Kei te pāngia koe e te mākūkū, te werawera i te tuara o tō ringa, inā koa i te ringaringa, kāore e kitea he take? Kei te rongo koe i te mākūkū i ētahi wā, pērā i te mākūkū, te wiri rānei? Ahakoa te nui o tō rakuraku, e kore e memeha? He mea nui tēnei tuhinga māu. I tēnei rā ka kōrero tātou mō tētahi āhuatanga kāore i te mōhiotia e te tini o te tangata, engari he tino hoha ki ētahi. Koia te 'Brachioradial Pruritus'.
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He aha te Brachioradial Pruritus?
Ahakoa te ahua uaua o tēnei ingoa, kia māmā noa iho. Ko te 'Brachioradial' e pā ana ki te uaua e rere ana mai i tō tuke ki raro, ā, e āwhina ana i a koe ki te piko i tō ringa (te 'uaua brachioradialis'). Ko te 'Pruritus' te kupu hauora mō te "mākūkū".
Nō reira, ko te 'Brachioradial Pruritus' he kupu mō te mākūkū, te wera, te ngau rānei i te tuara o tō ringa (te ringaringa). Ko te mea nui ehara tēnei i te ponana kiri, ehara hoki i te mea hopuhopu. He raruraru io. I te nuinga o te wā ka pā tēnei āhuatanga ki ngā ringa e rua, engari i ētahi wā ka pā ki te ringa kotahi anake.
He aha te take o tēnei mākūkū whakarihariha?
E whakapono ana ngā tākuta nā te huinga o ngā take matua e rua tēnei.
1. Te Radiculopathy o te Cervical
2. Te pānga ki te rā (Ultraviolet - UV radiation)
Kia tirohia takitahitia ēnei e tātou.
1. Te hononga i waenga i ngā io o te kaki me tēnei mākūkū
E waru ngā takirua io, e kiia nei ko C1 ki te C8, e puta mai ana i tō kaki (te wāhanga o tō tuaiwi kaki e kiia nei ko tō tuaiwi). Ka haria e ēnei io te kare ā-roto ki tō kaki, pakihiwi, ringa, me ngā maihao. Mēnā ka kōpeketia, ka pakaru rānei tētahi o ēnei io i waenga i te C5 me te C8, ka puta he momo kare ā-roto rerekē (paresthesia) i roto i ō ringaringa. Kei roto i ēnei ko te ngau, te māuiui, te wera, me te mamae.
Pērā i te wā e purua ana te paipa wai, ka rerekē te ara rere o te wai, ina pēhia te io, ka pakaru ngā tohu e tukuna ana e ia, ā, ka tukuna ngā kōrero hē ki tō tātou roro. Koia tātou e rite ana ki te mea kei te waruwaru noa iho ō tātou ringa.
He maha ngā take e taea ai te kōpikopiko i te io i te kaki:
- Kōpae herniated: He wahi kiko rite ki te tiēre i waenganui i ngā tuaiwi o te tuaiwi e pupuhi ana ki waho ka pēhi i te io.
- Osteoarthritis: I a koe e pakeke haere ana, ka memeha haere ngā wheua, ā, ka whaiti haere ngā pūaha e haere atu ai ngā io.
- Mate kōpae pirau
- Te whaiti o te ara io (foraminal stenosis)
He maha ngā wā, kāore te hunga e pāngia ana e te Brachioradial Pruritus e mamae ana i roto i ō rātou kaki. Nō reira, kāore rātou e mōhio he raruraru io kei roto i ō rātou kaki. Heoi, ina whakamātauhia te hunga e pāngia ana e tēnei mate pērā i te matawai MRI o ō rātou kaki, he tokomaha kua kitea he raruraru kei roto i ō rātou tuaiwi.
2. He aha te pānga o te rā (ngā hihi UV) ki tēnei?
Ahakoa kāore anō kia mārama te pūtake tuturu, e whakapono ana ngā kairangahau ko ngā hihi UV, te rā rānei, te tino take e whakanui ake ai i ēnei tohu. He maha ngā take mō tēnei:
- He tokomaha te hunga e kī ana ka piki ake te mākūkū ina pāngia e te rā .
- Ko te nuinga o tēnei mate ka pā ki ngā marama raumati.
- He tokomaha ngā tāngata kua pāngia e te hekenga o ngā tohu i te takurua me te wā e tiaki ana i a rātou anō i te rā (te mau i ngā kākahu ringaringa roa, te whakamahi i te pare rā).
He whakarāpopototanga, kua paku pāngia ngā io o te kaki e te raruraru io. Ina pāngia te kiri e ngā hihi 'UV' o te rā, ka nui ake te whakaohooho o aua io, ka puta ai te mākūkū.
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Check Availability →He aha ngā tohu o tēnei mate?
Ko te tohu matua, me te tohu tino kitea o tēnei mate ko te mākūkū i te tuara o te ringa (rae). Heoi anō, tera pea ka kitea ētahi atu tohu.
| Āhuatanga / Pānga | Whakaahuatanga |
|---|---|
| Tohu matua | Te mākūkū nui ki te tuara o te ringaringa. |
| Ētahi atu wāhi ka pāngia pea | Ngā ringa o runga, ngā pakihiwi, me te kaki. |
| Ētahi atu kare ā-roto | Haunga te mākūkū, tera pea ka pāngia koe e te mamae, te wero, me te kōkō. |
| Ngā huringa kiri | Kāore tēnei mate e puta ai he ponana kiri, engari mā te waruwaru pinepine ka puta he hakihaki kiri, he mate pāwera, me te rerekētanga o te tae o te kiri (he ira pango, he ira mā rānei). |
He mea nui: Mō te 75% o ngā wā, ka puta ēnei tohu i ngā ringa e rua. Heoi, tera pea ka puta i te ringa kotahi anake.
