Rāhui Pūhaumātua

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Mō te Syndrome Pūtake Uma (TOS): Whānui

He aha te syndrome pūtake uma (TOS)?

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He pehea te āhua o te syndrome pūtake uma (TOS)?

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He aha te take e mamae ai toku wheua? Kei te whakaeke te syndrome pūtake uma i te mamae o te wheua?

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Ko ngā take whānui o te syndrome pūtake uma ko te trauma mai i te tūnga waka, ngā whara whakawātea mai i te mahi, te hākinakina rānei, me te hapu. Ko ngā rerekētanga o te hanganga tinana, pēnei i te iwi atu rānei, te iwi koretake rānei, ka taea hoki te whakaeke i te TOS. I etahi wā, kaore e mohiotia te take o te syndrome pūtake uma.

Ko te maimoatanga te nuinga o te wā ko te rongoā tinana me te whakaora i te mamae. Ko te nuinga o te iwi ka pai ake ki ēnei maimoatanga. Ki ētahi, ka taea te tūtohutia te pokanga.

Ko te pūtake uma ko te wāhi kei waenganui i te wheua, e mohiotia ana ko te clavicle, me te iwi tuatahi. Ko tēnei huarahi kōtiti he nui ngā oko toto, ngā io me ngā uaua.

E toru ngā momo o te mate pūkahukahu o te pouaka: Ko te mate pūkahukahu neurogenic. Ko te momo tino noa tenei o te mate pūkahukahu o te pouaka. I roto i tēnei momo, ka pehia he rōpū o ngā ngongo e kiia nei ko te brachial plexus. Ko ngā ngongo o te brachial plexus i puta mai i te iwi o te tuaiwi. Ka whakahaeretia e ngā ngongo ngā nekehanga o ngā uaua me te āhua o te pokohiwi, o te ringa, o te ringa. Ko te mate pūkahukahu venous. Ka puta mai tēnei momo mate pūkahukahu o te pouaka ina pehia, ka pakaru tetahi, te rua rānei o ngā uaua i raro i te wheua. Ka taea e tēnei te hua i ngā toto. Ko te mate pūkahukahu arterial. Ko te momo tino iti tenei o te TOS. Ka puta mai ina pehia tetahi o ngā uaua i raro i te wheua. Ka taea e te pehanga te whara i te uaua ka hua ai te pupū, e mohiotia ana ko te aneurysm, te hanga rānei o te toto. Ka rereke ngā tohu o te mate pūkahukahu o te pouaka i runga i te momo. Ina pehia ngā ngongo, ko ngā tohu o te mate pūkahukahu neurogenic o te pouaka: Te ngenge, te wiri rānei o te ringa, o ngā maihao rānei. Te mamae, te mamae rānei o te kaki, o te pokohiwi, o te ringa, o te ringaringa rānei. Te ngenge o te ringa me te mahi. Te ngoikore o te pupuri. Ko ngā tohu o te mate pūkahukahu venous o te pouaka: Te huringa o te tae o te ringa, o tetahi maihao rānei atu rānei. Te mamae o te ringa, o te ringa rānei me te pupū. Ko ngā tohu o te mate pūkahukahu arterial o te pouaka: He kohinga pupuhi tata ki te wheua. Ngā maihao, ngā ringa, ngā ringa rānei makariri. Te mamae o te ringa me te ringa. Te huringa o te tae i tetahi maihao rānei atu rānei, te ringa katoa rānei. Te ngoikore, te kore rānei o te pupuhi i te ringa e pā ana. Tirohia tō kaimahi hauora mena ka kitea e koe tetahi o ngā tohu o te mate pūkahukahu o te pouaka.

Tena tirohia tō kaimahi hauora mena ka rongo koe i ngā tohu o te mate pāngarau o te uma i ia wā.

