Kei te pupuhi ō waewae i te ahiahi i muri i te tū i te rā roa? Kei te taumaha, kei te mamae rānei ō waewae? Kua parauri pea te kiri o ō waewae, ā, kua kitea ō uaua? Ahakoa kei te whakaaro koe he ngenge noa iho ēnei mea, he tohu pea ēnei mō tētahi mate hauora e hiahia ana kia arohia. I tēnei rā ka kōrero tātou mō tētahi mate pēnei, arā, te Chronic Venous Insufficiency, te CVI rānei.
He aha te CVI i te whakarapopototanga?
Whakaarohia ngā uaua o roto i ō tātou tinana he ara kotahi te ara. Ko te wero nui mō ngā uaua, inā koa ko ērā o ngā waewae, ko te neke i te toto ki runga ki te ngākau, me te kore e aro ki te kaha ā-papa. Hei āwhina i tēnei mahi, he hanganga iti rite ki te kuaha kei roto i ō tātou uaua. I roto i te rongoā, ka kiia ēnei he 'takirere'. Mā ēnei takirere ka aukati i te toto kia hoki ki raro ina piki.
Ko te ngoikore o te uaua mau tonu (CVI) he āhuatanga e pakaru ai ngā uaua o ō waewae, ā, kāore e mahi tika ngā takirere i kōrerotia e au. Ka puta te toto i roto i ō waewae hei kohi, kaua e piki. Ka kiia tēnei ko te rerenga toto o te uaua . Ina kohi pēnei te toto, ka piki ake te pēhanga i roto i ngā uaua. I roto i te wā, koinei te mea e kiia nei e mātou ko te CVI.
Ka pā tēnei kino ki tētahi momo uaua o tō waewae:
- Ngā uaua hōhonu: Ko ngā uaua nunui ēnei e rere hōhonu ana i roto i te tinana, i waenganui i ngā uaua.
- Ngā uaua o waho: Kei te taha o te kiri ēnei, kei raro noa iho i te mata.
- Ngā uaua poka: Ka hono ēnei uaua i ngā momo uaua e rua kua whakahuatia i runga ake nei.
Ahakoa ka tīmata pea i ngā tohu iti noa, i te roanga o te wā, ka taea e te CVI te whakararuraru i tō oranga o ia rā, ā, ka puta he raruraru nui.
He rite tonu te CVI me te post-thrombotic syndrome?
E pā ana ngā ingoa e rua ki te raruraru kotahi, arā, ko te kino o ngā uaua o ngā waewae. Engari he iti noa te rerekētanga. Ko te mate muri-thrombotic he āhuatanga o te CVI i puta mai i te toto totoka i roto i te uaua hohonu o te waewae (Deep Vein Thrombosis - DVT). I muri i te wehenga o te toto totoka, ka toe he koha iti ki te pakitara o te uaua i tōna wāhi i noho ai, ka taea te kino i te takirere. Ko te mate muri-thrombotic te mea pea ka puta i roto i te 20% ki te 50% o te hunga kua pāngia e te DVT i roto i te tau kotahi, e rua rānei.
He pēhea te noa o te CVI, ā, he aha ngā pānga ki tōku tinana?
He tino noa te mate uaua. Hei tauira, tata ki te kotahi i roto i te toru o ngā pakeke he uaua varicose . I roto i ēnei tāngata, tata ki te kotahi i roto i te 50 ka pāngia e te CVI i ia tau.
Ko te CVI te tikanga ka pā ki te hunga neke atu i te 50 tau te pakeke. Ka piki ake te mōrearea i te pakeketanga. I te katoa, tata ki te kotahi i roto i te 20 ngā pakeke he CVI.
Ina aukatia te rere o te toto ki ngā waewae nā te CVI, ka tino piki te pēhanga i roto i ngā uaua. Ki te kore e rongoatia, ka taea e tēnei pēhanga teitei te pakaru o ngā oko toto iti (ngā capillary) o tō tātou tinana. Ka huri te kiri o taua wāhi hei parauri whero . Waihoki, ka ngawari te whara o te kiri ahakoa he iti noa te haehae.