Ko wai te mea tino tūpono ka pāngia e tēnei mate? (Ngā āhuatanga mōrearea)
- Ira Tangata: E toru ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei mate i ngā tāne. Tērā pea nā te mea he nui ake te tūponotanga o ngā wāhine ki ngā raruraru o te tuaiwi me ngā io nā ō rātou āhuatanga tinana.
- Tau: Ka kitea te mate i te hunga pakeke waenga, i waenga i te 50-60 tau, engari ka taea te pā ki ngā tau katoa.
- Tae kiri: He nui ake te kitea o tēnei mate i roto i te hunga he kiri mārama (mā) .
- Te Āhua Noho: Ko te hunga e noho roa ana i waho, pērā i te eke pahikara, te hikoi, te noho rānei i te takutai moana, he nui ake te mōrearea ki te pāngia e tēnei mate.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina toro atu koe ki tō tākuta, ka pātai atu ia ki a koe mō ō tohumate, tō hītori hauora, me tō āhua noho. Kātahi ka tirotirohia ō ringaringa kia kite mēnā he mate kiri anō (pēnei i te ponana) e puta ai te mākūkū.
Ko te whakamātautau putea huka he whakamātautau māmā, whai hua hoki e whakamahia ana hei tautuhi i tēnei mate.
Ka whakatakotoria e te tākuta he putea hukapapa ki te wāhi mākūkū o tō ringa. Mēnā ka mutu tonu tō mākūkū, ā, ka tīmata anō te mākūkū i muri i tō tango i te putea hukapapa, he tino tūponotanga he 'Brachioradial Pruritus'.
He tino onge pea te tūtohu a tō tākuta i tētahi matawai MRI, i tētahi hihi-X rānei hei tirotiro i tō tuaiwi me ngā io o tō kaki.
He aha ngā maimoatanga mō tēnei?
He maha ngā maimoatanga mō te 'Brachioradial Pruritus'. I te nuinga o te wā, ka taea te whakamahi ngātahi i tētahi, i ētahi rānei o ēnei maimoatanga hei whakahaere i ngā tohumate.
| Tikanga maimoatanga | Whakaahuatanga me ngā tauira |
|---|---|
| Te karo i ngā hihi UV | Koinei te mea tino nui. Mā te whakawhāiti i tō wā i raro i te rā, te whakamahi tonu i tētahi pare ārai rā pai (SPF 30, neke atu rānei) , me te mau i ngā kākahu ringaringa roa ka tino whakaiti i ngā tohu. |
| Ngā Rongoā ā-Waha | He tino whai hua hoki ētahi rongoā mō te mamae me ngā raruraru o te io. Hei tauira: Ngā rongoā pēnei i te Amitriptyline, Gabapentin . Me tohu ēnei e tō tākuta. |
| Ngā Rongoā ā-Whānui | Ka taea e ngā kirimi me ngā hinu kiri e pania ana ki te wāhi mākūkū te whakaora i te mamae mō te wā poto. Hei tauira, ko ngā kirimi 'Capsaicin', ngā kirimi 'Corticosteroid', me ngā kirimi 'Antihistamine'. |
| Te tāpiri i ngā peke hukapapa | Mēnā he nui te mākati me te mumura, ka taea e te paninga o te putea huka te whakaora wawe tonu. |
He tino onge te tūtohutanga kia pokanga mēnā he nui te raruraru o te tuaiwi kaki.
He aha ngā raruraru ka puta mai i tēnei āhuatanga?
Kāore tēnei mate e waiho hei mōrearea nui ki tō hauora. Heoi, mā te rakuraku tonu i te kiri nā te mākati e kore e taea te manawanui ka ara ake ngā raruraru maha.
- Ngā patunga kiri me ngā karawarawa.
- Te matotoru o te kiri, me te āhua hiako rite ki te mea hanga ki te paru ('Lichenification').
- Ngā puku kiri mārō ('Ngā pona Prurigo').
- Te rerekētanga o te tae o te kiri (ngā ira pango - 'Hyperpigmentation' ngā ira mā rānei - 'Hypopigmentation').
- Ngā āhuatanga pēnei i te ekisema.
Nō reira, he mea tino nui te whakahaere i te mākūkū.
Āhea koe me toro atu ki te tākuta?
Mena he mākūkū tonu tō ringa, kāore he whakamārama e pāngia ana e ō mahi o ia rā, me toro atu ki tō tākuta. Kaua e rongoā i a koe anō.
Waihoki, ki te kore ō tohu e pai ake i muri i te tīmatanga o te maimoatanga, me whakamōhio atu ki tō tākuta. Tērā pea ka taea e ia te tūtohu i tētahi atu kōwhiringa maimoatanga e pai ake ana mōu.
Karere Tangohia ki te Kāinga
- Ehara te 'Brachioradial Pruritus' i te ponana kiri, engari he raruraru pūnaha io.
- Ko te take nui o tēnei ko te raruraru io i te kaki me te pānga o te rā.
- Ko te parenga rā (ina koa ko te paninga ārai rā me ngā kākahu ringaringa roa) te huarahi pai hei whakahaere i ēnei tohu.
- Mena kei te mākūkū tonu ō ringaringa, kāore he whakamāramatanga, me rapu tohutohu hauora.
- Ka taea te whakahaere angitu i ēnei tohu whakarihariha mā te maimoatanga tika.
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