He aha te Aneurysm Aortic Puku? Tohutohu, Take, me te Maimoatanga

Ko te aneurysm aortic puku (AAA) te pupuhi, te whāiti rānei o te aorta, te uaua matua o tō tinana, i te wāhi o tō puku. Whakaarohia he wahi ngoikore i roto i te hose māra e tīmata ana ki te horapa ki waho i raro i te pehanga. Ko te whānui noa o te aorta e tata ana ki te inihi, engari ki te totoro ki te 1.5 te rahi noa, ki te nui atu rānei, ka karanga ngā tākuta he aneurysm.

Ko te nuinga o te hunga he aneurysm aortic puku iti ka tino pai te ahua, kāore hoki e mōhio kei a rātou. Ka tupu haere aua mea i roto i ngā tau, ā, pea kāore e arai i ngā raruraru. Heoi, ko ngā aneurysm nui ake ka tino kino, no te mea ka pakaru pea, koia te take e nui ai te mārama ki tēnei āhuatanga mō tō hauora.

He aha ngā tohu o te aneurysm aortic puku?

Ko te nuinga o ngā aneurysm aortic puku kāore he tohu, inā he iti. Koia te take i karanga ai ētahi tākuta he āhuatanga ‘ngāwari’ aua. Pea ka noho koe me te aneurysm iti mō ngā tau kāore e kitea he mea ke.

Ki te puta mai ngā tohu, ka tupu haere aua mea i te tipu o te aneurysm. Ko ēnei ngā tohu ka hoatu e tō tinana ki a koe:

• Te mamae hohonu, pumau i roto i tō puku, i te taha o tō puku rānei
• Te mamae o te tuara kāore e kitea he take mārama
• Te ahua pupuhi tata ki tō puku, me te mea ka kitea e koe tō ngākau e pā ana i reira
• Te ahua kī i muri i te kai i ngā mea iti anake

Ka kite ētahi i ēnei tohu e haere mai ana, e haere atu ana rānei, ētahi atu ka kite i aua mea i te nuinga. Ko te mamae te nuinga ka whakaahuatia he mamae hohonu, kāore he mamae koi, ohorere.

Ki te pakaru te aneurysm, ki te tata ki te pakaru rānei, ka tino kino ake ngā tohu, me te hiahia tonu ki te tiaki āwhina. Ko ēnei tohu āwhina e whai ake nei:

• Tō ngā mamae ohorere, nui ki tō puku, ki tō tua rānei, e rite ana ki te haehae
• Ngā mamae e horapa ana ki ō whekau, ki ō turi, ki ō waewae rānei
• Whakahihi, kāo
• Tūpato te ngākau
• Werawera me te ruaki
• Te kiri e makariri ana, e mawhero ana rānei

Ko ēnei tohu āwangawanga e whakaatu ana pea kei te rere, kei te pakaru rānei te aneurysm, he mea kino ki te ora. Ki te pāngia koe e ēnei tohu, karanga atu ki te 111 tonu.

He aha ngā momo aneurysm aortic o te puku?

Ka whakarōpūhia ngā aneurysm aortic o te puku e ngā tākuta i runga i tō rātou rāhi me tō rātou wāhi. Ko te mārama ki ēnei momo ka āwhina i tō rōpū hauora ki te whakatau i te huarahi aroturuki me te maimoatanga pai mō tō āhuatanga motuhake.

I runga i te rāhi, ka whakarōpūhia ngā aneurysm ki ngā kāwai e ārahi ana i ngā whakatau maimoatanga:

• Ngā aneurysm iti: 3.0 ki te 4.4 cm (taurite ki te 1.2 ki te 1.7 inihi) whānuitanga
• Ngā aneurysm waenga: 4.5 ki te 5.4 cm (taurite ki te 1.8 ki te 2.1 inihi) whānuitanga
• Ngā aneurysm nui: 5.5 cm (taurite ki te 2.2 inihi) neke atu rānei

Ko te nui o te aneurysm, ko te nui o te tūpono o te pakaru. Ka ine tonu tō tākuta i tō aneurysm hei aroturuki i ngā huringa i te rāhi.

