He aha te Whakatikatika i te Pūwāhi Aorta me te Whakakapi i te Pūwāhi Aorta? Te Whāinga, te Hātepe & ngā Hua

Ko te whakatikatika me te whakakapi i te pūwāhi aorta he hātepe ngākau e whakatika ana i ngā raruraru o tō pūwāhi aorta, te kuwaha i waenga i tō ngākau me ō tō tinana. Ki te kore tēnei pūwāhi e mahi tika ana, me kaha ake tō ngākau ki te pōpō toto, ā, ka puta he raruraru hauora nui i te roanga o te wā.

Whakaarohia tō pūwāhi aorta hei tatau kotahi-ara e tuwhera ana kia rere te toto mai i tō ngākau ki tō tinana, ka katia hei aukati i te rere whakamuri o te toto. Ki te whāiti rawa tēnei tatau, ki te turuturu rawa, ki te kore rānei e tuwhera me te kati tika, ka taea e te pokanga te āwhina i te whakahoki mai i te rere toto noa me te whakamāmā i te pēhanga ki tō ngākau.

He aha te whakatikatika i te pūwāhi aorta me te whakakapi i te pūwāhi aorta?

Ko te whakatikatika i te pūwāhi aorta ko te whakatika i tō pūwāhi o nāianei kia pai ake ai te mahi. I te wā o te whakatikatika, ka whakatika, ka hanga anō rānei tō tākuta pokanga i ngā wāhanga o tō pūwāhi tūturu i te wā e pupuri ana i te pūwāhi taketake. Mā tēnei huarahi e tiaki ana i te kiko o tō tinana i ngā wā katoa ka taea.

Ko te whakakapi i te pūwāhi aorta ko te tango i tō pūwāhi kua pakaru me te whakauru i tētahi mea hou. Ka taea e te pūwāhi whakakapi te mīhini (i hangaia mai i ngā rauemi mau tonu pēnei i te rino me te waro) te koiora rānei (i hangaia mai i te kiko kararehe, tangata rānei). Ka kōrero tō tākuta pokanga mō te kōwhiringa e pai ana mō tō āhuatanga motuhake.

Ko ngā hātepe e rua e whai ana ki te whakahoki mai i te rere toto noa i roto i tō ngākau. He pai ake te whakatikatika i te wā e taea ana nā te mea e pupuri ana i tō pūwāhi tūturu, engari ka whai mana te whakakapi i te wā e nui rawa ana te kino ki te whakatika.

He aha i mahia ai te whakatikatika me te whakakapi i te pūwāhi aorta?

E whakatika ana ēnei hātepe i ngā raruraru e rua matua o tō pūwāhi aorta: te stenosis me te regurgitation. Ka puta te stenosis aortic i te wā e whāiti ana, e mārō ana tō pūwāhi, e uaua ai te rere o te toto mai i tō ngākau. Ka puta te regurgitation aortic i te wā e kore ai tō pūwāhi e kati tika, e tuku ana i te toto kia turuturu hoki ki tō ngākau.

Ki te kore e rongoatia, ka kaha rawa tō ngākau ki te mahi i ēnei āhuatanga. I roto i ngā marama, i ngā tau rānei, ka ngoikore pea tō uaua ngākau i tēnei pēhanga nui, ā, ka puta he rahunga ngākau. Ka pā pea te mamae o te uma, te poto o te manawa, te whanoke, te ngenge rānei i te wā e uaua ana tō ngākau ki te pōpō i te toto.

Ka tūtohu pea tō tākuta i te pokanga mēnā kei te pā ngā tohu ki tō oranga o ia rā, mēnā rānei e whakaatu ana ngā whakamātau kei te heke te mahi o tō ngākau. I ētahi wā ka tūtohutia te pokanga i mua i te puta o ngā tohu, ina koa he nui te raru o te tātā, ā, ka kaha ake te kino.

Ko te whāinga he whakatika i te raruraru i mua i te pānga o te kino tūturu ki tō ngākau. Ko te wawaotanga wawe te nuinga ka pai ake ngā hua, ā, ka āwhina i a koe ki te hoki ki ō mahi noa me te kaha me te pai ake.

He aha te tikanga mō te whakatikatika me te whakakapi i te tātā aortic?

E whakawhirinaki ana ngā mahi motuhake mēnā kei te pokanga ngākau tuwhera koe, he huarahi iti rānei e pā ana. Ko te nuinga o ngā mahi tātā aortic ka mahia i raro i te rongoā whānui, nō reira ka moe katoa koe i te wā o te pokanga.

