Whakaheke Toto

Ko te uaua toto te mate o te mumura o ngā oko toto. Ka taea e te mumura te whakakī i ngā pakitara o ngā oko toto, ā, ka whakaiti i te whānui o te ara i roto i te oko. Ki te āwangawanga te rere o te toto, ka taea te pakaru o ngā whekau me ngā kiko.

He maha ngā momo uaua toto, ā, ko te nuinga o rātou he onge. Ka pā pea te uaua toto ki tētahi whekau anake, ki te maha rānei. Ka poto pea te wā o te āhuatanga, ka roa rānei.

Ka taea te pā o te uaua toto ki te tangata tehea, ahakoa he maha ngā momo e tino kitea ana i roto i ētahi rōpū tau. Kei te whakawhirinaki ki te momo kei a koe, ka pai ake pea koe kahore he rongoā. Ko te nuinga o ngā momo e hiahia ana ki ngā rongoā hei whakahaere i te mumura me te aukati i ngā āwangawanga.

Ngā tohu me ngā pūāhua whānui o te nuinga o ngā momo mate totohuka e whai ake nei: Te kirika Te mamae o te upoko Te ngenge Te ngaro o te taumaha Ngā mamae whānui me ngā mamae atu Ko ētahi atu tohu me ngā pūāhua e hono ana ki ngā wāhanga o te tinana e pā ana, tae atu ki: Pūnaha kai. Ki te pā te kopu, te puku rānei, ka raru pea koe i te mamae i muri i te kai. He wā pea ngā mate pūkahukahu me ngā pakaru, ā, ka puta pea te toto i roto i te paru. Taringa. Ka puta pea te mōrearea, te ngāngā i roto i ngā taringa, me te ngaro o te rongohanga ohorere. Ngā kanohi. Ka taea e te mate totohuka te whakaatu i ō kanohi ki te whero me te ngau, te tahuna rānei. Ka taea e te arteritis pūtau nui te whakaeke i te tirohanga takirua me te matapo wā poto, wā roa rānei i tetahi kanohi, i ngā kanohi rānei e rua. Koinei te tohu tuatahi o te mate i etahi wā. Ngā ringa, ngā waewae rānei. Ka taea e ētahi momo mate totohuka te whakaeke i te ngenge, te ngoikore rānei i te ringa, te waewae rānei. Ka pupū pea, ka pakari rānei ngā nikau o ngā ringa me ngā papa o ngā waewae. Ngā pūkahukahu. Ka puta pea te poto o te manawa, te kōhutia rānei i te toto ki te pā te mate totohuka ki ō pūkahukahu. Te kiri. Ka taea te whakaatu i te toto i raro i te kiri hei tohu totika whero. Ka taea hoki e te mate totohuka te whakaeke i ngā pūngāwerewere, i ngā mate pūkahukahu rānei i runga i tō kiri. Whakapa atu ki tō tākuta ki te whai koe i ētahi tohu, i ētahi pūāhua rānei e manukanuka ana koe. Ka taea e ētahi momo mate totohuka te kino tere, na reira, ko te taumata whakamātautau te matua mō te whiwhi i te rongoā whai hua.

Whakakōrero ki tō tākuta mena kei a koe etahi tohu rānei tohu rānei e manukanuka ana koe. Ka taea e ētahi momo vasculitis te kino tere, na reira, ko te tātaritanga wawe te ki hei whiwhi i te maimoatanga whai hua.

Kāore i tino mōhiotia te take tino o te vasculitis. Ko ētahi momo e hono ana ki te hanganga ira tangata. Ko ētahi atu ka puta mai i te whakaeke a te pūnaha mate pūkohu i ngā pūtau oko toto mā te he. Ko ngā mea ka pūkautia pea tenei whakautu pūnaha mate pūkohu ko:

• Ngā mate huaketo, pēnei i te hepatitis B me te hepatitis C
• Ngā mate toto
• Ngā mate pūnaha mate pūkohu, pēnei i te mate reumati, te lupus me te scleroderma
• Ngā whakautu ki ētahi rongoā

Ka taea te puta mai te mate vasculitis ki te tangata tetahi. Ko ngā take ka piki ake pea te tūponotanga o ētahi mate pēnei i te:

