Kua kite koe i ō matimati — ina koa ko ngā mea iti, engari kaua ko tō matimati nui — e piko ana, e piko ana ki raro, pērā i te maikuku manu? Tērā pea ka pēhia ō hu, ka mamae hoki i a koe e hikoi ana, kua puta rānei he kiri matotoru, he mārō ki runga i ngā hononga o tō matimati. Ka taea e tēnei āhuatanga te whakararuraru tonu, ahakoa kei te mahi koe, kei te okioki noa rānei. I roto i te rongoā, e mōhiotia ana tēnei ko ngā Matimati Maikuku . Me whakamārama tātou he aha te tikanga o tēnei me tōna pānga ki a koe i roto i ngā kupu māmā, ngāwari ki te mārama.
He aha tonu ngā matimati maikuku?
E ai ki te ingoa, ka puta ngā matimati mārō ina piko whakararo ō matimati iti ki raro kia rite ki te āhua o te mārō. I tēnei āhua, ka piko whakararo ngā hononga waenga me te pito o ngā matimati (ngā hononga e rua e tawhiti rawa atu ana i tō rekereke ).
He tino kitea tēnei āhua rerekē i roto i te hunga he waewae piko teitei (cavus) me te hunga e pāngia ana e ētahi mate pūnaha io . Ko te mea nui, ki te mea he mate huka ( diabetic neuropathy ) tōu , me tino tupato koe. Mā te ngoikore o te kare o ō waewae ka tino pāngia koe e te mate pukupuku waewae kino i ēnei wāhi pēhanga teitei.
Ko te mea tino nui hei maumahara, ki te kore e rongoatia ngā māikuku o ngā hononga, ka pakari haere ngā hononga mō ake tonu atu i roto i te wā, ka tae ki te wā e kore e taea te whakatika ā-ringa.
He aha te mamae o ngā matimati o te maikuku?
Nā te mea kua piko ō matimati ki raro, ka pēhi kaha ngā pito o ō matimati ki ngā kapu o te waewae ina mau hu koe. I te wā kotahi, ka mirimiri tonu te tihi o te hononga piko ki te taha whakarunga o tō hu. Ko tēnei waku me te pēhanga tonu ngā tino take o tō mamae.
Ki te kore e arohia, ka arahi pea tēnei mirimiri tonu ki:
- Ngā Kānga ( Kānga ): He kiri matotoru, he porohita, he mamae, e puta ana i runga i ngā hononga piko.
- Ngā karu: He kiri mārō nui ake ka puta ki ngā kapu o ō waewae, ki te taha rānei o ō māikuku.
- Ngā mirumiru: Ngā pute kī tonu i te wai i puta mai i te waku.
- I ngā wā tino kino, ka puta he mariao tuwhera, ka taea ai te whakauru mai o ngā mate kino.
Ngā Wāhanga Matua e Rua o ngā Matimati Maikuku
Kāore ngā māikuku o te maikuku e pakari i te pō kotahi. E rua ngā wāhanga motuhake o tēnei mate. He mea nui te mōhio ki te wāhanga kei roto koe mō tō maimoatanga.
| Atamira | Whakaahuatanga |
|---|---|
| Atamira Ngāwari | Koinei te wāhanga tuatahi. Ahakoa e kitea ana te piko o ō matimati, ka taea tonu e koe te whakatika ā-ringa, mā te whakamahi rānei i ngā mahi totoro kua whakaritea. Kāore anō kia mārō ngā hononga. |
| Wāhanga Pūmau | He wāhanga tawhito rawa atu tēnei, he wāhanga mau tonu. Kua mau katoa ngā hononga ki ō rātou tūranga. Kāore e taea te whakatika ahakoa ki ō ringaringa, nā te mea kua mau tonu i roto i tēnei tūranga piko. |
Mena e hiahiatia ana he whakatikatika pokanga, ko te mahi i te tikanga i te wā ngāwari ka puta te hua tino angitu me te iti rawa o te whakaekenga.
He aha te rerekētanga i waenga i ngā mātiti waewae kōpiko, ngā mātiti waewae hāmare, me ngā mātiti waewae mallet?
He mea tino noa te whakapoauau i ēnei kupu e toru. Ahakoa he āhua ōrite, he rerekē te whakarōpūtanga i runga i te hononga o te māihao e piko ana. Anei tētahi aratohu māmā hei āwhina i a koe ki te wehewehe i a rātou:
| Āhua | Hononga e Pāngia ana | Āhua |
|---|---|---|
| Matimati Maikuku | Ka piko iho ngā hononga o waenganui me te pito . | He āhua piko, he rite ki te maikuku manu. |
| Hammertoe | Ko te hononga o waenganui o te māikuku anake ka piko ki raro. | Ka rite te āhua ki te "V" e hurihia ana. |
| Matimati Mārete | Ko te hononga e tata ana ki te pito (te hononga pito) anake ka piko ki raro. | Ko te pito anake o te māikuku e piko ana ki raro. |
He aha ngā tino take o te maikuku o ngā matimati?