Ko te syndrome o te putanga uma te take i te tukunga o ngā tūpuna me ngā oko toto i roto i te putanga uma, arā, te wāhi kei waenganui i te kaki me te pokohiwi. He rerekē te take o te tukunga, ā, ka uru atu ki: Ngā rerekētanga o te hanganga tinana. Ka whānau mai ētahi tangata me te iwi ke atu i te kaki kei runga ake i te iwi tuatahi. Ka taea e te iwi ke atu, e kiia nei ko te iwi kaki, te tukunga i ngā tūpuna me ngā oko toto. I tua atu, tera pea he potae muka kaha e hono ana i te tuaiwi ki te iwi e pā ana ki te tukunga.Te tuunga kino. Ko te takoto o ō pokohiwi, te pupuri rānei i tō upoko ki mua ka taea te tukunga i te wāhi putanga uma.Te whara. Ka taea e te mahi nanakia, pēnei i te aituā waka, te whakarereke i roto i te tinana ka tukuna ai ngā tūpuna i te putanga uma. Ko te tīmatanga o ngā tohu e pā ana ki te aituā nanakia te nuinga o te wā ka whakaroa.

He maha ngā take e āhei ana te whakapiki ake i te tūponotanga o te mate pāngarau o te uma, tae atu ki ēnei:

• Te ira tangata. Neke atu i te toru te whakawhānui o te whakatau i te mate pāngarau o te uma ki ngā wāhine i te hunga tāne.
• Te tau. Ka puta pea te mate pāngarau o te uma i tetahi tau, engari ko te nuinga o te wā ka whakatauhia ki ngā pakeke i waenganui i ngā tau 20 me te 50.

Ko ngā raruraru mai i tēnei āhuatanga e puta mai ana i te momo mate o te huarahi o te uma. Ki te whai koe i te pupū, i te pēhanga rānei i te ringa, he mea nui kia rapu kia tere te awhina hauora. Akene ka hiahia koe ki te rongoā mō ngā toto kōtiti, i te aneurysm rānei. Mō te TOS neurogenic, ka taea e te tukinga ia rā o te pūtau te puta mai i te whara roa e puta ai te mamae roa, te koretake rānei. Ka taea te whakapohehe i te TOS neurogenic ki ētahi atu whara o ngā hononga, o ngā uaua rānei. Ki te kore e pai ake ngā tohu, he mea nui kia rapu kia awhina hauora mō te aromatawai me te whakamātautau.

Ko ngā whakatete i ia rā e arotahi ana ki te uma, te kaki me ngā pakihiwi ka āhei te whakapai ake i te kaha o ngā uaua pakihiwi me te ārai i te syndrome huarahi uma.

Wideo 1: Katoa e pā ana ki te mate thoracic outlet syndrome (TOS): Te Tirotiro

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He aha ngā momo o te mate thoracic outlet syndrome (TOS)?

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Ka taea e au te whiwhi i te mate thoracic outlet syndrome (TOS) i ngā taha e rua?

Dr. Farres: Āe, ka taea te pērā. He mea iti te tūtakitaki, engari ka taea te pērā i te taha matau, taha mauī, ringa matua rānei, kore matua rānei. Ā, tētahi momo kōmitimiti rānei. Nā, ka taea pea te pērā.

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Me pēhea te tirotiro i te mate thoracic outlet syndrome (TOS)?

Dr. Farres: He mea nui kia tika te tirotiro mō te thoracic outlet nā te mea ka whakatau tēnei i te momo maimoatanga me te whakahaere maimoa ka whakatinanahia. He tikanga tēnei o te whakakore i te tirotiro, ā, ka tīmata tēnei tukanga ki te whakamātautau tinana me te hītori pai, ka whai ake ngā rangahau whakaahua, ngā rangahau ia toto, ngā whakamātautau whakapā, me te kōrerorero ki tētahi rōpū maha pūkenga kia kore ai e whakauru ngā mea e tino kitea ana.

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Ko wai e maimoa ana i te mate thoracic outlet syndrome (TOS)?

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Wideo 2: Katoa e pā ana ki te mate thoracic outlet syndrome (TOS): Te Maimoa

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Ka taea e au te maimoa i te mate thoracic outlet syndrome (TOS) mā te maimoa tinana me te maimoa hākinakina?

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He aha ngā kōwhiringa maimoa mō te mate thoracic outlet syndrome (TOS)?

