He aha te Whakamātau Aorta? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ka puta te whakamātau aorta ina pakaru te paparanga o roto o tō aorta (te uaua toto nui rawa atu o tō tinana), ā, ka taea e te toto te rere i waenganui i ngā paparanga o te pakitara o te uaua. He āhuatanga kino tēnei, ka taea e te toto te haere i tētahi huarahi he i roto i tō uaua, kaua ki te rere noa ki ō whatunga.

Whakaarohia tō aorta hei paipa wāhi me ngā paparanga maha. Ina wehe te paparanga o roto, ka taea e te toto te pēhi i waenganui i ēnei paparanga, ā, ka aukati pea i te rere noa o te toto, kāore rānei ka pakaru te uaua. He āwangawanga hauora nui tēnei e hiahia ana ki te tiaki wawe, engari mā te maimoatanga tere, ka ora pai te nuinga o te iwi.

He aha ngā tohu o te whakamātau aorta?

Ko te tohu tino noa ko te mamae o te uma, te tua rānei, kahore he wā e mutu ai, ka kī te nuinga o te iwi ko te mamae kino rawa atu i o ratou oranga. Ka tīmata tēnei mamae i te wa poto, ā, ka rite ki te pakaru, te motu rānei.

Ko ēnei ngā tohu matua hei titiro atu:

• Te mamae o te uma kahore he wā e mutu ai, ka neke pea ki tō tua
• Te mamae koi, ka rite ki te wero i waenganui i ō pakihiwi
• Te mamae e haere ana ki raro i tō tua i te whakatetetetanga o te whakamātau
• Te poto o te manawa, te uaua rānei ki te manawa
• Te werawera me te ruaki
• Te ngoikore, te pararutiki rānei i tetahi taha o tō tinana
• Te uaua ki te kōrero, te rereke rānei o te tirohanga
• Te ngoikore o te tukunga i tetahi ringa i tetahi atu
• Te mamae o te kopu kahore he wā e mutu ai (ki te whakatetetea te whakamātau ki raro)

Ka raru pea etahi i te ngākau kore, te ngaro rānei o te mohio ina pā te rere o te toto ki te roro. Ka taea e te tauira mamae te āwhina i ngā tākuta ki te whakatau kei hea te whakamātau, me te roa o te whakatetetea.

He aha ngā momo whakamātau aorta?

Ka wehewehe ngā tākuta i ngā whakamātau aorta ki ētahi momo matua e rua, i runga i te wāhi o te puta i roto i tō aorta. Ka āwhina tēnei wehewehenga ki te whakatau i te tere o te maimoatanga, me te huarahi pai.

Ko ngā whakamātau momo A e pā ana ki te aorta e piki ana, ko te wāhanga tuatahi o te aorta i te wehe atu i tō ngākau. He nui ake te kino o ēnei, na te mea ka pā pea ki te rere o te toto ki tō uaua ngākau me tō roro. E hiahiatia ana e rātou te pokanga wawe i roto i ngā haora.

Ko ngā whakamātau momo B e puta ana i te aorta e heke ana, ko te wāhanga e haere ana i raro i tō uma me tō puku. Ahakoa he kino tonu, ka taea te whakahaere i ēnei i te tīmatanga mā ngā rongoā hei whakahaere i te toto, ahakoa ka hiahia pea etahi ki te pokanga i muri mai.

He aha ngā take o te whakamātau aorta?

Ka puta te whakamātau aorta ina ngoikore te pakitara o tō aorta i te roa o te wā, ā, ka nui ake te pakaru i raro i te pēhanga. Ko te toto teitei te take tino noa, na te mea ka tukuna e ia te pēhanga tonu ki ngā pakitara o te uaua.

He maha ngā take ka āwhina ki tēnei āhuatanga:

• Te toto teitei roa (hypertension)
• Te pakari o ngā uaua (atherosclerosis)
• Ngā āhuatanga ira tuku iho penei i te mate Marfan, te mate Ehlers-Danlos rānei
• Te uaua aorta bicuspid (he rereketanga o te uaua ngākau)
• Te pokanga ngākau o mua, ngā mahi ngākau rānei
• Te whara uma mai i ngā aituā, ngā whara rānei
• Te whakamahinga kokain, ka taea te piki o te toto i te wa poto
• Te hapu (kahore he maha, engari ka puta pea na ngā huringa homoni)

I etahi wā, ka taea e te kaha tinana nui, te piki ohorere rānei o te toto te whakaoho i te whakamātau i te tangata kua ngoikore te pakitara aorta. Ka nui ake te tūponotanga o ngā whakamātau i te wā e koroheke ana tātou.