I te wā o te pokanga ngākau tuwhera tuku iho, ka hanga e tō tākuta he tapahi ki waenganui o tō uma, ā, ka whakamutua tō ngākau mō tētahi wā mā te whakamahi i te mīhini ngākau-pūkahukahu. Ka whakahaere tēnei mīhini i te mahi pōpō i te toto me te tāpiri i te hāora i te wā e mahi ana tō tākuta i tō tātā.

Mō te whakatikatika tātā, ka wehea pea e tō tākuta ngā rau tātā kua honoa, ka tango i te kiko nui, ka tāpiri rānei i te mowhiti tautoko hei āwhina i te tātā kia kati tika. E whakawhirinaki ana te tikanga tika ki te aha e pā ana ki te kore e pai te mahi o tō tātā.

Mō te whakakapi tātā, ka tangohia e tō tākuta te tātā kua pakaru, ā, ka tuituia te mea hou ki tōna wāhi. Mēnā kei te whiwhi koe i te tātā mīhini, me tango koe i te rongoā whakaheke toto mō te ora. Ko ngā tātā koiora te nuinga kāore e hiahia ana i ngā whakaheke toto wā-roa, engari me whakakapi pea i muri i te 10-20 tau.

Ka whakamahia e ngā huarahi whakaiti te pokanga he iti ake ngā tapahi me ngā taputapu motuhake. Ko ētahi tikanga ka taea te mahi mā te katita i tō waewae, ko te tikanga kāore he tapahi i te uma. Mā tō rōpū pokanga e whakatau te huarahi pai rawa atu i runga i tō āhuatanga me tō hauora whānui.

Me pēhea te whakarite mō tō tikanga tātā aortic?

Ko te whakarite ka tīmata i ētahi wiki i mua i tō pokanga. Ka whakahaere tō rōpū hauora i ngā momo whakamātautau kia mōhio ai kei te rite koe mō te tikanga me te whakamahere i te huarahi haumaru rawa atu mō tō āhuatanga motuhake.

Tērā pea ka hiahia koe ki ngā whakamātautau toto, ngā hihi-X o te uma, he electrocardiogram, me ngā rangahau whakaahua o te ngākau. Mā ēnei whakamātautau e āwhina tō tākuta pokanga ki te mārama tika ki te mea e hē ana ki tō tātā me te whakamahere i te huarahi pai rawa atu hei whakatika. Tērā pea ka hiahia koe ki te kite i ētahi atu tohunga, pēnei i te tākuta pūkahukahu, te tohunga tākihi rānei, kia pai ai tō hauora whānui.

Ka arotake tō tākuta i ō rongoā katoa, ā, tērā pea ka tono koe kia whakamutu i ētahi i mua i te pokanga. Ko ngā rongoā whakaheke toto, ngā rongoā anti-inflammatory, me ētahi taapiri ka piki ake te tūponotanga o te toto i te wā o te pokanga. Kaua rawa e whakamutu i ngā rongoā me te kore e kōrero tuatahi ki tō rōpū hauora.

I mua i te pokanga, arotahi ki te kai pai, te okioki pai, me te noho kaha i te mea e whakaae ana ō tohumate. Mēnā e kai paipa ana koe, ko te whakamutu i ētahi wiki i mua i te pokanga ka pai ake tō whakaora. Tērā pea ka tūtohu tō rōpū i ngā mahi manawa, i te tūtakitanga rānei ki tētahi kaimātai tinana hei whakarite i tō tinana mō te whakaora.

Me pēhea te pānui i ngā hua o tō whakamātautau tātā aortic?

Ko te māramatanga ki ō hua whakamātautau ka āwhina i a koe ki te whakatau i ngā whakatau mō tō manaakitanga. Ko te whakamātautau tino noa he echocardiogram, e whakamahi ana i ngā ngaru oro hei hanga pikitia o tō ngākau me te ine i te pai o te mahi a tō tātā.

Mō te stenosis aortic, ka titiro ngā tākuta ki te wāhi o te tātā me ngā rerekētanga pēhanga. Ko te wāhi tātā aortic noa he 3-4 henimita tapawhā. E whakaatu ana te stenosis ngawari i te wāhi o te 1.5-2.0 cm², ko te stenosis āhua he 1.0-1.5 cm², ā, ko te stenosis kaha he iti iho i te 1.0 cm². E tohu ana ngā rerekētanga pēhanga teitei ake i te whāiti kaha ake.

