Kua pāngia koe e te mamae, te kikī, te pōuri rānei i tētahi wāhanga o tō tinana? Tērā pea nā te mea ka kikī ohorere tētahi o ō uaua toto. I roto i ngā kupu hauora, ka kiia tēnei ko te vasospasm , te kikī rānei o ngā uaua toto . He rite ki te paipa wai ka āraihia ohoreretia, ka mutu te rere o te wai. He mea nui kia mārama ki tēnei nā te mea ka pā ki ngā wāhanga rerekē o tō tinana.

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He aha rawa tēnei (Vasospasm)?

Ki te kī māmā noa iho, ko te vasospasm he whakawhāiti me te whakawhāiti ohorere, roa hoki o ngā uaua toto, o roto i tō tinana. Whakaarohia te mea ka tupu mēnā ka pūmau ō ringa, ka wetekina ō maihao mō tētahi wā? Ka tīmata te mamae i muri i tētahi wā, kāore? Koinei te mea ka tupu mēnā ka whakawhāiti tonu ō uaua toto.

He uaua te mea hanga o ō tātou pakitara uaua. Ka whakawhāiti tonu, ka whakangāwari hoki ēnei uaua hei whakahaere i te toto toto. He mea noa tēnei. Heoi, i roto i te vasospasm, ka whakawhāitihia ēnei uaua i roto i te āhua rerekē, ā, he roa rawa . Ka whakaitihia te nui o te toto e rere ana i roto i taua uaua. Ka whakaitihia te nui o te hāora e tae atu ana ki ngā kiko e karapoti ana. Ki te haere tonu tēnei, ka pakaru pea ngā pakitara uaua.

Ina koa, ki te kitea he rerekētanga i roto i ngā oko toto, e kiia nei e mātou ko te (endothelial dysfunction) , ka nui ake te tūponotanga ka puta (vasospasm).

He aha te mea ka tupu ina puta he vasospasm?

Ina puta he vasospasm, ka nui rawa te urupare a ngā uaua maeneene i roto i ngā pakitara o ngā uaua ki ngā tohu kia kuiti. I te nuinga o te wā, ka kuiti ēnei uaua mō te wā poto. Engari i roto i te vasospasm, ka kuiti mō te wā roa atu i te mea e tika ana.

He aha te pānga o te (Vasospasm) ki tōku tinana?

Ka puta te vasospasm i roto i ngā uaua rerekē o te tinana, engari he nui ake te kitea i ētahi wāhi. Hei tauira:

Ngā uaua o te ngākau: Ina puta te vasospasm i roto i ngā uaua e tuku toto ana ki te ngākau, ka kiia ko te Prinzmetal angina . Ka taea e tēnei te aukati i te rere o te toto ki te ngākau, ā, ka puta he whakaeke ngākau . Whakaarohia, i tētahi wā ohorere, he mamae nui ki te uma, i ētahi wā ka uaua ai te manawa.
Ngā uaua roro: Ki te puta ngā uaua e tuku toto ana ki te roro (vasospasm), ka taea te whakaiti i te rere o te toto ki te roro, ka pakaru ai ngā kiko o te roro (cerebral infarct) , he āhua rite ki te "whakaekenga ngakau" ki te roro. Ka raru pea te kōrero me te ngaronga o te mahi a ngā peka.
Ngā uaua i roto i ngā maihao me ngā matimati: Ki te puta he vasospasm i roto i ngā maihao, ka mātao pea ngā maihao, ka ngoikore, ka memeha te tae. He tino āhuatanga whakamā tēnei.
Te Vasospasm o te uma : Mena ka puta tēnei āhuatanga i roto i ngā whaea e whāngai ana i te u, ka tino mamae te whāngai u.

He pēhea te noa o te vasospasm?

E ai ki ētahi rangahau, tae atu ki te 20% o ngā whaea e whāngai ana i te u ka pāngia e te vasospasm i roto i ā rātou awa waiū . Waihoki, i waenga i te 50% me te 90% o te hunga e pāngia ana e te mate pēnei i te pakaru o te oko toto i roto i te roro (aneurysm) ka tūpono ki te whakawhanake i te vasospasm.

