Kei te pōuriuri koe, kei te māuiui rānei tō mahunga? Tērā pea he ngoikore o te Vertebrobasilar tēnei!

Ka pōuri koe i ētahi wā, ka pōuri te mahunga, ka ngaro rānei tō taurite i a koe e hikoi ana? Ka kōrero pōturi hoki ētahi tāngata ina kōrero ana. Kaua e waiho ēnei tohu hei mea noa. He tohu pea ēnei mō tētahi āhuatanga e whakaiti ana i te rere o te toto ki muri o tō roro. I tēnei rā, ka kōrero tātou mō tētahi āhuatanga e kiia nei ko te Vertebrobasilar Insufficiency (VBI) .

He aha te ngoikore o te vertebrobasilar (VBI)?

Ki te whakarapopoto, ko te ngoikore o te vertebrobasilar (VBI) he āhuatanga e whakaitihia ana, e mutu rānei te rere o te toto ki te tuara o tō roro. Ko tēnei wāhanga o muri o tō tātou roro te kawenga mō te whakahaere i te taurite me te nekehanga. Nō reira, whakaarohia he aha ngā raruraru ka puta mai mēnā kāore e nui te toto e whiwhihia ana e tēnei wāhanga.

He iti noa ngā raruraru hauora o te nuinga o te hunga whai VBI. Heoi, mā tēnei mate ka nui ake te mōrearea o te whiu , te whakaekenga ischemic poto rānei (TIA) , he mate e rite ana ki te whiu poto. I ētahi wā ka kino rawa atu tēnei mate, ā, ka pāngia pea koe e te hauātanga mō te wā roa, tae noa ki te mate. Koia te mea nui kia mōhio koe ki tēnei.

Ko te tikanga ka rongoāhia tēnei mate o te VBI e ngā tākuta mā te tohutohu i ngā huringa o te momo noho, me te tohu rongoā mēnā e tika ana. Heoi, ki te mau tonu ngā tohu i muri i ēnei mahi, me mahi pea he pokanga.

He rerekē ngā momo VBI?

Āe, kotahi te momo motuhake. Ko te Transient Vertebrobasilar Insufficiency te ingoa. He ahua onge tēnei. Ka puta tēnei āhuatanga ina tahuri, ina takahuri rānei tō mahunga. Ka karangatia hoki tēnei e ngā tākuta:

• Te mate hopu kopere
• Te mate pāwera o te upoko
• Te ngoikore o te vertebrobasilar hurihuri

Ko te mea ka tupu i tēnei kēhi, ka aukatia te uaua toto e kawe ana i te toto ki te roro mō tētahi wā ina tahurihia te māhunga.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e te VBI?

He nui ake tō tūponotanga ki te pāngia e te VBI mēnā neke atu i te 50 tau te pakeke, ā, kei a koe ēnei āhuatanga e whai ake nei:

• Mena kei a koe te mate uaua o te ngakau , te mate uaua o te taha rānei (PAD) , arā, he raruraru ki ngā uaua e tuku toto ana ki te ngākau me ngā whekau tawhiti pēnei i ngā waewae me ngā ringa.
• Mena kei a koe te mate huka .
• Mena kua pāngia tetahi o te whānau e te VBI i mua (he hononga tuku iho).
• Mena he toto toto tiketike tōu (hypertension) he nui rānei ngā taumata cholesterol i roto i ō toto .
• Mena he hītori kai paipa tōu.
• Momonatanga, arā, mēnā he nui te momona.
• Mena he putunga ngako (pēra) kei roto i ō uaua toto, ko te tikanga he atherosclerosis tōu.
• Mena ka teitei te taumata o ngā lipids i roto i te toto, ka kiia tēnei ko te hyperlipidemia .

Ko ngā āhuatanga cardioembolic ka ārai i te oko toto ka whakanui ake i te mōrearea o te VBI. Hei tauira:

• Te fibrillation atrial (Afib) (he mate manawataki o te ngakau)
• Ngā mate toto totoka
• Te mate o te arai o roto o te ngākau (infective endocarditis)
• Te tapahi i te uaua o te tuarā ( te haehae i te pakitara o te uaua ventricular e kawe ana i te toto ki te roro)

E ai ki ngā tatauranga, e rua ngā wā ka nui ake te tūponotanga o te pāngia o ngā tāne e te VBI i ngā wāhine. He nui ake hoki te kitea o tēnei mate i roto i ētahi iwi.

He pēhea te noa o te VBI?

