Fakamamahi Toto ʻi he ʻUlu: Ko e Ngaahi ʻUhinga, Ngaahi Fakatātā mo e Founga Fakaʻaho
Fēfeka ʻOku Fakatupu Heke Toto ʻi he ʻAtamai?
Ko e heke toto ʻi he ʻatamai, ko ha tuʻunga fakafaitoʻo mamafa mo fakatāmateʻi ʻoku tupu mei he vaivai pe fakatupu fehalaaki ʻi he ngaahi puipui toto ʻi he ʻatamai. ʻI he ngaahi taimi lahi, ʻoku hoko ha vaivai ʻi he puipui toto, pea ʻe lava ke fakatupu ha foomu baluni (anevrizma). ʻOku faingofua ke hoko ʻa e anevrizma ʻi he fehikitaki ʻo e ngaahi toto, pea ʻoku faingataʻa ange ke maluʻi ʻa e ngaahi feituʻu ko ʻeni ʻi he ngaahi toto moʻui lelei. ʻOku lava ke maumau ʻa e ngaahi baluni ko ʻeni ʻi he ngaahi ʻuhinga kehekehe pea fakatupu ai ha heke toto ki he ʻatamai pe hono feituʻu ʻokapau.
ʻOku vahevahe ʻa e heke toto ʻi he ʻatamai ki he ngaahi kulupu lalahi ʻe ua ʻi hono fakatupu:
Heke toto ʻi he ʻatamai ʻi he taimi ʻo ha faingataʻa: ʻOku tupu ʻi he kākā, ta pe ngaahi faingataʻa fakasino kehe.
Heke toto ʻi he ʻatamai ʻoku hoko pē: ʻOku tupu pē mei he ngaahi mahaki toto, anevrizma pe ngaahi palopalema fakafaitoʻo kehe.
ʻOku toe vahevahe foki ʻa e ngaahi foomu ʻi he feituʻu ʻoku hoko ai ʻa e heke toto ʻi he ʻatamai:
Heke toto intraventrikula: ʻOku hoko ʻi he ngaahi ava ʻoku fonu ʻi he vai ʻi he ʻatamai.
Heke toto intraserepala: ʻOku hoko ʻi loto ʻo e konga ʻatamai.
Heke toto subaraknoida: ʻOku mamata ʻi he vahaʻa ʻo e ʻatamai mo e ngaahi peau manifinifi.
Heke toto subdurala: ʻOku tupu ʻi ha feituʻu totonu ʻi he vahaʻa ʻo e ngaahi peau ʻo e ʻatamai.
Heke toto epidurala: ʻOku hoko ʻi he vahaʻa ʻo e peau tuʻapuleʻanga ʻo e ʻatamai mo e ulupoto.
ʻI he ngaahi heke toto ʻi he ʻatamai ʻoku fakatupu ʻe he faingataʻa, ʻe lava ke uesia ha ngaahi feituʻu lahi, ka ʻoku lahi ange ʻa e heke toto ʻoku hoko pē ʻi ha feituʻu pē. ʻOku lava foki ke fakatupulekina ʻe he ngaahi foomu kanesa kehekehe ʻa e vaivai ʻo e ngaahi toto ʻi he ʻatamai pea fakatupulekina ai ʻa e faingamalie heke toto; ka ʻi he kau mahaki ʻoku fai kiate kinautolu ha tokanga fakafaitoʻo tuʻuloa, ʻoku siʻisiʻi ange ʻa e faingamalie ko ʻeni.
Ko e Hā ʻa e ngaahi Fakaʻilonga ʻo e Heke Toto ʻi he ʻAtamai?
