He aha ngā Varices i roto i te Whekau? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

Ko ngā varices i roto i te whekau he ngā uaua nui, pupū i roto i tō whekau ka taea te whakawehi ki te ora ki te pakaru. Whakaarohia rātou he rite ki ngā uaua varicose, engari kaua e puta ki ō waewae, ka whanake i roto i te pūkaha e kawe ana i te kai i tō waha ki tō kopu.

Ko ēnei uaua pupū ka whanaketia te nuinga o te wā ka aukati te rere o te toto ki tō ate, ka akiaki i te toto ki te kimi i ētahi atu huarahi. Ahakoa ko tēnei āhuatanga he mea whakawehi, ko te mārama ki te aha e puta ana i roto i tō tinana ka taea te āwhina i a koe ki te mahi tahi me tō rōpū hauora hei whakahaere pai.

He aha ngā tōmhanga o ngā varices i roto i te whekau?

Ko ngā varices i roto i te whekau ka kore e puta he tōmhanga tae noa ki te toto, koia te take i karangatia ai rātou he āhuatanga 'ngāwari'. Ka kore pea koe e mōhio kei a koe rātou tae noa ki te puta he raruraru nui.

Ina puta te toto, ka hanga he āhuatanga āwangawanga e hiahia ana ki te tiaki hauora tonu. Ko ēnei ngā tohu whakatūpato e tikanga ana kia karanga koe i te 111 tonu:

• Te ruaki toto, te mea rānei e rite ana ki ngā onepu kōpi
• Ngā paru pango, tarry, toto rānei
• Te māuiui nui, te ngāwari rānei ki te ngaro
• Te ngāwari o te ngakau, te ngāwari rānei o tō ngakau
• Te ngoikore ohorere, te whakawareware rānei
• Te mamae uma, te uaua rānei ki te manawa

Ka pāngia pea etahi tangata e ngā tōmhanga iti i mua i te putanga o te toto nui. Ka uru atu ēnei ki te ruaki iti, te ngāwari rānei ki te ngenge, te whai paru pouri rānei e kore rawa e pango.

Mēnā kei a koe te mate ate, te cirrhosis rānei, ka tirotiro pea tō tākuta i a koe i ia wā mō ngā varices i roto i te whekau, ahakoa kahore he tōmhanga. Ka āwhina tēnei whakaaro whakamua ki te hopu i te āhuatanga i mua i te puta o te toto.

He aha ngā take o ngā varices i roto i te whekau?

Ka whanake ngā varices i roto i te whekau ina kore e taea te rere o te toto i roto i tō ate, ka hanga he tautoko e akiaki ana i te toto ki te kimi i ētahi atu huarahi. Ko tēnei pēhanga nui ake i roto i tō pūnaha uaua portal ka pēhi i te toto ki ngā uaua iti i roto i tō whekau, ka puta ai te pupū.

Ko ngā take take nui rawa atu ko ngā āhuatanga ate e hanga ana i tēnei raruraru rere toto:

• Cirrhosis mai i te whakamahinga waipiro, e whakaatu ana i te nuinga o ngā take
• Ngā mate huaketo B, C rānei e pakaru ana i te kiko ate i te wa roa
• Te mate ate ngako kore-waipiro, e tino noho ana i ēnei rā
• Te cholangitis biliary matua, he āhuatanga ate autoimmune
• Hemochromatosis, kei hea te nui o te rino e penapena ana tō tinana

Kaore i te tino noa, ko ngā toto i roto i te uaua portal, te āhuatanga rānei e kiia nei ko te mate Budd-Chiari ka taea te hanga i te pānga tautoko rite. Ka whānau etahi tangata me ngā āhuatanga e pā ana ki te rere o te toto ki te ate, ahakoa he tino onge tēnei.

Ka taea hoki e ētahi rongoā me ngā poizon te pakaru i tō ate i te wa roa, ka āhei pea te arahi ki ngā varices. Ka hiahia tō tākuta ki te mārama ki te aha pea e pā ana ki tō ate hei whakautu i te take take me te maimoatanga i ngā varices anō.

Nōhea te haere ki te tākuta mō ngā varices i roto i te whekau?

Me rapu koe i te tiaki āwangawanga tonu mēnā ka pāngia koe e tetahi tohu o te toto, tae atu ki te ruaki toto, ngā paru pango, te ngoikore ohorere rānei. Ko ēnei tohu e whakaatu ana i te āwangawanga hauora e hiahia ana ki te maimoatanga tonu.