Dr. Farres: E rerekē ana ngā kōwhiringa maimoa mō te TOS e ai ki te take kei raro iho me te momo o te TOS – neurogenic, vascular, kore māramatanga rānei. He mea nui kia whakaritehia te maimoa e ai ki te take kei raro iho me te whakarite mā te huarahi maha pūkenga. Kua kīia, ko ngā kōwhiringa maimoa e tino kitea ana ko ngā rongoā pērā i te whakangoikore uaua, te whakarerekē oranga, te nekeneke ergonomic, te whakatika tūranga. Ā, ko ngā mea kaha ake ko ngā kōkuhu me te pokanga hei momo maimoa kaha rawa.

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He aha ngā painga me ngā kino o te whiwhi kōkuhu mō te mate thoracic outlet syndrome (TOS)?

Dr. Farres: E rerekē ana te maimoa mō te TOS e ai ki te momo o te TOS, te kaha o ngā tohu, me te take kei raro iho. Engari, hei kōrero whānui, ko ngā painga mō ngā kōkuhu ko te mea he iti ake te kaha, he iti ake te tūpono e pā ana ki te pokanga. Ka whakarato āwhina rangitahi mō ngā tohu, ā, i ētahi wā ka taea te whakamahi hei taputapu tirotiro kia mōhio ai mēnā ko te mate e pā ana ki a tātou ko te thoracic outlet syndrome. I tētahi atu taha, e kore e roa te maimoa kōkuhu, nā te mea he rangitahi te āwhina i ngā tohu, ā, e kore e whakakore i te take kei raro iho, ā, he iti te roa o te oranga tonutanga.

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He aha ngā painga me ngā kino o te whiwhi pokanga mō te mate thoracic outlet syndrome (TOS)?

Dr. Farres: Ka taea e te pokanga te whakarato maimoa pūmau, hua roa, ā, ka taea te whakarite e ai ki te take kei raro iho i te whakatika i ngā hapa hanga. I tētahi atu taha, he kaha ake te pokanga, he roa ake te wā e ora ai, ā, ka taea te pā ki ngā raru e pā ana ki te pokanga.

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He aha te huarahi pokanga pai rawa atu mō te mate thoracic outlet syndrome (TOS)?

Dr. Farres: E ai ki te momo o te TOS e pā ana ki a tātou, me te take kei raro iho i ngā tohu me te whakaaturanga a te tūroro, ka taea te whakarite te huarahi pokanga pai rawa atu. Ā, ka taea te whakarite e ai ki ngā tūtohu a te rōpū maha pūkenga.

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He uaua te tirotiro i te mate thoracic outlet syndrome. Ka tino rerekē ngā tohu i waenga i ngā tāngata. Ka taea e tō kaiwhakamaimoa hauora te arotake i ō tohu me tō hītori hauora, ka whakamātautau tinana hoki. Ka hiahia pea koe ki te whakaahua me ētahi atu momo whakamātautau.

• Hītori hauora. Kōrero ki tō kaiwhakamaimoa hauora mō tō hītori hauora me ō tohu. Ka pātaihia pea koe mō ō mahi mahi me ō mahi tinana.

Ka taea e tō kaiwhakamaimoa hauora te whakaputa i ō tohu mā te tono ki a koe kia neke, kia hiki i ō ringa, kia huri i tō māhunga. Ko te mōhio ki ngā tūranga me ngā nekeneke e whakapā ai i ō tohu ka āwhina ki te tautuhi i te mate thoracic outlet syndrome.

Hei whakamana i te tirotiro o te mate thoracic outlet syndrome, ka hiahia pea koe ki tētahi, neke atu rānei o ngā whakamātautau e whai ake nei:

• Whakaahua iraruke. Ka whakamahi te whakaahua iraruke i ngā ngaru oro ki te hanga whakaahua o tō tinana. Ko te whakamātautau whakaahua tuatahi tēnei e āwhina ana ki te tautuhi i te mate thoracic outlet syndrome. Ka taea te whakamahi i tēnei whakamātautau ki te kite mēnā kei a koe te mate thoracic outlet syndrome ia toto, ia toto rānei, ētahi atu mate ia toto rānei.
• Whakaahua X-ray. Ka taea e te whakaahua X-ray te whakaatu i tētahi rara cervical. Ka taea hoki e ngā whakaahua X-ray te āwhina ki te whakakore i ētahi atu mate e kī ana koia ngā tohu.
• Electromyography (EMG). I te wā o te EMG, ka kōkuhua tētahi matau matau ki roto i tō kiri ki ngā uaua maha. Ka whakamātautau te whakamātautau i te mahi hiko o ō uaua ina kukuti, ina noho mokemoke hoki. Ka taea e tēnei whakamātautau te whakatau mēnā kua mate koe i te mate io.