Nōhea te haere ki te tākuta mō te whakamātau aorta?

Karangahia ngā ratonga āwangawanga i te wa tonu ki te pāngia koe e te mamae o te uma, te tua rānei, kahore he wā e mutu ai, ina koa ki te rite ki te pakaru, te motu rānei. Ehara tēnei i te āhuatanga hei tatari me te titiro atu.

Me kimi hoki koe i te tiaki āwangawanga ki te pāngia koe e te mamae o te uma me te uaua ki te manawa, te ngoikore rānei o ō ringa, ō waewae rānei, te raruraru ki te kōrero, te ngākau kore rānei. Ka tohu pea ēnei tohu kei te pā te whakamātau ki te rere o te toto ki ngā whatunga nui.

Ki te whai koe i ngā take tūponotanga penei i te toto teitei, ngā mate pūtau hono ira tuku iho, te hītori whānau rānei o ngā raruraru aorta, kaua e whakaroa ki te kimi i te tiaki hauora mō tetahi mamae o te uma, te tua rānei. Ka taea e te mohiotanga wawe me te maimoatanga te whakaora i te ora.

He aha ngā take tūponotanga mō te whakamātau aorta?

Ka taea e te mārama ki ō take tūponotanga te āwhina i a koe ki te tango i ngā mahi hei tiaki i a koe, me te mohio ki te wā hei titiro atu ki ngā tohu. He wāhi nui te pakeke me te ira tangata, me ngā tāne neke atu i te 60 tau te tūponotanga nui ake.

Ko ēnei ngā take tūponotanga matua hei matapaki:

• Te toto teitei, ina koa ki te kore e whakahaeretia pai
• Te pakeke neke atu i te 60 tau
• Ko te tane (ka pā atu ki ngā tāne i ngā wāhine)
• Te hītori whānau o te whakamātau aorta
• Ngā āhuatanga ira tuku iho e pā ana ki te pūtau hono
• Te uaua aorta bicuspid, ngā raruraru uaua ngākau rānei
• Te pokanga aorta o mua, ngā mahi ngākau rānei
• Te kai hikareti, e whakangaro ana i ngā pakitara uaua toto
• Te whakamahinga kokain, amphetamine rānei
• Te hāpai taumaha nui, te kaha tinana rānei

Ko te whai i tetahi take tūponotanga, kāore rānei e kī ka puta he whakamātau aorta ki a koe. Engari, ko te tikanga tēnei me mahi ngātahi koe me tō kaiwhakarato hauora hei whakahaere i ngā take ka taea te whakahaere penei i te toto, me te mahi i ngā huringa oranga e tautoko ana i tō hauora ngākau.

He aha ngā raruraru pea o te whakamātau aorta?

Ka taea e te whakamātau aorta te arahi ki ētahi raruraru kino, i runga i te wāhi o te motu, me te whakatetetea. Ko te tūponotanga tino nui ko te aukati pea o te whakamātau i te rere o te toto ki ngā whatunga nui.

Ko ngā raruraru pea e whai ake nei:

• Te pakaru o te aorta, ka taea te mate i te toto o roto
• Te ngākau mate ki te whakaitihia te rere o te toto ki te uaua ngākau
• Te pōka ki te whakaitihia te rere o te toto ki te roro
• Te kore mahi whatukuhu mai i te whakaitihia te rere o te toto ki ngā whatukuhu
• Te pararutiki ki te pā te tuku toto o te iwi tuaiwi
• Te toto nui ki te kohanga uma
• Te kore mahi ngākau ki te pakaru te uaua aorta
• Ngā raruraru o te kopu ki te whakaitihia te rere o te toto o te kopu

Ko te rongo pai, mā te mohiotanga tere me te maimoatanga, ka taea te aukati, te whakahaere rānei i te nuinga o ēnei raruraru. Kua pai ake ngā hua mō te iwi e pā ana ki te whakamātau aorta, na ngā hangarau pokanga hou me te tiaki āwangawanga.

Me pēhea te whakatau i te whakamātau aorta?

Ka whakaaro pea ngā tākuta ki te whakamātau aorta i runga i ō tohu me te tirotiro tinana, katahi ka whakau mā ngā whakamātau whakaahua. Ka tere te mahi, na te mea he mea nui te wā.

Ka tirotiro tuatahi tō tākuta i tō toto i ngā ringa e rua, na te mea he tohu pea te rereketanga nui. Ka whakarongo rātou ki tō ngākau, ka tirotiro i tō tukunga i ngā wāhi maha ki te kite mena kei te pā te rere o te toto ki tetahi wāhi.

