He aha te Takayasu's Arteritis? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ko te Takayasu's arteritis he mate tino onge e whakaeke ana tō pūnaha matekōre i ngā uaua toto nui o tō tinana, ā, ka pāngia e te mumura, ka whakaitihia te whānui o aua uaua. Ko te mumura roa nei e pā ana te nuinga ki te aorta (te uaua toto nui o tō tinana) me ōna manga nui, e kawe ana i te toto whai-hākari-waiora i tō ngākau ki ētahi atu wāhanga o tō tinana.

Ahakoa he āwangawanga te ahua o tēnei mate, ka taea e te mārama ki te mea kei te pēhea tō tinana te awhina i a koe ki te mohio wawe ki ngā tohutohu, ā, ka mahi tahi me tō rōpū hauora ki te whakahaere pai. Ko te rongo pai, mā te maimoatanga tika, ka taea e te tokomaha o te hunga e pangia ana e te Takayasu's arteritis te noho ora, te ora kaha.

He aha te Takayasu's arteritis?

Ko te Takayasu's arteritis he mate ā-matekōre e pā ana ki te mumura i ngā uaua toto nui puta noa i tō tinana. Ko tō pūnaha matekōre, e tiaki ana i a koe i ngā mate, ka whakaaro he tūkino ngā pakitara uaua toto hauora, ka whakaeke i a rātou.

Ka whakakīia, ka pakaritia ēnei pakitara uaua toto e te mumura haere tonu nei, ka whakaitihia te wāhi e rere ana te toto. Whakaarohia he ngongo māra e kīia ana, e pēhia ana rānei, ka whakaitihia te rere o te wai ki ō tipu.

Ko te mate nei e pā ana te nuinga ki ngā wāhine i waenga i ngā tau 15 me te 40, ahakoa ka puta i tetahi tau. Ka karangatia i etahi wā ko te "mate kore-pū" no te mea ka taea e te mumura te whakaiti i ngā pū i roto i ō ringa i te wā o ngā tirotiro tinana.

He aha ngā tohutohu o te Takayasu's arteritis?

Ka puta mai ngā tohutohu o te Takayasu's arteritis i ngā wāhanga e rua, ā, ko te mohio wawe ki a rātou ka taea te whakarereke nui i ngā hua o tō maimoatanga. Kāore te tokomaha o te iwi e mohio ana ko ō rātou tohutohu e hono ana ki tētahi mate kotahi i te tīmatanga.

I te wā o te wāhanga mumura o mua, ka pāngia pea koe e:

• Te ngenge roa e kore e pai ake mā te okioki
• Te kirika iti e haere mai ana, e haere atu ana
• Te wera o te pō e whakamakuku ana i ō kakahu, i ō moenga rānei
• Te ngaro o te taumaha kaore i whakamāramatia i roto i ngā wiki, i ngā marama rānei
• Te mamae o ngā uaua me ngā hononga puta noa i tō tinana
• Te āhua whānui o te kore pai, o te ngoikore rānei

Ka rite ēnei tohutohu o mua ki te whawhai koe i te mate huka roa e kore rawa e ngaro.

I te wā e haere ana te mate, ka nui ake te whakaiti o ngā uaua, ka kite pea koe i:

• Te mamae o te ringa, te ngoikore rānei, ina koa i te wā e mahi ana
• Ngā pūtau toto rerekē i waenga i ō ringa
• Ngā pū ngoikore, kāore rānei, i roto i ō kūkū
• Te māuiui, te mārama rānei i te wā e tū ana
• Ngā mamae o te upoko e rerekē ana i ō mamae noa
• Ngā huringa o te tirohanga, te tirohanga māre rānei
• Te mamae o te uma, te poto o te manawa rānei
• Ngā ringa, ngā maihao rānei makariri e huri ana te tae

Ka pāngia hoki etahi iwi e ngā tohutohu onge, engari he kino, penei i ngā wāhanga rite ki te pōka, ngā raruraru mahara, te toto teitei rawa rānei. Ka puta ēnei ina whakaitihia te rere o te toto ki ngā kōpū nui.

He aha ngā take o te Takayasu's arteritis?