Ka whakarōpūhia hoki ngā aneurysm i runga i tō rātou āhua me te āhua o te pānga ki te pakitara o te uaua:

• Ngā aneurysm fusiform: Ko te momo tino noa, kei reira te whānuitanga katoa o te uaua e pupū ana ki waho
• Ngā aneurysm saccular: Kaore i te noa, kei reira te taha kotahi o te pakitara o te uaua e pupū ana ki waho, e hanga ana i te ahua pēnei i te putea

Ka tuhi hoki tō tākuta mēnā kei runga, kei raro rānei i te wāhi e wehe atu ana ngā uaua renal (ngā uaua ki ō whatukuhu) i te aorta. Ko tēnei wāhi ka pā ki ngā kōwhiringa pokanga mēnā ka hiahiatia te maimoatanga.

He aha ngā take o te aneurysm aortic o te puku?

Ehara i te mea i te wā katoa ka mārama te take tino mō ngā aneurysms aortic o te puku, engari ka whāititia ina ngoikore te pakitara o te aorta i te roanga o te wā. He maha ngā take e āhei ana te whakaiti i tēnei tukanga ngoikore, ā, i te nuinga o te wā he whakakotahitanga o ngā mea kaua ko tētahi take anake.

Ko ngā take tino noa ka ngoikore ai tō pakitara aortic ko:

• Atherosclerosis: Te whakarahi o ngā toenga ngako me te kolesterol i roto i ō uaua toto, koinei te take tino noa
• Te toto teitei: Ko te kaha tonu ki ngā pakitara uaua toto ka āhei te totoro me te ngoikore
• Te whakakī: Ka whakarahi i ngā pakitara uaua toto, ā, ka tere ake te tukanga ngoikore
• Ngā take ira: Ka whiwhi etahi i te āwangawanga ki te hanganga o te aneurysm
• Ngā huringa e pā ana ki te pakeke: Te kakahu me te pakaru o ngā uaua toto i te roanga o te wā

Ko ngā take iti ake engari he mea nui ko ngā mate pukupuku e pā ana ki te pakitara aortic, ngā āhuatanga mumura penei i te vasculitis, me ētahi mate hononga kiko. Ka whāititia ētahi i ngā aneurysms i muri i te pakaru, i te whara rānei ki te puku, ahakoa he iti rawa tenei.

I ētahi wā, ka hono ngā aneurysms ki ngā āhuatanga ira penei i te mate Marfan, i te mate Ehlers-Danlos rānei, e pā ana ki ngā kiko hono o te tinana. He iti rawa enei āhuatanga, engari he mea nui kia kitea, no te mea ka pā pea ki ētahi atu wāhanga o tō tinana.

Nōhea te haere ki te taote mō te aneurysm aortic o te puku?

Me haere koe ki te taote mena ka pāngia koe e te mamae o te puku, o te tuara rānei, ina koa ki te whai koe i ngā take tūpono mō ngā aneurysms. Ahakoa kaore te nuinga o ngā aneurysms e whakaatu i ngā tohu, ko te tirotiro ka homai te rangimarie o te ngākau me te hopu i ngā raruraru i te tīmatanga.

Whakaritea he huihuinga noa ki tō taote mena ka kite koe:

• Te mamae o te puku e kore e mutu, kāhore hoki he take mārama
• Te mamae o te tuara e mau tonu ana ahakoa te okioki me ngā rongoā mamae noa
• He pūāwai i roto i tō puku e taea te kite mā te ringa
• Te ngawari o te makona i te kai, ina koa ki te mea he mea hou tēnei mōu

Kāore enei tohu e tino kī ana kei a koe te aneurysm, engari he mea tika kia kōrerohia ki tō kaiwhakarato hauora. Ka taea te aroturuki pai me ngā whiringa ātete i te wā e kitea wawe ai.

Heoi, ko ētahi tohu e hiahia ana ki te tiaki mate tere. Karangatia te 111 inaianei tonu ki te pāngia koe e:

• Te mamae ohorere, nui o te puku, o te tuara rānei e rite ana ki te haehae
• Te ngaro o te ngākau, te wiri rānei
• Te tere o te ngākau me te werawera me te ruaki
• Te kiri ka puta pango, mā, kē rānei

Ka taea e ēnei tohu te tohu i te aneurysm e pakaru ana, he mate tūpato tēnei e hiahia ana ki te rongoā tere kia ora ai tō oranga.

He aha ngā take morearea mō te aneurysm aortic o te puku?

Ka taea e ētahi take te whakapiki i ō tūmanako kia whanakehia he aneurysm aortic o te puku. Ka taea e te mārama ki ēnei take morearea te āwhina i a koe me tō tākuta ki te whakatau mēnā he tika te whakamātautau, te ārai rānei mō tō āhuatanga.

