Kua rongo koe mō te oko toto nui rawa atu, tino hira hoki o roto i tō tātou tinana? Ka karangatia e mātou ko te aorta. Pērā i te paipa wai matua e kawe mai ana i te wai ki tō tātou whare, ka haria e tēnei aorta te toto ma mai i te ngākau ki te tinana katoa. Engari i ētahi wā, ka puta he wāhi ngoikore i roto i te pakitara o tēnei aorta, ā, ka tīmata taua wāhi ki te pupuhi pērā i te poihau. Koinei te mea e karangatia ana e mātou he 'aneurysm'. Mena ka puta tēnei pupuhi i roto i te aorta i roto i te uma, ka karangatia ko te 'Thoracic Aortic Aneurysm'. Tērā pea he ahua whakamataku tēnei, engari kaua e manukanuka. Me kōrero mārama, me te ngāwari hoki mō ngā mea katoa.
He aha te Aneurysm Aorta o te Uma?
He kupu ngāwari noa iho, he pupuhi tēnei e puta ana i tētahi wāhanga o te aorta thoracic i roto i tō tātou uma. Whakaarohia he paipa wai tawhito, he ngoikore tētahi wāhanga, ā, he paku pupuhi ki waho. Koinā anō te mea e tupu ana i konei. He mate tino onge tēnei, kotahi noa iho i roto i te tekau mano tāngata e pāngia ana e tēnei mate.
I te nuinga o te wā, kāore tetahi e mōhio kei a rātou tēnei pupuhi. Ka kitea noa iho i roto i tētahi whakamātautau, pērā i te matawai CT, i mahia mō tētahi atu take.
Me mahi tēnei pokanga ki te katoa?
Kāo. Ehara i te mea ko te hunga katoa e pāngia ana e tēnei momo pupuhi e hiahia ana ki te pokanga. He maha ngā āhuatanga hei whakatau mēnā me pokanga koe, kāore rānei.
- Te rahi o te pupuhi: He mea tino nui te rahi o tēnei. I te nuinga o te wā, ki te nui ake i te 5.5 henimita, me whakaaro ki te pokanga.
- Te tere tipu: Mena ka tere ake te tipu o tēnei pupuhi i te 0.5 henimita i roto i ngā marama e ono, he take anō hoki tēnā hei rapu pokanga.
- Ō tohumate: Ka pāngia pea ētahi tāngata e ngā tohumate pēnei i te mamae o te uma me te uaua ki te manawa.
- Tō hauora whānui: Ka pāngia hoki te whakatau mō te pokanga e tō tau me te mea he mate hauora anō ōu.
I muri i te whakaaroaro i ēnei mea katoa, ka whakatau tō tākuta ko tēhea te mea pai mōu.
E rua ngā momo pokanga: kia kite tātou he aha ēnei
E rua ngā tikanga pokanga matua hei rongoā i tēnei mate. Tirohia te ripanga i raro nei kia mārama ai koe ki te rerekētanga i waenganui i ngā mea e rua.
| Āhuatanga | 1. Te Whakatikatika i te Aneurysm Tuwhera o te Uma | 2. Tikanga TEVAR (Whakatikatika Aorta Endovascular Thoracic) |
|---|---|---|
| Me pēhea te mahi | Ka tapahia he tapa roa ki te taha o te uma, ka tangohia te wāhanga kua pakaru o te uaua, ā, ka whakatōkia he ngongo horihori (tāpiri) ki tōna wāhi. | Ka tapahia he kōhao iti ki te hope, ka tukuna he ngongo angiangi (catheter) mā roto i te uaua toto, ā, ka whakaurua he taputapu rite ki te mata (stent) ki te wāhi pupuhi hei whakapakari ake mai i roto. |
| Tapahia | Me tapahi nui, roa hoki. | He tapahi iti noa iho te mea e hiahiatia ana. |
| Te wā i te hōhipera | Tērā pea ka roa ki te 10 ngā rā. | E toru ngā rā pea te roa. |
| Te wā hei whakaora | E rua, e toru rānei ngā marama e toe ana ki te hoki ki te oranga noa. | Ka taea e koe te mahi i ngā mahi noa i roto i ētahi wiki. Me tatari koe mō te marama mō ngā mahi taumaha. |
He aha te hiranga o tēnei pokanga?
Ko te take matua mō tēnei pokanga he whakaiti i te tūponotanga o te pakaru o te aneurysm . Ehara i te mea ka pakaru katoa ngā aneurysm. Heoi, ki te pakaru, he āhuatanga ohorere e morearea ana ki te ora.
