Kua heke te rere o te toto ki ō peka? (Te Ischemia Tino Kino o te Peka) Me kōrero tātou mō tēnei!

Ka pāngia koe e te mamae nui, te ngoikore rānei o ō ringaringa, o ō waewae, o ō matimati rānei i ētahi wā? Ahakoa he patunga iti noa iho, ka roa pea te wā e ora ai? He makariri tonu rānei ō waewae? Ehara ēnei i te tohu hei wareware noa. I tēnei rā ka kōrero tātou mō tētahi āhuatanga ka puta ai ēnei tohu, he ahua kino, engari ka taea te whakahaere mēnā kei te mōhio koe.

He aha te Ischemia o ngā Waewae Tino Hira (CLI)?

Ki te whakarapopoto, ko te Critical Limb Ischemia, ko te CLI rānei, he aukati nui i te rere o te toto ki tētahi, ki ētahi rānei o ō ringaringa, o ō waewae, o ō waewae rānei. He rite ki te waikeri kua purua i roto i te paipa wai. Ina motuhia te rere o te toto i tēnei ara, kāore aua wāhi e whiwhi i te hāora me ngā matūkai e hiahiatia ana e rātou.

He aha te mea ka tupu nā tēnei?

• He mamae nui . I ētahi wā, kāore e taea te manawanui ki tēnei mamae.
• Ka ngoikore ngā waewae, ka heke te kare ā-roto.
• Ka roa te wā e ora ai ngā patunga o ngā waewae, o ngā waewae, o ngā ringaringa rānei . I ētahi wā, ahakoa he karawarawa iti noa iho, ka huri hei patunga nui.

He mate tino kino tēnei nā te mea ka piki ake te mōrearea o te mate manawa, te tapahi i te waewae, tae atu ki te mate.

Ko te Mate Pūngao o ngā Waewae Tino Kino (Critical Limb Ischemia) he mate tino kino o te Peripheral Artery Disease , he mate e kiia nei ko te peripheral artery disease. Ko tēnei PAD ka puta mai i tētahi paparanga ngako e kiia nei ko te "atherosclerotic plaque" e hangai ana i roto i ō tātou uaua (ngā uaua e kawe ana i te toto mai i te ngākau ki te toenga o te tinana), ka meinga kia whaiti, kia āraia rānei. Nō reira, ina herea te rere o te toto, he uaua ki ō tātou uaua me ngā kiko te noho hauora, te noho kaha, me te whakaora mēnā ka whara. Ko tētahi atu ingoa mō tēnei mate CLI ko te "chronic limb-threatening ischemia".

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei mate?

Ina hoki, ka taea e te hunga whai PAD, mate pūkahukahu ā-roto rānei, te pāngia e te CLI. Ka piki ake tēnei mōrearea i a koe e pakeke haere ana .

Hei tāpiritanga, he maha atu anō ngā āhuatanga mōrearea. Tirohia mēnā e pā ana ēnei ki a koe:

• Mate Tākihi Mau tonu : Ina kore e mahi tika ngā tākihi, ka puta pea ētahi atu raruraru ki te tinana.
• Mate huka : Ko te mate huka tetahi o ngā take nui ka kino ai ngā oko toto.
• Te toto toto tiketike (hypertension) : Mena he tiketike tonu te toto toto, ehara i te mea pai mō ngā uaua toto.
• Te cholesterol teitei (Hyperlipidemia) : Ko ngā putunga ngako i roto i ngā uaua ka puta mai i te pikinga o te taumata o te cholesterol kino i roto i te toto.
• Te momi hikareti me te whakamahi i ngā hua tupekaHe mea tēnei e pā ana ki ngā mate maha. Ka nui hoki te kino o ngā uaua.

Whakaarohia, he pūnaha paipa wai kei roto i tō tātou whare. I roto i te wā, ka puea ake ngā mea pēnei i te waikura me te paru i roto i aua paipa, ka ārai i a rātou. Koinei te āhua o ō tātou uaua toto. Nā ēnei āhuatanga mōrearea, ka tīmata mārire te ārai i ngā uaua toto.