Ko ngā take morearea tino nui ko:

• Ko te tane: E 4 ki te 6 wā te tūponotanga o ngā tāne ki te whanake i te AAA i te wā e whakaritea ana ki ngā wāhine
• Te pakeke neke atu i te 65: Ka piki haere te tūponotanga i muri i te 65 tau, ina koa mō ngā tāne
• Te kai paipa: He nui ake te tūponotanga o ngā kai paipa inaianei, o mua rānei, ā, ka piki haere te tūponotanga me ngā tau paipa
• Te hītori whānau: Ko te whai mātua, te teina, te tamaiti rānei e pangia ana e te aneurysm ka piki ake tō tūponotanga
• Te atherosclerosis: Te whakapakeke me te whakaiti o ngā uaua puta noa i tō tinana
• Te toto teitei: Ka whakapā atu i te ahotea atu ki ngā pakitara uaua i te wā

Ko ētahi atu take e āhei ana te whakawhānui atu i tō tūponotanga ko te nui o te kolesterol, te mate pūhau ārai (COPD), me te hītori o te kai paipa. Ahakoa kua mutu tāu kai paipa, ka noho tonu teitei tō tūponotanga ki te whakataurite ki te hunga kāre i kai paipa, ahakoa ka heke iho i te wā.

Ko ētahi atu take tūponotanga iti ake ko ētahi āhuatanga ira tōtika penei i te mate Marfan, te whiwhi i ngā mate e pā ana ki ngā oko toto, me ētahi āhuatanga mumura. He wāhi anō te iwi me te momo iwi, me ngā tāne Pākehā te tūponotanga teitei rawa.

Ko te rongo pai ko ētahi take tūponotanga, penei i te kai paipa, te toto teitei, me te kolesterol teitei, ka taea te whakarereke mā ngā huringa oranga me te rongoā. Ka hoatu tēnei ki a koe te mana whakahaere i tō taumata tūponotanga.

He aha ngā raruraru pea o te aneurysm aortic puku?

Ko te raruraru nui rawa atu o te aneurysm aortic puku ko te pakaru, te wahi e pakaru ai te aneurysm, ā, ka puta he toto nui i roto. He āwangawanga ora tēnei e hiahia ana ki te pokanga wawe, ā, te mea pōuri, he tokomaha ngā tāngata kāre e ora i te aneurysm pakaru.

Ko te tūponotanga o te pakaru e whakawhirinaki ana ki te rahi o tō aneurysm. Ko ngā aneurysms iti (i raro i te 5.5 cm) ka iti te pakaru, me te iti iho i te 1% te pakaru i ia tau. Heoi, ko ngā aneurysms nui ake he nui ake te tūponotanga, koia te take i tūtohu ai ngā tākuta i te pokanga ina tae ngā aneurysms ki te 5.5 cm neke atu rānei.

Ko ētahi atu raruraru ka puta ko:

• Ngā toto: Ka taea te hanga i roto i te aneurysm, ā, ka taea te haere ki ētahi atu wāhanga o tō tinana
• Embolism: Ka taea e ngā kōwae iti o te toto, te pakaru atu, ā, te aukati i ngā uaua iti ake
• Te pehi: Ka taea e ngā aneurysms nui rawa te pēhi i ngā whekau tata atu rānei
• Te mate: Ahakoa he onge, ka taea e ngā aneurysms te pangia i etahi wā

Ko ngā toto kōpaki e hanga ana i roto i te aneurysm te nuinga o te wā ka mau tonu ki te pakitara, kāohore hoki e puta he raruraru. Heoi, i etahi wā ka taea te motu i ngā kōwae ka haere ki ō waewae, whatukuhu, ki ētahi atu āhuatanga, ka āhei te whakaeke i te mamae, te pakaru rānei.

I roto i ngā take onge, ka taea e ngā aneurysms nui te pēhi ki tō tuaiwi, ka puta he mamae o te tuara, ki ō whekau, ka puta he tohu o te pūnaha kai. Ka whanake etahi i te mea e kiia nei he aneurysm mumura, kei reira te wāhi o te aneurysm e mumura ana, ka taea te whakaeke i ētahi atu tohu.