Ahakoa he tūponotanga kei roto i te pokanga, he nui ake te tūponotanga o te pahūtanga o te uaua. Koia te take e taunaki ana ngā tākuta kia pokanga i te wā tika.
He aha ngā mea ka tupu i mua i te pokanga?
Mā tō tākuta koe e hoatu ngā tohutohu e tika ana i mua i te pokanga.
- Ngā whakamātautau: Ka aro turukihia tonutia te rahi me te āhua o te pupuhi mā te mahi i ngā mahi pēnei i te 'karapa CT'.
- Rongoā:Tērā pea ka hoatu he rongoā ki a koe hei whakahaere i tō toto toto me te whakangāwari i ō uaua toto i ētahi rā i mua i te pokanga.
- Ngā rongoā ārai toto: Mena kei te tango koe i ngā rongoā ārai toto, ka tohutohu tō tākuta kia mutu te tango i ēnei i mua tata tonu o te pokanga. Kaua rawa e mutu te tango i ēnei me te kore he tohutohu hauora.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga tuwhera, ka tirotirohia koe i roto i te wāhanga tiaki nui (ICU) mō te rā kotahi, e rua rānei. Kātahi ka whakawhitia koe ki te wāhanga noa, ā, me noho koe ki te hōhipera mō te 10 rā pea.
I muri i te pokanga TEVAR, me noho koe ki te hōhipera mō te toru rā pea. Ka hoatu e ngā tākuta he rongoā hei āwhina i te mamae i muri i te pokanga.
He aha ngā mōrearea ka pā mai i tēnei pokanga?
Ahakoa he pokanga whakaora ora tēnei, pērā i ngā pokanga nui katoa, he tūponotanga kei roto. Heoi anō, kei te whakapau kaha te tīma hauora ki te whakaiti i ēnei tūponotanga.
- Te toto
- Ngā mate pūkahukahu (pneumonia) me ētahi atu raruraru manawa
- Te whakaekenga o te ngakau
- Whiu
- Te ngoikore o te mahi whatukuhu
- Te mate i te wāhi i pokangahia
- Te ngoikore o ngā waewae nā te ngoikore o te rere o te toto ki te tuaiwi
Kaua e mataku ina rongo koe i ēnei mea. He mea pea ēnei ka tupu . Kōrerohia mā te mahorahora ki tō tākuta mō tēnei mea, ā, pātai atu i ō pātai.
Āhea te wā e kite ai i te tākuta i muri i te pokanga
Ina hoki koe ki te kāinga i muri i te pokanga, he mea nui kia mōhio wawe koe ki ngā tohu o ngā raruraru. Mena kei a koe ētahi o ngā tohu i raro nei, waea atu ki tō tākuta tonu.
| Tohu | He aha ngā mea hei aro atu |
|---|---|
| Kirika | Mena he teitei ake te pāmahana o te tinana i te 100.4 F (38 C). |
| Ngā huringa huri noa i te huarahi tapahi | Te whero nui, te pupuhi, te puta rānei o tētahi puku huri noa i te wāhi i tapahia. |
| Mamae | Te mamae nui e mau tonu ana ahakoa te tango rongoā. |
| Pupuhi | He pupuhi rerekē i te wāhi pokanga, i ngā waewae rānei. |
He tino angitu ngā maimoatanga e rua nei. I roto i te tikanga TEVAR, ka taea te whakatakoto i te stent kia 99% te angitu. He tino angitu hoki te pokanga tuwhera. Ko te mea nui ko te mārama he mea tēnei e mahia ana hei whakaora i te ora.
Karere Tangohia ki te Kāinga
- Ko te aneurysm aorta o te uma he ngoikore me te pupuhi o te wāhanga uma o te uaua toto matua e ahu mai ana i te ngākau.
- Ko te take matua o tēnei āhuatanga ko te ngoikore o te pakitara o ngā uaua toto.
- Ko te hiahia rānei ki te pokanga, ka whakawhirinaki ki te rahi o te pupuhi, te tere o tōna tipu, me tō āhua hauora.
- E rua ngā tikanga maimoatanga: ko te pokanga tuwhera me te TEVAR, arā, ko te whakauru i tētahi ngongo angiangi mā roto i te hope.
- Ko te take matua mō te mahi i tēnei pokanga he ārai i te pahūtanga o te uaua kua whānui, ā, kei puta he kino mōrearea ki te ora.
- He mea tino nui kia whai i ngā tohutohu a te tākuta i muri tonu i te pokanga, ā, me whakamōhio tonu atu ki te tākuta mēnā ka kite koe i tētahi tohu rerekē.
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