Ka mamae, ka pōrearea rānei ō waewae i ētahi wā ina hikoi koe? He kikorangi, he pona rānei ō waewae? He tohu pea ēnei kei te raru te pūnaha tohanga toto, arā, ngā uaua toto o roto i tō tātou tinana. Nō reira, i tēnei rā, me kōrero tātou mō ēnei mate e pā ana ki ngā uaua toto, e kiia nei e tātou i roto i te rongoā, ko te 'mate toto'.
Hei whakarāpopototanga, he aha ēnei mate toto?
Ko te mate toto e pā ana ki tētahi āhuatanga e pā ana ki tō tātou pūnaha tohanga toto. Whakaarohia he rite ō tātou tinana ki tētahi whatunga paipa. Ko tēnei whatunga paipa ko ō tātou uaua toto. Mā roto i ēnei ka rere te toto puta noa i ō tātou tinana. E toru ngā wāhanga matua o tēnei pūnaha.
- Ngā uaua toto: Koinei ngā uaua toto nui e kawe ana i te toto ma (toto whai hāora) mai i te ngākau ki ngā wāhanga katoa o te tinana.
- Ngā uaua: Koinei ngā uaua e kawe ana i te toto poke (toto kore-hāora) ki te ngākau mai i ngā wāhanga rerekē o te tinana.
- Ngā uaua toto: Koinei ngā uaua toto iti rawa, tino ngāwari. Ka hono i ngā uaua toto me ngā uaua toto, ka tukuna hoki te hāora me ngā matūkai ki ō tātou kiko, ka kohi hoki i ngā para.
Nō reira, ko ngā raruraru katoa e pā ana ki ēnei uaua toto, uaua toto, kapia toto, oko lymph rānei, tetahi atu āhuatanga rānei e whakararuraru ana i te rere o te toto nā ngā raruraru e pā ana ki te toto pēnei i te toto totoka, ka kiia tēnei e tātou he mate toto.
He aha ngā momo matua o ngā mate toto?
Ka taea te wehewehe i ēnei mate ki ētahi momo. Ko ētahi ka pā ki ngā uaua anake, ko ētahi ka pā ki ngā uaua anake. Tērā anō hoki ētahi mate ka pā ki ngā wāhanga motuhake o te tinana. Me titiro tātou ki ngā momo matua.
1. Te mate o te uaua taha
Pērā i ngā uaua o te ngākau, ka āraia hoki ngā uaua o waho o te ngākau e ngā mea pēnei i te ngako me te cholesterol, e kiia nei e tātou ko te 'plaque' , ā, ka tīmata te ārai i ngā uaua mai i roto. Ka kiia tēnei mate ko te 'atherosclerosis' . I roto i te wā, ina āraia ngā uaua pēnei, ka heke te rere o te toto. Nō reira, kāore pea ngā kiko o te tinana e whiwhi i te nui o te toto e hiahiatia ana. Ka kiia tēnei e tātou ko te 'ischemia' .
Ko ētahi o ngā mate kei raro i tēnei kāwai kua whakarārangihia i raro nei.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Te Mate o te Uaua o te Takiwā (PAD) | He maha ngā wā ka aukatia ngā uaua o ngā waewae. Mēnā ka motu katoa te rere o te toto, ka mate te kiko, ka puta te gangrene , ā, me tapahi pea te waewae. |
| Te Mate Pukupuku Ischemic | Te aukati i ngā oko toto e tuku toto ana ki te pūnaha nakunaku. |
| Te mate o te uaua whatukuhu | Te aukati i ngā uaua toto e tuku toto ana ki ngā whatukuhu. Ka arahi pea tēnei ki te ngoikore o te whatukuhu. |
| Te Āhuatanga o Raynaud | Ina pāngia e te makariri nui, e te ahotea rānei, ka whakawhāiti ngā uaua iti o ngā maihao me ngā matimati, ka huri te tae mā, te kikorangi rānei o ngā maihao. |
| Te mate a Buerger | He mate e hono pūmau ana ki te kai tupeka. Ko te aukati i ngā uaua me ngā uaua iti me te rahi waenga i roto i ngā ringaringa me ngā waewae ka arahi pea ki te ngaronga o te rere o te toto ki ngā maihao, te mate o ngā kiko (gangrene) me te tapahi i ngā maihao. |
2. Ngā Take o te Arteri Carotid
Koinei ngā raruraru o ngā uaua carotid matua, kei ia taha o te kaki, e tuku toto ana ki te roro.
- Mate o te uaua Carotid: Mā te whaiti, te aukati rānei o tēnei uaua e tuku toto ana ki te roro ka puta he whakaekenga ischemic poto (TIA) te whiu rānei.
- Te Tātahitanga o te Arorangi Carotid: He haehae i te pakitara o te arorangi, ka turuturu te toto.
