He mate huka tōu? Tērā pea kua mōhio kē koe me tiaki pai ō waewae, pērā i ngā wāhanga katoa o tō tinana. Engari i ētahi wā, ahakoa he iti noa te panoni o tō waewae, he pupuhi iti, he wera iti rānei e kino atu ana i te waewae kē, ka waiho hei tīmatanga mō tētahi raruraru nui atu i tō whakaaro. I tēnei rā, ka kōrero tātou mō tētahi āhuatanga e pā mai ana me te mate huka, engari he maha ngā tāngata o tō tātou whenua kāore e mōhio ana, engari he tino morearea mēnā kāore e arohia tika. Ka huaina tēnei ko te 'Waewae Charcot'.
He aha te waewae o Charcot?
Whakaarohia ngā io o ō waewae he pūnaha waea. Ka haria e tēnei pūnaha waea ngā kare ā-roto o ō waewae, pērā i te mamae, te wera, me te pā, ki tō roro. Ināianei, ina kore e pai te whakahaere i te mate huka mō te wā roa, ka taea te pakaru o ngā io o ō waewae i te nui o te huka toto. I roto i te rongoā, ka kiia tēnei ko te neuropathy mate huka .
Ka aha mēnā ka pakaru pēnei ngā io? Ka heke te kare o ngā waewae. Ka rongo ētahi tāngata kei te ngau kino ō rātou waewae, ko ētahi ia kāore e rongo i tetahi mea.
Whakaarohia i a koe e hikoi ana me te waewae kāore he pānga, ka pōhēhē koe i tō waewae, ka whati rānei tō waewae. Ka pāngia te tangata noa e te mamae nui ina tupu tēnā, nō reira ka tere rātou te okioki me te rapu maimoatanga. Engari nā te ngoikore o ō io, ā, kāore he pānga, kāore koe e rongo i tēnei mamae. Nō reira ka hikoi koe, ka oma, ka mahi i taua waewae pērā i te tikanga.
Koinei te wā ka tīmata ai te raruraru. I te mea ka haere tonu te taumahatanga o ngā wheua me ngā hononga kua pakaru, ka piki ake te kino. Ka tīmata te whati me te pakaru o ngā wheua, ā, ka tīmata te wetekina o ngā hononga. I roto i te wā, ka huri te āhua o te waewae katoa, ka tīmata te whakapē. Koinei te mea e kiia nei e mātou ko te Waewae Charcot .
Ki te kī māmā noa, he whara iti noa te waewae Charcot Foot kua ngaro te rongo me te kino o ngā io nā te mate huka, engari ki te haere tonu koe i runga me te kore e mamae, ka pakaru ngā wheua me ngā hononga, ā, ka hē te āhua o te waewae.
He aha ngā tohu o te waewae Charcot? Me pēhea te kite wawe?
Ko te kitenga wawe i tēnei mate te mea nui rawa atu. Nā te mea ko te wawe o te kitenga, ka taea te ārai i ngā raruraru kino. Kia titiro tātou ki ngā tohu. Ka whakaaturia e au tēnei ki a koe i roto i tētahi tūtohi e māmā ana ki te mārama.
| Te āhua o te tohu | Ngā mea ka kite koe |
|---|---|
| Ngā tohu tōmua (me mōhio wawe) |
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| Ngā tohu e puta ana ina tino kino te mate |
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He aha i pāngia ai ētahi tāngata e tēnei mate? He aha ngā āhuatanga mōrearea?
Ko te tino take o te Charcot Foot ko te kino o ngā io i puta mai i te mate huka (Diabetic Neuropathy) , i kōrerotia e tātou i mua ake nei. Heoi, ehara i te katoa e pāngia ana e te mate huka ka pāngia e tēnei mate. He maha atu anō ngā āhuatanga e whakanui ake ai i te mōrearea o te pāngia e tēnei mate.
- Te roa o te wā e pāngia ana e te mate huka: Ko te hunga kua pāngia e te mate huka mō ngā tau neke atu i te 7-10 ka nui ake te mōrearea.
- Mate huka kāore i te pai te whakahaere: Ka tere te kino o ngā io ki te nui haere tonu o te huka toto (hyperglycemia).
- Te Momi hikareti: Ka whakawhāitihia ngā uaua toto e te momi hikareti, ā, ka whakaitihia te rere o te toto ki ngā waewae. Ka pā kino tēnei ki ngā io me te whakaora patunga.
- Te inu waipiro: Ka taea hoki e te inu nui rawa te kino tika ki ngā io.
- Te toto toto tiketike, te cholesterol tiketike, me te momona: Ka taea hoki e ēnei āhuatanga te whakararu i te tohanga toto me te whakanui ake i te mōrearea.
- Mate whatukuhu: He nui ake anō hoki tēnei mōrearea mō te hunga e pāngia ana e te mate whatukuhu i te mate huka.
He aha ngā raruraru kino ka pā mai?
Tērā pea ka mataku koe ina rongo koe i ēnei kōrero. Engari he mea nui kia mōhio koe ki ēnei mea, nā te mea mā mātou tēnei e whakatika. Ki te kore e rongoatia te waewae o Charcot i te wā tika, ka puta pea ngā raruraru nui.
1. Te hē tuturu o te waewae: Ka taea te whakarerekē tuturu i te āhua o te waewae. Nā tēnei ka kore e taea te mau hu noa, ā, ka uaua hoki te hikoi.
2. Ngā patunga me ngā mate pāwera kāore e ora: Ka ngāwari te pangia o ngā mate pukupuku waewae e te huakita. I ētahi wā, ka horapa ēnei mate ki ngā wheua.
