Kua rongo koe mō te oko toto nui rawa atu, tino nui hoki o tō tinana, te aorta? Whakaarohia he rite ki te paipa wai matua e kawe mai ana i te wai ki tō tātou whare. Ina pupuhi te ngākau i te toto ma, ka tohatohahia taua toto puta noa i te tinana mā tēnei aorta. Nō reira, ina ngoikore tetahi wāhi i roto i te pakitara o tēnei oko toto tino nui, ā, ka pupuhi atu pērā i te mirumiru i roto i te potae tawhito, ka kiia e mātou he 'aneurysm' i roto i te rongoā. Mena ka puta tēnei pupuhi i te wāhanga o te aorta e rere ana i roto i te uma, ka kiia e mātou he 'Thoracic Aortic Aneurysm'. Ahakoa he ahua whakamataku tēnei ingoa, me kōrero mārama, me te ngāwari hoki.
He aha te aneurysm aorta thoracic?
Ki te kī māmā noa, ko te aorta te uaua toto matua o roto i tō tātou tinana e tīmata ana i tō ngākau, ka haere mā roto i tō uma me tō puku, ā, ka mutu ki te taha o tō hope. Mēnā he ngoikore kei roto i tētahi o ōna pakitara, ko te pēhanga mai i te toto e rere ana i roto ka meinga taua wāhi ngoikore kia pupuhi pērā i te poihau. Koinei te mea e kīia nei e tātou he aneurysm.
Ehara tēnei mate i te mea noa. E ai ki ngā tatauranga, tata ki te kotahi i roto i te tekau mano tāngata ka pāngia. Nō reira kaua e mataku ina rongo koe i tēnei ingoa.
Ko wai e hiahia ana ki te pokanga mō tēnei mate?
Ehara i te mea ko te katoa e pāngia ana e tēnei momo pupuhi e hiahia ana ki te pokanga. Ka whakaarohia e tō tākuta ētahi āhuatanga hei whakatau mēnā me pokanga koe, kāore rānei.
- Rahi o te aneurysm: Koinei te mea tino nui. I te nuinga o te wā, ki te nui ake te aneurysm i te 5.5 henimita , ki te tere ake rānei te tipu i te 0.5 henimita i roto i ngā marama e ono , ka whakaarohia pea e tō tākuta te pokanga.
- Ō tohumate: I ētahi wā ka puta mai i tēnei pupuhi ngā tohumate pēnei i te mamae o te uma me te uaua ki te manawa. Mēnā ka puta tēnei, ka tūtohutia pea kia pokanga, ahakoa he iti te rahi.
- Tō hauora whānui: Ka pāngia hoki tēnei whakatau e tō tau me te mea kei a koe ētahi atu mate hauora (hei tauira, te mate huka, te mate ngakau).
Ko te mea nui ko tāu tākuta tēnei whakatau. Nō reira, kaua e mangere ki te kōrero ki tō tākuta mō ō pātai, ō āwangawanga rānei.
He aha ngā momo pokanga e wātea ana mō tēnei?
E rua ngā momo pokanga matua hei rongoā i tēnei mate. Kia mārama tātou ki te rerekētanga i waenganui i ngā momo e rua.
| Momo pokanga | He māmā noa te huarahi ki te mahi. |
|---|---|
| Te Whakatikatika i te Aneurysm Tuwhera o te Uma | He tikanga pokanga tuku iho tēnei. Ka tapahia e te taote pokanga he taha roa ki te taha o tō uma, ka tae atu ki te wāhanga pakaru o tō aorta. Kātahi ka tangohia te wāhanga pupuhi, ngoikore, ka whakakapia ki tētahi tākai hangai. He mahi pokanga nui tēnei. |
| Pokanga Endovascular (TEVAR) | He tikanga hou tēnei, he iti noa te whakaekenga. Kāore tō uma e werohia. Engari, ka whakaurua e tō tākuta he ngongo angiangi rawa (catheter) mā roto i te uaua toto i roto i tō hope. Mā roto i tēnei ngongo, ka tukuna he taputapu motuhake rite ki te mata (stent graft) ki roto i te wāhi pupuhi, ka totoro mai i roto. Kātahi ka rere te toto mā roto i te ngongo hou. Kāore he pēhanga i runga i te pakitara pupuhi. |
Mā te tīma hauora e whakatau ko tēhea pokanga te mea pai mōu, i runga i te wāhi me te rahi o tō pupuhi, me tō āhua hauora anō hoki.
