Whakaarohia te whatunga o ngā uaua toto puta noa i ō tātou tinana he rite ki ngā rori puta noa i te tāone. Mā ēnei rori ka rere te toto mai i tō tātou ngākau ki ngā kokonga katoa o tō tātou tinana. Nā, he aha te mea ka tupu mēnā he aukati, he pakaru, he whati, he raruraru rānei i roto i ēnei rori? Ka whakararuraruhia te katoa o ngā waka, tika? Waihoki, mēnā he raruraru ki ō tātou uaua toto, ka karanga noa tātou i ngā pokanga motuhake e mahia ana hei rongoā i a ia ko '(Pokanga Toto)'.
He aha te 'Pokanga Toto'?
Ko te Pokanga Toto he kupu whānui mō ngā pokanga me ngā maimoatanga e pā ana ki ngā oko toto (ngā uaua toto, ngā uaua toto, me ngā kapia toto) o roto i tō tātou tinana. Koinei te whatunga o ngā oko toto e kawe ana i te toto mai i tō tātou ngākau ki ngā okana me ngā kiko katoa o te tinana, ā, e whakahoki ana i te toto ki te ngākau.
Ka taea te pakaru o ēnei uaua toto e ngā momo mate hauora. I ētahi wā ka taea te whakahaere i ēnei mate mā te whakarerekē i te momo noho me te rongoā. Heoi, i ētahi wā, me pokanga pea koe kia kore ai e kino haere te raruraru.
Ko te nuinga o ēnei pokanga ko:
- Te whakatika i ngā pakaru o ngā oko toto.
- Te whakaiti i te mōrearea o ngā raruraru nui ka puta mai i ēnei āhuatanga.
- Te waihanga huarahi ki ngā uaua toto hei whakahaere i ngā maimoatanga hauora pēnei i te dialysis mō ngā tūroro whatukuhu.
I roto i ēhea āhuatanga e hiahiatia ai te 'Pokanga Toto'?
Mena kei a koe tētahi, ētahi rānei o ngā āhuatanga e whai ake nei, me mahi pea koe i tētahi pokanga toto. Ko te whakatau pai rawa atu mō tēnei mea mā tō tākuta.
| Āhua | He whakamārama māmā |
|---|---|
| Te Aneurysm Aorta | Ka ngoikore te aorta, ka pupuhi hoki, pērā i te poihau. |
| Ngā Putunga Toto | Ngā toto totoka i roto i ngā uaua toto. |
| Te mate o te uaua carotid | Te aukati i te uaua matua (te uaua carotid) i te kaki e tuku toto ana ki te roro. |
| Te Thrombosis o te Uaua Hōhonu (DVT) | He toto totoka i roto i te uaua hohonu o te tinana. |
| Te Mate o te Uaua o te Takiwā (PAD) | Ka āraia e ngā putunga ngako ngā uaua e kawe ana i te toto ki ngā wāhanga o te tinana, pērā i ngā waewae me ngā ringa. |
| Ngā uaua varicose | Ka pupuhi ngā uaua o ngā waewae, ka kikorangi, ka kitea i te mata. |
| Te Whakaroa o te Arorangi Tākihi | Te whaiti o ngā uaua toto e tuku toto ana ki ngā whatukuhu. |
Tērā pea e hiahiatia ana ēnei pokanga mō ētahi atu mate pēnei. Ka tirotirohia tō āhua e tō tākuta, ā, ka whakatau mēnā he mea tika te pokanga me te rongoā.
He aha ngā momo pokanga matua?
He maha ngā momo pokanga me ngā tikanga hei rongoā i ngā raruraru o ngā oko toto. Ko te momo pokanga e hiahiatia ana e koe ka whakawhirinaki ki tō āhua. Me kōrero tātou mō ētahi o ngā momo matua.
1. Te Whakatikatika i te Aneurysm Aorta
Ki te ngoikore te uaua toto nui rawa atu o te tinana (aorta) ka pupuhi pērā i te poihau, me whakatika i mua i te pahūtanga. Koinei te pokanga e mahia ana mō tēnā.
- Pokanga Aneurysm Tuwhera: Ko tēnei ko te tapahi i te uma, i te puku rānei, te tango i te uaua toto kua pakaru, kātahi ka whakakapia ki tētahi ngongo horihori (tārua).
- Te Whakatikatika i te Aneurysm Endovascular (EVAR): He iti ake te pokanga. Ka hangaia he kōhao iti ki te kiri, ka whakauruhia he ngongo waea e kiia nei ko te stent graft mā roto i te kōhao, ā, ka rere te toto mā roto i te ngongo hou.