• Tau. Ko te mate arteritis pūtau nui ka tino pēnei i te kore e puta i mua i te 50 o ō tau, ā, ko te mate Kawasaki te tino noa i ngā tamariki kei raro iho i te 5 tau te pakeke.
• Hītori whānau. Ko te mate Behcet, te granulomatosis me te polyangiitis me te mate Kawasaki ka puta mai i roto i ngā whānau.
• Ngā kōwhiringa oranga. Ko te whakamahinga o te cocaine ka piki ake tō tūponotanga ki te whanake i te vasculitis. Ko te whakakī i te tapeka, ina koa ki te mea he tāne koe kei raro iho i te 45 tau te pakeke, ka piki ake tō tūponotanga ki te mate Buerger.
• Rongoā. Ka taea pea te whakaoho i te vasculitis e ngā rongoā pēnei i te hydralazine, allopurinol, minocycline me te propylthiouracil.
• Ngā mate pukupuku. Ko te mate hepatitis B rānei C ka piki ake tō tūponotanga ki te vasculitis.
• Ngā mate ā-pūnaha mate pūkohu. Ko te hunga he mate kei roto i ō rātou pūnaha mate pūkohu e whakaeke ana ki ō rātou tinana ake pea ka nui ake te tūponotanga o te vasculitis. Ko ētahi tauira ko te lupus, te mate rheumatoid me te scleroderma.
• Ira tangata. Ko te mate arteritis pūtau nui he tino noa i ngā wāhine, ā, ko te mate Buerger he tino noa i ngā tāne.

Ko ngā raruraru o te mate ngāwhaowhao e whakahaeretia ana e te momo me te kaha o tō mate. Ā, e pā ana pea rātou ki ngā pānga o ngā rongoā tākuto e whakamahia ana e koe hei whakaora i te mate. Ko ngā raruraru o te mate ngāwhaowhao e whai ake nei:

• Te pakaru o ngā kōpū. Ka kaha te kino o ētahi momo mate ngāwhaowhao, ā, ka pakaru ngā kōpū nui.
• Ngā toto kōtiti me ngā aneurysms. Ka taea e te toto kōtiti te hanga i roto i te oko toto, ā, ka aukati i te rere o te toto. He iti rawa te wā ka puta he ngoikore o te oko toto, ā, ka pupū, ka hanga he aneurysm (AN-yoo-riz-um).
• Te ngaro o te tirohanga, te matapo. He raruraru pea tēnei mō te mate arteritis pūtau nui kaore i te whakaora.
• Ngā mate pukupuku. Ka ngoikore pea tō pūnaha ārai mate i ētahi o ngā rongoā e whakamahia ana hei whakaora i te mate ngāwhaowhao. Ka kaha ake ai te tupono kia pangia koe e ngā mate pukupuku.

I pāwera a Andy Grundstad ki te mate, ki te ngenge. “I rite ahau ki te 80 tau te pakeke,” e ai ki a Andy, tētahi kaiwhakahaere whenua 35 tau te pakeke e noho ana i waho o Crosby, North Dakota. I whakatauhia tōna mate ngāwhaowhao i a ia e tamariki ana, ā, i ora ai ia me ngā raruraru hauora maha i te wā i ngākaha ai ngā rōpū tiaki ki te whakarato i te whakatau tino tika me te whakaora whai hua. I kaha ake ngā tohu o Andy i muri i te pōkairangi i te 2017. I haere tahi ngā kirika tata-rā-katoa me te mamae o ngā hononga me te tuarua o te pōkairangi i te 2020…

Kaore he uauatanga

Ko te tuatahi pea ka timata tō tākuta mā te tango i tō hītori hauora me te whakahaere i te whakamātautau tinana. Āta kōrero atu rātou ki a koe kia haere koe ki tetahi, ki ētahi rānei whakamātautau me ngā tukanga whakamātautau hei whakakahore i ētahi atu āhuatanga e rite ana ki te vasculitis, ki te whakatau rānei i te vasculitis. Ko ētahi whakamātautau me ngā tukanga pea:

