Kei te ahua ngoikore te rere o te toto i roto i tō ringa? Me kōrero tātou mō tēnei (Subclavian Artery Stenosis) !

Ka ngenge, ka mamae, ka ngoikore rānei koe i ētahi wā ina whakamahi koe i tō ringa, ina hiki rānei i tētahi mea taumaha? He mātao ake rānei tētahi ringa i tētahi atu? Tērā pea he tohu ēnei kua whaiti te uaua toto nui e tuku toto ana ki tō ringa. I tēnei rā ka kōrero tātou mō tētahi o aua mate, e kiia nei ko te (Subclavian Artery Stenosis).

He aha te "(Subclavian Artery Stenosis)"? Kia mārama tātou!

Ki te kī māmā noa, ko te (Subclavian Artery Stenosis) he whaiti, arā, he āhua pēnei i te aukati, o tētahi oko toto matua (e kiia ana e mātou ko (Subclavian Artery)) e tuku toto ana ki tō ringa. Whakaarohia me te mea kua kohia te paru ki roto i tētahi paipa wai, ā, ka whaiti haere. Kātahi ka heke te tere o te wai, tika? Koinei te āhua o tēnei. I te nuinga o te wā, ka puta tēnei whaiti ina whakatakotoria ngā matū ngako (e kiia ana e mātou ko (plaque)) ki roto i tēnei oko toto. Engari tera pea ētahi atu take. He rite ki te (speed bump) i runga i te rori, e whakaroa ana i te rere o te toto.

Kua rongo pea koe i tētahi āhuatanga e kiia nei ko te Peripheral Artery Disease (PAD), e whakawhāiti ana i ngā oko toto i ngā waewae. Ko tēnei āhuatanga, e puta ana i roto i ngā oko toto i te ringa, e kiia nei ko te Subclavian Artery Stenosis.

He tokomaha ngā tāngata e pāngia ana e tēnei mate engari kāore he tohu e whakaatu ana. Nā te mea he tino pai te mahi a ngā oko toto o te tinana. Mēnā ka āraia tētahi oko toto, ka ngana ngā oko toto kē atu ki te whakakī i te āputa. Arā, ka ngana rātou ki te tuku toto e hiahiatia ana e te ringa.

I te nuinga o te wā, ka puta tēnei āhuatanga (Subclavian Artery Stenosis) i roto i te uaua e tuku toto ana ki te ringa maui . Nā te mea, ko te (Subclavian Artery) i te taha maui e wehea tika ana mai i te (Aorta), te uaua toto nui rawa atu e puta mai ana i tō tātou ngākau. Nō reira, he nui ake te tūponotanga o ngā raruraru ki tēnei. Ko te mea i te taha matau e puta mai ana i tētahi atu uaua toto. Engari he tino onge te kitea o tēnei āhuatanga i roto i ngā ringa maui me ngā ringa matau.

He pēhea te noa o tēnei āhuatanga?

Ki te tirohia ngā tatauranga i tētahi whenua pēnei i a Amerika, i waenganui i te 2% me te 7% te nuinga o te wā e pāngia ana e tēnei mate. Heoi, i roto i te hunga kua pāngia e te "Mate Toto Peripheral" (te whaiti o ngā oko toto), ko tēnei tau tata ki te 19%. E kīia ana hoki he nui ake te kitea o tēnei mate i roto i ngā wāhine .

He aha ngā tohu o te (Subclavian Artery Stenosis)?

E ai ki tā mātou i kōrero ai i mua, kāore e pāngia te katoa e ngā tohu. Engari ki te pāngia, ka pēnei pea te āhua:

• Ngā mamae o te uaua ina whakamahia te ringa e pāngia ana. Whakaarohia ina hiki koe i tētahi mea taumaha, ina mahi rānei koe i tētahi mea ki tō ringa, ka kikī ngā uaua o tō ringa, ā, ka rite ki te mamae o te ringa.
• Te mamae, te kōpiko rānei o te ringa ina whakamahia te ringa e pāngia ana.
• Te ngoikore, te ngaro rānei o te rongo i te ringa e pāngia ana (e kiia ana tēnei ko te "Paresthesia"). Me te mea nei kei te ngoikore haere te ringa.
• Pōuriuri - He mea onge tēnei.
• Te hemo - He tino onge hoki tēnei.
• Te Whēwhe - He kare ā-roto tēnei e hurihuri ana i a koe. He mea onge hoki tēnei.