- Te Whakatikatika i ngā Aneurysm Endovascular o te Uma (TEVAR): He rite tēnei ki te `(EVAR)`, engari ka mahia mō ngā aneurysm i roto i te aorta i te rohe o te uma.
2. Te Maimoatanga mō te Mate Arorangi Peripheral (PAD)
Ko te PAD he āhuatanga e hangai ai ngā paraka i roto i ngā uaua e kawe ana i te toto ki ngā waewae me ngā ringa. Ka puta pea ngā tohu pēnei i te mamae o ngā waewae i te wā e hikoi ana.
- Te Angioplasty me te Stenting:I roto i tēnei, ka whakauruhia he poihau iti ki roto i te oko toto kua āraihia, ka pupuhihia hei whakawhānui i te oko toto. Kātahi ka whakanohoia he mata waea iti "stent" ki roto hei ārai i te aukati anō. He rite ki te horoi i tētahi paipa wai kua āraihia, ā, ka whakatakotoria he ngongo iti ki roto hei ārai i te aukati anō.
- Atherectomy: Ko te whakamahi i tētahi mata iti kei te pito o tētahi catheter (he ngongo angiangi) hei waru i ngā putunga ngako kua hangai ki ngā pakitara o ngā uaua toto.
- Pokanga Ārai i te Arorangi o te Mata: Ko te whakatuwheratanga o tētahi oko toto kua āraia, me te waihanga i tētahi ara hou mō te rere o te toto. Ko te whakamahi i tētahi atu oko toto hauora mai i roto i te tinana, i tētahi ngongo horihori rānei. He rite ki te hanga i tētahi ara ārai hei ārai i ngā waka i runga i te rori.
3. Te rongoā mō ngā raruraru o te Carotid Artery (uaua kaki)
Ko te mate pūkahukahu carotid he mate e pupū ake ai ngā putunga ngako i roto i ngā pūkahukahu matua o te kaki e tuku toto ana ki te roro. Ka taea e tēnei te arahi ki ngā mate kino pēnei i te whiu.
- Te Angioplasty Carotid me te Stenting: E ai ki te kōrero i mua ake nei, ko te whakawhānui i tēnei uaua mā te whakamahi i tētahi poihau me tētahi stent.
- Endarterectomy Carotid: I tēnei mahi, ka tapahia he iti ki te kaki, ka whakatuwheratia te uaua, ka tangohia te paparanga ngako i roto, ā, ka tuia anō te uaua.
4. Te Maimoatanga mō ngā Mate Uaua
Ka whakahokia te toto paru o roto i tō tātou tinana ki te ngākau mā roto i ngā uaua. He takirere kei ngā uaua, inā koa i ngā waewae, hei āwhina i te pupuhi toto ki runga. Ina ngoikore ēnei takirere, ka kohia te toto ki ngā waewae, ka puta ai ngā āhuatanga pēnei i te "Varicose veins".
- Te Whakatakotoranga Tātari Vena Cava: Mō te hunga whai mate pēnei i te toto toto hohonu (DVT), ka whakanohoia he tātari iti ki roto i te uaua nui hei aukati i te rere o ngā toto toto ki te ngākau, ki ngā pukahukahu rānei.
- Te Herea me te Tango i ngā Uaua: I roto i tēnei mahi, ka tapahia ngā uaua mate (ngā uaua varicose) mā te pokanga ka tangohia.
- Te Whakawete Wera o te uaua Endovascular: Mā te whakamahi i ngā hihi laser, i ngā ngaru reo irirangi auau teitei rānei, ka whakakorehia te uaua mate mai i roto, ā, ka katihia, me te kore e tapahia he wahi nui.
- Te Whakaora Hiko: Ko te werohanga i tētahi otinga matū hei kati i ngā uaua varicose iti me ngā uaua pungawerewere.
He aha ngā mea ka tupu i mua i te pokanga?
He mea noa te māharahara me te manukanuka i mua i tētahi pokanga pēnei. Engari kia maumahara, mā tō tākuta me tō rōpū hauora koe e whakamārama.
Ka tirotirohia koe e tō tākuta i mua i te pokanga.
- Hītori hauora: Kōrerohia ō tohumate, ō mate o mua, ō rongoā e tangohia ana e koe, me ō mate pāwera.
- Ngā Whakamātautau:Ka tonoa ngā whakamātautau maha e hiahiatia ana mō te pokanga. Hei tauira, ko ngā whakamātautau pēnei i te `(Angiogram)`, `(Doppler ultrasound)`, `(Echocardiogram - echo)`, `(Electrocardiogram - EKG)`.
- Tō whakarite: He iti noa ngā mea ka taea e koe te mahi i mua i te pokanga.