Mō te regurgitation aortic, ka whakaahuatia te kaha he ngawari, he āhua, he kaha rānei i runga i te nui o te toto e turuturu ana ki muri. Ka titiro hoki tō tākuta ki te āhua o te urupare a tō uaua ngākau ki te mahi anō i puta mai i te tātā turuturu.

Ko ētahi atu ine nui ko tō hautanga whakawhiti, e whakaatu ana i te pai o te pūngao o tō ngākau i te toto i ia patupatu. Ko te hautanga whakawhiti noa he 55% neke atu rānei. Ko ngā tau iti ake pea e tohu ana kei te pā te uaua ngākau i te raruraru tātā.

Ka whakamārama tō tākuta i te tikanga o ēnei tau mō tō āhuatanga motuhake. Kāore te whakatau mō te pokanga i runga i ngā tau anake, engari ka whakaaro ki ō tohumate, te hauora whānui, me ngā āhuatanga tūpono ngātahi.

Me pēhea te whakahaere i tō āhuatanga i muri i te pokanga tātā aortic?

Ko te whakaora i muri i te pokanga tātā aortic he hātepe haere haere e pā ana ki ētahi marama. Ko te nuinga o te tangata e noho ana i te hōhipera mō te 3-7 rā, ko te rā tuatahi, e rua rānei i roto i te wāhanga tiaki kaha mō te aroturuki tata.

I te wā o tō noho hōhipera, ka mahi tahi koe me ngā nēhi me ngā kaiwhakaora tinana kia neke haumaru. Ko te hikoi i ngā tawhiti poto me te mahi i ngā whakangungu manawa ka āwhina i te ārai i ngā raruraru me te whakatere i tō whakaora. Ka ako hoki koe me pēhea te tiaki i tō tapahi me te mōhio ki ngā tohu o ngā raruraru pea.

Kia tae koe ki te kāinga, whakanuia haere ō mahi i te hokinga mai o tō kaha. Ka taea e te nuinga o te tangata te hoki ki ngā mahi māmā i roto i ētahi wiki, engari e 6-8 wiki te roa kia ora katoa tō wheua uma mēnā i pokanga tuwhera koe. Ārai i te hiki taumaha i tēnei wā.

He mea nui ngā whakaritenga whai muri mō te aroturuki i tō pūwāhi hou, i tō pūwāhi rānei kua whakatikahia. Ka whakarite tō tākuta i ngā arowhai auau me ngā echocardiograms i ia wā kia mōhio kei te pai ngā mea katoa. Ki te mea he pūwāhi mīhini tō, ka hiahia koe ki ngā whakamātautau toto auau hei aroturuki i tō rongoā whakaheke toto.

He tino whai hua ngā hōtaka whakahou i te ngākau i te wā o te whakaora. Mā ēnei hōtaka whakakori tinana e ārahi ana koe e whakahou i tō kaha me tō manawanui i te wā e ako ana koe mō ngā huringa o te noho hauora mō te ngākau.

He aha te putanga pai rawa atu mō ngā tikanga pūwāhi aortic?

Ko te putanga pai rawa atu he pūwāhi e mahi tika ana, e āhei ana koe ki te hoki ki ō mahi noa me te kore he tohu. Ko te nuinga o te tangata ka kite i te whakapai ake i ō rātou taumata pūngao, te manawa, me te kounga o te oranga whānui i muri i te angitu o te pokanga pūwāhi.

Ko ngā reiti angitu mō ngā tikanga pūwāhi aortic te nuinga he tino tiketike, neke atu i te 95% o te tangata e ora ana i te pokanga, ā, ko te nuinga e whai ana i ngā hua pai i te wā roa. Ko te kī ki te putanga pai rawa atu ko te mahi i te tikanga i mua i te ngoikore rawa o te uaua o tō ngākau.

Ki te pūwāhi kua whakatikahia, ka taea e koe te tūmanako ka roa mō ngā tau maha, i te nuinga o te wā mō te toenga o tō oranga. He tino roa te pūwāhi whakakapinga mīhini, ā, he uaua te hiahia kia whakakapingia, i te wā e roa ana te pūwāhi koiora mō te 15-20 tau, neke atu rānei, ina koa ki ngā tūroro pakeke.

