Ka taea e te momi hikareti te tapahi i ngā peka? Akohia te mate a Buerger

Kua whakaarohia e koe te nui o te kino ka pā ki ō ringaringa me ō waewae i ia hikareti e tahuna ana e koe, i ia hikareti e whakamahia ana e koe? He tokomaha e whakaaro ana ko te kai hikareti anake ka pā kino ki ngā pukahukahu me te ngākau. Engari i tēnei rā kei te kōrero tātou mō tētahi mate kino rite tonu, engari kāore i te tino kōrerohia. Ka taea e tēnei mate te meinga kia ngaro ō matihao, ō ringaringa, tae noa ki ō waewae. Ko te ingoa o tēnei ko te Mate a Buerger .

He aha te mate a Berger?

Ki te kī māmā noa, ko te mate a Buerger he mate e pupuhi ana, e ārai ana hoki ngā oko toto (ngā uaua) i roto i ō ringaringa me ō waewae i ngā toto totoka . He rite ki te paipa wai e āraihia ana e te paru. Ko tētahi atu ingoa e whakamahia ana e ngā tākuta mō tēnei ko te `(Thromboangiitis Obliterans)`, TAO rānei.

Kāore anō kia kitea he rongoā motuhake mō tēnei mate. Engari ko te mea miharo ko te nuinga o te hunga e pāngia ana e tēnei mate, tata ki te 100 ōrau, he hunga whakamahi tupeka. Kei roto i tēnei ko ngā hikareti, ngā hikā, ngā tupeka ngaungau, me te hinu kakara.

He aha te take e puta ai tēnei momo mate?

Kāore anō kia tino mōhiotia e ngā tākuta te pūtake o tēnei mate. Tērā pea he āhuatanga ira. Ko te tikanga o tēnei, tera pea ētahi tāngata e pāngia ana e te mate.

Engari ko te whakapae matua kei te tupeka. E rua ngā whakaaro o ngā tohunga:

1. Ka taea e ētahi matū i roto i te tupeka te whakapōrearea i ngā pakitara o ō uaua toto, ā, ka pupuhi ai.

2. Kāore rānei, ka whakararuraru te tupeka i te pūnaha ārai mate o tō tinana, ka hua ai he whakaekenga i ōna ake uaua toto pai, pērā i te paitini.Tērā pea kua tīmata te whakaeke, me te mea kei te whakaeke.

Kei a koe anō ēnei tohu?

He maha ngā wā ko te tohu tuatahi o tēnei mate ko te mamae i ngā ringaringa, i ngā waewae rānei. Ka horapa haere tēnei mamae ki ngā ringaringa me ngā waewae. I ētahi wā ka tino kino tēnei mamae. Ka puta tēnei mamae i a koe e hikoi ana, e whakakorikori tinana ana (e kiia ana e te rongoā ko te "claudication"), i a koe e tū noa ana rānei. Ka tino kino tēnei mamae i te rangi makariri, i te wā rānei e ahotea ana koe.

Hei tāpiritanga, ka kite pea koe i ēnei panonitanga i ō ringaringa me ō waewae.

Ka taea e ngā mea kino te tupu mēnā ka warewarehia e koe.

I roto i te wā, ka taea e te mate a Buerger te aukati katoa i te rere o te toto ki ō maihao me ō matimati. Ka taea e tēnei te arahi ki tētahi mate kino e kiia nei ko te "Gangrene." Ko te tikanga ka tīmata te mate o te kiri me te kiko o taua wāhi. Kātahi ka ngaro te rongo o aua wāhanga, ka huri ki te kikorangi, ki te mangu rānei.

Mena ka pāngia koe e te gangrene, me tango e ngā tākuta te wāhi kua pakaru mā te pokanga.

He tino onge, ka taea e tēnei mate te whakaputa i ngā āhuatanga pēnei i te whiu, te mate ngakau rānei.

Me pēhea te tautuhi a te tākuta i tēnei mate?

Kāore he whakamātautau kotahi hei whakaū ko te mate a Berger tēnei. Ka pātai tuatahi tō tākuta ki a koe mō tō whakamahinga tupeka me ō tohumate.

Kātahi ka mahia ētahi whakamātautau hei tirotiro i te rere o te toto, hei whakakore hoki i ētahi atu mate e rite ana ngā tohu. Hei tauira, ka taea hoki e te mate uaua taha te mamae o te waewae. Heoi, ehara i te pupuhi o ngā oko toto te take, engari ko ngā putunga ngako i roto i aua oko toto.

Me mahi pea koe i ngā whakamātautau penei:

• Whakamātautau Allen: He whakamātautau tino māmā tēnei mō te rere o te toto. Ka tono te tākuta kia pēhia tō ringa kia kaha. Mā tēnei ka tangohia ētahi o te toto i tō ringa. Kātahi ka piri te tākuta i ngā uaua matua e rua e tata ana ki tō ringaringa, ka tono kia whakatuwherahia tō ringa. Ka mā te kiri o tō ringa. Kātahi ka tukuna e te tākuta tētahi uaua i te taha kotahi. Mō te tangata noa, ka tere te whakakī o te toto i tō ringa, ā, ka hoki anō ki tōna tae noa. Heoi, ki te roa te wā e whakakī ai te toto, he tohu pea tēnei nō te mate a Buerger.
• Angiogram: He momo hihi-X tēnei. Ka whakamahia hei tirotiro i ngā oko toto kua āraia i roto i ō ringaringa me ō waewae. Ka whakaurua e te tākuta he ngongo tino angiangi (catheter) ki roto i tētahi o ō uaua toto, ā, ka werohia he tae motuhake ki roto. Kātahi ka tangohia he hihi-X tere hei tirotiro i te āhua o ngā oko toto. Ka taea hoki e te matawai CT, MRI rānei te whakaputa i ngā whakaahua ōrite.
• Ngā whakamātautau toto: Ka āwhina ēnei ki te whakarite kāore he mate hauora kē atu āu, pērā i te mate huka me te lupus.

He aha ngā maimoatanga?

Hei tāpiri, ka taea e ēnei maimoatanga te whakapai ake i te rere o te toto me te whakaiti i te mamae:

• Ngā rongoā pēnei i ngā vasodilator, i ngā rongoā whakangawari toto rānei.
• Te whakakorikori tinana.
• Te pēhitanga wā poto o ngā ringa me ngā waewae mā te whakamahi i ngā taputapu motuhake.
• He pokanga hei tapahi i ngā io o te wāhi e pāngia ana (sympathectomy).

Tērā pea e hiahiatia te tapahi hei tango i te wāhanga kua whara, kua pūkahukahu rānei.

He tino āwhina te whakamutu i te kai hikareti?

Ko tō hauora ā muri ake nei e whakawhirinaki ana ki te whakamutu i te kai paipa. E ai ki ngā tatauranga, tata ki te 43% o ngā tūroro e whakamahi tonu ana i te tupeka me tapahi i roto i ngā tau e 8 o te tātaritanga.

Heoi, e 6% noa iho o te hunga e mutu ana te kai paipa ka pāngia e tēnei āhuatanga. E tata ana tēnei ōrau ki te kore i roto i te hunga i kitea wawetia te mate kai paipa, ā, ka mutu te kai paipa. E whakaatu ana tēnei i te hiranga o te whakamutu i te kai paipa, kāore?

Ki te mea kei te raru koe ki te whakamutu i te kai paipa, kōrero ki tō tākuta mō ngā kaupapa hei āwhina i a koe. Kaua e whakama. He whakatau whakaora ora tēnei.