He aha te Whatinga Ihu-rere o te Tuaiwi? Tohutohu, Take, me te Maimoatanga

Ko te whatinga ihu-rere o te tuaiwi (AVM) he kohinga rerekee o ngā oko toto kei roto, kei te taha rānei o tōu tūaiwi, kei reira ngā ātireti me ngā uaua e hono tika ana, kāore he whatunga noa o ngā kapiliti iti kei waenganui. Whakaarohia he āhuatanga rori i roto i te pūnaha rori o tōu tinana, kei reira te toto ātireti tere e tere ana ki ngā uaua kāore i hangaia hei whakahaere i taua pehanga.

He tino onge tēnei āhuatanga, e pā ana ki te 1 noa i roto i te 100,000 o te iwi. Ahakoa ka rongo te wehi, he tokomaha ngā tāngata e ora ana me ngā AVM o te tuaiwi kāore e mōhio ana kei a rātou, ā, ki te puta mai ngā tohu, he rongoā whai hua kei te wātea hei awhina i te whakahaere i te āhuatanga.

He aha ngā tohu o te whatinga ihu-rere o te tuaiwi?

He tokomaha ngā tāngata e whai ana i ngā AVM o te tuaiwi kāore e pāngia e tetahi tohu, inā koa he iti te whatinga. Ki te puta mai ngā tohu, ka tupu mā te iti iho i ngā marama, i ngā tau rānei, i te tīmatanga o te rere toto rerekee ki tōu tūaiwi.

Ko ngā tohu tino noa ka kitea e koe, ko te ngoikore o ngā waewae e tupu haere ana, ka tīmata pea hei uaua ki te piki i ngā kaupae, ki te rongo rānei i te kore tū i te wā e hikoi ana. Ka rongo pea koe i te ngāngā, i te wiri rānei e tīmata ana i ō waewae, ka piki haere.

Ko ēnei ngā tohu e tino pūrongo ana ngā tāngata e whai ana i ngā AVM o te tuaiwi:

• Te ngoikore o ngā waewae e tupu haere ana i te wā
• Te ngāngā, te wiri rānei i ngā waewae
• Te uaua ki te tū me te whakahaere
• Te mamae o te tuara e pā ana ki ō waewae
• Ngā raruraru ki te whakahaere i te pūkahukahu, i te whekau rānei
• Te ngoikore o ngā uaua, te wiri rānei i ō waewae

I etahi wā onge, ka taea e te AVM o te tuaiwi te whakaputa i ngā tohu nui, ohorere, ki te puta te toto. Ka uru pea tenei ki te mamae nui o te tuara, te ngoikore ohorere, te ngaro ohorere rānei o te pūāhua i raro i te taumata o te toto.

Ko te mea nui hei mahara ko te whanaketanga o ngā tohu e tino ngāwari ana te puta, ā, ka hoatu he wā ki a koe, me tō rōpū hauora kia whakahaeretia te āhuatanga i mua i te tino whanake.

He aha ngā momo o te ngoikoretanga o te toto i roto i te tuawhenua?

Ka wehewehea e ngā tākuta ngā AVM o te tuawhenua ki ētahi momo, e whakaū ana ki te wāhi e noho ana rātou, me te āhua o te hanganga. Ko te mōhiotanga ki tō momo motuhake ka āwhina i tō rōpū hauora ki te whiriwhiri i te huarahi whakaora pai mō tō āhuatanga.

Ko te momo tino noa ko te fistula arteriovenous dural, e 80% te nui o ngā AVM o te tuawhenua katoa. Ka whanaketia ēnei i roto i te hipoki tiaki kei te taha o tō tūāwhiti, ā, ka puta mai ngā tohu i te wa roa.

Ko ēnei ngā momo matua ka kōrero pea tō tākuta ki a koe:

• Ngā fistula arteriovenous dural: Kei te dura (te hipoki o te tūāwhiti) rātou, ā, e tino puta ana ngā tohu e whakahāere ana i te wa roa
• Ngā AVM Intramedullary: Kei roto i te tūāwhiti anō, ā, e tino pā ana ki te toto
• Ngā fistula Perimedullary: Kei te mata o te tūāwhiti, me ngā hononga tika i waenganui i ngā ātiretī me ngā uaua
• Ngā AVM Extradural: Kei waho o te dura, ā, e hono ana ki ngā ngoikoretanga o te whenua o te tuawhenua

He rerekē te whāinga o ia momo, ā, e hiahia ana ki tētahi huarahi whakaora e rite ana. Mā tō rōpū hauora e whakamahi ngā rangahau whakaahua hei whakatau i te momo kei a koe, ā, hei hanga i tētahi mahere whakaora e tika ana mō tō āhuatanga motuhake.

