Whakaarohia kei te hikoi koe i te huarahi mō tētahi tawhiti poto. Kātahi ka pā mai he mamae koi, he mamae wero i ō waewae, inā koa ō kōpū waewae. Me tū koe i tētahi wāhi kāore e taea e koe te tū atu. He mea miharo, ina tū koe mō ētahi meneti, ka memeha haere te mamae. Ina tīmata anō koe ki te hikoi, ka puta anō te mamae i muri i te hikoi mō tētahi tawhiti poto. Kua pā mai tēnei wheako ki a koe? Kātahi ka tino hira tēnei tuhinga ki a koe. I tēnei rā ka kōrero tātou mō tēnei mate, arā, te claudication.
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He aha te Claudication?
He whakarāpopototanga noa iho, ehara te claudication i te mate, engari he tohu . Pērā i te kore o te kirika i te mate, he tohu o te mate pāwera. He āhuatanga tēnei e mamae ai ngā uaua i a koe e mahi ana, pērā i te hikoi, ā, ka memeha haere te mamae i a koe e okioki ana. Ko te nuinga o te wā ka pā tēnei mamae ki ngā waewae.
Whakaarohia pēnei. I a tātou e mahi ana, i a tātou e hikoi ana, e hiahia ana ō tātou uaua ki te nui ake o te hāora i te mea noa. Ka haria tēnei hāora ki ngā uaua e te toto. Nā, he aha te mea ka tupu mēnā ka āraia, ka whaiti rānei ngā oko toto e kawe ana i te toto ki ngā waewae mō tētahi take? I a tātou e hikoi ana, kāore e taea e te toto te whakarato i te hāora tāpiri e hiahiatia ana e ngā uaua. Koinā te wā ka rongo ngā uaua i te mamae, ā, ka hoatu he tohu ki a koe "Kāore i te nui te hāora i a au." Ina mutu koe, ka okioki, kāore e hiahiatia ana e ngā uaua te nui o te hāora. Nō reira, he nui te toto e rere ana ki a rātou e rite ana ki te tikanga. Kātahi ka ngaro te mamae.
He whakatūpato nui te claudication mai i tō tinana e kī ana he raruraru kei roto i tō pūnaha tohanga toto.
I te nuinga o te wā, ko te tino take o tēnei he mate e kiia nei ko te Peripheral Artery Disease (PAD) . Koinei te whaiti o ngā uaua e kawe ana i te toto ki ngā peka, inā koa ko ngā waewae. Ko te tino take o tēnei whaiti o ngā uaua ko te Atherosclerosis , arā, ko te whakapakeke haere me te whaiti haere o ngā uaua nā te whakatakotoranga o ngā matū pēnei i te cholesterol ki roto i ngā pakitara o te uaua.
He aha ngā tohu o te claudication?
Kāore pea ētahi tāngata e pāngia e ngā tohu i te tīmatanga, engari ko te hunga e pāngia ana e ngā tohu ka pāngia e ēnei tohu i ō rātou waewae.
| Tohu | Te āhua o te āhua |
|---|---|
| Te mamae e rite ana ki te makawe e marere ana | Koinei te tohu tino kitea. Ina hikoi koe, ka piri, ka mamae hoki ngā uaua o ō waewae. |
| He āhua ngoikore | Tērā pea ka ngoikore koe, ka kore hoki he ora i ō waewae. |
| Ngenge | Ahakoa he poto noa te tawhiti e hikoi ana, ka tino ngenge pea ō waewae. |
| te ngoikore | Tērā pea ka pā te ngoikore o ngā waewae, o ngā waewae rānei. |
| Te wiri | I ētahi wā, ka rongo pea koe i te mākūkū iti i ō waewae. |
Ko wai te mea tino mōrearea ki tēnei mate?
He maha ngā āhuatanga mōrearea mō te claudication. Mēnā kei a koe ēnei, me tino tupato koe.
- Te hikareti: Koinei te take mōrearea matua, te take mōrearea tino kino hoki . Ka kino ngā oko toto i te hikareti, ā, ka tere ake te aukati i aua oko toto.
- Mate huka: Ko te hunga mate huka he nui ake te tūponotanga ka pakaru ngā oko toto.
- Te Korekore Nui: Ina piki ake te taumata o te korekore i roto i te toto, ka tau ki runga i ngā pakitara o ngā uaua ka ārai i a rātou.
- Te toto toto tiketike: Ka pakaru ngā oko toto i te toto toto tiketike, ā, ka nui ake te tūponotanga o te atherosclerosis.
- Mate whatukuhu: Ka pāngia hoki tēnei e te ngoikore o te mahi whatukuhu.
- Tau: Ka piki ake te ia o te whanaketanga o te atherosclerosis i te pakeketanga.
- Hītori whānau: Mena kei roto i tō whānau ētahi mate pēnei i te mate manawa, te PAD rānei, he nui ake tō tūponotanga.
Me pēhea te kitenga 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 mō ō tohu i te tuatahi, kātahi ka tirotirohia ō waewae.
- Kua rerekē te tae o ngā waewae?
- He patunga tōu e roa ana te wā e ora ai?
- Kua marere te huruhuru o ō waewae?
- Ka taea e koe te rongo i te pā o ō waewae me ō waewae?