I te nuinga o te wā, ko te pūtake o tēnei ko te kore taurite o te uaua o tō waewae. Ki te kī māmā noa, ka kaha rawa te mahi a ngā uaua e piko ana i ō matimati, ka whakawhāiti i ngā uaua, ka kukume i ngā hononga kia kore e tū tika. He maha ngā āhuatanga ka puta ai tēnei kore taurite o te uaua.
- Ira Tuku Iho (Hītori Whānau): Ae, ka taea e tēnei mate te horapa i roto i ngā whānau. Mena kua pāngia ō mātua, ō whanaunga rānei e tēnei mate, tera pea ka nui ake tō tūponotanga ki te pāngia e tēnei mate.
- Ngā Hu Kāore i te Tau: Koinei tētahi o ngā tino take, ā, he tino kino hoki. Mā te mau i ngā **hu kikī, whaiti, me ngā hu teitei** mō te wā roa ka tino pēhia ō waewae, ka piko rawa, ka kore hoki e wātea te wāhi e hiahiatia ana.
- Te Mate Pūkahukahu Mate Huka (Te Pakaru o ngā Io): Ki te kore e ata whakahaerea te mate huka, ka raru pea ngā io o ō waewae, ka ngoikore ai ngā uaua iti o ō matimati.
- Te Mate Pukupuku (Te Mate Pukupuku Rheumatoid me te Mate Osteoarthritis): Ka taea e te mumura o ngā hononga te kino me te whakapohehe i ō hononga, ka hua ake he maikuku o ngā māikuku.
- Te Whakamahinga Waipiro Mau tonu: Mā te inu waipiro nui, roa hoki, ka pāngia ngā io (neuropathy) ka ngoikore ai ngā uaua o ō waewae.
- Ētahi atu Āhuatanga Neurological: Ka pāngia hoki te mahi a ngā uaua waewae e ngā āhuatanga pēnei i te mate Charcot-Marie-Tooth, te polio, te cerebral palsy, ngā pukupuku rānei o te taurakira.
- Whiu: Ka taea e te whiu te whakararu i te ngoikore, i te kore taurite rānei o te uaua o te waewae i te taha o tō tinana e pāngia ana, ka hua ake he maikuku o ngā māikuku.
- Whara Waewae: Ka taea hoki e ngā whara kino, te whara rānei o tō waewae te whakararu i tēnei āhua.
Ngā mea hei tumanako atu māu i te wā e toro atu ai tō tākuta
Ina kōrero koe ki tētahi tohunga hauora i Nirogi Lanka mō tēnei mate, ka tīmata mātou mā te tirotiro i ō waewae. Ka arotakehia e mātou ō matimati hei tirotiro i tō rātou ngāwari, hei whakamātautau i te tawhiti e taea ai te whakatika pai.
Hei tāpiritanga, ki te whakapae mātou he raruraru pūnaha io, he raruraru io rānei kei roto, ka tūtohu pea mātou i ngā whakamātautau tātaritanga. Ki te tika, ka tukuna pea koe ki tētahi tohunga waewae, pērā i te tākuta waewae , i tētahi taote pokanga waewae me te pona rānei mō te tiaki motuhake.
Tērā pea ka pātai atu tō tākuta ki a koe i ētahi pātai, tae atu ki:
* Nōnahea koe i kite tuatahi ai i ō matimati e tīmata ana te piko, te piko rānei?
* Kua puta he kākano mamae, he mārō rānei i ō matimati?
* Kua whakamātauria e koe ētahi rongoā kāinga, ētahi maimoatanga pūmau rānei tae noa mai ki tēnei wā?
* Kei roto i tō whānau tētahi atu e pāngia ana e tēnei āhuatanga ōrite?
* Mena koinā, e mōhio ana koe he aha te take i pā ai ki a rātou?
Me pēhea te rongoā i ngā matimati o te maikuku?
E wātea ana ngā kōwhiringa maimoatanga kore-pokanga me te pokanga. Waimarie, ki te kitea me te rongoatia i te wā tōmua, ka taea te whakahaere angitu i ngā matimati mārō me te kore e hiahiatia he pokanga.
Ngā Maimoatanga Kore-Pokanga
Anei ngā mahi māmā, tino whai hua ka taea e koe te mahi ki te kāinga hei whakahaere i ō tohumate:
- Te Kōwhiri i ngā Hu Tika: Me mau tonu ngā hu he **pouaka mārō, he rekereke iti, he tautoko pai hoki i te piko**. Āta karohia ngā hu kikī, whaiti, he koi rānei e pēhi ana i ō mārō.
- Te Whakamahi i ngā Tāpiri Hu (Orthotics): Mā ngā orthotics me ngā papa e hangai ana ki ō waewae, e hokona ana rānei i te toa rongoā, ka āwhina i te whakaiti i te waku i runga i ō matimati. Kōrero ki tō tākuta mō ngā tūtohutanga mō ngā tāpiri pai rawa atu mō ō waewae.
