.

Mā tō tākuta koe e kōrero, e whakahaere whakamātautau mēnā e tika ana, ā, māna koe e āwhina ki te tiki i te maimoatanga e hiahiatia ana e koe. Ko reira anake ka taea ai e koe te ora wawe.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Nō reira, ko te mea whakamutunga me kī atu e au, kaua e mataku ina rongo koe i ngā kupu "stenosis" me te "stricture" rānei. E pā ana ēnei katoa ki te whaiti o te ara i roto i tō tinana.

• He maha ngā wā ka taea te rongoā me te whakaora i ēnei āhuatanga.
• Ki te pā mai ngā tohu, kaua e warewaretia. Ahakoa he iti noa iho te āhua, tera pea he tīmatanga o tētahi raruraru nui ake.
• Kia ata whai i ngā tohutohu a tō tākuta. Ki te mahi koe i ngā mea e kīia ana e te tākuta, ka tere tō ora, ā, ka taea e koe te noho i te oranga noa.
• Tiakina tō tinana. Kia aro ki ngā huringa katoa e kitea ana e koe.

Mena he pātai anō āu mō tēnei, kaua e wehi ki te pātai atu ki tō tākuta. Ko ia te tangata pai rawa atu hei āwhina i a koe.

` Te whakatōtō, te whakawhāiti, te aukati, ngā oko toto, ngā takirere ngākau, te tuaiwi, ngā ara manawa, te awa kai, (Stenosis), (Stricture), (Aortic stenosis), (Carotid artery stenosis), (Spinal stenosis), (Angioplasty), (Stent)