I muri i te tirotiro i ngā mea pēnei, ka taea te whakahaere i ētahi whakamātautau hei whakaū i te āhua me te whakatau i tōna kaha.
| Whakamātautau | Hei whakarāpopototanga... |
|---|---|
| Taupū Pona-Tuarua (ABI) | He whakamātautau tino māmā noa iho tēnei. Ka inehia e rātou tō toto toto i roto i tō ringa me tō pona, ka whakataurite i ngā uara e rua. Mena he iti iho te toto i roto i ō waewae i te toto i roto i tō ringa, ko te tikanga he raruraru kei te rere o te toto ki ō waewae. |
| Matawai Ultrasound | Ka whakamahia ngā ngaru oro auau-teitei hei hanga i tētahi whakaahua o ngā uaua toto i roto i ngā waewae. Mā tēnei ka taea e tātou te kite mārama i te nui me te wāhi e āraia ana ngā uaua toto. |
| Angiography | I tēnei mahi, ka werohia he tae motuhake ki roto i ngā oko toto, ā, ka whakamahia he matawai X-ray, CT, MRI rānei hei tiki i tētahi mahere taipitopito o ngā oko toto. Ka āwhina tēnei ki te tautuhi i te wāhi tika o te aukati. |
He aha ngā maimoatanga mō tēnei?
He maha ngā maimoatanga e wātea ana hei whakahaere i tēnei āhuatanga, mai i ngā mea māmā ka taea e koe te mahi.
1. Ngā huringa āhua noho (koinei te mea tino nui!)
Koinei te rongoā pai rawa atu mō te claudication. Ka nui ake te āwhina o ēnei mea i te rongoā e hoatu ana e tō tākuta ki a koe.
- Te whakamutu i te kai paipa: Mena he kai paipa koe, me whakamutu koe i tēnei rā tonu . Koinei te āwhina nui rawa atu ka taea e koe māu ake.
- Te hikoi:"E mamae ana ahau ina hikoi ahau, nō reira kaua ahau e hikoi anō?" tērā pea koe e whakaaro. Engari he hē tēnā. Ko te hikoi te mahi tino pai mō tēnei. Ka kī atu te tākuta kia hikoi koe i ngā rā e 3-5 i te wiki, mō te 50 meneti pea i te rā. Kati ina tīmata te mamae, ā, hikoi anō ina memeha te mamae. Mā te āta haere, ka kite koe ka piki ake te tawhiti ka taea e koe te hikoi me te kore mamae.
- Ngā kai hauora mō te ngākau: Kai i ngā kai iti te hinu, te tote, me te huka, ā, kai nui i ngā hua me ngā huawhenua.
2. Ngā rongoā
Haunga ngā huringa o te momo noho, ka tohua pea e tō tākuta ētahi rongoā pēnei i ēnei.
- Ngā rongoā whakaheke toto toto (hei tauira, ngā aukati ACE)
- Ngā rongoā whakaheke cholesterol (hei tauira, 'Statins')
- Ngā rongoā hei ārai i te toto totoka (hei tauira, Aspirin, Clopidogrel)
- Ngā rongoā e whakatuwhera ana i ngā oko toto, e whakapai ake ana i te rere o te toto (hei tauira, 'Cilostazol')
3. Ngā Tikanga Maimoatanga Motuhake (Ngā Tukanga)
Mena he kino rawa te āhua, ā, he uaua ki te whakahaere mā te rongoā, ka taea e te tākuta te whakamahi i tēnei momo maimoatanga.
- Angioplasty: Ko te whakauru i tētahi poihau iti ki roto i te oko toto kua āraia, ka pupuhihia hei whakatuwhera i te oko toto kua āraia.
- Te whakatakotoranga o te stent: Whai muri i te whakatuwheratanga o te uaua e te angioplasty, ka whakauruhia he ngongo iti rite ki te mata (he 'stent') hei ārai i te aukati anō.
- Pokanga Ārai: Mena he nui te aukati, ka hangaia he uaua toto hou mā te whakamahi i tētahi wahi uaua i tangohia mai i tētahi atu wāhanga o te tinana, i tētahi uaua horihori rānei hei ārai i te wāhi kua aukatia. Ka mahia anake tēnei i ngā wā tino kino.
He mea anō hei āwangawanga māu i tua atu i te claudication?
Āe. He maha atu anō ngā āhuatanga e pā ai te mamae o te waewae, ā, he rite tonu ngā tohu ki te claudication, engari ka nui ake te kino. Nō reira, kaua e warewarehia te mamae o te waewae.
- Te Thrombosis Utauta Hōhonu (DVT): Koinei te wā e puta ai he toto totoka i roto i te uaua hōhonu o te waewae. Mēnā ka pakaru tēnei totoka ka noho ki roto i te uaua o ngā pukahukahu, ka taea te noho hei āhuatanga ohorere e morearea ana ki te ora . Ka kiia ko te 'Pulmonary Embolism'. Nō reira, mēnā ka pāngia koe e te pupuhi, te whero, me te mamae o tō waewae, me toro atu koe ki te tākuta, me haere rānei ki te ETU (Emergency Treatment Unit) tonu.
- Te Mate Pūmau o te Wāhanga: Koinei te wā e nui haere ai te pēhanga i roto i te wāhanga e karapoti ana i te uaua, ka aukati i te rere o te toto. Ka mamae pea hoki i te wā e whakakorikori ana.
Nō reira, me waiho mā te tākuta e whakatau he aha te āhua o tō mate.
Karere Tangohia ki te Kāinga
- Ehara te pupuhi o te ihu i te mea noa. He whakatūpato tēnei nō tō tinana.
- Ko te tino take o tēnei he āhuatanga e kiia nei ko te Peripheral Artery Disease (PAD), ka pā pea ki te ngākau me te roro.
- Ko te whakamutu i te momi hikareti me te hikoi ngā maimoatanga pai rawa atu e rua ka taea e koe te mahi.
- Kaua rawa e warewarehia te mamae o te waewae. Tirohia tō tākuta i te wā e taea ai mō ētahi tohutohu.
- Mā te maimoatanga tika me ngā huringa momo noho, ka taea e koe te whakahaere pai i tēnei āhuatanga me te ora i te oranga hauora.
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