E whakawhirinaki ana tō tirohanga wā roa ki ētahi mea, tae atu ki tō tau, te hauora whānui, me te pai o te whakaora o tō uaua ngākau mai i te raruraru pūwāhi. He ramai tangata ka hoki ki te mahi, te haere, te whakakori tinana, me te pārekareka ki ā rātou mahi tino pai i muri i te whakaora.

Ko te whai i ngā tohutohu a tō tākuta mō te tiaki whai muri, te tango i ngā rongoā kua whakaritea, me te pupuri i te noho hauora mō te ngākau e whai wāhi ana ki te putanga pai rawa atu i te wā roa.

He aha ngā āhuatanga tūpono mō te hiahia pokanga pūwāhi aortic?

He maha ngā āhuatanga ka whakanui ake i tō tūponotanga ki te whakawhanake i ngā raruraru o te tūāki aortic ka hiahia pea ki te pokanga. Ko te pakeke te āhuatanga mōrearea tino noa, i te mea ka puta ngā raruraru o te tūāki i te roa o ngā tau maha o te mau me te haehae.

Ko ētahi tāngata i whānau mai me ngā hē o te tūāki e whakanui ake ana i ngā raruraru i muri mai i te oranga. Ko te tūāki aortic bicuspid, kei reira e rua ngā rau o te tūāki, kaua ki te toru, e pā ana ki te 1-2% o ngā tāngata, ā, he maha ngā wā ka puta ngā raruraru o te tūāki i te wā waenga.

Koinei ngā āhuatanga mōrearea matua ka taea te whai wāhi ki te mate tūāki aortic:

• Te pakeke (te nuinga o ngā tāngata neke atu i te 65 tau)
• Ngā hē o te ngākau i whānau mai, ina koa te tūāki aortic bicuspid
• He hītori o te kirika rūmātiki, te mate ngākau rūmātiki rānei
• Te toto tiketike e whakatakoto ana i te pēhanga anō ki te tūāki
• Te cholesterol tiketike e arahi ana ki te hanga konupūmā i runga i ngā rau tūāki
• Te mate huka, ka taea te whakatere i te kino o te tūāki
• Te mate tākihi, ina koa ko ērā e hiahia ana ki te dialysis
• Te rongoā iraruke o te pouaka i mua
• Ētahi āhuatanga autoimmune
• He hītori whānau o te mate tūāki

Ko te whai i ēnei āhuatanga mōrearea kāore i te kī me tino hiahia koe ki te pokanga tūāki, engari ka whakanui ake i ō tūponotanga ki te whakawhanake i ngā raruraru o te tūāki. Ka taea e ngā arotake auau te āwhina i te kite i ngā take i te wā wawe i te wā e whai hua ana ngā kōwhiringa rongoā.

He pai ake te whakatika i te tūāki, te whakakapi rānei?

Ko te whakatika i te tūāki te mea e pai ana i te nuinga o te wā ka taea ana, ā, ka whai hua. Ka pupuri te whakatika i tō kiko tūāki tūturu, e roa ana te roa, ā, he iti ake te tūponotanga o ngā raruraru i te whakataurite ki ngā tūāki whakakapi.

Ki te whakatika, kāore koe e hiahia ana ki te rongoā whakaheke toto i te wā roa, e whakakore ana i ngā tūponotanga toto e pā ana ki ēnei rongoā. Ka kaha ake hoki tō kiko tūāki tūturu ki te aukati i te mate i ngā rauemi hangai.

Heoi anō, kāore e taea te whakatika i ngā wā katoa, e kore rānei e tika. Mēnā kua pakaru rawa tō pūwāhi, kāore rānei e roa te whakatikatika, ka pai ake te whakakapi. Ko ētahi raruraru pūwāhi, ina koa te calcification nui, ētahi momo rānei o te pakaru hanganga, he pai ake te rongoā mā te whakakapi.

Ka āta arotake tō tākuta i tō āhuatanga motuhake mā te whakamahi i ngā rangahau whakaahua, i ētahi wā rānei he tirotiro tika i te wā o te pokanga. Ka whakawhirinaki te whakatau ki ngā āhuatanga pēnei i tō tau, te momo me te whānuitanga o te pakaru pūwāhi, tō hauora whānui, me ō hiahia whaiaro mō te whakamahi rongoā wā-roa.

Ka taea e te whakatikatika me te whakakapi te whakatutuki i ngā hua pai ina mahia e ngā tākuta whai wheako. Ko te mea nui ko te whiriwhiri i te huarahi e tino whai hua ana ki a koe i te wā-roa i runga i ō āhuatanga takitahi.

