Kua pā mai rānei ki a koe te ahua kua ngaro te mana whakahaere i tētahi taha o tō tinana, kua koretake te kōrero, kua ngaro rānei tō tirohanga mō tētahi wā poto, engari i roto i ētahi meneti torutoru ka hoki anō ki te āhua noa? Ina pā mai tēnei momo wheako ki a koe, he tokomaha e whakaaro ana, "Āe... he ngenge pea." Engari kaua tēnei e waiho hei mea ngāwari māu. He tohu whakatūpato pea tēnei, he tohu mōrearea ki te whiu nui ka pā ki tō oranga. I tēnei rā, ka kōrero tātou mō tēnei āhuatanga e kore e arohia e te tini o te tangata, engari he mea tino nui. Koia te TIA, te Transient Ischemic Attack rānei.
He aha tonu te TIA?
He whakarāpopototanga noa iho, ko te TIA (Transient Ischemic Attack) he pararutiki rangitahi. Me whai hāora me ngā matūkai ō tātou pūtau roro kia mahi ai. Ka riro mai ēnei i te toto. Mena ka āraia tētahi oko toto e kawe ana i te toto ki tētahi wāhanga o te roro mō tētahi wā poto, kāore taua wāhanga e whiwhi toto. Ka kiia tēnei ko te `(Ischemia)`. I tēnei wā, ka mutu ngā mahi a te tinana e whakahaerehia ana e taua wāhanga o te roro mō tētahi wā. Heoi, i roto i te TIA, he rangitahi te ārai o tēnei oko toto. I roto i ētahi meneti, i ētahi haora rānei, ka tangohia aunoatia te ārai, ā, ka whakahokia mai te rere o te toto ki te roro. Ka ngaro hoki ngā tohu.
Ko te mea nui, he rite tonu te TIA ki te whiu, ā, me aro tonu ki te hauora. Nā te mea ina tīmata ngā tohu, kāore e taea e tetahi te kī he TIA tēnei ka ora i roto i ētahi meneti, he whiu nui rānei ka pā ki tō oranga. Nō reira kaua e moumou i tētahi meneti.
He hē te ingoa "Mini-Stroke"?
E kiia ana ngā TIA he "mini-strokes," engari ehara tēnā i te ingoa tino tika. Mā te "Mini" ka whakaarohia he mea iti, kāore he kino. Engari ka pā te TIA ki tētahi wāhanga nui o te roro. Waihoki, ka taea e te TIA te arahi ki tētahi whiu nui i roto i ngā meneti, ngā hāora, ngā rā rānei.
E rua ngā rerekētanga matua i waenga i te TIA me te whiu nui:
1. Ka mutu te TIA i a ia anō. Engari kāore te whiu e mutu, ā, me rongoā.
2. Nā te mea ka puta te kino tuturu o te roro i roto i te whiu, ka kitea mārama i runga i te matawai MRI. Heoi, nā te mea kāore e puta te kino tuturu o te roro i roto i te TIA, kāore he rerekētanga e kitea ana i roto i te matawai MRI i muri i te memeha o ngā tohu.
He aha ngā tohu o te TIA?
He tino rite ngā tohu o te TIA ki ērā o te whiu. Ka puta ohorere mai ēnei tohu, kāore he whakatūpato . Tērā pea ka puta tētahi, neke atu rānei o ēnei tohu i te wā kotahi.
| Tohu | He whakamārama māmā |
|---|---|
| Te ngoikore/te pararutiki o tetahi taha o te tinana (Hemiplegia) | He āhua ohorere o te ngoikore, te taumaha rānei i te taha kotahi o te ringa, te waewae, te mata rānei. Me te mea nei ka hemo koe. |
| Te uaua ki te kōrero (Aphasia / Dysarthria) | Ka pōhēhē koe ki ngā kupu, kāore e mōhio he aha te mea hei kōrero, ka rite rānei koe ki te kīkī ina kōrero koe. |
| Te kukume i tetahi taha o te mata | Ina ngana ahau ki te menemene, ka tōia tetahi taha o tōku waha ki raro. Kāore e taea e au te whakahaere i ngā uaua o tōku mata. |
| Ngā raruraru tirohanga (Diplopia) | Ka ngaro whakarere tō tirohanga i tētahi o ngā kanohi, i ngā kanohi e rua rānei, ka pōuriuri tō tirohanga, ka kite rānei koe i ngā mea e rua i te wā kotahi. |
| Te uaua ki te hikoi me te ngaro o te taurite (Ataxia) | Kātahi anō ka pōuri au, kāore e taea te hikoi tika, me te mea nei kei te rūrū ahau. |
| Te ānini ohorere, te mamae nui | He mamae ānini ohorere, kino, kāore anō kia pā ki a koe i roto i tōu ao, kāore he take e kitea ana. |
| Te pōhēhē me te uaua ki te mārama | Ka uaua ki te mārama ki ngā kōrero a ētahi atu, ā, ka wareware whakarere koe i ngā mea pēnei i te wāhi kei reira koe me te wā. |
He aha i puta ai tēnei TIA?