He tokomaha te hunga kāore e whakaatu i ngā tohu nā te mea ko ētahi atu uaua toto te pūtake o te toto ki te ringa. Ka tīmata ngā tohu i muri i te whaiti o te uaua toto mā te 50% . I ētahi wā, ka puta mai ētahi atu tohu i tētahi āhuatanga e kiia nei ko te "Steal Syndrome". Ka kōrerohia tēnei i muri mai.

He aha ngā take o te (Subclavian Artery Stenosis)?

Ko te tino take o tēnei mate ko te "Atherosclerosis". Arā, ka whakatakotoria ngā ngako (pērā i te cholesterol) ki roto i ngā oko toto, ka āta whakawhāiti haere i te oko toto . Pērā i te tipu o te rimurimu i roto i te paipa wai. Koinei te tino take.

Haunga tēnā, tera pea ētahi atu take:

• Vasculitis: He mate mumura e puta ana i roto i ngā oko toto.
• Te irahiko: Mena kua whiwhi koe i te maimoatanga irahiko mō tētahi mea pēnei i te mate pukupuku i te rohe o te uma.
• Te Mate Putanga o te Uma: Te pēhanga o ngā uaua toto me ngā io e rere ana mai i te uma o runga ki te kaki me te ringa.
• (Te Arteri o Takayasu): He mate mumura e pā ana ki ngā oko toto nui, inā koa i roto i ngā wāhine taitamariki.
• Te Dysplasia Fibromuscular: Te whaiti o ngā oko toto nā te tipu rerekē o te uaua me te kiko honohono i roto i ngā pakitara o ngā oko toto.
• Neurofibromatosis: He mate ira e puta ai ngā pukupuku i roto i te pūnaha io.

He aha ngā āhuatanga mōrearea mō tēnei? Ko wai me tino tupato?

He nui ake te tūponotanga o ētahi tāngata ki te whakawhanake i te "(Subclavian Artery Stenosis)". Tirohia mēnā e pā ana ēnei āhuatanga mōrearea ki a koe:

• Kei waenganui i te 50-60 tau te pakeke.
• He toto toto tiketike tō te tangata (hypertension). Koinei te mea e kiia nei e tātou ko te "toto toto tiketike".
• He mate huka tō te tangata (Diabetes Mellitus/Diabetes). E kiia ana hoki ko te "mate huka", tika?
• Te pikinga o ngā taumata cholesterol toto.
• Te kai i ngā kai he nui te ngako kukū me te ngako whakawhiti (pērā i te pata, te pata, ngā kai momona, ngā kai tere)
• Te whakamahi i ngā hua tupeka (pērā i te momi hikareti, te ngaungau i te nati pī).
• Te noho roa rawa i te wāhi kotahi, me te kore e whakakorikori tinana.
• Ko te taupū papatipu tinana (BMI) neke atu i te 25 te tikanga he taumaha rawa koe mō tō teitei.
• Kei te pāngia koe e te mate uaua ā-roto (PAD).
• Kei a koe te mate (te mate pūkahukahu o Takayasu).

He aha ngā raruraru pea ka pā mai i te (Subclavian Artery Stenosis)?

Ki te kore tēnei āhuatanga e rongoatia tika, e kore rānei e whakahaeretia, ka puta pea ētahi raruraru.

• (Te Mate Tahae Subclavian):He āhuatanga motuhake tēnei. Ko te mea e tupu ana i konei, nā te mea ka heke te rere o te toto ki ngā ringaringa, ka "tōia puku" ētahi o te toto e haere ana ki te roro ki ngā ringaringa ina mahi ana me aua mea. Kātahi ka heke te nui o te toto e haere ana ki te roro, ka puta ai ngā āhuatanga pēnei i te whanoke me ngā kanohi kikorangi.
• Te Mate Tahae o te Koronerō: He rite tēnei ki te tuatahi, engari i konei ka hurihia ētahi o te toto e haere ana ki te ngākau ki te ringa. He tino onge tēnei, inā koa mō te hunga kua pokangahia ki te pokanga bypass.
• Ka whati te wahi o te paraka momona kua mau ki roto i te uaua toto, ka mau ki roto i te uaua toto iti e tata ana ki ngā maihao. Ka taea e tēnei te aukati i te rere o te toto ki ngā maihao, ka mamae, ka puta he puku.
• Te hekenga o te rere o te toto ki te ngākau, ki te roro, ki ngā ringaringa rānei.
• (TIA - Whakaekenga Ischemic Poto): He rite tēnei ki te (whiu) poto. Ko ngā tohu pēnei i te hekenga o te rere o te toto ki te roro mō te wā poto, te kore e taea te kōrero, me te ngaronga o ngā peka me ngā waewae ka haere mai, ka haere. Heoi, ka taea e tēnei te waiho hei tohu mō te (whiu) nui.