Kāore i tino mōhiotia te take pono o te Takayasu's arteritis, engari e whakapono ana ngā kairangahau kua puta mai i te whakakotahitanga o ngā take ira me ngā whakaohooho taiao. Ko tō pūnaha matekōre te mea nui i roto i tēnei tukanga.

E whakaaro ana ngā kārehu ko ētahi rerekētanga ira pea ka whakapakari i ētahi iwi ki te whanake i tēnei mate. Heoi, ko te whai i ēnei take ira kaore e whakamana ka whanake koe i te Takayasu's arteritis.

Ngā whakaohooho taiao pea ka whakaohooho i te mate i roto i te hunga e pā ana ki te ira:

• Ngā mate huaketo, ina koa ngā mea e pā ana ki ngā uaua toto
• Ngā mate huaketo e whakaohooho ana i te mahi nui o te pūnaha matekōre
• Te whakamahinga ki ētahi pokanoa, ki ētahi matū rānei
• Te ahotea tinana, te ahotea hinengaro rānei
• Ngā huringa homoni, ina koa i te wā o te whānautanga, o te hapu rānei

Kei te puta te ahua o te mate nei i roto i te iwi o Āhia, ina koa ngā iwi mai i Hapani, Kōrea, me Tū-ā-tō-wāhi. Heoi, ka taea te pā ki te iwi o tetahi momo iwi.

Nōhea te haere ki te taote mō te Takayasu's arteritis?

Me whakapiri atu koe ki tō kaiwhakarato hauora mēnā ka pāngia koe e ngā tohutohu roa e kore e pai ake mā te okioki, mā te tiaki whare rānei. Ka taea e te whakamārama wawe me te maimoatanga te aukati i ngā raruraru kino.

Rapua te awhina hauora wawe mēnā ka kite koe i:

• Te ngenge kaore i whakamāramatia e roa atu ana i ngā wiki e rua
• Te kirika iti roa kaore he take mārama
• Te ngaro o te taumaha nui kaore e taea te whakamārama
• Te mamae o te ringa, te ngoikore rānei i te wā e mahi ana
• Ngā pūtau toto rerekē i waenga i ō ringa
• Ngā mamae o te upoko hou, ngā mamae kino ake rānei
• Ngā huringa o te tirohanga, te tirohanga māre rānei

Whiwhi awhina hauora tūturu tonu mēnā ka pāngia koe e ngā tohutohu kino ohorere penei i te mamae o te uma, te uaua o te manawa, te ngaro ohorere o te tirohanga, te tohu rānei o te pōka penei i te ngoikore i tetahi taha o tō tinana, te uaua rānei ki te kōrero.

Kia mahara, he maha ngā take o ēnei tohutohu, na kaua e manukanuka i te wā e tatari ana koe mō tō whakaritenga. Ko te mea nui ko te whiwhi i te aromatawai me te tiaki tika.

He aha ngā take morearea mō te Takayasu's arteritis?

Ka taea e te mārama ki ō take morearea te awhina i a koe ki te tupato ki ngā tohutohu, ki te kōrero rānei i ngā awangawanga ki tō kaiwhakarato hauora. Heoi, ko te whai i ngā take morearea kaore e tikanga ka whanake koe i te mate.

Ko ngā take morearea matua ko:

• Ko te wahine, i te mea e whāiti ana ngā wāhine e waru wā atu i ngā tāne
• Ngā tau i waenga i ngā tau 15 me te 40, ahakoa ka puta i tetahi tau
• Te tīpuna o Āhia, ina koa te whakatupuranga o Hapani, Kōrea, Tū-ā-tō-wāhi rānei
• Te hītori whānau o ngā mate ā-matekōre
• Ngā mate o mua pea i whakaohooho ai ngā huringa o te pūnaha matekōre
• Te noho i ētahi wāhi whenua kei reira te mate e tino puta ai

Ko ētahi take morearea onge e ako tonu ana ngā kairangahau ko te whakamahinga ki ētahi pokanoa taiao, ngā mate huaketo motuhake i te wā tamariki, me te whai i ētahi atu mate ā-matekōre.

He mea tika te kōrero ko te nuinga o te iwi e whai ana i ēnei take morearea kaore e whanake i te Takayasu's arteritis. Kei te tino onge tonu te mate ahakoa i roto i ngā rōpū morearea nui.

He aha ngā raruraru pea o te Takayasu's arteritis?