He aha te take o te ngoikoretanga o te toto i roto i te tuawhenua?

Ko te nuinga o ngā AVM o te tuawhenua kei te noho mai i te wā whānau, e whanake ana i ngā wiki tuatahi o te hapu ina hangaia ana ō uaua toto. Ka puta mai tēnei nā ngā hapa i te whanaketanga o ngā uaua toto, ehara i te mea nā tetahi mea i he ai koe, i ō mātua rānei.

I te wā o te whanaketanga noa, ka hanga motuhake ngā ātiretī me ngā uaua toto, ā, ka hono atu mā te whatunga o ngā kapilili iti. Ki te AVM, ka pakaru tēnei tukanga noa, ka hanga ai ngā hononga tika i waenganui i ngā ātiretī me ngā uaua toto.

Ko ngā take tino pono mō te puta mai o tēnei hapa whanaketanga ko:

• Ngā rerekētanga ira tōtika i te wā o te haputanga tuatahi
• Ngā whakaroa i te whanaketanga noa o ngā oko toto
• Ngā āhuatanga ira onge ka pā ki te hanganga o ngā oko toto
• Ngā take ngaro e pā ana ki te whanaketanga o te pēpi i te tīmatanga

I etahi wā tino onge, ka taea te whanake o ngā AVM o te tuaiwi i muri mai i te oranga na te whara, te mate, tetahi atu rānei āhuatanga hauora. Heoi, ko te nuinga nui he whānau, arā, ka whānau koe me rātou ahakoa kaore ngā tohu e puta mai kia tae rawa ki muri.

He mea nui kia mōhio kei te kore te AVM o te tuaiwi e puta mai i ngā whiringa oranga, ngā whara, tetahi mea rānei i taea e koe te aukati. He rerekētanga noa ēnei i te whanaketanga o ngā oko toto i mua i te whānautanga.

Nōhea te toro atu ki te taote mō te āhuatanga o te toto i roto i te tuaiwi?

Me whakapiri atu koe ki tō kaiwhakarato hauora mēnā ka pāngia koe e te ngoikore e piki haere ana o ō waewae, ā, ina koa ki te haere tahi me te ngāngā, te wiri rānei. Ahakoa he maha ngā take o ēnei tohu, he mea nui kia arotakehia wawe.

Tārua atu te aro ki ngā tohu e kino haere ana i ngā wiki, ngā marama rānei i te noho tonu. Ko ngā tohu neurological e piki haere ana e tika ana kia whakarongohia te rongoā, nā te mea ko te rongoā wawe te nuinga o te wā ka ārahi ki ngā hua pai ake.

Rapua te tiaki hauora tūturu mēnā ka pāngia koe e:

• Te mamae o te tuaiwi, ohorere, nui, kāore i rite ki tetahi mea kua pāngia koe i mua
• Te ngoikore o te waewae, te kore e taea te neke rānei, e puta mai ana i te wa poto
• Te ngaro ohorere o te mana o te pūkau, o te kopu rānei
• Te ngāngā katoa o ō waewae, o raro rānei o tō tinana
• Te mamae o te mahunga nui me te uaua o te kaki

Kaua e tatari kia kite mena ka pai ake ngā tohu ngawari mā rātou anō. Ka taea e te aromatawai wawe a te neurologist, neurologist rānei te awhina i te kimi i te take o ō tohu me te aukati i ngā raruraru pea.

Ahakoa iti rawa ngā tohu, ko te kōrero ki tō tākuta ka āwhina kia whiwhi koe i ngā whakamātautau tika me te rangimarie o te ngākau mō te take o tō mamae.

He aha ngā take morearea mō te whākākautanga o te toto i roto i te tuawhenua?

No te mea ko te nuinga o ngā AVM o te tuawhenua kei te noho mai i te wā whānau, kaore ngā take morearea tuku iho penei i te kai, te whakakori rānei e pā ana. Heoi, ka taea e ētahi take te whakapiki i tō tūponotanga ki te whanake i ngā tohu, i ngā raruraru rānei mai i te AVM kei te noho.