Me pēhea te tautuhi a ngā tākuta i tēnei mate (Subclavian Artery Stenosis)?

Mena kei a koe ngā tohu kua whakahuatia ake nei, ina kite koe i te tākuta, ka tirohia tuatahitia koe e ia. Ka kiia tēnei he "whakamātautau tinana".

• I reira, ka tirohia e rātou tō manawa me tō toto toto .
• Kei te tirotiro pea koe mēnā he makariri ake tetahi ringa i tetahi atu.
• Tirohia mēnā he patunga kei ngā ringa e rua, ā, mēnā kāore anō kia ora (ka roa ake te ora o ngā patunga nā te ngoikore o te tohanga toto).
• Ka taea hoki e koe te tirotiro mēnā he ngoikore te pā o te manawa i te ringa kotahi.

Ko te mea motuhake, he rerekē ki te tirotiro noa, ka ine te tākuta i tō pēhanga toto i ngā ringa e rua . Ka mahia tēnei hei whakataurite i te (pēhanga) i ngā ringa e rua. Mena he 10-15 mirimita (mmHg) teitei ake te pēhanga (systolic) (te tau o runga) i te ringa kotahi i te ringa kē, he tohu pea tēnei mō te mate e kiia nei ko te (Subclavian Artery Stenosis). He teitei ake te (pēhanga) i te ringa e whiwhi ana i te toto mai i tētahi oko toto hauora.

Hei tāpiri, ki te rongo tō tākuta i te tangi "swoosh" (e kiia nei ko te "bruit") ina whakarongo rātou ki ō oko toto i roto i tō kaki me te stethoscope, he tohu pea tēnei kei te whaiti ngā oko toto.

He onge tonu, ka whakaatu pea ngā tohumate e pā ana ki aua mate e pā ana ki te hunga e pāngia ana e tēnei mate nā ētahi atu take.

He aha atu ngā whakamātautau e mahia ana hei whakaū?

Ki te whakapae tō tākuta kei a koe te Subclavian Artery Stenosis, ka tonoa pea e ia he ultrasound i te tuatahi. Mā tēnei ka taea te tirotiro i te tere o te rere o te toto me te āhua o ngā uaua toto.

Hei tāpiri, ka taea te whakahaere i ngā whakamātautau e whai ake nei hei tirotiro i ngā oko toto:

• (CT Angiogram - Angiogram Tomography Rorohiko): He momo matawai CT motuhake tēnei. Ka werohia he momo tae hei kite mārama i ngā uaua toto.
• (MRA - Magnetic Resonance Angiogram): He rite tēnei ki te matawai MRI, engari he mea motuhake mō te tirotiro i ngā uaua toto.
• Angiogram Tuku Iho (Whakaekenga):I roto i tēnei, ka tukuna he ngongo iti mā roto i tētahi oko toto, ka werohia he tae, ā, ka tangohia he "(X-ray)". I ētahi wā ka whakamahia he tikanga e kiia nei ko te "(Digital Subtraction)". Mā tēnei ka tangohia ngā mea pēnei i te wheua, ā, ka taea anake te kite mārama i ngā oko toto.

He aha ngā maimoatanga mō te (Subclavian Artery Stenosis)?

Ko te maimoatanga e whakawhirinaki ana ki te whai tohumate, me te kaha rānei o te mate.

Ko te hunga whai tohumate pea me whai maimoatanga pēnei:

• (Aspirin): Ka whakaiti i te toto totoka, ā, ka āwhina ki te angiangi i te toto.
• Ngā rongoā whakaheke cholesterol: Ka whakaiti i te nui o te ngako e hangai ana i roto i ngā oko toto.
• Rongoā mō te toto toto tiketike .
• Mena ko te (Vasculitis) te take, me rongoā.
• Angioplasty: I roto i tēnei, ka whakauruhia he taputapu iti rite ki te poihau ki roto i te oko toto kua āraia, ka pupuhihia hei whakawhānui i te oko toto. He maha ngā wā, ka whakauruhia he stent (he taputapu iti rite ki te mata) hei ārai i te whaiti anō.
• Pokanga Ārai: He tikanga tino onge tēnei. Ko te tikanga he karo i te oko toto kua āraia, ka waihanga i tētahi ara hou mā te whakamahi i tētahi atu oko toto (tērā pea i tangohia mai i te waewae) i tētahi ara hangai rānei.