E kiia ana tata ki te 25% o te hunga neke atu i te 70 tau te pakeke, arā, tata ki te kotahi i roto i te whā, ka pāngia pea e te VBI. Nō reira, ehara tēnei i te mea kāore i rangona i mua.

He aha ngā tino take o te VBI?

Ko te tino take o te VBI i te nuinga o ngā wā ko te mate e kiia nei ko te atherosclerosis . E ai ki tā mātou i kōrero ai i mua ake nei, koinei te wā e hangai ai ngā putunga ngako (pēra) i hangaia mai i te cholesterol me te konupūmā ki roto i ngā oko toto, ka whakawhāiti i a rātou, ka whakaiti i te rere o te toto. He rite ki te paru e mau ana ki roto i te paipa wai.

Tērā atu anō ngā take e kitea whānuitia ana:

• Te mate uaua uru ( te aukati i ngā oko toto iti rawa i roto i te roro)
• Te toto totoka i roto i ngā pukahukahu (he toto totoka i roto i ngā pukahukahu – ka pā kino pea tēnei ki tētahi atu)
• Te tapahi i te uaua o te tuarā ( te haehae i te pakitara o te uaua o te tuarā)

He take onge anō hoki:

• Ngā mate toto (Coagulopathies)
• Te waranga ki ngā raau taero
• Te dysplasia uaua-pūkahukahu (FMD) (te tipu rerekē o ngā pakitara o ngā oko toto)
• Ngā mamae o te upoko – Tērā pea ka hono atu ētahi mamae nui o te upoko ki tēnei mate.

He aha ngā tohu o te VBI?

Tērā pea ka pāngia te tangata whai VBI e tētahi, e ētahi rānei o ēnei tohu. Tērā pea ka puta ohorere mai ēnei, ā, ka ngaro atu i muri i tētahi wā, ka roa rānei te wā e mau tonu ana.

• Ngā raruraru taurite : te whanoke, te āhua e hurihuri ana ngā mea i a koe ( te pōturi ). Whakaarohia, ki te whanoke koe ahakoa kei te tū noa koe, he aha ō kare ā-roto ina hikoi koe?
• Pōraruraru, ngaronga o te māramatanga ( pōrangi ).
• Te uaua ki te horomi kai ( dysphagia ).
• Ngā mate e pā ana ki te nekehanga me te taunga ( ataxia)) - Me te mea kāore e taea e koe te hikoi, he uaua ki te whakahaere i ō ringaringa me ō waewae.
• Te tirohanga takirua, te ngaronga rānei o te tirohanga.
• Te ngaromanga ohorere o te māramatanga ( syncope ).
• Te ngoikore o tētahi wāhanga o tō tinana.
• Te korekore me te korekore o ngā kupu i te wā e kōrero ana ( dysarthria ).
• Te ngaromanga ohorere o te māramatanga, me te hinganga ki te whenua (ngā whakaekenga taka).
• Te kore e taea te whakahaere i te mimi (Te kore e taea te pupuri i te mimi).
• Whakapairuaki me te ruaki.

He mea nui: Ki te pā mai ētahi o ēnei tohu ki a koe, ina koa ka puta ohorere mai, ka hoki anō, me rapu tohutohu hauora, he tohu pea ēnei nō te whiu.

Me pēhea te tātaritanga a ngā tākuta i te VBI?

Ina kite koe i tētahi tākuta, ka pātai tuatahi ia ki a koe mō ō tohumate. Kātahi ka tirotirohia e rātou te tinana. Hei tāpiri, ka whakahaerehia pea e rātou ētahi atu whakamātautau hei whakaū i te āhua tuturu.

• Ngā whakamātautau whakaahua:
• Mā te matawai CT (matawai tomography rorohiko) te MRI rānei (whakaahua aukume) ka tangohia ngā whakaahua o ngā oko toto kei muri o tō roro. Ka āwhina tēnei ki te kite mēnā he aukati, he kino rānei kei ngā oko toto.
• Angiography: He whakamātautau tēnei e whakamahi ana i ngā whakaahua hihi-X hei tirotiro i ō uaua toto (ngā uaua toto). I ētahi wā, ka werohia he wai motuhake (tae rerekē) ki roto i ngā uaua toto hei hanga i ēnei whakaahua.
• CTA (angiography tomography rorohiko) te MRA rānei (angiography resonance aukume): Ka taea e ēnei whakamātautau te whakaputa i ngā whakaahua tino mārama, toru-ahu (3D) o ō uaua toto.
• Echocardiogram (Echo): He rite tēnei ki te matawai ultrasound o te ngākau. Ka tirohia te mahi a ngā rūma me ngā takirere o te ngākau, me te pehea hoki e pupuhi ana te ngākau i te toto (te mahi pupuhi).
• He tohu hiko-cardiogram (ECG, EKG rānei): Mā tēnei ka ine i te ngohe hiko o tō ngākau. Ka taea e ia te kite i ngā hapa o tō ngakau.
• Aroturuki Holter: He taputapu iti tēnei e mau ana ki tō tinana mō ngā haora 24 ki te 48. Ka hopukina tonutia ngā mahi hiko o tō ngākau i a koe e mahi ana i ngā mahi o ia rā.
• Ngā whakamātautau toto mō te wā prothrombin (PT) me te wā thromboplastin wāhanga (PTT) : Ka inehia e ēnei whakamātautau toto te roa o te wā e totoka ai tō toto.

