Kia ako tātou mō te Subclavian Steal Syndrome - he mate e "tahae" ana i te toto mai i te roro!

Kei te pōuri koe i ētahi wā, kei te pōuri rānei tō tirohanga? Kei te ahua ngoikore, kei te ngenge rānei tō ringa, ina koa ka mahi koe i tētahi mea me ō ringaringa, ka hiki i tētahi mea taumaha, ka huri rānei tō mahunga ki tētahi taha? Ki te puta tēnei, tera pea he āhuatanga e kōrerohia ana e tātou i tēnei rā ko te "Subclavian Steal Syndrome." Tērā pea he ahua rerekē te ingoa, pērā i te, "He mate tahae tēnei?" Kaua e manukanuka, me kōrero noa, me mārama hoki.

He aha rawa te Subclavian Steal Syndrome?

Ki te whakarapopoto, ko te subclavian steal syndrome ko te wā e "tahae" ana ētahi o te toto e tika ana kia haere ki tō roro ki roto i tō ringa. Ka puta tēnei nā te mea kua āraia, kua whakawhāitihia rānei te uaua subclavian, he oko toto nui e tuku toto ana ki tō ringa (ko te mea kei te taha maui te nuinga o te wā).

Whakaarohia pēnei. Kei te ngana koe ki te kai i tētahi pereti kai. He rite ki tētahi e "ngāwari" ana i tētahi, i ētahi rānei o ngā kai e ngana ana koe ki te kai. Ko ētahi o ngā toto whai kiko e tika ana kia haere ki tō roro ka "ngāwari" ki roto i tō ringaringa. Nō reira, ka heke te nui o te toto e tika ana kia haere ki tō roro, pērā i te hekenga o te nui o te kai e taea ana e koe te kai.

I te mea ka piki haere te aukati o tēnei uaua toto, ka rere te toto mā roto i te uaua subclavian i te pēhanga iti iho. Heoi, ka teitei ake te pēhanga toto i roto i ētahi atu uaua toto e tata ana. Nō reira, ka huri te rere o te toto i roto i te uaua vertebral, e peka atu ana i te uaua subclavian ka kawe toto ki te roro. Kātahi ka uru ētahi o taua toto ki roto i te uaua subclavian ka haere ki te ringa. Koinei te mea e kiia nei he "tahae".

Tērā tētahi atu āhuatanga e kiia nei ko te "coronary steal syndrome". Koinei te wā e aukatia ai te toto e tika ana kia haere ki te uaua o te ngākau. Kāore tēnei e pā ki te katoa, engari ki ētahi tāngata anake kua whai pokanga ngākau (coronary artery bypass surgery). Ko te tino take o ēnei āhuatanga e rua ko te kohikohinga ngako i roto i ngā pakitara o te uaua, te "plaque" rānei, he āhuatanga e kiia nei ko te "atherosclerosis" i roto i ngā kupu hauora. Tērā pea he take kē atu e whaiti ai te uaua subclavian.

He pēhea te noa o tēnei āhuatanga?

Kāore e taea e ngā kairangahau te kī tika i te tokomaha o ngā tāngata he mate tahae subclavian, engari e whakatau ana rātou kei waenganui i te 0.6% me te 6.4% o te taupori ka pāngia e tēnei mate. Hei tāpiri, tata ki te 18% o te hunga he mate uaua ā-roto kei te pāngia hoki e tēnei mate.

Ko tēnei mate te mea tino noa i roto i ngā tāne me te hunga neke atu i te 55 tau te pakeke .

Heoi, nā ngā tikanga whakaahua matatau e wātea ana i ēnei rā, kua māmā ake te kitea o tēnei mate ahakoa i roto i te hunga kāore he tohu.

He aha ngā tohu o te mate rino subclavian?