He mahi te tau i te wā e puta mai ai ngā tohu, me te nuinga o te iwi e whanake ana i ngā raruraru i waenga i ngā tau 40 me te 60. Ka puta mai tenei no te mea ka whakaraweke haere te rere toto koretake i te kiko o te tuawhenua i te roa o te wā.

Ko ngā take ka pā pea ki tō morearea ko:

• Ko te tane (he iti te morearea nui atu i ngā wāhine)
• Te whai i ētahi āhuatanga ira tino onge e pā ana ki ngā oko toto
• Te hītori whānau o ngā whākākautanga oko toto
• Te whara o mua o te tuawhenua, te pokanga rānei i roto i ngā take onge
• Te hapu, ka taea pea te whakaoho i ngā tohu na te nui haere o te rere toto

Ko ngā mahi ka whakapiki i te pehanga toto mo te wā poto, penei i te kawe i ngā mea taimaha, te whakakori kaha rānei, ka taea pea te whakapiki i te morearea o te toto, engari kāore tēnei hononga i whakapumautia mā te rangahau.

Ko te mea tino nui kia mārama ko te mea he AVM o te tuawhenua kei a koe, ehara i te mea i puta mai i a koe, kāore rānei e taea te aukati. Ko ēnei ngā rerekētanga whanaketanga e puta ana i te wa o te haputanga.

He aha ngā raruraru pea o te whākākautanga o te toto i roto i te tuawhenua?

Ahakoa he tokomaha ngā tāngata he AVM o te tuawhenua e ora ana i ngā oranga noa, ka puta mai ētahi raruraru ki te kore e whakahaere tika. Ko te mārama ki ēnei wā pea ka āwhina i a koe ki te mahi tahi me tō rōpū hauora hei aukati i ngā raruraru.

Ko te raruraru tino noa ko te pakaru haere o te rongoā o te tuaiwi e puta mai ana i te rere toto kino me te pehanga mai i ngā uaua toto nui. Ka puta haere tenei, ā, koia te take i nui ai te whakaora wawe hei tiaki i tō mahi neurology.

Ko ētahi atu raruraru pea me mōhio koe:

• Te ngoikore haere pea ka āhei te arahi ki te uaua ki te hikoi
• Te ngāngā roa, te ngaro rānei o te pūāhua
• Nga raruraru whakahaere pūkau me te kopu
• Te mamae roa i tō tua me ō waewae
• Ngā toto kōtiti i ngā oko toto koretake
• Te toto i roto i te rongoā o te tuaiwi (hemorrhage)

Ko te toto te raruraru tino nui engari ko te iti rawa te noa, ka puta noa i te 2-4% o ngā AVM o te tuaiwi ia tau. Ki te pēhea, ka taea e te tino kino, te mate pēhea rānei te āhuatanga e hiahia ana ki te whakaora tere.

Ko te rongo pai, mā te tirotiro tika me te whakaora, ka taea te aukati, te whakahaere rānei i te nuinga o ngā raruraru. Ko te whai i te roopu hauora i ia wa ka āwhina i te hopu i ngā huringa i te wa wawe.

Me pēhea te aukati i te whākōkī arteriovenous o te tuaiwi?

Mai i te mea he āhuatanga whanaketanga ngā AVM o te tuaiwi e hanga ana i mua i te whānautanga, kāore he huarahi hei aukati i te puta mai. Ko te hua mai i ngā rerekētanga ohorere i te whanaketanga o ngā oko toto i te wa o te haputanga wawe.

Heoi, ki te whai koe i te AVM o te tuaiwi kua whakatauhia, ka taea e koe te mahi hei aukati i ngā raruraru me te whakahaere i tō āhuatanga. Ko te mahi tata ki tō rōpū hauora te mahi aukati nui rawa atu e taea e koe te mahi.

Ko ēnei ngā huarahi hei tiaki i a koe mena kei a koe te AVM o te tuaiwi:

• Whai i ngā tūtohu a tō tākuta mō te tirotiro auau
• Tangohia ngā rongoā kua tohua kia rite ki te aratohu
• Whakawhiwhi i te oranga hauora me te whakakori auau, ngawari
• Kaua e mahi i ngā mahi ka piki pea te tūpono o te toto mena ka tūtohuhia
• Whakamōhio wawe i ngā tohu hou, te kino rānei
• Pupuri i ngā whakaritenga whai i ia wa katoa

Ko ētahi ngākaunui e tūtohutia ana te karo i ngā mahi e tino piki haere ai te toto, ahakoa kāo te mōhio mō tēnei. Ka homai e tō rōpū hauora ngā tohutohu motuhake e whai ana ki tō āhuatanga.

