I ētahi wā, ka rite ō waewae ki te taumaha o te toka? Ka nui haere te mamae ina tū, ina hikoi rānei koe? Kua pupuhi, kua parauri hoki ō waewae i ētahi wāhi? Ehara ēnei i te mea noa iho. Ko te take pea o tēnei, ko ngā uaua o ō waewae, arā, ko ngā uaua e kawe ana i te toto paru ki te ngākau, kāore e mahi tika ana. I tēnei rā, ka kōrero tātou mō tēnei mate, arā, ko te Chronic Venous Insufficiency (CVI) . Kaua e manukanuka, kia mārama noa tātou ki tēnei.
He aha te CVI? He māmā noa iho...
Ko te ngoikore o te uaua mau tonu, te CVI rānei, he mate o ngā uaua i roto i ō waewae e puta mai ana i te kino o ngā uaua. Whakaarohia, ko ngā uaua i roto i ō tātou waewae ngā mea e kawe ana i te toto kua whakamahia ki te ngākau. Kei roto i ēnei uaua he takirere iti, pērā i ngā tatau. Ka tukuna noa e ēnei te toto kia rere i te kotahi te huarahi, arā, ki runga, ki te ngākau. I roto i te CVI, ka pakaru ēnei takirere. Kātahi ka tīmata te toto ki te kohikohi i roto i ngā waewae, kaua ki te rere tika ki runga. Ka whakanui ake tēnei i te pēhanga i roto i ngā uaua.
Ka pāngia pea tētahi o ngā uaua o ō waewae e te CVI. Kei roto i ēnei:
- Ngā uaua hōhonu: Koinei ngā uaua nui e rere hōhonu ana i roto i tō tinana, i waenganui i ō uaua.
- Ngā uaua o waho: Ko ēnei ngā uaua e tata ana ki te kiri, kei raro noa iho i te kiri.
- Ngā uaua poka: Koinei ngā uaua iti rite ki te piriti e hono ana i ngā uaua hohonu me ngā uaua o waho.
Ahakoa he iti noa ngā tohu e puta mai ana i te CVI i te tīmatanga, i te roanga o te wā ka pā tēnei āhuatanga ki tō oranga o ia rā, ā, ka puta hoki ngā raruraru nui.
He aha te rerekētanga i waenga i te CVI me te post-thrombotic syndrome?
Tērā pea kei te whakaaro koe, he rerekē ngā mea e rua o tēnei CVI, o te 'post-thrombotic syndrome' rānei? Inaa, e rua ēnei e pā ana ki te raruraru kotahi o ngā uaua kua pakaru i ngā waewae. Heoi, ko te 'post-thrombotic syndrome' e pā ana ki te CVI i puta mai i te toto totoka i roto i te uaua hohonu (Deep Vein Thrombosis - DVT). Ko te tikanga o te 'Post-thrombotic' i muri i te hanganga o te toto totoka (e kiia ana ko te 'thrombus'). I muri i te pakaru o tēnei toto totoka, tera pea ka pakaru ngā uaua i taua wāhi, ā, tera pea ka toe tonu te kiko whara.
Ka puta te mate muri-thrombotic i roto i te 20% ki te 50% o te hunga whai DVT, i roto i te tau kotahi, e rua rānei.
He pēhea te noa o te CVI?
He tino noa te mate uaua. Hei tauira, tata ki te kotahi i roto i te toru ngā pakeke ka pāngia e ngā uaua varicose . Ia tau, tata ki te kotahi i roto i te 50 ngā tāngata whai uaua varicose ka pāngia e te CVI.
Ko te CVI he mea nui ake te kitea i roto i te hunga neke atu i te 50 tau te pakeke. Ka piki ake tēnei mōrearea i te pakeketanga.
I te katoa, tata ki te kotahi i roto i te 20 ngā pakeke ka pāngia e te CVI.
He aha ngā mea ka pā ki te tinana me te CVI?