Ka puta pinepine ngā tohu o te subclavian steel syndrome ina mahi uaua koe i ngā mahi ā-ringa, ina tahuri whakarere rānei tō mahunga ki tetahi taha.Tirohia mēnā kei a koe ētahi o ēnei āhuatanga:

• Te tirohanga pōuri
• Pōuriuri
• Te mamae, te ngoikore, te ngau kino, te taumaha rānei o te ringa
• Te hemo
• Te ngaronga o te rongo (onge)
• Te āhua e hurihuri ana koe (Vertigo)
• Ko te Ataxia he āhuatanga e ngaro ai te taurite o te tinana, ā, e kore e taea te hikoi tika.

Engari ko te nuinga o te iwi kāore e pāngia e tetahi tohu. Nā te mea e whiwhi ana ō rātou roro i te toto e nui ana mai i ētahi atu uaua hauora. Kāore e hiahiatia he maimoatanga.

He aha te take o te mate rino subclavian?

Anei ētahi take matua mō tēnei:

• Atherosclerosis - Koinei te tino take o te mate.
• Ngā ngoikoretanga o te Arteriovenous (ngā hononga rerekē i waenga i ngā uaua me ngā uaua)
• Te wehenga o te aorta
• Te mate pūkahukahu o Takayasu, he mate mumura o ngā uaua
• Ko te fibromuscular dysplasia he tipu rerekē o ngā pakitara o te uaua.

He rite ēnei take ki ērā e hua ai te stenosis o te uaua subclavian.

Ko wai te mea tino mōrearea mō tēnei?

Anei ētahi āhuatanga e whakanui ake ai i te mōrearea o te whakawhanake i te mate rino subclavian:

• Mena kua pokangahia koe hei whakatika i te whaiti o te aorta (coarctation o te aorta).
• Mena he raruraru kei te āwhata aorta, kei ētahi rānei o ngā oko toto mai i te whānautanga.
• Te pēhanga o te uaua subclavian (he mea noa tēnei i roto i ētahi kaitākaro).
• Mena he rara tāpiri (rara kaki) kei te kaki.

He aha ngā raruraru ka puta mai i tēnei āhuatanga?

Mena ka pāngia koe e te hemonga o te ngākau nā te mate tahae subclavian, ka hinga pea koe, ka whara hoki. Ka uaua hoki te mahi i tētahi mahi me te ringa e pāngia ana.

Me pēhea te tātaritanga o te mate rino subclavian?

Ko te mahi tuatahi a te tākuta hei tātaritanga i tēnei ko te tirotiro tinana. Ka aro nui te tākuta ki te pā o te manawa i roto i ō ringaringa me ō ringaringa. Ka tirohia hoki e ia ngā uaua carotid i ngā taha e rua o tō kaki me te uaua subclavian, me te rapu i ngā oro "swoosh..." rerekē (bruit). Ki te rongo koe i tētahi oro pēnei me te stethoscope, tera pea he aukati kei roto i taua uaua.

He aha ngā tohu o te "Steele Syndrome" ka kitea i te wā o te whakamātautau hauora?

Mena kei a koe te mate pūkahukahu subclavian, ka ine tō tākuta i tō toto toto i ngā ringa e rua, ā, ka kite i te rerekētanga o ngā pānui. Tērā pea ka eke te toto toto i te kotahi ringa ki te 15 mirimita o te mercury (mmHg) teitei ake i tērā atu.

Waihoki, ki te tirohia ngā pātaki radial i te wā kotahi, ka āhua ngoikore pea te pātaki i te taha me te subclavian steel syndrome, ā, ka rite ki te haruru.

He aha ngā whakamātautau e mahia ana hei whakaū i tēnei?

Ka whakahaerehia e te tākuta he tirotiro oro o tō uaua subclavian i te tuatahi. Whai muri i tēnā, ka taea hoki te whakahaere i ēnei whakamātautau, mēnā e tika ana:

• Whakamātautau MRA (angiogram aukume).
• Whakamātautau CT Angiogram (CT - angiogram tomography rorohiko).
• Angiogram tango matihiko - He tikanga motuhake tēnei e tango ana i ētahi atu wāhanga o te tinana mai i te whakaahua, ā, ko ngā uaua toto anake ka kitea mārama.