He aha te hiranga o tēnei pokanga?
Ko te take matua mō tēnei pokanga he ārai i te pakaru o te aneurysm kua hangaia i roto i te aorta.
Whakaarohia, tera pea ka pakaru tēnei pupuhi rite ki te poihau i tētahi rā nā te toto toto tiketike i roto. Mēnā ka tupu tēnā, ka puta he toto nui ki roto i te tinana, he tino mōrearea kino, he mōrearea tonu ki te ora. Nō reira, ki te whakaaro ngā tākuta he nui ake te mōrearea o tēnei pupuhi i te mōrearea o te pokanga, ka tūtohu rātou kia pokangahia tēnei. Arā, he mahi ārai tēnei hei ārai i mua i te noho hei aituā nui.
He aha ngā mea ka tupu i mua i te pokanga?
Kia whakatau koe ki te pokanga, he maha ngā mahi ka taea e koe te mahi hei whakarite mōna.
- Ngā Matawai: Ka whakamahia e te tākuta ngā matawai motuhake, pērā i te matawai CT, hei tirotiro anō i te whānuitanga me te āhua o tō pupuhi.
- Ngā Rongoā: Tērā pea ka hoatu he rongoā ki a koe i ētahi rā i mua i te pokanga hei whakahaere i tō toto toto me te whakangāwari i ō uaua toto.
- Ngā rongoā hei aukati i te toto totoka:Mena kei te tango koe i ngā rongoā whakaiti toto (anticoagulants), ka tohutohu tō tākuta kia mutu te tango i aua rongoā i ētahi rā i mua i te pokanga.
Mā tō tīma hauora koe e hoatu ngā tohutohu mārama mō ēnei mea katoa.
He aha ngā mea ka tupu i te wā o te pokanga?
He rerekē paku te āhua o ngā mahi e pā ana ki ngā momo pokanga e rua.
Me pēhea te mahi pokanga tuwhera
- Ka tapahia e te taote pokanga he tapa roa ki te taha o te uma.
- Mā te whakamahi i ngā taputapu motuhake, ka mutu te rere o te toto ki te wāhanga o te uaua e pokaina ana mō tētahi wā.
- Kātahi ka tapahia te wāhanga kua pakaru, kua pupuhi, ka tangohia, ā, ka whakatōkia he pokanga ki tōna wāhi hei whakaora i te rere o te toto.
- Hei whakamutunga, ka katihia te tapahi ki ngā tuitui.
Te āhua o te mahi pokanga TEVAR
- Ka whakaurua e te tākuta he ngongo angiangi (he catheter) ka whakauruhia he waea mā roto i tētahi uaua toto i roto i tō hope.
- Ka arahina tēnei ngongo ki te wāhi o te aneurysm i roto i te uma mā te whakamahi i te hangarau rite ki te hihi-X.
- Hei kite mārama i ngā oko toto, ka werohia he wai motuhake (he tae rerekē).
- Kātahi, ka tirohia te wāhi tika, ka whakatōtōhia te stent.
- Kia oti te mahi, ka tangohia te ngongo me te waea, kātahi ka whakatakotoria he takai iti ki runga i te wāhi i werohia ai i roto i te hope.
He aha ngā mea ka tupu i muri i te pokanga?
Ka rerekē te roa o te wā whakaora i muri i te pokanga i runga i te momo pokanga.