Kāore e hiahiatia ēnei whakamātautau katoa. Mā tō tākuta e whakatau ko ēhea ngā whakamātautau hei tono māu i runga i ō tohu me tō āhua.

Me pēhea te rongoā mō te VBI?

He maha ngā kōwhiringa maimoatanga. Mā tō tākuta e whakatau te maimoatanga tino tika i runga i tō āhua.

1. Ngā huringa āhua noho:

He maha ngā wā, ko te mea tuatahi hei ngana ko te whakaiti i ngā tohu mā te hanga i ētahi huringa āhua noho.

• Kia mau ki te taumaha hauora: Ko te momona te pūtake o ngā mate maha.
• Whakahaerehia te cholesterol mā te whakarerekē i tō kai: He mea tino nui te whakaiti i ngā kai he nui te hinu me te ngako.
• Korikori tinana: Ahakoa te hikoi ngāwari mō te 30 meneti i te rā, ka nui te painga.
• Te whakamutu i te kai paipa: He mea tino tika tēnei māu.

2. Ngā rongoā (tarukino):

Ka tohua pea e te tākuta he rongoā hei whakahaere i ngā raruraru hauora.

• Ngā rongoā hei whakahaere i te toto totoka: Pērā i te āpipirini.
• Rongoā whakahaere toto toto.
• Rongoā whakaheke cholesterol.
• Rongoā whakahaere mate huka.

3. Pokanga:

Ki te kore e taea e ngā huringa momo noho me ngā rongoā te whakaora i te rere o te toto, ka tūtohu pea tō tākuta kia pokangahia.

• Te tango i te carotid endarterectomy: Ko te pokanga tēnei ko te tango i ngā putunga ngako (pēra) mai i tētahi uaua toto nui i te kaki (te uaua carotid).
• Te angioplasty coronary me te stent: Mena ka aukatihia he oko toto i roto i te ngākau, ka whakamahia he mata whakarewa (stent) me te poihau iti e whakauruhia ana ki roto hei whakawhanui i te oko toto.
• Pokanga karo uaua coronary: Ka whakakapia he oko toto kua pakaru i roto i te ngākau ki tētahi oko toto hauora i tangohia mai i tētahi atu wāhanga o te tinana.
• Te hanga anō i ngā uaua tuaiwi: Ka whakatikahia e te pokanga ngā pakaru o ngā uaua tuaiwi e kawe ana i te toto ki te roro.

Te Maimoatanga mō te VBI Poto:

Hei rongoā mō te mate VBI i kōrerotia e tātou i mua ake nei, e puta ana ina tahuri tō mahunga:

• He whitiki kaki, he kara rānei.
• Ngā rongoā.
• Tērā pea ka taea te pokanga, tae atu ki te pokanga tuaiwi iti rawa te whakaekenga .

Me pēhea te whakaiti i te mōrearea o te whakawhanaketanga o te VBI?

Ki te whai koe i ēnei tohutohu, ka taea e koe te whakaiti i tō tupono ki te whakawhanake i te VBI:

• Kai i tētahi kai hauora: Kai atu i ngā huawhenua, ngā hua rākau, me ngā kai momona i te muka. Whakaitihia te hinu, te huka, me te tote.
• Te whakakorikori tinana i ia wā, i ia wā.
• Te whakahaere i ngā taumata cholesterol.
• Mena kei a koe ētahi atu mate hauora, pērā i te toto toto tiketike, te mate huka rānei, me whakahaere tika e koe kia rite ki ngā tohutohu a te tākuta.
• Te whakamutu i te momi hikareti.

Ka āwhina ēnei mea ki te tiaki i a koe mai i te VBI, tae atu ki te maha atu o ngā mate.