He rite tonu ngā take o te TIA me te whiu. Ko te tino take he aukati wā poto i te uaua toto e tuku toto ana ki te roro. He maha ngā huarahi e taea ai tēnei:
- Thrombosis: Ina hanga te cholesterol me ētahi atu matū ki roto i ngā pakitara o ngā oko toto i roto i te roro (e kiia ana tēnei ko te atherosclerosis), ka taea e ngā totoka te hanga me te aukati i te oko toto.
- Ka haere te toto toto kua puta ki tētahi atu wāhi ki te roro (Thromboembolism): Whakaarohia he toto toto kua puta ki roto i tētahi oko toto nui i te ngākau, i te kaki rānei (te "carotid artery"), ka whati, ka haere tahi me te toto, ā, ka mau ki roto i tētahi oko toto iti i te roro. He nui ake tēnei mōrearea i roto i te hunga whai mate e kiia nei ko te "Atrial fibrillation", arā, he ngakau pākiki koretake.
- Te whiu lacunar: Ka puta pea tēnei āhuatanga nā te aukati o ngā oko toto iti rawa i roto i te roro.
- TIA Kāore i te Whakamāramahia (TIA Cryptogenic): I ētahi wā, ahakoa ngā whakamātautau whānui, kāore e kitea he take motuhake mō te TIA.
Ko wai kei te nui ake te mōrearea ki te whakawhanake i te TIA?
He nui ake te tūponotanga o ētahi tāngata ki te pāngia e te TIA i ētahi atu. Ka kiia ēnei he āhuatanga mōrearea. Ko ētahi o ēnei ka taea e tātou te whakahaere.
| Tauwehenga mōrearea | Te pānga ki a ia |
|---|---|
| Te toto toto tiketike (hypertension) | Koinei te take mōrearea matua, me te mea tino mōrearea. Ka pakaru ngā uaua toto i te toto toto tiketike, ā, ka nui ake te mōrearea kia aukatia. |
| Mate Huka `(Momo Mate Huka 2)` | Ina piki ake te taumata o te huka toto, ka pakaru ngā uaua toto, ka piki ake te mōrearea o te toto totoka. |
| Te momi hikareti | Ka whakamātotoru te kai hikareti i te toto, ka kino ngā pakitara o ngā uaua toto, ā, ka piki ake te toto toto. |
| Te cholesterol teitei `(Hyperlipidemia)` | Ka taea te whakatakoto i te cholesterol kino (LDL) i roto i te toto ki runga i ngā pakitara o ngā oko toto, ka āta whaiti haere, ka ārai hoki i a rātou. |
| Te mate manawa (ina koa ko te 'Atrial fibrillation') | Ka taea e ngā pāorooro o te ngakau te hanga i ngā totoka ki roto i te ngākau, ā, ka haere ki te roro. |
| Te momona nui (te taumaha tinana kua piki ake) | He hononga tika te taumaha ki te toto toto tiketike, te mate huka, me te cholesterol. |
| Te koroheketanga | Ka piki ake te mōrearea i te mea ka ngoikore haere ngā uaua toto i te kaumātuatanga. |
He pēhea te mōrearea o te TIA?
Ko te take matua he āhuatanga ohorere te TIA , nā te mea he tohu mua tēnei mō te whiu nui. Ina puta he TIA, ka tukuna atu e tō tinana he whakatūpato nui, e mea ana, "He raruraru kei te rere o te toto ki te roro, me mahi wawe i tētahi mea mō tēnei, ki te kore ka tino kino rawa atu."
Kia maumahara, tata ki te 20% o te hunga e pāngia ana e te TIA ka pāngia e te whiu nui i roto i ngā rā 90 e whai ake nei. Ko te haurua o rātou ka pāngia e te whiu nui i roto i ngā rā tuatahi e rua! Ko te tikanga he tino hira ngā hāora 48 e whai ake nei o te TIA.
Me pēhea te tautuhi a te tākuta i te TIA?
Ina haere koe ki te hōhipera me ngā tohu o te TIA, ka ngana tuatahi ngā tākuta ki te whakatau mēnā he TIA, he whiu nui rānei, he mate kē atu rānei. Ka whakamahia e rātou ēnei whakamātautau:
1. Te pātai atu ki a koe mō ētahi atu kōrero: Te pātai atu ki a koe mō ō tohumate, te roa o te wā e pāngia ana koe, me ētahi atu mate e pā ana ki a koe kia mārama ai koe ki tō āhua.