He aha ngā tohu o te vasospasm?

Ka rerekē ngā tohu i runga i te wāhi e puta ai te vasospasm. Kia kite tātou me pēhea te mahi.

Ngā Tohu o ngā Vasospasms Coronary

He maha ngā wā ka puta ēnei i te wā okioki, i te pō, i te atatu, ā, i muri i te pāngia e te makariri nui . Kua whakaatuhia e ētahi rangahau he hononga anō hoki ēnei ki ngā āhuatanga hinengaro pēnei i te manukanuka me te pouri .

Ko ngā tohu matua ko:

Te hopukanga o te ngākau, te mate ohorere rānei o te ngākau kua kore e oti.
Te hemo.
Angina pumau: Ko te tikanga o tēnei ko te mamae o te uma, ina koa i te wā e whakapau kaha ana.
Te mate pūkahukahu whakapeka: He mate manawa tēnei, he angina pūmau rānei.

Ngā Tohu o te Vasospasms Cerebral

Ka puta pea ngā tohu pēnei i te vasospasm i roto i te roro:

He mamae ānini ohorere, kino hoki, ka kino haere i roto i ngā hēkona ruarua.
Te hiamoe nui rawa.
Te ngaronga o te rongo, te kore rānei e taea te neke i te ringa, te waewae, tetahi taha rānei o te tinana.

Ngā Tohu o te Vasospasms i roto i ngā Ringaringa, i ngā Waewae rānei

Mena he vasospasm tōu i roto i tō ringa, i tō waewae, i tō maihao rānei, ka pāngia pea koe e ēnei tohu:

Ngā matimati makariri, ngā matimati ngoikore rānei.
Ka huri te tae o te kiri (ka huri hei mā, hei kikorangi, hei whero).
Te mamae, te ngau rānei o ngā maihao.

Ngā Tohu o te Vasospasms o te Umu i roto i ngā Whaea e Whānau ana i te Umu

Mena ka pāngia te whaea e whāngai ana i te u, ka pāngia pea ia e ngā tohu pēnei i:

Te mamae nui i roto i te uma .
Ngā panonitanga o te tae o te awaawa waiū (tērā pea ka huri hei mā, kātahi ka whero, ka kikorangi, ka papura rānei).

He aha ngā take o te vasospasm?

He maha ngā take o te vasospasm i ngā wāhanga rerekē o te tinana.

Ngā Take o te Vasospasm i roto i te Ngākau

Ahakoa kāore i te tino mōhiotia ngā tino take o tēnei mate, tera ētahi āhuatanga e pā ana ki tēnei mate:

Ko te matū e kiia nei ko te Serotonin .
Te rongoā ārai matepukupuku (Chemotherapy).
Te whakamahi i ngā raau taero pēnei i te kōkaini, te amphetamine, te cannabis rānei .
Ngā whakarerekētanga ira.
Te mumura.
Ngā migraines.

Ngā Take o te Vasospasm i roto i te Roro

Ka puta pea te vasospasm i roto i te roro i ngā mea e whai ake nei:

He pakaru o te aneurysm roro.
Ētahi atu take o te toto e rere ana i te roro.
Te pānga ki ngā matū vasoactive, ki ngā rongoā rānei.
He toto totoka e karapoti ana i te roro (he toto totoka Subarachnoid).

Ngā Take o te Vasospasm i roto i ngā Ringaringa, i ngā Waewae rānei

Ko ngā take matua mō tēnei ko:

Te āhuatanga o Raynaud: Koinei te wā ka ngoikore te rere o te toto ki ngā maihao ina pāngia e te makariri, e te ahotea rānei.
Scleroderma: He mate tēnei e mātotoru ai, e whakapakeke ai hoki te kiri.
Atherosclerosis: Te whaiti o ngā uaua toto nā te mea he ngako kei roto i ngā pakitara o te uaua toto.
Ngā toto totoka.