Ka whakaroa te ngoikore o te uaua mau tonu (CVI) i te rere o te toto mai i ō waewae ki tō ngākau. Ki te kore e rongoatia, ka taea e te CVI te whakanui ake i te pēhanga i roto i ngā uaua o ō waewae, ā, ka pakaru ngā oko toto iti rawa (ngā capillary) o tō tinana. Ina tupu tēnei, ka huri te kiri o taua wāhi hei parauri-whero, ā, ka ngawari te maru i te motu iti, i te maru rānei.
Ka taea e ēnei pakaru o ngā uaua toto te whakararu i ngā āhuatanga e whai ake nei:
- Te mumura o ngā kiko i taua wāhi.
- Te pakaru o te kiko .
- Ngā mate pukupuku uaua . He patunga ēnei e puta ana i te mata o te kiri, ā, he roa te wā e ora ai.
Kāore e ngāwari te ora o ēnei mate pukupuku uaua, ā, ka pangia pea. Mēnā ka horapa te mate ki ngā kiko e karapoti ana, ka kiia ko te cellulitis . He mea morearea tēnei mēnā kāore e tere te rongoā.
He aha ngā tohu o te CVI?
Ko ngā tohu o te ngoikore o te uaua mau tonu (CVI) ko:
- Te mamae, te ngenge rānei o ngā waewae: Te taumaha me te mamae o ngā waewae, me te mea kua ngenge koe i te rā roa, ā, kāore e taea te neke.
- He wera, he ngoikore, he kare rānei e "ngoi ana" i ngā waewae.
- Te mamae o ngā waewae i te pō.
- Te rerekētanga o te kiri: Ka puta he tae whero-parauri.
- Te pupuhi o ngā waewae me ngā pona waewae (Edema): Ka kitea tēnei ina koa i muri i te tū roa, i te mutunga rānei o te rā. He rite ki te pupuhi o ō waewae i muri i te hekenga i te pahi kī tonu i te tangata.
- He kiri maroke, he kiri pakaka, he kiri mākūkū rānei o ngā waewae, o ngā kapu waewae rānei.
- Te ahua o te kī me te taumaha i roto i ngā waewae.
- He taratara, he hiako hoki te kiri o ngā waewae.
- Ngā mate pukupuku: Ka puta ēnei i te nuinga o te wā i ngā pona waewae. Mena he tino mamae ēnei mate pukupuku, tera pea kua pangia.
- Ngā uaua varicose: He uaua e pupuhi ana, e āhua piko ana i runga ake i te mata o te kiri.
Mena he nui te pupuhi i roto i tō hope, ka puta pea he kiko whara. Mā tēnei kiko whara ka nui haere te wai i roto i tō kiko. Ka nui haere pea tō hope, ā, ka mārō te pā atu. Ina tupu tēnei, ka nui ake te tūponotanga ka pakaru tō kiri.
Kāore e hiahiatia kia puta katoa ēnei tohu i te wā kotahi. Tērā pea kotahi, e rua rānei ō tohu. Ka whakawhirinaki ō tohu ki te kaha o tō mate.
He aha ngā wāhanga o te CVI?
Kua whakarōpūtia te mate uaua ki ngā wāhanga 0 ki te 6. Ko te "mate uaua" he kupu whānui mō ngā raruraru maha ka puta i roto i ō uaua, tae atu ki te CVI. Ka whakarōpūtia ēnei wāhanga i runga i ngā mea e kitea ana e te tākuta (ngā tohu haumanu) ina tirotirohia e ia ō waewae.
Anei ngā wāhanga o te mate uaua:
- 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 kitea ngā uaua toto, ngā uaua pungawerewere, me ngā uaua pungawerewere.
- Wāhanga 2: Neke atu i te 3 mirimita te whānui o ngā uaua varicose.
- Wāhanga 3: He pupuhi (edema), engari kāore he panoni kiri.
- Wāhanga 4: He panoni kei te tae me/ranei te kakano o te kiri.
- Wāhanga 5: Kua ora te patunga.
- Wāhanga 6: He patunga ora tonu (kāore anō kia ora).