• Ngā whakamātautau toto. Ka titiro ēnei whakamātautau ki ngā tohu o te mumura, pēnei i te taumata teitei o te pūmua C-reactive. Ka taea e te tauākī toto katoa te kōrero mena kei a koe ngā pūtau toto whero e tika ana. Ka taea e ngā whakamātautau toto e titiro ana ki ētahi atu antibodies — pēnei i te whakamātautau anti-neutrophil cytoplasmic antibody (ANCA) — te āwhina i te whakatau i te vasculitis.
• Ngā whakamātautau whakaahua. Ka taea e ngā hangarau whakaahua kore-whakawhāiti te āwhina ki te whakatau i ēhea oko toto me ngā whekau e pā ana. Ka taea hoki e rātou te āwhina i te tākuta ki te tirotiro mena kei te whakautu koe ki te rongoā. Ko ngā whakamātautau whakaahua mō te vasculitis ko ngā X-rays, te ultrasound, te computerized tomography (CT), te magnetic resonance imaging (MRI) me te positron emission tomography (PET).
• Ngā X-rays o ō oko toto (angiography). I roto i tēnei tukanga, ka whakauruhia he catheter ngawari, e rite ana ki te whākau iti, ki roto i te āti ranei te uaua nui. Katahi ka whakauruhia he tae motuhake ki roto i te catheter, ā, ka tangohia ngā X-rays i te whakaki i te āti ranei te uaua e te tae. Ka kitea ngā āhuatanga o ō oko toto i runga i ngā X-rays e puta mai ana.
• Biopsy. He tukanga pokanga tēnei e tangohia ai e tō tākuta he tauira iti o te kiko mai i te wāhi e pā ana o tō tinana. Katahi ka tirotirohia e tō tākuta tēnei kiko mō ngā tohu o te vasculitis.

Ko te ātete i te mumura me te whakahaere i ngā āhuatanga taketake e pūāhua ai te vasculitis te kaupapa matua o te maimoatanga.

Ko te rongoā corticosteroid, pēnei i te prednisone, te momo rongoā tino whānuitia e tāruatia ana hei ātete i te mumura e hono ana ki te vasculitis.

Ka kaha te pānga o ngā pānga o ngā corticosteroids, ina koa ki te inu koe i a rātou mō te wā roa. Ko ētahi o ngā pānga pea ko te piki o te taumaha, te mate huka, me ngā wheua ngoikore. Ki te hiahiatia he corticosteroid mō te rongoā roa, ka whiwhi pea koe i te horo iti rawa.

Ka tāruatia pea ētahi atu rongoā me ngā corticosteroids hei ātete i te mumura kia tere ake ai te whakaiti i te horo o ngā corticosteroids. Ko te rongoā e whakamahia ana e whakawhirinaki ana ki te momo vasculitis kei te puta. Ka uru pea ēnei rongoā ki te methotrexate (Trexall), azathioprine (Imuran, Azasan), mycophenolate (CellCept), cyclophosphamide, tocilizumab (Actemra) rānei rituximab (Rituxan).

Ko ngā rongoā motuhake e hiahia ana koe e whakawhirinaki ana ki te momo me te kaha o te vasculitis kei a koe, ngā kōpū e pā ana, me ētahi atu raruraru hauora kei a koe.

Ko tetahi o ō wero nui rawa atu o te noho tahi me te vasculitis ko te whakahaere i ngā pānga o ō rongoā. Ka āwhina pea ngā whakaaro e whai ake nei:

• Mārama ki tō āhuatanga. Akohia ngā mea katoa e taea ana e koe mō te vasculitis me tōna maimoatanga. Kia mōhio ki ngā pānga pea o ngā rongoā e inu ana koe, ā, kōrero atu ki tō tākuta mō ētahi huringa i tō hauora.
• Whiwhi i ngā inopēnēnē ā-rōpū. Ko te pupuri i ngā inopēnēnē, pēnei i te mate huka me te mate huango, ka āwhina i te aukati i ngā raruraru e puta mai ana i ō rongoā, pēnei i te mate. Kōrero atu ki tō tākuta mō ngā inopēnēnē.
• Pupuri i tētahi pūnaha tautoko kaha. Ka āwhina ō whānau me ō hoa i a koe e whakahaere ana i tēnei āhuatanga. Ki te whakaaro koe he pai te kōrero ki ētahi atu tangata e noho ana me te vasculitis, ui atu ki tētahi mema o tō rōpū tiaki hauora mō te hono atu ki tētahi rōpū tautoko.

Kaore he uara (NaN)