Mēnā kei a koe te mate ate, te cirrhosis rānei, ka hiahia koe ki te tirotiro i ia wā ahakoa kahore he tōmhanga. Ka tūtohutia pea e tō tākuta ngā endoscopies matawai hei tirotiro i ngā varices i mua i te kino.

Whakaritea he hui me tō kaiwhakarato hauora mēnā ka kite koe i te ngenge tonu, te ngaro taumaha kore whakamaarama, te huringa rānei i tō hiahia kai. Ahakoa he maha ngā take o ēnei tohu, he mea tika te kōrero, ina koa mēnā kei a koe ngā take morearea mō te mate ate.

Kaua e tatari ki te tiki awhina mēnā kei te manukanuka koe mō tō whakamahinga waipiro, te whakaū rānei ki te hepatitis. Ka taea e te whakauru wawe mō ngā āhuatanga ate te aukati i ngā raruraru penei i te whanaketanga o ngā varices i roto i te whekau.

He aha ngā take morearea mō ngā varices i roto i te whekau?

Ko tō morearea mō te whanaketanga o ngā varices i roto i te whekau e whakawhirinaki ana ki ngā take ka taea te pakaru i tō ate, te pānga rānei ki te rere o te toto ki reira. Ka taea e te mārama ki ēnei take morearea te āwhina i a koe ki te tango i ngā mahi hei tiaki i tō hauora ate.

Ko ngā take morearea nui rawa atu ko:

• Te whakamahinga waipiro nui i ngā tau maha, koinei te take matua
• Te mate huaketo B, C rānei
• Te momona me te mate metabolic, ka taea te arahi ki te mate ate ngako
• Te mate huka, ina koa kaore i te pai te whakahaere
• Te hītori whānau o te mate ate, te āhuatanga ira rānei
• Te whakaū ki ētahi poizon, rongoā rānei ka taea te pakaru i te ate

Ka nui ake te morearea o ētahi tangata na ngā take i tua atu i to rātou mana whakahaere, penei i ngā āhuatanga kua oti te whakawhiwhi penei i te mate Wilson, te kore rānei o te alpha-1 antitrypsin. Kei te takaro hoki te tau, i te mea ka kohia te kino o te ate i te wa roa.

Ka taea e ētahi rongoā, tae atu ki ētahi kaiwhakaora mamae me ngā taapiri, te whakamātautau i tō ate ina whakamahia mo te wa roa. Ka taea e tō tākuta te āwhina i a koe ki te mārama ki ngā rongoā ka taea te whakatakoto morearea, te tuku rānei i ētahi atu whiringa haumaru ina taea.

He aha ngā raruraru pea o ngā varices i roto i te whekau?

Ko te raruraru nui rawa atu o ngā varices i roto i te whekau ko te toto, ka taea te whakawehi ki te ora, me te hiahia ki te tiaki hauora tonu. Ina pakaru ēnei uaua pupū, ka taea te tino ngaro toto tere.

Ka uru atu ngā raruraru toto ki:

• Te ohorere hemorrhagic mai i te ngaro toto tere
• Te mate huha aspiration mēnā ka manawahia te toto ki roto i ngā pūkahukahu
• Ngā raruraru whatukuhu mai i te ngaro toto me ngā huringa wai
• Ngā raruraru ngakau mai i te mate toto nui
• Te encephalopathy ate, kei hea ngā poizon e pā ana ki te mahi o te roro

Ahakoa i muri i te maimoatanga angitu o ngā varices toto, he morearea kei te toto anō rātou. Koia te take i tino nui ai te tirotiro tonu me te maimoatanga whakamua mō ngā tangata kei a rātou tēnei āhuatanga.

I etahi wā onge, ko ngā maimoatanga e whakamahia ana hei aukati i te toto ka taea te hanga i ngā raruraru penei i te whakaiti o te whekau, te mate rānei. Ka whakatārite pai tō rōpū hauora i ngā painga me ngā morearea o ngā huarahi maimoatanga rerekē.

Me pēhea te whakatau i ngā varices i roto i te whekau?

Ko te whakatau i ngā varices i roto i te whekau e hiahia ana ki te tirotiro i tō hītori hauora me te mahi i tetahi whakamātautau tinana. Ka taea e ngā whakamātautau toto te whakaatu i ngā raruraru mahi ate me te āwhina ki te kimi i ngā take take.