2. Whakamātautau tinana me te pūnaha io: Ka whakamātauria te kaha o tō tinana, te taurite, te kōrero, me te tirohanga hei whakatau ko tēhea wāhanga o te roro e pāngia ana.
3. Ngā Matawai:
- Matawai CT (Tomography Rorohiko):Ka taea e tēnei te tango pikitia o te roro i roto i ētahi meneti. Ko te nuinga o te mahi he tirotiro mō te toto i roto i te roro.
- Matawai MRI (Atahanga Āhua Aukume): Mā tēnei ka mārama ake te āhua o te kiko roro. He mea nui te matawai MRI hei wehewehe tika i waenga i te TIA me te whiu kua pakaru tūturu.
Hei tāpiritanga ki tēnei, ka taea hoki te whakahaere i ngā whakamātautau ngākau pēnei i te ``(ECG)``, ``(Echocardiogram)``, me ngā whakamātautau toto hei kimi i te pūtake.
Me pēhea te rongoā mō ngā TIA?
Nā te mea he rangitahi te TIA, kāore he maimoatanga motuhake mōna i taua wā. Heoi, ko te whāinga matua o te maimoatanga he ārai i te whiu nui ā muri ake nei. Ko te tikanga o tēnā ko te rongoā i te raruraru matua i puta ai te TIA.
Ngā rongoā
- Ngā rongoā ārai toto: Ka hoatu ngā rongoā pēnei i te aspirin hei whakaiti i te mōrearea o te toto totoka. Tērā pea ka hoatu hoki ētahi atu rongoā pēnei i te clopidogrel.
- Ngā rongoā mō te toto toto tiketike: Mena he tiketike tō toto toto tiketike, ka tohua he rongoā hei whakahaere i tōna toto.
- Ngā rongoā whakaheke cholesterol (Statins): Ka whakaitihia e ngā rongoā pēnei i a Atorvastatin, Rosuvastatin rānei te taumata o te cholesterol kino i roto i te toto.
- Ngā rongoā ārai toto: Mena he mate tōu pēnei i te atrial fibrillation, ka hoatu pea he rongoā kaha ki a koe pēnei i te Warfarin me te Apixaban hei ārai i te toto e pupuhi ana.
Ētahi atu maimoatanga
I ētahi wā, mēnā kua tino whaiti te uaua toto matua o te kaki (te 'carotid artery'), ka whakamahia ngā tikanga maha hei whakahoki i tōna āhua ki te āhua noa.
- Ngā tikanga endovascular: Ka tukuna he catheter iti mā roto i te oko toto, ā, ka whakawhanuitia te aukati mā te whakamahi i tētahi taputapu rite ki te poihau (angioplasty) ka whakauruhia rānei he taputapu rite ki te stent hei pupuri i te oko toto kia tuwhera tonu.
- Pokanga: I ētahi wā ka mahia he pokanga e kiia nei ko te carotid endarterectomy hei tango i ngā putunga cholesterol i roto i te uaua toto, hei horoi hoki i te uaua toto.
Me aha koe mēnā he TIA tōu?
Ko te mea tino nui hei maumahara māu i tēnei tuhinga ko tēnei: Ki te pāngia koe, tētahi atu rānei e mōhiotia ana e koe tētahi o ngā tohu o te pararutiki i runga ake nei, kaua e whakaroa.
Kaua e tatari kia puta te whakaaro, "Āe... ka pai ake tēnei i roto i tētahi wā poto." Ahakoa ka memeha haere ngā tohu i roto i ētahi meneti, kaua e warewarehia. Waea atu ki te waka tūroro tonu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
Kia maumahara, ko te wā he pūtau roro. Ka taea e ia meneti e pahemo ana te whakaputa kino.
Karere Tangohia ki te Kāinga
- He pararutiki rangitahi te TIA, engari he tino morearea te tīmatanga o te whiu kino.
- He rite tonu ngā tohu o te TIA (te ngenge o te taha kotahi o te tinana, te uaua ki te kōrero, te piko o te mata) ki ērā o te whiu. Ko te rerekētanga anake ko te memeha haere i roto i ētahi meneti, i ētahi haora rānei.
- Kaua rawa e warewarehia ngā tohu kua ngaro. Haere tonu ki te Tari Urupare (ETU) o te hōhipera.
- Ko te whāinga matua o te rongoā i te TIA he ārai i te whiu nui ā muri ake nei. Hei mahi i tēnei, me whai i ngā tohutohu me ngā rongoā a tō tākuta.
- Mā te whakahaere i te toto toto tiketike, te mate huka, me te cholesterol, te karo i te momi hikareti, me te whai i tētahi momo noho hauora ka taea te whakaiti i te mōrearea o te TIA me te whiu.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero