He uaua toto kei roto i tō puku e pupuhi ana, pērā i te poihau? Me ako tātou mō tēnei (Visceral Artery Aneurysm)!

Kua whakaarohia e koe he uaua toto kei roto i tō tātou tinana, pērā i te paipa wai, ka ngoikore i tētahi wā, ka pupuhi pērā i te poihau? Ka kiia noa tēnei he `(Aneurysm)`. I ētahi wā ka hunaia tēnei me te kore e whakaatu i tētahi tohu, engari ka huri ohorere hei raruraru nui i te ao. I tēnei rā ka kōrero tātou mō tētahi āhuatanga ka mōrearea, engari he tokomaha te hunga kāore i te mōhio ki tēnei, arā, `(Visceral Artery Aneurysm)`.

He aha te `(Visceral Artery Aneurysm)`? Kia mārama tātou!

Whakaarohia, he uaua toto kei roto i tō tātou tinana, ā, he ngoikore te pakitara. Kātahi, nā te pēhanga o te toto e rere ana i roto, ka pupuhi taua wāhi ngoikore pērā i te poihau. Koinei te mea e kiia nei ko te "Aneurysm". Inaianei, ki te nui rawa tēnei "Aneurysm", ko te tikanga ka pakaru te pupuhi rite ki te poihau. Ki te tupu tēnā, ka tīmata te rere o te toto ki roto i te tinana. Ka kiia tēnei ko te "Hemorrhage", ā, he āhuatanga tino morearea tēnei.

Nā, he aha ēnei "Aratau Mata"? Koinei ngā uaua toto matua o roto i tō tātou tinana, te "Aorta", e tuku toto ana ki ngā whekau tino nui o roto i tō tātou puku.

Ko ēnei okana:

• ō tātou whekau
• Ngā whatukuhu
• Ate
• Pancreas
• te whēkau
• Puku

I te nuinga o te wā, ka puta ēnei "Visceral Artery Aneurysms" i roto i ngā uaua e kawe ana i te toto ki te whēkau, ngā whatukuhu, me te ate.

He momo "Visceral Artery Aneurysms" kei reira?

Āe, e rua ngā momo matua.

1. Ngā Pseudoaneurysms: Koinei te wā e puta ai he kōhao iti i roto i te pakitara o te uaua toto, ā, ka turuturu te toto i roto i te kōhao, ka kohia ki roto i ngā kiko i waho o te uaua. Kātahi, nā te tukanga totoka i roto i tō tātou tinana, ka puta he pakitara ngoikore e karapoti ana i te toto kua kohia. Heoi, nā te mea kāore i te tino kaha tēnei pakitara, he nui ake te tūponotanga ka pakaru ēnei pseudoaneurysms.

2. Ngā Aneurysm Tuturu: Koinei te wā e pupuhi ana te wāhanga ngoikore o te pakitara o te uaua toto, pērā i te poihau. E ai ki te kōrero i mua ake nei.

E hia te auau o ēnei? Ko wai ka pāngia pinepinetia?

He tino onge ngā mate urutā o te uaua o roto. Engari nā te mea kāore te nuinga o te tangata e whakaatu i tētahi tohu, he uaua ki te kī tika e hia ngā tāngata e pāngia ana e ēnei tohu.

He rerekē te auau o ētahi momo aneurysms o te uaua visceral i runga i te ira tangata. Hei tauira, he nui ake te tūponotanga o ngā wāhine ki te whakawhanake i te aneurysm i roto i te uaua e kawe ana i te toto ki te whēkau.

He aha ngā tohu o tēnei? Me pēhea e mōhio ai koe ki tēnei?

Anei te mea nui rawa atu. I te nuinga o te wā, kāore he tohu! He maha ngā wā ka kitea ēnei e ngā tākuta mā te tūpono i te wā o te whakamātautau hauora, pērā i te "(matawai CT)" me te "(matawai MRI)" rānei, mō tētahi atu mate.

Heoi, ki te pakaru te oko toto e pupuhi ana, te "aneurysm" rānei, ka puta ngā tohu. Ko ngā tohu matua ko:

• Te mate toto iti (arā, te hekenga o te nui o te toto i roto i te tinana)
• Te mamae o te puku, o te tuara rānei . I ētahi wā ka ngawari noa iho tēnei mamae, i ētahi wā ka kaha rawa. Nō reira, he uaua ki te tautuhi tika i te mate.

Tērā pea ka rerekē ētahi atu tohu i runga i te wāhi o te aneurysm. Hei tauira:

• Te ruaki toto
• Te toto i roto i te tūtae

Ki te pāngia koe e te mamae nui i roto i tō puku, i tō tuara rānei, kaua e warewaretia. He mea nui kia rapu tohutohu hauora tonu.

He aha i puta ai ēnei `(Visceral Artery Aneurysms)`? He aha ngā take?

He maha ngā take matua e puta ai ngā aneurysms tūturu:

• Atherosclerosis: Koinei te tino take. Ka pupū ake ngā putunga ngako i roto i ō tātou uaua toto, ka ngoikore haere ngā pakitara o ngā uaua toto.
• Ngā mate hononga kiko: Hei tauira, ngā āhuatanga pēnei i te Fibromuscular dysplasia, te Marfan syndrome, me te Ehlers-Danlos syndrome. Ka taea e ēnei te ngoikore o ngā pakitara o ngā uaua mai i te whānautanga.
• Whara: Whakaarohia he aituā nui, he whiunga kino ki te puku. Ahakoa i taua wā, ka taea tonu tēnei momo āhuatanga te puta.

Ko ngā take o ngā pseudoaneurysms ko:

• Ngā whara i muri i te pokanga ki te ate, ki te pancreas rānei.
• Te mumura o te repe taiaki (Pancreatitis).
• Ngā whara (nā te aituā, nā tetahi atu patunga rānei).
• Te mate pāwera o te toto (vasculitis).

Me pēhea te tautuhi a ngā tākuta i tēnei?

Ko te nuinga o ngā tākuta e whakamahi ana i ngā whakamātautau whakaahua hauora motuhake pērā i ngā matawai CT (matawai Tomography Computed) me ngā matawai MRI (Magnetic Resonance Imaging) hei tātaritanga i ngā Visceral Artery Aneurysms. Ka taea e ēnei whakamātautau te ine tika i te rahi o te aneurysm. He mea nui te mōhio ki tēnei rahi hei whakatau i ngā kōwhiringa maimoatanga.

Tērā tētahi atu whakamātautau motuhake, e kiia ana ko te `(Angiography)` . I roto i tēnei, ka whakauruhia he ngongo tino angiangi (`Catheter`) ki roto i tētahi o ō uaua ka tukuna ki te `(Visceral Artery)` kei reira te `(Aneurysm)`. Kātahi ka werohia he wai motuhake (`Contrast dye`) mā roto i taua ngongo. Kātahi, ina tirohia mā te `(X-ray)` me te `(CT scan)` rānei, ka kitea mārama ngā wāhi rerekē o roto i ngā uaua toto i roto i te wai. I ētahi wā, ka taea te mahi maimoatanga i te wā kotahi me tēnei `(Angiography)`.

I ētahi wā, inā koa ko ērā e pāngia ana e ngā mate hononga honohono kua whakahuatia ake nei, tera pea he aneurysms i roto i ngā uaua visceral neke atu i te kotahi. I roto i ēnei wā, ka tirotirohia pea e tō tākuta ngā uaua katoa o tō puku.

He aha tāu e mahi ai i muri i tō kitenga he `(Aneurysm)` tōu? Me tatari noa koe? `(Aroturuki)`

Ko te rongoā me te kore rongoā ka whakawhirinaki ki te rahi me te momo o te aneurysm. I te nuinga o te wā, ki te iti iho i te 2 henimita te rahi o te aneurysm tūturu , ka tūtohu pinepine ngā tākuta kia "tātari mārire".

Ko te tikanga o tēnei ka tirohia koe e te tākuta i ngā wā katoa kia kite ai mēnā kei te nui haere te aneurysm. Tērā pea ka hoatu e ia he rongoā ki a koe hei whakaheke i tō toto toto, nā te mea ka taea e te toto toto tiketike te whakanui ake i te aneurysm.

Āhea rawa tēnei e tika ana kia rongoatia?