He aha ngā raruraru ka puta i te pokanga pūwāhi aortic?

Ahakoa te nuinga o te wā he haumaru, he angitu te pokanga pūwāhi aortic, pērā i ētahi atu pokanga nui, he tūponotanga ētahi. Mā te māramatanga ki ēnei raruraru ka āwhina i a koe ki te whakatau whakatau mōhio, me te mōhio ki ngā mea hei titiro i te wā o te whakaora.

Ko ngā raruraru tino noa he wā poto noa iho, he ngāwari te whakahaere mā te manaaki hauora tika. Ka uru pea ēnei ki ngā manawataki ngakau koretake, te korenga o te mahi tākihi mō te wā poto, te toto ririki rānei e hiahia ana ki te aroturuki engari ka ngaro noa iho.

Anei ngā raruraru ka puta, mai i te mea noa ki te mea onge:

• Ngā manawataki ngakau koretake (arrhythmias) e hiahia ana ki te rongoā, ki te aroturuki rānei
• Te whakaheke toto e hiahia ana ki te whakawhitinga toto
• Te mate i te wāhi pokanga, i te tūāwhiorangi hou rānei
• Ngā pūhui toto ka haere ki ētahi atu wāhi o te tinana
• Ngā raruraru tākihi rangitahi, ina koa ki ngā tāngata e pā ana ki te mate tākihi
• Ngā raruraru manawa e hiahia ana ki te tautoko manawa rangitahi
• Te whiu, he mea onge engari he nui ake te tūpono ki ngā tāngata e pā ana ki ngā āhuatanga tūpono
• Te whakaeke ngakau, ina koa ki ngā tāngata e pā ana ki te mate uaua kōrero
• Ngā raruraru tūāwhiorangi e hiahia ana ki te pokanga atu anō
• Ngā huringa mahara, whakaaro rānei, he rangitahi te nuinga

He iti noa te tūpono o ngā raruraru nui, ina koa ka mahia te pokanga i ngā whare rongoā whai wheako. Ka kōrero tō rōpū pokanga i ō āhuatanga tūpono takitahi, ā, ka whai wāhi ki te whakaiti i ngā raruraru i runga i tō āhuatanga hauora motuhake.

Āhea au e kite ai i te tākuta mō ngā raruraru tūāwhiorangi aortic?

Me whakapā atu koe ki tō tākuta mēnā ka pā ki a koe ngā tohumate e tohu ana i ngā raruraru tūāwhiorangi, ina koa he mea hou, he kino ake rānei. Ko te kitenga wawe me te rongoā i ngā raruraru tūāwhiorangi ka pai ake te hua.

Ko te mamae o te uma, te poto o te manawa, te whanoke, te ngaro rānei ka tohu i ngā raruraru tūāwhiorangi, ahakoa ka tohu hoki i ētahi atu āhuatanga ngakau. Kaua e wareware ki ēnei tohumate, ina koa ka puta i te wā o te mahi tinana, te ahua rānei kei te piki haere.

I muri i te pokanga tūāwhiorangi, me whai wāhi tonu ngā tohumate ki te rongoā. Waea atu ki tō tākuta i te wā tonu mēnā ka pā ki a koe te kirika, ka kite i te whero haere, te rerenga rānei mai i tō tapahi, ka pā rānei ki a koe te mamae o te uma ohorere, te poto rānei o te manawa.

Mēnā he tūāwhiwhi mīhini tō, me pūrongo ki tō tākuta mō ngā toto rereke, ngā pāpā rānei, tērā pea he raruraru ki tō rongoā whakaheke toto. Waihoki, mēnā he whakakapinga tūāwhiwhi tō, whakamōhio atu ki tō tākuta i mua i ngā mahi niho, i ētahi atu pokanga rānei, tērā pea ka hiahia koe ki ngā paturopi hei ārai i te mate.

He mea nui ngā whakaritenga whai-muri i ngā wā katoa, ahakoa kei te pai koe. Ka taea e tō tākuta te kite i ngā huringa i roto i te mahi o tō tūāwhiwhi i mua i te puta o ngā tohu, e āhei ai te wawaotanga i te wā tika ka whai hua te rongoā.

Ngā pātai e pātai pinepine ana mō ngā mahi tūāwhiwhi aortic

Q1: He pai te pokanga tūāwhiwhi aortic mō te ngoikore o te ngākau?

