A, mehemea ka āraia tētahi oko toto i roto i tō roro? Kia tūpato tātou ki te 'Thrombotic Stroke'!

Kua rongo kē koe i tētahi whiu e puta mai ana ina aukatia te rere o te toto ki te roro? I ētahi wā ka ngaro ohorere tō kaha ki te kōrero, ka rite rānei koe ki te ngaro o te mana whakahaere i tētahi taha o tō tinana. Koinei te mea e kīia nei e mātou he 'whiu toto totoka'. He āhuatanga ohorere tēnei e morearea ana ki te ora, nō reira he mea nui kia mōhio koe me ō whanaunga ki ngā mea hei tumanako atu.

He aha te 'Thrombotic Stroke'? Kia mārama tātou!

He whakarāpopototanga noa iho, ko te whiu toto toto he whiu e puta ana ina puta he toto totoka (thrombus) i roto i te oko toto i roto i tō roro, ā, ka ārai i taua toto. Whakaarohia he rite ki te para e mau ana ki roto i te paipa wai, ā, ka aukati i te rere o te wai. Ka ārai tēnei totoka i ngā wāhanga o te roro ki te whiwhi i te toto e hiahiatia ana e rātou, arā, te hāora me ngā matūkai. Kāore e taea e ngā pūtau roro te ora roa me te kore hāora, ā, ki te tupu tēnā, ka tīmata te mate o aua pūtau.

Ko te whiu i puta mai i te aukati o tētahi oko toto pēnei ka kiia he 'whiu ischemic'. Ko te 'whiu thrombotic' he momo motuhake o te 'whiu ischemic'.

He āhuatanga ohorere hauora tēnei ka mōrearea te ora. Nō reira, ki te pāngia koe, tētahi atu rānei e mōhio ana koe e ēnei tohu, waea atu ki te 911 tonu, ka waea atu ki te waka tūroro, ka haria rānei ia ki te hōhipera tata i te wā e taea ai. Kia maumahara, he mea nui ia hēkona. Ko te tere o tō maimoatanga, ko te tūponotanga ka whakaitihia e koe te kino o te roro, ka whakaora hoki i te ora.

He aha ngā tohu o te 'whiu toto totoka'?

He tino rite ngā tohu o te whiu toto toto ki ērā o ētahi atu momo whiu ischemic. Tērā pea ka puta ohorere mai tētahi, neke atu rānei o ēnei, me te kore whakatūpato :

• Ko te tirohanga takirua (diplopia) ko te wā ka pōuri whakarere te tirohanga o te kanohi kotahi.
• He ānini ohorere, kāore e taea te whakamanawanui.
• Te ngaronga o te mana whakahaere uaua i te taha kotahi o te mata, pērā i te waha e piko ana, te kore rānei e taea te kati tika i tetahi kanohi.
• Te whakapairuaki me te ruaki hou.
• Te hemonga / Te hemonga.
• Te koretake o te kōrero i te wā e kōrero ana, me te mea nei kei te koretake, me te koretake hoki o te kōrero (Dysarthria).
• He ngaromanga ohorere o tētahi, o ētahi rānei o ōu mātārae. Ko te tikanga o tēnei ka ngaro ohorere ngā mea pēnei i te tirohanga, te whakarongo, te hongi, te reka, me te pā.
• Te uaua ki te kōrero, te kore rānei e kitea ngā kupu hei kōrero, te ngaro rawa rānei o te kōrero (aphasia).
• Te uaua ki te hikoi, te āhua kua ngaro te taurite o te tinana, me te mea kāore e takahi tika ana i te whenua (te hikoi kore pumau).
• Kāore e aro atu ki tetahi mea. Kāore pea he aro atu ki te kōrero, ki te pā atu rānei.
• Te pararutiki, te ngoikore rānei o tetahi taha o te mata me te tinana (taha matau, taha maui rānei).

Nā te mea ka puta ohorere mai ēnei tohu, he mea tino nui kia aro atu ki tēnei.

Ngā tohu whakatūpato o te whiu: Kia maumahara ki te 'KIA TERE'!