3. Tapatapahia te waewae: Mena kāore e taea te whakahaere i te mate, mena he kino rawa te āhua o te waewae, i ētahi wā me tango te waewae katoa, tetahi wāhanga rānei hei whakaora i te ora.
4. Whakamatea te ora: Ki te uru te mate waewae ki roto i te toto ka horapa puta noa i te tinana (sepsis), ka mate pea.
Ko te huarahi pai hei karo i ēnei mate kino ko te toro atu ki te tākuta i te wā tuatahi ka puta ngā tohu, pērā i te whero, te pupuhi, me te wera o ngā waewae.
Me pēhea te tātaritanga me te rongoā a te tākuta i tēnei?
Ina kōrero koe ki tō tākuta mō ō tohumate, ko te mea tuatahi ka mahia e ia ko te tirotiro i ō waewae e rua. Ka whakatauritea e ia ō waewae, ka rapu mēnā he pupuhi, he rerekētanga o te āhua, he whero, me te mahana. Ka tirohia hoki e ia te āhua o ō waewae.
I muri i tēnā, ka tukuna pea koe mō ngā whakamātautau pēnei i ēnei hei whakaū i te mate:
- Ngā hihi-X o te waewae: Tirohia mēnā he pakaru, he ngatata, he whati rānei o ngā wheua.
- Matawai MRI (MRI): Kia mārama ai te kite i ngā pakaru o ngā kiko ngohengohe me ngā hononga, tae atu ki ngā wheua.
- Ngā whakamātautau toto: Tirohia mēnā he mate pāwera.
Ngā tikanga maimoatanga
Ko te rongoā matua mō te waewae Charcot ko te "whakaiti i te taumahatanga," arā, kia kaua e utaina he taumaha ki te waewae e pāngia ana. He mea nui tēnei nā te mea mā te haere tonu i runga i ngā wheua kua pakaru ka kino noa iho te āhua.
Hei whakatutuki i tēnei, ka tūtohu pea te tākuta i ngā mea penei:
- Te tāpiri i tētahi paraikete motuhake: Ka tāpirihia he paraikete motuhake hei ārai i te nekeneke o te waewae, i te pikau rānei i te taumaha.
- Te whakamahi i te tokotoko toko, i te hikoi rānei.
- Te whakamahi i te tūru wīra: Mena he kino rawa te mate, me whakamahi pea koe i te tūru wīra mō tētahi wā.
- Ngā hu me ngā taputapu motuhake (Ngā Taputapu Whakakapi me ngā Hu): Kia ora ngā wheua o te waewae, me whakamahi koe i ngā hu motuhake, i ngā tāpiringa rānei ('Ngā Taputapu Whakakapi') e rite ana ki te āhua o te waewae, ā, kaua e pēhi nui atu.
- Whakaora Tinana: Mā te āwhina a te kaiwhakaora tinana, ka taea e koe te mahi i ngā mahi whakakori tinana hei whakapai ake i te nekehanga o ngā hononga me te whakapakari i ngā uaua o te waewae.
- Pokanga: I ētahi wā tino kino, ka hiahiatia pea te pokanga hei whakatika i ngā wheua whati, hei whakau hoki i te waewae.
Ngā mea hei mahi māu hei tiaki i ō waewae mēnā he mate huka tōu
Hei tiaki i a koe i te mate kino e kiia nei ko te Charcot Foot, me tiaki pai koe i ō waewae hei tangata mate huka. Whakamahia ēnei tikanga hei wāhanga o tō oranga o ia rā.
| Me aha? | Whakaahuatanga |
|---|---|
| Te tirotiro waewae i ia rā | I ngā pō katoa i mua i tō haerenga ki te moe, whakamahia he whakaata, tonoa rānei tētahi i te kāinga kia tirohia ngā kapu o ō waewae, i waenganui i ō māikuku, me te taha o ō maikuku. Tirohia mēnā he iti noa ngā karawarawa, he whero, he pupuhi, he mirumiru rānei. |
| Te horoi | Horoia ō waewae i ia rā ki te wai māhana me te hopi ngawari. Kātahi ka whakamaroke pai, inā koa i waenganui i ngā mātao, ka mirimiri kia maroke. |
| Ngā hu tika | Kia mau ngā hū e tau pai ana, ā, he ngawari hoki te taha o roto. Kaua rawa e hikoi waewae kore ki waho. Kia mau hoki he takirua hū ngohengohe ki roto. |
| Te whakahaere i te mate huka | Whāia ngā tohutohu a tō tākuta, kia mau tonu te taumata huka o tō toto ki te awhe tika. Koinei te tūāpapa o ngā mea katoa. |
| Whakamātautau hauora | I ia wā ka haere koe ki te whare hauora mate huka, me tono atu ki tō tākuta kia tirohia ō waewae e rua. |
Karere Tangohia ki te Kāinga
- He raruraru nui te waewae o Charcot i puta mai i te kino o ngā io i te mate huka.
- Ki te mea he mate huka tōu, kaua e warewarehia te pupuhi, te whero, te mahana rerekē rānei o tō waewae . Me toro atu ki te tākuta tonu, ahakoa kāore he mamae.
- Ko te kitenga wawe te huarahi pai rawa atu hei karo i ngā āhuatanga pēnei i te whara kino me te tapahi waewae.
- Me tirotiro i ō waewae i ia rā. Mēnā ka kite koe i ētahi panoni, kōrero atu ki tō tākuta.
- Ko te pai ake o tō whakahaere i tō mate huka, ka iti ake tō tūponotanga ki te whakawhanake i ēnei raruraru.
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