Ko te mea nui ko te noho mohio ki tō mate, me te pupuri i te whakawhitiwhiti kōrero tūwhāiti ki tō rōpū hauora kia āhei ai rātou te āwhina i a koe ki te whakatau i ngā whakatau pai mō tō hauora.

Pehea te whakamātautau i te ngoikoretanga o te toto i te tuaiwi?

Ko te whakamātautau i te AVM o te tuaiwi e tīmata ana me tō ngākaunui e whakarongo ana ki ō tohu, me te mahi i te whakamātautau neurological. Ka whakamātautau rātou i tō kaha, ngā whakautu, me te pūāhua kia mōhio ai rātou ki te mahi o tō rōpū tuaiwi.

Ko te paerewa koura mō te whakamātautau ko te angiography o te tuaiwi, he mahi X-ray motuhake e whakauruhia ana te tae whakakāo ki roto i ō ngā oko toto kia whakaatu ai i te hanganga tika o te AVM. Ka homai e tēnei whakamātautau ngā kōrero taipitopito e hiahia ana tō ngākaunui ki te whakarite i te maimoatanga.

Ko tō haerenga whakamātautau pea ka whai i ētahi o ēnei whakamātautau:

1. MRI o te tuaiwi: Ka whakaatu i te rōpū tuaiwi, ā, ka kitea ngā tohu o te AVM
2. CT myelography: Ka whakamahi i te tae whakakāo me te CT scanning hei tiro i ngā hanganga o te tuaiwi
3. Angiography o te tuaiwi: Ko te whakamātautau tino taipitopito e whakaatu ana i ngā āhuatanga o te rere o te toto
4. Whakamātautau Neurological: Ka whakamātautau i ō whakautu, kaha, me te pūāhua
5. Ngā whakamātautau toto: Ka whakakore i ētahi atu āhuatanga pea e āhei ai te tupu o ngā tohu rite

Pea ka roa te tukanga whakamātautau i te mea kei te mahi tō ngākaunui ki te tiki i te whakaahua tino tika o tō mate. Ka homai e ia whakamātautau ngā kōrero rerekē e āhei ai te hanga i te whakamātautau tino tika.

Kaua e manukanuka ki te hiahia koe ki ngā whakamātautau maha. Ko tēnei mahi tino tika e whakarite ana kei te mārama tō rōpū hauora ki te momo AVM kei a koe, ā, ka taea te tūtohutia te maimoatanga tino tika mō tō āhuatanga motuhake.

He aha te rongoā mō te ngoikoretanga o te toto i roto i te tuawhenua?

Ko te rongoā mō ngā AVM o te tuawhenua e whakawhirinaki ana ki tō momo motuhake, tō wāhi, ngā tohu, me tō hauora whānui. Ko te whāinga matua ko te mutu i te rere o te toto koretake me te tiaki i te mahi o tō tūāwhiti me te aukati i ngā pōhēnga atu.

Kāo te katoa o te hunga he AVM o te tuawhenua e hiahia ana ki te rongoā wawe. Ki te kore ō tohu, ā, he momo iti te tūponotanga, āta whakahaerehia e tō tākuta te tirotiro me ngā tirotiro me ngā rangahau whakaahua.

Ina hiahiatia te rongoā, ko ō kōwhiringa e whakauru ana ki:

• Te whakakī i te toto: Te aukati i ngā oko toto koretake mā te whakamahi i ngā kōiwi, i te whakapiri rānei e whakauruhia ana mā te catheter
• Te tango whakahaere: Te tango tika i te AVM mā te mahi whakahaere i tō tuawhenua
• Te rongoā whakawhāiti: Te whakamahi i ngā hihi whakawhāiti kia kati haere ai ngā oko toto koretake
• Ngā huarahi whakauru: Te whakamahi i ngā rongoā maha hei tahi mō ngā take uaua

Ko te rongoā whakakī i te toto te mea tuatahi i te nuinga o te wā, nā te mea he iti ake te mahi i te whakahaere. Ka whakauru tō tākuta he pūpoipoi angiangi mā te oko toto, ā, ka whakamahi i ngā rauemi motuhake hei aukati i ngā hononga koretake.

