Kia ako tātou mō te pokanga toto i tētahi ara māmā.

He rite tō tātou tinana ki tētahi tāone pukumahi. He pūnaha rori tō tēnei tāone e kawe ana i ngā mea nui, pērā i te hāora me ngā matūkai, ki ia wāhanga o te tāone. Ko ēnei rori te mea e kiia nei e tātou ko ngā "uaua toto" me ngā "uaua toto" rānei. I ētahi wā ka pakaru ēnei rori, ka āraia, ka ngoikore rānei, ā, tata ki te pakaru. Koinā te wā e hiahiatia ana he āwhina tohunga hei whakatika i ēnei rori. I roto i te rongoā, ko te mara e mahi ana i tēnei mahi e kiia ana ko te Pokanga Vascular.

He aha te mahi pokanga toto?

Ehara te Pokanga Toto i te pokanga kotahi. He kupu whānui tēnei mō ngā momo pokanga me ngā maimoatanga e pā ana ki ngā uaua toto o te tinana, arā , ngā uaua toto (ngā uaua toto e kawe ana i te toto mai i te ngākau), ngā uaua toto (ngā uaua toto e whakahoki ana i te toto mai i te tinana ki te ngākau), me ngā uaua toto iti (ngā uaua toto tino angiangi) .

I ētahi wā ka taea te whakahaere i ēnei āhuatanga mā te whakarerekē i te momo noho me te rongoā, engari i ētahi wā, me pokanga hei ārai i te kino haere o te āhuatanga.

E toru ngā whāinga matua o te pokanga toto:

• Te whakatika i ngā pakaru o ngā oko toto.
• Te whakaiti i te mōrearea o ngā raruraru kino e puta mai ana i ēnei mate.
• Te whakarite i ngā ara urunga toto mō ngā maimoatanga pēnei i te dialysis mō ngā tūroro whatukuhu.

He aha ngā āhuatanga e hiahia ana ki te pokanga toto?

Mena kei a koe tētahi, ētahi rānei o ngā āhuatanga e whai ake nei, me mahi pea koe i te pokanga toto. Kua rongo pea koe i ētahi o ēnei.

• Te aneurysm o te aorta: Ka ngoikore te uaua nui rawa atu o te tinana (aorta) ka pupuhi pērā i te poihau.
• Ngā toto totoka: Ngā toto totoka, inā koa i roto i ngā uaua hohonu o ngā waewae (Deep Vein Thrombosis - DVT).
• Mate pūkahukahu carotid: Ka ārai ngā putunga ngako i ngā pūkahukahu i te kaki e tuku toto ana ki te roro.
• Ngā uaua varicose: He uaua pupuhi, kikorangi i roto i ngā waewae e puta ake ana i runga ake i te kiri.
• Mate pūkahukahu ā-ringa (PAD): He aukati nā te putunga ngako i roto i ngā pūkahukahu e tuku toto ana ki ngā ringa, inā koa ki ngā waewae.
• Te whakatōtōtanga o te uaua whatukuhu.
• Hei whakatū i tētahi ara urunga mō te dialysis.

Ka tirohia tō āhua e te taote pokanga toto, ā, ka whakatau ko tēhea te maimoatanga e pai ana mōu.

He aha ngā momo matua o te pokanga toto?

He maha ngā momo pokanga e whakamahia ana hei rongoā i ngā momo mate hauora. Me titiro tātou ki ētahi o ngā pokanga e tino whakamahia ana.

Pokanga Aneurysm Aorta

Mena ka nui rawa te aneurysm, ka tūpono rānei ka pakaru, ka mahia te pokanga.

• Pokanga Aneurysm Tuwhera: Ka tapahia te uma, te puku rānei, ka tangohia te wāhanga kua pakaru o te uaua, ā, ka whakatōkia he ngongo horihori (tāpiri) ki tōna wāhi.
• Te Whakatikatika i te Aneurysm Endovascular (EVAR): He pokanga tēnei e mahia ana mā te tapahi iti. Ka whakauruhia he ngongo iti (catheter) mā roto i te hope, ka tukuna he ngongo horihori rite ki te anga whakarewa (graft stent) ki roto i te wāhi pupuhi, hei whakapakari i te uaua mai i roto.

Te Maimoatanga mō te Mate Arorangi Peripheral (PAD)

Ka whakamahia tēnei maimoatanga mēnā ka pāngia koe e te claudication intermittent (he mamae e rite ana ki te nekehanga hurihuri ina hikoi koe) nā te whaiti o ngā uaua o ō waewae, kāore rānei ō patunga i ora.