ʻOku kehekehe ʻa e ngaahi fakaʻilonga ʻo e heke toto ʻi he ʻatamai ʻi hono feituʻu, mālohi mo hono fakamālohi. ʻOku fiemaʻu vave ha tokanga fakafaitoʻo ʻi he ngaahi fakaʻilonga mālohi ʻoku kamata fakavavevave. Ko e ngaahi fakaʻilonga lahi taha ko ʻeni:
Fakaʻuli pe vaivai ʻo e konga taha ʻo e mata
Fakaʻosi, tautau pe mamafa fakavavevave ʻi he sino, tautautefito ʻi he vae pe nima
Faingataʻa ke hūfaki ʻa e nima pe vae, vaivai ʻi he ngaahi ngāue
Palopalema ʻi he sio, holo ʻo e kapa mata pe ngaahi ngāue taʻe pule ʻi he mata
Faingataʻa ʻi he lea mo e mahino
Faingataʻa ʻi he folo
Fakamamahi, fakamālohi pe palopalema ʻi he tohiʻifo
Fakafiemālie lahi ʻo e ulu, liliu ulu
Fakafufuu ʻo e ʻatamai, mole pe fie mohe fakavavevave
Palopalema ʻi he palanisi mo e ngāue fakataha
Taʻe tokanga pe taʻe tali ki he kotoa ʻoku ʻi he kolo
ʻOku mahino ange ʻa e ngaahi fakaʻilonga ko ʻeni ʻi he heke toto ʻi he ʻatamai ʻoku fakatupu ʻe he toto māolunga. ʻI he taimi ʻoku sio ai ha liliu fakafaitoʻo fakavavevave mo fakalakalaka, ʻoku fiemaʻu ke vave ha toki ʻi ha fale mahaki.
Ko e Hā ʻa e ngaahi ʻUhinga ʻo e Heke Toto ʻi he ʻAtamai?
ʻOku lahi ʻa e ngaahi meʻa ʻoku fakatupu heke toto ʻi he ʻatamai. ʻOku uesia ʻe he taʻu, ngaahi meʻa fakafuo mo e tuʻunga moʻui ʻa e faingamalie. Ko e ngaahi ʻuhinga lahi taha ko ʻeni:
Haitenisoni (toto māolunga): Ko e taha ʻo e ngaahi faingamalie lahi taha.
Anevrizma (baluni ʻo e puipui toto)
Palopalema ʻi he pihia toto mo e ngaahi faitoʻo ʻoku ngaue ki he ngaahi mahaki ko ʻeni
Taumafa, taʻe ngaue ʻo e kava toto mo e ngaahi mahaki toto kehe
Kai tapaka mo inu ʻaloko lahi
Mahaki ʻo e ate mo e vaivai toto fakafuo
Kanesa ʻo e ʻatamai, tautautefito ʻi he ngaahi foomu ʻoku uesia ai ʻa e toto
Faingataʻa ʻi he ulu, hifo mo e faingataʻa
Meʻa fakafuo
ʻOku lava ke taofiofi ha ngaahi ʻuhinga (hangē ko e kai tapaka mo e inu ʻaloko), pea ʻoku lava ke fakasiʻisiʻi ʻa e faingamalie ʻaki ha liliu ʻi he moʻui pe tokanga fakafaitoʻo tuʻuloa.
Fakatokanga mo e Founga Faitoʻo ʻi he Heke Toto ʻi he ʻAtamai
Ko e heke toto ʻi he ʻatamai, ko ha tuʻunga fakavavevave ʻoku fiemaʻu ke vave ha tokanga. ʻI he taimi ʻoku ʻi ai ha fakaʻilonga taʻe mahino, ʻoku mahuʻinga ke vave ha fetuʻutaki mo e kau ngaue fakafaitoʻo. ʻOku lava ke ʻikai ke ʻi ai ha fakaʻilonga ʻi he kamataʻanga ʻo e heke toto; ko ia ʻoku fiemaʻu ke tauhi ʻa e kakai ʻoku ʻi he faingamalie, ʻi he taimi ʻo ha ta pe masiva ʻi he ulu, pe ʻi he feinga ki he heke toto ʻi he ʻatamai, ʻi he ʻaho ʻe taha (24 houa).