Ahakoa ka āwangawanga te ahua o ngā raruraru, ka awhina te mārama ki a rātou ki te mohio ki ngā tohu whakatūpato, ki te mahi tahi rānei me tō rōpū hauora ki te aukati i ngā raruraru kino. Ko te nuinga o ngā raruraru e haere ana te wā, ka taea te whakahaere mā te maimoatanga tika.

Ngā raruraru noa pea ka puta mai:

• Te toto teitei mai i ngā uaua toto whakaiti ki ō whatukuhu
• Ngā raruraru ngākau, tae atu ki te ngākau nui, te korenga o te ngākau rānei
• Te pōka mai i te rere o te toto iti ki tō roro
• Ngā raruraru o te tirohanga, te matapo rānei mai i te rere o te toto iti ki ō kanohi
• Te kino o ngā whatukuhu mai i te iti o te tuku toto
• Te claudication o te ringa, kei reira ngā ringa e ngenge wawe ana i te wā e whakamahia ana

Ngā raruraru iti ake, engari he kino:

• Te aneurysm o te aorta, kei reira te uaua toto nui e pupū ana, e ngoikore ana rānei
• Te mate ngākau mai i ngā uaua koroni kīia
• Ngā raruraru mahara, te whakaaro rānei kino
• Te kīia katoa o ngā uaua toto nui e hiahia ana ki te pokanga mate

Ko te rongo whakamārama ko te whakamārama wawe me te maimoatanga mau tonu ka taea te aukati i te nuinga o ēnei raruraru. Ka awhina te aro turuki auau i tō rōpū hauora ki te hopu i ngā raruraru i mua i te kino.

Me pēhea te whakamārama i te Takayasu's arteritis?

Ka roa pea te whakamārama i te Takayasu's arteritis no te mea ka rite ngā tohutohu ki ngā mate maha atu. Ka whakamahi tō taote i te whakakotahitanga o te tirotiro tinana, ngā whakamātautau toto, me ngā rangahau whakaahua hei whakamārama tika.

I te wā o tō tirotiro tinana, ka tirotirohia e tō taote ō pū i ngā wāhi rerekē, ka ine i te pūtau toto i roto i ngā ringa e rua. Ka whakarongo rātou ki tō ngākau me ngā uaua toto nui mā te stethoscope, ka rapu i ngā oro koretake e whakaatu ana i ngā uaua toto whakaiti.

Ngā whakamātautau toto pea ka tonohia e tō taote:

• Ngā tohu mumura penei i te ESR me te CRP hei ine i ngā taumata mumura
• Te tau toto katoa hei tirotiro i te mate toto iti, i ētahi atu huringa toto rānei
• Ngā tohu ā-matekōre hei whakakore i ētahi atu mate
• Ngā whakamātautau mahi whatukuhu hei aromatawai i te kino o ngā kōpū

Ka awhina ngā rangahau whakaahua i tō taote ki te kite i te āhua o ō uaua toto:

• Ka hanga e te CT angiography ngā pikitia taipitopito o ō uaua toto
• Ka whakamahi te MR angiography i ngā mara hiko hei whakaatu i ngā uaua toto
• Ka taea e te ultrasound te whakaatu i te rere o te toto me te mātotoru o te pakitara uaua toto
• Ka taea e ngā PET scans te kite i te mumura mahi i roto i ngā uaua toto

Pea ka mahi hoki tō taote i te angiography, kei reira te tae whakakā te whakauruhia ki ō uaua toto hei hanga i ngā whakaahua X-ray tino taipitopito. Ko tēnei whakamātautau e whakaritea ana mō ngā take kaore ngā whakaahua atu e tino mārama.

He aha te maimoatanga mō te Takayasu's arteritis?

Ko te maimoatanga mō te Takayasu's arteritis e aro ana ki te whakahaere i te mumura, ki te aukati i te kino atu o ngā uaua toto, ki te whakahaere rānei i ngā raruraru. Ko te rongo pai ko te maha o ngā maimoatanga whai hua kei te wātea, ā, ko te nuinga o te iwi e whakautu pai ana ki te rongoā.

