Kua mōhio pea koe ki te mamae ohorere e puta mai ana i te mamae ohorere o te tuara o ō tātou waewae, te wāhanga e kiia nei e tātou ko te 'kenda'. I ētahi wā ka puta tēnei mamae i a koe e hikoi ana, e oma ana rānei. Engari i ētahi wā ka puta tēnei mamae me te kore take. Nō reira, he mea noa tēnei, he mea rānei hei āwangawanga mā tātou? Me kōrero taipitopito tātou mō tēnei.
He aha te mamae o te uma nei?
He mamae koi, he mamae puhoi rānei te mamae o te hope i roto i ngā uaua i muri i tō wheua hope (`tibia`). Ka rerekē pea te āhua o te mamae i ia tangata, i ia tangata.
Ki te pāngia koe e tēnei mamae i a koe e hikoi ana, e oma ana, e mahi ana rānei i tētahi atu mahi whakakori tinana, he raru uaua pea tēnei. Heoi, ki te pā whakarere mai te mamae, kāore he take e kitea ana , he tohu pea tēnei o tētahi raruraru hauora nui e pā ana ki ngā uaua toto.
I te nuinga o te wā, ka taea te rongoā i te mamae iti i te kāinga mā te okioki me te hukapapa. Heoi , ki te mea kua rerekē te tae o tō waewae, kua pupuhi, kua pāngia rānei e te mamae ohorere, nui , me toro atu koe ki te tākuta. He mate pea tēnei e hiahia ana kia arohia tonutia e te rata.
He aha i mamae ai ō tātou turi? He aha ngā take matua?
He maha ngā take ka pā ki te mamae o te turi. Ko ētahi o ēnei he māmā noa iho, engari ko ētahi me tino tupato tātou. Kia titiro tātou he aha ēnei.
| Take | Hei whakarāpopototanga... |
|---|---|
| Ngā mamae | I te nuinga o te wā, i te wā e moe ana i te pō, ka pūmau ngā uaua o te ure, ā, ka rite ki te mea e piri tahi ana. Tērā pea ka roa tēnei mamae mō ngā hāora, engari ka memeha haere i roto i ngā hēkona. |
| Ngā momo | Ka puta te totoro nui rawa ina totoro te uaua ki tua atu i tōna kaha. Mēnā ka totoro rawa, ka taea e ia te haehae i te uaua. |
| Te mamae i puta mai i te whaiti o ngā oko toto (Intermittent Claudication) | Ina whaiti ngā uaua e kawe ana i te toto ki ngā waewae, kāore e whiwhi ngā uaua i te hāora e hiahiatia ana. Ka mamae te tinana i te wā e hikoi ana, e whakakori tinana ana rānei. Ka kiia hoki tēnei mate ko te Peripheral Arterial Disease (PAD) . |
| Te mamae o te uaua | Ka mumura ngā uaua e hono ana i ō tātou uaua ki ō tātou wheua. Ka pā te pēhanga ki ngā uaua, ka mamae hoki i te wā e mahi ana. |
| Ngā whara | Mā te pā tika ki te kiri (hei tauira, te whana a tetahi i a koe) ka kino pea ngā kiko o roto, engari kāore e pakaru te kiri. Ka puta he marō me te mamae. |
| Te Mate Wāhanga | He āhuatanga morearea tēnei ka puta mai i te marutanga tino kino. I tēnei āhuatanga, ka ngaro katoa te rere o te toto ki ngā uaua o te waewae. He āhuatanga tēnei e hiahia ana kia rongoatia wawetia. |
| Te Thrombosis o te Uaua Hōhonu (DVT) | Ka taea te piri o te toto totoka i roto i te uaua hohonu o te waewae o raro. He āhuatanga tino morearea tēnei nā te mea ka pakaru te toto totoka ka piri ki roto i ngā pukahukahu. Nō reira, me tino tupato koe ki tēnei. |
He aha ngā āhuatanga ka whakanui ake i te mōrearea o te mamae o te kaki?
Ka pāngia te tangata e te mamae o te hope o te uaua. Heoi, ko ngā kaitākaro me te hunga e mahi ana i ngā mahi ā-tinana auau e taumaha ana ki ngā uaua o te hope o te uaua he nui ake te mōrearea. Ko te hunga neke atu i te 65 tau te pakeke ka nui ake te tūponotanga ka pāngia e tēnei mamae nā te ngoikore o te uaua, ētahi atu mate hauora, te iti haere rānei o te mahi ā-tinana.
Ka taea hoki e ēnei mea te whakanui ake i te mōrearea o te mamae o te turi:
- Ngā rongoā motuhake: Ina koa ko ngā rongoā e tangohia ana hei whakaheke i te cholesterol.