Ko te mea nui hei mahara ko te nuinga o ngā aneurysms iti kāohore e puta he raruraru. Ma te tirotiro tonu ka taea e tō tākuta te aroturuki i ngā huringa katoa me te tūtohutia te maimoatanga i mua i te whanake o ngā raruraru nui.

Me pēhea te aukati i te aneurysm aortic o te kopu?

Ahakoa kāohore e taea e koe te aukati i ngā aneurysm aortic katoa o te kopu, ka taea e koe te tango i ngā kaupae hei whakaiti i tō tūponotanga me te whakaheke i te tipu o ngā aneurysms kei reira.

Ko ngā rautaki aukati tino whai hua e arotahi ana ki te pupuri i ngā oko toto hauora me te whakahaere i ngā take tūponotanga e taea te whakahaere.

Ko ngā kaupae tino nui e taea e koe te tango ko:

• Kaua e kai hikareti, ki te kai hikareti koe inaianei, mutu:
• Whakahaeretia tō pehanga toto: Pupuri i raro i te 130/80 mmHg mā te kai, te whakakori tinana, me te rongoā mēnā e hiahiatia ana
• Whakahaeretia tō cholesterol: Whai i te kai hauora mō te ngakau me te tango i ngā rongoā pera me te tohutohu
• Whakakori tinana tonu: Whakaarohia te iti rawa o te 30 meneti o te mahi ngawari i te nuinga o ngā rā
• Kai i te kai hauora: Arotahi ki ngā hua, ngā huawhenua, ngā witi katoa, me ngā pūmua ngawari
• Pupuri i te taumaha hauora: Ko te taumaha atu ka whakapōheke atu i te ahotea ki tō pūnaha cardiovascular

Mēnā kei a koe ngā take tūponotanga penei i te hītori whānau o ngā aneurysms, he tane rānei koe neke atu i te 65 tau kua kai hikareti, korero ki tō tākuta mō te whakamātautau. Ka taea e te kitenga wawe mā te whakamātautau ultrasound te hopu i ngā aneurysms ina iti ana, ka ngāwari ake te aroturuki.

He mea nui hoki ngā tirotiro rongoā ā-wā me tō kaiwhakarato hauora, ā, tērā rawa atu mēnā he mate pēnei i te toto teitei, te mate huka, te mate ngakau rānei. Ka taea e te whakahaere pai i ēnei āhuatanga te tiaki i ō ngā oko toto kei te pakaru.

Ahakoa kaore e taea te huri i ngā take ira me te pakeke, ko te aro ki ngā take morearea ka taea te whakarereke ka whakaiti nui i ō tūponotanga ki te whanake i te aneurysm, ki te whakaheke rānei i tōna tipu mēnā kei a koe kē.

Me pēhea te whakatau i te aneurysm aortic o te kopu?

Ko te whakatau i te aneurysm aortic o te kopu ka tupu pinepine i ngā whakamātautau a-wā, i te whakamātautau rānei i ētahi atu take hauora. He maha ngā aneurysm ka kitea ohorere i ngā whakamātautau whakaahua mō ngā raruraru kore e hono, he mea whakahīhī tēnei no te mea ko te kite wawe te matua.

Ko te whakamātautau matawhenua ko te ultrasound o te kopu, he kore mamae, he whakamahi i ngā ngaru oro hei hanga i ngā whakaahua o tō aorta. Ka taea e tēnei whakamātautau te ine tika i te rahi o tō aorta me te kite i tetahi pupuhi. Ko te momo ultrasound ano tenei e whakamahia ana i te wā hapu, no reira he haumaru katoa, he māori.

Mēnā ka kitea te aneurysm, ka whakaaro pea tō tākuta ki ētahi atu whakamātautau:

• CT scan: Ka whakarato i ngā whakaahua taipitopito me ngā ine tika o te aneurysm
• MRI: Ka whakarato i ngā whakaahua taipitopito kaore he whakamahinga radiation
• X-ray o te kopu: Ka taea te whakaatu i ngā toenga kōhatu i roto i te pakitara aneurysm
• Tirohanga tinana: Ka taea e tō tākuta te kite i te kohinga pupuhi i roto i tō kopu

I te wā o te tirohanga tinana, ka waiho e tō tākuta ōna ringa ki runga i tō kopu hei kite i tetahi pupuhi koretake, i tetahi kohinga rānei. Heoi, ehara i te mea whakawhirinaki tonu tēnei tikanga, ina koa ki ngā tāngata kua taumaha rawa, kua iti rānei ngā aneurysm.