Arteriography me te venography. I ēnei whakamātautau, ka kōkuhua tētahi ngongo mārō, mārō ki roto i tētahi tapahanga iti, i te wāhi nuinga i tō kūhā. I te wā o te arteriography, ka neke te ngongo i roto i ō ia matua. I te wā o te venography, ka neke te ngongo i roto i ō ia. Ka whakawhiti te ngongo ki ngā ia toto e pā ana. Kātahi ka kōkuhua he tae hei whakaatu i ngā whakaahua X-ray o ō ia, ō ia rānei.

He whakaaro māori te whakamahinga i te rongoā kia pai ai te ora mō te nuinga o te iwi, ā, tērā pea ka pai ake te hua mena ka kitea wawe te mate. Ko ētahi o ngā rongoā:

• Rongoā. Ka tāpāina pea koe ki ngā rongoā whakangāwari i te mumura, ngā rongoā whakaiti i te mamae, rānei ngā rongoā whakangāwari i ngā uaua. Ka whakaititia e ngā rongoā te pupū, te mamae, ā, ka whakatenatena te ngāwari o ngā uaua. Ki te pēhanga toto, ka hiahiatia pea he rongoā whakaiti toto.
• Rongoā whakangāwari i te toto pēhanga. Ki te pāngia koe e te mate pēhanga toto o ngā uaua toto rānei o te pūkahukahu, ā, he toto pēhanga tōu, ka hoatu pea ki a koe te rongoā hei whakangāwari i te toto pēhanga. Ko te rongoā, e mohiotia ana ko te thrombolytics, ka tomo ki roto i ō uaua toto rānei i ngā uaua toto hei whakangāwari i te toto pēhanga. I muri i te hoatu o te thrombolytics ki a koe, ka tāpāina pea e tō kaimahi hauora ngā rongoā hei ārai i te toto pēhanga, e mohiotia ana ko te anticoagulants.
• Whakawhāinga. Ka whakamahia pea ngā whakawhāinga o te rongoā wāhi, onabotulinumtoxinA (Botox) rānei he rongoā steroid hei whakaora i te mate pūkahukahu neurogenic. Ka āwhina pea ngā whakawhāinga ki te whakaiti i te mamae.

Ka tūtohu pea tō kaimahi hauora ki te pokanga mena kāo te whai hua ngā rongoā māori. Rānei, ka whakaaro pea koe ki te pokanga mena ka mau tonu te mamae, ka kino ake rānei.

He taote pokanga ngākau, e mohiotia ana ko te taote pūkahukahu, rānei he taote pokanga uaua toto, e mohiotia ana ko te taote uaua toto, te nuinga e mahi ana i te mahi.

Ko te pokanga mō te mate pūkahukahu he tūpono o ngā raruraru, pēnei i te whara ki ngā uaua, e mohiotia ana ko te brachial plexus. Ā, pea ka kore te pokanga e whakaora i ō tohu, rānei ka whakaora wāhi noa i ō tohu, ā, ka hoki mai pea ngā tohu.

Ki te pāngia koe e te mate pūkahukahu o ngā uaua toto, ka hiahia pea tō taote pokanga ki te whakakapi i te uaua toto i pakaru. Ka mahia tēnei mā te wāhanga o te uaua toto mai i tētahi atu wāhanga o tō tinana, e mohiotia ana ko te graft. Rānei, ka whakamahia pea he graft mahi. Ka mahia pea tēnei mahi i te wā anō e tangohia ana te iwi tuatahi.

Kaore he uauatanga