Mā ēnei whakamātautau ka taea e ngā tākuta te whakarōpū i te kaha o te mate subclavian steel (ngāwari, ngā kino rānei). Ka whakamahia e rātou ngā taumata I, II, me te III, ko te taumata III te mea tino kino. Ka āwhina hoki rātou ki te whakatau i te momo maimoatanga e hiahiatia ana.

He aha ngā maimoatanga mō te mate rino subclavian?

Mena kei a koe ngā tohu, me mahi pea koe i tētahi pokanga hei whakapai ake i te rere o te toto i roto i te uaua subclavian hei rongoā mō te stenosis o te uaua subclavian. I runga i tō āhua, he pokanga tuwhera pea tēnei, he pokanga endovascular rānei (he tikanga e whakauru ana i ngā taputapu iti mā roto i tētahi uaua toto). Me karo koe i te whakamahi nui rawa o te ringa e pāngia ana kia oti rā anō te pokanga.

Mena kāore koe e pai mō te pokanga, ka tohua pea e tō tākuta ngā rongoā anticoagulants me ngā antiplatelets.

Mena he ngawari ngā tohu, ka pai ake pea i roto i te wā. I roto i ēnei āhuatanga, ka tohua pea e tō tākuta he rongoā hei whakaheke i tō toto toto me ō taumata cholesterol.

Ko te mea nui , ko te hunga kāore e kitea he tohu, kāore e hiahiatia he maimoatanga. Heoi, ki te whaiti tō uaua subclavian, he nui te tūponotanga ka rite anō ki ētahi atu uaua. Nā te mea ko tēnei momo hanganga paraka (atherosclerosis) ka pā ki ngā uaua puta noa i te tinana.

Nō reira, me whiwhi koe i te rongoā mō ēnei papa. Mena he kaipaipa koe, me mutu te kaipaipa, me te whakahaere i tō toto toto tiketike me te cholesterol tiketike . Ka taea e ēnei mea te āwhina i te ārai i te mate ngakau, i te whiu rānei a muri ake nei.

He aha ngā maimoatanga/pokanga motuhake e whakamahia ana mō tēnei?

Tērā pea ka hiahiatia tētahi, ētahi rānei o ēnei tikanga:

• He pokanga hei waihanga i tētahi ara karo mā te hono i te uaua subclavian ki tētahi atu uaua (hei tauira, te uaua carotid).
• Te angioplasty me te stenting - Ko te mahi tēnei ko te whakawhānui i te wāhi kua āraia ki tētahi mea pērā i te poihau, kātahi ka whakauru i tētahi stent rite ki te mata hei ārai i te aukati anō.
• Atherectomy - Ko te tikanga tēnei ko te tango i te paraka i roto i te uaua.
• Endarterectomy - te tango i tetahi wāhanga o te arai o roto o te uaua toto.

Ka puta pea ngā raruraru mai i te maimoatanga?

Āe, he rerekē ngā mōrearea i runga i te maimoatanga. Kei roto pea i ēnei:

• Kei te whaiti anō tō uaua subclavian.
• Ka taea te hanga i ngā toto totoka, ka arahi pea tēnei ki te whiu.
• Te kino ki te io, ki te oko toto rānei.
• He raruraru kei te pā mai i te wā e ora ana.

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

Ka roa pea te whakaoranga mai i te maimoatanga mō te subclavian steel syndrome i ētahi rā, i tētahi wiki, i tētahi wā roa atu rānei. Ko te whakaoranga mai i te pokanga te mea roa rawa atu.

He aha ngā mea ka taea e au te tumanako mēnā kei a au te mate rino subclavian?

Neke atu i te 95% o te hunga e pokangahia ana mō te subclavian steel syndrome, kāore e hiahiatia he pokanga anō. He pai te āhua o te oranga mō rātou.

He mea mōrearea te mate i te subclavian steal syndrome?