Ka taea e ēnei oko toto pakaru te whakaputa:
- Te mumura o te kiko i taua wāhi
- Te pakaru o te kiko
- Ngā mate pukupuku e noho pūmau ana te uaua (he patunga ēnei e puta ana i te mata o te kiri, ā, kāore e ngāwari te ora)
Kāore e ngāwari te ora o ēnei momo mate pukupuku, ā, ka taea e rātou te pangia e ngā iroriki. Mēnā ka horapa tēnei mate ki ngā kiko e karapoti ana, ka kiia e mātou ko te cellulitis . He mate kino tēnei mēnā kāore e tere te rongoā.
He aha ngā tohu o te CVI?
Kāore e hiahiatia kia puta katoa ēnei tohu i te wā kotahi. Tērā pea kotahi, e rua rānei ō tohu. Ka whakawhirinaki ēnei tohu ki te kaha o tō mate.
| Tohu | Whakaahuatanga |
|---|---|
| Te mamae me te taumaha i roto i ngā waewae | Te mamae o ngā waewae, te ngenge, me te taumaha. |
| Mumura me te ngoikore | He ngau, he mākūkū, he wero rānei i ngā waewae. |
| E kitea ana ngā waewae, e hurihuri ana | Te mamae o ngā waewae, arā, ko ngā uaua e kitea ana i ngā waewae, inā koa i te pō. |
| Pupuhi (Edema) | Te pupuhi i ngā waewae me ngā pona, ina koa i te ahiahi i muri i te tūnga mō te rā roa. |
| Ngā huringa kiri | Te whero-parauri te tae o te kiri, te kiri maroke, te kiri pakipaki, te mākūkū me te matotoru o te kiri. |
| Ngā uaua varicose | Ka puta te pupuhi me te piri o ngā uaua i raro i te kiri. |
| Ngā mate pukupuku | Ka taea e ngā patunga kāore e ora, inā koa i te taha o ngā pona waewae, te pangia mēnā ka mamae. |
He aha ngā wāhanga o te CVI?
Ka whakarōpūhia e ngā tākuta te mate toto ki ngā wāhanga 0 ki te 6. Ko te CVI tētahi o ēnei. Ka whakatauhia e tō tākuta te wāhanga i runga i ngā mea e kitea ana e ia i a ia e tirotiro ana i a koe.
- Wāhanga 0: Kāore he tohu e kitea ana, engari ka pāngia pea koe e ngā tohu pēnei i te mamae o te waewae me te ngenge.
- Wāhanga 1: Ka puta mai ngā uaua pungawerewere.
- Wāhanga 2: Te putanga mai o ngā uaua varicose neke atu i te 3 mm te whānui.
- Wāhanga 3: He pupuhi (edema) kei ngā waewae, engari kāore he huringa o te kiri.
- Wāhanga 4: Ka tīmata ngā panonitanga o te tae me te kakano o te kiri (hei tauira, te parauri).
- Wāhanga 5: Kua puta he mate pukupuku, ā, kua puta he koha i muri i te whakaoranga.
- Wāhanga 6: Te kitea o tētahi mate puku e ora tonu ana, kāore anō kia ora.
Ko te mea nui, ko te tikanga ka tātaritatia koe e te tākuta ki te CVI ina kei te taumata 3, neke atu rānei koe . Ko te tikanga o tēnei, ahakoa he uaua varicose ōu, ehara i te mea he CVI tōu. Engari he tohu kei te raru te rere o tō toto. Nō reira, ki te puta he uaua varicose hou ki a koe, he mea nui kia kōrero koe ki tō tākuta.
He aha ngā tino take o te CVI?