- Te Aneurysm o te Carotid Artery: He ngoikore o te pakitara o te uaua ka pupuhi pērā i te poihau. Tērā pea ka pakū.
3. Mate Uaua
Ngā takirere i roto i ō tātou uauaTērā tetahi mea e kiia nei he takirere. He rite ki te paipa e tuku ana i te wai kia rere ki te taha kotahi anake. Ina whakawhāitihia ō tātou uaua, ka tuwhera ēnei takirere, ā, ka neke te toto ki runga (ki te ngākau). Ina wātea ngā uaua, ka kati ngā takirere, ā, ka mutu te rere o te toto ki raro.
Engari ki te pakaru ēnei takirere, kāore e kati tika. Kātahi ka tīmata te rere o te toto i ngā taha e rua. Ka puta te toto i roto i ngā pito o raro, inā koa i ngā waewae, ā, ka tīmata te ahua pupuhi me te piri o ngā uaua. Ko ēnei āhuatanga:
- Ngā uaua varicose: He uaua pupuhi, papura, piko e puta ana i raro i te kiri.
- Ngā Uaua Pūngāwerewere: He whero, he papura rānei, he rite ki te pūngāwerewere, he uaua angiangi e puta ana i ngā turi me ngā pona waewae.
- Te toto totoka e puta mai ana i roto i te uaua hohonu o roto i te tinana (DVT) .
- Te ngoikore o te uaua mau tonu (CVI): He uaua ki te whakahoki i te toto ki te ngākau nā te mea kāore ngā pakitara, ngā takirere rānei o ngā uaua i ngā waewae e mahi tika ana.
4. Ngā Puku Toto
He rite te toto totoka (thrombus) ki te tiēre i roto i te oko toto. Ka pakaru pea tēnei totoka ka haere tahi me te toto, ka aukati i te oko toto i roto i ngā pukahukahu ( Pulmonary Embolism ), te ngākau ( Heart Attack ), te roro rānei ( Stroke ). He tino morearea ēnei āhuatanga.
Mena he DVT (he toto totoka i roto i te uaua hohonu o te waewae) te tangata, ka pakaru te toto totoka ka haere ki ngā pukahukahu, ka puta he embolism pūkahukahu. Ka taea e tēnei te whakararu i te ora.
5. Te Aneurysm Aorta
Ko te aneurysm he ngoikore o te pakitara o te oko toto, ka pupuhi ai pērā i te poihau. Ahakoa ka taea te puta i roto i tētahi oko toto, ka kitea nuitia i roto i te aorta, te uaua matua e ahu mai ana i te ngākau.
- Te Aneurysm Aorta o te Uma: He pupuhi i roto i te aorta i te rohe o te uma.
- Te Aneurysm Aorta Puku: He pupuhi i roto i te aorta i roto i te puku.
6. Te mate pūkahukahu
He whatunga o ngā oko toto ngāwari tō tātou pūnaha lymphatic e āwhina ana i tō tātou pūnaha ārai mate. Mēnā ka pakaru, ka āraia rānei ēnei oko toto, ka nui haere te wai lymph, ā, ka pupuhi ō tātou waewae. Ka kiia tēnei ko te Lymphedema .
He aha ngā take me ngā āhuatanga mōrearea mō ēnei mate?
Ka taea te tuku iho i ētahi mate toto (mā te ira), engari i te nuinga o te wā, ka puta ēnei mate i ngā whanonga noho kino me ētahi atu āhuatanga hauora.
- Teitei o te Cholesterol
- Te toto toto tiketike
- Te momi hikareti me te whakamahi tupeka
- Mate huka
- Te momona me te pikinga o te taumaha
- Kāore i te whakakori tinana
- Hītori whānau o ēnei mate
- Te koroheketanga
Kei a koe anō ēnei tohu?
He rerekē ngā tohu i runga i te āhua o te mate. Me titiro tātou ki ngā tohu o ētahi mate nui.
| Kāwai mate | Ngā tohu noa |
|---|---|
| Te mate uaua o te taha (PAD) | Te mamae, te kōpiri rānei o ngā waewae, inā koa ngā kuao kau, i te wā e hikoi ana, kātahi ka ngaro atu i muri i tētahi wā, te hurihanga o te tae o te kiri o ngā waewae, ngā patunga kāore e ora, me te ngenge o ngā waewae. |
| Te mate o te uaua carotid | He maha ngā wā kāore he tohu i ngā wāhanga tōmua. Kāore e kitea kia puta rā anō he whiu, he TIA rānei, ka pā mai ai ngā raruraru tirohanga, kōrero rānei, te pōhēhē, me ngā raruraru mahara. |
| Ngā uaua varicose (CVI) | Pupuhi te waewae, mamae, taumaha ngā waewae, kitea ngā uaua kikorangi/papura, mākūkū te kiri. |
| Ngā toto totoka (DVT, PE) | DVT: Pupuhi, mamae, whero, me te mahana i te waewae kotahi. Te Pukupuku Pūkahukahu: Te mamae ohorere o te uma, te uaua ki te manawa, te maremare toto. (He āhuatanga ohorere tēnei!) |
| Aneurysm o te uaua nui | He maha ngā wā kāore he tohu. Mēnā ka pakaru te aneurysm, ka pāngia pea koe e te mamae ohorere, kino o te uma, o te puku rānei, te whanoke, me te tere o te manawa. (He āhuatanga ohorere anō hoki tēnei!) |
Me pēhea te tautuhi a te tākuta i ēnei mate?