Mā tō tākuta koe e kī atu kei a koe te ngoikore o te uaua mau tonu (CVI) mēnā kei te taumata 3, neke atu rānei koe. Ko te tikanga, ahakoa he uaua varicose tōu, ehara i te mea kei a koe te CVI. Engari ko ngā uaua varicose he tohu o te raru o te rere o te toto, ā, ka kino haere i roto i te wā. Nō reira, ki te kite koe i tētahi uaua varicose hou, he mea nui kia kōrero koe ki tō tākuta mōna.
He aha ngā take o te CVI?
Ka puta te ngoikore o te uaua mau tonu (CVI) ina kore e mahi tika ngā takirere i roto i ō uaua waewae. E ai ki taku kōrero i mua ake nei, ka āwhina ēnei takirere ki te pupuri i te rere o te toto i te taha kotahi (ki te ngākau). Mena ka pakaru tetahi o ēnei takirere, kāore e kati tika. Ka uaua te rere o te toto ki runga nā te kaha o te taumahatanga. Engari, ka tīmata te rere whakamuri o te toto. Ka kiia tēnei ko te rerenga toto o te uaua .
Ko ngā take e kore ai e mahi tika ngā takirere he mea whānau mai, he mea tuatahi, he mea tuarua rānei.
- Ngā take whānau: Ko ēnei ngā hapa o ngā uaua o ō waewae i whānau mai ai koe. Hei tauira, ka whānau mai ētahi tāngata kāore he takirere i roto i ō rātou uaua waewae.
- Ngā take matua: Ko ēnei ngā huringa katoa o te mahi a ngā uaua o ō waewae e kore ai e mahi tika. Hei tauira, tera pea he whānui rawa tetahi o ō uaua, ā, kāore pea tōna takirere e kati katoa.
- Ngā take tuarua: Koinei ngā kino o ngā uaua o ō waewae i puta mai i ētahi atu mate. Ko te Deep Vein Thrombosis (DVT) te tino take. I muri i te pakaru o te toto totoka (thrombus), ka noho tonu te kiko whara ki taua wāhi, ka pakaru ngā takirere.
He aha te tino take o te CVI?
Ko te toto toto hohonu (DVT) te tino take o te ngoikore o te uaua mau tonu (CVI). Ka pakaru ngā takirere o ngā uaua o ō waewae i tēnei toto totoka. Ko te hunga whai hītori o te DVT he nui ake te mōrearea ki te whakawhanake i te CVI.
Me pēhea te kimi i tētahi tākuta mō te CVI?
Ka kitea te ngoikore o te uaua mau tonu (CVI) mā te whakamātautau tinana me te ultrasound. I te wā o te whakamātautau tinana, ka:
- Ka tirotirohia ō waewae me te āta tirotiro:Ka rapu te tākuta i ngā tohu o te CVI, pērā i ngā whara me te rerekētanga o te kiri.
- Te tirotiro i ngā uaua toto: He whakamātautau kore mamae tēnei e whakamahi ana i ngā ngaru oro hei tango pikitia o ō uaua. Ka āwhina tēnei ki te whakatau ko ēhea ngā wāhanga o ō uaua kua pakaru.
Ka tirohia hoki e te tākuta ētahi atu āhuatanga e pā ana ki ō tohumate. Tērā pea kei roto i tēnei ētahi atu whakamātautau, pērā i te MRI.
He maha ngā tāngata whai CVI kei a rātou tētahi mate e kiia nei ko te Peripheral Artery Disease (PAD) . Nō reira, ka pātai pea tō tākuta, ka whakahaere whakamātautau hoki hei kimi mēnā kei a koe te PAD. Mēnā kei a koe te CVI me te PAD, ka tohutohu tō tākuta i a koe mō ngā kōwhiringa maimoatanga me ngā whakatūpato hei mahi māu i te wā e whakamahi ana i te rongoā pēhanga .
He aha ngā maimoatanga mō te CVI?