He whai hua rawa ngā CT scan no te mea ka whakarato i ngā korero taipitopito mō te rahi, te āhua, me te hononga ki ngā whekau tata o te aneurysm. Ka āwhina tēnei korero i tō tākuta ki te whakarite i te maimoatanga mēnā ka hiahiatia te pokanga.

Mēnā kei te nui te tūponotanga o te mate aneurysms mōu, ka taea e tō tākuta te tūtohu i te whakamātautau auau ahakoa kāore koe e pangia. Ko te U.S. Preventive Services Task Force te tūtohu i te whakamātautau kotahi mō ngā tāne kei te 65 ki te 75 tau te pakeke kua pīno ai i mua.

He aha te rongoā mō te aneurysm aortic o te kopu?

Ko te rongoā mō ngā aneurysms aortic o te kopu e whakawhirinaki ana ki tō rātou rāhi, ōu tohu, me tō hauora whānui. Ko ngā aneurysms iti e kore e raruraru ana e aroturukihia ana i te nuinga o te wā me ngā whakamātautau whakaahua auau, i te mea ko ngā aneurysms nui ake pea ka hiahia ki te whakatikatika pokanga.

Mō ngā aneurysms iti (i raro i te 5.5 cm), ka tūtohu ngā tākuta i te tikanga "tūmanako." Kei roto i ēnei:

• Ngā whakamātautau ultrasound ranei CT auau i ia 6 ki te 12 marama
• Te whakahaere i te toto toto kia whakaitihia te ahotea ki te aneurysm
• Te whakahaere i te cholesterol kia whakahekehia te tere o te whanaketanga o te atherosclerosis
• Te tautoko kia mutu te kai hikareti mēnā kei te kai hikareti koe
• Ngā whakarerekētanga oranga kia tautoko i te hauora o ngā uaua toto

Ka aroturuki tatahia e tō tākuta tetahi huringa i te rāhi i roto i ēnei tirotiro auau. Ko te nuinga o ngā aneurysms iti ka tupu haere noa atu, ki te mea he aha rānei, ā, kāore rawa e hiahia ki te pokanga.

Ina tae ngā aneurysms ki te 5.5 cm neke atu rānei, ki te mea kei te tupu haere tere rānei, ka tūtohuhia te pokanga i te nuinga o te wā. E rua ngā huarahi pokanga matua:

• Te whakatikatika pokanga tuwhera: He mahi tuku iho e whakakapi ana te taote i te wāhanga ngoikore ki te graft hangai
• Te whakatikatika endovascular (EVAR): He mahi iti ake te whakauru e whakanohoia ana he stent-graft ki roto i te aneurysm mā ngā tapahi iti

Ko te pokanga tuwhera e pā ana ki te hanga i te tapahi ki roto i tō kopu me te whakakapi i te aneurysm ki te pūkaha i hangaia mai i te rauemi hangai. Ahakoa he pokanga nui tēnei, he tino whai hua, ā, ko te whakatikatika e mau tonu ana mō te ora.

Ko te whakatikatika whakakikoropū-roto e pā ana ki te whakatere i tetahi stent-graft kua pakaru mā roto i ngā oko toto i ō waewae ki runga ki te aneurysm. Kia tae atu ki te wāhi, ka horapa kia whakaarahi i te rere o te toto mā te graft, kaua ki te aneurysm. He poto ake te wā ora mō tēnei whiringa, engari pea ka hiahiatia ngā mahi whai muri i te wā.

Ka āwhina tō tākuta ki a koe ki te whiriwhiri i te whiringa pai rawa atu e whakaū ana ki ngā āhuatanga o tō aneurysm, tō tau, me tō hauora whānui.

Me pēhea te whakahaere i te aneurysm aortic puku i te kāinga?

Ko te whakahaere i te aneurysm aortic puku i te kāinga e arotahi ana ki te whakaheke i tōna tipu me te whakaiti i tō tūponotanga ki ngā raruraru. Ko te rongo pai ko te nuinga o ngā mahi ka taea e koe ko ngā whiringa noho hauora rite tonu e paingia ana e tō hauora ngākau whānui.