Kāo, ehara tēnei i te mate e morearea ana ki te ora. Heoi, he tohu whakatūpato nui tēnei! Ko tōna tikanga he atherosclerosis tōu, he mate o ngā uaua toto. Ina hanga te paraka i roto i ō uaua toto, tērā pea kāore e nui te hāora e whiwhihia ana e tō ngākau, e tō roro rānei ā muri ake nei. Ka piki ake te mōrearea o te mate manawa, te whiu rānei.

Ka taea te ārai i te mate rino subclavian?

Kāore e taea e tātou te whakahaere i ētahi o ngā take o te mate subclavian steel (pērā i ngā āhuatanga ira). Heoi, ka taea te ārai i te whanaketanga o tēnei mate mā te aukati i te hanga o te papa (atherosclerosis), koinei te take i te nuinga o te wā .

Me pēhea taku whakaiti i taku mōrearea?

Ka taea e koe te whakaiti i tō tupono ki te whakawhanake i tēnei mate – ā, nō reira, ko tō tupono ki te mate rino subclavian – mā te hanga i ēnei huringa ki tō oranga o ia rā:

• Kia mau ki te taumaha hauora e tika ana mōu.
• Whakakorikori tinana mō te 30 meneti pea ia rā i te nuinga o ngā rā.
• Āta karohia te whakamahi i ngā hua tupeka (pērā i ngā hikareti me ngā pī).
• Kai i ngā kai hauora mō te ngākau (he iti te ngako kukū me te ngako whakawhiti).
• Mena kei a koe ngā mate pēnei i te cholesterol tiketike, te toto toto tiketike, me te mate huka, me whakahaere pai aua mate.

Me pēhea taku tiaki i ahau anō?

Mena kei a koe te subclavian steel syndrome, he mea nui kia tangohia ō rongoā e ai ki ngā tohutohu a tō tākuta, kia mahia he pokanga e tika ana, kia whakahaere i te toto toto tiketike, te cholesterol tiketike, me te mate huka (mēnā kei a koe) me te karo i ngā hua tupeka.

Āhea ahau me toro atu ki taku tākuta?

I muri i te maimoatanga, me tirotiro tonu koe, inā koa mēnā ka hoki mai ō tohu. Mēnā ka whakaaro tō tākuta kua whaiti anō tō uaua subclavian, ka tono pea ia i ētahi atu whakamātautau whakaahua. Me tirotiro koe i te marama kotahi, i te ono marama, i te tau rānei i muri i te maimoatanga. Whai muri i tēnā, ka taea e koe te toro atu ki tō tākuta i te kotahi wā i te tau.

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

He mea pai kia pātai atu koe ki tō tākuta i ēnei pātai:

• Kia pēhea te roa e hiahiatia ai he maimoatanga?
• Ko tēhea tikanga maimoatanga te mea pai mōku?
• He aha te ōrau angitu e pā ana ki a koe ki te rongoā i te hunga whai mate pēnei?

Nā, he aha te mea tino nui hei maumahara mā tātou i roto i ēnei mea katoa?

Ahakoa te kupu "Steal" i roto i tōna ingoa, he mate ka taea te rongoā i te subclavian steal syndrome. Kāore te nuinga o te tangata e hiahia ki te rongoā. Engari ko te karere nui rawa atu ka puta mai i tēnei ko te hanga paraka (atherosclerosis) kei roto i ō uaua. Kei te kī atu tō tinana ki a koe, "Tīmatahia ngā tikanga hauora mō te ngākau ināianei, whakapai ake rānei i ngā mea kua mau kē i a koe." Pātai atu ki tō tākuta mō ngā huringa ka taea e koe te mahi hei whakapai ake i tō hauora. Ahakoa ngā huringa iti ka taea e koe te mahi i tēnei rā ka puta he hua nui. Nō reira, kaua e mataku, kia mōhio, ā, kia whakatakoto i te turanga mō te oranga hauora, me pēhea?

te mate tahae subclavian, te mate tahae subclavian, te heke o te rere o te toto ki te roro, te ngoikore o te ringa, te whanoke, te atherosclerosis