He mea mōrearea te ora i te Ischemia o ngā Waewae Tino Hira?

Āe, tino tika . He mate tino kino tēnei. Mā te Ischemia o ngā Pekapeka Tino Kino ka nui ake te tūponotanga o te whakawhanake i ngā raruraru hauora nui e morearea ai te ora, me te mate hoki.

E ai ki ngā tatauranga, i roto i te tau kotahi o te whanaketanga o te Critical Limb Ischemia:

• Tata ki te kotahi i roto i te toru o ngā tāngata me tapahi tetahi o ō rātou waewae.
• Tata ki te kotahi i roto i te whā tāngata ka mate i tēnei mate. Ko ngā tino take o ēnei matenga ko ngā mate pēnei i te mate manawa, te whiu rānei.

Mā ēnei tatauranga anake e whakaatu te kino o tēnei. Nō reira, ki te pā mai ngā tohu, kaua e whakaroa .

He pēhea te noa o tēnei āhuatanga?

Ehara tēnei i te mate ngāwari. He maha ngā tāngata o te ao e pāngia ana e tēnei mate. He mea noa tēnei mate i te kaumātuatanga, ā, i roto hoki i te hunga kei a rātou ngā āhuatanga mōrearea i kōrerotia i mua ake nei (pērā i te mate huka, te toto toto tiketike, te momi hikareti). Nō reira, he mea nui kia mōhio ki tēnei.

He aha ngā tohu o tēnei mate?

Ko te tohu matua, me te tohu tino kitea o te Critical Limb Ischemia, ko te mamae nui i ngā waewae . Ka taea e tēnei mamae te tino kino, ā, ka taea e koe te ara ake i te pō. Ka ngana ētahi tāngata ki te whakamamae i tēnei mamae mā te whakairi i ō rātou waewae i te moenga, mā te ara ake rānei, me te hikoi haere i roto i te rūma.

Heoi, kāore pea ētahi tāngata e rongo i tēnei momo mamae. Heoi, tera pea ka pāngia rātou e tētahi, e ētahi atu rānei o ēnei tohu e whai ake nei:

• Te mātao tonu i ngā ringa, i ngā waewae, i ngā waewae rānei.
• Ka māeneene te kiri o ngā waewae, ka kanapa, ka kore he huruhuru, ka maroke rawa rānei .
• Te ngoikore, te ngaro rānei o te kare ā-roto o ngā waewae, o ngā tapuwae rānei.
• Te ngenge, te ngaro rānei o te kare ā- roto o ngā waewae, o ngā kapu waewae, o ngā ringa rānei.
• He roa rawa te wā e ora ai ngā patunga o ngā waewae . Ahakoa he karawarawa iti noa iho, ka taea e ia te huri hei patunga nui, hōhonu.
• I ētahi wā, ka huri te tae o te kiri, ka whakaatu i ngā tohu o te gangrene, he āhuatanga e mate ai te kiko.
• Te matotoru o ngā matikuku o te waewae.

Ki te pā mai tētahi o ēnei tohu ki a koe, he mea pai kia rapu tohutohu hauora tonu atu.

He aha te take o te Ischemia o ngā Waewae Tino Hira?

Ko te take matua mō tēnei ko te Peripheral Artery Disease (PAD) i kōrerohia e tātou i mua ake nei., arā, te mate uaua ā-taha. Ka puta tēnei āhuatanga kino e kiia nei ko te Critical Limb Ischemia ina kua whaiti, kua āraia rānei ō uaua mō ngā marama, tae noa ki ngā tau. Hei whakamārama, koinei te wāhanga whakamutunga, tino kino o te PAD.

Me pēhea te tautuhi i tēnei mate?

Tērā pea ka whakapae tō tākuta kei te raru koe i te uaua o te nekeneke o ngā waewae i runga i ō tohu me ētahi atu raruraru hauora kei a koe (pēnei i te mate huka, te toto toto tiketike rānei).