Ko ngā mea nui rawa atu ka taea e koe te mahi i te kāinga ko:

• Tangohia ō rongoā penei i te whakahau, ina koa ngā rongoā toto-pehi me ngā rongoā cholesterol
• Aroturukihia tō toto-pehi i ia wā ki te pēhi toto koe
• Kaua e kawe taumaha nui, kaua hoki e kaha ki te whakapau kaha ka taea te whakapiki tere i te pehanga i roto i tō puku
• Whai i te kai hauora ngākau iti i te ngako makariri me te konutai
• Noho mahi tinana me ngā whakakori iti-pānga penei i te hikoi
• Whakahaerehia te ahotea mā ngā tikanga whakahaumaru, mā te tohutohu rānei

He mea nui kia karo i ngā mahi ka taea te tupu tere o te toto-pehi, penei i te kawe taumaha, te kaha ki te whakapau kaha, ngā mahi tinana pakaru rānei. Heoi, he pai te whakakori ngawari, noa mō tō hauora ngākau.

Tāruahia ngā tohu hou me te whakamōhio wawe ki tō tākuta. Kei roto i ēnei ngā mamae puku hou, ngā mamae tuaka hou rānei, te ahua pupuhi i roto i tō puku e kitea ana.

Kia tino haere koe ki ō huihuinga whai muri me ngā whakamātautau whakaahua katoa kua whakaritea. He mea nui ēnei tirotiro noa hei aroturuki mena kei te tipu tō aneurysm me te whakatau mena me whakarereke ngā mahere maimoatanga.

Mēnā kei te kai paipa koe, ko te mutu te mea nui rawa atu e taea e koe te mahi. Pātai atu ki tō tākua mō ngā kaupapa mutu kai paipa, kāore rānei rongoā hei āwhina i a koe ki te mutu pai.

Me pēhea te whakarite mō tō whakatau ki te tākua?

Ka taea e te whakarite mō tō whakatau te āwhina i a koe ki te whakamahi pai i tō wā me tō tākua, ā, kia whakarite ai koe ka whiwhi koe i ngā mōhiohio katoa e hiahia ana koe. Ko te whai i te huarahi whakarite ka whakaiti i te manukanuka, ā, ka āwhina i tō rōpū hauora ki te whakarato i te tiaki pai rawa atu.

I mua i tō whakatau, kohikohia ngā mōhiohio nui:

• Tuhia katoa ō tohu, tae atu ki te wā i tīmata ai rātou, me te aha e pai ake ai, kāore rānei e kino ake ai rātou
• Rārangihia ngā rongoā katoa e inu ana koe, tae atu ki ngā rongoā kore-tūtohu me ngā taapiri
• Kawe mai i ngā hua whakaahua o mua, kāore rānei ngā rēkōta hauora e pā ana ki tō aneurysm
• Tātaihia tō hītori whānau o ngā aneurysms, ngā mate ngakau, kāore rānei te pēhanga toto
• Tuhia ngā pūtaiao e hiahia ana koe ki te ui ki tō tākua

Ko ētahi pūtaiao whai hua hei whakaaro ki te ui atu, tae atu ki: E hira te rahi o taku aneurysm? E hira te wā e hiahia ana ahau ki te tirotiro? He aha ngā tohu me titiro atu ahau? He aha ngā mahi me karo ahau? I tehea wā pea ka hiahia ahau ki te pokanga?

Kaua e whakaroa ki te kawe mai i te mema whānau, kāore rānei te hoa ki tō whakatau. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā mōhiohio nui, ā, ki te whakarato i te tautoko ngākau. Ko te whai i tētahi atu kei reira ka āwhina rawa atu mena kei te manukanuka koe mō tō whakatau.

Kia pono ki ō tikanga ora, tae atu ki te kai paipa, te inu waipiro, me ngā tauira whakakori tinana. Me whiwhi a tō tākua i ēnei mōhiohio hei whakarato i ngā tūtohu pai rawa atu mō tō tiaki.

Mēnā kei te whakaarohia koe mō te pokanga, ui atu mō ngā tūponotanga me ngā painga o ngā whiringa pokanga rerekē, te aha e tatari ana i te wā whakaora, me te pēhea te whakarite mō te tukanga.

He aha te mea nui e tangohia ana e pā ana ki te aneurysm aortic o te kopu?

Ko te mea nui rawa atu hei whakaaro mo ngā aneurysms o te aorta o te kopu, ko te whakahaere i ngā āhuatanga ina kitea wawe. Kāore te nuinga o ngā aneurysms iti e puta he raruraru, ā, ka taea te tirotiro haumaru me ngā tirotiro auau me ngā whakamātautau whakaahua.