He aha te āhua hauora o te tangata whai VBI? (Outlook)

Ko te matapae mō te tangata whai VBI e whakawhirinaki ana ki ētahi āhuatanga:

• Te nui o te pānga ki te mahi a te roro (te kaha o te ngoikoretanga o te pūnaha io) .
• Ahakoa kua pāngia koe e te whiu i mua.
• Tau.
• He raruraru hauora anō kei reira?

Ki te kaha rawa te VBI, ka arahi pea ki te hauātanga, tae atu ki te mate. Heoi, ki te kitea wawetia, ā, ka rongoatia tika, ka taea te whakatutuki i ngā hua tino pai.

Ka taea e te VBI te whakaputa pānga mō te wā roa?

He maha ngā tāngata he ngawari ngā tohu ka taea te whakahaere i ō rātou tohu mā te whakarerekē i te momo noho me te rongoā. Heoi, ki te kaha rawa ngā tohu, me maha ngā marama, tae atu ki ngā tau, hei whakaora i a rātou.

Ko ētahi o ngā raruraru (pōrearea) ka puta mai i te VBI ko:

• Ngā toto totoka i roto i ngā waewae - Te Thrombosis Utauta Hōhonu (DVT) .
• Te toto totoka i roto i ngā pukahukahu - Te Pukupuku Pūkahukahu .
• Te matewai me te uaua ki te horomi.
• Te uaua ki te manawa.
• Pararutiki, ngoikore rānei.
• Te mumura o te puku ( gastritis ).
• Te whakaeke ngakau ( myocardial infarction) .
• Ngā mate pūkahukahu.
• Ngā whara pēhanga / ngā mariao moenga.
• Te whiu, te whakaekenga ischemic poto rānei (TIA) .
• Te ngaronga o te tirohanga.

Ka taea te hoki mai anō o te VBI i muri i te maimoatanga?

Ko te auau hokinga mai o te VBI kei waenga i te 10% me te 15%. Ko te tikanga, ahakoa ka ora koe, tera pea ka hoki mai anō. Nō reira, he mea nui kia whai tonu i ngā tohutohu a tō tākuta, kia mau tonu hoki ki te oranga hauora.

Mena kei a au te VBI, me pēhea taku tiaki i a au anō?

Mena kua tāpaetia koe kei te pāngia e te VBI, he mea nui kia ako koe mō ngā mea rerekē ka taea te āwhina i a koe i a koe e ora ana. Tērā pea ka hiahia āwhina koe ki ngā mea pēnei i:

• Te whakangungu i te pūkahukahu me te puku.
• Tohutohu kai.
• Te whakarite i te haumaru ki te kāinga.
• Te whakaako i ngā mahi o ia rā.

Tērā pea ka whai hua ēnei momo maimoatanga māu:

• Whakaora mahi: Te whakaako i a koe ki te mahi i ngā mahi o ia rā, ko koe anake.
• Whakaora tinana: Ka whakapai ake i te nekehanga, te kaha, me te taurite o te tinana.
• Whakaora kōrero: He āwhina i ngā uauatanga ki te kōrero me te horomi.

Tērā pea ka hiahia koe ki te āwhina a te nēhi tiaki kāinga hei aroturuki i tō tukanga whakaora.

Karere Hei Whakahoki: He aha tā tātou i ako mai i tēnei?

Āe, ko te ngoikore o te vertebrobasilar (VBI) i kōrerohia e tātou i tēnei rā.He āhuatanga tēnei e heke ai te rere o te toto ki te tuara o te roro. Ka puta pea ngā tohu pēnei i te whanoke, te ngaronga o te mana whakahaere tinana, me te uaua ki te kōrero. Ko te tino take ko te aukati i ngā oko toto e ngā putunga ngako (atherosclerosis).

Kaua e manukanuka! I te nuinga o te wā, ka taea te whakahaere i tēnei āhuatanga mā te whakarerekē i te āhua noho me te rongoā. Tērā pea ka hiahiatia he pokanga mō ētahi tāngata.

Ki te pā mai tētahi o ēnei tohu ki a koe, kaua e warewarehia. Me toro atu ki te tākuta tonu mō ētahi tohutohu. Mā te kitenga wawe ka āwhina i a koe ki te rongoā ngāwari ake i ēnei tohu, me te ārai hoki i te whanaketanga o ngā mate kino.

Mā ngā mahi pēnei i te whakaora mahi, te whakaora tinana, me te whakaora kōrero ka māmā ake tō oranga o ia rā. Kia ora tonu!

` Te ngoikore o te Vertebrobasilar, VBI, Te ischemia roro, Te whanoke, Te pararutiki, Te TIA, Te atherosclerosis, Te whiu