He kaipaipa koe? He kaipaipa rānei koe? He maha ngā wā ka pāngia koe e te mamae me te ngoikore o ngā pito o ō maihao, o ō matimati, me ō waewae? Ka kikorangi, ka mā rānei ō matimati i ētahi wā? Kaua e warewarehia ēnei mea. Koinei pea te tīmatanga o tētahi mate kino e kiia nei ko te 'mate a Buerger', he mate motuhake tēnei ki ngā kaipaipa. I tēnei rā, ka kōrerohia tēnei i roto i tētahi huarahi māmā ka taea e koe te mārama.
He aha rawa te mate a Buerger?
He māmā noa iho, he mate onge te mate a Buerger e pā ana ki ngā uaua toto (ngā uaua toto) i roto i ō ringaringa me ō waewae. Ko ngā uaua toto iti me te rahi waenga e anga atu ana ki ō matimati ngā mea e tino pāngia ana.
Tērā tētahi atu ingoa hauora mō tēnei, ko `(Thromboangiitis Obliterans)` . He ahua uaua te ingoa, kāore? Kia mārama noa iho.
- Ko te tikanga o te kupu 'Thrombo' he toto totoka.
- Ko te 'angitis' e pā ana ki te mumura, te pupuhi rānei, o ngā oko toto.
- Ko te tikanga o te kupu 'Obliterans' he mea e āraia ana, e ngaro rawa atu ana.
Nō reira, he mate tēnei e pupuhi ai ngā uaua toto, e puta ai he toto totoka i roto, ā, ka āraia rawatia te rere o te toto .
Whakaarohia he paipa wai kua purua e te waikura me te paru. Koinei te mea ka pā ki ō tātou uaua toto i roto i tēnei mate. Ina pakaru te rere o te toto i roto i ngā uaua toto, kāore ngā kiko tae noa ki ngā pito o ngā maihao e whiwhi i te hāora me ngā matūkai e hiahiatia ana e rātou. Ka puta he mamae nui i te tuatahi, kātahi ka tīmata te mate o ngā kiko.
He nui ake te kitea o tēnei mate i ngā whenua pērā i a Sri Lanka, he nui te whakamahi tupeka. Heoi, ko te rongo pai, nā te hekenga o te tokomaha o ngā kaipaipa, kua tino heke hoki te maha o ngā kēhi o tēnei mate.
He aha ngā tohu o tēnei mate? Me pēhea te mōhio ki tēnei?
Kāore ngā tohu o te mate a Buerger e puta ohorere mai. Ka puta mārire mai i te wā roa. Tērā ētahi tohu ka puta wawe mai, me ētahi atu tohu ka puta mai i te whanaketanga haere o te mate.
| Momo āhuatanga | Whakaahuatanga |
|---|---|
| Ngā tohu tōmua |
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| Ngā tohu e puta ake ana i roto i te wā |
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Ko te mea nui, ka tīmata ēnei tohu i ngā pito o te ringaringa, kātahi ka horapa haere ki runga, arā, i ngā ringa me ngā waewae.
He aha i puta ai tēnei mate? Ko wai kei te mōrearea nui ake?
Kāore anō kia mōhiotia e ngā kaipūtaiao te tino pūtake o te mate a Buerger, engari ko te hononga tino kaha me te mārama kua kitea ko te whakamahi tupeka .
E whakapono ana ngā kaipūtaiao he matū kei roto i te tupeka ka pakaru te arai o ngā uaua toto, ka puta ai te mumura. Ka pupuhi ngā uaua toto, ka āraia hoki e ngā toto totoka. E whakapono ana ētahi kaipūtaiao he pānga ira tēnei, he mate pūnaha ārai mate rānei.
He maha ngā āhuatanga e whakanui ake ana i te mōrearea o tēnei mate:
- Te whakamahi tupeka: Ko te momi hikareti, te pīti, te hikā, me te tupeka ngaungau te tino take mōrearea. Tērā pea ka uru atu hoki te whakamahinga o te tarukino.