Ko ngā whakarerekētanga o te āhua noho me te rongoā pēhanga ngā maimoatanga matua mō te ngoikore o te uaua mau tonu (CVI). Mēnā kāore i te rawaka ēnei, ka tūtohu pea tō tākuta i tētahi tikanga, i tētahi pokanga rānei. Ko te maimoatanga pai rawa atu māu ka whakawhirinaki ki te kaha o tō mate me ērā atu mate hauora kei a koe. Mā tō tākuta e whakarite tō mahere maimoatanga kia rite ki ō hiahia.
Ko ngā whāinga o te maimoatanga ko:
- Āwhina ki te whakapai ake i te rere o te toto i roto i ō uaua.
- Āwhina ki te whakaora i ngā patunga me te whakaiti i tō rātou hokinga mai.
- Te whakapai ake i te āhua o tō kiri.
- Te whakaiti i te mamae me te pupuhi.
Ngā huringa āhua noho
Ko te tikanga, ka tūtohu ngā tākuta i ngā huringa momo noho hei rongoā tuatahi mō te CVI. Kei roto i ēnei ko:
- Te hiki i ō waewae ki runga ake i te taumata o tō ngākau ka āwhina i te whakaiti i te pēhanga i roto i ngā uaua o ō waewae. Tērā pea ka kī atu tō tākuta kia mahi koe i tēnei i te iti rawa kia toru ngā wā i te rā mō te 30 meneti, neke atu rānei.
- Korikori Tinana: Mā te hikoi me ētahi atu korikori tinana ka pai ake te rere o te toto i roto i ngā uaua o ō waewae. I ia wā ka hikoi koe, ka kōpiri ngā uaua o ō waewae, ka āwhina i ngā uaua ki te pana toto ki tō ngākau. Ko tēnei "papu uaua o te kuao kau" ka kiia hoki ko tō "ngākau tuarua." Koinei te mea e neke ana i te toto ki runga i ō waewae ki te ātete ki te kaha ā-papa, he mea tino nui tēnei mō te rere o te toto. Nō reira, mā te whakapakari i ngā uaua o ō waewae ka pai ake te rere o te toto. Ka tūtohu pea tō tākuta i ngā korikori tinana hei totoro, hei piko hoki i ō waewae me ō pona waewae.
- Te whakahaere taumaha: Ka taea e te taumaha rawa te pēhi i ō uaua me te kino i ō takirere. Pātai atu ki tō tākuta he aha te taumaha hauora māu. Mahi tahi me tō tākuta ki te whakawhanake i tētahi mahere hauora me te whakahaere kia eke ki taua taumaha.
Te rongoā pēhanga
He maha ngā tākuta e taunaki ana i te rongoā pēhi hei rongoā i te CVI. Ka āwhina te rongoā pēhi ki te whakaiti i te pupuhi me te mamae o ō waewae.
He momo rerekē ngā tōkena me ngā tākena pēhi. Ko ētahi he kikī ake i ētahi atu. Ko ngā tōkena tino kikī me tono mai i te tākuta. Ko ētahi tōkena he "whakatau," arā, ka piki ake te kikī i te pona waewae, ā, ka heke iho te kikī i a koe e neke ake ana i te waewae. He mea nui kia whai i ngā tohutohu a tō tākuta mō te momo pēhi e hiahiatia ana e koe me te wā e whakamahia ai.
He maha ngā tāngata whai CVI e uaua ana ki te mau i ngā tōkena pēhi mō te wā roa. Engari he mea tino nui te rongoā pēhi hei pupuri i te mahi tika o ō uaua me te whakaiti i ō tohu. Mena he uaua ki a koe te rongoā pēhi, kōrero ki tō tākuta. Me hiahia pea koe ki tētahi momo tōkena rerekē. Ki te kore, ka taea e tō tākuta te tuku tohutohu ki a koe hei whakahaere i tō mahere maimoatanga.
Ki te kore e āwhina ngā tōkena, ka tūtohu pea tō tākuta i tētahi tikanga e kīia nei ko te intermittent pneumatic compression (IPC) . He rite ngā taputapu IPC ki ngā ringaringa pupuhi ka mau koe ki ō waewae. Ka āwhina ēnei ki te pupuri i te rere o te toto i roto i ō uaua.