ʻOku kehekehe ʻa e palani faitoʻo ʻi he foomu mo e feituʻu ʻo e heke toto. Ko e ngaahi taumuʻa lahi taha ko ʻeni:
Kumi ʻa e ʻuhinga ʻo e heke toto pea puleʻi hono tupu
Fakasiʻisiʻi ʻa e maumau ʻi he konga ʻatamai
Toʻo ʻa e faingataʻa ʻo e moʻui mo taofiofi ʻa e ngaahi palopalema
ʻOku tauhi ʻi he potu tokanga lahi ʻa e kau mahaki ʻoku maʻu ai ha heke toto ʻi he ʻatamai. ʻOku lahi ange ʻa e faitoʻo ʻi he taotaoʻi ʻaki ha ngaue taotaoʻi ke taofi ʻa e heke toto, ka ʻi he ngaahi tuʻunga fieʻamālie, ʻoku totonu pē ha tokoni faitoʻo. ʻOku kehekehe ʻa e taimi mo e founga ʻo e toe moʻui ʻi he kau mahaki ʻoku fai kiate kinautolu ha taotaoʻi ʻi hono mālohi, feituʻu mo e founga ngaue.
ʻI he taimi ʻo e faitoʻo, ʻoku vakai vavahi ʻa e ʻatamai ʻo e mahaki, hono mānava, ngāue ʻo e loto mo e ngaahi ngāue ʻo e sino. ʻI he kau mahaki ʻoku fai kiate kinautolu ha taotaoʻi, ʻoku ʻikai fie mohe ʻi he houa kamataʻanga ʻo e anetesia pea ʻoku vakai vavahi ʻa e tuʻunga ʻo e ʻatamai. ʻOku puleʻi ʻa e toto māolunga ʻaki ha ngaahi tokoni faitoʻo, pea ʻe lava ke foaki ha faitoʻo ke fakasiʻisiʻi ʻa e fufula ʻo e ʻatamai.
ʻOku lava ke tokoni ʻa e kau mahaki ʻoku maʻu ai ha heke toto ʻi he ʻatamai ʻi he taimi ʻo e toe moʻui ʻaki ha faitoʻo fakasino, faitoʻo lea mo e faitoʻo folo. ʻOku tokoni lahi ʻa e tokanga tuʻuloa ʻi he kau ngaue poto ki hono toe moʻui lelei ange.
Ngaahi Fehuʻi ʻOku Fai Hohoko
Ko e hā ʻa e heke toto ʻi he ʻatamai?
Ko e heke toto ʻi he ʻatamai, ko ha palopalema moʻui mamafa ʻoku tupu mei he maumau pe maumau ʻo e toto ʻi he ʻatamai pea he heke toto ki he konga ʻatamai pe vahaʻa ʻo e ngaahi peau ʻo e ʻatamai.
Ko e hā ʻa e ʻuhinga lahi taha ʻo e heke toto ʻi he ʻatamai?
Ko e toto māolunga (haitenisoni), ko e taha ʻo e ngaahi ʻuhinga lahi taha ʻo e heke toto ʻi he ʻatamai ʻi māmani.
ʻOku kamata fakavavevave ʻa e ngaahi fakaʻilonga ʻo e heke toto ʻi he ʻatamai?
ʻIo, ʻi he ngaahi tuʻunga lahi, ʻoku hoko fakavavevave mo fakavave ʻa e ngaahi fakaʻilonga. ʻOku kamata fakavavevave ʻa e fakamamahi ʻo e ulu, fakaʻosi ʻo e sino, palopalema lea pe liliu ʻo e ʻatamai.
Ko e hā ʻoku totonu ke fai ʻi he taimi ʻoku ta ai ʻa e ulu?
Kapau ʻoku ta ʻa e ulu pe maʻu ha ta mālohi, pea ʻoku ke maʻu ha fakamamahi ulu, fakamālohi, liliu ʻo e ʻatamai pe vaivai, vave ke o ki ha fale mahaki. ʻOku mahuʻinga ʻa e houa ʻuluaki ʻe 24.
ʻOku fakatupu heke toto ʻi he ʻatamai ha maumau tuʻuloa?
ʻOku lava ke hoko ha maumau fakafaitoʻo ʻi he feituʻu mo e mālohi ʻo e heke toto, ka ʻi he faitoʻo vave mo totonu, ʻoku mālohi ange ʻa e faingamalie toe moʻui.
Ko e fēfē ʻa e kakai ʻoku ʻi he faingamalie heke toto ʻi he ʻatamai?