- I muri i te pokanga tuwhera: Ka whakaurua tika koe ki te wāhanga tiaki nui (ICU) . Ka noho koe ki reira mō te rā kotahi, e rua rānei. Kātahi ka whakawhitia koe ki te wāhanga whānui, ā, me noho pea koe ki te hōhipera mō te 10 rā pea.
- I muri i te pokanga TEVAR: He poto noa te noho hōhipera, tata ki te toru rā. Tērā pea ka puta he marō me te mamae i te hope. Ma te tākuta koe e hoatu ki te rongoā whakamamae e tika ana.
He rerekē te roa o te wā e hoki ai koe ki te oranga noa. E rua ki te toru marama pea te roa hei whakaora katoa i te pokanga tuwhera. He pai ake te karo i te hiki taumaha mō ngā wiki tuatahi e 4-6. Ahakoa ka taea e koe te hoki ki ngā mahi noa i te rua wiki i muri i te pokanga TEVAR, he pai ake te karo i ngā mahi taumaha mō te whā wiki pea.
He aha ngā mōrearea o tēnei pokanga?
Ahakoa he pokanga whakaora ora tēnei, pērā i ngā pokanga nui katoa, kei reira tonu ētahi mōrearea.
Engari kia maumahara ki tētahi mea: Ka tūtohu noa ngā tākuta i tēnei pokanga ina nui ake te mōrearea o te mate i te korenga o te pokanga i te mōrearea o te pokanga.
Ko ētahi o ngā raruraru pea ko:
- Te toto nui
- Te ngoikore o te rere o te toto ki te tuaiwi
- Te whakaekenga o te ngakau
- Ngā āhuatanga pangia
- Te ngoikore o te mahi whatukuhu
- Ngā raruraru manawa pērā i te niumōnia
- He āhua rite ki te whiu
- Te ngoikore o ngā waewae
He tino angitu ngā maimoatanga e rua nei. Ina koa i roto i te pokanga TEVAR, ko te ōrau angitu o te whakaurunga stent e eke ana ki te 99%.
Āhea ahau me haere ki te tākuta i muri i te pokanga?
Kia hoki koe ki te kāinga, me whakamōhio tonu koe ki tō tākuta mēnā ka puta he tohu o te mate urutā, ngā raruraru rānei. Kia tūpato ki ngā tohu e whai ake nei.
| Āhuatanga hei aro atu | Whakaahuatanga |
|---|---|
| Kirika | Mena he 100.4 Fahrenheit (100.4°F) te pāmahana o te tinana, neke atu rānei. |
| Ngā huringa o te wāhi i tapahia | Te whero nui rawa, te pupuhi, te pupuhi rānei huri noa i te wāhi i tapahia. |
| Mamae tonu | Mamae nui e kore e memeha ahakoa te tango i ngā rongoā whakamamae. |
| Pupuhi | He pupuhi rerekē i te wāhi pokanga, i ngā waewae rānei. |
Mena ka kitea e koe tētahi o ēnei tohu, kaua e warewarehia, me rapu tohutohu hauora tonu.
Karere Tangohia ki te Kāinga
- He pupuhi te aneurysm aorta thoracic, he rite ki te poihau, nā te ngoikore o te uaua toto matua o te tinana.
- Ko te whāinga matua o tēnei pokanga he ārai i ngā hua morearea o te pakaru.
- E rua ngā tikanga maimoatanga matua: te pokanga tuwhera me te pokanga TEVAR iti rawa te whakaekenga.
- Mā te tīma hauora e whakatau ko tēhea pokanga te mea pai mōu.
- Ka rerekē te roa o te whakaoranga i muri i te pokanga i runga i te momo pokanga, ā, he mea tino nui kia ata whai i ngā tohutohu hauora.
- Ki te pā mai ētahi tohu rerekē i muri i te pokanga, me whakamōhio tonu atu ki tō tākuta.
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