Me tino tupato te hunga whai mate pūkahukahu ā-roto (PAD) ki te rongoā pēhi. I runga i te kaha o tō PAD, ka kī pea tō tākuta kia kaua e whakamahia. Me whai i ngā tohutohu a tō tākuta.
Ngā rongoā
Ko ngā rongoā e whakamahia ana hei rongoā i te CVI ko:
- Paturopi: Whakaorahia ngā mate kiri, ngā patunga rānei i puta mai i te CVI. Kāore ēnei rongoā e rongoā i te mate taketake.
- Ngā rongoā ārai toto (ngā rongoā whakangawari toto): Whakaora i ngā totoka me te ārai i ngā totoka a muri ake nei.
- Pūtu Unna : He takai piripono tēnei he mea hanga ki ngā paparanga maha o te kōpeketanga me te takai patunga kei roto ko te tiēre konutea waikura.
Maimoatanga kore-pokanga
Ko ngā maimoatanga kore-pokanga mō te CVI ko:
- Te Whakaora-ā-whatu: Ka werohia e tō tākuta he pahuka, he wai rānei ki roto i ō uaua pungawerewere, i ō uaua varicose rānei. Mā tēnei ka mimiti, ka ngaro hoki te uaua.
- Te tango wera endovenous: Ka aro atu tēnei tikanga ki ngā uaua nunui. Ka whakamahia ngā hihi laser, ngā ngaru reo irirangi auau teitei rānei hei hanga wera nui. Ka hiritia e tēnei wera te uaua mate, engari nā te mea kei roto i te tinana, he iti noa te toto, te marō rānei.
Te maimoatanga pokanga
Ko ngā kōwhiringa pokanga mō te CVI ko:
- Te here me te tango i ngā hononga:He maha ngā wā ka mahia ngātahitia ēnei tikanga e rua. I roto i te herenga uaua, ka tapahia, ka herea hoki e te tākuta ngā uaua raruraru. Ko te tango pokanga he tango pokanga i tētahi uaua nui mā roto i ngā tapahi iti e rua.
- Te tapahi iti/te tango i te uaua mā te haereere: He tikanga iti rawa te whakaekenga. Ka aro atu ki ngā uaua varicose kei runga ake i te mata o te kiri. Ka tapahia, ka werohia rānei e te tākuta ō uaua ki te ngira. Kātahi ka whakamahia he matau tango i ngā uaua raruraru.
- Pokanga Pokanga Endoscopic Subfascial (SEPS): He tikanga iti rawa te whakaekenga tēnei. Ka aro atu ki ngā uaua poka i runga ake i tō pona waewae. Ka whakamahia e te tākuta he topenga hei kati i ngā uaua kua pakaru kia kore ai e toto. Ka āwhina te SEPS i te whakaora i ngā patunga, ā, ka āwhina hoki ki te ārai i te hanganga anō.
- Te pokanga whakawhiti uaua: He rite tēnei ki te pokanga whakawhiti ngakau, engari ka mahia i tētahi atu wāhi. Ka tangohia e tō tākuta tētahi uaua hauora mai i tētahi atu wāhanga o tō tinana, ka whakamahia hei hanga i tētahi ara hou mō te rere o te toto huri noa i te uaua kua pakaru. Ka whakamahia noa tēnei tikanga e ngā tākuta i ngā wā tino kino, ina kore e angitu ngā maimoatanga katoa.
Ko wai kei te nui ake te mōrearea ki te whakawhanake i te CVI?
Mena kei a koe ngā āhuatanga mōrearea mō te CVI, he nui ake te tūponotanga ka pāngia koe e te mate i ētahi atu. Ko ngā āhuatanga mōrearea ko:
- He hītori o te toto toto hohonu (DVT) (koinei te mea tino nui).
- He uaua varicose, he hītori whānau rānei o ngā uaua varicose.
- Te momonatanga.
- Te haputanga.
- Kāore i te rawaka te korikori tinana.