• Te angioplasty me te stenting: Ka whakauruhia he catheter ki roto i te uaua kua āraia, ka pupuhihia, ā, ka whānuitia te aukati. Kātahi ka whakauruhia he taputapu rite ki te mata (stent) hei ārai i te aukati kia kore ai e puta anō.
• Pokanga karo i te uaua o te taha: Pērā i te wā e aukatia ana te huarahi, ka hangaia he ara hou hei karo i te uaua toto kua aukatia. Ka mahia tēnei mā te whakamahi i tētahi atu uaua hauora, i tētahi ngongo horihori rānei mai i roto i te tinana.

Ngā pokanga mō ngā raruraru o ngā uaua carotid

He tino tūponotanga nui tēnei aukati o te uaua toto mō te whiu.

• Te tango i te uaua carotid: Ka tapahia he wahi iti ki te kaki, ka whakatuwheratia te uaua, ā, ka waruhia te paparanga ngako (pēra) kua hanga ki roto mā te pokanga.
• Te pokanga uaua o te carotid me te tānga stenting: E ​​ai ki te kōrero i mua ake nei, ka whakamahia he poihau me te tānga stent hei whakawhānui i te wāhi kua āraia.

Te maimoatanga mō ngā mate e pā ana ki ngā uaua

Ina ngoikore ngā takirere o ngā uaua o ngā waewae, ka pupū te toto i roto i ngā waewae, kaua e hoki ki te ngākau. Ka puta te pupuhi, te mamae, me ngā uaua varicose.

• Te here me te tango i ngā uaua: He maimoatanga noa mō ngā uaua varicose. I roto i tēnei tikanga, ka tangohia katoatia te uaua mate mā te pokanga.
• Te tango i te uaua ki roto i te uaua: Ki te kore he tapahi nui, ka whakamahia he taiaho, he ngaru reo irirangi auau-teitei rānei hei tahu me te hiri i te uaua mate mai i roto. Kātahi ka mutu te rere o te toto i roto i te uaua.
• Te Whakaora Hiko: He maimoatanga mō ngā uaua varicose iti me ngā uaua pungawerewere. Ka werohia he otinga matū ki roto i te uaua ka hiritia.

He aha ngā mea ka tū i mua, i te wā, me muri i te pokanga?

I mua i te pokanga, ka tirotirohia koe e tō tākuta, ka whakahaerehia hoki ngā whakamātautau toto e tika ana, me ngā matawai (pēnei i te Doppler ultrasound, te CT angiogram), ā, ka hoatu hoki he tohutohu mō ngā mea hei whakarite māu mō te pokanga.

• Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā mō te wā poto (ina koa ko ngā rongoā whakaiti toto ).
• Ka tonoa koe kia nohopuku mai i te pō i mua i te pokanga.
• Mena he kaipaipa koe, he mea tino nui kia mutu rawa te kai i ētahi wiki i mua i te pokanga.

E rua ngā momo pokanga matua. Mā tō tākuta e whiriwhiri te tikanga e tika ana māu.

Ko te wā whakaora i muri i te pokanga ka whakawhirinaki ki te momo pokanga i mahia. Ko ētahi pokanga nui ka hiahiatia he wā torutoru i roto i te wāhanga tiaki nui (ICU). Whai muri i tētahi tikanga iti pēnei i te sclerotherapy, ka taea pea e koe te hoki ki te kāinga i taua rā anō.

He aha ngā painga me ngā mōrearea o ēnei pokanga?

Ngā painga matua:

• He pokanga whakaora ora ētahi o ēnei.
• Ka tino whakapai ake i te kounga o tō oranga (hei tauira, ka taea e koe te hikoi me te kore mamae).
• Ka taea te ārai i ngā raruraru kino pēnei i te whiu me te whakaeke ngakau .

Ngā tūponotanga pea:

• He mate pāwera ki te rongoā whakamoe, ki ngā tae rānei i whakamahia.
• Te toto.
• Ngā toto totoka.
• Ngā mate urutā i te wāhi i pokangahia.
• Te pakaru o te io.

Ka rerekē pea te mōrearea i runga i ngā āhuatanga pēnei i tō tau, te noho mai o ētahi atu mate hauora (te mate huka, te mate tākihi), me ētahi atu. Ka kōrero mārama tō tākuta ki a koe mō ēnei mea katoa i mua i te pokanga.

Āhea koe me toro atu ki te tākuta i muri i te pokanga?

Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i a koe e ora ana i muri i te pokanga, whakamōhio atu ki tō tākuta tonu atu , haere rānei ki te Tari Ohotata (ETU) i te hōhipera tata.

• He toto, he pūhā rānei mai i te patunga pokanga, he whero me te pupuhi, me te mamae nui.
• Te kirika.
• Te ngoikore, te mamae nui, te pupuhi rānei i ngā ringa, i ngā waewae rānei.
• Te mamae nui i te uma, i te puku, i te tuara rānei.
• Te maremare toto, te hūpē kakariki/kōwhai rānei.
• Te uaua ki te kite, ki te kōrero rānei.