- Ngā Mahi Whakangungu Waewae Kua Whakaritea: He mea nui te mahi i ngā mahi whakakori tinana o ia rā hei totoro me te whakapakari i ngā uaua o tō māihao kia mau tonu ai te ngāwari.
- Te whakapiri i te waewae ki te riipene waewae: Mā te whakamahi i te whakapiri motuhake, i te riipene hauora rānei, ka taea te pupuri i ō matimati ki tō rātou tūranga tika, tūturu.
Ngā Maimoatanga Pokanga
Mena he kino rawa tō āhua—arā, kua pakari, kua mau hoki ō matimati ki tō rātou tūranga, kei te pāngia rānei koe e te mamae roa, e whakararuraru ana—tērā pea ka tūtohu tō taote pokanga kia pokangahia.
- Te whakaroa, te huri rānei i ngā uaua hei whakamama i te taumahatanga.
- Te whakapoto i tētahi o ngā wheua iti o tō māikuku waewae (phalanx).
- Te whakauru i tētahi pine rino iti hei pupuri i te mātao kia tika tonu i a ia e ora ana.
- Te honohono tuturu i te hononga (te whakakotahitanga o te mātao) kia noho tika tonu.
Ko te tikanga, ka mahia ēnei tikanga hei pokanga ā-waho, arā, ka taea e koe te hoki ki te kāinga i taua rā anō. Nā te mea he iti noa ngā mōrearea o ia pokanga (pērā i te whara o te io, te mate, te hokinga mai rānei), ka matapakihia e mātou ngā kōwhiringa katoa me ngā putanga pea ki a koe i mua i te wā.
Ngā Mahi Māmā Ka Taea e Koe te Mahi i te Kāinga
He māmā ēnei mahi whakakori tinana, he tino whai hua, ā, he torutoru meneti noa iho o te rā e hiahiatia ana.
- Te Totoro ā-Ringa o ngā Māikuku: Whakamahia ō matihao ki te totoro mārire i ō māikuku whakamua, whakararo hoki, me te akiaki mārire kia hoki whakamuri ki te tūnga tika, papatahi.
- Ngā Tauera Miro: Whakatakotoria he tauera iti ki runga i te papa, ka whakamahi i ō matimati anake hei hopu me te kukume i te tauera ki a koe.
- Ngā Piki Māpere: Whakatakotoria ngā mea ririki pēnei i ngā māpere, ngā pōro ririki rānei ki runga i te papa. Whakamahia ō matimati ki te hiki ake i aua mea, ka whakatakoto ki roto i tētahi kapu.
Ka taea e koe te ārai i te maikuku o ngā matimati?
Ahakoa kāore pea e taea e koe te ārai katoa i tēnei mate (ina koa mēnā he tuku iho), ka taea e koe te whakaiti i tō tuponotanga me te ārai i te kino haere o te mate mā te whai i ēnei mahi:
- Totorohia, whakakorikoria hoki ō matimati i ia wā, i ia wā, kia noho ngāwari tonu ai.
- Kōwhiria ngā hu whakamarie, tautoko hoki, me te nui o te wāhi e wātea ana mō ngā māhunga. He mea tino taunaki - ina koa mō ngā wāhine - kia whakawhāitihia te whakamahi pinepine i ngā rekereke teitei.
- Āta whakahaerea ngā kākano me ngā kiri mārō. Ki te puta, whakamakukuhia ō waewae kia ngawari ai te kiri, kātahi ka ata whakamahi i te kōhatu pumice hei whakangawari. Kaua e ngana ki te tapahi i a koe anō.
Kia maumahara, he mea nui kia toro atu ki te tākuta ina kite koe i te pakari o ō hononga mātao, ina uaua rānei ki te piko. Ki te whakaroa koe, ka pakari tonu ō mātao, ā, ka uaua ake te maimoatanga.
Ngā Kōrero Hira (Karere hei Tango ki te Kāinga)
- Ka piko iho ō matimati waewae pērā i te maikuku nā te maikuku. Ki te kore e rongoatia, ka pakari, ka mārō tonu.
- Ko ngā tino take ko ngā hu kāore i te tau pai, ngā ira tuku iho, me te kino o ngā io mai i ngā mate pēnei i te mate huka.
- I te wāhanga tōmua o te ngāwari o ngā waewae, ka taea te whakahaere me te whakatika i ngā waewae mārō mā te whakamahi i ngā hu tika, ngā mahi whakakori tinana kua tohua, me ngā taputapu orthotic.
- Ki te mamae tonu tō waewae, ka kite koe i ngā kākano mamae, ka uaua rānei ki te whakatika i ō matimati, rapua tonutia he tohutohu hauora.
- Ko ngā mahi whakakori waewae māmā o ia rā me te whiriwhiri hu tika hei ārai i te kino haere o tēnei mate.
Matimati Maikuku, ngā āhua rerekē o te matimati, mamae waewae, Matimati Hāma, Matimati Māreta, mate huka me ngā waewae, kākano me ngā māro, ngā mahi whakakori waewae