Hei whakaū i te whakapae me te whakatau i te kaha tuturu o te mate, ka whakahaerehia pea e te tākuta ētahi atu whakamātautau. Ko ētahi o ēnei ko:

• Ngā matawai CT
• Ngā Matawai MRI (MRI)
• Angiograms : I tēnei mahi, ka werohia he wai motuhake ki roto i ngā uaua, ā, ka tangohia he hihi-X hei tirotiro i te wāhi e aukati ana, me tōna nui.
• Ngā Ine-orooro : Ka taea te whakamahi i ēnei hei tirotiro i ngā mea pēnei i te rere o te toto me te āhua o ngā uaua.

Ko te nuinga o ēnei whakamātautau ka titiro ki:

• Te rere o te toto i roto i ō ringaringa, maihao, pona, waewae, me ngā matimati.
• Te tere me te āhua o te whakaora i ngā patunga, mēnā he mea whakaora.
• Te whaiti, te ārai rānei o te uaua.

He aha ngā maimoatanga mō tēnei?

Ko te Ischemia o ngā Waewae Tino Raruraru he mate me rongoā tonu . Mā te whakahoki wawe i te rere tika o te toto ki ō waewae ka taea te whakaiti i te mōrearea o te tapahi.

Ka tūtohu pea tō tākuta i ēnei maimoatanga e whai ake nei:

• Ngā Rongoā : Tērā pea ka tohua he rongoā pēnei i ngā rongoā whakaiti toto, ngā rongoā whakaheke toto, me ngā rongoā whakaheke cholesterol.
• Ngā maimoatanga endovascular : Ko ēnei ngā maimoatanga e mahia ana i roto i te huarahi iti, me te kore e hanga i tētahi tapahi nui pērā i te pokanga.
• Angioplasty : Ko te whakauru i tētahi taputapu rite ki te poihau ki roto i tētahi uaua kua āraia, ka pupuhihia hei whakawhanui i te uaua. I ētahi wā ka whakaurua he stent , he ngongo iti rite ki te mata, hei ārai i te whaiti anō o te uaua.
• Atherectomy : I roto i tēnei tikanga, ka whakamahia he taputapu motuhake hei tango i te paparanga ngako e kiia nei ko te plaque kua hangai ki roto i te uaua.
• Pokanga : I ētahi wā, ka hiahiatia he pokanga hei whakatika i tētahi uaua toto, hei whakakapi rānei ki tētahi uaua toto hou (he uaua nō tētahi atu wāhi o tō tinana, he ngongo horihori rānei).

Whakaarohia, ki te kore e taea e ēnei maimoatanga te whakahoki mai i te rere tika o te toto, me whakatau te tākuta ki te tapahi i tētahi maihao, i tētahi wāhanga o te ringa, i tētahi matimati, i tētahi wāhanga o te waewae, i tētahi wāhanga rānei o te waewae. Mai i te hunga e pāngia ana e te Mate Puku o te Limb CriticalTata ki te kotahi i roto i te rima tāngata ka mate i tēnei momo pokanga, inā koa mō te hunga mate huka .

Me pēhea te whakaiti i tēnei mōrearea?

Hei whakaiti i te tūponotanga o te whakawhanake i te Critical Limb Ischemia, ko te mea tuatahi me mahi e koe ko te rongoā tika i tō PAD (mate uaua taha) . Hei tāpiri, me ngana koe ki te whakaiti i ngā āhuatanga tūpono i kōrerohia e tātou i mua ake nei.

• Kia mau ki te taumaha hauora e tika ana mō tō tau, tō ira tangata, me te momo tinana.
• Whakakorikori tinana i ngā wā katoa . Whakaurua te whakangungu kaha, ngā mahi ngāwari, me ngā mahi ā-hauora ki roto i tō mahinga whakakorikori tinana. He whakaaro pai hoki te hikoi mō te 30 meneti pea i te rā.
• Ngāna kia noho hauora tō toto toto me tō taumata cholesterol .
• Mena kei a koe ētahi atu mate hauora, pērā i te mate huka, whakahaerehia pai . Me whai i ngā tohutohu a tō tākuta.
• Whakaitihia te ahotea . Whakamātauria te whakangā mā roto i ngā tikanga hauora, pērā i te whakaaroaro, te kōrero whakaora rānei ki tētahi hoa.