- Ko ētahi mate:Te mate thyroid, te mate ate, te mate tākihi, te mate huka, me te mate peripheral artery disease (PAD).
- Te pupuhi o ngā waewae (`Edema`): Te pupuhi o ngā waewae nā te nui o te wai i roto i te tinana.
- Te ngenge i te wera.
- Te hekenga o ngā irahiko i roto i te tinana: Tērā pea nā te matewai, nā te maimoatanga dialysis rānei mō ngā tūroro whatukuhu tēnei.
- Te haputanga.
- Ka tapatapahia te kiko o te kendae kia mongamonga, ka mārō rānei.
- Te momi hikareti, te whakamahi rānei i ētahi atu hua tupeka.
He aha ngā maimoatanga ka taea te mahi ki te kāinga?
I ēnei wā, he tikanga maimoatanga māmā engari he mea nui ka taea e tātou te mahi i te kāinga. Ka kiia e mātou ko te tikanga RICE . Ko te tikanga tēnei ko te Okiokinga, te Hukapapa, te Kōpeketanga, me te Whakateitei.
| Reta | Te tikanga | Me aha? |
|---|---|---|
| R | Okiokinga | Kaua e hikoi, kaua e oma me te mamae o te tuara. Kaua e warewarehia te mamae, kei kino haere. Kia nui te okiokinga. |
| ahau | Hukapapa (Hukapapa) | Whakatakotoria he putea hukapapa, he kakahu rānei kua rumakina ki te wai matao ki te wāhi mamae mō te 20 meneti i ia rua hāora. Engari kia mahara, kaua e tukua te hukapapa kia pā tika ki tō kiri. |
| C | Te pēhitanga | Tākaihia he takai pēhi, he takai rapa rānei huri noa i te wāhi mamae. Mā tēnei ka whakaiti i te rere o te toto ki te wāhi mamae, ā, ka whakahaere i te pupuhi. |
| E | Teitei | Kia teitei ake te waewae mamae i runga ake i tō ngākau i ngā wā katoa e taea ana. Whakamahia he urunga, he paraikete rānei hei tautoko i te waewae katoa. |
Mena kei te mamae koe nā te totoro o te uaua, he pai pea te totoro mārire i te uaua kia totoro ai.
Ētahi atu maimoatanga ka tūtohutia pea e te tākuta
I runga i te pūtake o tō mamae, ka tūtohu pea tō tākuta i ētahi atu maimoatanga, pēnei i:
- Ngā rongoā whakamamae
- Te whakaora tinana
- Mēnā he whāwhā te waewae, ka whakatakotoria he riipene ngohengohe, he pūtu rānei hei ārai i te nekehanga.
Ki te mea kei te āwangawanga koe mō te mamae o te turi, kua tae ki te wā ki te toro atu ki te tākuta!
Ahakoa he mea noa te mamae o te uma, ehara i te mea pai kia warewarehia ētahi tohu. He tohu pea ēnei mō tētahi mate kino ake.
| Ki te pā mai ēnei tohu ki a koe, me toro atu ki tō tākuta tonu. |
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Kia maumahara, ki te puta te mamae i a koe e tū noa ana, kāore he korikori tinana, he mahi rānei, ki te mau tonu te mamae ahakoa kua okioki, he tohu pea tēnei mō tētahi mate kino pēnei i te DVT. Mēnā he pēnei te āhua, he pai ake te toro atu ki te tākuta tonu me te kimi i te take, kaua e ngana ki te rongoā i a koe anō. Mēnā he nui te mamae, ā, he pupuhi hoki, he pai ake te haere ki te ETU (Emergency Treatment Unit) o te hōhipera tata.
Karere Tangohia ki te Kāinga
- He maha ngā wā ka puta te mamae o te uma i te whāwhā noa iho o te uaua, te whāwhā rānei. Heoi, i ētahi wā he tohu pea nō tētahi mate kino ake, pērā i te DVT.
- Ki te pāngia koe e te mamae ohorere, te pupuhi o tō waewae, te huri rānei o te tae o te kiri, kāore he take e kitea ana , me toro atu ki tō tākuta i taua wā tonu .
- Mō te whāwhā ngāwari noa iho, ka taea e koe te whakaora mā te whai i te tikanga RICE (okiokinga, hukapapa, pēhi, whakaara) i te kāinga.
- Mena kei te ruarua koe mō tō mamae, kaua e ngana ki te tātaritanga i a koe anō, engari me rapu tohutohu hauora kia kitea ai te take tika me te whiwhi maimoatanga.
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