- Te hanga i āu ake hikareti: He nui ake te mōrearea o te hunga e whakamahi ana i ngā hikareti hurihuri-ā-ringa.
- Ira Tangata: He nui ake te tūponotanga o ngā tāne ki te pāngia e tēnei mate i ngā wāhine.
- Tau:Ko te nuinga o te wā ka pā tēnei mate ki te hunga taitamariki me te hunga pakeke i waenga i te 20 me te 45 tau te pakeke.
He aha ngā raruraru pea ka pā mai i te mate a Buerger?
Ki te kore e whakahaeretia tika tēnei mate, arā, ki te haere tonu te whakamahi tupeka, ka puta pea ngā raruraru nui. Heoi, he onge te kitenga o ēnei i te nuinga o ngā wā.
- Momotu: Koinei te raruraru tino noa. Ina puta te gangrene, me tango te kiko mate mā te pokanga. Ki te kore, ka horapa te mate puta noa i te tinana.
- Whiu
- Te whakaekenga o te ngakau
- Te whakaekenga ischemic poto
- Ngā raruraru ki ngā oko toto i roto i te whekau.
- Ngā raruraru e pā ana ki te pūnaha io.
Me pēhea te tātaritanga a te tākuta i tēnei?
Ki te pā mai ēnei tohu ki a koe, me toro atu koe ki te tākuta. Ka pātai atu ia ki a koe, ka tirotiro i a koe, ā, ka ngana ki te whakatau mēnā koinei te mate.
He mea āwhina ēnei e whai ake nei hei whakatau i te mate:
1. Tō hītori hauora: Ka pātaihia koe mō ngā mea pēnei i te mea kei te momi hikareti koe, te roa o tō momi hikareti, me te maha o ngā hikareti e momihia ana e koe i ia rā.
2. Whakamātautau tinana: Ka tirohia tō pā. I roto i te mate a Buerger, tera pea ka ngoikore ngā pā o te pito tawhiti (hei tauira, i ngā waewae me ngā ringa).
3. Ngā whakamātautau motuhake mō ngā uaua toto:
- Matawai Ultrasound: Ka taea e tēnei te tirotiro mō ngā totoka i roto i ngā uaua toto.
- Taupū Pona-Poro-Whatu (ABI): Ka ine tēnei i te toto i roto i tō waewae me tō ringa, ka whakataurite i ngā uara e rua. Mena he iti iho te toto i roto i tō waewae i tō ringa, ko te tikanga he iti ake te rere o te toto ki tō waewae.
- Angiogram: Koinei te whakamātautau pai rawa atu hei tirotiro i ngā aukati i roto i ō oko toto. I roto i tēnei, ka werohia he tae motuhake ki roto i tētahi o ō oko toto, ā, ka mahia he matawai X-ray, he matawai CT/MRI rānei. Mā tēnei ka taea e te tākuta te kite mārama i te wāhi me te nui o te aukati.
He aha te rongoā pai rawa atu mō tēnei?
Kia maumahara ki tēnei. Kāore anō kia kitea he rongoā mō te mate a Buerger. Engari ko te huarahi pai rawa atu, ko te huarahi anake hoki hei aukati i te kino haere o te mate, hei whakahaere hoki i ngā tohu, ko te whakamutu tonu me te whakamutu katoa i te whakamahi tupeka me te nikotīni, tae atu ki te momi hikareti.
Koinei te rongoā matua, te rongoā nama tuatahi hoki mō tēnei mate. Ahakoa ka momi hikareti koe i te rā, ka mau rānei i te pāti nikotīni, e kore te mate e pai ake, engari ka kino haere.
He maha ngā tūroro ka kite i te whakapainga nui o ō rātou tohu ina mutu tā rātou momi hikareti. Ko ētahi ka mutu te mahi.
