Kua whakaaro koe me pēhea te whiwhi a ō ringaringa, kaki, me tō mahunga i te pūngao e hiahiatia ana hei mahi, arā, he toto ma, he toto whai hāora? I tēnei rā ka kōrero tātou mō ngā uaua toto motuhake e rua e whakakaha ana i te taha whakarunga o tō tātou tinana, e mahi ana hei pūnaha wai matua mō tētahi tāone. Ka karangatia ēnei e tātou ko ngā Arteri Subclavian. Ahakoa he ahua uaua te ingoa, he tino māmā, he mea nui hoki tā rātou mahi.
He aha te tikanga o te mana whakahaere subclavian?
Whakaarohia tō ngākau hei teihana papu nui. Ka haria e tēnei teihana papu te toto whai hāora ki ngā wāhanga katoa o tō tinana mā roto i tētahi pūnaha paipa nui. E rua o ngā paipa matua o taua pūnaha ko ngā uaua subclavian. Kei raro noa iho i ō wheua kaki ēnei. Kei te taha matau tētahi, kei te taha maui tētahi.
Ko tā rātou mahi matua he kawe i te toto whai hāora mai i tō ngākau ki tō kaki, ki tō māhunga, me ō ringaringa . Hei whakamārama, e toru ngā wāhanga o te mahi a ēnei uaua:
- Wāhanga tuatahi: Mā tēnei wāhanga e tuku toto ki te 'porowhita o Willis', he pūnaha toto nui e tuku toto ana ki tō uma, ki te repe tairoi, me te roro.
- Wāhanga Tuarua: Mā tēnei ka rere te toto ki ngā wāhanga nui o te kaki.
- Wāhanga 3: Koinei te wāhanga tino tawhiti rawa. Ka tukuna te toto ki ō ringaringa, tae atu ki ngā uaua o ō biceps me ō triceps, me ō pakihiwi.
Kei hea ēnei temepara, ā, he aha ō rātou manga?
E ai ki tā mātou i kōrero ai i mua ake nei, kei raro i ngā wheua kaki ēnei uaua e rua. Heoi anō, he rerekē paku ngā tīmatanga o ēnei uaua e rua.
- Te uaua o raro o te kōpū matau: Ka tīmata tēnei i tō uaua o te kōpū brachiocephalic.
- Te uaua o raro o te kōpū maui: Ka tīmata tika mai i te āwhata aorta.
Ka haere atu ēnei uaua e rua i waenganui o tō tinana, ka tata ki tō rara tuatahi, ka huri hei uaua tuaka. I a rātou e haere ana, ka peka atu ēnei uaua matua ki ētahi atu peka nui.
| Ingoa Peka | Mahi |
|---|---|
| Ngā uaua tuarā | Ka tuku toto ki ngā wāhanga o te roro me te kākano roro. |
| Ngā uaua thoracic o roto | Ka tukuna te toto ki te pericardium, te wheua uma, te diaphragm, me ngā wāhanga o te pakitara o te uma. (Ka whakamahia e ngā tākuta tēnei uaua mō ngā tātaitanga arai uaua coronary.) |
| Ngā uaua o te tuara o te hope | Ka haria e ia te toto ki ngā uaua o te tuara o runga e tautoko ana i ngā ringa me ngā pakihiwi. |
| Te pū o te kaki o te waha o te korokoro | Ka rere ki ngā taha o te kaki, ka tuku toto ki te kaki me ngā pakihiwi. |
| Te pūtu o te kaki o te kaki | Kei ia taha o te kaki, ka tukuna te toto ki ngā ringa, ki te kaki, me te upoko. |
He aha ngā āhuatanga hauora ka pā ki tēnei whanonga?
Pērā i ngā oko toto kē atu o tō tātou tinana, ka pāngia te uaua subclavian e ngā mate maha. Me titiro tātou ki ētahi o ēnei inaianei. He mea tino nui kia mōhio ki ēnei, nā te mea ki te kitea wawetia, ka māmā ake te rongoā.
Ko te mea nui, ki te pāngia koe e ēnei tohu, kaua e titiro noa ki te ipurangi ka whakatau he mate tōu, engari me toro atu ki te tākuta, me rapu tohutohu.
| Āhuatanga hauora | Hei whakarāpopototanga, he aha te mea ka tupu? |
|---|---|
| Te atherosclerosis | Koinei te āhua e mōhiotia ana e tātou katoa ko ngā 'putunga ngako i roto i ngā oko toto'. Ka taea e te cholesterol me te ngako (pēke) te hanga me te aukati i te roto o ngā uaua toto. Ka ārai tēnei i te rere o te toto. |
| Te mate putanga o te uma | Ka puta tēnei ina whaiti te uaua (stenosis) nā ngā uaua, ngā wheua, ngā kiko rānei e karapoti ana i te uaua. Ka whakaitihia te nui o te toto e rere ana ki te ringa. |
| Te mate pūkahukahu o Takayasu | He mate onge tēnei e kiia nei ko te vasculitis. I roto i tēnei mate, ka pupuhi, ka mumura te uaua subclavian. Ka taea e tēnei te whakaiti i te nui o te hāora e tae atu ana ki te mahunga, te kaki, me ngā ringa. |
| Te mate tahae subclavian | Ko te mea ka tupu i tēnei take, ko te whaiti o te uaua toto ka "tōia puku" ētahi o te toto e tika ana kia haere ki te roro ki te taha o te ringa i a koe e mahi ana i ngā mahi ā-ringa. Ka whakaitihia e tēnei te nui o te toto e haere ana ki te roro, ka arahi pea ki ngā āhuatanga pēnei i te whanoke. |
Ngā tohu noa o tēnei momo raruraru
Nā, me titiro tātou ki ētahi o ngā tohumate noa ka pā ki a koe mēnā kei a koe tēnei mate. Mēnā kei a koe tētahi, ētahi rānei o ēnei tohumate i ngā wā katoa, he pai ake te toro atu ki te tākuta.