Ko ngā whakamātau whakatau tino noa ko te CT scan me te tae whakapae, ka taea te whakaatu i te motu me te roa o te whakatetetea. Ka taea te mahi i te echocardiogram hei tirotiro i tō mahi ngākau, me te kite mena kei te pā te whakamātau ki ō uaua ngākau.

I etahi wā, ka hiahiatia pea he MRI, he aortogram rānei (he X-ray motuhake me te tae) mō ngā whakaahua taipitopito ake. Ka taea e ngā whakamātau toto te āwhina ki te whakakore i te ngākau mate, me te tirotiro i te pai o te mahi o ō whatunga.

He aha te maimoatanga mō te whakamātau aorta?

Ko te maimoatanga e whakawhirinaki ana ki te momo me te wāhi o tō whakamātau, engari ko te whāinga tonu ko te aukati i ngā raruraru me te whakaora i tō ora. E hiahia ana ngā whakamātau momo A ki te pokanga wawe, engari ka taea te whakahaere i ngā whakamātau momo B mā ngā rongoā i te tīmatanga.

Mō ngā whakamātau momo A, ka whakakapi ngā tākuta i te wāhanga pakaru o te aorta mā te whakato ā-taiao. He pokanga nui tēnei, engari ko te huarahi anake pea tēnei hei aukati i ngā raruraru kino penei i te pakaru, ngā raruraru ngākau rānei.

Ko te nuinga o ngā whakamātau momo B ka maimoatia tuatahi mā ngā rongoā hei whakaiti i te toto, me te whakaiti i te kaha o ngā tukunga ngākau. Ka āwhina tēnei ki te aukati i te whakamātau kei te kino ake. He mea nui hoki ngā rongoā mamae mō te wāhakore.

Ka hiahia pea etahi whakamātau momo B ki te whakatikatika endovascular, kei hea te stent-graft e whakanohoia ana ki roto i te aorta mā te wahi iti. He iti ake te whakauru i te pokanga tuwhera, ā, ka taea te āwhina ki te hiri i te motu.

Me pēhea te whakahaere i te ora i te kāinga i muri i te whakamātau aorta?

Ko te ora i muri i te maimoatanga whakamātau aorta e hiahia ana ki te aro nui ki tō toto me tō taumata mahi. Ka hoatu e tō rōpū hauora ngā aratohu motuhake, engari ko ēnei ngā kaupapa whānui e āwhina ana i te nuinga o te iwi.

He mea nui te tango i ō rongoā toto kia rite ki te whakahau mō te aukati i ngā raruraru o muri mai. Ka āwhina ēnei rongoā ki te whakaiti i te pēhanga ki tō aorta, me te aukati i te whakamātau anō.

Me karo koe i te hāpai taumaha me te mahi tinana nui mō ngā wiki, ngā marama rānei, i runga i tō maimoatanga. Ko te hikoi ngawari te tikanga e whakaohotia ana, engari ui atu ki tō tākuta i te wā e tika ana te piki ake o tō taumata mahi.

He mea nui ngā whakamātau whakaahua hei aroturuki i tō aorta, me te whakarite kei te ora pai. Kaua e ngaro ēnei whakatau, ahakoa kei te pai koe.

Me pēhea te whakarite mō tō whakatau ki te tākuta?

Ki te whakarite koe i tetahi whakatau whai muri i te maimoatanga, ki te whai koe rānei i ngā take tūponotanga, me te hiahia ki te kōrero mō te aukati, ka taea e te whakarite te āwhina i a koe ki te whiwhi i te nuinga mai i tō haerenga.

Tuhia ō tohu, tae atu ki te wā i tīmata ai rātou, me te aha e pai ake ai, te kino ake rānei. Kawe mai he rārangi o ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā rongoā ka hokona i te toa me ngā taapiri.

Whakaritea ngā pātai mō tō āhuatanga, ngā whiringa maimoatanga, me ngā mahi e tika ana mōu. Ui atu mō ngā tohu whakatūpato e tika ai te kimi i te tiaki hauora wawe.

Ki te whai koe i ngā mema whānau e whai raruraru aorta ana, ngā āhuatanga ira tuku iho rānei, kawe mai taua mōhiohio. Ka taea e tō hītori whānau te mea nui mō tō tiaki, mō ngā tūtohu whakamātau rānei.

Ka taea te aukati i te whakamātau aorta?

Ahakoa kaore e taea te aukati i ngā take katoa o te whakamātau aorta, ka taea e koe te whakaiti nui i tō tūponotanga mā te tiaki i tō hauora ngākau. Ko te whakahaere i te toto teitei te mahi nui rawa atu ka taea e koe.