Hei mōhio mēnā kei te pāngia koe, tō whanaunga rānei e te whiu, kia maumahara ki ēnei reta Pākehā ko te tikanga ko 'KIA TERE'. Kia tirohia tātou te tikanga:

• B - Taurite: Tirohia mēnā he ngaromanga ohorere o te taurite, he pōturi rānei i te wā e hikoi ana.
• E - Kanohi: Tirohia mēnā he ngaronga ohorere o te tirohanga, he pōuri te tirohanga, he tirohanga takirua rānei i roto i te kanohi kotahi, i ngā kanohi e rua rānei.
• F - Kanohi: Me tono atu ki te kaimātakitaki kia menemene. Tirohia mēnā kei te piko, kei te piko rānei tetahi taha o te kanohi.
• A - Ringaringa: Me tono atu ki a rātou kia hiki ake i ō rātou ringa e rua ki mua i a rātou. Tirohia mēnā ka hinga tetahi ringa, ka ngoikore rānei, kāore e taea te hiki kia teitei pērā i tetahi atu.
• S - Kōrero: Tirohia mēnā ka pōhēhē ō kupu, mēnā he uaua ki a koe te kōwhiri i ngā kupu tika, mēnā rānei kāore e taea e koe te kōrero. Tirohia mēnā ka taea e koe te kī tika i tētahi rerenga kōrero māmā ina tonoa.
• T - Wā: He tino taonga te wā! Ngāna kia maumahara tonu ki te wā i tīmata ai ēnei tohu. Ki te taea, tirohia he mātaaratanga, he waea rānei, ka tuhia te wā. Mā tēnei ka āwhina i ngā tākuta ki te whiriwhiri i tētahi maimoatanga. Ki te pāngia koe e tētahi o ēnei tohu, waea atu ki te 1990 tonu, kaua e whakaroa!

He aha ngā take o te 'whiu toto totoka'?

E mōhio ana tātou ināianei ko te 'whiu toto toto' ka puta mai i te aukati i roto i te oko toto i roto i tō roro. Ko 'Thrombus' te kupu hauora mō te toto totoka. Ko 'Thrombosis' te tukanga e puta ai he toto totoka. Nō reira, ko te 'whiu toto totoka' he 'thrombus', arā, he whiu i puta mai i te toto totoka.

He maha ngā āhuatanga hauora ka whai wāhi ki te hanganga o ngā toto totoka penei:

• Te Atherosclerosis (te whakapakeketanga/te aukati i ngā pakitara o te uaua): Koinei te wā e hangai ai te cholesterol me te ngako i roto i ō tātou uaua toto, ka mātotoru haere, ka whakapakeke haere ngā pakitara o ngā uaua, ka whakawhāiti i te ara mō te toto. He rite ki te waikura e hangai ana i roto i tētahi paipa wai tawhito. Ko ēnei wāhi whaiti ka nui ake te tūponotanga ka hanga he toto totoka.
• Te Whakapūngao o te Atrial: He āhuatanga tēnei e kore ai e pai te pā o te manawa. Nā te mea kāore te manawa e pā tika ana, ka puta he toto totoka i roto i te manawa, ka haere ki te roro, ka aukati i ngā uaua toto.
• Ngā mate toto totoka:Tērā pea ka ngāwari te totoka o ētahi tāngata, mai i te whānautanga mai, nā ngā mate rānei ka pā mai i muri mai.
• Covid-19: Kua kitea hoki ka piki ake te mōrearea o te toto totoka i ētahi wā nā te mate Covid-19.
• Te toto toto tiketike (hypertension): Ka pakaru ngā oko toto i te toto toto tiketike, ā, ka nui ake te tūponotanga o te toto totoka ki roto.
• Te cholesterol teitei / Te hyperlipidemia: I te pikinga ake o ngā taumata cholesterol, ka piki ake te mōrearea o te whakawhanake i te atherosclerosis.
• Ngā Mate Pukupuku: Ka puta hoki ngā toto totoka nā ētahi mate kitakita, mate harore rānei, te sepsis, me ngā mate takirere ngākau.