Ka taea te tūtohutia te whakahaere mō ngā AVM kaore e taea te rongoā mā ngā tikanga whakakī i te toto, i te mea ko te tango katoa te kōwhiringa haumaru rawa. He rerekē te wā ora, engari ka taea e te nuinga o te iwi te hoki ki ngā mahi noa i roto i ngā wiki ki ngā marama.

Ka whakamārama tō rōpū rongoā i ngā painga me ngā tūponotanga o ia kōwhiringa, ā, ka āwhina i a koe ki te whiriwhiri i te huarahi pai mō tō āhuatanga motuhake.

Me pēhea te tango i te rongoā kāinga i te wā o te ngoikoretanga o te toto i roto i te tuawhenua?

Ko te whakahaere i te AVM o te tuawhenua i te kāinga e arotahi ana ki te tautoko i tō hauora whānui me te matawai i ngā huringa o ō tohu. Ka taea te haere tonu tō mahi o ia rā i te nuinga o ngā take, me ētahi whakarerekētanga ngāwari.

Ko te whakahaumanu i te mamae he wāhanga nui te nuinga o te tiaki whare. Āta tirohia e tō tākuta ngā rongoā mamae kore-whakahaunga, rānei ka tukuna e ia ngā rongoā motuhake hei āwhina i a koe kia noho marie i te whakahaere i tō mate.

Ko ēnei ngā rautaki tiaki whare whai hua:

• Tūhonohia tētahi raarangi tohu hei aroturuki i ngā huringa katoa
• Tangohia ngā rongoā kia rite ki te whakahau
• Noho mahi me ngā whakakori ngawari, kua whakaaetia
• Whakamahia te rongoā wera, rānei te makariri hei whakaora i te mamae o te tuara
• Whakamahia te āhua pai hei whakaiti i te ahotea o te tuaiwi o muri
• Whiwhi okiokinga tika me te whakahaere i ngā taumata ahotea

Ka tino whai hua te rongoā tinana ki te pupuri i te kaha me te nekehanga. Ka whakaakohia e tō kaiwhakaora ngā whakakori e tautoko ana i tō tuaiwi o muri, kāore hoki e whakapiki i te ahotea ki ō ngā oko toto.

Tātai atu ki tō tinana, kaua hoki e wareware ki ngā tohu hou. Ahakoa ko te nuinga o ngā huringa ka puta haere māmā, me karanga atu ki tō rōpū hauora mena ka kaha ake te ngoikore, te ngenge, te mamae rānei.

Kia mahara, ko te noho tahi me te AVM o te tuaiwi o muri ehara i te kī e kore e taea e koe te koa ki te oranga mahi, te oranga whai hua. He tokomaha te hunga e whakahaere pai ana i tō rātou āhuatanga me te tiaki tika me te tirotiro.

Me pēhea te whakarite mō tō hui ki te tākuta?

Ko te whakarite mō tō hui he āwhina kia whiwhi koe i te hua nui rawa atu i tō wā me tō rōpū hauora. Tīmata ma te tuhituhi i ō tohu katoa, tae atu ki te wā i tīmata ai rātou me te āhua o te huringa i te wā.

Kawe mai tētahi rārangi katoa o ngā rongoā katoa e inu ana koe, tae atu ki ngā taapiri me ngā rongoā kore-whakahaunga. Kohikohia hoki ngā hua whakamātautau o mua, ngā rangahau whakaahua rānei e pā ana ki tō āhuatanga.

Ko ēnei ngā mea hei whakarite i mua i tō haerenga:

• Rārangi o ngā tohu o nāianei me te wā i tīmata ai rātou
• Pātai mō tō whakamārama me ngā kōwhiringa maimoatanga
• Rārangi rongoā katoa me ngā horopeta
• Ngā rēkōta hauora o mua me ngā hua whakamātautau
• Ngā korero inihua me ngā tuhinga tohutoro
• Ngā korero whakapā mo ētahi atu tākuta e whakahaere ana i a koe

Whakaarohia te kawe mai i te mema whānau, i te hoa rānei hei āwhina i a koe ki te maumahara ki ngā kōrero nui i kōrerotia i te wā o te whakarite. Ka taea hoki e rātou te tuku tautoko me te āwhina i a koe ki te whakaaro ki ngā pātai ka wareware pea koe.

Kaua e whakaroa ki te uiui mo tetahi mea kaore koe e mōhio. E hiahia ana tō rōpū hauora kia mōhio koe ki tō mahere maimoatanga, ā, kia mārama hoki koe ki tō āhuatanga.