Ko te tikanga whakatau tino nui ko te endoscopy, he tukanga e whakamahi ana tō tākuta i te pūkaha angiangi, ngawari me te kamera hei titiro ki roto i tō whekau. Ka hoatu tēnei ki a rātou te tirohanga marama o ētahi uaua pupū, ā, ka āwhina ki te whakatau i te morearea o te toto.

Ka roa pea te tukanga endoscopy i te 15-30 meneti, a, ka mahia te nuinga o te wā me te whakangā kia pai ai koe. Ka taea e tō tākuta te kite tika i ngā varices, ā, ka tohu i rātou i runga i to rātou rāhi me te ahua.

Ka taea e ngā whakamātautau atu te whakauru i ngā CT scans, ngā ultrasounds rānei hei aromatawai i tō ate me ngā uaua toto. Ka āwhina ēnei whakaaturanga whakaahua i tō tākuta ki te mārama ki te pikitia katoa o te aha e puta ana i roto i tō tinana.

He aha te maimoatanga mō ngā varices i roto i te whekau?

Ko te maimoatanga mō ngā varices i roto i te whekau e aro ana ki te aukati i te toto me te whakahaere i te āhuatanga ate take. Ka hanga e tō tākuta he mahere maimoatanga i runga i te rahi o ō varices me tō hauora whānui.

Mēnā kaore koe e toto i tēnei wā, ka taea e ngā maimoatanga whakamua te whakauru ki:

• Ngā rongoā beta-blocker hei whakaiti i te pēhanga i roto i ō uaua portal
• Te hono uaua endoscopic hei here i ngā varices
• Te tirotiro i ia wā me ngā endoscopies whakahoki
• Te maimoatanga o te mate ate take

Mō te toto mahi, ko ngā maimoatanga āwangawanga e aro ana ki te aukati i te ngaro toto tere. Ka uru pea tēnei ki ngā tukanga endoscopic hei hiri i ngā uaua toto, ngā rongoā hei whakaiti i te rere o te toto, ngā taputapu porowhita wa poto rānei hei whakamahi i te pēhanga.

I ngā take kino, ka hiahia pea koe ki ngā tukanga nui ake penei i te TIPS (transjugular intrahepatic portosystemic shunt), e hanga ana i tetahi huarahi hou mō te rere o te toto. Ka hiahia pea etahi tangata ki te aromatawai whakawhiti ate mēnā kua tino whanake to rātou mate ate.

Me pēhea te whakahaere i ngā varices i roto i te whekau i te kāinga?

Ko te whakahaere i ngā varices i roto i te whekau i te kāinga e hiahia ana ki te tiaki i tō hauora ate me te whai i ngā tūtohu a tō tākuta. Ko te mahi nui rawa atu ko te karo i te waipiro katoa, i te mea ka taea te whakaiti i te kino o te ate me te whakanui i te morearea toto.

Tangohia ō rongoā rite tonu ki te tohutohu, ina koa ngā beta-blockers e āwhina ana ki te whakaiti i te pēhanga i roto i ō uaua. Kaua e ngaro ngā rā, kaua hoki e mutu ngā rongoā kahore he kōrero ki tō tākuta.

Tirohia tō kai ma te whakaiti i te konutai hei whakaiti i te pupū wai me te kai i ngā kai noa, rite hei tautoko i te mahi ate. Kaua e kai i te aspirin me ngā rongoā anti-inflammatory kore-steroidal (NSAIDs) penei i te ibuprofen, i te mea ka taea e ēnei te whakanui i te morearea toto.

Kia mataara ki ngā tohu whakatūpato o te toto, kia mōhio hoki ki te rapu i te tiaki āwangawanga. Kia mau ki te rārangi o ō rongoā me ō āhuatanga hauora i ia wā i te keehi āwangawanga.

Me pēhea te whakarite mō tō hui tākuta?

Whakaritea mō tō hui ma te kohikohi i ngā korero mō ō tōmhanga, ngā rongoā, me tō hītori hauora. Tuhia ētahi pātai e hiahia ana koe ki te ui, ā, kawea mai he rārangi o ngā rongoā me ngā taapiri katoa e tangohia ana e koe.

Kia mau ki te rekoata o ētahi tōmhanga kua pāngia koe, tae atu ki te wā i puta ai rātou me te nui o te kino. Kia kitea ētahi huringa i tō taumata kaha, hiahia kai, te nekehanga rānei o te kopu.