- Te momi hikareti me te whakamahi tupeka.
- Te noho, te tū rānei mō te wā roa (hei tauira, ngā kaiako, ngā kaihoko toa, ngā kaitiaki haumaru, me ētahi atu).
- Te moe i roto i te tūru, i te tūru ringaringa rānei.
- Te mate o Mei-Thurner.
- Te noho hei wahine.
- Neke atu i te 50 tau te pakeke.
Ka taea te ārai i te CVI?
I ētahi wā, kāore e taea te ārai i te CVI. Engari ka taea e koe te whakaiti i tō tupono ki te whakawhanake i te CVI me ētahi atu raruraru toto mā te hanga i ētahi huringa oranga. Kei roto i ēnei ko:
- Āta karohia te kai hikareti me te kai tupeka.
- Kaua e mau i ngā kākahu piripono, arā, me mau whitiki piripono.
- Kaua e noho, kaua hoki e tū mō te wā roa. Whakatika, nekeneke haere i ngā wā katoa e taea ana.
- Kai i ngā kai hauora mō te ngākau. Kei roto i tēnei ko te whakaiti i te tote (konutai) e kainga ana.
- Whakakorikori tinana i ia wā, i ia wā .
- Kia mau tonu te taumaha hauora.
Mena kua pāngia koe e te DVT, ka tohua pea e tō tākuta ngā rongoā whakaiti toto (anticoagulants).
He aha te mea ka pā ki te tangata whai CVI?
Ehara i te mea he mate mōrearea, he mate mōrearea rānei te CVI i te nuinga o te wā. Heoi, he mate haere tonu tēnei ka pā mai te kore whakamarie, te mamae, me te heke o te harikoa o te ao. Ka taea e te maimoatanga te āwhina i te whakahaere i ō tohu me te whakapai ake i te kounga o tō ao.
He uaua te whakaora i ngā mate pukupuku uaua, ā, ka taea te hoki mai anō ahakoa kua rongoatia. He mea tino nui kia haere koe ki ngā wā katoa a tō tākuta, me te whai i ngā tohutohu a tō tākuta.
Ka taea te whakaora katoa i te CVI?
Kāore e taea e ngā maimoatanga te whakaora i te kino o ō takirere uaua. Engari ka taea e koe te whakaiti i ō tohu me te ora i te kounga pai ake o te oranga. Ka taea e ētahi tikanga me ngā pokanga te arotahi me te tango i ngā uaua kua pakaru kia kore ai e rere te toto mā roto i a rātou.
Waihoki, kāore e taea te whakaora katoa i te ngoikore o ngā uaua mau tonu (CVI). Engari ka taea e koe te whakahaere i te mate mā te whakarerekē i te momo noho me ētahi atu maimoatanga i tūtohutia e tō tākuta.
Me pēhea te tiaki a te tangata whai CVI i a ia anō?
Mā tō tākuta koe e tohutohu ki te whakahaere i te CVI i te kāinga. Anei ētahi tohutohu whānui:
- Kaua e tū, kaua hoki e noho mō te wā roa. Mō ngā haerenga roa i runga waka, i runga waka rererangi rānei, pikohia, totorohia hoki ō waewae, ō waewae, me ō pona waewae kia 10 ngā wā i ia 30 meneti. Mā tēnei ka āwhina i te rere o te toto i roto i ngā uaua o ō waewae. Ki te mea me tū koe mō te wā roa, me okioki pinepine, ā, noho ki raro me ō waewae kia teitei ake.
- Tirohia tō kiri. Tirohia tō kiri i ia wā ka kaukau koe. Ki te kite koe i ētahi panoni, pērā i ngā mate hou, waea atu ki tō tākuta.
- Kia teitei ake ō waewae. I a koe e noho ana, e takoto ana rānei, kia teitei ake ō waewae i te taumata o tō ngākau.
- Whakakorikori tinana i ngā wā katoa . He tino pai te hikoi mō ngā uaua o ō waewae.
- Whakahaerehia tō taumaha. Kia mau ki te taumaha hauora mōu. Kōrero ki tō tākuta mō taua taumaha.