Ngā take o te vasospasm i roto i ngā awaawa miraka u i roto i ngā whaea e whāngai ana

He maha ngā take ka pā ki tēnei:

Te āhuatanga o Raynaud.
Ētahi rongoā.
Nō muri i te pokanga o te ū.
Ngā mate pūnaha ārai mate.
Te pāngia e te makariri.
Te wetewete i te ū o te pēpi i muri tonu i te inu a te pēpi.
Ngā rongoā harore kiri ā-waha me ētahi kirimi pēnei i te kirimi APNO.
Te pakaru o ngā awaawa waiū ū nā te kore inu tika a te pēpi, te whakamahinga rānei o te papu ū.
Te whakamahi tupeka.
Ngā take kāore i te mōhiotia.

Me pēhea te mōhio ki te vasospasm?

He mea tino nui te whakamātautau tinana a te tākuta hei tautuhi i te mate. Heoi anō, ka taea hoki te whakahaere i ēnei whakamātautau e whai ake nei:

ECG (Electrocardiogram - EKG): Tirohia te mahi hiko o te ngākau.
Angiogram: He whakamātautau e uru ana ki te werohanga o tētahi rongoā ki roto i ngā uaua o te ngākau hei whakaputa i te vasospasm.
Matawai Tomography Tukunga Positron (PET).
Matawai CT (Tomography Rorohiko - CT).
Matawai MRI (Whakaahua Āhua Aukume - MRI).
Echocardiogram: He whakamātautau ultrasound o te ngākau.

He aha ngā maimoatanga mō te (Vasospasm)?

Ka rerekē te maimoatanga i runga i te wāhi e puta ai te vasospasm.

Te Maimoatanga mō te Vasospasm o ngā Arorangi o te Manawa

Te tango i ngā rongoā i roto i te rōpū aukati hongere konupūmā .
Te tango i ngā rongoā o te rōpū nitrate .
Te whakaiti i te taumaha.
Te whakamutu i te whakamahi tarukino me te tupeka.
Mena he rerekētanga o te manawa o te ngakau pērā i te ventricular tachycardia, me tāuta he taputapu e kiia nei ko te Implantable Cardioverter Defibrillator (ICD) .

Te Maimoatanga mō te Vasospasm i roto i te Roro

Te inu i ētahi atu wai.
Te pikinga o te toto toto (i runga i te tohutohu a te taote).
Te tango i te pūtake o te vasospasm.
Te hoatu rongoā pēnei i te verapamil , te nimodipine rānei mā roto i te uaua (intravenous - IV). He mea whakawhanui i te toto ēnei.
He tino onge te hoatutanga o te rongoā whakawhanui uaua i roto i te uaua, ki te mea e tika ana.

Te Maimoatanga mō te Vasospasm i roto i ngā Ringaringa, i ngā Waewae rānei

Te mau i ngā tōkena, ngā mittens me ētahi atu kākahu mahana.
Te karo i te whakamahi tupeka.
Te tango i ngā rongoā mai i te rōpū aukati hongere konupūmā , hei tauira, felodipine , amlodipine rānei (Norvasc®, Katerzia® rānei).
Te pokanga, te werohanga rānei i te paitini botulinum.

Te maimoatanga o te vasospasm i roto i ngā repe ū

Te whakamahana me te pupuri i te taupoki o ngā puna waiū ū .
Ngā mea ka whakawhāiti i ngā oko toto, hei tauira, te momi hikareti.
Ki te kore e taea e ngā tikanga o runga ake nei te whakahaere i tēnei mate, i ētahi wā ka hiahiatia he aukati hongere konupūmā e kiia nei ko te nifedipine (Nifedical®XL, Procardia®XL rānei) he Selective Serotonin Reuptake Inhibitor (SSRI) rānei.

He pānga taha kei te rongoā?

Ko ētahi rongoā e whakamahia ana mō te vasospasm ka pāngia e ngā pānga taha pēnei i:

Te mamae o te upoko.
Te mamae o te puku.
Pōuriuri.
Mārama te upoko .
Ngā mate hopuhopu - He tino onge tēnei.

Me pēhea te whakaiti i te mōrearea o te vasospasm?