Ahakoa kāore he tohu, tera pea ka rapu tō tākuta i ngā putunga ngako i roto i ō oko toto (atherosclerosis). Ka pā pea tēnei āhuatanga ki ngā oko toto i ngā wāhi katoa o te tinana, ā, ka arahi pea ki te "whiu" me te "whakaeke ngakau". Nō reira, tera pea ka kī atu tō tākuta ki a koe kia:

• Kia kaha te tinana mō te 30 meneti pea i te rā, i te nuinga o ngā rā o te wiki. (Pēnei i te hikoi, te oma, te whakakori tinana)
• Kia mau tonu tō taumaha hauora.
• Āta karohia rawatia ngā hua tupeka.
• Kai i ngā kai iti te ngako kukū me te ngako whakawhiti (kai atu i ngā huawhenua, ngā hua rākau, ngā pīni, me te muka).

He raruraru, he pānga taha rānei kei te rongoā?

Ka pāngia pea koe e ngā pānga taha iti noa iho i tētahi rongoā. Mēnā ka pāngia koe e ētahi pānga taha whakarihariha, pumau tonu i a koe e tango ana i tō rongoā, kōrero ki tō tākuta.

I ētahi wā, ka pā mai ngā raruraru pēnei i ngā pokanga, ngā tikanga rānei pēnei i te "Angioplasty":

• Te toto.
• Te pakaru o te uaua toto.
• Ngā toto totoka.
• Kāore i whānui tika te stent i whakaurua, kāore rānei i te tūranga tika.
• Ka pakaru te stent i whakaurua.
• Kua āraia anō te uaua toto.
• He onge noa iho te pānga o te whiu i muri i te angioplasty, i te pokanga rānei.

Kia pēhea te roa o te wā e ora ai i muri i ēnei maimoatanga?

I muri i te Angioplasty, me okioki koe mō te kotahi rā pea. Ka taea e koe te taraiwa me te haere ki te mahi i roto i te wiki. Heoi, ka roa ake te wā e ora ai koe i te Pokanga Bypass. Mā tō tākuta koe e kōrero atu mō tēnei mea i runga i tō āhua.

He aha te mea ka tupu mēnā kei a au te (Subclavian Artery Stenosis)? He aha te āhua o te heke mai?

Mena kei a koe ngā tohu, ka taea e te maimoatanga te āwhina nui ki te whakatuwhera i ō uaua toto me te whakaora i ō tohu. Ki te kore he tohu, kāore pea e hiahiatia he maimoatanga.

Ahakoa he tohu kei a koe, kāore rānei, he tohu whakatūpato te Subclavian Artery Stenosis mai i tō tinana . I te nuinga o te wā, ka puta mai i te Atherosclerosis (ngā putunga ngako i roto i ngā oko toto). Mena ka āraia tētahi oko toto, ka pā anō hoki ki ētahi atu oko toto. Koia te take ka kī atu tō tākuta kia whakahaere koe i ō tūponotanga mō te mate ngakau .

Kei roto i tēnei:

• Ki te whakamahi koe i te tupeka, kati rawatia.
• Te whakahaere i te toto toto tiketike.
• Te whakahaere i te cholesterol tiketike.
• Te whakahaere, te aukati rānei i te mate huka.

Neke atu i te 95% te whai huatanga o te angioplasty ki te whakaora i ngā tohu. E rima tau i muri i te angioplasty, tata ki te 90% o ngā oko toto kua purua i mua ka noho tuwhera tonu. Ka taea e te pokanga tuwhera te whakarato i ngā hua roa ake.

Mena kua āraia rawatia tō uaua toto, tērā pea kāore e tino whai hua ngā hua.

Ka taea te ārai i te Subclavian Artery Stenosis?

Ae, i te nuinga o te wā, ka taea te ārai i ngā putunga ngako i roto i ngā oko toto (atherosclerosis) e hua ai tēnei. Ko tāu noa he huri i tō momo noho.

• Te kaha o te tinana.
• Te whai i tētahi kai hauora (he iti iho te hinu, te huka, te tote, he nui ake ngā huawhenua me ngā hua)
• Kaua e kai hikareti.
• Te pupuri i te taumaha hauora.

He mea nui anō hoki kia tika te whakahaere i ngā āhuatanga hauora kua pā mai ki a koe, pērā i:

• Te nui o te cholesterol.
• Te toto toto tiketike (hypertension).
• Mate huka.

Me pēhea taku tiaki i ahau anō?