- Kia mau tonu te akuaku o te kiri. Horoia tō kiri i ia rā, ka pania he hinu whakamakuku. Pātai atu ki tō tākuta he aha te hinu whakamakuku pai rawa atu mō tō kiri. Mā te pupuri i te makuku o tō kiri ka āwhina i te ārai i te maroke, te ngatata, me te pangia. Ka tūtohu pea tō tākuta i ngā kirīmi hei whakaiti i te mākati, hei tiaki i tō kiri, hei ārai rānei i ngā mate harore.
- Me mau he tōkena pēhi mēnā ka tūtohutia e tō tākuta. Koinei tētahi o ngā huarahi pai hei whakahaere i te CVI. He momo rerekē, nō reira me whai i ngā tohutohu a tō tākuta mō te momo e pai ana mōu. Pātai atu hoki ki tō tākuta me pēhea te horoi me te tiaki i ō tōkena.
Āhea ahau me kite i te tākuta?
Mena kei a koe ngā take mōrearea mō te ngoikore o te uaua mau tonu (CVI), tirohia tō tākuta. Ka taea e tō tākuta te aromatawai i ō take mōrearea me te āwhina i a koe ki te whakaiti i aua take.
Mena kei a koe te CVI, haere ki ngā wā katoa e toro atu ai tō tākuta, ā, whai i ngā tohutohu a te tākuta mō te wā tika hei hoki mai.
Waea atu ki te tākuta i tēnei wā:
- Mena he pātai āu mō tō āhuatanga.
- Mena he tohu hou āu, he rerekē rānei ō tohu.
- Ki te kore e tino piri ō tōkena pēhi, kaua e miro, e whatiwhati rānei. Mēnā kāore e tino piri, ka kino ake pea tō āhua, nā te mea ka ārai i te rere o te toto i roto i te wāhi kua whatiwhati.
Āhea te haere ki te tiaki ohorere
Mena kei a koe ngā tohu o te pulmonary embolism, waea atu ki tō nama urupare ā-rohe tonu. He raruraru morearea tēnei o te deep vein thrombosis (DVT). Me aro tonu ki te hauora.
He aha ngā pātai me pātai atu koe ki te tākuta?
He nui ngā mea hei ako māu mō te ngoikore o te uaua mau tonu (CVI). Kaua e mangere ki te pātai atu ki tō tākuta mēnā he pātai āu. Tērā pea ka hiahia koe ki te pātai i ēnei pātai:
- Kei roto ahau i tēhea wāhanga o te ngoikore o te uaua mau tonu (CVI)?
- Me pēhea te whakahaere i te CVI i te kāinga?
- Me pēhea e taea ai e koe te āwhina i ahau ki te haere tonu me te rongoā pēhanga?
- Me whai pokanga, me mahi rānei?
- Me aha ahau hei ārai i te kino haere o tōku mate CVI?
Hei whakamutunga, ngā mea hei maumahara
He maha ngā wā, ehara i te mea he raruraru āhua noa iho ngā raruraru uaua. Ka kino haere te ngoikore o te uaua mau tonu (CVI) i te roanga o te wā, ā, ka pā nui ki te kounga o tō oranga.
Mena kua roa koe e pāngia ana e ngā uaua varicose, tera pea kei te pouri koe, ā, kei te hiahia kia tere ake te memeha. He waimarie, he maha ngā mea ka taea e koe te mahi hei whakahaere i ō tohu me te noho hauora. Engari he mea nui kia piri ki te mahere. Kōrero ki tō tākuta mō ngā rautaki hei pupuri i tētahi mahere maimoatanga o ia rā, me te hanga i te rongoā pēhanga hei mea ka taea e koe te mahi. Kāore koe i te mokemoke, ā, kaua e wehi ki te tono āwhina.
` Te ngoikore o te uaua mau tonu, te CVI, te pupuhi o te waewae, ngā uaua varicose, te mate uaua, te mamae o te waewae, te DVT











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