He aha te tirohanga mō tēnei āhuatanga?

Ko te Critical Limb Ischemia he āhuatanga ka pā mai he raruraru nui, ka whakapoto hoki i te oranga. Nō reira, ki te mea kei a koe ngā tohu o tēnei āhuatanga, ngā tohu rānei o te PAD (peripheral arterial disease), me toro atu ki te tākuta tonu . Ko te wawe o te whiwhi maimoatanga, ko te iti ake o te tūponotanga ka pā mai he raruraru nui, ka ngaro te peka .

Kia pēhea te roa ka taea e koe te ora me te Ischemia o ngā Limits Tino Kino?

Ina hoki, he paku teitei ake te reiti mate o te Critical Limb Ischemia. Whai muri i te tātaritanga, tata ki te haurua noa iho o te hunga whai mate nei ka ora mō te neke atu i te rima tau . Ko te nuinga o ēnei tāngata ka mate i ngā raruraru o te mate manawa, te whiu rānei. Koia te mea he mea nui te maimoatanga wawe me ngā huringa momo noho.

He aha ngā pātai ka taea e koe te pātai atu ki te tākuta?

Mena kei a koe te Critical Limb Ischemia, ki te whakapae rānei koe kei te pāngia koe e tēnei mate, ka taea e koe te pātai atu ki tō tākuta i ēnei pātai:

• He aha ngā tohu tōmua o te Ischemia o ngā Lime Tino Kino?
• He aha ngā whakamātautau e mahia ana hei tautuhi i tēnei mate?
• He aha ngā kōwhiringa maimoatanga mō te Ischemia o ngā Lime Tino Hira?
• He aha ngā mea ka pā mai mēnā kāore au e whiwhi i tēnei rongoā?
• Mena he PAD tōku, me pēhea taku whakaiti i te mōrearea o te whakawhanake i te Critical Limb Ischemia?

Kaua e wehi ki te pātai i ēnei pātai. He mea tino nui kia mōhio koe ki tō āhuatanga.

Ka taea e koe te hikoi me te Ischemia o ngā Lime Tino Kino?

Ae, ka taea e te hikoi te āwhina i ētahi wā ki te whakaiti i te mamae e pā ana ki te Critical Limb Ischemia . Waihoki, mā te neke i tō tinana me te hikoi auau ka piki ake te rere o te toto ki ō waewae. He mea tēnei e taunakitia ana mō te Critical Limb Ischemia. Heoi, ki te mea kei te kino haere te mamae o tō waewae i a koe e hikoi ana, me kōrero koe ki tō tākuta mō tēnei mea .

Hei whakamutunga, kia maumahara ki tēnei (Karere hei tango ki te kāinga)

Nō reira, ko te Critical Limb Ischemia, i kōrerohia e tātou i tēnei rā, he mate kino e puta ana ina tino aukatia te rere o te toto ki ō peka . He momo kino tēnei o te mate e kiia nei ko te Peripheral Artery Disease (PAD). Ka whakanui ake tēnei i te mōrearea o ngā raruraru ngākau, ā, ka whakapoto i tō roanga o te ora.

Ko te mea nui ko te rapu tohutohu hauora i te wā tonu e puta mai ai ngā tohu . Ki te pērā koe, ka nui ake te tūponotanga ka whiwhi koe i te hua pai, ā, ka karohia hoki te ngaronga o tētahi peka. Mā te whai i tētahi momo noho hauora ka āwhina hoki koe ki te tiaki i a koe anō i ēnei āhuatanga.

Mena he pātai anō āu mō tēnei, kaua e mangere ki te kōrero ki tō tākuta whānau. Ka taea e ia te hoatu ki a koe ngā tohutohu e hiahiatia ana e koe.

` Te ischemia o ngā peka tino kino, te mamae o te waewae, te aukati o ngā oko toto, te mate o ngā uaua taha, te gangrene, te angioplasty, te mate huka