Me ako anō hoki tātou mō te 'Whakaekenga Ischemic Whakawhiti' (TIA).

E kiia ana hoki te 'whakaekenga ischemic poto' he 'whiu iti' e ētahi. He rite ki te whiu, engari he wā poto noa iho ngā tohu. Ka memeha haere ēnei tohu i roto i te 24 hāora, i roto i ētahi meneti. He rite ngā tohu o te TIA ki ērā o te whiu.

Ehara i te mea iti noa te TIA. He whakatūpato tino nui! Ko te tangata kua pāngia e te TIA he nui ake te tūponotanga ki te pāngia e te whiu tūturu a te wā tata nei. Nō reira, ki te puta ngā tohu o te TIA, ahakoa ka ngaro, he mea nui kia rapu tohutohu hauora tonu.

Ko wai kei te nui ake te mōrearea o te 'whiu toto totoka'?

Ahakoa ka pāngia te tangata e te whiu toto toto tiketike, he nui ake te mōrearea o ētahi tāngata:

• Ngā tāngata neke atu i te 65 tau te pakeke. Ka piki ake te mōrearea i te pakeketanga nā ngā panonitanga o ngā uaua toto.
• Kua kitea hoki ētahi iwi o te ao kei roto i te mōrearea nui ake. (E kōrero ana te tuhinga taketake mō ngā tāngata "Mangu"; he pai ake te whakawhanui i tēnei mō te hunga o Sri Lanka mēnā kāore he raraunga ā-rohe motuhake e whakahuatia ana.)
• Mō te hunga e momi hikareti ana, e whakamahi ana rānei i ētahi atu hua kei roto te tupeka/nikotinī (pērā i te vaping). He tino kino te momi hikareti ki ngā uaua toto.
• Mō te hunga e whakamahi ana i ngā raau taero turekore.

Waihoki, ko te hunga whai mate hauora ētahi atu āhuatanga he nui ake te mōrearea:

• Mō te hunga e inu nui ana (Te mate whakamahi waipiro).
• Mō te hunga he toto toto tiketike (hypertension).
• Mō te hunga mate huka. Ka taea hoki e te mate huka te kino i ngā uaua toto.

Me pēhea te tautuhi a ngā tākuta i te 'whiu toto totoka'?

Ki te whakapae koe kei te pāngia koe e te whiu, ka tirotirohia tuatahitia e ngā tākuta tō roro. Ko te tikanga ka tirohia e rātou tō mahara, tō kōrero, tō kaha, me tō taurite. Ka tirotirohia hoki e rātou tō tinana me ētahi atu whakamātautau. Ki te haria koe ki te rūma whawhati tata, ka tīmata tonu ngā tākuta i ēnei whakamātautau.

Ka taea te whakamahi i ēnei whakamātautau hei whakaū i te whiu:

• Ngā whakamātautau toto: Tirohia mēnā he raruraru toto totoka, he taumata huka, me ngā taumata cholesterol.
• Te tirotiro i te carotid ultrasound: Mā tēnei ka kitea mēnā he aukati kei roto i ngā uaua toto matua o te kaki (ngā uaua carotid).
• Matawai CT me/ranei te angiogram CT: Ka tangohia ngā whakaahua o te roro, ā, ka taea te whakatau wawe mēnā kei te toto, kei te toto totoka, kei te kino rānei te roro. Ka taea e te angiogram CT te kite mārama i te āhua o ngā uaua toto.
• Echocardiogram: Ka mahia tēnei whakamātautau hei tirotiro i te mahi a te ngākau, me te tirotiro mēnā he toto totoka kei roto i te ngākau.
• MRI me/ranei MRI angiogram: Ka taea hoki e tēnei te tango pikitia taipitopito o te roro me ngā uaua toto. Ka taea e ia te whakaatu mārama ake i te kino o te roro i te CT scan.

He aha ngā maimoatanga mō te 'whiu toto totoka'?