Pea ka whakauruhia tō mahere maimoatanga i ngā rongoā hei whakahaere i te mumura:

• Ngā corticosteroids penei i te prednisone hei whakaiti wawe i te mumura
• Te methotrexate, ētahi atu rongoā whakaiti matekōre rānei mō te whakahaere roa
• Ngā rongoā matū penei i ngā kaiwhakaiti TNF mō ngā take kino
• Ngā rongoā toto teitei hei tiaki i tō ngākau me ō whatukuhu
• Ngā kaiwhakawai toto mēnā kei te morearea koe mō ngā kīia

I ētahi wā, pea ka hiahia koe ki ngā tukanga hei whakahoki i te rere o te toto:

• Te angioplasty hei whakatuwhera i ngā uaua toto whakaiti
• Te whakanoho stent hei pupuri i ngā uaua toto e tuwhera ana
• Te pokanga bypass hei arahi i te toto puta noa i ngā uaua toto kīia
• Te whakatikatika pokanga o ngā wāhanga uaua toto kino

Ka aro turuki tonu tō rōpū hauora i a koe mā ngā whakamātautau toto me ngā rangahau whakaahua hei kite i te pai o te mahi o te maimoatanga. Ko te nuinga o te iwi e hiahia ana ki te haere tonu i tētahi momo maimoatanga roa hei aukati i ngā pupuhi.

Me pēhea te whakahaere i te Takayasu's arteritis i te kāinga?

Ko te whakahaere i te Takayasu's arteritis i te kāinga e whakauru ana i te mahi i ngā whiringa oranga e tautoko ana i tō hauora whānui, e mahi tahi ana rānei me tō maimoatanga hauora. Ka taea e ngā tikanga iti o ia rā te whakarereke nui ki te pēhea o tō āhua.

Aro atu ki ngā whiringa oranga hauora ngākau:

• Kai i te kai tōtika e whai hua ana i ngā hua, ngā huawhenua, me ngā witi katoa
• Whakaitihia te tote hei awhina i te whakahaere i te pūtau toto
• Whakapakaritia te tinana i ia rā, kia rite ki te whakaae a tō taote
• Pupuri i te taumaha hauora hei whakaiti i te ahotea ki tō ngākau
• Kaua e whakakī, no te mea ka taea te whakaiti i te kino o ngā uaua toto
• Whakaitihia te inu waipiro

Ko te whakahaere i te ahotea me te ngenge he mea nui:

• Whiwhi moe tika, e whai ana ki te 7-9 haora ia pō
• Whakamahia ngā tikanga whakaiti ahotea penei i te whakaaroaro, te manawa hohonu rānei
• Whakamāramahia koe, okioki hoki mēnā ka ngenge koe
• Noho hono atu ki ngā whānau, ki ngā hoa tautoko rānei
• Whakaarohia te uru atu ki tētahi rōpū tautoko mō te hunga e whai ana i ngā mate rite

Aro turuki i ō tohutohu, pupuri hoki i ngā huringa. Ka awhina ēnei mōhiohio i tō rōpū hauora ki te whakarite i tō maimoatanga kia rite ki te hiahia.

Me pēhea te whakarite mō tō whakaritenga taote?

Ko te whakarite mō tō whakaritenga ka awhina i te whakarite ka whiwhi koe i te mea nui mai i tō wā ki tō kaiwhakarato hauora. Ka taea hoki e te whakarite pai te awhina i te whakaiti i te awangawanga mō te kōrero i ō tohutohu.

I mua i tō whakaritenga, tuhituhia:

• Ngā tohutohu katoa, tae atu ki te wā i tīmata ai rātou, me te mea e pai ake ana, e kino ake ana rānei
• Te rārangi katoa o ngā rongoā, ngā taapiri, me ngā huaora e inu ana koe
• Tō hītori hauora whānau, ina koa ngā mate ā-matekōre
• Ngā mate o mua, ngā kaupapa ahotea, ngā huringa nui o te ora rānei
• Ngā pātai e hiahia ana koe ki te ui ki tō taote

Kawe mai ngā mea nui ki a koe:

• Ngā kāri inihua me te whakaatu
• Te rārangi o ngā taote o mua kua kite koe mō ēnei tohutohu
• Ngā hua whakamātautau o mua, ngā rēkōta hauora rānei
• Tētahi mema whānau, tētahi hoa tautoko rānei

Kaua e whakaroa ki te ui i ngā pātai i te wā o tō whakaritenga. E hiahia ana tō taote ki te awhina i a koe ki te mārama ki tō mate me ngā whiringa maimoatanga.