- Ka pātai te tākuta mēnā me mutu te tango i tētahi o ngā rongoā e tangohia ana e koe i ia wā.
- Ka tonoa koe kia mutu te kai me te inu i te pō i mua i te pokanga.
- Ki te mea he kaipaipa koe, me mutu te kai. He mea nui kia tino whai i ēnei tohutohu.
E rua ngā tikanga pokanga: Tuwhera me te Endovascular
E rua ngā huarahi matua e whakahaerehia ai te nuinga o ngā pokanga toto. Mā tō tākuta koe e whakamārama ko tēhea tikanga e mahia ana ki a koe.
| Tikanga pokanga | Whakaahuatanga |
|---|---|
| Pokanga Tuwhera | I tēnei wā, ka tapahia te kiri kia roa ki te wāhi kei reira te uaua toto e rongoatia ana, ā, ka mahia te pokanga mā te uru tika atu ki taua uaua toto. |
| Pokanga Endovascular (Pokanga Whakaiti i te Whakaurunga) | He tikanga iti rawa te whakaekenga o tēnei. Ka hangaia he kōhao iti ki te kiri, ka whakaurua he catheter (ngongo angiangi) mā roto, ā, ka arahina i te taha o te uaua toto ki te wāhi e rongoatia ana. He poto ake te wā whakaora mā tēnei tikanga. |
He aha ngā mea ka tupu i muri i te pokanga? Ā, he aha ngā mōrearea?
He rerekē ngā mea ka puta i muri i te pokanga i runga i te momo pokanga i mahia ki a koe. Tērā pea ka roa te wā e noho ana koe i roto i te wāhanga tiaki nui (ICU) mō ētahi pokanga nui. Heoi, i muri i tētahi tikanga iti pēnei i te sclerotherapy, ka taea pea e koe te hoki ki te kāinga i taua rā anō.
Pērā i ngā pokanga katoa, he mōrearea anō hoki kei ēnei pokanga.
- He mate pāwera ki te rongoā whakamoe, ki ngā rauemi rānei i whakamahia.
- Te toto.
- Ngā toto totoka.
- Te mate urutā.
- Te pakaru o te io.
- Te whakaeke ngakau, te whiu rānei.
Tērā pea ka piki ake tēnei mōrearea i runga i te kaha o tō mate, tō tau, me ētahi atu āhuatanga hauora kei a koe, pērā i te mate huka. Kōrerohia tēnei ki tō tākuta.
Me tere taku haere ki te tākuta!
Ki te puta he tohu o tētahi raruraru i a koe e ora ana i te pokanga, me whakapā atu koe ki tō tākuta tonu. Kia tūpato ki ngā tohu e whai ake nei.
| Tohu | He aha ngā mea hei tūpato |
|---|---|
| Te kirika, te putanga mai o te hū mai i te patunga, te whero, te pupuhi | He tohu pea ēnei o te mate urutā. |
| Te mamae ohorere, te pupuhi, te ngoikore o te ringa, o te waewae rānei | He tohu pea te toto totoka o te whiu. |
| Te mamae nui i roto i te uma, te puku, te tuara, te puku rānei | He tohu pea tēnei mō tētahi raruraru nui o roto. |
| Te maremare toto, te hūpē kōwhai/kakariki rānei | He tohu pea tēnei nō te mate pūkahukahu. |
| Te tirohanga pōuri, te uaua ki te horomi | He tohu pea tēnei kua pāngia te pūnaha io. |
He tikanga hauora tino nui te Pokanga Toto, ka taea te whakaora i ō tātou oranga, me te whakapai ake i te kounga o te oranga. Kaua e wehi ki te pātai ki tō tākuta mō ō pātai katoa, ahakoa te iti.
Karere Tangohia ki te Kāinga
- Ko te Pokanga Toto e pā ana ki ngā pokanga me ngā maimoatanga e mahia ana ki ngā uaua toto (ngā uaua me ngā uaua) o te tinana.
- E rua ngā huarahi matua e whakahaerehia ai ēnei pokanga: ko te 'pokanga tuwhera', arā, ko ngā tapahi nunui, me te pokanga 'endovascular', arā, ko ngā tapahi iti.
- He mea tino nui kia ata whai i ngā tohutohu a tō tākuta i mua atu, ā, i muri mai hoki i te pokanga, kia tere ai te ora.
- Ki te pāngia koe e ētahi tohu rerekē i muri i te pokanga, pērā i te kirika, te mamae nui, te pupuhi rānei, me whakamōhio tonu atu ki tō tākuta.
- Kōrero mārire ki tō tākuta mō ō pātai, ō āwangawanga rānei mō tō pokanga.











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