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