Ki te whakaaro koe ka pakaru te aneurysm, he pai ake te rongoā. Ina koa i roto i ēnei take:

• Ngā pūtau rūpahu o tētahi rahi: nā te mea he nui te mōrearea o te pahū.
• Ngā aneurysms tūturu he nui ake i te 2 henimita: (Heoi, mō te aneurysm o te uaua splenic, me whakatika te nuinga o te wā ina nui ake i te 3 henimita).

Ahakoa te rahi o tō aneurysm, me rongoā pea koe mēnā he nui te tūponotanga o te pakaru. Tērā pea ka piki ake tō tūponotanga mēnā:

• Mena kei te hapu koe, kei te pakeke rānei koe e whānau ana.
• Mena kei a koe ngā tohumate pumau pēnei i te anemia, te mamae puku/tuara rānei.
• Mena me hiahia koe ki te whakawhitinga ate, ki tētahi atu pokanga rānei hei rongoā i te cirrhosis.

Waihoki, ko ētahi `(Visceral Artery Aneurysms)`, ahakoa te rahi, me rongoā tonu, i runga i te wāhi kei reira, nā te mea he nui te tūponotanga ka pahū. Hei tauira:

• He aneurysm i roto i te uaua gastroduodenal, e tuku toto ana ki te puku, te wāhanga o runga o te whekau iti, me te wāhanga o runga o te repeure.
• He aneurysm i roto i te uaua pancreaticoduodenal, e tuku toto ana ki te repeure me te wāhanga o runga o te whekau iti.
• He aneurysm i roto i te uaua mesenteric o runga, e tuku toto ana ki te whekau iti.

He aha ngā kōwhiringa maimoatanga?

E rua ngā tikanga maimoatanga matua:

1. Pokanga tuwhera

2. Ngā tikanga endovascular iti rawa te whakaekenga

Mā ngā tākuta e whakatau ko tēhea o ēnei tikanga e rua te mea tika māu mā te whai whakaaro ki ngā āhuatanga pēnei i:

• Te āhua o ō uaua toto (pērā i tōna āhua me tōna rahi).
• Kei hea te `(Aneurysm)`?
• Ngā mōrearea o te pokanga tuwhera (i runga i tō tau me tō hauora whānui).

I roto i te pokanga tuwhera `(Pokanga tuwhera)`Ko te mahi, i muri i te tapahi i tētahi tapahi nui, ka haere tika te taote pokanga ki te wāhi o te aneurysm, ka tangohia te wāhanga kua pakaru o te uaua, ā, ka whakatōkia he wāhanga uaua hou, ka whakatika rānei i te mea o mua.

Ko te maimoatanga iti rawa te whakaekenga ko te whakauru i tētahi ngongo angiangi (catheter) ki roto i tētahi oko toto, mai i tō hope, ā, ka ārahi i taua ngongo ki te wāhi o te aneurysm. Kātahi ka tukuna ngā taputapu iti mā roto i te ngongo hei tautoko i te aneurysm me te aukati i tōna pahūtanga, mā te whakamahi i tētahi, i ētahi rānei o ngā tikanga e whai ake nei:

• Te whakapūtanga koiri, te whakapūtanga mono rānei: Ko te whakauru i tētahi koiri iti, i tētahi mono ā-ringa rānei ki roto i te aneurysm ka whakakīia.
• Te whakapūtanga wai: I roto i tēnei, ka werohia he kāpia motuhake, he tiēre, he matū wai rānei ki roto i te aneurysm ka hiritia.
• Te Tātaritanga: I roto i tēnei mahi, ka whakauruhia he ngongo (he stent) i hangaia ki te mata whakarewa kua hipokina ki te kakahu ki roto i te uaua kei reira te aneurysm.

Mena kei te whakahaerehia he angiography hei kimi i te aneurysm o te uaua visceral, i ētahi wā ka taea te mahi i tēnei maimoatanga iti rawa te whakaekenga i te wā kotahi, ma te whakamahi i te catheter kotahi i whakamahia mō taua whakamātautau.

He aha te rerekētanga i waenga i te pokanga tuwhera me te maimoatanga endovascular?

Kua rangahaua ēnei maimoatanga e rua. I te nuinga o te wā, he rite tonu te haumaru me te whai hua o ngā maimoatanga e rua. Heoi, mā ngā tikanga iti rawa te whakaekenga ka tere ake te ora me te poto ake te noho hōhipera. Heoi, i ētahi wā, me whai maimoatanga tuarua pea.