He pai ētahi huarahi hei whakaiti i te mōrearea o te vasospasm mō te hauora whānui o tō ngākau me ngā oko toto (ngākau me ngā uaua toto).

Kaua e whakamahia ngā hua tupeka.
Kia mau tonu ō taumata cholesterol ki roto i te awhe noa.
Whakawhāitihia te inu waipiro.
Mena kei a koe te mate huka momo 2, me whakahaere pai e koe.
Ki te mea he toto toto tiketike tōu, me whakahaere.
Kaua e whakamahi i ngā raau taero pēnei i te kōkaini.

Me pēhea te ārai i te (Vasospasm)?

Hei ārai i te vasospasm, inā koa i roto i te roro, ka taea e te tākuta te mahi i ngā mea penei:

Tirohia te rārangi o ngā rongoā e tangohia ana e koe, kia tino mohio kāore he rongoā vasoactive e whakawhāiti ana i ngā uaua toto.
Te aukati i te pehanga intracranial teitei.
Te hoatu ki a koe he rongoā aukati hongere konupūmā pērā i te nimodipine, te verapamil rānei.

He mea nui: Hei mōhiohio whānui noa iho ēnei. Mena kei a koe ētahi tohumate, e hiahia ana rānei koe ki te ako atu mō tēnei, rapua he tohutohu hauora.

He mate kino te Vasospasms?

Ka mamae, ka hoha hoki ngā vasospasms i roto i ngā maihao, i ngā māikuku, i ngā uma rānei. Heoi, ehara i te mea mōrearea ki te ora .

Heoi, ki te puta he vasospasm i roto i tō ngākau, i tō roro rānei , ka taea e te hekenga o te rere o te toto ki aua whekau te whakararu i ngā kiko. Ka pā kino tēnei ki te mahi a te ngākau me te roro.

He iti iho i te 5% o ngā take o ngā vasospasms coronary ka hua ake te ngoikore o te ngakau. Heoi, mā ngā maimoatanga mō te ngoikore o te ngakau ka pai ake te kounga o te oranga.

Ko te hunga e pāngia ana e te mate pukupuku roro nui, me noho pea rātou ki te hōhipera mō ngā wiki.

Me pēhea taku tiaki i ahau anō?

Whakamahia te rongoā kia rite ki te whakahaunga a tō tākuta.
Ki te kore ō tohu e pai ake, whakamōhio atu ki tō tākuta.
Mā te karo i ngā mea e whakaoho ai te vasospasm ka āwhina i te ārai i tēnei āhuatanga.
Ki te puta ngā tohu o te mate manawa (hei tauira, te mamae nui o te uma, te uaua ki te manawa, te ruaki), haere tonu ki te rūma whawhati tata.

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

Mena kua tāpaetia koe ki te mate (vasospasm) ki te whakaaro rānei koe kei a koe, ka taea e koe te pātai atu ki tō tākuta i ēnei pātai:

Mena kāore te rongoā o nāianei e āwhina, he rongoā kē atu anō kei a au hei tango?
Ka taea e koe te tuku mai i ahau ki tētahi tohunga hei āwhina i ahau ki ngā raruraru whāngai ū (mēnā he vasospasm tōku o ngā awa waiū )?
Kia pēhea te auau o taku kitenga i a koe (ngā wā whakarite whai muri)?
He aha te matapae mō tōku āhua?

Hei whakamutunga, ngā mea hei maumahara

Ka pā te vasospasm ki ō tātou tinana i ngā huarahi rerekē. Tērā ētahi momo vasospasm ka taea e tātou te whakahaere me te ārai. Nō reira, ki te mea he pātai, he ruarua rānei āu mō tēnei, kaua e whakama, kōrero ki tō tākuta . Māna koe e tohutohu ki te mahere maimoatanga me ngā tikanga ārai e tika ana māu. Kia ora!

Te vasospasm, te whakawhāititanga o ngā oko toto, te whakawhāititanga o ngā uaua toto, te mate manawa, te mate roro, ngā raruraru tohanga toto, te ngoikore o ngā maihao