E ai ki taku kōrero i mua, ko te tino take o te CVI ko ngā takirere i roto i ngā uaua o ngā waewae kāore e mahi tika. He maha ngā take ka pakaru ai ēnei takirere.
- Ngā take whānautanga:Tērā pea ka whānau mai ētahi tāngata kāore he takirere toto, he ngoikore rānei i roto i ō rātou uaua.
- Ngā Take Matua: Ki te kore he take motuhake, ka ngoikore ngā pakitara o ngā uaua, ka whānui ngā uaua, ā, kāore pea e kati tika ngā takirere.
- Ngā take tuarua: Te kino o ngā uaua nā tētahi atu mate hauora. Ko te tino take, ko te tino take o tēnei ko te toto toto hohonu (DVT) . Ka pakaru ngā takirere i te toto totoka.
Me pēhea te tātaritanga a te tākuta i tēnei?
Ina haere koe ki te tākuta, ko te mea tuatahi ka mahia e ia ko te tirotiro i ō waewae. Ka rapu ia i ngā mea pēnei i te pupuhi, te hurihanga o te tae o te kiri, me ngā patunga.
Kātahi ka whakahaerehia he whakamātautau Ultrasound Vascular hei tātaritanga tika ake i te mate. Ka whakamahia e tēnei ngā ngaru oro hei hanga i tētahi whakaahua o ō uaua ki runga i te mata rorohiko. Ka taea e tēnei te āwhina i a koe ki te kite ko ēhea ngā uaua kua pakaru, me te wāhi hoki. He whakamātautau māmā noa iho, kāore he mamae.
He aha ngā maimoatanga mō te CVI?
Anei ētahi whāinga matua o te maimoatanga mō te CVI:
- Te whakapai ake i te rere o te toto i roto i ngā waewae.
- Āwhina i te whakaora i ngā patunga me te aukati i te hokinga mai.
- Te whakapai ake i te āhua o te kiri.
- Te whakaiti i te mamae me te pupuhi.
Ka taea te wehewehe i ngā tikanga maimoatanga kia maha ngā wāhanga matua.
1. Ngā Huringa Āhua Noho
Koinei te taahiraa tuatahi me te mea nui rawa atu i roto i te maimoatanga.
- Te hiki ake i ō waewae: Hiki ake ō waewae ki runga ake i tō ngākau mō te 30 meneti pea, kia toru ngā wā i te rā. Mā tēnei ka whakaitihia te pēhanga ki ō uaua.
- Korikori tinana: He rawe te hikoi. Ina hikoi koe, ka āwhina ngā uaua o te kuao kau ki te pupuhi toto ki roto i ngā uaua. Ka kiia hoki tēnei ko te "ngākau tuarua".
- Te whakahaere taumaha: I te pikinga ake o te taumaha o tō tinana, ka nui ake te pēhanga e pā ana ki ō uaua. He mea tino nui kia mau tonu te taumaha hauora mō tō teitei.
2. Te Whakaora Pēhanga
He wāhanga tino nui tēnei o te maimoatanga CVI. Kei roto ko te mau i ngā tōkena piripono, he mea hanga motuhake (tōkena pēhi). Ka pēhia e ēnei tōkena te taha waho o ngā waewae, ka āwhina ki te whakaiti i te toto e kohia ana, ka nekehia ki runga.
He maha ngā momo o ēnei tōkena. Ko ētahi me tono rongoā. Nō reira, he mea nui kia mau i te momo e taunakitia ana e tō tākuta, me te kakahu tika hoki.
3. Ngā rongoā
- Ngā rongoā paturopi: Mēnā ka pangia ngā patunga kiri e te huakita, ka hoatu hei whakaora.
- Ngā rongoā ārai toto:E taunakihia ana ēnei mēnā kei a koe tētahi āhuatanga pēnei i te DVT, kei roto rānei koe i te mōrearea.
- Pūtu Unna: He takai motuhake tēnei kua pania ki te wai rongoā. Ka āwhina i te whakaora i ngā patunga, ā, ka pēhi hoki i te waewae.