Tuhia ngā take matua i te wā o tō haerenga, ki te ui rānei mēnā ka taea e koe te tuhi i te kōrero mō te arotake i muri mai. Ka āwhina tenei i a koe ki te maumahara ki ngā kōrero nui ina tae koe ki te kāinga.

He aha te mea nui e pā ana ki te ngoikoretanga o te toto i te tuaiwi?

Ko te mea nui rawa atu hei mārama ki ngā AVM o te tuaiwi, ahakoa he āhuatanga kino e hiahia ana ki te tiaki hauora, ka taea hoki te whakahaere me te tiaki tika. He tokomaha ngā tāngata e ora ana i te ora katoa, i te ora mahi, ahakoa he āhuatanga tenei.

Ko te whakamārama me te maimoatanga wawe te tikanga ka pai ake ngā hua. Ki te pāngia koe e te ngoikore e haere ana, te ngāngā, tetahi atu rānei tohu neurological, kaua e tatari ki te rapu whakamātautau hauora.

Kia mahara kei te pēnei te AVM o te tuaiwi, ā, he maimoatanga whai hua kei te wātea. Ko te mahi tata atu ki te rōpū hauora mohio ka hoatu ki a koe te huarahi pai rawa atu ki te pupuri i tō kounga ora me te aukati i ngā raruraru.

Kia whakamāramahia tō āhuatanga, whai i tō mahere maimoatanga, ā, pupuri i te whakawhitiwhiti korero tuwhera me ō kaiwhakarato hauora. Me te whakahaere tika, ka taea e te nuinga o ngā tāngata he AVM o te tuaiwi te whai tonu i ngā mahi me ngā whanaungatanga e tino nui ana ki a rātou.

Ngā pātai e ui pinepinetia ana e pā ana ki te ngoikoretanga o te toto i te tuaiwi

Ka ngaro noa iho rānei te AVM o te tuaiwi?

Kāore ngā AVM o te tuaiwi e ngaro noa iho i te wā kua puta. Heoi, ka mau tonu etahi AVM iti i te ora katoa, kāore hoki e pāngia e ngā tohu, kāore hoki e hiahiatia te rongoā. Ko te tirotiro tūturu hei āwhina i te whakatau mena me te wā e hiahiatia ai te rongoā.

He mea tuku iho rānei te AVM o te tuaiwi?

Ko te nuinga o ngā AVM o te tuaiwi kāore i tukua iho, ā, ka puta noa iho i te wā e whanau ana. Heoi, ko ētahi wā, ka hono atu ki ngā āhuatanga ira e pā ana ki te hanganga o ngā oko toto. Ki te whai koe i ngā whānau e pangia ana e ngā ngoikoretanga o ngā oko toto, korerohia tēnei ki tō tākuta.

Ka taea te whakakori tinana me te AVM o te tuaiwi?

Ko te nuinga o te hunga e pangia ana e ngā AVM o te tuaiwi ka taea te whakakori tinana haumaru, ahakoa ka tūtohu pea tō tākuta kia kaua e mahi i ngā mahi e pāngia ana e ngā pikinga ohorere o te toto. Ko ngā whakakori iti te pānga penei i te kauhoe, te hikoi, me te yoga ngawari te tikanga e whakaohohia ana. Tirohia tonu ki tō rōpū hauora i mua i te tīmatanga o ngā mahi hou.

Me mahi rongoā rānei au mō taku AVM o te tuaiwi?

Kāore te katoa o te hunga e pangia ana e te AVM o te tuaiwi e hiahia ana ki te rongoā. Ko te rongoā e whakawhirinaki ana ki ō tohu, ki te momo me te wāhi o tō AVM, me tō hauora whānui. Ka taea te rongoā i te nuinga ma ngā tikanga endovascular iti ake te pānga, ā, ko ētahi atu ka taea te whakahaere ma te tirotiro anake.

E hā roa te whakaora i muri i te rongoā AVM o te tuaiwi?

Ka rerekē te wā whakaora i runga i te momo rongoā me tō āhuatanga. Ko ngā tikanga endovascular te tikanga e hiahiatia ana he torutoru rā ki ngā wiki mō te whakaora, ā, ko te rongoā pokanga pea ka hiahiatia etahi wiki ki ngā marama. Ka hoatu e tō rōpū hauora ngā tumanakohanga motuhake e pā ana ki tō mahere rongoā.