Ka mamae ō waewae i a koe e hikoi ana? (Claudication)

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.

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.

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.

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.

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.