Mā ngā whakarerekētanga o te momo noho ka taea e koe te mahi hei ārai i te Subclavian Artery Stenosis ka āwhina i a koe ahakoa kua oti te maimoatanga. Ka taea e ngā tikanga hauora te āwhina i te ārai i tēnei mate kia kore e hoki mai anō. Mena ka whakauruhia e te tākuta he stent ki roto i tō uaua, me haere tonu pea koe ki te tango i ngā rongoā pēnei i te aspirin me te clopidogrel kia kore ai e kati anō.

Āhea ahau me kite i te tākuta?

I muri i te maimoatanga, ka tonoa koe kia kite i tō tākuta i ia ono marama mō ngā tau tuatahi e rua. Kātahi ka kotahi i te tau. Ka rerekē pea tēnei i runga i tō āhua me te wāhi e rongoatia ana koe. Nō reira, me whai i ngā tohutohu a tō tākuta.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Tērā pea he ngako kei roto i ētahi atu uaua toto o te tinana o te hunga whai Subclavian Artery Stenosis. Kei roto i tēnei ko ngā uaua e tuku toto ana ki tō ngākau (ngā uaua coronary). Mēnā ka āraia ēnei uaua, ka pāngia pea koe e te mate manawa. Mēnā kei a koe ngā tohu o te mate manawa , rapua tonutia he awhina hauora.

Ko ngā tohu o te whakaeke ngakau ko:

• Te mamae o te uma, te kikī rānei (ka horapa pea tēnei mamae ki te ringa, ki te kaki, ki te kauae rānei).
• Te uaua ki te manawa.
• Pōuriuri, māuiui te mahunga.
• Te āhua nei kei te tere te pao o tō ngākau.
• Te puku pōuri, te whakapairuaki, te ruaki.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ina kite koe i tō tākuta, ka taea e koe te pātai i ēnei pātai:

• Me whai maimoatanga ahau?
• He aha te rongoā pai rawa atu mō tōku āhua?
• E hia o ēnei momo maimoatanga ka mahia e koe i tō hōhipera/whare hauora i ia tau?
• Ka taea e koe te tuku mai i ahau ki tētahi hei āwhina i ahau ki te whakawhanake i ngā tikanga hauora mō te ngākau? (hei tauira, he tohunga kai)

He mōrearea te (Subclavian Artery Stenosis)?

Ae, he mea morearea tēnei, inā koa mēnā ka puta he āhuatanga e kiia nei ko te "Steal Syndrome", arā, he iti iho te toto e pupuhihia ana ki te roro, ki te ngākau rānei, engari ka hurihia ki ngā ringa. Ko te mea pai rawa atu hei ārai i ēnei raruraru ko te whai i ngā tohutohu a tō tākuta mō te kai hauora me te mahi whakakori tinana.

Ina kitea e koe kei a koe te Subclavian Artery Stenosis, tera pea koinei te wā tuatahi kua rongo koe mō taua uaua toto. Engari, whakaarohia tēnei he karere mai i tō tinana: Kei a koe te Atherosclerosis. Mena kei roto i tētahi uaua toto, ka taea hoki te noho ki tētahi atu. Nō reira, me mahi inaianei hei pupuri i te hauora o tō ngākau me ō uaua toto.

Hei whakamutunga, he karere hei kawe ki te kāinga

Āe, kua mārama ake koe inaianei ki tā tātou i kōrero ai, arā, "(Subclavian Artery Stenosis)". Kaua e manukanuka , ki te kitea wawetia, ā, ka whakahaerea tika, ka ora koe.

Ko te mea nui, he maha ngā wā e pā ana tēnei ki tō tātou āhua noho. Arā, me kai i tētahi kai hauora, me whakakori tinana i ngā wā katoa , me karo i te momi hikareti, me te whakahaere i ngā mate pēnei i te mate huka, te toto toto tiketike, me te cholesterol .

• Mena he maha ngā wā ka pāngia koe e te mamae, te ngoikore, te ngenge rānei i ō ringaringa, kaua e warewaretia, engari me rapu tohutohu hauora.
• Kia tino whai i te maimoatanga me ngā tohutohu a te tākuta.
• Ehara tēnei i te raru ringaringa anake, engari he tohu e hiahia ana koe ki te aro ki te hauora o tō ngākau whānui.

Whakarongo ki tō tinana, ngana ki te noho hauora!

Te Stenosis o te Arorangi Subclavian, te Mamae o te Ringa, te Ngoioi o te Ringa, te Whaiti o ngā Uaua Toto, te Angioplasty, te Stent, te Atherosclerosis