- Ka rerekē te pēhanga toto i waenga i ngā ringa e rua: He iti iho te pēhanga toto i te ringa kotahi i tērā ringa.
- Te hurihanga o te tae o te ringa, o ngā maihao rānei: Tērā pea ka mā, ka kikorangi rānei.
- Te ngenge, te mamae, te ngoikore rānei o te ringa: Ka ngenge, ka ngenge, ka mamae rānei te ringa.
- Te pupuhi o te ringa.
- Te aro ki te makariri: Te ahua nei ka tere ake te makariri o ō ringaringa i ētahi atu.
- Pōuriuri: Pōuriuri, inā koa i te wā e mahi ana i ngā mahi ā-ringa.
- Te kirika.
- Te hemo.
Me pēhea te tirotiro a te tākuta i tēnei mate?
Ina haere koe ki te kite i tētahi tākuta me ēnei tohu, ka pātai tuatahi ia i ngā pātai ki a koe, ka tirotiro hoki i a koe. Kātahi, ki te tika, ka tukuna pea koe e ia mō ētahi o ēnei whakamātautau.
- Te ine i te toto toto i ngā ringa e rua.
- Matawai ultrasound toto: Ka taea te whakamahi i tēnei hei tirotiro i te rere o te toto i roto i ngā uaua toto, me te kite mēnā he aukati.
- He hihi-X o te uma.
- Whakamātautau matawai CT, whakamātautau matawai MRI rānei (whakaahua aukume - MRI).
- Angiogram: Kāore i te tino auau te mahi i tēnei. I roto i tēnei, ka werohia he tae motuhake ki roto i te tinana, ā, ka tangohia he hihi-X hei hanga i tētahi mahere o ngā uaua toto.
He aha ngā maimoatanga?
Ko te mea pai rawa atu, he maha ngā maimoatanga whai hua mō ēnei āhuatanga. Mā tō tākuta e whiriwhiri te maimoatanga tino tika mō tō āhuatanga. Ko te whāinga matua he whakatuwhera anō i te uaua kua whaiti, kua āraia rānei, me te whakahoki mai i te rere o te toto.
Mō te atherosclerosis:
- Āpirini me ngā rongoā whakaheke cholesterol.
- Angioplasty: Ka whakauruhia he taputapu rite ki te poihau ki roto i te uaua hei pēhi i te paparanga ngako ki te pakitara, ka whakatuwhera anō i te uaua. I ētahi wā ka whakanohoia he stent hei pupuri i te uaua kia tuwhera tonu.
- Pokanga taha: He pokanga e hanga ana i tētahi ara hou mō te rere o te toto huri noa i tētahi uaua kua āraia.
Mō te mate putanga thoracic:
- Te whakaora tinana.
- Ngā rongoā mamae (NSAID).
- Ngā rongoā whakarewa toto totoka (Thrombolytics).
- Ngā rongoā ārai toto.
- He pokanga hei tango i te pūtake o te aukati.
Mō te mate pūkahukahu o Takayasu:
- Ngā rongoā ārai-mumura pērā i te corticosteroids.
- Ngā rongoā ārai mate.
- Angioplasty, pokanga rānei hei whakatuwhera i te aukati.
Ngā mea ka taea e tātou te mahi hei pupuri i tēnei taurite kia ora
Ko ngā mea e mahia ana e koe hei pupuri i te hauora o tō pūnaha manawa, ko ngā mea anō hoki e tika ana kia mahia e koe hei pupuri i te hauora o tō uaua subclavian. He tino māmā ēnei mea ka taea te whakauru ki roto i tō oranga o ia rā.
- Whakahaerehia tō toto toto me te taumata cholesterol. Whāia ngā tohutohu me ngā rongoā a tō tākuta kia rite ki te mea i whakaritea.
- Kati rawa te whakamahi i ngā hua tupeka (te momi hikareti).
- Whakakorikori tinana i ia wā. Ahakoa te hikoi noa mō te 30 meneti i te rā, he mea nui tonu.
- Kia mau tonu te taumaha tinana hauora.
- Kai i te kai taurite.Kai atu i ngā hua rākau, huawhenua, me ngā witi katoa. Whakaitihia te hinu, te tote, me te huka.
Karere Tangohia ki te Kāinga
- He uaua toto tino nui te uaua subclavian e tuku toto ana ki te taha whakarunga o te tinana, inā koa ki ngā ringa, ki te kaki, me te roro.
- Kaua e warewarehia ngā tohu pēnei i te mamae o te ringa, te ngoikore, te whanoke, te panoni rānei o te toto i roto i ō ringaringa.
- He maha ngā āhuatanga hauora ka pā ki tēnei kaha, engari he maha o ēnei he maimoatanga whai hua.
- Mā te oranga hauora (te kai pai, te whakakori tinana, me te karo i te momi hikareti) ka tiakina tēnei uaua me te pūnaha manawa katoa.
- Mena he pātai, he feaa rānei āu, kaua e wehi ki te kōrero ki tō tākuta whānau mō tēnei mea.
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