Haunga te whakamutu i te kai paipa, ka tūtohu pea tō tākuta i ētahi atu maimoatanga hei āwhina i te whakahaere i ō tohumate.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Ngā rongoā |
|
| Ētahi atu maimoatanga |
|
He aha ngā mea me aro atu ahau i a au e noho tahi ana me tēnei mate?
Mena kei a koe te mate a Buerger, me mahi e koe ētahi huringa iti ki tō āhua noho.
- Āta karohia te tupeka: Koinei te mea nui rawa atu. He kōwhiringa pai anō hoki ngā pāti nikotīni me te tarukino. Ki te hiahia āwhina koe ki te whakamutu i te momi hikareti, kōrero ki tō tākuta mō tēnei.
- Tiakina koe i te makariri:Ka taea e te makariri te whakawhāiti i ngā uaua toto, nō reira mauria he tōkena me he karapu mahana i ngā rā makariri.
- Ārai i ngā whara ki ō ringaringa me ō waewae: Ahakoa he whara iti noa iho, ka roa pea te wā e ora ai, nō reira kia tūpato i te wā e mau ana i ō hu me te mahi.
- Whakamahia te rongoā kia rite ki te mea i tohua e te tākuta.
- Kia tūpato i te wā e tango ana i ētahi atu rongoā: Ka taea e ētahi rongoā (hei tauira, ētahi rongoā makariri) te whakawhāiti i ngā uaua toto. Nō reira, pātai atu ki tō tākuta i mua i te tango i tētahi rongoā.
Kia maumahara, tata ki te 50% o te hunga e kai paipa tonu ana, arā, kotahi i roto i te tokorua, ka hiahiatia kia tangohia te matihao, te waewae rānei mā te pokanga (tapahia te waewae). Engari he mea miharo, ko te hunga kua mutu te kai paipa he onge te hiahia ki te mahi i taua momo pokanga.
Āhea ahau me toro atu ki te tākuta?
Mena kei a koe ētahi o ngā tohu kua whakahuatia i roto i tēnei tuhinga, inā koa he kaipaipa koe, me toro atu ki te tākuta tonu. Mena ka kino haere ō tohu, ka puta mai rānei he tohu hou, me whakamōhio atu ki tō tākuta.
Āhea ahau me haere ki te Tari Ohotata (ETU)?
Ki te pāngia koe e ngā tohu o te whiu, te whakaeke ngakau rānei (hei tauira, te mamae ohorere o te uma, te uaua ki te kōrero, te ngaronga o te rongo i tetahi taha o te tinana), haere tonu ki te tari urupare ohorere o te hōhipera (ETU). Waihoki, ki te mea he patunga kei ō maihao e mamae nui ana, e pupuhi ana, e haunga kino ana rānei, he tohu pea tēnei o tētahi mate kino. I roto i ēnei āhuatanga, rapua tonutia he tohutohu hauora.
Karere Tangohia ki te Kāinga
- Ko te Mate a Buerger he mate toto e hono tata ana ki te whakamahi tupeka.
- Ko te rongoā pai rawa atu, ko te rongoā matua mō tēnei mate, ko te whakamutu rawa i te kai tupeka me ngā hua nikotīni katoa, tae atu ki ngā hikareti, ngā bidi, ngā hikā, ngā tupeka ngaungau, me ngā pāti nikotīni.
- Mena he kaipaipa koe, kaua e whakahawea ki ngā tohu pēnei i te mamae, te ngoikore, te rerekētanga o te tae, me ngā patunga kore e ora i roto i ō peka me ō waewae, inā koa ko ngā matimati.
- Ki te tautuhi wawe koe i te mate, ā, ka mutu te momi hikareti, ka taea e koe te karo katoa i ngā raruraru nui pēnei i te tapahi waewae.
- Mena he ruarua āu mō tēnei, e hiahia ana rānei koe ki te tautoko hei whakamutu i te kai paipa, kōrero noa ki tō tākuta.
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