Kakai ʻoku ʻi ai ha toto māolunga, ngaahi mahaki tuʻuloa, kai tapaka mo inu ʻaloko, palopalema pihia toto mo e kakai motuʻa ʻoku ʻi he faingamalie lahi ange.
ʻOku lava ke taofiofi ʻa e heke toto ʻi he ʻatamai?
ʻOku lava ke fakasiʻisiʻi ʻa e faingamalie ʻaki ha puleʻi ʻo e ngaahi faingamalie. Puleʻi toto māolunga, kai moʻui lelei, toʻo tapaka mo ʻaloko, faitoʻo ʻo e ngaahi mahaki tuʻuloa mo e tokanga fakafaitoʻo tuʻuloa.
ʻOku lava ke toe moʻui lelei ʻa e taha ʻoku maʻu ai ha heke toto ʻi he ʻatamai?
ʻOku kehekehe mei he taha ki he taha, ka ʻi he fakatokanga vave mo e faitoʻo, ʻoku mālohi ange ʻa e faingamalie toe moʻui. ʻOku tokoni ʻa e ngaahi polokalama toe moʻui ki hono fakasiʻisiʻi ʻo e mole ngāue.
ʻOku faitoʻo heke toto ʻi he ʻatamai ʻaki pē ha taotaoʻi?
ʻIkai. ʻOku fakangatangata ʻa e founga faitoʻo ʻi he foomu, lahi mo e tuʻunga ʻo e mahaki. ʻI he ngaahi tuʻunga fieʻamālie, ʻoku totonu pē ha tokoni faitoʻo; ka ʻi he ngaahi tuʻunga kehe, ʻoku fiemaʻu ha taotaoʻi.
ʻOku fakaʻilonga heke toto ʻa e fakamamahi ulu kotoa pē?
ʻIkai, ʻoku lahi ʻa e ngaahi ʻuhinga kehekehe ʻo e fakamamahi ulu. Ka ʻoku hoko ha fakamamahi ulu fakavavevave, mālohi mo taʻe masani, tautautefito kapau ʻoku ʻi ai ha ngaahi fakaʻilonga kehe, ʻoku fiemaʻu ha vakai fakafaitoʻo.
ʻOku fakatuʻupakele ʻa e fie mohe ʻi he heke toto ʻi he ʻatamai?
ʻIo, ko e fie mohe pe fakafufuu ʻo e ʻatamai ko ha fakaʻilonga mahuʻinga. ʻOku fiemaʻu ke o ki he tokotaha faitoʻo.
ʻOku lava ke hoko heke toto ʻi he ʻatamai ʻi he fanau?
ʻIo, ʻoku siʻisiʻi, ka ʻoku lava ke hoko heke toto ʻi he ʻatamai ʻi he fanau ʻi he faingataʻa, ngaahi fehalaaki toto fakafuo pe mahaki kehekehe.
Ko e hā ʻoku totonu ke fai ʻi he taimi ʻoku maʻu ai ha taha ha heke toto ʻi he ʻatamai?
Fakanofo ʻa e tokotaha ʻi ha tuʻunga malu ʻi he tafaʻaki, tauhi ke ʻataa hono ala, pehe pe ke telefoni ki ha ambulensi. Kapau ʻoku mole ʻatamai pe liliu hono mānava, tokanga ki he tokoni fakafaitoʻo.
Ngaahi Ngaahi Konga Fakatotolo
Kautaha Moʻui ʻo e Lalahi (WHO) – Fakaikiiki Fakatatau ki he Stroke
Kautaha Loto ʻo ʻAmelika (AHA) – Fakaikiiki ki he Heke Toto ʻi he ʻAtamai
Ngaahi Senitā Kulekina mo e Puipuiʻi ʻo e Mahaki ʻa ʻAmelika (CDC) – Ngaahi Koloa ki he Stroke
Ngaahi Fakatonutonu ʻo e European Stroke Organisation
The Lancet Neurology – Haemorrhage ʻi loto ʻi he ʻuto: Ngaahi Founga ʻi he ʻAho ni ki he Fakatokanga mo e Puleʻi