Mahi tahi me tō kaiwhakarato hauora hei pupuri i tō toto i te tawhiti hauora mā ngā rongoā, kai, me ngā huringa oranga. Ko te whakakori noa, te pupuri i te taumaha hauora, te kore kai hikareti katoa e āwhina ana ki te tiaki i ō uaua toto.

Ki te whai koe i te āhuatanga ira tuku iho e piki ake ana tō tūponotanga, ka taea e te aroturuki noa mā ngā whakamātau whakaahua te āwhina ki te hopu i ngā raruraru i te wawe. Ka taea e etahi tangata e whai tūponotanga nui ana te whai hua mai i te pokanga aukati i mua i te puta o te whakamātau.

Karohia ngā mahi e piki ake ana te toto i te wa poto, te kaha rānei, penei i te hāpai taumaha nui, te whakamahinga rongoā whakaohooho rānei. Ki te hiahia koe ki te mahi kaha, mahi haere ki reira.

He aha te mea nui mō te whakamātau aorta?

He āwangawanga hauora nui te whakamātau aorta, engari mā te maimoatanga tere, ka ora tonu te nuinga o te iwi, ka ora hauora. Ko te mea nui ko te mohio ki ngā tohu me te kimi āwhina i te wa tonu.

Kia mahara kaua rawa e warewarehia te mamae o te uma, te tua rānei, kahore he wā e mutu ai, ina koa ki te whai koe i ngā take tūponotanga penei i te toto teitei, te hītori whānau rānei o ngā raruraru aorta. Whakaarohia ō kare-a-roto, kaua e whakaroa ki te karanga mō te āwhina āwangawanga.

Ki te maimoatia koe mō te whakamātau aorta, ko te whai i tō mahere maimoatanga me te haere ki ngā whakatau whai muri he mea nui mō tō hauora roa. Mā te tiaki tika me te aroturuki, ka taea e koe te whakaiti i tō tūponotanga o ngā raruraru o muri mai.

Ngā pātai e ui pinepinetia ana mō te whakamātau aorta

Ka taea te ora ake te whakamātau aorta?

I etahi wā ka taea e ngā whakamātau iti, pumau te ora ake mā te whakahaere hauora atawhai, engari e hiahia ana tēnei ki te aroturuki tata mai i ngā tohunga. E hiahia ana te nuinga o ngā whakamātau ki te maimoatanga mahi hei aukati i ngā raruraru kino.

E hia te roa o te ora i muri i te pokanga whakamātau aorta?

Ka rerekē te roa o te ora i runga i te momo pokanga me tō hauora whānui. Ko te nuinga o te iwi e noho ana i ngā rā ki te wiki i te hōhipera, ka whai ake ko te 6-12 wiki o te mahi iti i te kāinga. Ka taea te ora tonu i ngā marama maha, engari ka hoki te nuinga o te iwi ki ngā mahi noa me ētahi whakarerekētanga.

Me whai maimoatanga ora tonu ahau i muri i te whakamātau aorta?

Ae, ko te nuinga o te iwi e hiahia ana ki te whakahaere toto ora tonu me te aroturuki noa i muri i te whakamātau aorta. Ko te tikanga tēnei ngā rongoā, ngā whakarerekētanga oranga, me ngā whakamātau whakaahua waatea hei tirotiro i tō aorta. Ka āwhina tēnei tiaki haere tonu ki te aukati i ngā whakamātau me ngā raruraru o muri mai.

Ka taea e te ahotea te whakaoho i te whakamātau aorta?

Ahakoa ko te ahotea hinengaro anake kāore e whakaoho tika i te whakamātau aorta, ka taea te āwhina mā te piki ake o te toto. Ka taea e te ahotea tinana ohorere, te kaha rānei te whakaoho i te whakamātau i te tangata kua ngoikore te pakitara aorta. Ko te whakahaere i te ahotea mā ngā rautaki whakahaere hauora he wāhanga o te hauora ngākau whānui.

He ira tuku iho te whakamātau aorta?

Ko ētahi āhuatanga ira tuku iho penei i te mate Marfan me te uaua aorta bicuspid ka piki ake te tūponotanga o te whakamātau aorta, ā, ka taea te rere i roto i ngā whānau. Engari, ko te nuinga o ngā whakamātau e puta ana i ngā tangata kahore he hītori whānau. Ki te whai koe i ngā whānau e whai raruraru aorta ana, kōrerohia ngā tūtohu whakamātau me tō tākuta.