Ina toro atu koe ki tō tākuta, ka tirotirohia koe e ia, ka pātai atu mō ō tohumate, mō tō hītori hauora whānau, ā, ka tonoa pea e ia ētahi whakamātautau hei whakaū i te mate.
- Te Whakamātautau Ira-ā-Toi: He matawai tēnei e whakamahi ana i ngā ngaru oro hei tirotiro i te rere o te toto i roto i ngā uaua toto, me te kite mēnā he ārai kei roto.
- CT Angiography: Ka mahia he matawai CT hei tiki i ngā whakaahua taipitopito e toru-ahu o ngā oko toto mā te werohanga i tētahi matū motuhake ki roto i te tinana.
- MR Angiography: Te tango whakaahua o ngā uaua toto ki te mīhini MRI ma te whakamahi i te papa aukume.
- Angiography Catheter: Ka tukuna he ngongo angiangi (catheter) mā roto i tētahi oko toto, ā, ka werohia he wai motuhake ki roto hei kite i ngā aukati i roto i ngā uaua mā te hihi-X.
He aha ngā maimoatanga?
He rerekē ngā tikanga maimoatanga i runga i te āhua me tōna kaha. Ko te tohutohu whānui ki ngā tūroro katoa ko te huri i te momo noho . Arā, ko te kai i tētahi kai hauora, te whakakori tinana, me te karo i te momi hikareti. Hei tāpiri, kei reira ngā maimoatanga pēnei i:
- Ngā Rongoā: Ka tohua pea e tō tākuta ngā rongoā pēnei i ngā rongoā whakaiti toto, ngā rongoā whakaheke cholesterol (statins), ngā rongoā toto toto tiketike, me ngā rongoā vasodilator.
- Angioplasty me te Stenting: He tikanga e whakaurua ai he taputapu rite ki te poihau ki roto i tētahi oko toto kua āraia, ka pupuhihia hei whakawhanui i te oko toto (angioplasty), ā, ka whakaurua he taputapu rite ki te mata (stent) hei ārai i te katinga anō.
- Pokanga: I ētahi wā, me tango te uaua kua purua, ka whakakapia ki tētahi atu uaua (pokanga taha), me tango rānei te toto totoka mā te pokanga (thrombectomy). I roto i ngā āhuatanga pēnei i ngā uaua varicose, ka whakamahia hoki te maimoatanga laser, te pokanga rānei hei tango i te uaua.
Ko te mea nui ko te whakatau a tō tākuta i te maimoatanga pai mōu. Nō reira kaua e haere ki te tiki rongoā nā te mea i kite noa koe i te ipurangi, i rongo rānei i tētahi atu.
He aha ngā wā ka hiahia ohorere koe ki te haere ki te ETU?
Ki te pāngia koe, tētahi atu rānei e mōhio ana koe e tetahi o ēnei tohu, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera. Tērā pea he tohu ēnei mō tētahi mate e morearea ana ki te ora pērā i te whiu, te mate manawa, te pakaru rānei o te aneurysm aorta.
- Te mamae ohorere, te mamae nui o te uma
- Te mamae puku kino ohorere
- Te uaua ki te kōrero, te koretake o te kupu
- Te piko o tetahi taha o te mata
- Te ngoikore, te ngoikore rānei o te ringa, o te waewae rānei
- Te pōuri nui ohorere, te whanoke rānei
- Te ngaronga, te pōuri rānei o te tirohanga
Karere Tangohia ki te Kāinga
- He mate noa te mate toto e pā ana ki te pūnaha tohanga toto o tō tātou tinana.
- Ko te toto toto tiketike, te mate huka, te cholesterol tiketike, me te kai paipa ngā tino take mōrearea.
- Kaua e warewarehia ngā tohu pēnei i te mamae o te waewae, te māuiui o te waewae, te uaua rānei o te manawa. Tirohia tō tākuta tonu.
- Ka taea te ārai me te whakahaere i te nuinga o ēnei mate mā te noho hauora (kai pai, whakakori tinana, me te karo i te momi hikareti).
- He mea tino nui kia whakamahia tika te rongoā i tohua e te tākuta, ā, mō te wā kua tohua.
- Ki te pāngia koe e ngā tohu ohorere (mamae nui o te uma, whero te mata, uaua ki te kōrero), haere tonu ki te hōhipera.
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