Ahakoa ka raru pea te whakaaro kei a koe te aneurysm, kia mahara kei te tuku te rongoā hou i ngā whiringa tirotiro me te maimoatanga pai. Kāore e pakaru ngā aneurysms iti, ā, ki te hiahia te maimoatanga i ngā aneurysms nui ake, he tino whai hua ngā whiringa pokanga.

Ko te matua ko te noho hono atu ki tō rōpū hauora, me te whai i ō rātou tūtohu mō te tirotiro me ngā huringa noho. Ko te tango rongoā i te mea i whakaritea, te pupuri i ngā tikanga hauora, me te haere ki ngā hui whakarite auau ka hoatu ki a koe te tupono pai rawa atu mō te hua pai.

Ki te whai koe i ngā take morearea mō ngā aneurysms, ina koa ki te mea he tāne koe neke atu i te 65 tau kua pārekareka i mua, korero ki tō tākuta mō te whakamātautau. Ka taea e te kite wawe mā te ultrasound ngāwari te whakawhiwhi i te rangimarie o te ngākau me te hopu i ngā raruraru i te wā e taea ai te whakaora.

Kia mahara ehara te mea kei a koe te aneurysm i te tikanga kaore e taea e koe te ora i te ora katoa, te ora mahi. He tokomaha ngā tāngata e whai ana i ngā aneurysms e haere tonu ana ki te mahi, ki te haere, me te pai ki ō rātou mahi tino pai i te wā e whakahaere tika ana i ō rātou āhuatanga.

Pātai auau e uihia ana mō te aneurysm o te aorta o te kopu

Ka taea e au te whakakori tinana mena kei a au te aneurysm o te aorta o te kopu?

Ae, he pai te whakakori ngawari mō te hunga e whai ana i ngā aneurysms. Ka taea e te hikoi, te kauhoe, me te hikoi potae mā te awhina i te whakapai ake i tō hauora ngākau. Heoi, me karo koe i te kawe taumaha, te whakapau kaha, te mahi rānei e puta ai ngā piki ohorere i te toto. Kōrero atu ki tō tākuta i ngā mahere whakakori tinana kia tutuki ai mō tō āhuatanga motuhake.

Ka tino nui ake rānei toku aneurysm i te wā?

Kāore i te tino. He maha ngā aneurysms iti e noho pumau ana i ngā tau, kāore rānei e tupu haere māmā. He rerekē te tere o te tipu i te tangata, i te tangata, ā, kei runga i ngā take penei i te mana o te toto, te whakamahinga hikareti, me te ira. Koia te take i nui ai te tirotiro tonu – hei āhei ai mā tō tākuta te aroturuki i ngā huringa katoa, ā, hei whakarite i tō mahere tiaki kia rite.

E hā roa te roa e ora ai ahau me te aneurysm aortic o te kopu?

He tokomaha ngā tāngata he aneurysms iti kei a rātou e ora ana i ngā oranga noa, kāore rawa te aneurysm e puta ai he raruraru. Ko ngā take matua ko te rahi o tō aneurysm, te pai o tō whakahaere i ō kaupapa morearea, me te haere mai rānei koe ki ngā whakaritenga whai muri. Mā te tirotiro tika me te tiaki, ka taea e te nuinga o ngā tāngata he aneurysms te tumanako ki te ora i ngā oranga tino, mahi.

He tūkino te pokanga mō te aneurysm?

He morearea katoa te pokanga, engari he tino haumaru te whakatika aneurysm ina mahia e ngā tākuta whai wheako. Ko te morearea o te pokanga he iti ake i te morearea o te waiho i te aneurysm nui kāore i te rongoā. Ka kōrero tō tākuta i ngā morearea me ngā painga motuhake e pā ana ki tō āhuatanga, tae atu ki tō tau, hauora whānui, me ngā āhuatanga o tō aneurysm.

Ka taea e te ahotea te pakaru i taku aneurysm?

Ahakoa ko te ahotea tinana nui, ohorere, te piki ranei o te toto ka taea pea te whakauru ki te morearea o te pakaru, he iti te tūpono o te ahotea o ia rā ki te pakaru. Heoi, he mea nui tonu te whakahaere i te ahotea mō tō hauora ngākau whānui. Ki te manukanuka koe mō ngā taumata ahotea, korero ki tō tākuta mō ngā tikanga whakahaere ahotea hauora e taea ai te whai hua ki tō oranga whānui.