Ko te mea nui rawa atu i te rongoā i te whiu toto totoka ko te whakahoki wawe i te rere o te toto ki te roro. Ka ngana ngā tākuta ki te mahi i tēnei hei whakaiti i te mōrearea o te kino tuturu o te roro, ngā hauātanga hou, me te mate.

E rua ngā tikanga maimoatanga matua e whakamahia ana:

1. Te tango i te toto totoka mā te whakamahi i tētahi ngongo iti, angiangi (catheter). Ka whakaurua e te tākuta te ngongo ki roto i tētahi uaua i roto i tō ringaringa, i tō hope rānei, ka whakaurua ki roto i te toto totoka i roto i tō roro. Kātahi ka tangohia tonutia e te tākuta te toto totoka, ka wāwāhia rānei kia mongamonga, ka tangohia ngā mongamonga. Ka taea tēnei maimoatanga i roto i ngā haora 24 o te tīmatanga o ngā tohu.

2. Te rongoā thrombolytic: He rongoā ēnei hei whakarewa i ngā toto totoka. Heoi, ka taea anake te hoatu i ēnei rongoā i roto i ngā haora e whā me te hawhe (4.5) i muri i te tīmatanga o ngā tohu. Koia rātou i kī ai he mea nui te wā.

Haunga ēnei maimoatanga matua, me hiahia pea koe ki ētahi atu maimoatanga:

• Te whakahaere i te huka toto: Mā te pupuri i te taumata huka toto kia ora ai tō roro.
• Ngā rongoā whakaheke toto:I te nuinga o te wā, me tango e koe ngā rongoā antiplatelet, pērā i te aspirin. Mena he atrial fibrillation tōu, he mate toto toto rānei, ka hoatu pea ki a koe ngā rongoā anticoagulant kaha ake. Ka whakaitihia e ēnei te tūponotanga o te puta anō o ngā toto toto toto.
• Endarterectomy: He pokanga tēnei hei tango i te paraka mai i ngā oko toto kua whaiti, kua āraia rānei. Ka taea e tēnei te whakaiti i te tūponotanga o te hanga toto toto anō.
• Te whakaheke pāmahana ngawari: I ētahi wā, ka whakaitihia te pāmahana o tō tinana e ngā tākuta me te haumaru. Ka taea e tēnei te whakaiti i te kino o te roro i te wā o te whiu me muri i te whiu.
• Te rongoā hāora: Whai muri i te whiu, kāore e nui te hāora e whiwhi ana te roro. Nō reira, ka hoatu pea e ngā tākuta he hāora tāpiri mā te ngongo e whakanohoia ana ki roto i tō ihu. Mā tēnei ka māmā ake te manawa, ā, ka āwhina i tō tinana kia nui ake te hāora e tae atu ki tō roro.
• Te Tāutanga: He ngongo iti te stent, he rite ki te mata-pū e whakanohoia ana ki roto i te oko toto, ā, ka āwhina i te pupuri i te tuwhera, kia ngāwari ake ai te rere o te toto.

He aha te hiranga o te whakaora i muri i te whiu toto toto?

He mea tino nui te whakaora i muri i te whiu. Ka puta he huringa i roto i tō roro me tō tinana i te whiu. Ka taea e ngā maimoatanga whakaora te āwhina i a koe ki te urutau ki aua huringa, ki te whakahoki mai i ō pūkenga o mua, ki te ako rānei ki te noho me ngā hauātanga hou. Tērā pea ka hiahia koe ki tētahi, ki tētahi huinga rānei o ēnei maimoatanga e whai ake nei:

• Te whakaora hinengaro: Ka āwhina tēnei ki te whakapai ake i ngā pūkenga hinengaro pēnei i tō mahara, tō aro, me ngā pūkenga whakaoti rapanga.
• Whakaora mahi: Mā tēnei maimoatanga koe e āwhina ki te mahi haumaru i ō mahi o ia rā, inā koa ngā mahi e hiahia ana kia nekenekehia ngā nekehanga pai (hei tauira, te kai, te whakakakahu, te tuhituhi).
• Whakaora tinana: Ka āwhina tēnei ki te whakapakari i ngā uaua o te tinana, te whakapai ake i te taurite, me te whakahoki mai i te whakamahinga o ngā ringa me ngā waewae.
• Whakaora kōrero: Mā tēnei maimoatanga koe e āwhina ki te whakahoki mai i ō pūkenga reo me te kōrero, me te whakahaere anō hoki i ngā uaua e āwhina ana i a koe ki te kōrero, ki te manawa, ki te kai, me te horomi.

Ahakoa he uaua te tukanga whakaora, he pai te hua.

He aha ngā tūponotanga ka ora mai i te 'whiu toto totoka'?

He waimarie, i te whanaketanga o ngā maimoatanga hou, tere ake mō te whiu, kei te piki haere te tokomaha o te hunga e ora ana i te whiu. Engari he uaua ki te kī he aha te wā whakaora tika, te tirohanga rānei mō te katoa.

Ko ngā whiu toto toto (me ētahi atu momo whiu ischemic) he nui ake te tūponotanga kia ora i ngā whiu toto toto, e puta mai ana i te pakaru o te uaua toto i roto i te roro. Engari ehara i te mea he nui ake te tūponotanga kia ora koe i ētahi atu. He rerekē te urupare a te tinana o ia tangata ki te whiu, nō reira he uaua ki ngā tākuta te hoatu i tētahi matapae tika e pai ana mō te katoa.

He aha te matapae?

Ko te momo āhuatanga ka taea e koe te tumanako ka whakawhirinaki ki ētahi āhuatanga:

• Te tere o te whiwhinga o te maimoatanga.
• Ko ēhea ngā wāhanga o te roro i pakaru?
• Kei te pēhea tō hauora whānui?

He maha ngā marama ka roa hei whakaora katoa. Mō ētahi, ka roa ake pea. Mā tō tākuta koe e kī atu ki ngā mea hei tumanako atu. Kaua e manukanuka, mā rātou koe e āwhina ki te whakatakoto me te whakatutuki i ngā whāinga whakaora e tika ana māu.

Ka taea te ārai i te whiu toto totoka?

Āe, ka taea e koe! Ko te pupuri i te hauora whānui te huarahi pai rawa atu hei ārai i ngā whiu toto totoka me ngā toto totoka e puta ai ēnei. Whakamātauria ēnei mea:

• Kai i tētahi kai hauora. Kai atu i ngā hua rākau, huawhenua, witi katoa, me te muka. Whakaitihia te hinu, te tote, me te huka. Kia mau ki te taumaha hauora e tika ana māu.
• Whakakorikori tinana i ia wā, i ia rā. Me mahi i tētahi momo whakakorikori tinana e whakaputa ai i te werawera, kia 30 meneti pea ia rā, kia rima ngā rā ia wiki.
• Kia mau tonu te whakahaere i ō taumata cholesterol, te toto toto tiketike, me ētahi atu āhuatanga hauora (pērā i te mate huka). Tangohia ō rongoā kia rite ki ngā tohutohu a tō tākuta.
• Ki te mea he kaipaipa koe, kati rawa. Ki te hiahia āwhina koe ki te whakamutu, rapua he āwhina mai i te tākuta, i ngā kaupapa rānei hei āwhina i a koe ki te whakamutu.

Tirohia he tākuta i te iti rawa i te kotahi i te tau (kia rite rānei ki tā tō tākuta e tohutohu ana) mō tētahi tirotiro hauora katoa. He maha ngā raruraru hauora e puta ai ngā 'whiu toto toto' ka puta haere mārire. Tērā pea kāore koe e kite i ō rātou tohu. Nō reira, ka taea e ngā whakamātautau hauora te tautuhi wawe i aua tohu whakatūpato me te whakahaere i aua tohu.

Me pēhea taku tiaki i ahau anō i muri i te 'whiu toto totoka'?

Ehara i te mea ngāwari te whakaora me te whakaora i muri i te whiu, he mahi nui. Me whai i te mahere maimoatanga e whakawhanakehia ana e kōrua ko tō tākuta kia tata rawa atu. I te nuinga o te wā, me tiaki ēnei mea:

• Kia mahara ki te haere ki tō wāhi whakaora me ētahi atu wā maimoatanga. Mēnā he mea e whakararuraru ana i a koe, e kore rānei e haumaru, kōrero atu ki tō kaiwhakaora hinengaro. He uaua te whakaora, engari kāore koe e hiahia kia mamae tonu.
• Kaua hoki e wareware ki tō hauora hinengaro.He mea tino noa te pouri me te manukanuka i muri i te whiu. He rite tonu te hiranga o tō hauora hinengaro ki tō hauora tinana. Kaua e whakaaro ko te pouri, ko te manukanuka rānei te mea e ngoikore ai koe. Ki te mea kei te hiahia āwhina koe i roto i tō whakaoranga, kōrero ki te tākuta, ki te kaitohutohu hauora hinengaro rānei.
• Tangohia ō rongoā kia rite ki te mea i tohua, i ngā wā tika, me ngā horopeta tika. Ina koa mēnā kei te tango koe i ngā rongoā whakaiti toto, kia tika te tango. He mea nui te tango tika i ō rongoā hei whakaiti i tō tupono ki te whakawhanake i ngā toto totoka ā muri ake nei.

Āhea ahau me haere anō ki te Tari Whawhati Tata (ETU) ?

Ki te whakaaro koe kei te pāngia koe e te whiu anō (pērā i ngā tohu BE FAST i kōrerohia e tātou i mua ake nei), waea atu ki te 1990 ināianei tonu, haere rānei ki te hōhipera tonu. Ki te pāngia koe e te whiu tuarua, ka nui ake te tūponotanga o ngā raruraru nui me te mate.

Ko te tangata kua pāngia e te whiu toto totoka, kei te tūpono ia ki te whakawhanake i ētahi atu raruraru nui, pēnei i:

• Ngā toto totoka i roto i ngā uaua hohonu o ngā waewae (Deep vein thrombosis - DVT)
• Te whakaekenga o te ngakau
• Te embolism pūkahukahu
• Pūkahukahu
• Ngā mate haurangi/ ngā hopuhopu

Ki te pāngia koe e ngā tohu o tēnei momo raruraru, waea atu ki ngā ratonga ohorere, haere rānei ki te hōhipera tonu atu.

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

• He aha ngā huringa me mahi e au i roto i tōku ao o ia rā?
• He aha ahau i pāngia ai e tēnei whiu?
• I hea i roto i tōku roro i puta ai te toto totoka?
• He aha ngā momo rongoā me tango e au, ā, me pēhea te tango i aua rongoā?
• He aha te mōrearea o te whiu anō ki ahau? Me aha ahau hei whakaiti i tēnei mōrearea?

Hei whakamutunga, ngā mea hei maumahara! (Karere hei kawe ki te kāinga)

Ahakoa he ohorere ohorere te whiu toto toto, ko ngā raruraru e puta ai tēnei ka āta haere i roto i te wā. Koia te mea nui kia kite i te tākuta i te iti rawa i te kotahi i te tau hei tirotiro i tō hauora. Pērā ai, ka taea e koe te kite i ngā tohu whakatūpato me te whakahaere i aua tohu i mua i te hanganga o te toto totoka ka puta ai te whiu. Kōrero ki tō tākuta mō tō mōrearea ki te whiu. Ka taea e ia te āwhina i a koe ki te tiaki i tō hauora whānui me te whakahaere i ō āhuatanga mōrearea.

Mena kua pāngia koe e te whiu, ā, kei te ora tonu koe, kia koa koe ki ia whakapainga iti ka puta i a koe i tō haerenga whakaora.He uaua ake ētahi rā i ētahi atu, engari me whakahīhī koe ki a koe anō. He mahi nui te whakaora, ā, me whakaute koe i a koe anō mō ​​tēnā. Kaua e manukanuka, kāore koe i te mokemoke. Kei reira ngā tākuta, ngā kaiwhakaora hinengaro, te whānau, me ngā hoa hei āwhina i a koe.

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