Kawea mai he mema whānau, he hoa rānei mēnā ka taea, ina koa mēnā kei te manukanuka koe mō te hui. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā korero nui me te whakarato tautoko.

Kia pono ki tō whakamahinga waipiro me ētahi atu take ka pā pea ki tō hauora ate. Me whai ngā korero katoa tō tākuta hei whakarato i te tiaki pai rawa atu.

He aha te tango matua mō ngā varices i roto i te whekau?

Ko ngā varices i roto i te whekau he āhuatanga nui e hiahia ana ki te tiaki hauora tonu, engari ka taea te whakahaere pai me te maimoatanga tika. Ko te matua ko te mahi tata me tō rōpū hauora hei tirotiro i tō āhuatanga me te aukati i ngā raruraru.

Ka taea e te kite wawe me te maimoatanga o te mate ate take te aukati i ngā varices mai i te whanaketanga, te kino rānei. Mēnā kei a koe ngā varices, ko te whai i tō mahere maimoatanga me te noho mataara mō ngā tohu whakatūpato ka taea te āwhina i te aukati i ngā wāhanga toto whakawehi ki te ora.

Kia mahara ko te whai varices i roto i te whekau kaore e tikanga kaore e taea e koe te noho ora pai. He maha ngā tangata e whakahaere pai ana i tēnei āhuatanga me te tiaki hauora tika me ngā huringa oranga.

Ngā pātai uiui noa mō ngā varices i roto i te whekau

Ka taea te ngaro ngā varices i roto i te whekau i runga i a rātou anō?

Ko ngā varices i roto i te whekau kaore e ngaro i te maimoatanga, ina koa mēnā kei te mau tonu te āhuatanga ate take ki te whakanui i te pēhanga. Heoi, ka taea e te maimoatanga tika te whakaiti nui i to rātou rahi me te morearea toto. I etahi wā, ka taea e te maimoatanga angitu o te mate ate take te arahi ki te whakapai ake i ngā varices i te wa roa.

E hā roa te ora ka taea e koe me ngā varices i roto i te whekau?

He maha ngā tangata kei a rātou ngā varices i roto i te whekau e ora ana mō ngā tau me te whakahaere hauora tika me ngā huringa oranga. Ko tō tirohanga e whakawhirinaki ana ki ngā take maha, tae atu ki te kino o tō mate ate take, te pai o tō whakautu ki te maimoatanga, me te puta rānei o ngā raruraru toto. Ko te mahi tata me tō rōpū hauora ka hoatu ki a koe te tupono pai rawa atu mō te kounga ora pai.

He kai kei te karo ahau me ngā varices i roto i te whekau?

Me karo koe i ngā kai pakeke, koi, te rapa rānei ka taea te whakaheke i tō whekau, penei i ngā kēmu, te taro kirikiri, ngā nati rānei. Ka taea hoki e ngā kai kawa me ngā inu wera rawa te whakaheke. Aro atu ki ngā kai ngawari, ngāwari ki te horomia, karohia te waipiro katoa. Ka taea e tō tākuta, te kaiwhakaako kai rānei te whakarato i ngā aratohu kai motuhake i runga i tō āhuatanga motuhake.

He aha te rerekētanga i waenganui i ngā varices i roto i te whekau me ngā uaua varicose noa?

Ahakoa e rua ngā uaua nui, he tino nui ake te kino o ngā varices i roto i te whekau i ngā uaua varicose ka kite pea koe i ō waewae. Kei te noho ngā varices i roto i te whekau i tetahi wāhi nui kei reira te toto ka taea te whakawehi ki te ora, a, ka puta mai i ngā raruraru ate nui. Ko ngā uaua varicose noa he take ataahua anake, ā, kaore e tino puta he raruraru nui.

Ka taea e te ahotea te whakaiti i ngā varices i roto i te whekau?

Ahakoa kaore te ahotea e tino whakaiti i ngā varices i roto i te whekau, ka taea te pānga ki tō hauora whānui, te pānga rānei ki tō mahi ate. Ka taea hoki e te ahotea te arahi ki ngā whāinga ka taea te kino ki tō ate, penei i te whakamahinga waipiro nui ake. Ko te whakahaere i te ahotea mā ngā rautaki whakautu hauora, te whakakori noa, te moe tika ka taea te tautoko i tō mahere maimoatanga whānui.