He ara hei ārai i te hanganga o te `(Visceral Artery Aneurysm)`?

He uaua ki te ārai i ngā momo `(Visceral Artery Aneurysms)`. Heoi, ko ngā `(Aneurysms)` i puta mai i te angiangi me te whakapakeketanga o ngā uaua `(Atherosclerosis)` kua whakahuatia ake nei ka taea te ārai mā te noho hauora. Anei ētahi mea ka taea e koe te mahi hei whakaiti i tō tupono ki te whakawhanake i te `(Atherosclerosis):

• Whakahaerehia tō cholesterol me tō toto toto.
• Whakakorikori tinana i ia wā, i ia wā.
• Whāia he kai hauora mō te ngākau .
• Kia nui te moe.
• Whakawhāitihia te inu waipiro.
• Whakahaerehia te ahotea.
• Kati rawa te kai hikareti me te whakamahi tupeka.

He aha te tirohanga mō tēnei āhuatanga?

Ki te pakaru te Visceral Artery Aneurysm, ka mate pea i ētahi wā. E whakaatu ana ngā rangahau tata ki te 25% o te hunga e haere mai ana ki te rūma whawhati tata me te Visceral Artery Aneurysm he aneurysm pakaru. O ēnei, neke atu i te 10% ka mate.He nui ake te mōrearea o te mate mō ngā whaea hāpu kua pakaru te aneurysm.

I te nuinga o te wā, ko te hunga kāore he tohu (mamae, toto rānei o roto) i mua i te tīmatanga o te maimoatanga, he nui ake te tūponotanga ka pai ngā hua. Ko te hunga whai pseudoaneurysms he nui ake te mōrearea o te pakaru me te mate i te hunga whai aneurysms tūturu.

Āhea ahau me toro atu ki te tākuta?

Ki te pāngia koe e te mamae nui i roto i tō puku, i tō tuara rānei, rapua tonutia he tohutohu hauora. Kaua e whakaroa.

Ko ngā aneurysm o te uaua visceral he ngoikore i roto i ngā pakitara o ō uaua i roto i tō puku. Mēnā ka pakaru ēnei pakitara, ka puta he toto o roto. Ehara i te mea he kino ngā tohu o te katoa e pāngia ana e tēnei mate, nō reira ka taea te whakaroa i te tātaritanga. Heoi, nā te whakamahinga whānui o ngā whakamātautau whakaahua hauora mō ētahi atu mate, he maha ngā Aneurysm o te Artery Visceral ka kitea i mua i te pakaru. Nō reira, mā te maimoatanga wawe ka taea te whakaiti i te mōrearea o te mate. Ahakoa kāore e taea te ārai i ngā Aneurysm o te Artery Visceral katoa, mā te noho hauora ka taea te whakaiti i te mōrearea o ngā aneurysm i puta mai i te atherosclerosis. Kōrero ki tō tākuta mō ngā mea ka taea e koe te mahi hei whakaiti i tō mōrearea o te atherosclerosis.

Karere Tangohia ki te Kāinga

• Ko te "Visceral Artery Aneurysm" he pupuhi rite ki te poihau i roto i te uaua toto i roto i te puku. Ka tino morearea tēnei mēnā ka pahū.
• I te nuinga o te wā, kāore e whakaatu i tētahi tohu. Ka kitea pea i te wā e tirotirohia ana tētahi atu mate.
• Ki te pāngia koe e ngā tohu pēnei i te mamae ohorere o te puku/tuara, te ruaki toto, te toto rānei i roto i tō tūtae , me toro atu ki te tākuta tonu.
• He kōwhiringa maimoatanga kei reira. Ka whakatauhia te maimoatanga i runga i te rahi me te momo o te aneurysm, tae atu ki tō āhua hauora.
• He mea tino nui te noho hauora (te kai pai, te whakakori tinana, me te karo i te momi hikareti) hei ārai i ngā aneurysms i puta mai i te atherosclerosis.

Mena he pātai anō āu mō tēnei, kaua e mangere ki te pātai atu ki tō tākuta whānau, ki tētahi tohunga rānei. Kia ora tonu!

` Aneurysm, uaua toto, puku, pakaru o ngā oko toto, toto o roto, pokanga, matawai CT