He aha te mea nui mō te Takayasu's arteritis?

Ko te Takayasu's arteritis he mate e taea te whakahaere mēnā ka whakamāramatia wawe, ka maimoatia tika hoki. Ahakoa he mate ā-matekōre kino tēnei e hiahia ana ki te tiaki hauora haere tonu, he tokomaha o te iwi e whai ana i tēnei mate e ora ana i te ora, i te ora kaha.

Ko te mea nui rawa ki te mahara ko te mohio wawe ki ngā tohutohu me te aro hauora wawe ka taea te aukati i ngā raruraru kino. Mēnā kei te pāngia koe e te ngenge roa, ngā tohutohu kaore i whakamāramatia, ngā huringa rānei i te pēhea o tō tinana, kaua e whakaroa ki te kōrero ki tō kaiwhakarato hauora.

Ko te mahi tata atu ki tō rōpū hauora, te tango i ngā rongoā kia rite ki te whakahau, me te mahi i ngā whiringa oranga hauora katoa e whai hua ana ki ngā hua pai ake. Kia mahara ko te whakahaere i te mate roa he marathona, ehara i te tere, ā, ko te whai i tētahi pūnaha tautoko kaha ka ngāwari ake te haerenga.

Ngā pātai e ui pinepinetia ana mō te Takayasu's arteritis

Ka taea te whakaora i te Takayasu's arteritis?

I tēnei wā, kāore he rongoā mō te Takayasu's arteritis, engari ka taea te whakahaere pai mā te maimoatanga tika. He tokomaha te hunga e tutuki ana ki te whakahokinga, kei reira te mate e kore nei e mahi, ka pai ake ngā tohutohu. Mā te tiaki hauora mau tonu me te whakahaere oranga, ka taea e te nuinga o te iwi te pupuri i te kounga ora pai me te aukati i ngā raruraru kino.

He mate whakatūpato te Takayasu's arteritis?

Kāore i tuku tika te Takayasu's arteritis penei i ētahi mate ira, engari kei te puta he wāhanga ira e whakapiki ana i te morearea. Ko te whai i tētahi mema whānau e whai ana i te mate, i ētahi atu mate ā-matekōre rānei pea ka piki ake te morearea, engari ko te nuinga o te iwi e whai ana i ēnei take ira kaore e whanake i te mate.

Ka pāngia te Takayasu's arteritis e te hapu?

Ka taea te whakahaere pai te hapu i roto i ngā wāhine e whai ana i te Takayasu's arteritis, engari e hiahia ana ki te aro turuki ata whaiaro e tō rheumatologist me tō obstetrician. Pea ka hiahia ki te whakarite ētahi rongoā, ā, ka tino nui te aro turuki i te pūtau toto. He maha ngā wāhine e whai ana i ngā hapu hauora me ngā whānautanga mā te tiaki hauora tika.

E pehea te roa o te maimoatanga mō te Takayasu's arteritis?

Ko te nuinga o te iwi e whai ana i te Takayasu's arteritis e hiahia ana ki te maimoatanga roa hei aukati i ngā pupuhi me ngā raruraru. Ko te roa tika e rerekē ana i te tangata ki te tangata, engari ko te nuinga o te iwi e hiahia ana ki tētahi momo rongoā mō ngā tau, te ora katoa rānei. Ka mahi tahi tō taote ki a koe hei kimi i te maimoatanga whai hua iti rawa e pupuri ana i tō mate e pumau ana.

Ka taea e ngā huringa oranga te awhina i te whakahaere i te Takayasu's arteritis?

Ae, ko ngā whiringa oranga hauora e takaro ana i tētahi mahi tautoko nui ki te whakahaere i te Takayasu's arteritis. Ko te whakapakari tinana auau, te kai hauora ngākau, te whakahaere ahotea, me te karo i te whakakī katoa ka taea te awhina i te whakapai ake i tō hauora whānui, ka taea te whakaiti i te mumura. Heoi, ko ngā huringa oranga me whakakotahi, kaua e whakakapi, i tō maimoatanga hauora i whakahaua.