4. Ngā maimoatanga kore-pokanga me te pokanga
Mena kāore e taea te whakahaere i te āhua e ngā huringa momo noho me te rongoā pēhanga, ka whakaarohia pea e te tākuta ētahi atu maimoatanga.
| Tikanga maimoatanga | He aha te mea ka tupu noa |
|---|---|
| Te whakaora i te kiriuhi | Ka werohia he wai, he pahuka rānei motuhake ki roto i te uaua kua pakaru, ka kore ai e mahi te uaua. |
| Te tango i te wera o roto o te uaua | Ka katihia te uaua kua pakaru mai i roto e te wera mā te whakamahi i ngā hihi laser, i ngā ngaru reo irirangi rānei. |
| Te arai uaua | He rite ki te pokanga tango i te ngākau. Ka tangohia he wāhanga o te uaua toto hauora mai i tētahi atu wāhanga o te tinana, ā, ka hangaia he ara hou hei whakawhiti i te uaua toto kua pakaru. Ka mahia anake tēnei i ngā wā tino kino. |
Me pēhea te ārai i te CVI?
I ētahi wā, kāore e taea te ārai katoa i tēnei āhuatanga. Engari, kei reira ētahi mea ka taea e koe te mahi hei whakaiti i te mōrearea:
- Kaua e kai hikareti.
- Kaua e noho tonu i te tūranga kotahi (e tū ana, e noho ana rānei) mō te wā roa. Hurihia ngā tūranga i ngā wā katoa, me te hikoi haere.
- Kia mau tonu te taumaha hauora.
- Whakakorikori tinana i ia wā, i ia wā.
- Whakaitihia te kai tote, ā, kai i ngā kai hauora mō te ngākau.
Āhea koe me toro atu ki te tākuta?
Mena kei a koe ngā tohu o te CVI, ngā āhuatanga mōrearea rānei, me toro atu ki te tākuta.
- Mena he mea hou, he mea kino rānei ō tohu.
- Mena kāore ngā tōkena kōpeke i tohua māu e tau tika ana (kaua e miro, nā te mea ka taea e tēnei te aukati i te rere o te toto).
Āwhati! Ki te puta he tohu o te pulmonary embolism (he toto totoka i roto i ngā pukahukahu), he raruraru o te DVT, pērā i te mamae ohorere o te uma, te uaua ki te manawa, te tere o te ngakau rānei , haere tonu ki te rūma āwhati hōhipera tata (ETU). He āwhati tēnei e morearea ana ki te ora.
He nui atu i te mea he raruraru āhua noa iho ngā raruraru uaua. He mate haere tonu te CVI ka pā ki te kounga o tō oranga. Nō reira, mā te whiwhi i ngā tohutohu hauora tika me te whai i te maimoatanga tika, ka taea e koe te whakahaere pai i tēnei āhuatanga me te noho pai ki te oranga.
Karere Tangohia ki te Kāinga
- Ko te ngoikore o te uaua mau tonu (CVI) he āhuatanga e kore ai e rere tika te toto ki te ngākau, ā, ka kohia ki roto i ngā waewae nā te ngoikore o ngā takirere i roto i ngā uaua o ngā waewae.
- Ko ngā tohu matua ko te pupuhi o te waewae, te mamae, te taumaha, te rerekē te tae o te kiri, me ngā mate pukupuku kāore e ora.
- He wāhanga nui o te maimoatanga ngā huringa āhua noho (te hiki ake i ō waewae, te whakakorikori tinana, te whakaiti i te taumaha).
- Mā te mau i ngā tōkena pēhanga i whakaritea e te tākuta ka tino whakahaere i ngā tohumate.
- Ki te puta mai ētahi tohu, ki te kino haere rānei te āhua, me toro atu ki tō tākuta tonu. Kaua e rongoā i a koe anō.
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