Āe, ka taea e te pokanga tūāwhiwhi aortic te whakapai ake i ngā tohu o te ngoikore o te ngākau i te wā e pā ana te ngoikore o te ngākau ki ngā raruraru tūāwhiwhi. Mēnā kāore i te pai te mahi o tō tūāwhiwhi aortic, ka kaha rawa te mahi o tō ngākau, ka mutu ka puta te ngoikore o te ngākau.

Ko te whakatika i te raruraru tūāwhiwhi ka āhei te uaua o tō ngākau ki te ora, ki te mahi pai ake. He maha ngā tāngata e kite ana i te whakapai ake i ō rātou taumata pūngao, te manawa, me te kaha ki te mahi i muri i te pokanga tūāwhiwhi angitu. Heoi, te nui o te whakapai ake e whakawhirinaki ana ki te nui o te pānga o tō uaua ngākau i mua i te pokanga.

Q2: Ka whakaora tonu te whakakapinga tūāwhiwhi aortic i te raruraru?

Ko te whakakapinga tūāwhiwhi aortic te tikanga ka whai hua mō te wā roa, engari kāore pea e mau tonu. He uaua te hiahia o ngā tūāwhiwhi mīhini ki te whakakapi, ā, ka taea te roa mō ngā tau tekau, i te wā e roa ana ngā tūāwhiwhi koiora mō te 15-20 tau, neke atu rānei, ina koa ki ngā tūroro kaumātua.

Ahakoa te pai o te mahi o te tūāwhiwhi hou mō ngā tau maha, ka hiahia koe ki te tiaki whai-muri i ngā wā katoa hei aroturuki i tōna mahi. Tērā pea ka hiahia ētahi tāngata ki ētahi atu mahi, engari ko te nuinga e pai ana ki ngā tau maha o te hauora me te kounga o te ora i muri i te whakakapinga tūāwhiwhi.

Q3: Ka taea e au te whakakori tinana i muri i te pokanga tūāwhiwhi aortic?

Ka taea e te nuinga o te tangata te hoki ki te whakakori tinana me nga mahi tinana i muri i te whakaoranga mai i te pokanga o te vaolo, he maha tonu nga wa ka pai ake te kaha ki te whakakori tinana i mua i te tikanga. Heoi, ka roa te wa ki te whakahoki ano i to taumata mahi.

I roto i nga marama tuatahi o te whakaoranga, ka piki haere to taumata mahi i raro i te tirotiro a te rongoa. Kia ora katoa koe, he maha nga tangata ka uru ki te nuinga o nga hakinakina me nga mahi, ahakoa ka tohutohu pea to taakuta kia karohia etahi mahi kaha, whakataetae ranei i runga i to ahuatanga motuhake.

Q4: Kia pehea te roa e hiahia ana ahau ki te tango i nga mea whakaheke toto i muri i te pokanga o te vaolo?

Ko te hiahia mo nga mea whakaheke toto kei runga i te momo vaolo ka riro i a koe. Mena ka whiwhi koe i te vaolo miihini, me tango koe i nga rongoa whakaheke toto (pēnei i te warfarin) mo te oranga kia kore ai e hanga nga toto toto i runga i te vaolo.

Ki nga vaolo koiora, e hiahia ana koe ki nga mea whakaheke toto mo te 3-6 marama i muri i te pokanga, i etahi wa kaore rawa. Ka whakatau to taakuta i te mahere rongoa pai rawa atu i runga i to momo vaolo me nga mea morearea takitahi mo nga toto toto.

Q5: He aha te mea ka tupu ki te kore au e pokanga i te vaolo aortic ina tūtohu ana?

Ki te kore he pokanga, ko nga raruraru o te vaolo aortic kino ka kino haere i te wa, ka arahi ki nga raruraru nui tae atu ki te korenga o te ngakau, nga manawataki ngakau kino, te mate ohorere ranei. Ko te wa o enei raruraru kaore i te matapae, koinei te take e tohutohu ana nga taakuta i te pokanga i mua i te kino o nga tohu.

Heoi, ko te whakatau mo te pokanga me whakaaro tonu ki to hauora katoa, te roa o te oranga, me nga hiahia whaiaro. Ka taea e to taakuta te awhina i a koe ki te mohio ki nga tupono me nga painga o te pokanga ki te tatari tupato i runga i to ahuatanga motuhake.